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Home My WebLink About11977 (6) � _.1.,�� CITY OF DIAMOND BAR• - � � ' ' DEPARTMENT OF COMMUNITY 8c DEVELOPMENT SERVICES �` 21660 E.Copley Drive 3uite 190 / (909)860-3195 Fax(909)861-3117 PRESS � �� BUILDING PERMIT APPLICATION � FIRMLY JOBSITE �j�J- ��j APPUCATION PERMIT 7 P/C ¢ ADDRESS _'V-� "' ^''�O � ' OATE t''� �p NUMBER�//`7/ M c c� ISSUE TYPE . OCC APN LOT � TRACT DATE L3 � CONST. GROUP p, aWNER J � " ADDRESS ' n O I Q, ZONING SETBACKS u' CIN � lPq, JC� TEL._ �n � FRONT RW ❑ � APPUCANT '- TEL. �' REAR ❑ SIDFJSIDE STREET RW ❑ � U Wl'1P,Y2. L�I 1G SIDE ❑ CONTRACTOR ,{ � ADDRESS - PROPOSED USE R�� L� �S '"�' CITY ZIP .TEL. o ARCFUENG/ • . - � . _ . � DESIGNER - - NO.DWEL NO. NO. _ ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. N DESCFiI N SQ.FT. FACTOR PSF ADJ.AREANALUATION � ; p� _ OWNER-BUILDER DECLARATION SFWADD/R O 1 MEREBY AFF�1 Ul1DER DENAIiV OF OERAIRY TiU71 MA IXEMP7 FROM THE CONTMCTORS Lb e�Q�/��rt � � B CEHSEUWfORiNEFOLLOWIN�REA50N(SEC.7a71.60U51HESSMIDPROFE5510NSO0DE:ANYCtTYDR (n , � COUNfYNF11R1ilE0UIliE3ACEHAIRTOWNSTPUCT,ILLTEiI��ROVE.DEM0U5H2ORREPNRMIYSTRUC• W Patio/Deck � - �� NRf.PRqR TO RS 69UNKE.AL�REWiRES T1E AVVLICANT FOk SUCN OERYrt TO FlLE 1151GNED W � � $TA7FMENT 7TMT ME OR SNE IS 11LEN5ED PUit4UINT TO TIE itiONS10N5 OF THE CONTMCTORu^U• � CENSE UW(dUPTER Y(OOUMENLwO WIiH SECTION 7000�OF DMSION]OF 7HE BUSME55 FND PRO� LL PooVSpa FESSqNS COO�OR TFU7 NE OR SNE IS E%EMPT 7MEREFROu N�D iHE BAStS FOiI TNE ALLEGED E%EM0. TION.ANYVIOlATR7MOfSECfIONN71.6B�ANV11P7LICANfFOR�PEiWIi5UB1ECTSTHEAPPLILNlTN Z Re•Root � ACIVIL PEWLLTY OF NOT MOiiE 7HAN FNE HIXAREO DOUAAS(f500).): � O1�01MMEROFTMEPROPEflT1:ORMVEMPLOYEE95MiTHWAGE5A57HEIR50LEO0MPEN5AiqH,. O C0111IfIBfCl81 � YALLDO THE WORK ANO THE STNUCTURE IS N�T INTENDED OR OFFERCD FOH 6ALE(SEC.70U.BU51• J y NESS AND VHOFESSIONS OOOE:TME tdMMCTORS UCENSE UW OOFS NOT APPLY TO AN 01MNEH OF j . PROPEHiYVY/iOBUIDSdiYVRDVESTMEREON.ANOYMOD0E55UGMMNRKMIMSELFORHERSEIFOR Q THROUGH1qeORHERCXME4PL0'/EES,PROVDEDIHATSUd/uPROVE4EMSARENOTNTENDEDOi1 m � � .pFFEAEDPoRSKEIF.HDWEYERTMEBULDP100RMPROVEMINTL530lDMnMINONEYEAqOFCOMPLE . Z �Td1,i11E dWHER�BUM1DER WRL IUVE THE BUi1�EN OF VROVIN�TYUT ME OR SHE DID NOi BNLD OR _ �1Pf10VEFOqT1ER1pPOSEOFS/LLE� W O1A50`MJEROFTMEPFIOPE�I:AME%0.US�VELtCOMR�CTIN�YPRMLICENSEDCANTR�CTORS � TO CCNSTRUCT TME PRO.IECT(SEC.7W/,BUS�NESS AND PfqFE5510N5 CODE:iME CONTMCTORS LL VBIU�(1011 AQJ.AREA GENSE LAW DOES NOTMPLY TO AN OWNEfl OF A PROPERTY WND BUILDS OR/APi10VES iHEREON.MA � WNOCONfiUCTSF01i5UC1fVR01ECT3WITIACONfMCTOR(5)IILENSEDVURSU�wTTOTME00NTMG QUANTITY DESCRIPTION � FEE � � 1WLSUCENSEUW.). . . . . . _ . . . . O IMI E%EYPTUIJDER SEC. B.l V.G FOR TWS REASON 4 3 � - . � • � . � pATE