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, - --- - — --_ _ - . ,__.__ ____ - ---- ---!- ---------.--- - _ CITY OF DIAMOND BAR f � " � • ^ r, �� '� ----J� — DEPARTMENT OF COMMiJNITY&DEVELOPMENT SERVICES ' � .. � 21660 E.Copley Drivc Suite 190 ,�' ' , (909)860-3195 Fax(909)861-3117 . l� 5.��� �. . , PRE$$ �''*�'�� . •BUILDING PERMTl'APPLICATION-',., ._ ; , i'' , - , i : . ,�.� FIRMLY; �o� JOBSITE -�/ I A�S��/�� 11'�• DATECATIO ?i � NUMBER i1�� ��'� ADDRESS (D (.� �/ � APN T CT �7�Gr�J �SSUE TYPE OCC � �P�� � �,,, �._ � DATE CONST. GROUP � p OWNER ' ADDRESS 1804 VON KARMEN STE.• 200 ZONING SETBACKS . � C� IRVSNE ZIP91�1 � TEL. �Q 9=7 A�J-4 REAR RW ❑ APPUCANT TEL. � SIDE/SIDE STREET RW O � CONTRACTOR SAME SIDE ❑ � AODRESS CfTY ZIP TEL PROPOSED USE �'��--' � � ARCH/ENG/ �AA�,, f �SS � �SSOG- � _�, . , DESIGNER—'�'1 f77N� � - NO.DWEL - NO.'.. . NO. ADDRESS , 4 UNITS STORIES BEDROOMS � CfTY ZIP c�n DESCRIPTION�� • S0.FT. FACTOR PSF �ADJ.AR ANALUATION p� OWNER-BUILDERDECLARATION SFR/ADD/REM Z O � B1 XEREBY AFi1PM UNDEN iENALiY OF VERAIHY THAT 1 AM E7fEMPT FROII THE CONTMCTORS LF G818QB/CBfpOR t 1 � CENSEUWFOqiHEiOILOWMOREA50N�5EG.7WI.6BU51NES5AN�GROFE5510NSO00EANYCITVOH (n COUNttYVF11CHREOUIRESAVERMR70CaN5TFiUf.T,ALTE0.�PHOYE.DEM0U5M,ORREPAIRANYSTFiVG W PgIl0ID0Ck 7t1RE,iRqfi TO RS ISSUANCE,ALSO REOUIRES T11E APPIICM(T iOR SUq1 VERAl1T TO FlLE A SICNED , W ETATFIAENT Tf�AT HE OR SHE 19 UCENSED PUi15UANi TO iHE PROVISIONS OF THE CONTRACTOft3�4 � CENSELAW(OIAP7ER 0(COMNENCNa WITH SECTION 7000)OF OMSION]OF THE BUSINESS/ND PRO� � PooUSpa � � � �� -� �� - � � � � �' - FESSIONS OOOE�ORiHAT HE OR SHE IS EXE4PT iHEREF110uAN�TNE Bti5�3 FOR 1HE ALLEQED EXEYP- TqN.ANYVpLAT10NOFSECTION70]1.6BYANVMttIGWTFORAVERMITSUeJECTSTNEMVLICANTTO Z Ra-Rool � t�. ; F,,, ACMLPENALT/OFNOTMOHETMANFNEHtM�REDDOUM4ff',,o0).1: ,�... � . ,. , � OL�30VMEROFTHEPROPERTY,ORMYEMPLOVEESYnTHWAGESASiHEiRSOLfCOA/PENSATpN,� 0 �mmercial '�`�`, ' � ' WILL00 THE WOiM,AND THE STRUCTLJRE IS NOT IMENDED OR OFFEREO FOR SALE(SE4 7oN.8U56� � J � NE53 ANO i/10FE55iON5 CODE:7HE CONTRACT0R4 LICENSE UW DOES NOT