Loading...
HomeMy WebLinkAbout10445 (5) " CTfY OF DIAMOND BAR COMMUNITY DEVET:OPMEIVT DEPARTMEIVT ,�,,� zit�o e.cAp�ey uri�o s�;c�iso. PRESS (909)860-3195 Fa�c(g09)86131 l7 ,'^M'.�. BUILDING PERMIT,APPLICATION , FIRMLU .�,�,.:: . _,. � JOBSITE ,, ..:. � ,�, ; APRLIGATION , � . `PERMIT ,�/�''�/C QADDRESS 22824 HILTON HE�b DATE_ ��� ,_NUMBER���/✓ # � ISSUE ����� ° TYPE OCC APN�_ L07_..,, TRACT DATE CONST. GROUP � Diaznond Bar Tenn.zs Club H.O. . p OWNER p ADDRESS r,�n�rP}1PTlRl��rf-�i Nl�i=_�__��_/T�Rnx 400 zONING SETBACKS � c�Tv �,.me� ziP 90241 re�. (9091 598-3180 R Or�r ,Rw a� APPLICANT I�]� ��n TEL.�D� ��7-7734 SIDElSIDE StREET RW ❑ � CONTRACTOR�� �- h� �. SIDE ❑ ADDRESS 15 12YYa EOriLta I,ariC pRQPOSED USE o ��n C1�uzo Z�P 9171 D TE�. 909 597-7734 u� ARCH/ENG/ � DESIGNER riIa NO.DWEI.. NO. NO. a ADDRES5 UNtTS STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTION SQ.Ff: FACTOR PSF ADJ.AFiEANALUATION � Q OWNER-BI:ILDER DECLARAT�ON SFR/ADDlREM O p 1 HEREBY AFFIRM UNDER PENALTV OF PERJURV THA7 I AM EXEMP7 FROM 7HE COMNAC70RS ll• Ggfdgb/C81p011 CENSELAWFOHTHEFpLLOWINOREA50N(SEC.70J7.6BUSINESSANDF�FiOFESSIONSCQDE:ANYCITYOR (n COUNT'WHICHREQUIRESAPERMITTOCOMSTRUC7ALTER,IMPqOVE.DEMOLISH.ORREPAIRA7JVSTRUG W pgCi0/D9Ck Z TUHE,PRIOR TO ITS ISSUANCE.ALSO REOUIRES THE APPLICANT FOR SUCH PERMIT TO i1LE A SIONEO � STATEMENT THA7 HE OR SHE�UCENSED PURSUANT TO THE PNONSIONS OF THE CONtRACTORS LI- � � CENSE LAW(CFIMTER 9(CqMMENCIN6 WITH SECfION iaad)bF DIVISI0113 Llf THH BG51NE55 ANDT�RO- LL' POOUSpA FESStONS CODE)OR TNATHE OA SHE IS DfEMPT THEREFROAI ANO THE BASIS FOR THE AllEOED E%EMP- V TIDN.ANVVKK.A710NOFSECTION)o31.5BYANYMPIiCANYFORAPEHMITSUBJECTSTHEdPPLICANTTO � pe^ROOt � �CIVII PENALTV OF NDT MpRETHAN FlVE HUNDPED DOI.LAAS(t5U0�.): � . �� Q ❑4�+^�NMEROFTHEPROPEH7V,ORMYEAIPLOVEESWITHWAGESASTHEIHSOLECOMPENSATION. C, G�mmercial Z WILL DO THE WORK,ANO THE STRUCNRE IS NOT INTBIDED OR OfFEREO FOR Si4LE(SEC.70M.8US4 ,.J NESS AND PROFESSIONS CODE:7HE CONTRACTORS UCENSE U'W�OES�N6T AbPLv TD AN OWNER OF � PROPERTYWHOBUILp50RIMPROVESTHEREON,ANDWHOUOE$9UCHWOPKHMISELFORHEpSELFOR = � THROUQHHISORHERONM�EMPLOVEES,PROVIDEDTHATSUCH�AIPqOVEMENTS/iRENOTIN7ENDE00R � WO ocFEREDFofiSALEIF,NOWEVEft7tfEBU�LDINOORIMPRqVEMENTISSOLDNKfHINGNEYEARQFCd�IPLE- Z TIDN,THE OWNER-9UIlAER WILL HAVE THE BUHDEN pF PqOVINCi THA7 HE QR SHE DID NOT BUILD OR � IMPFOVEFORTHEPURPQSEOFSALq. �� ❑I,AS ONMEP OF THE PROPERTY��XCIUSIVELY CANTMCTINO WITH UCEN6ED CONiRACTORS � TO CONSTRUCT THE PHQIECT(SEC.704q BUSINESS ANU FROFESSIONS COOE:IHE CQNTFlACTORS�I• V8IU81I0�I ADJ.AREA W CENSELAWOOESNOTAPPLYTOMIOWNEAOFAPROPERiYWHOBUlI.D60RIMPHI?V�SYHEREOF1,M10 � WHOCONTRACTSFORSUCHVFIQIECiSWI7HACONTRACTOH(SILICENSEDPURSUANTTOTMECONTRAP Q�J,�'(�� OESCRIPTION FEE � ToqS LICENSE LAWJ. 0 O I AM EXEMiT UNOER SEG 9.d P.C.iOR THIS HEASON � �cal Pedestal � � LL' DATE aWNER F"' Z W � LICENSED CONTRACTORS DECLAFlATION W � I HEREBY AFFIfiM UNOER PENAL7Y OP PERJURY THAT I AM UCENSED UNDER FROVISIONS OF CHAPTER �v . . . d 9(COAIMENCING WITH SECTION 7000J OF DIVISION 3 OF THE BUSINESS ANO PROFE,$81pN5 CODE,�NO Z �X 4V LICENSE IS IN FULI FOIiCE ANO EFFECT. � � LICENSE CLASS C�0 uc.No. 729594 '� � v oare 6/19/97 cornrucToa a w .. � WORKERS'COMPENSATION DECLARATIbN Q � I HEREBV AFFIRM UNOER PENALTY OF PE0.IURY ONE OF7HE FOLIOWING DECUMTIONS: Vz � Q 0 _I HAVE AN�WILL MAINTAIN A CERTiFICATE OF CONSENTT03ELF-INSUAE FOR WORKERS'� _ � COMPENSATION.A6 PROVIDED BV SECTON 37aoOF THE LABOR CODE,FORTNE PERFORAIAI�ICE W OFTHE WORK FOR WHICH THIS PERMIi IS ISSUEO. .� � W lIHAVEANDWIL�MAINTAINWORKERS'COMPENSATIONINSURANCE,ASREW11pE08V3ECTION Q 37000iTHEtABDRCOOE.FORTHEPERFORMANCEOFTHEWORKf-0flWHIpi7HISPERMRIS ISSUED.MYWOHKEAS'COMPEN6ATION�NSl1RANCECANR�ERANDPOI.ICVNUMBEqME: CONSTRUCTION � CARRIER���y._�7'1SAf'lC)Tl PtANREVIEW � POLICVNUMBER LVNAti6 '7�301-02 � �EC -. . � �-�✓ � ¢ (IH65EL'fIONNE�NOT8E07A1ftEf�OF7FEPEFiAfISfORONEMN�DRFDDOLLAHSIt10010RLESS} PIUMBING � Z 1 CERT�fY THAT�N THE PENWRMPNCE OF 7HE WORK FON WFpCN THIS PERMIT IS ISSUFD,I MECHANICAL (� SNALLNOTEMPLOVANYPERSONINANYMANNERSOAST08ECOMESUBJECTTOTHE N WORKERS'COMPENSATIONLAWSOFCALiFOHNI DAG EETHATIFI��{OUIDBECOME �NSPECTIONFEE SLl&IEC770THEWORKERS'COMPENSATiONV ISIO FSECTION POOFTMEUBOR �`�;:--=---...