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Home My WebLink About11181 � �----��- CTI'Y OF DIAMOND BAR � COMMUNITY DEVELOPMENT DEPARTMENT Z,,.� 21660 E.Copley Drive Suite 190 • � PRESS \,,,�, (909)860-3195 Fax(909)861-3117 � � BUILDING PERMITAPPLiCATION FIRMLY o ADDRESS �r��D�� APPLICATIO�� p/��/ PERMIT P/C OATE oG/ %o NUMBER # c� ISSUE TYPE OCC APN LQT,a_ TRACT DATE CONST. GROUP p OWNER ^/ L� u' ADD� ZONING SETBACKS z C��, Z , Q FRONT RW ❑ g APPLICANT T — REAR ❑ SIDE/SIDE STREET RW ❑ QCONTRAC OR � G� � G SIDE ❑ ADDRE ' p C�T, Z� ��,� PROPOSED USE w ARCH/ENG/ W DESIGNER NO.DWEL NO. NO. a ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BCILDER DECLARATION SFR/ADD/REM O 0 1 HEREBY AFFIRM UNDER PEN�ITY OF PERJURY THAT I MI E%E�PT if10M iHE CONTMCTORS L4 GfifA9PIC81POR W CFNSEU`HFOFiNEFdLL(1�MN[iRELSON(SFC.7m1.SA1151NF5SAN�VR�FE551QU5fbDEANYtlTVOR (n - - U COUNTVWNICHREdUIRESAFERMITTOCONSTRUCT,ALTEFL11.1PROVE.DEtAOLISM,ORREPAIAANVSTRUC- W Pg�ipi��k � � TURE,PRIOR TO ITS ISSUANCE,ALSO HEWIRES 7HE�VPLICANf FOR SUC11 VERMiT TO FlLE A S�GNED � W - - STA7EMEM TU7 HE�q SME IS UCENSED PURSUAN7 TO TNE PROV610N5 OF 7ME CONTRACTOP9 LL . � CENSE UW(CHAPTEH v(COMMENCiN(7 WITH SECTION 7Doo)OF DIVISqN 7 OF iHE BUSiNESS AND PHO- � PooUSpa � � 0 FESSpNSCODE�ORiH�THEOR5HE15EXEMPTTXEREFROMANDTHE0�5i5FORTHE�1lE0EDEXEMP- V TION.ANYVIDLATIONOFSECTION7D71.SBYANYAPPLICANTFORAPERMITSUBJECTSTHEAPPLICANTTO Z RaRoot � A CIVIL PENALTY OF NOT A10RE THAN FIVE VNNDRED DOIURS(l500�.)� - 0 OL��EROFTHEPROPERTY,ORA1vEMVLOVEE5MA7HWAGESRSiHEIRSOLECOMPENSATqN, � COrtIrtIBfCi91 Z riRL DO THE WORK�7HE STRUC7URE IS NOT IHTENDED OH OFFERED FOR SALE(SEG 7UN.BU54 J NESS AND PROFESSIONS ODOE TME CONTMCTOAS UCFNSE UW DOES NOT AGPLV TO M!OWNER Of � PROGERTYHTIOBUILDSORIMGROVESTHEREON,nNDMrt10DOE9SUCHWORKHIMSEIFORNER3ELFOq = fL THROUCHHISORHEFOWNEMPIOYEES.PROV10EDTHATSUCHIMVRpVE1AEM5MENOTP7TEN0EDON m QOiFEREDfORSIlEIF,IqWEVERTMEBUILDINGOHIMCRO�EA�EMI550tDWITMINONEYEAROFCOAIPL6 � T10N,TNE ONNEH�BULDER WILL HAVE THE BURDEN OF VROVINO THA7 HE OR SHE D�D NOT BUIID OR � RAPROVE FORTME PURPOSE OF SALE) W OLASOwNEROFTHEVROPERTV,IUAEXCLUSNELVCOMMCTWONTTVILICENSEDCOMTRACTOR3 [= TO CON57RUCT THE PROJECT(SEC.7a�,BUSiNE55 Ml�PRO�ESSIONS COOE:iHE CONfMCTOR3 L4 V8IIlfl(lp� AQI.AREA W CENSEUWDOESNOTMPLYTOANOWNEROF�PROVERTYwMOBUILD50RIMPROVE5TIEREON,MlD rZ YMOCONTRACTSFORSUCHDROJECT3W17HACONTRACTOR(S)LICENSEDPl1R5l1ANTTOTMECONTRAG OUANT�TY DESCRIPTION � - - - FEE � TORSUCENSEUw.