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11185 - 2807 DIAMOND BAR BLVD (2)
,.. . -- -.... _. ._ ..._ . . . .-- -- ---- ----. .__ __..�. .__.._. � - —- ;,i' - t.'�:�. �"� �— C1TY OF DIAhtOND BAR' = ' ' � ,`�' COMMUNITY DEVELOPMENT DEPARTMENT � s �.,.,� 21660 E.Copley Drive Suite 190 ' PRESS r (909)860.3195 Fax(909)861-3117 '�^' BUILDING PERMIT APPLICATION FI R M LY JOBSITE ' /-� �� ,l APPLICATION PERMIT P/C o ADDRESS L��� � ��"v�' DATE � ��9�9�NUMBER p � -fl23 $ ISSUE TYPE OCC APN LOT TRACT �ATE CONST. GROUP °C OWNER � Q- pLL !lK / 1�'��,r�—��—yl ZONING SEfBACKS ADDRESS 07 !Q IN�d h� /,�QI' YrY � � � FRONT RW ❑ o �CITY ► _ ZIP��TEL�^�,�/��I REAR O a APPLICANT TEL. SIDE/SIDE STREET RW ❑ � CONTRACTOR SIDE _ ❑ � ADDR S � �� PROPOSED USE � .CITY ZIP TEL. � ' ' w ARCH/ENG/ ` b[� 7/ .d � z DESIGNER � NO.DWEL � NO. NO. � ADDRESS UNITS STORIES BEDROOMS � CITY I►-� C.,Q_ ZI�� Z TEL. , � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION ' � . . OWNER•FiL'ILDER DECLAFlATION SFR/ADD.'REM - O p I HEREBY AFFIflM 11NDER PENALTY OF PERNRY THAT I AM E%EAIPT FROA1 THE CWITRACTORSII• Gyf8y0/CBfpOfi ' � W CENSELAWFORTHEFOLIOWINOREASON(SEC.7071.SBVS:NESSANDPROFESS:ONSCODE:ANVCITVOR (n C.J WUnttNT/Ip1NEW�RESAiERMITTOCONSTRUCT,ALTER.IM7ROVE,DEMOl15H.ORREPAIRANYSTRUC- W PatiolDeck W7UHE.7RIOP TO ITS ISSUANCE.AL50 REW�HES THE APPLICANT FOR SUCM PEflMIT TO FILE A 91GNED W � STATEMFNi THAT HE OR SHE IS UCENSED PUiL:UAN7 i0 THE PROVi5iON5 OF THE GOHTMC70RS U- � CENSEUIW(CHAPTERO�COMMfNCWGWITHSECTION70D0�OFDIN510N�OFTHEBUSINE55AN7PR0- LL' POOVSPB Q FESSpNSCODE)ORTNATHEORSHEISE%EMP7THEREFHOMANDiHEBAS15FORiHEALLEGEDE%EMP• (!j V iqN.ANVVIOUTIONOFSGCTION7a]1.SBVMI�ADGUCAMFORAOERMITSUAIECTSTNEADPLICANTTO Z Re•Roof � � ACMLPENALTVOFNOTMORETIUNiIVEHUNDREDDOLURS(f500)�: � ❑�ASOWNEROF7HEPROPEHiV,ORMYEMv�OYEESN'iTHWAGESAShIEIR50lECOMPENSATION, � CORIRIBlCI3I ' Z Wlll DO TNE WOH1(,AND THE STRUCTURE IS NO7INTENDED OR OFFERED FDR SALE(SEC.7W�,BU51� J NE55 AND PROFESSIONS CODE:THE COMMCTOfiS LICENSE LAW DOES NOT APPIY TO AN OWNEH OF N DROGERTYVlI100UILDSORIMPROVESTHEREON.�NOWMODOESSUCHW�FiKHIMSELFORHERSELFOH � � � THROUCHHi50RNEROWNEMPLOYEES,VROVIDEOiHATSUCHIMPROVEMENTSARfNOTWTENDEDOR m • . . w OFFFREDFORSALE.IF,HOWEVERTMEBULpNCORIMPROVEMENTL550lDWITHINONEVEAROFCOYPLE• ' � � TION.THE O'NNER�BUI�DER WiLL HAVE THE BURDEN OF PROVMG T1UT N[OR SHE DiD NO7 BURD OR . Z IMPROVEfORTNEPUflPOSEOFSALE�. ' ' _ ❑I,ASOWNEROFTHEPROPEHTI:M7E%CLUSIVELYCOMMCTWOWITHLIGENSEDCONTMCTORS w _ � TO CONSTRUCT THE PROJECT(SEG 7DN,BUSIN[SS Iw�PROFESSIONS CODE TnE GONTMCTORS LI- V81U81i0I1 ADJ.AREA W CENSE UW DOES NOTMPLV TOAN OWNEfl OFA PROPERTV WHO BUILDS OR IMPROVES TMEHEON,AND � WHOCDN7RACTSFOHSIICHGRQIECTSWITHACONTHACTORjS)LICENSEDPURSUANTTOTHECONTMG OUANTITY � DESCRIPTION � FEE' TORS 110ENSE U'N.