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Home My WebLink About14547 (29) J� CITY OF DIAMOND BAR � i DEPARTi�iENT OF COMMUNITY 8c DEVELOPMENT SERVICES 21660 E.Coplcy Drive Suite 190 (909)86Q3195 Fax(909)861-3117 PRES$ '`��'� BUILDING PERMIT APPLICATION FIRMLY o� JOBSITE n� �f- APPLICATION � PEHMff f L.�� p/C ADDRESS�(�� K�-H C1.�I�I � �� DATE I2�� NUMBER� � r $ ISSUE TYpE pCC A N �OT��,., TRACT DATE CONST. GROUP p WNER _ `_��C�1 �(K�r�/�-.�' '�� "" DRESS ZONING SETBACKS � ffY ZIP TEL. FRONT flW ❑ APPLICANT TEL. REAR � � SIDE/SIDE STREET RW ❑ CONTAACTOR C I� r G SIDE ❑ � ADDRESS G � � CITY nLA�-t�i.lt�� ZIP TEL 1 - � . PROPOSED USE o ARCFUENG/ � � DESIGNER NO.OWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL � � rn DESCRIPTION ` SO.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECLAFiATION � SFNADD/REM O e1 HEREBY AFMM UNDER FENALiY OF PERA/RY TMAT I NA E%EYPT FiYJ1A 7HE�NiMCTORS L4 GarapelCarport CENSEUWidI7HEFOLLOW7:ORFJ150N�5EG7mt.69U5P![SSANOV0.0FESSiON5CO0E:ANYqTVOR (n WINryYMIp/REOUIflESAPEAM?TOCON57AVCT,ALTERMPROVE,DEMOtJSF�ORREPAIRANYSTRUF W P8li0/DOCIC TURE,PilqFl TO ITS ISSUIINCE/�LW RCOUIRES THE ACPLICM(T FOR S11G1 YERMR TO Fl�E A SIGNED w 9TATEYENT THAT HE OR SHE IS LICENSEO M1RSU.Wf TO THE DRONSIONS OL THE CONTqACTOf35 U• � CEHSE U�M(CFWiER�(COMMENCNO YATN SECTION fo00)OF DIVISIOH]OF THE BUSINESSAN�PRO• LL PooVSpa FESS�DNSCOOEIOqiT1AT11EOR5MEISEXEUPT7HERCFFp4ANDTHEBA5ISi01lT11EALLEGEOF%EMP• (� TION.ANVV�OLATIONOFSECTION70]7.6BYANVA7PLICANTFOHACEiUA1i5UBJECTSTMEAPG�ICANTTO Z pa-Roof � ACMLPEW�LiYOFNOTMORETIIANFNENUNDREDDOUAR3(i5ool.k O OlA90YMEROFTHEVROPERTY.ONMYE4ttOYEESWITHWAGESASTNCIfISOLECOMFENSATqN. O (`,pmmerCl01 - � VALL DO iHE WORK,hllll THE STqU�CiURE IS NOT�MEN�fD OR OFFERCD�OR SAIF(SEC.7ou.BU51- J y NESS MO iROFE5S10NS COOE:TME CONTMCT00.5 LICENSE UW OOES NOTAGPL'I TO AN OWNCR OF � PRDPENTV 1M/0 BUlflS OR YFROVES 1NEREOft ANO Yh10 DOES SlKJ/YVORKNI/ASEIF OF HERSELF OR � TW�OU6HMSORHEROMMEIAPIOVEES.PRDNDEDTFIAT6UQiMPROVEAlEHTSAR[NOTIMEN�EDOR m OFFEPED fOR SKE F,IIOWEVER7MEBULpNU OR IMPROVEMENT IS SOID YATMN ONE TEI�R OF COMPIE� � TION.TNE OWNEN�BULDER VALL NAVE TNE BUNDEN OF VHOVNO iNAi NE OR SNE 0�NOT BUILD OR W PFqVE FOR i/1[PURPOSE OF 8ALEN �yJ ❑1�30wNfNOFTNEFROPEftTY.NAE7(ClU51VELYCOMMCTIN�wfTHUCENSEDCONiMCT0R5 � TO CONSTP4ICTT/E VRQIER(SEC.70u.BU5iNE55/WO VRDFE55lONS CODE:TME CONTRACTONS