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Home My WebLink About15-0090I tit'! ;-Aft"_ nil1! _M01 q�' 7 W, CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES 21810 Copley Drive, Diamond Bar, CA 91765 PRESS (909) 839-7020 Fax, (909) 861-3117 Budding Inspection Hotline (909) 839-7027 FIRMLY BUILDING PERMIT APPLICATION JOB SITE ADDRESS XAJ r- S11D A It APN LOT— TRACT OWNER ADDRESS salt CITYAWAP& AN I ZIP'qjM TEL APPLICANTff TEL CONTRACTOR ADDR CITY ZIP TEL 7Yff ARCH/ENGiD IGINER 14 &A ADDRESS CITY IP t&EL OWNER -BUILDER DECLARATION I hereby oftm order penalty of PMM the; I air exempt from -0 Coritraclor's State UCOM Low tor tine reason(a) Indicated below by the I have placed nod to the B*Icable ft*.I Mocidarr MI 9, lialnew east kulaostorns Dab Any city or caft that repiras a pwTr& In creastrucit, after. hinionove, dWr*^ or repair, any wilructure, prior to ft lsauimrca; also romiulm to appillem far 9* permits Ito file a signed oblianord thistil he or she is Ditionsed pursilififilto the prawkslares GO ft Coarlbeetat's Stat License Low (ChjpW 9) Commomm" wo Section ?000 arChEleelan 30 the Business and holesalsrrs OW91 or theal: he or she is exempt Wn and To bests for of riot more than Dye hirdred dollars (MOO) U I as owner of Me pmwly, or my employees with Wag" a their who cot on, mil douspollorupatrons of the work, ord the dnj&re;s rot intended or altered for GaletSectow 7044, Business and Coda The Contractors' E6 Lloonse Law does not voty to an amer of property who throve, emotoyeef or persons$ ~ Wide or imprm 'a property provided that ths hinmerrorrai are not MOM or ofterix) lw sale if ftDwew. the hotirl or virrommit Is sold within one year of complation the Omer Buildor vAll have the tiurdw of proving that 4 wall " bull or lmvww lortho purpow of sale) L) I. as owneir of the prop". am exclushimily corl"clingwith licensed Contractors to construct the prolov! f"tcNion 7044 Eliussislus and "esions Code Pis ODrinalam Mill license Law Goes not apply W or. Owner of property win bolds orlmorvia"isirson and who camtrsscta he Gut p raleer With a hearse[ Contractor pursumirl to the Contracov Stift Loonies Law) U I am examptlitern licbrisure under the 1.1cona; law for theichowi reasion(s) By my signature below I acknowledge, that except for my parsoralnuildence in whack I most have railroad for of leastarso year pnortD cwn*ftn ofthe irtirrovements coverw by this wmft I cannot leggly men a drieis that I have built as an ewer bulkh"Ifft no not been constructed Inds aritivy by Isconood contractors I undoralaiW that copy of the appEcatle low Semlon7944ultiaBu&nessardPttokuWaCadiisavata!AeupDnteguestwheflthmappizoolsoubmlmdorto the followng Web site httletwWw leg ON ca gavlawavi, heiiii DATE 15ON LICINESED CONTRACTOR'S DECLARATION I tinratuy GIPrm under Penalty or *ufv that I an licensed under pvwAm of Chapter 9 (commonorig with Won 7000) RYossians Coda and ss A.az.c NO 1P 40 "0'" 11_1_� - Off C_ Pf _-S,_ i 76r4 Ee 91 r I zc ;Oi R k' WCRU"MMPM4nON ION I HEREWAFFIRM UNDER PMALTY OFKAFJM WOFINE FOLLOWING DECLARATIONS I him and will mention a C4MkA% of Consent to W limoa for Warlists Compensation, as provided by Simon 3700 of the Labor Cads, for tine ooftrnsrico of the wotrit fax which ths permit is mod I have and WE maintain Workers