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Home My WebLink About16443 (15) EXPIREQ �� CITY OF DIAMOND BAR DEPARTMENT OF COMMUWITY&DEVELOPMENT SERVICES ,JUN 1 g ZOOZ �c 21660 E.Copley Drive Suite 190 (909)860-3195 Faz(909)86]-3117 PRE$S '��^�'�� BUILDING PERMIT APPLICATION FIHMLY Q ADDRESS 57��N ��p�ON'7 1�A 2 LGJD APPLICATION }�, PERM(T ]�A �j P/C �ATE v NUMBER ��{�✓ A � ISSUE d TYPE OCC APN LOT TRACT DATE CONST GROUP g OWNER '11J SG� o ADDRESS S7� N r.Gr ZONING SEBACKS � CITY �« �_ ZIP� TEL.4.Y�—OLI4 FRONT RW ❑ APPLICANT TEL. REAR O � SIDE/SIDE STREET RW p CONTRACTOR E'sfa t�- C-ticc��+c` �o' sioe ❑ � ADDRE S JSi 9 �a $� S T PROPOSED USE CffY �� - ZIP� TE `��'/ �Z3^�(/��- � ARCH/ENG/ • OESIGNER �� NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL N DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILOER DECLAAATION SFR/AD�/REM O p 1 HERFBY AFFUW UNDER CENALTY OF VERIUHV THAT 1 MI f%E��T FqOM THE CONTMCTORS LI• ,Ggrgge/C8fp01t � W CENSEUWFqiTMEFOLLOWINCiHF1�50N(SEG.�0.t1.68U5ME55ANOPRDFE3510N5CODE:ANYpTYOR . (n N � COIk![YM/MCHREOURESAGFAAIRTOCONSTRUCT,ILLTE0.�DROVE,DEUOUSN,ORRED�IHANYSTRUC• W PetblDeck 7URE,PRIOR TO ITS ISSUANCE.AL50 11EW�RES THE APPLICMlT FDR SUCH VENMIT TO L7LE A SiONEO W .� 8TATEMEM THAT NE OR$HE 6 LICENSEO FURSUMIT TO THE GROVISIONS OF THE GON7MCT00.4 LI- � CENSE UW I�P�R Y(COMMENqN�YATH SECTqN 7aoo)OF DIVISiON�OF THE BUSME55 AN�iR0. � PooVSpa iE55qN5 tDO�OR THATHE OR SNE IS EXEMPT TMEREfHOAI M10 THE BASIS FOR THE ALLEOED EXEMP- TION.AM'VqUT10NOF8ECTIOf11a7t.6BYMIVAFPUCANiFORA7ERR�RSUBJECTSTHEAPPLIGNTTO Z R8-F�001 � A CML OENALTY OF NO7 EIOFE 7HAN FNE HUNORE�OOLURS(f5001.Y _ Ol�^��EROFTHEFROPENTY,OR►IVEAIPIOVEESWITHWA(SLSASiHEIRSOlEW1AVEN5AT10N, O �COmmBfCI81 Y11LL DO iHE 1VOH1(.IWD THE STRUCTURE 6 NOT W7ENOE0 OR OFFERED FOR S.V.E(SEG 7oN,BUSI� J HE59 AND PROFESS�ONS ODDE:THE COMfUCTORS LICENSE UW DOES NOT AFOLV Tb M!ONINER OF N PROPEHTYMR108U1D50RIYPROYESiHEREON.ANDNMODOE55UCHWOflKMIMSELFORHERSELFOR = � 711p0UONHI50RHEROVMlFI�PLOYEES.OROVDEDTHATSUCNIIJPROVEMEMSAPEHOTMEN�EDOR m � .OFFEREDFORSN.EIF,lIDY/EYERIHEBURDw�ORWVPAVEMINTISSOIDMrtTT1INONEYEAROFCOMP�E- � �TION.iNE OWNER-BUM1DER WM1L HAVE TNE BUROEN OF GROVINO THAi ME OR SHE�ID NOT BUILD OR W PFqVE iOR TME 7URP0.5E OF 9AlE� W ❑I�ISOWNEROFTHEFRDPEHTV,IIAAEJ(ClUSNELYCOMMCTINONATILICENSEDtOHTMCTOR3 (� Tp CONSTAVCT iHE PROJECT(SEC.7PN.BUSINCSS FND PROFESSIONS CODE:TNE CONTMCTORS ll- VB�U9I10f1 