MPLYTO AN OWNER OF ' ' - . � PROPERTYN}qBURDSqiIMPfqVE3TMEREON.ANDW1pO0E55UCNYPDRKNIMSELFORHERSELFOq = � + ' � � ( q TIO10UIiHHISORNERONYNEMiLO"/EES.PROVIDmTINTBUGIMPROYEMENTSANENOTMElIDEDOii • m 0 OFFEAmFORSKEIF,HITNEVERTHEBULDIN00NIMPROVEMENT1950lDYrtTMNONEYEAROFCqA7LE � TION.TfE OWlIERBUIIDER VALL HAVE THE 6URDEN OF V ROVNO TMAT HE OR SHE DID NOT BUIID OR f . N1PfiD'VEFORiHEPUR�O5EOF5AlE1. ' , '�L�.4 OMMER OF THE PROPEHTY,A4 EJfd.U3NELV COMPAC�W 0 Nrti11lICENSED CONiMCfOR3 � TO�HSTFKICT TNE VR0.IECT(SF.G 7oa1,BUSINESS M10 CROFESSIONS COOE:7HE CWlTRACTORS LI- VelU8t10f1 ADJ.AREA CENSE UW DOES NOTAPPLY TO Ml OWNER OFA PROFER7Y W11D BU4.D5 OR MPROVES TNER[ON,PND IMqCONTMCTSFOiiSUCHCRQIECTSWIh1ACONiRACTOR�S�IICENSEDVURSVAHTTOTMECOHTMG pUANTfTY DESCRIPTION ���-'�('t FEE - � TOFiSUCENSEtAW.). � O 1 W EXEYPT UNDER SEC. 8.i P.C.FOR TMIS REASON Q ' C S 3 c' • � — • LL � � DATE OWNER V . _. � . . _ . . � :' na' '• {� tc. _ UCENSEO CONTRACTORS DECLARATION W � � � IHERCBYAFFIiWUNDERPENALTYOFPERIUMTWRIMILICENSEDUNDERPROVISWNSOFCf1APTER � .f _ ' -_^ � � �(OOMMENCINOWIiHSECTION7000)OFOIVISqNJOFTHEBUSIN[SSANDPROFE93qN5CODE,M70 Z "'� V✓ ' --- ' ' 11J W���N FIJIL FORCE AND EFFECT. � . � �.✓ �c., t � UCENSE CIASS_ 7� LIC.NO.�,��(�,?_ , J . DATE caJiMc'iOR��y��rQ*�L:� d � �n O tJ i L•il � • WOFlKERS'COMPENSATION DECLARATION a Z C Y. � IMER YAFFlRMUNDERVENALTYOFGEiWRYONEOFTHEFOLtAWIN(SOECLAMTIONS: Z 4 yY , J ' 7 � �IWIVEANDWILLLUMTNNACERTtFlCATEOFCONSENTTOSELF-NSUREFORNORKERS' _ � -' � . ., 1 (�� �� COMPENSATqN,AS Vf10VIDED BY SECi10N J10o OF THE UBOR CODE,FOF THE VER WRAIANCE U 1 (v ,�OF1HE WORK FOR WHIGI TMIS PEAMRt9�SSUEO. W 1 � � I H�VE AND YlILL MAINTIUN WOPoCERS'GOM7ENSATION MSUpFNCE.AS REW IRED 6Y SEGTqN � ' 97000FT11EUBOROOOE.iOftiHEPERFORIAANCEOFTHEWOPoCFORVMId1THISPERMRIS � ISSUE0.11YWOPl(ERS'COYPENSATIONWSURANCELARRIERANDPOLICYNUYBER/lRE CONSTRUCTION. _ I 1 � � CMRIER }� t�—T-h�-�sq PUW REVIEW � � POLICY M1IABER C��EL' 1 LV�7• �.V / C, ELECTRIC O � (nassECTonr���r�oRa�s�i�oFnfvEwnrrstoNor,�iura Swu7Ss�i�o1ntFssl PLUMBING � '� � �Z � �CENTIFYMATNTHEDEPfORA/ANCEOF7HEWORKFOAWHICHhIISPEPoAITL5lS5UE0,1 