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Home My WebLink About12672 (11) �� CITY OF DIAMOND BAR � - '� i DEPARTMENT OF COMMU1vITY&DEVELOPMENT SERVICE� •� �,� 21660E.CopleyDriveSuite190 ' PRESS (909)860-3195 Fax(909)861-3117 ��^�� BUILDING PERMIT APPLICATION � . . FIRMLY , : � JOBSITE �� /'D,n�N ��U� , APPLICATION f��/¢-�,/�'PERMfT jn �'j� P/C o AD�RESS t� �-�/ DATE �J !O f�NUMBER�+�� $ ISSUE !/�/�,�G'l�NST. GROUP APN LOT TRACT : DATE [ � p OWNER � u' ADD S D �-. r�T �S • ZONING SETBACKS � CITY � ZIP c'+�7�S ;TEL. . - REAR RW O APPL CANT TEL SIDE/SIDE STREET � RW ❑ � CONTRACTOR , 1141t10�V . .�N�' SIDE . ❑ � AD�R S � � u � PROPOSED USE �'+�'�U� '• �'� � �" �� CITY C ZIP ECIr • 7•• 90 , Pu ARCH/EN � � � DESIGNER � � � - NO.DWEL , „ NO. O. �/�y� = CDDRESS ZIP TEL. UNITS STORIES ' ' BEDROOIVIS �� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � � OWNEF-BUILDER DECLARATION . . ' SFRIADO/REM O I HEREBY AiF1iW UNDER VEWLLTY OF PEfWRY THA71 MI E%EU7T FROIJ THF CONTMCTORS L4 Garaga/Carport ' e CENSEUWFORIHEFOLLOWINOREASONISEG70.71.68USINESSANOPPAFFSSIONSCODE:ANYqTYOR (n U COUNTYWHIp/REOUIRESACEfU1R7000N5TRUCf,1LLTE0.M�POVE,D[MOLISi(ORREPIURANYSTRUG W P0Ii0/DBCk �L 7URE.ViWR TO RS ISSUANCf.ALSO REOUiRES 1HE APVLICANT FOR SUCM VERUIT TO iILE A SIGNED W � STATfMEHT T/UT ME OR SHE IS LICENSED W1RSW WT TO ME PROVISiONS OF THE CONTMCTORS U- � ,� GFNSE UW(�PTER Y(COMMENCWO MATM SECTION 7000)OF DiVIS�OH 7 OF TME BUSINE55 MPJ PRO� � PooVSpa fES5qN5 CODE)Oq T1NT XE OR SHE IS E%EMPT i11EREFf00M AND TME B�S�S FOR TME ALLEGED EXENP• TION.NA'V�OIAi�ONOF5ECf10N70�1.6BYANYAPPUCANifOR�7EfWITSUl3JECTSiHEMVL�CArlTiO Ro-Roo1 � A CML VEIUITY OF NOT MOflE THAN FNE NUNDRED DOUJIRS(55001.7: ' � 04�+�M�NEROFTMEPROPERiY,ORAIYEYPLOYEESW�THw�GES�SiHEIRSOLECOA17EN5AT10N, ❑ CpmmBrCial ' � WILL DO TME WORK,AND THE STRIKTURE LS NOT WTENDED OR OFFEREO FOR SALE(SEG 70u,BUSI• J NE53 AND iROFE45qN5 CODE:iME CON7MCTOILS LICEHSE LAW DOES NOTAPP�v TO AN OWNEH OF � PROPERTYN1fOBU0.DSOREI7HOVESTMEREON,ANDYAfODOESSUCHN9RKHIMSELFOflMERSEIFOR m � (= TWiOUCHM50HMERONRIEMPLOYEES,iROVIOEDTHAT8Up1MPROVEMEMSMENOTMTENDE00R . W OfFEREDWNSALEF,FqV/EVER7HE8ULpN00RMPRpVEMENTI550lDWfTMNW1EYFAROFCOMPLE• ZTIOfI.TME ONMER-BURDER N'ILL HAVE TME BUPDEN OF PROViNO TN�T HE OR SNE D�D NOT BUIID OR = W PROVE FOR T1E VUFPOSE OF SLLE� . W