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Home My WebLink About12744 (11) J� CITY OF DIAMOND BAR • ` '� ; DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �- Te 2 i66o E.coPt�y�;��s�c�i90 , � (909)860-3195 Fax(909)861-3117 PR ESS ��. BUII.DING PERMIT APPLICATION • � � FIRMLY � JOBSfTE APPL�CATION PERIutfT �� P/C ('i o ADDRESS ��'�S� ��ti'�'�+-� �� p• ' DATE ��•�`1-'�tS NUMBER N 1� � APN LOT TRACT � ISSUE /� p/� TYPE OCC ��` DATE '�L—�'- / b CONST. GROUP p OWNER =At=•�-1 ��.�G-f� . " ADDRESS�I�So �F��1oC�,�G 'F.�L�t �::�'t�s5� ZONING SEiBACKS � CRY'�'�P-�� ZIP o'so�TE 3�o��j2�7c-i FRONT RW •❑ APPLICANT'CX'cVlGo �c�iJS: TE REAR ❑ � SIDE/SIDESTREET FiW ❑ CONTRACTOR��fC.o �(��dGTlo� SIDE p ADORESS �= S L � CITY�'�R�S� ZIP oi � TEL's►��7 t PROPOSED USE o ARCH/ENG/ • • •.. ��yj DESIGNER �A�E'SLo�1 .�17'ifxE�lS -" r NO.DWEL NO. NO. �i.� ADDRESS:�1150 �� 3 UNITS STORIES BEDROOMS CITY�]Q^ar-�C-fL ZIPqoSo3 TEI.L3.�7�.71-(22�+ N DESCRIPTION SO.FT. - FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDEfl DECLARATION � SFFVADD/flEM � - - O e1 NEREHY IIFFlRM UHDER iEtULTY OF PERIURY THA7 I AM E%EA1PT FROM THE COMMCTdiS tl• GBfHgB(Ca1pOR � � CENSEUwFOf1iMEFOLLOwP10REA50N�5EG7W1.68U51NES5MNPROFES5qN5CODE:ANYdTYOR (n � COIMTrWHICHRE0UIRESAPERMITTOODNSTRUCf,ILLTEiL7APROYE,DEMOl14lOFiREPNRIINYS7RUC• W patio/Dack 7URE.ViYOFi TO RS ISSUANCE./�LSO REOUIRES iME APPLICAHf FOR SUCN PERMR TO i1LE A SIGN[D W STATE4EHT 11U7 HE OR SME IS LICENSEO M1R:U11NT TO 7HE VRDVISIONS OF THE CONTMCTORS LL S CENSE LAW(PiAPTER Y(COYMENCclO YVITN SEC110N 7000)OF DMSIDN]OF THE BUSINESS AND PRO• � POOVSp3 . 7C FESSqNSCOD�ORTTNTNEO(i5F1E1SE%EMPTTMEREFROAIANDTHEBASISLOFiiHEALIECEDEXEMP- �j TION.AM'VIClAT10NOFSECTqN70]7.6BYANYMPLICArlTfORAPEHMITSUBIECT9IHEAFttICN17T0 � Z Re•Roof F,�, A CMl VENKT7 OF NOT AqkE TNAN FNE HIMDRED DOLLARS(t`+a01 J: - . . � O4ti'�M�NEROFiHEPROVEHiY,ORMYEMPLOYEE5N17HWl�GE51L5TMEIqSOLECOMPfNSATqN, ❑ L'pmmBfGQI ' � YALL DO THE VYOHK.AN�THE SiRUCiURE�S NOT INTEN�m OR OFFER[D FOR SALE ISEG 70N,BUSb J � Iff55 A10 VROFES510NS O00E:THE COHiMCT�RS LILEHSE UW DOES NOTAPPIY T0 AN OWNEN OF � . _ � . VROVEHTVNF10BVpD50RM7ROVESTMEREd1/ND1M1000ESSUCHWORKHIA/SELFONHERSELFOR � Q 7HROU6H11140qHEROWNfMPLOVEES,PROV1DfDTHAT5Up1WPROVEMENTSAREHOTWTENDEDOR m . � � OFFEREDFORSIILEF,IqY1EYEi�T1EBUlDINOOqMPROVEMCNiI550lDWITHMONEYFAROFCqAPIE- TION,il�E OWNER-0UIIDEN WILL NAYE TME BVRDEN OF GROVINO i11AT HE OR 6NE OD NOT BUILD Oit MFROVE FOR ML PURPOSE OF SALE� � Ol�ONHEROFTNEVROPERfY./JIE%CLUSNELYCONTRACTP10WfiHLILENSFDCONTMCTORS TO Cd+STRUC'T iHE PNOJECT(SEG 7oa�.BUSINESS AW VROFESSIOHS COOE:TtE CONTAACTORS Ll� Valuetion AQI.AREA � CENSE UW DOES HOTAPPIY TOAN OWNER OF A DHOPERiV VA70 BUILDS OR MPIIDNES 1HEREON.AND � W/qCONTRACTSFOiiSUCMVRQIFCTSWITHACONTRACTOR(5)LICENSEDVURSUANT701HECONfRAG pUANTITY DESCFitPTION FEE � TOfi3 LICE1iSE LAw.} L�� 2 O 1 MI DCEMPf UNOER SEG B.t P.C.FOR TMIS REASON Q � =�W ITG k1�-S• 7 O f 3 " . . O r O LL � � �l'T�S. �\ Z OA7E ON7�ER � � . �A�� . _ � . � \ F LICENSED CONTMCTORS DECLARATION W �/' — •\ O � IMER[BYAFFIfU.IUNDERVENATYOFPE�iAIiIYTW�TIAMIICENSEDUNDERVROVI5rON50FCHMTER ' /.� D � �1COM4ENCNOWfTH5ECf10N7000�OFqY1510NJOFiHE8U5INE55MDCROFE55qN5GODE,AND Z G�L�T �� W L10EN55 6 H FlA1 FORCE AND EFiECT. m � � i c�:.R lL�tu�:G 4iliJiC . � �� UCENSE CUSS� �l� UC.NO. JZA 1�I � � � . �V DATE l0/3l 2�G�0�� CONTMCTOR' a� a � � WORKERS'COMPENSATION DECLARATION �� j'/ a � � v�-„i,(T �FtyJ. O U � IHEREBYAFFlRMUNDERPEtULTYOFVEiiR1RYONEOFTHEFOLLAwwGDECUfU710N5: Z � Q � _�HAVEIINDYALLMANTAMACffiiIFIGTEOFCONSEMTOSELF•INSUfiEFORN9HKER5' 2 � COYPENSATION,ASPRfN10mBVSEC710NJ7ooOFTHELABORC00E,fORTHEFENFORAIANLE U Q OFTHEWOiLCFORwMIdITHISPEpMITISI55UED. � C W IHAYEANDWILLYAIHTARIWORKERSC0IAPENSA710NINSUMNCE,115flEOVIREDBYSECTION " ' - � � � � Q 7ooOF7HElABORCO�E,iOHTHEPERFORMANCEOFTHEWORKFORNMIpITHISFERMITIS 7�� I$\SUED.MYWfORCKERS'CdAPE\NSATIONWSURANCEGRRIERANOVOLICYMIAIBEHME: CONSTRUCTION •y � � CMRIEiI f�v�7lo....] . '�" P EW �_/ � � P0.1CY NUABER�"1? ^��`� I � • � (fNSSEciCY1nICEDwiBEooEqE7FDOchECEaMi6ianalEH.I�DHmDOIiARSRtoc10RLFS51 LUM6IN -L Z ICCRTIFYTIATNTVIEPERFORMANCEOFTH[WORKFORN'HIpITH150ERUITI515SUED,I ME ANICAL (,'} S�ULLNOT EMPLOYIINY VERSON W AN1'M�NNER SO�S TO BEOOME SU&IECTTO TME � WOPo(ERS'COMPENSATIONUWSOFCALIFORNIA,ANDACHEETHA71FISnOULDeECOME ONFEE S SU&IEGTTOTHEWORKERSOp.