l4 VelU8li0f1 A0.1.AREA CENSE UW DOES NOTNPLY TD AV OYYNER OF I1 PROPERTY NT10 BURDS Oq MFROVES TNER[ON,AN� rRUCOHTNAGTSFpRSUQ1YFiO.lECT5YYITHACpNTMCTOR(S�LIGENSEUVURSUNfTTDTM[WNiMG QUM1NTITY DESCR�PTION raas uccr+se uw} FEE � O I M1 E%EUPT UNDER SEC. B.1 P.C.FOH TMIS REASON Q � 3 � � � Z DATE OwNER U � . . F LICENSED CONTRACTORS DECLARATION W J � INERCBYIIFFlPMUNDERVENAITYOFVERNRVT1U71NALICENSEDLNDERVROVI510N50iCW1PTER � � f(Cd1YCNLYN�WI7N SECTION 7om)OG DMSqN]OF iME BUS:NESSAND PROFESSIONS CAOE,F.YD Z X Mtt 110EN5E IS N FVLL FOaCE ANO EFFECL m LLJ ^ �..� 0 LICENSE CLASS_��7L LIC.NO. �?�C�% � W DAh JT'Tt'�1 cONTRnciOR d C�. � WORKERS'COMPENSATIONDECLAFiATION ��G �' Q NIHEREHYAFFIiWUNDERVENAL7VOFiER1Uf1'/ONEOFiHEFOLLOWINCDECIAfUT10N5: � Z � _�NAVEANDWI(LNANTIlM110EHTIFIGTEOFCONSErfi705ELFdNSMEFORM9RKER5' 2 WUPENSATqN,IlSPROVIDEDBVSECTtON77ooOFTMfLABORCODE,FORTNEPERFOivAANCE w Q OFTM[MIOFKFORWNIQITMISVERMRRISSUED. � =1 MAVE MID YALL 4AINTNN WOPICERS COA/PEN511TqN INSURANGE.AS REIXIIRED BY SECTION Q 77000FiHE�ABORCOOE.FORTMEVERFORUANCEOFiHEWOrtKFpqWHIC1/TNISDENMiT15 ISSUm.MYWORKERS'CAMPENSATIONINSURANCECARR:ERIINDPOLICYNUMBEAME: CONSTRUCTION j GRRIER 1� 1�U FI L pUW REVIEW G poucv auueEa ��}��I � ' � r ELECTRIC � � (fft55CCIbNNEIDNOiBECRfIEimaMPEta.rtsKttp+EMRDfgDW.WZSR,0010N1E551 PW6IBING f/ � ` � ICERTIFYTHA7NTHEPERFOfLNIWCEOFTM[N9WCFOHWNICMTNISPE�MITISISSIlED,1 MECHANYCAL DL��Li4'� ✓�VY� �Lr �C�✓�--c-y•� 1 U SWLLL NOT[MPLOY ANY VERSON W ANY IJANNER SOAS TO BECOYE SIA;ECT TO THE � WORKERSGOMPENSATqNUW50FCALIFOfWI�AN'�ACREETHATIFISNOIADBLOOME INSPECTIONFEE S SUBJECTTO THE WONKERS L�IAPENSATION GROVISIONS OF SECTION 770a OF TME UBOR COOE,1 SMNI.FORTMw�T1 L01APL�MA7HT�OSE PnOVI5�oN5. ISSUQNCE 4 >> � SMIP 1��' 1" DA7F: AFRIGINT: W ENERGYPlC • � �.r' . � WAqNIN�:iA1LURETOSEd1REWOqNERS'C04PENSATIONGOVERACEISUMAwFUL,ANDSMALLBE � SU6JECiM1EMi'LOYERTOCRIMWN.VENALTIESANDGNLFWESUVTOONEINNDREDT�qUSAND ENERGYPERMIT DOLL�RS(f f 0�.0001.IN ADDI710N i0 THE COST OF COMVEN5A7qN,DAMAGES h5 PROV�DED FOR IN � SECTqN370lpFTHELABORCaOE,ffTEREST,ANDATTOfWEY5�EE5. flETENTI�NFEE: r" nn a � CONSTFlUCTION LENDING AGENCY pRE•ALT FEE: � A�{ �� IHERCBYAFFIiW�HDERDEN.LLTYOFVE0.1UrtYTM�iTHEREISACONSTNl1CTIONLENOWQAGENCY � r AA11�lUiV . � FOR TME PERFOFMANCE OF TNE WORN FOR WNICH THIS PERMIT IS ISSVCD(SEC.70V�,CN.C.�. ' �G!'\l Y 1 I S�T��Tx �Z IENDER'SNAME . 