� ��"��► ~ CODE,I SHN1 FORTHWITH COMPLY WI E Pp0 ON& a,' �������" �� p DATE: 6�2O�97APPLICANT. .�✓ SMIP � ENERGY PJC WMNINQ:FAILURE TO SECURE WOFKERS'COMPENSATI CAVEMOE IS UNLP.WFUL,ANO SHALL 9E �y SUB.IECi'ANEMPIOYER70CRIMINALPENALTIESANOCI FINESUPTOONEHUNOREDT110U3MD ENERGYPERMIT �� DIX.UP9(5100,0001�tN ADOITION TO THE COST OF COMPENSAiION,DpMAGES AS PROVIDED FOq IN � SECTtON37o90F7HELABORCOOE,INiEREST,ANDATfORNENSFEES. RETENTIONFEE: � n � � CONSTRUC710N I..ENDING AGENCY PqE-ALT FEE: � � I HEREB�AFFIqM UNDEfl PENALTY OF PERJURV TNAT THERE IS ACONSTRUCTION LENOIN�A6ENCY � FOH THE PEHFOHMANCE OFTHE WORIC F-0H WHICH TNIS PERMIT IS ISSUED[SEC.300T,CIV.CJ. `t t�. /g � �v"�—a— LENDER'S NAME . .... .. . .........:._. F_ LENDERSMDflE55 w ICERTIF`/THATIHAVEREADTHISAPVUCA7bNANDSTATE7HATTHEABOVE�NFORMATIONISCORRECT. TOTAL FG�S � �� ' �� � I A6REE TO COMPIY WITH Ql CIiY M1D COUN7V ORDINANCES AND STATE CAViS RELATNG TO BUIlDIN6 � CONSTHUCTION,ANDF1Ef1EBYAUTHORIZEAEPRESENTATIVESOFTHiSCWNTYTOENTEAUPONTHE -��- � � ���� � �'���--�--- � - Z 1180VE�MENTKKJEO PROPENTV FOR INSPECTION PURPOSES. � COMMENTS O � m PERMRTEE 't �20�97 ,a. � ; ,,.. � SIGNATUflE OF E ii'r� � o�rE - RECPT.NO. �%'�6�''���w'� PAID BV F-...�-J�� ' VALIDA710N�..�r. .���"���� � WHITE—Aepartment Capy,YELLOW—Finance Copy,PINK Aaseasor Capy,GOLDENROD--FIIe Copy,6REEN—Appiicant's Copy - ���� � � � ,. � � ,. . . . , :� . ,, � _<:.,: .., : ,, . ,<. _ r . r: , : � , . , ,,,,, . _ ,. . _. ,..,� ..,, .,, �. � � .., . , C��"'�!rvt"��x C?iAt�lO(V� ��1F� ,. � � � � v Y"4�.-,�F`.i,'fi.1 s w: <r' �fC.a, ��sd i 'L S li���t�°If :� �',�,��...E� � ���������� ������ . � ;, :: � ..���� -6 d`t�'�T�'' ;,,}` ..,9�.�'%'�si=a$6M.:$k3''�ta. �"...;A!_`S2 "�c,'. • • i ,a . s r `� o � � 1 .-. � e. ...., .: � SFT�ACK;:; _ _. . ;<' . . .�.._..�_ ,- .�, ,,...__... _ ,,�L�OR JOlST __ - - , ... __-___,._.. .. . . _ �.._ — — - — • ------_ _ ��_ _ _.��:,.3_�:__.. FTGS/FUi�MS%�TEEL .���. ;._.. .._ _.__.__..__ _�.._ ' ��A REQMTS _.._ „-, t -, __.._ . _._ . .. . . .._ _...___• . '" ..a�.�...4 .. _ .........'.. .. _ ......_. .._ .. . .. ...._ ELE�TR9C(aROUND ..".� �:.b;w .t� :'U'�t,[?