Loading...
HomeMy WebLinkAbout13672 CITY OF DIAMOND BAR �� ---�� DEPARTMENT OF COMMUNITY dz DEVELOPMENT SERVICES - 21660 E.Copley Drive Suiu 190 � (909)664-3195 Fax(909)861-3117 , PRE�$ �M^�� BUII.DING PERMIT APPLICATION FlRMLY JOBSITE 1` APPLICATION PERMR P/C o ADDRESS 2�J V� �� OA7E_� NUMBER ��� 1i � APN LOT �S TRAC Z $S ISSUE �—TYPE OCC DATE CONST. GROUP p OWNER � � T3cx+^ [s L+L G AD�D.,�RES �4 �O /�1r�"�3LVT9. ZONING SETBACKS �W C�" �`'�g',�AStF_ ZIP�TEL310 SYf0�.�7r'D REART RW �❑ APPLICANT "fEL. SIDFJSIUE STREET RW ❑ CONTRACTOR �- E SIDE ❑ � ADDRESS 2 CITY ZIP�?]3 TEL. PROPOSEO USE � ARCH/ENG! � — DESIGNER � � ' � � NO.DWEL. NO. NO. ADDRESS R� 1/l/C C�LLI�- UNITS STORIES BEDROOMS � CIT��� �L�' ZIP� TEL!�O '�?�q v� , DESCRIPTION S�.Fl: FACTOR PSF AW.AREANALUATION d ONMER-BUIIDERDECLARATION SFR/ADDIREM Q�g O 1 NEREBY AFFlRM UNGER PENALTY OF�ERRIRY THAT I AM E7fEMPT FqOM THE CON7MCTOH3 LI- Gareo���rt CENSEIAIWFORTIIEFOLLOWPI(iREA90N(SEC.7091.68USINESSIWOPROFESSIONSOODE:ANYCfTYOP (n COUNfYWHCNREOUtRESAPERMRTOCONSTRUCi,ILTER.IMPROVE.DEMOLI9H,DRREPAIHANYSiRUC- LLJ P�ilO/DeCk . 7URE,PRpR TO R9 ISSUANCE.AL50 tiEOUIRES TiE APPIICANT FON SUCN PERMI7 TO FILE A SM.NEO � l7�TEIAEM iM�T HE OR BF/E 13 110ENSEO PUFISUANT TO THE PRONSIONS OF 7f1E CONTMCTOR4 ll- CENSELAW(CNAPTERO(COMIAENCNOWITHBECTION7m0)OFDIV1910N9OF7HEBUSINE55MIDGRO• u' POOUSpB FESSpN6 ODOEJ OR THATHE OA SHE IS IXEMPT 1HEREFROM/WO THE BASIS FON 7HE ALLEOEO EXEMP- TpN.M1YVqLATIDNOFBECTON7m1.6BYMIYAPPLM,JWTFOHAPERM176UBJECTSTHEAPP4CI1lTTO Z Re-Foof ACML PENK7Y OF NOT YORE 7W�N FNE MINOREO OOLLARS(iSOD).): ❑L�SOMlI�EflOF7lIEPROPERTY,ORMYEMPIOYEEbWiTNWAOESA5TNE1R50LECOMPENSATIDN, COmTBfCiel � 1N41 O�TME YYORK,IWD iXE STRIR.TUHE IS NDT MEN�EO Ofl OFFERE�FOR SALE�SEC.70M,6U81- � Iff55 AND PIpFES510N5 COO[:7XE OOHfMCTOR6 LICENSE LAW OOES NO7 MPLY TO AN OWNER OF � iRDPERTYYYFqBU0.DSORIMPROVE8TIEREON.ANDYYFI0DOE9SUCHWORKNIYSELFORHERSELFOR = � TMROlAOHMSORHEROWNEYVIOYEES,OpOVIDE0TIATBUC1iWPpOVEMEMS►RENOTMENOEDOR m OFFERm POR SALE.IF,FIDWEVER 1ME BUIONJQOR�IPROVEMEHT I$SOID WfiNNJqJEYEMOFCOM0.E� T101J,iHE OWNE0.&1lDER MALL VMVE 7FiE BURDEN OF PROVNG 7HAT HE OR/NE�ID NOT BUILD OR MPROVE FOFt THE PUpPOSE OF BALE� ❑LAS OriNER DF 7f1E PPIOPERTY,IJA E%CLUSIVELY OONTMCTING VAhI UCEHSFD CON7HACTORS � 70 CONSTRl/Cf T11E PRWECT(SEC.7uM,BUSINESSAND PR�FESSIONS CODE:TNE CONTMC70R5 U- V81U8tI0f1 ADJ.AREA CENSE lAW OOES N0T MPLY TO AN OYYtiER OFAPROYER7Y MRIO BUILDS OR WPROYES THEREON,AN� WFqCONTMGTSFONSUCHPRO,IECTSYNTHACONTIUCTOR(S�LICEN6EDPURSUMITTO7NEODNTMG QUANTITV �ESCFIPTION FEE � 70RSUCENbELAWJ. O 1 AM EXEMPT UNDER SEC. B.l P.C.FOR hIIS REASON U O I�K � {/ 4' DATE OWNER r � S � W � � 4 LICENSED CUNTiiACTORS DECLARATtON W Lc V �L