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Home My WebLink About10176 . : _.... ._ . ......._- ..-- - . i . ..��-. ��3�t CITY OF DIAMOND BAR COMMUNITY DEVELOPMENT DEPARTMENT l/ �,.; 21660 E.Coplcy Drivc Suitc 190 . PRESS (909)8643195 Faz(909)861-3117 '""'� BUILDING PERMIT APPL�ATION FI R M LY . } JOBSffE �� 1` � C�N� � APPLICATION y ZL� � NUMB R � M/C o ADDRESS �v 1 OATE � APN LOT TRACT��J�, �SSUc TYPE OCC Q � DATE CONST. GR�UP p OWNER "" ADDRF,�S .d� 20NING SETdACKS W � Clllf�`L� �'f- ZIP n� TEL. REART RW . pp . APPLICANT TEL. SIDE/SIDE STREL-T RW ❑ � CONTRACTOR�(,?I'V� � SIDE ❑ , ¢ o C'DTMDRESS zIP TEL PROPOSED U5E �-�O � w ARCWENG! z DESIGNER � � a ADDRESS NO.DWEL , N0. �:- , ,. , NO. � CITY ZIP TEL. UNITS • STORIES,� BEDROOMS vNi DESCRIPTION S�.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BI;IIDER OECLARATION SFR/ADDhiEM O p 1 HEREBY AFFlRM UNDER iENALTY OF PEfWHY THAT 1 W E7(EMP7 FROM 7HE CONTMCTORS L4 Ga1096/CBIpOA � W CENSEUWFORTHEFOILOWINOREA50N(SEG70J1.SBUSPIESSANOVROFESSIONSCODE:ANYCITYOR (n U COUNTYNMItlIpEOUIRESADERIAITTOCONSTRUCT,ALTE0.��p�E.�ElAOL15FiORFEVA�qANY57HUG W patiolpeck � TURE.ORqR TO RS ISSUANCf,ALSO PLOUIR[S TNE AVVLICANT FOR SUCH VERu1T TO FILE A SIGNED W � � STATEM[NT THAT NE OR SHE IS UCENSED PURSUMIT TO THE GROVISIONS OF THE CONTMCTORS l4 _. � CENSE MW(CHAPTEF i(COAIMENCP/0 WITM SECTqN 7000�OF DMSION 7 OF THE BUSINE59 MD PRD u- PooVSpa _ � iE5510N5 COOE)OR iNAT HE OR SHE IS E%EMPT TMEREFROM ANO ME&15I5 FOR TME ALLEGED E%EUP• TION.ANYVIOU7qNOF5ECTION7077.SBYANYAPPLIGANTFORAPERMITSU&lECTSTMEAPPLICANTTO ' Z Re-Roof A CML VENAITY OF NOT►qRE iHAN FNE MINORED DOLURS({500).y' Q ❑4ASOWNEROFTHEiRDPERTY,ORYYEMGLOYEESWITNWAGESASTNEIRSOLECOMPEN5AT10N, 0 (`,pmmBfGiel � . � Z N'ILL DO TNE WORK AND iHE STRUCTURE IS NOT IMENDfD OR OFFERED fOR SALE(SEC.7W�,BU51� J N NESS AND Pi10FE551ON5 CODE:T1E CONTMCTORS IICENSE UW DOES NOT APPLY TO M!OwNER OF j VROPERTY NRq BUqpS OR MPROVES TNEREON,ANDYAfO DOES SUp/WORK HIuSEtF OR HERSEIF OR � ' � THROU(iHHISORNEROYrt�EMPLOYEES.VRDVIDEDTHATSUCHMPROVEAlENTSARENOTMENOE00R m 0 OFFENEOFONSALEIF,/IOWEVER7MEBUILqNGOHWPROYEMENTI550lDNnTlUNONE�EAHOFWMPLE• � Z 710N.iHE OWNEREU4UER NnLL NAVE 7HE BURDEN OF VROVINO THAi HE OR SHE DiD NOT OUILD OR = M7ROVEFORTHEpURPOSEOFSALE4 ,.W 04u�EpOFTHEOROPERTY,ANE%CLUSNELYfANTRACTINOWITHLICENSEDCOHTRACTORS Q TO CONSiRUCT T1E PR0.IEGT(SEG 70��,BUSINE55 ANO GHOFESSIONS COOE:TNE CONTRACTORS Ll� VLIU8ti0f1 ADJ.AREA W CENSEUWDOESNOTAPVLYTOANOWNEROFA7ROPEHTYWHOBURDSORMPRpVE57MEREON,AND 7�C W/1DCONTMGTSiOR5Uq10HO.1ECT51MTNACONTMCTOR(S)LICENSE'JiURSUANTTOTHECONTMG QUANTITY 0 SCRIPTION FEE � roasucENSEuw.