MECHANICAL (�'� SHAILNOTEMVLOYANYVERSCNIN�.WMANNER50�4TOBECOlAESUBJECTTOTME � 1 � WORKERSCOMPENSATiOHUN50FCALKOHMAANDMREE7NAT615M0UlDBECOME INSPECTIONFEE � S 6UBIECTTOTHEWONCER5WuvENSATWHPROViSqHSOF5EC7�ON�7ooOFTHEUBON . eaoE�sruul wRmwin�wrer�v wmi nase rarnnsior+s. �SSUANCE 0 0„�: 3-29-O�,rv�,c,�r,r. PULTE HOMES sM�a � � ENERGY P/C • WARMNa:FAIUJRG TO SE WRE�MJIiNERS•COu7fN5nTqN COVERAGE IS UM.AwFUI,AND 6NALL BE � �'y SUBJECTANEMPIOVERTOGUMINALPENALT7ESAriOCMLFWE9UPTOONEIIUNDREDT1qU5AN0 ENERGYPERMIT DOLLARS(tt0o.000),W ADqT10N TO iHE COST OF COM�ENSATqN,DMIA�ES!S PROviDED FOfi IN " � bECT10N7�0lOFTTIELABOfiCOOE,INTEHEST,ANOATTORNEY'SFEE& _RETENT�ONFEE: a��� OCONSTqUCTION LENDINGAGENCY PRE-ALT FEE � IHEREBYAFFlRMUNOERPEN�LTYOFPEMIRYTIUTTFIEREISACONSTRLICTIONI£NOPlOMENCY � FOfiT11E PERFORIAANCE OF TIE WOPoC FOR WMldl TH5 PfRMIT IS ISSUEO(SEC.)Oa7,CN.C.). � LENDER'SNM1E N(1NF. f�TiLTE� � .� LENOER'SAOORE53 � TOTAL FEES �' W I CERTIFY TNAT I IIAVE READ 7H15 MPLICATION MI�STATE TMAT iNE ABOVE MFOilYAT10N IS CONPECT. �. � IAOREETOCOMPLVVAMALLCRVANOCOUNTYORDWMICESNIDSTATEUWSREU7IN�TOBU0.DIN6 �� ��� � CONSTik1CTWrLANDHEREBYAUhIORIZFREPRESEMATNE50FTHISCOUNTYTOEHTFRUPONiNE - " " ' . . , . ABOVE•MEMqNEDPRO0ER7YFORINSPECTiON7UFPOSES. COMMENTS ' � ' O . . . . . _._. i.� � , , . m • �IA3-I�E . , � . ifiWtTTEE WWE(pRv1Tj � � � / ����Q/ - � ,: i. _ � E16NAN RMI7TEE DATE � � � RECF7.NO. P1UD BY VALtDAT10N WHITE—DeDertment Copy,YELLOW—Fnerxe Copy.PINK—Assesea Copy,GOIOENROD—File Copy,GREEN—Applicant's Copy . . , ..k. ,. •t• � . • .. . �, - . . ' �° ' ` �' .. . . , .' " r _ ��� .; CITY OF DIAMONDfBtAR ,:,.,T:.��,.�..� . '�, ;..:�:�r;i�:.��,::iNSPECTIOf�II�RECORD ':. r:. .�� r �,.; 'a. ,f � � Cr�. �� ��. - 0?I �t .,. •� r ) Q ,rr ,, �_ �'e '�.� �f �) . j:-� -�-�; 7 • � �}� o ` � L�� .� e, � , ,� � .'_�� �..,�: '� .,� . .�.�:�.�.� � � • .� (5ET BACK`� �,:a�; �� i i ��:: :; 1 ; ':� �" j n,.,,: FLOOp JO1ST,.-� � . � :.y . «� , , _ � , �- �r r�_; � _ � . . . � � .. . j FTGS/FORMS/STEEL:._. _ .,.__�.,... ;.. - ' -- -, -- �-. . ._ ;FHA REQMTS ."