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Home My WebLink About11801 (5) • � � � CITY OF DIAMOND BAR � �kPI f�ED --�� - DEPARTMENT OF COMMUNITY 8c DEVEL C r ,_ 21660 E.Copley Drivc Suiu l90 (909)860-3195 Fax(909)861-3117 '�� 7G0(�R ESS ��'� BUILDING PERMIT APPLICATION FIRMLY � JOBSITE ''J l/r� iJ�PLL7��f �� DATECATION _NU BER I�� lC o ADDRESS_f T" � ISSUE � / � TYPE OCC APN LOT TRACT DATE CONST. GR�UP � OWNER "" ADDRESS • ZONING SEfBACKS � CITY ZIP TEL FRONT R�ly ❑ APPLICANT TEL REAR ❑ � SIDE/SIDESTREET RW ❑ CONTRACTO � SIDE ❑ ADDRESS G � CITY 21P. TEL 1 O PROPOSEDUSE �i��I7l�R'� T�� o ARC G/ • � DESIGNER NO.DWEL. NO. NO. CDTDYRESS ZIP TEL. UNITS STOFiIES BEDROOMS N cn DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECLARATION . SFRIA�O/HEM O 8 I HEREBV AFFlfiA UNDER PENALiY OF PERIURY THAi 1 AM E%EAIPT FROAI 7HE CONTMCTOFiS l4� GaropB/CaryOn • CEHSEUWFORTHEFOLIOWNOREA50NI5EG70J1.68U5WE55ANDPNOFE5510N5CO0ENIYCITVOR (n COUMYWHK]IREOl11RE9AFERYR7000NSTAUCT,ALTER�Pi1DVE.DEMOLISH,ORREPAIRANYSTRUC• W pa:io/Deck TLR1E,VRIOfi TO R4 i58UANCE AL50 RC-0UMiES TNE M7LICINT FOR SUCH PERMIT TO FILE A SICNED w � " �� " ' STATEMEHi TFIAT HE OR SHE IS LICENSE�PURSUANT TO THE PROVISiONS OF THE OONTMC70RS l4 � CEHSE UW(01APiFR Y(CaMMENCHO WITH SEGTqN)DOD)OF DMSIOH 7 OF ME BUSINE54 M70 PRO u- PooilSpa FESSqNSCODE)ORTIMTMEOHSMEISE7(EMPTTNENEFROMANDTNEBASISiORTMEALlEOEDE%EMP• (� iION.ANYV10l,ATqNDFSECf10N7W1.69Y/W1'APVLICANTFORIIVERA/IT5U8JECTSTHEAPPIICANTiO Z Re-Rao1 � � A CIVM1.VENAITY 0F NOT MORE 7HAN FNE NUNDRED DOIUAS(l500).�: , � ❑I,I�SOwNEROFiHEGpOPERT:ORYYEUROVEESNn7NWACES1l5THEIRSOLECA4PFN5AT10N, COmffiBfCiel - , WILL DO iHE WORK A!D iHE STiR/CTURE IS NOT INTENOED Oil OFFERED FOR SILLE(SfC.70��.BU51- O N NE4SAND PROFES"NNS COOE:THE CONTMCTOi4S 110ENSE UW DOES NOTAPPLY TO AN ONrtTER OF ? . PROPER7Y Yhp BULD$OR W VRDVES T/1EREON,MJD Yl1q DOES SUpI Y/OIiK N:MSELF OR MERSELF OR Q 7MNOUGHMISORHEHOMMEYP�01'EES,VROVIDEOTHAiSUCi1MPROVEMENTSARENOTpfTEN�E00R m 0 OFFEREOFORSALEIF,110�'EVER7MEBUlDPJ00RWPROVEMCNTI550LDWITIENONEYEAROFCONPLE Z 'TpN.1HE OVIIIER�BItIIDEN WfLL II�VE THE BURDEN OF iRONNO iHAT HE OR 6HE OiD NOT BUILD OR = YVROVEFONiME7URPO5EOFBALF} W O�ASOMMEHOfiHEVRDVEHfY,/JAEXCIUSNELYCOMMCTINOWI7HLICENSEDCOMMCTOfiS � To ew+snvcr n�rr�cr�sEc.