�. p OIAME%E4PTUNOERSEG B.�V.C.FORTMISREASON Q � � V � � OATE OWNER V .. , � O W � LICENSED CONTRACTORS DECUTAATION W � IHEREBVAFFlWJt1NDERiENAL7VOFPE(WHYTHATIAMLICENSEOUNDERVRONSIONSOFLMAVTEq � , p., 0(COAIMENdNGWITNSECT10N70oo�OFpVI510N]OFINEBUSINESSANDVROFESSqN5CO0E.AND Z X W LICENSE IS N FUI�FOFCE MIO EFiEC7. m LLI � IICENSE CLASS LIC.NO. j V D�TE COMTRACTIXi � ' d W - . � WORKERS'COMPENSATION DECLARATION -� N IHEREBYAFFIRAIUNDERPENALTYOFPEiWHVONEOFiNEFOLLOWINQDECLAMT10H5: z . � _IHAVEMIDVYILLI.WNTNNACENTIFICA7EOFCONSENTTOSELF��NSUREFORVaOfUCERS' � _ . COMPENSATqN,11$pROVIDE08vSECT10N77000FTMElABORLOOE,FORiMEPERFOIWANCE W Q OF TME WORK FOR WHICH THiS PERMiT R ISSUED. � � _I HAVE ANDYYILL M.UMAW WORKERS'CWAPENSA710N INSURANCE.AS REWIRED BY SECTION ��j/ �/// �/� O77ooOFTMELA80RGODE,FOHINEPERFOM/ANCEOFTM[WORKiORWr11CM1H150ERM1T15 /�p iS V J ISSUEO.MYWORKERSCOM7ENSATIONNSUMNCECARHIERAN�POLICI'NUMDER�NE: CONSTRUCTION r � CARfiIER PLAN RENEW o va�cY�BER ELECTRIC � (It¢SSEciqMr+E�NorBEoorwl.EfmOF7)EVEi+MiSPoRonEHLlpimWtiutsR+W1�LEss? PLUMBING r�^` f, Z 1 CERTIFY MAT N THE iERFORMANCE OF THE WORN GORMMICN 71115 VEfWii IS 455UED.1 MECHANICAL ��.E�C'� (7 SHALLNOTEMPLDVANYPEFSONWMIYUANNER50ASTOBEC01AE5UBJECTT07}1E � WORKERS'COMPENSA710NUWSOFCAUFORNIA,MVAOREETHATIFISNOULDBECMAE INSPECTIONFEE � � � S SUBJECTTOTHEVIORKERS'COMPENSATIONPROVISqN50F5ECTION]7ooOFTMEIABOR CODE,ISHALLFOqiHWIiHCOMVLYWRHTHDSEVROVI510N5. ISSUANCE n�� SMIP ( • p DATE: APPLICANT: � ENERGY P/C WNWINO:fAILURETO SEGVRE WORKERS'GOM7ENSAiION WVERAGE IS UNUWFUL,IWO SNALL BE (—'y SUBJECTIWEMPLOYERTOCRiMMALiENALT�ESANOCNiLi1NESUPTOONENUNDREDiY10U5AND ENERGYPERMIT OOLLARS(f100.000),W ADDITION TO THE CQSTOF CONPENSATqN.DMIAGES AS VROVIDED FOR IN ¢ SECTIONf70eOFT11EUB0l1COOE,NTEREST,ANDATTORNEY'SFEES. AEjEMIONFEE: - � oCONSTRUCTION LENDING AGENCY PRE-ALT FEE: � IMERfBYAFFIqAIUNDERCENALT/OFPE0.RIHVTMATiNERE15ACON5Ti1UCTIONLENDiHQAGENCY FOR iME PERFORAIANCE OF TNE WORK iOR M//llpl THiS VERMtT IS ISSUED�SEC.�097,pV.C). � � LENDER'S NAME � LENDER'SAOORESS � � ICERTIFYTHATIHAVEREADT115APPLICAlqNANDSTATE7HAiTHEABOVEWFORYAT10NI5CORRECL TOTAL FEES � 02� v w I AGREE TO COMPLI'YRf11 ALL C17Y AND CIX1Ntt OROwANCESIWD STATE Uw5 REUTNG TO BU4DiN6 - � � Cp15iqUCfqN,ANUMERE9YAUTNOHREREPRESENTAT1VE50FTHI5COUNiYTOENTERUPONTME � A80VE�MEMIOHEDPROPERNfORWSPECiIONVUNPOSES. • �� C MMEfJTS �� G� v`-�9�l�C��e ti�- -n{�Ci. , � m VERMITTEENA/AEfpR�Nn . . . . . /VL � r�� (q q YEiU1 E O�TE � � ' RECPT.NO PAID BY VALIDAT10iJ � . . . .. WHITE—Department Copy,YELLOW�Inance Copy,PINK�1lsseaeor Copy,GOLDENROD--Fila Capy,GREEN—Applk�nt's Capy . /-'.r-.