�. � . . _._ .. _ _ . J / � � O IAM E%EAIPT UNDER SEC. B.6 P.G FOR THIS REASON . U / I 1 � ' . � .. . .. . LL" DATE OWNER �� � . . � Z W , � LICENSED CONTRACTORS DECLARATION W � IHER[BYAFFIRMUNDEHVEN�LTYOFPER7URYTHATIAMLICENSEDUNDEflVROYISiONSOFCHAPTER V, . ' ' d i�COMMENCINCWRHSECTION7000)OFDMSION70FTHEBUSINESSANDPROFESS�ONSCOD[.M70 Z X MY IICENSE IS IN FULL FORCEAND EFFECL ; m , lL • /� J� � LICENSE C S (,.�v UC.NO. J F- ` � V DATE � �� ��GONTRACTOR � `_� a W � / ' � WORKERS'COMPENSATION DECLARATION � � = 4 N INEREBVAFFIRMUNDERGENALTYOFPEtWRVONEOFTHEFOLLOwINGDECLAMTqNS: � U . � Z Q 0 �IHAVEANDWILLMAINTAINACERTIFICA7EOFCONSENTTOSELF�INSUREFOtiWORKERS' S ��� � COAIPENS�TION,/S OROViOED BY SECTON]70o OF 7HE LAOOR GODE.FOR THE VERFOqAIANCE C.7 Q OF iHE WORK FOR NAiipi THIS PERMIT IS ISSUED. � � w �IHAVEANDWILIMAINTAINWORKERS'COMPENSA7qNP15URIwCE,ASREOUIqED8Y5ECTION � �to00FTHELABORCODE,fORTHEPERFORMANCEOFTHEWORKFOFWHICHTH15VERMIi1S - � � ISSUED.MVWORK COMPENS�TqNINSUqANCECARRIEPANDP�OUCYCNyU �oER,A.R`E,: t CDNSTRUCTION � � CARRIER A��x2n�P___�e�'��lj6.L(C ��C PU1N REVIEW Z poucv Nu�nOER ' - LECTRI ¢ � UU O '� � �n+ssEcnain�mr+ors[m�.r�rtoocncrEra.�rs Mrn�[o �R , i � PLUMBING � Z I CERTtFY TH�T W iME PERFORMANCE OF THE WORK FOH WHIW TNIS PERMIT IS ISSUED,I t MECHANICAL (7 SHALL NOT EMPLOV ANY PERSON IN ANY MANNER SO AS TO BECOML SU0.IEGT TO TME . N WORKERS'COMPENSATIONUWSOFCAUFORNIA,AND�GREETMATIFISHOULDBECOUE 1" INSPECTIONFEE S SU[3JECiTOTHEWOANERS'CdAPENSATIONGROVISIONSOFSECT10N77000FTNEUBOR COOE,16NA11 FORTHNnTH COUPLY WITH TNOSE PROV�SIONS. �SSUANCE � '` ..,�, p DATE:1./�� APPLICAM: � SMIP � � � ENERGYP/C °' "'� WARNING:FAILURE TO SECUHE N+DN(ERS'CAMVENSATION COVER�GE IS UNUN'FUL AND SNILL BE �y SUBJEGTANEMPLOVERTOCRiMINALPENALilESANDCNILFWESUPTOONEHUNDRG07H0U5AND ENERGYPERMIT DOLURS(S�Oo.oOo).�N MDiTION TO 7HE COST OF COMPENSATqN,DNdAGES AS PROVt�EO FOA IN ¢ SECTION77080FTNELABORCODE,N7ERES7/W�ATfORNEY5FEE5. � � RETENTIONFEE: �A � �� � U!