�a�,euswEss u+o vra�ssa�s eooe:n+e eorrtruetans u� Valuatim ADJ.AHEA � CENSEUWOOE9NOTMPIYTOANON�NEROFAPROPERttYrtqBUttDSDflMPROYE57HEREON.MID MOq00flTRACfSFORSUCMVR0.7ECT5WITHAODNfRACTOR(5)LILENSEDPURSUANTT0T11ECONTMG pUANTIN DESCRIPTION FEE � 70Ii8l10EN5E UWJ. . . � / r ❑IWEXEYPTUNDERSEC. B.IDC.fORTwSRGSON t 3 � !' ►• #j �=' DATE ONNER V � D LICENSED CONTRACTORS DECLARATION �Q� 6 a ¢ IXEREBYAFFIiUAUNDERVEWLL7VOFPE0.IURYTHA7IAMUCEN5E0UA'DERDROVISIONSOFCHAPTE V, � 0(CONMENGNfiNRiMSECTqN7000)OFDMS�ON70F7HEBUSMESSANDPROfE55qNSCO0E,A1� Z X W LICENSE 6 N FUIL FO^RCE ANU EFFECT. �� LICENSE CLASS �^/� LIC.NO. �� t, DATE CONTMC70R a SJ I � 2/2 0 KERS'COMPENSATIONDECLARATION a � IHEREHVAFFlP1Jt1d�ERFENAl7YOFVERNifYONEOfiHEFOLLOWWCDECLARAT10N5: Z � � � � _IMAVEANDWILLMAMAMAGEfii1FIUTEOFCONSEMTOSEtF•INSUREFORW'ORKERS' _ CpAPENSATION,/SPRDVI�EDBV6ECf10N77000F7MELA80HCO0E,FOf1i11EVERFORMANCE W OFTHE WORK FOR WHldl THIS VERMIT IS ISSVED. � � _I MAVE AND H"LL�AAMAfN WORNERS Cd.�vEN5AT10N INSUqANCE,AS PECl1lAED BY SECTqN Q J700DFTMELADORCOOE,FOA7NEPERPoRAWICEOFTMEWORKFORMMIp1iMISVERM1T15 � ISSUEO.MYWOR �CdAVEHSATIONWSURANCECARRiERANDPOIICYNUM�ERARE: CONSTAUCTION ] CAARIER � � PLAN REVIEW � po��crNuaeEa v ELEC7RIC � 9- 2� � (Ms5[CfIONNEmNOT6E001.ilETmOF7FfPEiMTSPoRONEHf�itmD7l1Af5R+a7a+lF5s1 PLUMBING Z ICERTIFYTWTNTNEPEPFORMANCEOFiHEM�ORKFORwHIq1THISDERMITI5155UED,l MECHANICAL (� 514LLLNOTEMPLOYANYPERSONNANYYANN[RSOASTOBECOMESU&I[CT70TME � WORKEHS'COMVENSATIONIAYlSOFCALIFORritAANDAGREETHATIF151qULDBECOM[ INSPECTIONFEE SU6IECT TO TME WORKERS'COMPENSATION PROY1510N5 OF SECTIOfi]7000F TME IABOR Q,D co�ore,�i y�Al�FoanrvmH ca,�a�r�nni �s1�¢P.aQov/ispN s. � ISSUANCE I S• p DATE: ///��y[(j�, APPLICANT.�r��6{iL�lJ�G SMIP � T7 � ENERGY P!C WARNMU:�NIUl�I N SECURE NKMKERS'COMPENSA7ION COVEMGE IS UNUwiUL,AND SMML BE � SUBJECTANEMPLOYERTOCRIIJINALPENAITIESMIDCMLiWESUPT00NEHUNDREDTH0U5A.W ENERGYPERMIT DOl1AR5(StDo.oOo).W AO�ITION TOTNE COST OF COMPENSATION,OAMAGES/lS PHOVIOED FOfi 1N � SECTION]70lOf1NEU1BORCOOE.WTEREST,/N011TfOiWEY'SFEES. RETENTIONFEE: ' a CONSTRUCTION LEN�ING AGENCY PRE-ALT FEE: O � IHCRCBYAFFIRMUNDEFPENALTYOFVE0.NHYTNATTHEREISACON57AUCTIONLENDINOAGENCV fOR TNE PERFORMMICE OF TNE WORK FOF W WCH THIS OERutT IS ISSUED(5[G 7001,pV.G�. � p�, /�r � LENDER'SN�WE�._1�-u/Li C LENDERSAODRE55 y ¢ ICEHTIFYTHA71wNEREADTMISAPtt1CA7pNANDSTATETHATTHEAeOVENFOiwATqN15CORRCCT. TOTAL FEES � �` W I AGREE TO COMPLY WRH uL GrtY AND COUNTY ORDPUNCE3/ND S7A7E LAwS PElATIHO TO BUIIDING � CONSTRUCTqN,Ah9MERE0YAUi/10NIZEfiE�RESEMATfVE50F7HI5COUNT'/NEMEflUP'ON7ME /BOVE-4EHT10NED PROVERTY fOR INSPECf10N PUfiPO5E5. �A r � COMMENTS D � �'��I/T�,�J�� 0 �, � m VER/IITT (P ' � %n G S S ,— � ATE � RECPT.NO. � PAID BY VIWDATION WMITE—Depertment Copy,YELLOW—Fhance Copy,PINK—,Asseesor Copy,GOLDENHOD—file Copy,GREEN—ApplicanCa Copy .... . .. .....