IMEREBYAFFIitlAUNDERPENAL7YOFPERIUNYTHAT1AMlICENSEOUN�ERVROVI510NSOFCHAPTER � � s i�CO/AYENCWOYtIiMSEM10N7o0o�OFDIVIS10N90FTNEBU3INESSANOPROFE55qNSCODE,AND Z u� W L10EN6E IS N FUl FORGE AND EFFECT. m � u 0 LICENSE C�L�AS/$ � UC.NO. `�49 Z Z�Z- �/"� � I a aA''(�/� DATE�j �_CONTRACTOR �C��I�C ITIL � � / 2. WORKERS'COMPENSATION DECLARATION Q � I MEHEBY AFFlRM UNDER VBJALTY OF PE0.ttlAY ONE OF TNE FOIUDWINO DECLAMTqNS: Z � � _IIUVEANDMIILLMIIINTAINACERTIFICATEOFCONSEMTOSELF•INSIIREFOFWORKERS' 2 ' CpMENSATION,AS PROVIOEU BY SECTION TIOC Of TME LABOR CODE.FOR iHE PERfORMANCE `U `OF h1E ICORK PDH VYMIW TiIS PERMIT IS 185U[D. � � v I HAVE AND WILL MAIN7AIN WORKERS'COMVENSATION MSURIWCE,AS REDUIREO B�BECTION d 57000FTMElABORO�DE,FOHTHEVERFORIAANCE�F7HEWORKFONWHICH7HI5PER1IRi3 � ISSUED.A1V W.O�RKF,A�S-'�,,PENSTATpN INSU CF CARRIEF AN�POLICV NUMOERME: CONSTAUCTION y CARRIER �V�� PLAN REVIEW Q POL1C`/NUMBER? �I� � L�� O Lt 1��F I7 I ELECTRIC � i 0 fn�st�cna�r.�no7eeon.�imaF7rE�ra.+�r�sr+�d+eM��oou/J+sls+ooloFt�ss� PLUMBING Z I CERTIFY TNAT IN TF1E PERFWiMANCE OF THE WOAN FOR WHICH 1HI5 PERMIT IS ISSUED.1 MECHANICAL � SHALL NOf EMPLOY MIY PERSON W ANY MANNER SO AS TO BECAME BUBJECT TO THE WVfil(ERS'IXMIVENSATIqVlAW50FCALIFOHNIA,MIDAGREEiHAiFI8/qIXDBECOME INSPECTIONFEE 6Ud1EC�TO THE WONKERS'COMPENSATION iflON510N5 OF 6ECTqN 3700 OF THE 1A80R r� ►�-+ 5 COOE.ISHALLFORhIWIiHCOMPLYWITiTMOSEPROVI3ION$. ISSUANCE 0�.7' Q�_ � SMIP � � DATE: APPLICAHT: WARNING:FI1431RE TO SECUflE YVORKERS'COMPENSl1TION COVEMUE IS UMAWFUL ANO SH�LLI.BE ENERGY P/C � SUBJECT/JIEMPLOYERTOCRIMINALPENALTIESANDCMLFINESUPNONENUNDREDTMOUSAND ENERGYPEAMIT � DOILARS(i10D.000),W ADDITION TO7HE COSTOF COIdPENSRION,OAIMGES AS PRONOED FOR IN J BECTION�70eOFiHELA8Oi1CO�E.WTEREST,ANDATTOFNEYSFEES. RETENTIDNFEE: Q 4.;W O CONSTRUCTONLENDINGAGENCY PFE-ALTFEE: /-� , ���" � I HEREBYAFFIRM UN�ER PENALTY OF PERIURY TFU7 THERE�SACONSTRUCTION LENDINO AOENCY �-•�I �YP�T� ^ ' '"-1� ,1 T FORTHE GERFORMANCE OF THE WORK FOR WNICH TFIIS PERMIT I515SUED(SEC.3oi7.CIV.C.�. � � � LENDER'SNIWE � LENDEA'9ADDRE33 � ICERTIFYTXATINAVEREAD7HISMPLICATIONANDSTATETHATTHEABOVEINFOMI�TIONISWRRECT. TOTML FEES 1A�REE TO COIAPLY WRH ALl CRV M1D COUNTY OR�WANCESANO STATE UN5 AELATINO TO BUILDING � OONSTRUCTION,AND HEREBV FUM1qRIZE REPRESENTATIVES OF TMIS COUNTY TO ENTER UPON THE A60VEJAEMIDNEO PROPEHiV FOR INSPECTION PURPOSES. COMMENTS o �a '�a o� _ m PERMITT NMIE(PHIM) c�s Ei /� � S N� EOFPERMITTEE OATE � RECPT.NO. PAID BV VAl1DATION WHITE—DepartmeM Copy,YELLOW—Finenca Copy.PINK—Assesaa Copy,G ENA06–File Copy,GREEN—Applicent'a Copy �., �wd'� i O■ �. ■/"M��il.MY4M ��9 f Itr��PEC�`iAP't F�EC(JRE� i� s I ,,���,,ggy��..�.� ..�,,�,,. �l�P'�����������µ SA����.�y�. .�N&'�� ��� I ��Y'I�, �.