`i� � d CONSTRUCTION LENDING AGENCY PR6ALT FEE: 0 � IHEREBVI1FFIfiMUN0ER7ENALTYOFPERJURY7IUTTHEP[ISACANSTRUCTIONLENDiNGAGENCY n- FOR TME PEAFORMANCE OF TME WOflK FOR WNIp17HIS PERMIT IS ISSUED(SEC.7097,GIV.C.). Z . . W � IENDER'SNAME F- LENDER'SADDRESS WICERTIFYTHATIHAYEREADTHISAP7LiCATqNANDSTATETHAiTMEABOVEWFORMA710NI5COnHECT. TOTAL FEES - I � IACREETOCOMPLYWITHALlCI7YANDCOl1NTYORDINANLESAN�STATEUWSREUiMCTOBURDING � CONSTHUCTION.ANDHEREflYAUTHORIIENEPRESENT�TIVE50FTMISCWNTY70EMERL'PoNTHE Z ABOVE�MENTIONEDPROPERTYFORINSPECTIONPURPOSES. , COMMENTS � � �.ctrs �� so� � m PERMITf (PRINT � .. . ' �./{.�� � � . ¢ � L � . , i DRT ���� RECP��� PAID BY VALIDATIO ��� WHITE—Department Copy,VELLOW—Finance Copy,PINK—Assessor Copy,GQIDE�D�File Copy,GR����s Copy / ` 1 L{ S� �� � . " '•'.. . . .'. -.. . '. . � ... . . ...� ._.__ . . �; .I, . ..�.'r. • >. � ...... • ���� • .. .-.,... .. ... . . � CITY OF DIAMOND BAR , � � , � � . . �- - ��� � . INSPECTION RECORD � . . � . s . � • - � s . • • - SET BACK � FLOOR JOIST - � � - FTGS/FORMS/STEEL � FHA REQMTS � ' ' � . .. � . ELECTRIC GROUND UNDER FLOOR,p,UCT .. •., � ; ,�- ,r,�',� , •,;:�1,'. � GROUNDPLUMBING UNDEFt•�LOORCG�IDUIT �_ �:1`; ;r` s')��;��+:_��.� ` ��, SLAB GRADE - - ' - ' � FIREPLACE FOUNDATION _ . " �' � TEMPPOWEF� `-y.'r'' �"�''�'`r'��` •''�s�� - FIREPLACEBONDBEAM , i�� �=� �. '��• .••�'-`. ' , WATE SERVICE^� t .�, � � � •, ; �__ ) MID HT_BOND BEAM. - "-" ' _� 't ' .�: ' , ROOF,SHEATHING \�!�tl .1J: y � .� ..� ?,;i .0 ` 8 FT.BOND AM��.�,.,�:, _� . . ,..., � , ,,. . .«. FRAMINGNENTiLIATION • �/ - FINAL BOND BEAM � '• � •� • �� � � . ; ROOF C�VER- � . . .. PRE-GRA�ING i ���-"- �. (�'� � -�. � _, - � ' �:�-=' i - ROUGH HEATING - i- '- -- - BENCHING � : ' ' ROUGH ELECTRIC !/ i - ROUGH GRADING ROUGH PLUMBING ---- - FIN15H GRADING � SNOWER/TUB TEST . POOL,ELECTRIC • EXT.LATH/SIDING � POOL FENCING . WALL INSU�ATION . � POOL FINAL CEILING INSULATION OFF SITE IMPS. ' • DRYWALL NAILING ^ •� c � DEDICATIONS SEWER. . .". . ' _ _ � FINAL ENG. � SEPTIC TANK ._. :_. .._. _ . .' .._ . .�" '.. �`� LANDSCAPE/IRRIG. . . .. SEEP PIT/L•.L. - - - �- ON SITE IMPS. " � GASAIRTEST- -'� '` < <'�'� . j":`� � FINALZONING - FINAL CONST. � ' FIRE DEPT. FINAL ' , FINAL HEATING - - � ` - HEALTH DEPT. F►NAL : , - FINAL ELECTRIC - - j � DEV.FEES PAID FINAL PLUMBING ENERGY `� t• �\ �` 1 '�_ ,t � . •� . .� � � :�:� ,,..,�..; , , . . j, .. . - - --- - --- - ... _. . ; . COMMENTS � � � ` ; .. , , '�. �. � . : . . . � , � - `, �_\ .� c.'`.\\j'�•���� �.� � 4).1��_�:�\\ � t(i•',�1`lti � i . ,. _ �•� C, s.. . �—i— . . . _ -. . ..- � � , �• �.�1- .. , r%�•„ . , i - • . . i . � ' . C�.k`�'A"'� _ �,'�� '.:��1 � ,. � _. � � � . , SEPTIC TANK SIZE '�" ' �'� SEEP PIT/U SIZE s � ,�. ��' `�;\ ��.1—�� � -- � 1 "� �!; i � '�.;-,�,�_,�� _. � �1.°!�" ' J� � Y \ �, � _ _ ,� � ` , `v ' • . , �