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Home My WebLink About14003 (16) --�-------.. . `..---- - ----�-� �� . .. �- --- _ . C '—�� CITY OF DIAMOND BAR � � . DEPARTMENT OF,COMMUNITY 8c DEVELOPMENT SERVICES Zi�o E.c�i�y u�;�e s�c�i90 PRESS '� • (909)860-3195 Fax(909)861-3117 . � ��ti�^� BUII.DING PERMIT APPLICATION FIRMLY a ADD ESS l��D �N`�� L DATE CATION —�/� 7 NUMB R /�p 0 x� c� ISSUE NPE OCC APN L T { TRACT OATE CONST. GROUP p OWNER �- t� ADDR S �' Ja • (.. ZONING SETElACKS P`�' CfTY ZIP TE � D FRONT RW ❑ S APPLICANT TE SIDEJSIDE STREET RW � � CONTRACTOR SIOE ❑ g ADDRESS PROPOSED USE ' C-C CITY ZIP TEL. o ARCFUENG! � � DESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITV ZIP TEL � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION h � OWNER-�UILDER DECIARATtON SFR/ADD/REM O p I MEHEBY AFFliMA UNDER VENALTY OF PERIURY iHAT I IV.1 E%fMPT FROM if�C COMRAC70NS lF Garage/Caryorl � W CENSEUWfORTHEFdlOWINGREA40N(SEGT077.6BUS�NESSANDPROFE5510NSCOOEANYCRYOR (n � COIMItMM]IRE041WESAYEHMRTOCONSTAUCT.ALTER�MPHOVE�OEMOLISH,ORR[PAIRANYSiRUC. W patio/Dock � ' TURE PRqR TO 1T9 159UANCE,AL50 REWIitES THE APPLICANT FOR SUQI PERMIT TO F0.E A SiGNED � bTATFJAEHT THAT HE OR SHE IS LICENSED PURSUiWT TO THE PROVISIONS OF TME CON7MCfOHS lF � CENSE LAw(CHADTER i(Cd1uENCWO ri1TI 4ECTIDN 7oao)OF�NISION]OFTIE BUSINE55 M1D 7R0. � PDOUSpO � FE5510N5 OOOE)OR 1HAT HE OR SHE IS IXEMPT THEREFRdA AND TNE 81Si5 FOR 7HE hLLEC[D E%E1AP- TqN.l1HYVIOLATpNOFSECTION7W1.6BYANVAPMICufTFOitAPER6nTSU8JECTSiHEAPPIICANTTO Z Re-Rool � 11 GYIL iENALTY OF NOT MORE T1AN FNE MUNDRED DOlU�151f5a0).): - � OlA5QA71EROFTNCVROVERT/,ORMYEMPLOVEESMATHWAGESA57NEIfl50lECOM0EN5ATqN, O �mmorcial YALL DO THE WORK AND iHE STRUCTURE IS NOT IHTENOED OR OFFERCD fOR S�IE(SEC.7Da�,BUSI• J NE53 AND DROFESSIONS COOE:TME COHTRACTOi15 UCEN�E UW�OES NOTAiPLY TO AN OWNER OF � GROPERTYNM1IOBU0.D30RYPiqVESTHEREON,AN�WMO00E55UCHWOHKHIMSELFORHERSELFOR = Q MRIXIOMWSGIHEROWNEYPLOVEES,VROVGE0TIMTSUCNYPROVEY[NTS/�RENOTMENDEDOR C� _L�1 OFFERW FOR SI1LE IF.NOWENERTME BUIDCIGOR IIAPLqVEIAEM IS"MJ W!TNM ONE YEAR OF C04PLE- ZTION,TME OWNER�NLDER wILL MAVE 7MC BVRDEN OF FROVW�THA7 ME OR SNE DiD NOT AUIID Oit _ �.IVROVEFORTMEPURPoSEDFSILE} ��y,� O4�SOMNEROF7HEPROPERT`l,AME%CLUSNEIYCON7Rl1CTNOWRHLtCEN5FDO0NiMCTOR3 [[ TO CONSTRUCi 7HL iROJECT(SEC.70a1.BUSINESS M1D FROiES�lONS CODE 7ME OONTMCTORS LI- VOW.]ti011 AD.I.AREA LLJ CENSEUWOOESNOTADVLYTOANONMEROFAGROPERTYMM1IDBUIIDSONA•!f'AOYE9THERFON.AND � MTpCONTMCf5fOH5UC11PROJECfSWIT/ACONTRACTOR(S�L�CEYSE�PU0.,UANTi07NECCflfMG pUANTITY OESCRIPTION FEE � T01YSl1C£NSEUW.