�s:' r.,��''...�..•,...... , . •. _ . , � � • � ... .. , . Y'� . �� . .��J. , '�.•+.��}.�:y..^.'4,� ^.tf�., •��}'L'r',"lfil�h. �,l:r�'•S•MP:�'�ri. .:�v,.";�:-;:":�i�daP t�i..,,:1�•.}�l�. J>�. .- :.y,•r..:.Y-..,�^�.a{�-y�;rr:,s:a��:. . .. ... . . � :.�: r` ` � . . � ' � . � .(.•.�1 � . CITY OF DIAIV,OND BAR ::' � '` ; �: ' . ' � , ,' _. :. . INSPCCTIOR RECC)f�D , �: . ' -- . " : _ .. . . . . , : . � � �.: ., :� .. ;)►��.�,a�.�r�o,�►'M :!};'V�iil= `,I��'r1�1°`'��'.�.�.` (�.�.►��.�.�`-f�� _' r ��,�7�1a"c�t�a�:��. - ----� --- -�__��_ �� S_�..�_._ :�:::.____�r.Y.�. _.__. � _,_____ _...�J.� �__ �. SET BACK; .... . .. , -. _ . ........ FLOOR JOIST--.. .,._ . ` -- - --. ... '_... ._.._. .... - -_.._... : , FTGS/FOAPJIS/STEEL-- - - � � - _ FHA REQMTS � .'' ..- . . �_1 i, ..�--.�. �� - � ., ELECTRIC GROUND ' ' UNDER FLOOR DUCT - ;�_. ,• �, �. ,`; ;� - -:-- � -. GROUND PLUMBIP4G " ' �--- - - - � UNDER F�OOR'C(`Jf�IDUIT�'�' -': -� - - 1'-"��= '." ';;;� I � SLAB GRADE -___ _- �� ' --- - - � .. , FIREPLACE FOUNDATION . -.-. - -. --.-. ----- - ------. 1 '. =--' '�� = ` =� . .:. . ; . . . TEMP POVVER • - ===:_... .-= --- ::....:_ _. .. .. ..-• . . -- . FIREPLACE BOND BEAM , .• WATER SERVICE . - �--_ •-• - ` ti11D HT.BOND BEAti1 -- ' �- ROOF 5HEi4THING ------ (o� 7 8 FT.BOND BEAP,A `�-•"� ��• •' i ;= — ,.._. ... .. � FRAMINGNENTILIATION �� "_;� ' FINAL E30ND BEAM �- - --�� - ,-�.,.. . . j - ROOF COVER --�- � -. ._.. . .- -- ---- -. ._.._ .... .. PRE-GRADING -- - '� ` '; . � . i ROUGH HEATING ; -- . ' ' -- - ` : : == BENCHING ; ' ROUGH ELECTRIC-- -� -- - - - - �, � ROUGH GRADING , . . i ;. ROUGH PLUMBfNG "-- - -- - � � �.. FINISH GRADING ' SHOWERITUBTEST' �-- � --- � �-�`�-` POOL ELECTRIC � ` � ' " EXT.LATH/SIDING � �� POOL FENCING . ' ` ' ... , � . WALL INSULATION � POOL FINAL � � - CEILING INSULATION OFF SITE IPJIPS. , � ' . ' . � •� DRYWALL NAILING DEDICATIONS . . . SEWER... ____._ FINAL ENG. • ` ! SEPTIGTANK.. _. �... -. . '•.. LANDSCAPE/IRRIG. � ' ` SEEP.PIT/LLL.'...._.... _. _. _ .. . : _. _. . ON SITE IMPS. ' . GAS AIR TEST: -. _. _ .. .--.- - -- -. . .._.._ . ._... FINAL ZONING ` ' , i- FINAL CONST.-; - — j�� - -- �� FIRE DEPT. FINAL ! • FINAL-HEATtNG--- _ _ - --- --- - HEALTH DEPT. FfNAL - - - - - � • : FINAL ELECTAIC- ---- __ -- -- DEV. FEES PAID � _ . ; . FINAL PLUMBING � ENERGY ' cl :ns��_��.. . 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