�R FLC70R DUCI'. .;.�.: • ,., ,_.._ , GRC1l3ND PLEJA�IBlNG _ __. `,� � I UN'DER_FLdOR CU�lDUIT ;. ' : _.. _ .. �LA�CF�A.DE ___. ___. < '� �,. ` i FI�EWLf�i(;E Ft)-iJ�V�d�T101V _ .�'-� . � _: R��._,�6Y .,�.�: . _._ _ _ , - - - 7EMP POLifE�i _ _ � _ .__ '._��.... �IFi��'LACE 5��lE��EAM . ` � ,.. . `�VATER S�FiV(GE __'_.. __..._ _. :i�lE�HT._BnNQ�EANI _____...._ .. _ _ , � ,. ._._ _ -� , .. _ �___�. _ ...�..:_ �$C!C}F SNEATF61h4G __.... . . _._ _ .___ ._. .�__...._--- ' �F7..�OND BEAM ``";. : ' , _��-- — - _. . . __ ._ , �RAI�ING. Ei�l`l`�:.IATION ''��`� �` ,;F P�P.L BOR1D�E,4M =. . '� ! ';; .�..._.�_..w.._..�._ .� �iOfl�'CC3VER Y _ -:.-:_._. ,,., __� �:.�. . .'PRE-GRAD9NG :,,�> ��', r .e.__ . __ _ __... _ __._._ � . .;� F , � �' �:,�,f ,_ _ _ ._ - �.....�. �. �BQUGH 4-6EA5'!P!G __�_ _ _� m:__-_` B�t�C�iNC � _. .;, ;;-. , _ _ . •-- �._.._ ._._. �_�......�, _�__.__-___ � _. __ _.._ .._�.... . � _..� � RC)�9�FE���C?'�?9C ___.._. _.,_ . RC3UGFE�RADINC'a.;, .. ,,.�,:,,.:�. . , ,:.:, .::,,r � .: ROU.fzF6 PLt1M�tNG'— _ . .___.,. Flt�tf sN i�R;QDIlV� '. 'A � . ` � '" „ ,: _ ____. . ... ._ . _ ,�«iP- fi t,-�, �k:.:� SHO�NPERfFUBTEST .. ._ . _. . ..._ .. �.... _._._-F'Ot7�E��GTF3'I�. �`, a��;' : ,.. ,,. . ;; ,:. `.�'.;, I � '. �i21 1Jt�P�1l�.7�VflVC� . .. . '" -.... .... ...�.. ._....._ ,., . .. �lJ�f P'ClVl.i�I`t��. �t� hi^! P .d. A_,,7 ��'. YWP1L�i��V�l�4JFV __..... .._ . .._ I ...,. � ��::�� _ .�,_r�'�.5�✓'����f1L "� ;�: 1��F a�p l��a .-u „ GSCi...I.YY I ._ ... . ....... _.. ' —_ . _ . . _..... .._ _ . . ... .. .. . ��ILI{�t�If�1SU6a4T!(JN ', f.�FF:�ETE 3i�?f6�,�'s;. , , ,. , �� ,;,� - �� :r i __. ., �� ��dY!!�lALL NAELII�G I D'EUiCR7`I(�(VS `'°, ; ; �, --.._____. �_ . _ . _ . ,� _ �: ., � r ,, ;.: ___ _.. .�: _. _ _._� . . . S�YVER. __. _ ( ..... i _ Fh�iAL E�G .�_ r k':; ' — ,. ,... r � ' S�P7'�G TA(�41C. , _�.::' �._: .:_... � _..__..__., ,"� ..y... LAi°dDS�1�4�c%dk�RtG �:;. . : .:,~ , ;, SEEP f'1`�/L.L: , _.. _.. __-_',`_ _ _� ,�, ' ��.. �`ON SPT�I�II�'S: . , .. ,,,;' <.. _. , _ --�___'_ . ; .C`aAS 6#IR TEST ..._ .__ _ � . � �,�Il�tfaL ZC)�tI�VG :- 7 _ {. i --- -- � fitl�AL�QNST_ .. , .._ . ,..