Loading...
HomeMy WebLinkAbout10098 - C1TY OF DIAMOND BAR COMMUNiTY DEVELOPMENT DEPARTMENT �,.� 21660 E.Copley Drive Suite 190 PRESS (909)860-3195 Fax(909)86l-3117 �''�' BUILDING PERMITAPPLICATION � FIRMLY y JaBSITE r Q ,f�n APPLICATION/� ����1� NUMB R " "` k� o ADDRESS a ti�y� DATE �'Y � ISSUE TYPE OCC APN L"O�T� TRACT DATE CONST. GROUP p OWNER ,�s.t�1�1—��l� 42 ADDflESS ZONING SETBACKS � CITY ZIP�Z�j TEL 3 FRONT RW p APPLICANT TEL REAR p � SIDE/SIDE STREET RW O CONTRACTOR . ^ Q JJL�'�_ SIDE ❑ ADDRESS - a � CIN �U C �N ZIP j aL$Q EL _ PROPOSED USE � a_ •� o ARCH/ENG/ _ � � DESIGNER NO.DWEL N . NO. , n. ADDRESS UNITS •STORIES � BEDROOMS � CITY ZIP TEL � DESCRIPTION SQ.FT. FACTOR PSF AW.AREANALUATION Q OWNER-BL'ILDER DECURATION SFR/ADDlREM O p I HEREBY AFFlRIA UNDER PENALTV OF DE0.IURV TMAT 1 MI E%EYPT iliOM THE CONTMCTORS ll• Ga�9��rt W CENSEUWFORTHEFq10WNCPEA50N(SEG7WLSBUSMESSANDVROFESSIONSCOOE:ANVdTVOF (n U COUNTYWMpiR[OUIFESA7EAMITTOL9N57AUCf.MTERMDROVE,DEMOLISµORPEPURANVSTRUG W P81W/DBCk � TURE,PRqR N RS ISSUANCE.ALSO RCWiRE3 TNE M7LICMlT FOR SUCH PERAnT TO FlLE A SICNEO W STATEMEHT 7W�T NE Oit SME IS LICEN6ED PURSUANT TO iHE Vi10VI5iOH5 OF TME CONfMCTOR3 LF � CENSE UW�OUIP7ER�(�MENQNU w1TH SECT�OM 7000)OF DmSqN 7 OF ME BUSINE55 AND PRO u' POOVS� � FESSIONS CODE)OR THAT HE OR SHE IS E7lE4PT THEREfRdA AND TME BIISIS FONTME ALLEOFD EI(EMP• T10N.ANYVIOLATIONOFSECilOH70]1.6BYAHYAVGLMANTFORAVERMITSUBJECTSTHEMPLICANTTO Z Re-Root A CML PFNALTY OF!qT MOHE THAN F1VE HUNDRED DOLURS({Soo�.�: O 4 AS ONMER OF THE PROPERiV,OR Mv FIAPLOYEES VYIT/WACES AS iHEIR SOLE COMPENSATION, Z � Commertlal YALL 00 THE WORK.AND TME SiRUCiURE IS NOT INTENOED OR OFiERED FOR SALE(SEG 701�,BU54 J N NE55 AND PROFESSIONS OOOE:7HE CONTMGTORS LIGENSE UW OOES NOT APVLY TO AN OWNER OF ? PROVEHTY YAq BURDS OR NPROVES TMEREON,AND Whq DOES SUL11 YVORK W MSEIF 011 MERSELF OR Q 7HROUGHHISOfiHEROWNEMPlOVEES,PROVIDEDTHA75UCNrAPROVEMENTSARENOTMENOEDOR m 0 OfFEREDFOH5KEIF,NOWEVERIMEBULdN00FMPROVEMENTI550lDWRVYNONEYEAROFC04PLE• Z TqN.TNE OWNERSUILDER NnLL MAVE TNE BURDEN OF iROVY/a THAT ME Oil SNE DD NOT BUID OR � MPROYEFORIHEPURPOSEOF6ALEl O L�5 OMMER OF TNE PROPEMY.AM E%CLUSNELY CONTRACTWa NrtTH LICENSED CONTMCTOR3 � TO CONSTRUCT TME GROJEC7(SEG 7oM,BUSINESS AND PROFESSiON3 ODOE:THE CONiMC70R5 U• ValU0I10l1 O- AQI.AREA � W CENSEUWOOESNOT�PPLYTOANOwNEROFAiROPERTYWMOBUIIDSORMPf1pVE5711EREON,11N0 � WFfOCONiMCT3FORSUCHCtIWECTSWITHACONTMCTOR(5)LILENSEDPURSUANTiDTNECONTRA6 QUANTITY DESCRIPTION FEE � TD0.5 LICENSE U1W.1. 