�DE�5AT10NPROVISION50F5ECiiON7)DOOFTNELABOR - � � -� CODE,151U11FORT1NVRHCOMPI`�p�(7H0 �PROVISIONS. SS M�C O 1 p DATE:1�'�2-�$ AVPLICA��„y . SMIP �O � Y P/C WARNIN6:FAILURE TO SECURE WORKERS'COMPENSATqN COVEMGE IS UMAWFUL,AND SHALL BE � SUBlfCTANEAIPLOYERTOCAiuitULVENALTESANDdViLFwESUPTOONEHIINOREOTH0U5AND ENERGYPERMIT wyy/� ' DOLLARS�i100,000),IN ADDITION 70 THE COST OF CdA7EN5ATIDN.DIJJAGES AS VROVIDEO FOR IN �J v G O � J SECTION�7oe OF THE UBOR OODE,INTEREST,Ar,DATTORNEYS FEES. - RETENTION FE � 1� � CONSTAUCTIONLENDINGAGENCY P -' -� EF:� ._�z.dn O lt v� ltli�a�,� � IHEREBYAFFIRYUNDERPENAL7YOFPE0.NRYhUTTHERE15ACONSTRUCTIONLENOWGACENCY FOR THE PERiORMANCE OF THE W OiLC FOR WHIG7 THIS PERMIT IS ISSUED(SEC.�oY7,CN.C.} � � � IENDER5HM1E - � � ' � � LENDERS/�D�RE55 � TOTAL FEES � 1 CERTIFY iIUT I MAVE READ 1Y115 AiiUCATqN JW D STATE 7)UT 111E ABOYE INFORNATION IS COi1RECT. l W IAORE4TOCOAIPLYWITNI1LLCfTYANDCOUNiYOfiDINANLESANOSTATEUWSRELATHOTOBULDIN6 //�� CONSTRUCTI0I�LANDHEFEBYAUI1/ORREHFVRESEN7A71VESOF7WSCOUNTYTOEMERUPON7NE ` . �� r� _�a � S� ABOVEdAEM10NEDVROVER7YFORINSPECT10N7URPO5E5. COMMENTS�,{�� '�"� 9 -,� ,ar�,...-� �.u-�-r�-.-� • . m EE E oRIHn �' � _ ' [n � 't^'�9. .. . . . � REO PERWTfEE DA7E . � � . RECPT.NO. PAID BY VALIDATION �'WHITE—OeDertment Copy.YELLOW—Finenee Capy,PINK—Asseasor Capy,GOLDENROP—Flle Copy,GREEN—Applicent's Copy � . , CITY OF DIAMOND BAR -,;.,, . � . ,,.; • . ` � ,. . . :'INSPECTION RECORD ' �. .� '' , ' , .. . �� , . . .. _ .,. . . �. �, . • � � . � . . � � . . � . :S�T;BACK' , ��il - �f . � �•i.l� FLOORJOIST� �'� : �� , r_.I'..•,i •�r.� i�-_ =r . . ... _ FfG /FORMS/STEEL ' ' � ;-, c-__ •, FHA REQMTS - � - - - � -- -�- � � ELECTRIC GR�UND - �- '' �'-' -�� UNDER FLOOR DUCT•_, : ,_,! ,:, '' � -�'' - - ;� �;,-� . - GROUND PLUMBING ' ' - - -UNDER;FLOORCO�I�UIT :...: ,-,i�, �. ,�i;, �_.'�-ic- � • � _ SLAB GRADE --- . __. _ . ___..._ ... .. : I FIREPL•ACE�C�I�NDATtON`�-. -��' �"�'•�':,�;- . , : . ._, . _.,�_ . TEMP POWER . _ ::. - - ---.. ._. :_ : �: FIREPLACE�BOND BEAM .._ :.. - ---. . __ .... . __• _ ._... . WATERSERVICE,.