-�- �- -,:� . .. � -- - .__ . ..� . i u � , . ELECTRIC GROUND_� ___ <<"'' = _--.--_---_-_ ----. UNDEF�FLOOR:DUCT �. - - '� �� '`'� --- - ' ---------,�,, � . IGROUNDPLUMBING �.H����-,- ,� � �UNDERFLOORCdMDUiT-'; '���;:_ �- - - - � - - � � .,. .,� � c� .._,_ SLAB GRADE- ------ -��" __----- --- --- , �; � FIREPL'ACE FOUNDATION �-^,,,• .����:, I ��; - - ----- - - --- • � ,..;. .,;.=._,,; . • FIREPLACE BOND BEAM: ��.;�,:::i���;�� c --- ITEMP POWER-----,:� - - --- _.._. . --- ----- IWATER SERVICE-- --- --------- - __ -- �- � --- MID HT.BOND BEAM _"� '---' - - ---�.:,T�:,�;�-�;�;i ' t'.:� IROOFSHEATHING �- •oi _::.� ., :, :8 FT:BOND BEAM-----_�--- -----.-�:�--- — ------ ." � : � '� _ _ _._.. /�(,u9[- - FINAUBOND BEAM ' ^ , I FRAMINGNENTILIATION � , , r ti., :,��=. i.» IR�OFCOVER .c:i� . .c;w - PRE-GRADING' ' - ---_-__ :�+ �1_�:-- _'�.+i +_�.._ _ � .- • ;�`i I RpUGH HEATING' -- - - � „ .,�. -- --- — � BENCHING-. :- -:- --, - ., __... -- _. �:�� -1-- - � >. �ROUGH EL�CTRIC�_�'._ :"� �,-> ? - �_�s�:�_: 'ROUGH GRADING.�_, �.. _ ., --- _� _ _ ---' �-=- ROU H PL MBING�:!-.-- --- -. '� . . -'- _"-=-''' '-' FINISH GRADING � - ISHOWER;TUB-TEST-!--- - --- .�.__.� __ :� .:. � P,OOL:ELECTRIC •�; ,,, • - .,� . t -• „� -: ��� IEXT:L-ATH/SIDINC.,---�-- ------ ,_.. ----i-------- POOL�FENCING� '-,-� •. . ; ' �, ';J ' .' ': :�. " �,': i ':r< <+� WALL-INSULATION--` - � - ` ---;- - -- .FOOLFINAL - � : . �°, < �, , I CEICING 1NSULATION"--' � �'-� � _ - FF SITE IMPS. ,. „ , , ,.. �DRY�VALL NA(LWG --- � - -, , - ,-;:;• . DEDICATIONS ' � " � ., : .: . �• ,. ;. �SEWER__. ._�.. --- - - - - - - - ;-- . , _ ' FINAL ENG:", : ; . . , � , . .. �,, , ,. r.� , ;SEPTIC TANK ,., _ LANDSCAPE/iRRIG. ',.':; .:;,;. � , . ,.. . , �SEEP:PIT/LL._---- - - -.. ,+.�.a, .. y"_,l i �',1 1 l''_ .- � ON SITE IMPS: . , , , � . � �GASAIRTEST '--------- 2t�'U( - '� - FINALZONING ' ;;, ' ':. .»..... �FINAL�CONST._� -----�- �'"-�' - -�: �: •,,1��_.l��' _ FIRE DEPT.FINaL ,, .,,., --���.� .,,..:: , F1NAL HEA71i�G------ -- ,-- -,' " J ` • �'• . _HEALTH DEPT. FINAL - - - - - - - . 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