�. 0 O IAA1 E%EtAPTtMDER SEC. B.L P.C.FOH THIS REASON Q � U � H DA7E OWNER U Z W � LICENSED CONTRACTORS DECLARATION W oC IHEREBYAFFIRMUNOERPENALTYOFVEfWRYTHATIAMLICENSEDUNDERPROVISqN40FCHAPTER Vr / s--a�7(�.�in) � � f(CdAMENCMOWRHSECT�ON700D1�DM5qNlOFTNEBUSINE5511NDVRDFESSIDNSCODE.AND Z � /"��G�Uci� W IICENSE IS M FlAL iOR� 4 fFEGT. LLI .I� � - � UCENSE CUSS LiC.NO. L � � J V DATE CONTRACTOR � w � WORKERS'COMPENSATION DECLARATION `3 � Q � N I HEqEBY AiFlRM UNpER PENAITV OF PERIURY ONE OF THE FOLLOVANG DECUMT \ . — � V � _I MAVE/�ND WILL MAMTAM A CEFnFlG7E OF CONSEM 70 SELF•INSURE GOR WOR�(ERT = �- � � WMPENSA7qN,�5PROVIDEDBY5EC110N77WOFTHELA80RCODE.FORTHEPERiORMANCE U � OF iHE W01iK FOR WHICN 7NIS GERM1715155UED. � 0 '_ W _IH�VEANDVM.LAIMJTAINWORKER5COMPENSATIONINSURANCE.ASFEWIREDBYSECTION O97DOOFTHEIABORCODE,FORTHEPERFORMANCEOFTHEWORKFORWMICHTH15PERMi715 ^ ISSUED.MY WOiiKEHS COMVENSATION INSUiLwCE CARR�ER AN�P0.1CY Mn.!9ER ME CONSTRUCTION .. Q � > CARRtER PLAN REVIEW � PO�ICY MIMBER ELECTRIC � _ (IMSSEcfuiNE�NoieEmr.RE7mcFT1eP6a.+f6fOtior+Elvu�mWtlMs�2t0olORLEss1 PLUMBING _ / Z ICERTIFYTHATBITMEPERFORMANCEOFh1EWORKFOqrihllplTHISPERMRISISSUED,1 MECHANICAL (} SMALI NOi EMROY/JJY VERSON M ANY MANNER S S TO BE EC7 TO THE � WORKER5Cp.IPEN5�T10NU�'�SOFGLIFORN AGR HA IF$NOU�pBEC01.7E INSPECTIONFEE � S SUBJECTTOTHEWORKER5COA�GENSAT . V� ONS " 77000FTHEUBOR t e,i s i ca,�a�r vnn� s �us+ ISSUANCE � SMIP p DATE• �' APRICANE w ENERGY PIC � WAFMINO:FAILURETOSECURENORKERS'COMPENSATpNCOVER�GE NU L,ANDSHiILLBE , �y SUBJECTANEAIPLOVEHTOCRflAMAL7ENAL7lE5ANDCMIFMESUPT ONE RmTipUSAlA ENERGYPEiiMIT � �` DOILAR�(S1ao.000),INADDI7pNTOTHECOSTOFCOMPENSATqN.D AGES ROViOEDFOHIN � SECTION77000FTHEUBORCODE,RI7EREST,M7DIITTORNEPSFEES. - RETENTIONFEE: � - a CONSTRUCTION LENDING AGENCY PRE•ALT FEE: O � I HEREBV AFFIRM UN�ER VENAITY OF PE�tM1IRY TIUTTMERE 13 ACONSTRUCTION LENDMO AGENCY � , FORTHE VERfORMANCE OF iNE WORK FOR N7ilq1 THIS PEflMIi IS ISSUED�SEC.]OV7,CIV.C.). Z . W � IENDER'SNMiE � / F— IENDER5l1DDRESS � � � W ICERTIFYTHAi1HAYEREADTHI$APP�ICATqNANDSTAiETNATTHEABOVEINFORMATqN14�ORRECT. TOTAL FEES � IAGREETOCOMMYWITi/ CITYMIOCOUNTYDRDINIWCESANUSTA7EUwSREUTiNGTOBUILDINO � CONSTRUCTION,ANDH 8 UfYqRIZEQFppESENTIITIVESOFiRISCOUNTYTOEMERUPONTHE z pgWE�MENTIONEDP FER FORINSP GTKk+auAros¢s. COMMENTS o �l��v _ � m PERMIREE NAy RI / +�� L y SIGNANA FV E . , DATE � �_' _: , RECPT.N0. PAID BY VAUDATION + � • WHI7E—Department Copy,YELLOW—Finance Copg PINK—Assessor Copy.GOLDENROD—File Copy,GREEN—ApplkanPs Copy ,� ' CITY,OF DIAMOND B/�R . .' � ;_ . ; . . INSPECTION RECORD � ' ' __ . ,-� ; �. i, � • � . • - s � � . � . � t_ SET BACK-- - � FLOOR JOIST - - - -- � A " FHA REQMTS - FTGSIFORMS/STEEL " _ - � �� t ELECTRIC GROUND - UNDER FLOOR DUCT. �, _ . �' ' GROUND PLUMBING UNDEFi FLOOR CUNDUIT ` - -� �=` ' � � _ , . .._ . ,. ., _ ,_ SLAB GRADE ' ' ' � FIREPLACEFOUNDATION ' ' -- - - - _ . , . . . TEMP POWER FIREPLACE BOND BEAM `- '• . _ . .. .. _ __ .. . _. .�. - WATER SERVICE " ' MID HT.BOND BEAM `� - -- - ,_ � ROOF SHEATHING 8 Ff. BOND BEAM � � FRAMINGNENTIUATION - FINAL BOND BEAM - � ROOFCOVER � - -- PRE-GRADING �., ' - ---- ROUGH HEATING -- - � � BENCHING � ROUGH ELECTRIC -� ROUGH GRADING ROUGH PLUMBING �� FINISH GRADING - - - POOL ELECTRIC SHOWERlrU6 TEST � EXT.LATH/SIDING POOL FENCING WALL INSULATION � POOL FINAL CEILING INSULATION OFF SITE IMPS: � DRYWALL NAILING DEDICATIONS � SEWER - -- _.. . . FINAL ENG. , SEPTICTANK - - -" - - =' LANDSCAPE/IRRIG. � ! SEEP PIT/L.L. - � - - - ON SITE IMPS. GAS AIR TEST - --- -- - - --- - � FINAL ZONING - � FINAL CONST. - -- - FIRE DEPT.FINAL FINALN�TING � HEALTH DEPT.FINAC - -�- - ' FINAt��LECTRIC -;-. - � ,�. � QEV.FEES PAID . �' FINAL PLUMBING } L `/$ � -- ENERGY . - .c� . • ' � ' �' . , - -- " � _ _ -- - 'e ! . . .-� C . . . ; _ . �\ . - COMMENTS - - ,, ., - „ . „ ' ; : . - —� — . . _ _ � � . `4 �. , 1 � , � . `�.��[1`'"f V,� ' � ' _ � i . _ _ . . _" _"__ ' .. � ' ; ' . .' '"I � �. ,. . .i , • -_\ . ' - - � \♦ . � � ' . ' ""- . .. ..A .f - _\ }��7', � . . - � . .. . . . ' ,. . . , SEPTIC TANK SIZE � - _ . SEEP PIT/U SIZE ' , - . ' ; � �. , � ___J � V�'� r _. . _ . 1 l' l .`, . ' . . . t'. ' (,�" � � � • . ,'� ' � � ' - ' '- � - -- � - r 2�� - -