�., ..,. ,,....r.......�� ... .. , . . ��„�, . .. ._..; ...�.. .,. ..� _. .. . . ,1,�f,, ' ,.. , .. . . ... •. .... . .�: . ,._ .. . .. . . .. . . .. .,. , .. .� . � �Y�-�,�t, OF DIAMOND BAR . : �� , : : . � .4;, .. . . _ � . � ' (�I PECTION RECORD . ' .�, :' ,�..,; .,, �,, , . . . _ . .. - ,;::�> . •"�e�* o f � • - • � � • - SET BACK . , ,, � .� ; FLOOR J015T� ��; � s:•. ` �\•�'.` � \\. �• - FTGS/FORMS/STEEL � '�• � i �� ,�, FHA REQMTS ��-- --- - - � - �, ~ ELECTRIC:GROUND � - ..: _. . � - : ' UNDER FLOOR DUCT ' - - GROUND PLUMBING � - ' UNDER FLOOR COMDUIT ; ,:;, SLAB GRADE - ; � FIREPLACE FOUNDATION- - - - � TEMP POWER • • � � FIREPLACE BOND BEAM � � - - -� _ .� . - ., , , , ;,, �,� WATER SERVICE. -. - ._-. , .. ' MID HT.BOPJD,�BEAM.-.'�,''�'- -- �= .•_ � ROOFSHcATHING - ' ` • -.�• . - 8 FT.BOND�BEAM . � �•-- •,i • :,-�•- ' FRAMINGNENTILIATION FINAL BOND BEAM ROOF COVER . PRE-GRADING � � � � • ROUGH HEATINC -� - � - BENCHING � • � ROUGH ELECTRIC � ' -- � - - ROUGH GRADING ' R�UGH PLUMBING . - " - - . FINISH GRADING . .. SHOWER/TUB TEST - - - POOL ELECTRIC . EXT. LATWSIDING ; POOL FENCING � WALL INSULATION � POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING � DEDICATIONS � SEWER FINAL ENG. SEPTICTANK. '- _. _. . LANDSCAPE/IRR1G. • SEEP PIT/L.L. - - - ON SITE IMPS. GAS AIR TEST - - - - -_, � FINAL ZONING ' FIf�tAk CONST.� - - '- � . ' '" ` �� FIRE DEPT. FINAL � -FINAL HEATING - - .��. � ' - HEALTH DEPT. FINAL .. , , .� .• , . . FINAL'ELECTRIC"��" � " � � .. ,-„�•; •.; `� DEV. FEES PAID - -� FINAL PLUMBING � Ef�lERGY � • • ; � •� . , gy�- � a' .� _ • �y 4�_ . . . . . " " '. _ . .. ..l . . . . . ... . v. ♦1��a,. • •. ♦1• ' !�„` '" COMMENTS �' � ' � ' � i ' _ ...... . ; .—�. � . " : . - - . ; / _. _ _ �L . . ��'- - .t��;�.. � -- �. �'�, �. \ - -.\ _ ' . _ ' '• � . . ��. , `. • ,� ..�`�^ . " ----.. .. - • ,.♦ •._�� . •� . SEPTIC TANK SIZE � , '. SEEP PIT/U.SIZE , . . , . '�Y � � . . , � . _ . . , . � ,. - _- - _. ._.. . .. _ . � ,�� ,i , _ � . . : .. ,.:s � •, , . . , `,',� . . , . . ` � , . .,.. . . _ `.:,`. ,.�.-` ,>>;;� . �_ �, , .� , . �. . --- - - � •� , - - --- . — •�� .�:�::.=; . .