Oompansallon Insurance, so ra*hd by, Section 3700 of the Labor Code for Vie ps flo once ofthe work for~ r4owrrnis issued Pan FR Wimter are GMA - , — POLO NUMGM OL MC MCM NEED NOT BE COWLETE07THE PEEW 6 FOR ONE KINDRED DOLLARS (SIOQ OR LE I catlythat n the pilixinnar Militia want for whimi thlopernat lammed, shell Datemplairarryperson in arri marmor lossla became sub;xt to the WwW& Qmpersallon Lem d CAblonva, kid agree that ( I should be acne qod 10 to Waftro OrimpenF prov, ob;of5acdan31OCGfth da low 41 th APKJCMT 0 WARti I Fail to Seale Wbrws C.Onsionsoloon cowrage mi VrElawfut and Mall aiubjact an employer to criminal penalties and civil live Lp to one fiuvrsli ftumd dollars (;100 000) r, addition to the cast of to wmpelineflon dommigies as provided for in mcW 3708 of the labor coda etervult and attomay a fees CDMUWTM LEND K AGENCY I a" affirm under pan" of pert that Vero 3 A COnKructor Lending Ag"cy for the perfunrrat�a of the work far Which It" PIDIMil 19 ISSLGd (SOC 3091 CW C) LENOB S NAME LENDESSADDRESS � cplbfy AEI lave read this appkabor, and starts the, to above inforratim is correct I agree to comply with all city and county i-d slate Iowa folathig to adIng oaristruction and hereby m th reprosentallya of lirs county In enter Lim the stlove rientloned property P mispactiot, purxms ftw TTEE Oy, E jFFp llr�_� IL KNAT69E _01MWII� V- 116 = APPLICATION DATE I %% PICA ISSUE DATE PERMIT# TYPE CONST OCC GROUP ZONING SETBACKS FRONT RW_ 17. REAR SiDEJSIDE STREET . .............. _RW_ 0 SIDE M, — I PROPOSED USE a to 44C ^ I P DWEL UNITS— # STORIES #BEDROOMS DESCRIPTION 80 FT FACTOR PSF ADJ AREAIVALUATION SIFFIVADD/fIEM Garage/Carport co PattoMeck Poolispa. Re -goal Commercial ValuatlenQ%Ad) Area V OUANTITY DESCRIPTION FEE des CONSTRUCTION 2A1 PLAN REVIEW ELECTRIC . ............ PLUMBING MECHANICAL INSPECTION FEE ISSUANCE SMIP hi ENERGY P/C ............ ENERGY PERMIT ................. RETENTION FEE PRE-ALT FEE BSAF TOTAL FEES,' i COMMENTS . ........... RECEIPT 4 PAID BY 7�VZDATION _.-- WHITE— DiapartrnomrtCoipy, YELLOW —Flinancer Copy PINK — Assesw Copy, GOLDENROD — FM Copy, GREEN — Applicant's Copy CITY OF DIAMOND BAR INSPECTION RECORD SETBACK/ LETTER FDDTINGS FORMS SLAB UG PLUMBING UG ELECTRICAL LIFER GROUND SEWER LATERAL MAIN WATER LINE SEWER CLEANOUT ROOF SHEATHING FLOOR SHEATHING SHEAR WALLS EXTERIOR SHEAR WALLS INTERIOR FRAMING/VENTING ROUGH MECHANICAL ROUGH ELECTRICAL W( I C ROUGH PLUMBING INSULATION WALL INSULATION CEILING DRYWALL LATH (PRE) LATH EXTERIOR LATH INTERIOR GAS TEST SCRATCH COAT ELECTRIC METER RELEASE GAS METER RELEASE SPECIAL INSPECTION FINAL BUILDING FINAL MECHANICAL FINAL ELECTRICAL FINAL PLUMBING TC of OCCUPANCY CERT. of OCCUPANCY COMMENTS INSPECTION TRACT AND LEDGER DATE INSPECTOR SWITCH GEAR COMMERCIAL HOOD T-BAR INTERCEPTER HOT MOP/SHOWERPAN SEPTIC/CESSPOOL HERS REPORT RECEIVED DEMOLITION ROOF DRAINS ROUGH CONDUIT POOUSPA ROUGH PLUMBING ROUGH ELECTRICAL ROUGH MECHANICAL GAS TEST PRE GUNITE POOL PRE DECK BONDING P-TRAP FENCE / GATE/ ALARM FINAL POOL WALLS WALL FOOTING/STEEL WALL STEEL 1ST( ) 2NO( ) LIFT WALL BOND BEAM WALL DRAIN/ SEAL WALL FINAL RO FRAMING PLANNING APPROVAL ROUGH FIRE APPROVAL FINAL FIRE DEPARTMENT FINAL PLANNING FINAL ENGINEERING/ PW FINAL COMMUNITY SERVICES FINAL HEALTH DEPT FINAL INDUSTRIAL WASTE