} ' O IALI EXEMPT UNDER SEG B.l PC.FOR TNIS PE�40N Q '� � � �1 LL7� DATE OwNER U C7 J . F4 LICENSEDCONTRACTORSDECLARATION W �� , ¢ IHEREBYAFFIFUJUNOERVEWILTYOFPEM1RY717A7tAA1LICENSEDlA�7ERVHOVI5iON50FCNAGTER Vi � --~ , s �(COMIFNCINOMATHSECTION70001�ONISION70FTHEBUS'�NESSANOPHOFE5510NSCO�EM:� Z I CI. LI�{�.�. � � �� X W IICENSE 6 H FULL FORC[AND EFfECL m . L1J � 0 LICENSE CLASS LIC.NO. J �j are ccNraacron a w � WORKERS'COMPENSATIOP�DECLARATION a � . U � IHERE3VAFFli1MU�ERVEtULTYOFPERIUMONEOFTIEFOLLDwINGOECLARA710N5: z Q � _IN►VEAI�GYnLLAUIMAHACEHi1FICATEOFCONSEMTOSEIFdNSUREFORWORKERS 2 � � COUPEH5A710N,ASPROV�CEDBvSECTONf7ooOFTHEU00RCODE.fOR7HEGENFORMMICE W Of TME WORK i0i1 WFaCHTHiS PEMaT 19 45UED. � � Q _IMAVE AHD WRLIMMAIN WORKEi6i'W�.�OENSATION INSUMNCE,/S HEOUIRCD BY SECi1DN ]7000F THE UBOR C00[,FOR TNE DCR�ORMANCE OF THE N'ORK PoH Wlfldi 7HI5 PERMiT 15 � 1,'.SUED.WWORKERS'Cd�CENSAT104W5uRANLECARRICRM�POLICYNUTA�ER�RE: CONSTRUCTION CAHRIER PUW FlEVIEW ' �� POLICYMIMBER ELECTRIC � �ssctTx+r��wreco�e.n�o�ncoea�rta�aa.�Mrn�roa��mR,oqrn�ssi PLUM6ING �v� w MECHANICAL � � •nn Z ICCNT�FY T11AT NTHE PERFORAIMICE OF iNE wOw(FO(i YM1CH TMiS PEWAR lSISSUED,I (�} SHALLNOTEMPLOYANYVEHSONNANYMANNFq50A5TOBECAMESUBJEC7TOiML `�`� y WORKERS'CO�PENSA7ONLAWSOFCALIFORNItiANDAGREETUi1iISMOlADBLCOME 1NSPECTIONFEE S SUiJECTTOTHEWOqKERS'CO�.�PENSATIDNPi10V1510NSOF5ELT10N97Da0FTMEUBOR �SSUANCC- ��y�1F»�h�ntiD��R � � eooE i sN�u tortnn�nn�eaePir vnn�nasE vaovis�ce+s. t� — p DATE: APPLICANT: SMIP �s��jrl.r] Ar��SrtFli'1�✓ w ENERGY P/C WAPNINQ FNLUFiE TO SECUNE NURKERS'COMiENSATqN CAVERAGE IS UNLAwFUI.ANO SHALL BE � SvBJECTANEMPLOYERTOCR'M�NFLPENALTIESANDCMLFNESUPTOONEHUNORE�THOUS1wD EN[RGYPERMIT DOlUHS(il W,0f�0).M hDD�T10N TO TF�E COST OF COMPENSATION.D�MACES AS PROVIDED FOR IN ¢ 9ECTIDN�70lOFiHEUBORCOOE,INTEHEST,ANDATTORNEY'SFEES. RETENTIONFEE: a CONSTRUCTION LENDING AGENCY pRE-ALT FEE: O Q IHERCBVAFFR7YUNOERPCNi1LTYOFPERAIRYTMATTHEREISACONSTPUCT10NLfN�INGAC[NCY �Z FORTMEPERFOWAJWGEOF7M[WORKFORWMip1TMi5iERMiTI5155UED�5EC.�oY�.Crv.C.). W . � LFNDER'S NM1E � � LENDER'SADORESS � ICERTIFVTHATINAVEREADTHISAPPLICATIONANDS7A7Eiw�TTHLI�BOVEINFONAATqNISCORRECL TOTAL FEES �� y IAOPEETOCdAPLYWITHALLCRYAN�COUNT'�OROIWWCESMlDSTATEUWiREUTNGTOBUdDINO CONSTRUCTIa1 AND HER[BY MJfNOR2E REPRESENTATNES OF THIS COUNf`I TO ENTER UPON THE S� IBOV- ENTIONEOVROPEHTYPoHINSPECT�ON7URPOSES- COMMENTS � � �� - m PEIW i EWWE(PW � � < i .