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Home My WebLink About11427 � � ---�'�----�, CITY OF DIAMOND BAR • .. COMMUNITY DEVELOPMENT DEPARTMENT % � '�:,.0 21660 E.Copley Drive Suite 190 � �'� (909)860-3195 Fac(909)861-J 117 ""' BUILDING PERMIT PPLICATION � , � oJOE3SITE APPLICATIO r PERMIT p/C \ ADDRESS � DATE NUMBER tt � APN LOT TRACT ISSUE TYPE OCC DATE CONST. GROUP °C �WNER 1�LPN S o \ p ADDpESS_%/�O Dr�r�fc.vD (�'A-.f� QL�ll7' . ZONING SETBACKS �. ^� ' / . �FF70NT � � Z ciNO 1�MaNa.,(��R�rA ZIP TEL. �" � : �• RW ❑ . � � p APPLICAPIT TEL. S DE/SIDE STREET RVy ❑ � CON7RACTOR1�lJRTS��POTff'�QS �iLECTiP/ ' SIDE p � ADDRESS/.37�/�19,P.}PA/ � PG�3[t' Sv/TF� � O PROPOSED USE o cinr __GH�v[�., c� ziP gi,7�h TE1..469-��.�-/�laS wo ARChi/ENG/ z DESIGNER a ADDRESS NO.DWEL. NO. NO. � CITY ZIP TEL. UNITS STORIES BEDROOMS cn DESCRIPTION SQ.F'f. FACTOR PSF ADJ.AREANALUATION p� - OWNER•Eit;ILDEH DECLARATION _ . • SFp/ADDlREM O � - p J MEREBY AFFiRM VkOER PENALTY OF DERNRY THAT 1 AlA EXEMoT FRO�iNE qNTRACT0t15 ll- G8f89e/C3�pOR � � � � W CENSEUWFOR7HEFOLLOWINGRE" �SEC.7Da1.SBU5�NE5SAN�PRCFESSIONSCOOE:ANVCI7YOR (n ' � - U COUNTYNMIC}1R[WIRES�PERMITTOCONSTRUCT,ALTER,W.PROVE.DEMOLJSH,OppEPA1qM1Y5TRUC- w w TURE.PqpR TO ITS ISSUANCE.�LSO FEWIAES TME APPLILAN7 FOli SULH iEAMiT 70 flCE A SIGNED ' w PatiNDeck . . _ _ � S7ATEUEM THA7 HE OR SME IS UCENSEO PURSU0.VT TO THE PROVISIONS OF TnE COHTMCtORS ll- � ` CENSE UW(CHAPTER Y(CdJ/IENCWG WITH SECTION 7000�OF DIYISpN]OF TNE BUSINE55 AfJO PNO- POOVSPB ' . . . , � iE5510NSCO0E)ORhIATHEORSHEISE%EMPTTNEHEiROMANDTME8ASI5fORT1EAUEGEDE%E�P• C7 , V TqN.ANYVIOI,A110NOF5[CTION70�I.SBVMIYAPpLICANTFORADEpMITSUBJECTSTMFAVPLM�VfTTO Z pQ.Rpp( A CML VENALTY OF NOT MOR[i/1AN FNE Hl/NDRED Dq.URS�f So0).)� ' 0 ❑I,A50`NNEROFTHEPROPEHTY.ORMYEMPIOYEESWITHWAGESASTNEIR50LECOMPENSATqN, � COff1ff10tCial ' ' Z WILL DO THE WORK,IW D THE STRUCTURE IS NOT INTENDEO Oq OFFEREO FOR SALE ISEC.7a�,BU51- „J • N NESSANDPiiOFESSIONSODO£:7HECA47iiAC'fOpSUCFNSeUWOOESNOTIIPALI'TOANOWNFROF ? PROPERTV 1Ni0 BUILDS Oq IMPROVES THEN[ON.ANO N?IO DOES SUCN W ORK HIMSELF Oq NEHSELF OR � ; wTNROUGHHISORHEROWNEMPLOYEES.