5 C LENOER'SADDRE35 � ICERTIFYTMATIiUYEREADTMSMOLICAM7N.WDSTATET}UITHEABOVENFORIJATIONLSCONRECT. TOTAL FEES � � � I AGREE TO OO�dPLV WITM ALL CRY I�ND COUNTY WIDPUNCESANO STATE UWS REUTNO TO 6ULDINC WNSTRUCiION.IWO MEfiEBYAUTIIOWZE REPRESEMTATIVES DF THIS COlN1TY TO EN7ERUPON TNE . S� ABDYE.MENTI�NED VROPEfTTY iOq INSPECTION VURVOSES. COMMENTS � . �� _ � Q PE (P 1 � � / , O .�� (/) S�OfMNY.E YE �iEE DATE � HECPT.NO. � PND BY VALiDAT10N WHITE—Dopartment Copy,YELLOW—Finance Copy,PINK—Assassa Copy,GOIDENROO—File Coq,GREEN—Applieent's Copy . � . .. ' . . . � . . . '1 . ' . . . . . • . .. . . ... . . . . .i( -• • . � ' . . . .. .. •. .. �i . ' i , . . .. . . � . .. � CITY OF DIAtJiOIrlD BAR � � � � � � � INSPECTiON RECORD , ��.' : � ..�.i►k-'�:��I'C�7►�1 . i��_�C= i1►E-'i��_�.E::E'.�]�i :!!'el�'F=�'�=�;C[��► � �t , c o . .. � �:_. �"!�.�.:•r�si i►�-��:��.� _......__�.__.------ ._..----------�-----._...__--------------__..---. __.--._--�----_�:__.`._ - - -- SET BACK ' � ;.. � '�r � ' FLOOR JO{ST. •.. . . . ,� . . � ------ — -; ---- � ' FTGS/FOR��IS!STEEL � � FHA REQP."TS - ELFCTRtC GROUND f . UNDER FLOOR DUCT . . • ,,•• . GROUND PLUP,ABING UNDER FLOOR CO�IDUIT • SLAB GF7ADE I FIREPLACE FOUNDATION ' TEPAP POWcR - " FIREPLACE BOND BEAh9 • 141ATER SERVIGE . . _ . .- � ' - - h11D HT. BOND BEAPA : .� � . �; : , . , ROOF S1-iEATHING ., , S FT.gOT?D.BEAP�7 :.••- '�' ', :+ ' �4. ,-'�� • _ � FRAPJIING.NENTILIATION FINAL BOND BEAP:1 ROOF COVER . PRE-GRADING RrJUGH HEATIWG 2�-1.pp_ � - BENCHIPJG RO'.1GH ELECTRIC c� , ROUGH GRADING R�UGH PLU"JIBIiJG " FINISti GRADING SF�OWER/TUB TEST , . � - POOL ELECTFIIC EXT. LA7H/SIDING POOL FENCING Vb'ALL INSULATION PO�L FIi�AL � CEIUNG INSUL.lITION OFF SITE IF�1PS. DRY1,ti'ALI.NAILING DEDICATIO^dS � SEIVER � � FINAL ENG. SEPTICTANK _ . LANDSCAPE/IRRIG. SE[P P1T/L.L. - - ON SITE IF,1PS. G�S AIR TES7: - FIfJAL ZONING FiN/`,L COi•1ST. - FIRE DEPT. FI�JAL FINAL HEATING- '3.'�..co � HEP,LTH DEPT. FINAL FiFdAL ELECTRIC DEV. FEES PAID � FI�JAL PLUMBING EPJERGY r.;C��;, <�1 c.t•1:;." ��—�--•--' - , _ ._, _.n: - . ...�._.__. � . .. , -1 • .�� .. ._.., - . . ...+_.. � . . ...._._ . . _.. .......�._ ' . ._ .. .._... :...:._. . COMMENTS . .. . i , ! - - � .. ..� ��- - _ .. ,�� • SEPTIC TANK SIZE � SEEP PIT/U SIZE ____�F�� __....__... ._., ..I�t� � , � ' ' 1 .. . '.. ..,._».. _._ .`.�_ . _ " . ' ' , •,~ , - ' ��;, 1 . .` . . .