�C � � i y SIG REOFPE DATE ,• l' T RECPT.NO.,.,i PA1D BY � I WWDATION , F— WHITE—Department Copy.YELLOW—Finance Capy.PINK—Aasassot Copy,GOIDENROD—File Copy,GREEN—,Flpqicanfs Copy , . ..... . ., . ... ..... . . . . ,...__. . -- • .._- -t. - . - . .. CITY OF DIAIVIOND,BAR . . , . ' � _` ;. � _ :�. It�SPECTiON•RECORD �� .. .'• . , �, . . . . . � 3 . �} � � . ` � � . � ...�. ` �� ,�.. i .�r��.�.�rI�A.� �•:.a':� `��. � �li�y.��'e�_l�1► �..�t��, li�.�-Ke�Yo�:� -- -—-�--- _ _ w..=,�..�.,�..--_ - ....�..�.��..-_�.:.�:.�.,.:._._.. :SET BACK ' . � ; , , � , ';' - �-; . . FLOOR JOIST � � , � � �FTGS/FORP�IS/STEEL_.. ' ' _.:. - . ._ . . FHA REQMTS � .... � ' .._ : _ _ _...._. ..".._� _: jELECTRIC GROUND . . . UNDER FLOOR DUCT-- - • - -- � • • �GROUND PLUMEING UNDER FLOOR Cai�IDUIT � ` ' i . �SLAB GRADE ._.... __ "� ' . . ... --- . _.. _.. � • FIREPLACE'FOUNDATION : • -. . .. ' . ' .. , :`.-- ,-- :TEh1P POWER -- -:.._ - , FIREPLAGE"BOPdD BEAP�1 . : , , ..•, r , : ,; . � , i : _ WATER SERVICE - - - - - - - ' MID HT.BOND BEAM : . .::� i • !ROOF SHEATHING =_ � '� ' ! :�.''' ; 8 F7.BOND BEAFA � ' � ,FRAti11NGNENTILIATION - - - FINAL'BOND BEAM � � , • - ;ROOF COVF_R . . PRE-GRADING ; �ROUGHHEATING' - BENCHING ,,,; ; . ;ROUGH ELECTRIC -- .:�.. � ROUGH GRADING - - . - _.._ :ROUGH PLUh1BING � - -- - - - ( FINISH GRADING ; : . :SHO'd✓ER,rfUBTEST - - --- � - �- POOL�ELECTRIC • � :EXT.L4TH!SIDING -- - - �•- � - : - - - POOL FENCING ' :VVALL tNSULATION � - - - POOL'FINAL • CcILtAlG IidSULATION OFF SITE IMPS. '... ; �D9YV�'AI.L PJAILfNG-- - DEDICATIOtJS . ' ;SEI,"JER FINAL ENG. :SEP+'ICTANK LANDSCAPEIIRRIG. ' , iS�EP.PiT/LL . ON SITE 1��1PS. �GAS E�IR i EST � FINAL ZONING � _ : ''Ffi��t,l.CONST._ � �� . FIRE DEPT. FINAL • . . ;Fli::,�HEATING.. . . : __. . . HEALTH DEPT. FINAL � � ^ DEV. FEES PAID '='�i;Ji,�_ELECTRIC - -- '-.`�.l_PLUPw161PJG =L(.-�_ r"'�RGY • � ; . _ � . • . � _.._ ; � . . : . .......... , .. ......._.... .. .. _ . _.. -. _.. !._ s�.:.".f f:-er.��`:I`_s.'_-......�,_�~...I — ..�. . _� � _ . . .. I _. ; : . . ,. .._ � _ .. _ . ..._ _--------__..._-- - --. _...._._. .. -- -- --=�----... _ _ . . . . _..i _ � � �co;;nMErvTs- .-- --- -- . , --- ---. _ � . , � , , , . ; : � .. � ; . , ; ; _. �.. _ - �- `SEPTIC TANK SIZE ' ' , , : ; ;,. 'SEEP PIT/U SIZE -- . _ - - . , ,. ; ;� .: ;.��; ;_ , . . - , -. ; . . � ; � , . ; - �.�,,1.9.. _.., ._.._ ... . . _.. . .... ; .��` ��, � � ! y . . � . ' . . , . . . . 1 �. W� .. . . . . . . . . . . . ... ' ' . . . � I � � . . . . . . .. . . .. "_".. . '__ . � � . , .' � 1 1 � . 1 j� . . ... �..., . . . � . ' � � � � � � �'� ... ��'�:.�...._�........_..a ' . . . .... . . , � �� '��' ' ' . . . . . . . . � ' .