AQI.AREA �J �M6EUWDOESNOTADVLY70ANONTIEROFAVHOPER7YYA108UM1DSORMPNWESTMEREON,AND Z 1MfOCONTMCT5FOR5Up1FROJECf5N17HA00frtAACTOR(5)LICENSEDPURSU/M70TMECONTMG OUANTITf DESCRIPTION G/ FEE t— mr�s ucwsE uw.F n � OIAMEXE4PTUNDEHSEG. B.iO.C.FORTH15REA50N U UV � �1� 7 LL' DATE OWNER � . � � UCENSED CONTRACTORS DECLARATION W � IHEREBYAFFWMIUNDERPEN/LTYOFPCMINYTNAi�AMUCENSEOUNDEFOqOV1510NSOGCHAPTER V. . . •�fY1uYENCM/0 WITH SECTqN 7000)OF OMSION]DF TME BUSINE55 M!�PROFESSIONS COOE,AND Z W UCENSE 6 N FULL iORCE M1D EFFECT. m � L�CENSE CUSS C�, �� LIC.N0. �V�� o�� S- �/- Z C�O( coNrrucron S y�r E 1L=�7Re C a WOFKERS'COMPENSATION OECUIRATION a = V � I HEREBYAFFUUI UNDER PENALTY OF PEP.AIHY ONE OFTHE FOIIOYANO DECURATIONS: y Z a � _IHAVEAIAWILLMNNT/UNACEffTIFlCATEOFWNSENTTOSELFaNSUREFORNVHKEfl5 = � COUPEN5AT10N,ASii10V10E08Y5CCTfON�7aoOFTHEUBORCODE,FORTFIEPERFORAIANCE U � OfTMEWORKFORWHIpITNI50ERM�TISI55UED. � C �I NAVE ANU WILL AW'RA W WOWCEFS'COMVEN5AT10N INSURANCE.AS R[OUIRED 9Y SECTION QQ ]7000FTHELABONCOOE.FORTH[VERFORMANCECFTMEWORKiORWHICHTHtSiENMR15 ISSUED.MYKCFiKERS'CW�PENSAiIONINSURANCECARRIfRANDVOUCYNUlABERARE: CONSTRUCTION j �tiEp � PLAN REVIEW � P0.ICYNUMBER ELECTRIC - � (iF4;SECfDNPF.�N0TBE0d.PLET£DO�DEPEPMTlSPaiWEHWREDDOl1AilSfftOci�pilE55� PLUMBING . . . Z ICERT7FVTHATNTHEOERrORMANCEOFTMEW�7KFOqWHIp/THISPfRuiTI515SUED,1 MECHANICAL (�}' SHALLNOTEMPLOYAN'/PERSONINANYMANNERSOASTOBEC011ESUBJECTTOTHE vj WDRKER5COMPENSATIONUWSOFCALIFORNI.�ANDIGREETMATIFISNOI.IDBECOAAE INSPECT�ONFEE . S SUBJECTTOTMEWORKERS'C27A7ENSATpNFROV15qNSOF5ECT10N71000FTHEIIDOP � cooc.i swuL connrMn+cor.�a�r vnn�T�as¢aarnnswNs. ISSUANCE � SMIP p DATE: APPLICANT: . � ENEFGY P/C WMNINO:fAILURE TO SE W RE WOfiKERS'COAIPENSATION COVERAGE IS UNUWFUL.MIO SHALL BE � SU61ECfANEMPLOYERTOLRIMINALPENALT7E5ANOCIViLFNESUPTOONEMUNDREDTMOUSAND ENERGYPEFMIT DOIWiS(i100.000).IN ADDITION TO THE COSi OF COAIPENSATION,D�CES/�S PNOVIOEO FOR IN ¢ SECTIDN710eOFMEUBORCOOE.INTEHESLANDATTORNE75FEE5. RETENTIONFEE: OCONSTRUCTION LENDING AGENCY PRE•ALT FEE: g,�• � IHEPEBVAFFIfUAUNOERVENAL7YOF0ER1UqYT1UTTHEREISACCf75TRUCTIONLEN�W011GENCY f-0qTHE PERFORAIN7CE OF TNE WORK FOR WMICH THIS OEFMIT IS ISSUED(SEC.9�7.CIV.C.). � LENOER'S NM�E �� C lENOER'SADORE53 wICERTtFYT1uTIXAVEREADTHISAGPlICA7�ONANDSUTETHATTNEABOVEWFOR4ATqNISCORNECT. TOTAL FEES p� ItaREETOWNPLYNAMALLCRYANOCOUNTYORO�NANCE5ANO5T�TEUY/SFEUTrMTOBUd01N6 CONSTRUCTION.AND NEREBY AUiMORIZE