OYMER V , � �4 UCENSED CONTRACTORS DECLARA710N W � � • • J K IHEREBYAFFVMIM'DENPENALTYOFPE0.IUR'ITMATIAA1l�CENSEDUNDERVRO�510N50FCHAPTER ` Vr � S f(G9YYENGN�YniN SECTpN 7000)OF OMSION 7 OF TME BUSINESS�N�Pi10FE55iON5 CAOE,�ND Z X W LKENSE IS N FU1 fORCEMID EFFECT. m � . �L � , 0 LICENSE C1A55 IIC.NO. J V pATE � CONTRACTOR 0- W � WORKERS'COMPENSATION DECLARATION a . - � IHEREBYAFFGtl.IUNDERV[N1ILTVOFVERAINYONEOFTHEFOILOWINODECUMTIONS: V � � � Z Q � � __IHAVEAMDWILL�MAINACERfIFlGTEOFCONSENTTOSELFdNSUREFORWORKERS S � CpIPENSATIDN.ASPROV10EDBY8ECTION]7ooOFT1ELABOqCOOE.FORTHEPEAfORA1ANCE �U - � OFTIEM�ORKFORWNIp17H15GERYRlSISSUED. � � �IWNEMN'MLLWalTAMY/�RKERSCd.�PEN5AT10NIN5URANCE.ASREOUIREDBYSECTION ' O 97000F7MELMORCOOE,Fqih1EVERPoRMANGEOFTHEWORKFORNMId/THISOERMRIS � 9Q � i55UEO.W N+OR1cERS'CdIFEN5ATI0H INSURANCE GRRIER ANO POLICY M1AIBEHME: TfiUCT1ON � GAFIER W � oa�cr�e¢n CTFlIC S �� 0 (nc5[cnaaN[IDNOTBEGQ.�'IEiIDCFT1EPE31bfi'SronuElUaliEpOotiMs6+o�70alEss4 DING W MECHANICAL � ' " Z ICEP71FYTHATNTH[PERFOHMMICEOF7HEWOPKFdIWMICMTHiSPENA715lS5UED,1� (7 SMALLNOTEUPLOYMlYPERSONNAYYMANNEq5Ull5TOBEWME5U0.1ECTTOTnE � WDHKERSCOMPENSATpNUW50FCK60RNIti/�NDAGREETMATIFISMOUL.DBECO�.�E INSPEGTIONFEE �!� S SUOJECTTOTMEWORI(ERS'CpAPEN5�710NPibN510NSOF5ECT10N�7WOFiNEU00R � N � � � SVt OQ CODF,1 SHALL FONriNATN CdAVLY WITM 7HOSE VROVIS�OHS. �� SMIP l�IO _ Q DATE: APPLICANT: - ' . W ENERGY P/C -- � WARNINO:fALURE TO SECURE MlOpNERS'COMPENSATIDN COVEMGE IS UNUWM.AN�SIMLL BE SUB.IECTIWEUPLOYERTOCR�MplA�PENAl71ESANDCMLiwE5UPi00NENUNDNEDi1qU5AN� ENERGYPERMIT pO1.UR5�f loo,oao�,N ADDrtIOH TO iHE 0057 OF COMPENSATqN.DILIAGES ILS PROVDEO fOR RI �� J[L SEGTION770eOFiNEtABORCDDE,MERESi,ANDATTOiWEYuFEES RETENTIONFEE� - � a CONSTRUCTION LENDINGAGENCY PRE•ALT FEE: � IHEREBVAFFIRMUNOERPENKNOFPERA1RYTUTTHEPE15ACON5TFUCTIONLENDiN6�GENCV GOR THE VERfORA1ANCE OF THE WONC FOH WM�G1 T1�i5 VERMIT IS ISSVED(SEG]09T,GV.C). � iZ �ENDERSNAYE - -- - -- y � �ENOER5:IGORE55 WILERTIFYTU7INAVEREIIDTMSMVUGTIONN�NSTATETM�TTYiEA80VENFON.U7pNI5COHRECL TOTAL FEES I)�Dr jD � � � �A6REETOCOUPLYN77NILLLCITY�NUCOUNT'OROWANCESWOSiATELAWSREUTINOT09UIlDINO . J � GONSTRl1CT10N.AND MEREBYMII1qRRE REOHESENTATNES OF iNIS COUN7Y TO EMFN UPON THE. . /� S� /90VE�YEHTIONEOFi10PERTYFOf11N5VECTqNVUfiPO5E5. COMME'NTS � � c�U(�� K UUtCi� - . m OERURiEEN.WE(iRIM1 � N �C,dt� 1C t� lClc� . . _ y $p/N RE OF PE TIEE OA7E � __ RECPT.NO. PAID BY VALIDA - � WHITE-0epertment Copy,YELLOW—Ffnence Copy,PINK—Asusew Copy.GOLDENROD--File Copy.�GREEN—ApplicanPa . .. . � ,. ^��. �'1:. .. ...b.,. • � .. ... r � .{ .�..n.r.d. .. . ...r.. M1 .•.+� a. �.n^, .. ,.i'��^.. . i�•r.;y, ..r:�.;l•rtr•y.. ,.a.,Pl;y.�,... •. •t,w..:.'�;:..