0 OIAIIEXEAIPTUNDEHSEC. B.1V.CFORTNISREASdJ U � ¢ DATE OWNER � •. . . . . Z W � � � LICENSED CANTRACTORS DECLAAATION W ' • t n INEREBYAFFIRMUNDERPENALTYOFPE0.K1RYiMA71M1LICEHSEDUHDERPROVISqNSOFCMAPTER � . �."` ,_ L, f �,f a, Y(Cp.w1ENCuq WITN SEC710N 7000)OF DMSION]OF ME BUSINESS ANO OROFESS�ONS COOE.AND Z � � X Af/UCENSE IS N FULL FORCE NJD EFFECT. • � IICENSE S �,�.�. 3a�3 � � V OATE �IS��J CONTMCTOR GJ. W � WORKERS'COMPENSATION DECLAFiATION a = U � IMEREBYAFFlRMUNDERPENALTYOFPERJURYONEOFTHEFOLLAWINODECURATqNS: Z � �IHAVEANDVALIWANTIUN110EftfIFlCAiEOFCON5EN7TOSE1FaN5UREfORWORKEflS' 2 . � CdADEHSATION.A4VROVDEDBYSECilONJ7000FiHELABdiCOOEiORiHEFERFOqAUHCE U Q TNEMlORKiOfiNM111C117MISVERA11TI5155UED. � C 1 XAVE ANDN7LL MANTNN WOIiKERS COMPENSATION NSURANCE,I�5 REOUIRED BT SECTION ^ 0 ]700OF THE LABOR CODE FOR iHE PERFOpMM10E OF THE YYORK iOR WMCH iHl3 PEfWIT15 d� r- ISSUEO.MVWORKERS VEN T INSURANC RRIE vaicr�Enut¢: CONSTRUCTION jur+wen ''•�' PUW REVIEW � POLICYMIMBER �,�I� ��y� ELECTRIC . . ' � �nassEcm�n[IDw7eeoor.r�rmoFnEv�rsioaa+EHrc�martum6+m�oatFss} PLl1MBING Z �CERTIFYTMATWTMEPERFOiU1ANCEOFTMEWORKFORNMid1TM3VEHA11TI3155UED,1 MECHANICAL (,'} SHALLNOTEMPLOYANYVERSONNANYMANNERSOASTOBECOMESUBJEGITOTHE � HORKERS'CWAVENSATIONUWSOFCALIFORNIA,ANDAGREETIUTIFISHOUlDBECOYE INSPECTIONFEE S SU91ECTiOTHEWORKERS'COYPENSATI�N PRONSpNSOFSECT10N77000FTHE O � J� COOE,1511ALL FORTIM'17M COMDLV NnTMR1105E CROVISqN ISSUANCE v ' O �7 •�l... SMIP p DA7E:�1 APPLICAPI�: .— � ENERGY P!C WMHINQ'fALUAE TO SECURE WOiiNER5COM0ENSATION COVERAOE I5 UNU L $MALL BC � SUBJECTANEMP�OVERTOCRMiWLLVENALTIESANDCMLFINESUPTOONEMIND �THOUSNO ENEFGYPERMIT DOLLAFiS(ft0o.000�N ADqT10N TO THE COS70F COMVENSATqN,DAAUGES AS PiiOViDED FOR W �/� � SECTION 770e OFTHE LABOR COOE.MTEREST,ANDATfORNEY'S FEES. RETENTION FEE: `V C 7 � W CONSTRUCTION LENDING AGENCY 4 PRE-ALT FEE: O � IXEREBYIILFlRAIWDERiENALT/OFVERIURYTMATMEHEISACONSTRUCTqNLENDWOAOENCY ' Z FOfi TME PERiORMIWCE OF TME WORK fOR WHIGt THiS PE WA�T IS ISSUED(SEC.ioV7,qV.CJ. W � LENDERSNA4E � LENDER'S�DOHESS � ICERTIfYTHATINAVEREADTMISAPVUCAiIONANDSTl1TETMATTNEIIBOVEWFOHMAiIONISCORREGT. TOTALFEES W IAGREETOGOYPLVWITHILLGIYIWDCOU�7VORDINANCESANOSTATEUlNSREIATHGTOBURdNO � CONSiRUCT10N,ANONEREBYAUT110f72EHEPRfSENTATNE50F1T11SCOUNTYTOE�ITERUPONTHE (^}�/� G ]/'�� • � ABOVE�MEMqNEDPROOERT/FORWSPECTIONNNPO5E3. COMMENTS �G'�-+y �I 1O 4 � �. � `L 1' � �v . m PERAaTTE (VH111T) . . � u�i �Z --t S'� � y SK�NATUFEOFVERMITTEE F, :..� �`DI.TE � . _ \ � • ��. .. RECPT.NO. �UD BY VALIDATtON • � WHITE-0epsrtment Copy,YELLOW—Finance Copy,PINK—Astesaor Copy,GOLDENROD—File Copy,G EEN—AaplkenCs Copy �� / .. ...,.,.... •�. - - .. . ....,..�. . i. . ��^Y�. . . -:�a- �.t -. , nn..r ` . +I:Yh'i :M•'I\e're1,.�1:/.:.�.�y:�4� •rq .w �^y'�j.h...yk ztc.k�-�^. !!r..�,r....a: .. -.� . -�'.�,.::: +'t� , , ��� . N. :".!'. , �1+�:• v�n�^, ',V.' :.P'Y`I�'. 1='•'� CITY OF DIAi►��I��d D�R-' '`":.'';'- . . :� �.,._';. . If��P�C�i ION EiECfi3:?E�`,,',.�'f '�-,`,�.�` '��� _ • . � -�' . ' ��'.. . . 't. : . . i� �� � . - - -_ - - - - - i � . 1 a c .� .. (� +. . . � � �( � . � w . �I►�1-'i:��e;:i�l��� �r:un� � 1►F��. .c��,ol:'t _ I�� �;:i ���� �,����r_� �,f,� »•��,-ra,��; ,,.. . k- , �' {, ) . .. ' e. � , . � .�.....,�. _.__._�,__.` :�..,:......1..,___._ * ,.�1 . � . : . ._�......_.�.:_.� ----"• -- -- —...c...._. ..�_. ._._- - ' - _._._,.._..,�_ _ ._.._ . . . . .__ . _._.. �_ ,.. � - • S�TBACK_ - - •--__ �... _�.��FLOC)?JO!Si :----�... --._...--- - -----:.._ ------.------�---. _; - ... - - �' � - ...-----•- ------�---- - - -- _ �... . , -..._.._: '�_ FfGS/FORP�IS/STEEL-�- - ._.__ .,�:. .� , . .-- - - - - I 'FHl1 REG�"J1�S--- ;-- -. �.. .,. . - ------ . . _ -.- -- � _ . _. . . _. . - ---� :.: -_-�- '.�. ... . , ELECTRIC GROUND � �':•':' `; :' ,-': 1 ,UNDER FLOOR [)UCT - •- .- . .. . . ` -.::; ,..-;. ! ;`.: GROUND PLUMBING `' ---- -- -- ---- .. - �. , ! UNDERiFLOOFi�C»IDUIT �-- � -• '� -- -.- -.--- -, � � . - --- =--_- - ---�-- - __.__. --- ---- �-;-' ;- :' � FIF�EPLl�CEFOU'•1DATION .": • SLAB GRADE ---.._. ._ •.;�. . - - -- -- - •- �.. ,.. : �._... .._. ... ._..---- _...__, - - ---- -..... . --'- - ---- --- - -