�Y�`�1���C�� '... �. ��i� ,��„ _,.�� T ��.x��y'q�.'" . . :,.,w�.,...�,.k ..�amio�e.- „ s.�.... .waw�. ,.�>..u.� ,�. , . F_�i,. ., ,.� ;-rr�,.. . , . , .,, ro, . , b . . :SET E3ACY 4� � j FLC)C7F JQI�`�� . '� � • ' . j , -----..._..---------._....._..__. .__----- ---------�------�:-=---� �,.._,..._.—;- ---- -- ___._.__._..._. _...-- -}--_,_�..�---�-=-:�-----•-------- •--, ..----- . � FTGGi!i=C?R"�IS,�57EEL. � , ' ' • ' ' FHta RE.L�"fTS j - ------------._....�._-_ ------- -- -._..__._�...._- —----- -----------_..��--------- ......_..--'-- --- 1-- --------.,....;- -------�------ - -- ` ELECTFlC GF�C)f_.�PdE3 � I UNDEF� FLC}C}R �:tJCT • ( " ' _—__.__.._...._----�-----_ ------�-__..._.....----- ---------�_.�.—.__-- ----__--•---- - ---._.T-=:.----- G!=1UU�l�J i'L�1d;��`3,��Ir I � UNDEf� FLOOF2 CG;�.:;�11�' }_,_....____....._.�-i;-----...__,..- --___._.. . --) _ _ ------------ --- . __...-------------..__ _ .-;-----•----�-- -_.__._.....--------.. - ----- ---...__...----�-, S!_AE3 GFiAc'�..E i � �IF�EF'L_A�F.F.�?;J�'��:)F,Ti�N : I � � • ,�, i ._ .__. ..-------------,_..__,.--- ---._...----*-------___._----.._,. ,'-�- --- __---._..._..._......._.. ..--- ._._._. �.-._...._..---�--- -�----.�___-- __—_ _ . , TEWh.1f' F'E�V`r'Ff� •: � ; FIREPL.ACE B�P�iC3 BEAM ! ( . __��_�.___...........__...----------•-•---- - -... t--- -------...___�_____�.._ '; _....._ � YVFtTEH�ERVlCE � ! I MIC� ��1�. BDND BEA9:^ � �; .r.__.__.. ."___._"_'"_"'" _ ____." ____".__ _____"_-__' __'" _"....___"-_____.___".___ F •- - I _____.—________.________..._____.__" ____..1 �._."_._ .__________.__-'_"_._._-..__....._.__-__'__'_'._'_.'__—__ _ �.- • �OC)F=S!$�:F11"HiN�'a. � � , P F�.i. E3fJIVD BEAM I . . , ---�----�-- ---- --:..._ ._._.... _..- --°- ---__ -----,-.-.:. .-----------...; ; -----•------•-, _. (__.._.----...,._,._.__�_._: ---------.........__._� T..._..---.-------.�r�• - - i , . ��n{,r::�a,����n��ri�.i�-rt�r� � . ; ; :�i�A��nr�o ��:anr� � ; ----------- ------------._,_....___ _.._.__._.._..._. ---�---------------- ------- ------,—_ ---- ----- ---..------- ------------------.. t-�,{iC.'e�'i�CJVi�F3 � PF��-GF3ADING . I `' ' � ° _.._....._ .- ------- ----- ------�-------__------,_1- ----- ------ -----.------- -- - -__------_____._.� � ,_ _ ��L7:.�C;aF.j �-:;:C;�li1�G ' 1 � � t�ENCH (VG ' • ±.:_..w.__..___.,.- ----------_.._ __�._..._..__ __ _--------- -�---...-----,----�-�-- '' ' ------------ -----__.._...-- -----_.----- � FiCy�.;��,:,; 4, ;:,`•�'RIC � ' � ROUt'aH GRADIftilG ' �...._._....._.._.....---___----___.......-- ---•--+_. :__-------�-------j--�-----____....._...._._...------ .:-------- ---------.__..-- -- - ------- ` F,:,;;.','.: :',.l.J".4t�lNG ' � ( FINISH GWADIRIG � . ._... .. . __..._._.._.._--------- ------- -----_-----------......