�RONDEDTHATSUd11A1VPOVEMEMSAaENOTNTFNDEDOR . m 0 OFFEAEDFORSILEIF,HOWEVERTMEBUILDINCORIMCROVEMENTISSq.DWITIdNONEYEANOFCOMPLE . , z TpN,THE GWNER�BUILD[R YALL H�YE TME OURDEN OF PROVINO THAT HE OR SNE DID NOT BVILD OR = IMPROVE FOR THF RIFVOSE OF SALE). W ClIISOWNEROFTHEVROPER7Y,AMEXCLUSNELYCONTMCTINGYA7HLICENSEDCOHTMCTORS (= TO CANS7RUCTTHE PRQIECT 15EC.7o��,BUSINESS/WO VROFESSIONS CODE:TME CONTMCtORS U• VdIU2ti00 ADJ.AREA � W CENSEUWDOESN07APPLYTOANON?JEHOFAPR07ERTYN?fO8U1LD50RIMPROVESTNEREOrv,AW � WHOCONiRACTSFOqSUCHDROJECT5VA7HACOMiUCTOR(S)IICENSEDPURSUANTTOTMECONTAAC� QUAPITITY� DESCRIPTION - �-� FEE ' Y TORS LICENSE UW.). . . 0 O I AM EXEMPT UNDEH SEC. � B.8 F.C.fOR iH15 RCASON Q S L�G iIT�/YT(�IP ES i � ¢ �G�'i�fMf� SE.P��tc ''R�-�vFG. D�TE OWNER !— � UCENSEDCONTRACTORSDECLARA710N • • . W � � G/?GU/i$• � - . � Z� 1r�LCC�T�Ct . 1 HEFEBY AFFIRAI UNDEF PENALTV OF PERNRV T1RT 1 AM IICEN3ED UNDER PpOVISIONS OF GHAPTER� ; .q Y(COIAMENCINC K7TH SECTION 7000)OF ONISION]OF THE BUSME55 Ml�VqOFE53iON5 L'ODE,AND � � ' � - ' � �X� IAY 110ENSE IS N FULL FOHCEAND EfFECT. � LICENSE CUSS__1y LIC.NO.� 2 G&' v onh�/(�4�+. corrrrancr w . . � WORKERS'COMPENSATION DECLAA�TION ��3'� � IMEREBYAFFIqMUNDERPENALiYOFPERNRYONEOFTHEFOILOWINCDECURATqNS: � � �IHAVEANDWILLIM:MAIN110EiRIFICATEOFCONSENfTOSELF�INSUREFDRWORNERS' � � - CGAPENSATqN,AS PROVIDED BV SECTION 77o00F TNE LABOR COOE.FOR THE PERFORMANGE . Q OF THE WORK FOq WMICH THIS FERMIT IS ISSUEO. W �HAVEIU.OWILL►IAIN7AtNWOHI(ERS'COMPENSATIONINSUMNCE.ASFEOUINEOBYSECTION 0 770o OF THE UBOR COOE.FOR THE PERFORMANCE OF THE WOFJC fOR WMICH THIS PENAIT IS J 455IJED.L�YWOPXEFS'CDMPENSATqNINSURANCECARWERIW7DOLICYNUTABERAHE: CONSTRUCTION j awaiea GOLOl�d/ E�JG �V ► PLANREVIEW Z ro��crNUMoea ��_ � ELECTRIC - p ¢ �p' ��T��0�7�E�E��S�RO�EIU�DOOL1Ail5(5laqailE5s1 PLUMBING . w Z ICERTIFY7HA7IN7HEPFAFOAMANLECFTHEWOR%�ORYYHICHlHISPERMIT15155VED,1 MECHANICAL C7 SMntLNOTEMPLOYIWYPEN54NWANYMANNERSOASiOB[CAMESUBIEGTT07HE (f) WOwCERS'COUDENSA7qNUW50FCALIFORN�iIANDACREE711ATIFI51i0ULDBECON[ INSPECTIONFEE ' SUW[CTTOTHEWORKEFS'COVPENSAT�ONVROVISIONSOfSE�TION77000FTHElAWR /`. p� O �GO�DjE•.I!SHAAL'LFORTHVn�HCOMPLYWITH SEPROVISION N7?J aR,�,.T/�'��S ISSUANCE s, ..a p OATE:Y��_ APPLICANT:/1��4C(��lN-R•_ �(�6CP�IC•_ SMIP ' �_� �� . J WARNINQ:FAtiUR[TOSECUREN'ORKER5COMPENSA71ONCAVENAGEISUMAWFC�I,ANOSNALLOE ENERGYP/C . � ��• r J � � SUBJECT/WEMPLOVERTOGRIMINALPEWLL7IESANOCNILFWESUPTOONENUNOREDI}qUSAND ENERGYPERMIT DOIURS{!100,000),IN ADDITION TO i}1E COST OF CpAAPENSATqN,D�M�GES AS PqOY�ED FOR IN �—r.l SEC710N 770!OF THE LA80R OOOE,INTEREST ANDATiORNEYS fEES. - � � - � { ¢ RETENTION FEE: �'� � CONSTRUCTiON LENDWG AGENCY pqE-ALT FEE: � IHEREBYAFFIRMUNDENGENALTYOFVERNRYTHATTHERE1511CONSTRUCTIONLENDINGACENCY iOF 7HE iERiORM1WCE OFTNE WORK FOH WHIp/THIS PERM�T IS ISSI;ED(SEC.]aW,CIV.C.