___. �(- ``�s-fi�c DE�7 �If�AL _ __ _ �. -- ; _ , .........��r- _ ..... ..... �h�C . .._. . �I �... �..�_ �... ,.. ._.. � . �INAL HEATINL`a _. _....__. ( .._..._� . .. _.._?__ _._ _, .p�E,�LTH DEP'C'. �i�AL.` _ ,... . _ __ __y ,� � .� � FINAL IELEC�"RfC _ ..�._. ���,��^�� � ������a�% C7E`� FEE6 PAI� < ..„., .,.; ta�f�... . ; _ ; --- -•___�.. ;�,,_._.. W._.:._. �, ,. � __ � . , .�r����v , ,, . �ENAL��'�Lt1tv�BIiV(� �_� _ .< , .,, _.__..... _ .__ _.___ .. ...,..__. �_�.__._.__.� _. �_.... � ::_._ .. _�.,�,:�, � . __—____ _ _____....:. �� __._ .._. ...:. .. � � _. _..� _ ._.... _ . _..__ ._._. ._..___..-- ' � � � .., .______ :,..:. i __......._ : , �c,,:�F.a ,, .__.. ^� - �,:.: . _ .. . ...._. _._.._ __.,_._ __,__ •-- - �10✓�.J{Y91Vl�lY 1�� .....�..... ..�'..�., a r';:��. i.:cz. ..�.:srr .�-tmr�,;.:..�,,::,��:.�nc�;- a�..ao-e;?nsa�a�.rA„2:: '" . _.__._. .._._.. ..._. ._. ____...�_.._. ......._. ___,. . . � �=1 � � �m�ti•,�c—�:,.r24ii: .��-,-_a.:;� �.;.,,n�,. .:._,:,; �.v..�. „ �'.... '_ � �� ,_��y.. �.-r� �i,,. :Y�9(bv:3�F .�._ ,rl.. ,r. 5a,.r .r. ..._._.....,. ..__._._._.._._ .....__.,._.........._..�_._.......,._......_...,..,_,..w... ._....__'!_". -..._ . .� ,�.. . _<_..._...._. . ..,,, ,. , o.;:: ,. t 7i,,b �_... .... ...__.._..... ... ..._........_._......._..._...__..__........_T...,_..._ ..._ .............___................ . . ..___....- �, . .. , _ _ :.�o;v��, :a�as,.E,;.:...a.��u�tzw, rr.. yr...�r,r�s.a.W�., ,.,ava.i ;:a.� � _. � " � � 2f 13. :.'!i;:1 '4i�^�'.V:"'� _ _ .}::: .__._.. . . . _. . ..._... ..... . __..... .___ ... . ._.._. __.._.._.....__ .__._ ._. . ._......_...._ _..�_�_.e__.._.__....._..__._.'__.` �Si'.�tt.j'_w37i l§Fr.'�: '. ; . . ... . .. . ._. . �r,... `... �.,::! � �-..... .._... __.. . _.�� ._. .... . . . , ,..ix>.. � ".� r�.:i3':...y�a.. � ,,.�„�m,.sY� ..,.,.... .. .. ;�..t,, . -,�.:. '. . .'?UBLfwtbtt�.'drt:TN,.. :'.Y�:•e:��1._;�. .,'�:iWxeF.�:ri'�;., ...-:xN?:":".:ri�,:'� '_____ _ ..,,. ,..., . .. , .._,_....... .......... ..._.._....___.. . .. _.. ... ... __...._.... y. ' � .;I'n..r"f7�.5 .�.:rr.:.',3, ti ✓:., ,�u�..y3�- �.a.t.� ,:�;pa c,:, � _.__..