�•'�^�-t � . CITY OF DIAMOND BAR.; z,,;.;�- ; ;,, _ __ �_ �,,.._.. ,.; .. ... . .... .. .. .. . . . .. .. . . . ...:... . . , . . .. ' --�INSPECTION'RECOFiD,`,". _ � ; ..',�� :� . .. _ � . �: .�. .�; , .�, � �. .. e � � � - • � � • - SET BACK ` ' � � . ' : ��, 1 -.ti\r� � � FLOOR J015T - . .� ! ' i, f J ; � ' � FTGS/FORMS/STEEL •� ' FHA REQMTS - _.. .. -.- - --- -..... .. .. _._ . _... ., . - ELECTRIC GFIOUND- --- .--.. _ - . " '�'..� -�`'; UNDER FLOOR DUCT � - ' � " , 11 I . GROUND PLUMBING • ••'''�� '• UNDER FLOOR CU�IDUIT _ti: �:.'i!�� : ` � �' ' • ' �: ! . .. . , - -- � SLAB GRADE� � ,• . FIREPLACE FOUNDATION �' :. `-'• ` ; • -' ' � � _ � .. TEMP POWER _ . —. • _ -=. " : `' FIREPLACE BOND BEAM_ . . _. _. ..----.. . . . . .. _ . . ._ _.. . . - ---- -- ' - -----.... ..�, :: � �,� ; . , :. ... . ' . . � WATER SERVICE---- - - --- -_:.. ._... ---. :.. _. . _.. _:.. .MID HT.BOND BEAM � . . `' .' , „ . . �; . . . .:, . --- - . _.. . . _ ' ! ROOF SHEATHING -��- - - - � `�' ' 8 FT.BOND BEAM � • �- : � FRAMINGNENTILIATION z3 �' FINAL BOND BEAM - ; ROOF COVER .. . PRE-GRADING � - - - �� - - - � ROUGHHEATING —._ _ ._. __... --- -.- .- -... . ._..-- •--.. BENCHING _ _ ' ' . � , . ROUGH ELECTRIC -�� -- -• ��- -- ;.•;- = ":_ ;= ROUGH GRADING ' �' ROUGH PLUMBtNG-'- " � - -' '� �" " :FINISH GRADING . . . : ;, SHOWERlTUB TEST. - ----._- - -- - , � - POOL ELECTRIC . • i EXT.LATH/SIDING ��- " - � POOL FENCING • � • WALL INSULATION ' POOL FINAL ' . , ' CEILING INSULATION ! OFF SITE IMPS. � • DRYWALL NAILING ' � DEDICATIONS : . . � . i SEWEA ._ _._.. � FINAL ENG. � • : .. _ SEPTIC TANK. . . ..: .__. _ . . .... __. ._ _ . LANDSCAPE/IRRIG. • ' - I : _.. . ON SITE IMPS. •. , . -SEEP P!TlL.L. ..- -_:. ..-. . .... .:.... .... .. . .. .. . . � GAS AIR TEST� � -�- � --- - � - � - FINAL ZONING � � � ' FINAL-CONST. - - -� � -- � -- � � FIRE DEPT.FINAL - � - ' • � FINAL-HEATING -- --� - - -- -- - - - � HEALTH DEPT.FINAL•_ �:_�;!; _;. � '� � ' : . • __ .i.. - FINAL ELECTRIC-�-- --�� rJ � ��` �� DEV. FEES PAID - - ' � - "� FINAL PLUMBING ENERGY • . � �: e s • _. _ .... . , . . - - � - _ __. - . . , � . _. ..._._._..... ...... ...... .. . � --- , ; . COMMENTS - - � � . ; . . , .. . -- , . __ � ; , . . . . .. _ _. . _. , . � ..----- _ . _. . . ; - , _ _ .. . �. - ' . . .. , _ _. .. _ --- , -. , �_ - _ _ _ . , . --- � . __.. - - . :_ , �- , ��- , , _ _ _ __. _ . — -... � . _ -. i SEPTIC TANK SIZE"' '; . ._r; _�;_�1.� . _ . . , � . SEEP_PIT/U.SIZE --- . - .. . , . , . �, �....�-�....�..�..� i i � . . i � - -. . . _ ... . . .._... � � �• . _. , . � . „ , _ � _ . .: .; . � . ��; . . . � . . .... - -- . . . ... � � � . , , . . .. _ .. .. , ! , ; . . . ,. ..._. .... .. - . , .. .. , , .. _ _ . .. ... _ . � . :.. . . ..�,.. ..... . . .... _ .. .. { - • - - --- . _ ' - -- - �. + - -' , -' ' �� . . � .