REGHESENTATIVES OF THIS COVNN TO ENTER UPON T7�E S� APAVE�MEMIONED VPOPfRTY FOR INSPECiION PVN70SES. COMMENTS � � I'q ,f/� � VER i7AMEl��MI J �G� N `� � UR FPEMY OATE � RECPT.NO. PA1D BY VALIDATION � WH17E—DepaRmentCopy.YELLOW—Fnflnca Copy,PINK—AssessorCopy.GOLDENROD—FileCopy.GREEN—ApplicanfsCopy .. . ,. ,� . .. . , '.. . .._y�� «. , -.r , ,. �.. . , r . i�. . • . .- , . h.•4.. . ��,.�. .,. _ � .. � .. ,.. .._.. . . , .. - CITY OF DIAMOI�lD,.BAR ,. ;. ;, ; ;, . _ , . ;,.IhlSPECTIOPv RECORD . ,.� �� - 1��.��'�� .��9�= �IT��-�;�� ly�-��'�vil��C��+. #r��. '.__��IY��`'�o��__ � � - . — - , - FLOOR J01 T, � f. , iSEf BACK .. , - , . „� _ � , �FTGSIFORMS/STEEL � , . ; . ._•� �� FHA REQMTS . . �. ,. . . ELECTRIC GROUND _ _ . -','�•� UNDER FLOOR DUCT - --. 'GROUND PLUMBING UNDER FLOOR,CUf�iDUIT - � ` � � � ' ^ , SLAB GRADE- � - - -- - FIREPLACE FOUNDATION . � •„ . , :, - � r 1 � _ � !TEMP POWER - FIREPLACE BOND BEAM � • ; ,� iWATER SERVICE -- - --- - - MID HT.BOND BEAM _ � ' ' � , : � • iROOF SHEATHING 8 FT.BOND BEAM • - - � FRAMINGNENTILIAl'ION - - FINAL BOND BEAM �ROOF COVER .c PRE-GRA�ING � - � iROUGH HEATING BENCHING � ; ' �ROUGH ELECTAIC_ - , ! .. ' '_ `. ROUGH GRADING - _ _. _ ;R�UGH PLUMBING -- -- ' - ' FINISH GRADING ; :- iSHO',NER/TUB TEST '- - -- --- � -- POOL ELECTRIC ' ; ,EXT. LATHISIDING - - -- -__-- --._ ;__ __ _,___ . _ . POOL FENCING � WALL INSULATION - -- _ - ----- ' - POOL FINAL ;CE�LiNG 1��:SULATION OFF SITE IMPS. ; -.. !DRYVJALL NAfLING _ - . . - - DEDICATIOPdS ' = jSE1NER _ — --.. _. _ _ __ -_ . _ . FINAL ENG: . ; �. iSEPTiCTANK ' LANDSCAPE/IRRIG. 'SEEP_PITILL. _ ON SITE IMPS. ;GaS AIR 7EST ' • ` FINAL ZONING , 'Flid.�,l._CONST. � `-.� ' FIRE DEPT. FINAL �FIt�F,L.NEATWG __ __ �. _ _ _' HEALTH DEPT. FINAL --- � ;��r�F.t ELECTRIC -- -- - DEV. FEES PAID — -� , ----- 'i=�`1F,L PLUMBING -- — - - - ENERGY i •-�---- ' ,�.. --- _-- - _ __._ _ _ - - - , _..._ � -. ---- --- --._ .-- _- -- _. .. . ' ---.— -- � _ _ . y,_��'c�4 �""'�`_' I r ` _ __ � .,�� ; '�COt�iMENTS __ _ • ._ � ---- ----- _ _ � _____ _----- . _ _ __ , �. ; . . • - � � . __, _ _ _ _ _. , ; . _ ... •t_'. . , ---:.i==-�i --_ , i _ , . _ � . � • , , , .. . 'SEPTIC TANK SIZE-i � � � � �� ' ' ;SEEP PITIU SIZE � ' ' ' � . ._ . , � a�'�� . �"�-:� .-- -_ - - _ , , _, . � . _. _ _ � . . . - - ' ! y�'�' -� = . _ i E_�" , , ; . __ _ _ ; � , � . �, , , . . _ _ __, _ _ _.-- . _ _ , , . . - �. � . ; iv .��; � � ,_ _, \ - -• - . , !