----.______� __ _��.— --___.._------- -.. _ Y._ � ,,a-�;",'Y,'i:.•�,':l)B TEu�T' , POOL Et_ECTR(C � __C.. --------...._ ., . . ._ -�-------_ _--- - ------ - -� -- ---- �--- ----- ------- ----- — � ---i------ � � -_;n"'," :..a:.rw;;�ID11�C; PGC}L FENCING --... ..- -�---------....._..�_.�._._----...----�------------- --._...----------------- ,-------- --....__...._.__.....{ �a;s1..L.:'�°��'i!FI?'iC7PJ f POOL FIN61L --�------- —r------------- i � I .._..- -- �- --------..._...---.....___...__v.-----� --------------- ---.__ ...._...___._� ____.._�._.,--�------- -----------...._,...__...__; � t;'�_9�.;'dr: !�','i.J!_A-:TtC1�! � � OFF SITF IPJ°PS. ' .. . -----------....._-------------- ---�-------- �--------- ---------------------_._... .--------------._... - --- - ------— i�f_.�..•;,-a:..i__:'VF E'_.1"•aG ( ' DEDICATiOh15 . ._.._.._.__._.----- --------------.._..-------...__.._....._.....—�--------- ;;,�.,;.;.�,t. --.._...---------_ _..._-------_ i____--•----___------r---FlN11LEt�tiz. . ._:.�::. , __ _. ._. --� ----------........_...___.T.�.-----...---...._...__..-------._.._ ---�---------------._.._....__—_____-------------�----�-- -----...__._.._..------- ---- : ''�:,;'!�t�t'��' � i i LAN[�SC�i'E/IPRIC'a. '• ---� _._.._---- � �-------•-- — ----------+---------- ----•--------- ---- -- , . :��..L. � ; � {����1TE fMi�S. j 1 - -------------___..—., ..,___.__....--_.__�_.�._.._----•---------------...�..___�---�---------------- --------.__� , . i_''�T i � ' FlPd/kL 7_C�!�:!Nr; � ` , ' __...__..._---. ......�__. ___.�.._---r_-_.__��._.....------�- ----------- -------- ....._. _. ..---'.--.,._.__ . _.._..--------------- ----�----- ... _ _. .. .. , � - ,:,;'3ST. � � , j • . , ,, Fl�r��FT. F1NF.L � � °_ .� .�..._...�__..��.,�..� '"._�.�,...�....�..�.�._�.�._.�.....�...�..._F::. _ .__�__ - __ . ...... ..._i_____._____'_'__ '._ ._.__ _ '"_' ____.'___.___"._ ,. •i��'>i lIV� � � �� .,• : ` J � H�A.I:T H C��:F t� FiNi�i � „ _ � ' --------- - ---- -----�.__..._.. ---._..._-__-------- ------ - --._. _.. ..__....--- - ----- . .____ - .__.___- • - -------............._...._..... .. 1 . ��_r_�:-�R�:; N7.� _ i� ��..�=--�� ���.�F������� ; � _--- - --------�----�� --=--__-------_._�1---�---._ .... ..---__._._...---------- -----_._.__.�.-----------------._ _..__ .� • �Ll.li`a��Sjh!;� � � i = �i� � } . . �!�t"��a'r ( • ' --------------___.__ -----—____—=------;—f---..._-----._.._....�_...._.,__�_.._�..__..._ • _ .�..._....._.—----------------- ---1 , —�------- --------._....._... �� . , . - --._.._.._..____..____.___..,__....__..........__�,_..._.._._..�_.__.._._._.___.�.._�_.I „.„, „,�,�,., __.._-------- --------------__.—..._._......_... ; � .�.,;•.r, _ , . . . = -� � ----L--- __�:��.