- ,- - � - ,; >„�_ ,... ,.. . . • _ _ . MID HT.BOND BEAM".' ,..,� �, -_n . � � R�OF SHEATHING'.�:-%- ��;> � - - � . . S FL BOND�BEAM_ :�;:- ' -,j='� � .-� FRAMItVGNENT1UAYf�N• �' � FINALBONDBEAM �--. ._�, ` '� R�OF COVER . � ' � PRE-GRADING ��t� '"•µ�; �-.'��-�=�� r i,_ .. • „��-�_;.- :� �,�.�. . . ;;.:.•..:,�� ROUGHHEATING- �- � - - - � BENCHING�►" � �ROUGH ELECTRIC - �j -- -- - � ROUGH GRADING . ' ROUGH PWPABING�': � � - ; � " FINISH GRADING . � SHOWEWTUB TEST:- � � � -�=• POOL ELECTRIC EXT.LATH/SIDING � POOL FENCING WALL INSULATION POOL FINAL ' , - CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING ' �,7 g DEDICATIONS � SEWER.. . .. ' _ _._ FINAL ENG. . . ; ' _ _ ..._ SEPTlCTANK _.'...._... ,. _LANDSCAPE/IRRIG. ._. :t .. ', . SEEP PIT/L.L. - = � - =_ ` � :�"! - ON SITE IMPS. ' GAS.AIR�TEST; ,, ; --, . - FINALZONING - • ' � FINAL CONST. - - , 'Z j� �� ' � • - ` FIRE DEPT. FINAL � . FINAL HEATING - ... 'ti ' ' " � " HEALTH DEPT. FINAL ' � FINAC:ELECTRIC " �/� �•. � - DEV. FEES PAID � - � � - FINAL�.PLUMBING 7� �„ -;� • ENERGY � C�i i1 1 � :, „ :�, ti �!c- e � . < <. . . ,.._... , . . _ „ _ .... _ . . .. -- - -- -- ----- -.—. _ `. ._... .-- -----.. . _ . . . _.__.. .. _ COMMENTS �. ;_ �� ;��.� � '`�,��s�I��.1�'1 . . _ _. . , ��: : Ct •:�.''�� _ , : .. � �,-. � � ' , r .` _ ! ` .\ _ ' ''� '--.�.�,._, r-� i . _��• �.,� t t . j ' •� i• 1 1 �� ,� Z,i: , _ _� .i .��. ' r��,7 .�,� �� _r—-- . I\, `t ' . - , � - , ti � �; - __.. i! J ��! 1 1,�� '� � ) . . !�`�/li . . L..__ I ,) �\ i ; J _ _ . • . . .. .�. .,—J � I . • `. ... �-- � � i SEPTIC�i'ANK SIZE� '"'SC, t '! ,��'. ,,;'_'------- -.� � ; � : SEEP PIT/U SIZE�i.� � : .,`. `� . -.- � - � ,r.• r�.�,�:1 7`� Y. .�,: � j ; . : �,;'.. . . `�f1;�if,"L:; � i.,. ��' . . 7 • . . . . . . . ... . ! � � 1.; � � i � � ' � . ._� . .. . � ••` _� 1.i _ '-1..��••�'� _ .�' , , ��_ _.� C. .•�~ . .� c i -• - __ �., , . . . -.,,..... _ �:r:vi ��.,:.r� —;- •-,. �;t...;'::} '-.1_,�t;t�; �t�j ; . - . .. J �' ' •1 , . . . ..A r i �j7��7 T �, � _ �_ , �^, ��. ' ��i -., � . � ��._ . - _ '�'-;j �.-' +