__ ...... . _....�-'_... " -' � t Rt '31 1 ' b � ��.^ J , _.... .. . ._._ , '�4:i.Ut .N h � . :.� e. ._.,. .. .,,. . ..... . .......... . .. _ .. _a . ' ,. , �'�L��- � � .,�,:,._ . .._.__'_'""'"_: _��.. _ � } � � . _ . . . � �` �' �}� ��;s ' . '_ ' '_.. ... . ....__ . .. ._...... .�L,: .�..-. ,. � I .. ; ^3�-�. 's� . 6 . ��v '"u`'° � .. t�{..... i . �s 5 't1-�3Fi4f 1M G . '.1.+` '..R. -+-t Lx : .___ .........._..... ...,.._.._.., __._._ . _. .......... �r�. rd , t,i°,,.t� c�...�� a,'.�.3 5 � �:" STG 'e,H t / ',:7 t].n,� a`i� 'R�rt s. �,.. �_ � _ . .,�. SEPTiG TAi�IK S1�E. _ � � '..��-.� .;;: .ka ,,6 , :, .. __.__ _.. ���. . . ____ _ _ ---_�_.__� . -_ . _ .. _ __ .. SEE�' PITIU S1Z� _ LLp ,� � � ��_� � ._._ ........_ ._ __..._ '_-.`:?"�3'�6 k .. .... ... ... .... . ' .... .. .��ri.,.. � .. .,1 ,r, . n ... .. . ..... ..s �. 'o ' �, . :" •:� � .`.s AJ M4 Yt-E i. ! ,.. 3 .� } ...nr. a •'rl.. :. � : x.:..t� i �,. � .._S--�,g' .i.� ._.. . .. . _....- . i ...- • k.��. � .. _. . i. . _.. . .._.... __._....._. ....._ . .. ___ . . _._. ... .._...,. ,____ s,..,.�_. -. . ..�. . ..., �. _..._._. _._.._. .._. .__...._. ...................: ....__... � i. . . .... .._..,.. ..,-.._ . .... .._..:.. , ._._ . . ..._ .�. . . .,- :..,. ,., ' .. . I ,�.._eIS...:y .,�U.i-.,L:9d_t� ,i-':,I.fe.CXid�`.<.,.9RA..--:'l�.is'rvi' � :<rri3.; :.��., � :�"� .�o��! i� -- o.�,. . ,. .�. , ., . � . ,� ... .I :f.�".:,.. -3._i�v ,a".�.e�. .�4i�a' Cde.��iCJ.`:.U?��. ci;ti:a ... .,. ,...�... .Y . .� P.,.. ._ �N ., ..._... . �.:4. � . . � � ...._...._. . ..._ ..... ...._. . .. .. .. � '• � - __.____... __. _..._.. - .. . ... . ......... _..__.__. _�__. ........_.._t _ ...; .... . ..�.;.. ..... _k_._.. . .. _ .. , ._ � _"" __ __` .,�,�.. - _. _.._ . __..... .... ...._ __._.. . . ......._ ,< ''.-. .. ' - . .. ,� .:..,� ._�. .. . �. . � ....v„...W✓ °: f "k � 3^,t �, . . .. �_.._... _._._.... _. ..... .... .. � .V�ry . __ _ ... _ .__... �J:y_.< - . _.... ...,.,t . ...' .v_:.��_.. �.,_� ..., .!,,.: ,. . J�:i'4 f ; . . ....... . . .�. .. .i- , i,�'.'i a�, F }4::.•, 1 ..,�al^�,.� v-n.rrsn.. _ hiA,, .,..,..�.dn.'N '..,.a°. J.:.,...,..... , _. , . �