� � :',°�;�=����tl ;, z .. _ .�:� _--.- ---- ..r , , , . - . ....---------- -- -----.._.......-------..._._. .... ---- -=--- -_------- 7--- . � , . . . . . , , , . . � ^y�e _ _ . _ . ----- ...._... , .e`�. -,�l:��'-/'s��a I i,7 _..._.'_'__...._.._"'_-'__....' �—"--'_...�._.—.�_...___..__.�-_'._�""_'_—"'.__..__'_'_.'__"_'_"'_'—__"...__..___._.,__"_..___.��._'_'__"__'_ _ _.... .. . , _._._... ���_.Q L�._L_�____y�,K.. .___._L_1�414_.___ .._—'_'_'�'___"__"_�—.��..--'_'___--__ _'—_. _..___"'_"_'�'__"�...'_'_' '.. "' ' i . ._._...___.....� .,___, _._._...�.""._"'_'..._.._.._..........._....�......._._,_..._.__._...�._._...�.�� —...�._._.___"...._..._......... ....._... .'. � . . " ' . . . .. ' . _._....�.._'__.___""T'__.-...-.......,...' "_'_"".___....__....__..._.."'-___.._.."_._'_' _""._�_._____......___"'_,_.""'_" i ' . _- .-__""'.__". '_"' , ". """�'_—___ _ _' "_ ...._._..-._.__...._...__._. ____________—____�_'.____....__.._____._..___.______'_"'..._ ... ._....._.........._._..____"_._"_'__" ' '"'" __"_ ..__""""'_'""_"_"__""'"""'"'....... _'__""__I "'____'._......._.___.._..�'"""""—"_..._._..�"'._._""�_..�_'.�",____.'_._"_'__,._..""'_ ... .._.. � '___'_.""_._�.."__'' �..�...___._.__...........__...___....._.."""'"'_."'__"._..'_'.._._..._."___._"""'__'__..______._.�.'__"'......"_"__' ' _'_" "" " . . ...._ . ..._ ..._" "_' '"'__'___' '"_ _..._ ._. ._ . ! � � .. . . . "_ ,. .. ._ . .... _ _ _ "_'_"_._.__'_"__'—_'�__�_'_'—__'"'_""_'"'_"—""_'..__.._"'_—_'_"—'...... . . � .___.....__._'__...,�......"'—._._""_" "_'. .._..."_"_'. ._"""'._.__..__. ___.�.___ ._ ' . _.` SEPTCC��"A�JK S!r'�= _,...._.._�......_. _ � �EE�' �'3T/�J S€ZL: ---------.._........_..._----__._____.__�- � ----- ---------------�---�------------------------------�------ - ._. ....------' .---------- - � ------------_.....---_____---.._.__...____._...___....___ ---------- - ----._.__.-----....� ..------------------------------...-----; � � -----._------..._. ..........._.....- � �----._..._ ._----------.__.__—------------------------------- _ I ----------------- -.................--._. ...._._...----.._._..------- - ------------_ _..- --- i ' i' __._.__...____..._,___._. ..._..__............._,. . ----------------------�-- ------- --..._._.._._.__... . ._....._.....,....._...........- -------- -....._ ! � _ , � .�,_--------------- -- -- -._...--- --------�...---- --�---- -- __._--- -- -- __. . _.. . .. I � � � ' ' � _ ,' _ � . . . t , [ � . . -'-" ' - '.-- - "'--.-"'�- ---�--'_ --._ .....'- -,.......__.. -- -----.._.__._..-'--... -'-..__.�__--r•--..... � � , , ,� ,....- �---- � �---I-....._ .'_,._..._�. .,..__^-""____�__.... . , ; . ' ' � l � ' � ': . � . _ .. _.._...�.�._�_.�.._�.._..�'_". .._. __ .'_"'.�.�._""'t."""'__""