�. w - - . . . .. . . � IEN�EiFSNAME F� LENDER'SADORfSS � � � � ' � �� w� 70TAL FEES 25 �Q 1 CEHTIiY THAi I HAVE RFJ�p TNIS A7PLICATION AND STATE THAT iHE ABOVE NFOREIATqN IS COfIRECT. / ' � � IAGREETOCOMPLVWITHAILCITYANOCOUNTYONO�NANCESANDSTATEUWSREUTINGTOBUILDING " ' � � CONSTRUCTION,/NpHEREBVAUfHOpIZEREPRESENTAT!YESOFTHIStWNTVTOENTENUPONTHE . . . Z A90VE�MENT10NmDROVERTYFORIHSPECTKKJFUR?OSES. COMMENTS ' o . �G � B�tCr d'��nxu✓► m PEfiMI AME(PRINT) ' ' ' • � - ... . ¢ �1�/�! �t�-�-�-_ . � �8�-- �. (/� SI�TU�.^tUF VML7X T�EC�� T ATE , 7�C RECPT.NO. ��pA10 BY �__VALIDATION � �� WHITE—�epanmant Copy,YELLOW—Finance Copy.PINK—Assessor Copy,GOLDENROD—Fila Copy.GREEN—ApplicanYs Copy . CITY OF,DIAMOI�D BAR ' , � . � � � � INSPECTION RECORD � � . � � , . � . � � , � . SET BACK '• ' j FLOOR JOIST �� ' � _ FfGS/FORMS/STEEL � " - FHA REGTMTS ' ELECTRIC GROUND y+j,�y UNDER FLOOR DUCT... ,, • � - ,�� . GROUND PLUMBING � -2�—`� '� � UNDER FLOOR CO�IDUIT . r ;• '. . • '� SLAB GRADE ' - -- FIREPLACE FOUNDATION . � ' TEMP POWER -=`;-- - - • - - FIREPLACE BOND BEAM' • �" '� '� � WATER SERVICE � " ` -�� 1 MID HT.BOND BEAM. " ' � ".' ' -' ROOF SHEATHING �. 8 FT. BOND BEAM FRAMINGNENTILIATION FINAL BOND BEAM . RDOFCOVER . -• - - -- - - PRE-GRADING - � ROUGH HEATING - ` BENCHING ROUGH ELECTRIC � g ROUGH GRADING ROUGH PLUMBING - � - FINISH GRAOING SHOWERlTUB TEST , � � POOL ELECTRIC � EXT.LATH/SIDING � POOL FENCING WALL INSULATION ' POOL FINAL � CEILING INSULATION OFF SITE IMPS. ' DRYWALL NAILING DEDICATIONS SEWER __ _.. _ _.. FINAL ENG. SEPTiCTANK _•:. LANDSCAPFJIRRIG. � SEEP PIT/L.L. - - - ON SITE IMPS. GAS�41R TEST - - - ' ` - - FINAL ZONING FINAL CONST. �" - - ' '• FIRE DEPT. FINAL FINAL'HEATING '. -� - HEALTH DEPT.FINAL - - . - FINAL ELECTRIC - -- _ ` � DEV. FEES PAID FINAL PLUMBING ENERGY . . • _ . - _. _ . � � • • _ - - . . � - ..� .. _...._ ._... ---- - . ....---- -- -- - - _. .--- -- ------ , .. .r.... - ; _....._.._.. _' _. . ;. -;. . --- , ,,. . .... .. � COMMENTS . -- . . : _��:1�;: , . � ' - -. _ . -- ., i _ . . �. ' ,_ . . , ., , :� , �c, ,r, . . , . . '� , �.i . , - - _ . , - , • - -- , - ; .� � . , . . _L_\ ,,..,., � . , �_� ,-� . � _�,- , :,-.. . :_ . . _ . ' . ..,, � ,i . SEPTIC TANK SIZE - ` � - � - - -- ' SEEP PIT/U SIZE , , . . . _ _ . -- - -. . - - . . ; � , i �--,_, . , ,. • �. • { r , � ;� �� . . - ..�_�. '.. ' � "�_� .. .. . .. _. -- - . . � .