OlA40wNEROFTMEVROPEHTY.AIAE%ClUSNELYCOMPACTiNOMrtTYIUCENSEDCONTRACT00.S (°� � pp�.AREA � TO CONSiRUCi TNE P0.0JECT(SEC.7DN.BUSINE54 AND PROFESSIqJS COOE:TME WMTMCTORS L4 V01U8Ii0l1 CENSE UW DOES NOTMPLY TOAN ONNER OF A PROPERTY YA10 BUILDS OR MPAOVES T1EilE0N.M9 � NTqCONTRACTSFORSUCHVRO7ECT5wIT1ACOHTMCTOR(S)LICENSEDPURSUANT7DiNECONiRAG OUANTITY .DESCRIPTION FEE � TqiS LICENSE UW). ' J Q ❑IAY EXEYaTUN�ERSEG B.l P.C.i0RTM15 REASON U 3 ¢ • ' .. , LL DATE OMMER V • � • � LICENSEDCONTRACTORSDECLARATION ' • � � w INEREBVAFi1RYUs]ERPENALTYOFPEiWMTHATIAMIICENSEDUNOERPROV1510NSOFCWIDTER V. d Y(001AMENpNUVAiHSEGTqN70001�OM5lON]OFTIEBUSWESSANOVROFESSIONSCOOE./JA Z MY LICENSE S N FULL FORCE IW O EFFECL m � LICENSE�SC` � LIC.NO.� B/ � � J V pATE COMMCTOR iM�iaV y a w �A.('. � WORKERS'COMPENSATION DECLARATION ¢ = U �N IHEREBYAFFUI4UNDERFENALTYOFVERIURYONEOFTHEFOLLOMANGDECLARA71ON5: ' � - � U� Z Q G �IH�VEANDWILLAWNTANACERTIFlCATEOFCONSFMTDSELFJNSUREfORWDi1KER5' 2 � � CqAPENSA710N,ASV110VDEDBYSECT10N97ooOFTHElA60RCO�E,iORTHEVERFORMIWCE W OF THE WORK FOR WHIp/T}IIS VERMI715155UE0. � � ✓ �I WNEAND YALLMAMAIN WORlcERS'COUPENSRTION MSURANCE,AS REOUIRED BV SECTION / /� Q 97000FTHELABORCODE,FOHiHEPERFORMANLEOFTNEWORKFORWHICHTH15PERM171S 7/ �// ISSUED.MV WON(ERS CqA7E7d5AT10N WSURJWCE LARRi�p M10 FOLICY M1MB�RME: C STRUCTION � v�� v Z� 5�u�J ii PUW flEVIEW �IYNl�Fp YT�5 � � ELECTRIC ¢ o �nss[crnr+N[mnoreeoo��treooFn[rew�rs�a+[r+�rorFnoatu�R��lontessl PLUM�ING Z 1 CERTIFV iMAT NTHE PENFORMMICE OFTHE WORK FOR WHICH THIS PERM�T IS ISSUED.1 MECHAMCAL - - [,�J $HALLNOTEMP�OVANYVERSONINANY4ANNERSOAS70BECOAI[SUQIECTT07ME � YIORKERS C0�.�7ENSATION UWS OF CALJFORNIA M17 ACREE TMAT IF 151q1.1D BECOME INSP ' N FEE SUBJECTTOTHEIYORKERSCdaPENSA7 7ROVISqN50F5ECT10N7 FTNEUBOR ' � 000 I�MMTM COMPLV � 'SqNS. �$ / �c' p DATE: +/ � �� APPLICAHT. 1t iHf�'Y �� IP . / v. W , �;7� � ENERGY P/C � WMNINO:FARURETOSEWR RERS'COMVENS�TION I . � SUOJECfAHEMPIOVERTOCNIMi ' � ' +ESUP�OON DREOTHOUSIWD ENERGYPERMIT � OOLLARS�f10D.0001.MI ADDRION TO iHE CAST OF CpAPENSATIDN.OAN�GES AS PROVIDED FOR IN � SECT�ON77oeOFT+EUBORCOOE,�NiERE5T.IWDAT70RNEYSFEES. F{ETE�•J7�QNFEE: , a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: �� ' CL IHERCBVIIFFlRAlUNOERPENALTYOFPERIURYTFIATTHEREISACONSTHUCT10NlEN01NCAGENC7 �- FORTHEOERWRMANCEOF7MEYfORKFORNM1G17H6VERMITISIS5UE015EC�0Y7,CN.Ca. . � 1E40ER5 W1ME �� a � LENDER'S/�DDRE55 . � ICERTIFYTUTINAVEREADTHISAOFLJCATIONANDSTATETIUTT/[1190VEINFORMATIDNISCORRECT. TOTAL �G A1�SAFE'TY � � /�1� � w IACREETOCO�APLYN7TNALLCITYM1�COlNfT`/ORDIWWCE5IWOSTATEUMiRCUTlIOTOBUlDIN6 O /_ � OONSTRUCTION.ANDMEREBYAUfHORIZEREPRESENTATNE50 COUMYTOEMERUPONiHE l r ZA80VE�MEMqN[DYROPE RINSPECf10NWRPO5E5. �f� COMMENTS • �� . p i � � � _ •1 ..�7�7'� r�% -� �m PEfiM (P . � � � � N NEOFPEFWITTFE � OATE � _ , . . RECPT.NO._ _F'AID 8Y VALIOATION WHITE-0epertment Copy.YELLOW—F'riance Copy.PINK—Assessa Copy,GOLDENROD—File Copy,GREEN—Appl�canYe Copy .. .� ,. . r ' . .. . � . .1. � .. . . ' . . ' � � . • . .. .. . , . , '�! ' • .� ' �. . Y,•... � . , CITY OF DIAMOND BAR :,:;::-,;.�,- ,:-, � � . . ,..- �`� �INSPECTION RECORD.�.'�:`��_..:;", .;' . .. . . .. . . � -. - , � ;•,.. .� - • � � • - • � � • - SET BACK ' t•t-�\ c �� . � �, '�_v,\ — ` ' ' FLOOR JOIST_' ':. � � . . , . . , � . FHA REQMTS� --. . . .... . . .. ..... � FTGS/FORMS/STEEL - , '�•�_ •�_ � , ELECTRIC GROUND - ' � � ` � '�- � � UNDER FLOOR DUCT '� ', " '� GFiOUND PLUMBING �„ � ' UNDER FLOOR COMDUIT_.�• •• • • •� SLAB GRADE� - - � -� -� � �� FIREPLACE FOUNDATION =�� " ' � "• '= '- • � TEMP POWER _ •' _-- - - - :: .. :- FIREPLACE BOND BEAM- — .-. - � .- - --. �---. �NATER SERVICE •.--;—•, � -� -�, ; - MID HT. BOND BEAM� '= - ' ' � `' ROOF SHEATHING��= � I!-�3'i18 ,�a.t - . 8 FT.BOND,BEAM .� � � � ' - - • �• � �� FRAMING/�lEI�ITJLIATION � ` - - �� FINAL BOND BEAM '' • � ROOFCOVER ,_ � Z �J� � 'PRE-GRADING � -- � - - . • ROUGH HEATING —�' � � BENCHING ' � • ROUGH ELECTRIC- � '� � - � ROUGH GRADING • � . - ROUGH PLUMBtNG- ' - - --- - � - � -" FINISH GRADING . SHOWER/TUBTEST - - — -�--� � --- - - � . POOL ELECTRIC • " EXT.LATH/SIDING � POOL FENCING � ' WALL INSULATION {�.� '-= : �ROOL FINAL : � ' CEILING INSULATION , OFF SITE IMPS. ' _ DRYWALL NAILING DEDICATIONS ' . ' SEWER FINAL ENG. • . SEPTIC TANK . _ _ _ _..__. _ ' _ LANDSCAPE/IRRIG. . ; -SEEP PIT/�.L. -- �- - - --- " '�� ON SITE IMPS. .. , . GAS AIR TEST-- -- - - - � FINAL ZONING � � � . ' FiNAL CONST.- - � �- ----�_.. -FIRE DEPT.FINAL ' � � FINAL HEATING - ' - HEALTH DEPT. FINAL - FINAL'ELECTRIC - � " - - DEV.FEES PAID - " "-� FINAL PLUMBING ENERGY • - • • , � �T � Y _ , . . ' � .. '_.. . _ ' ._ . .. . . COMMENTS- ' � � � � - - - _ _ . _ : . �; ; �. � _ �� ,,� <` - e .J�t- ��^� � r . . �;� ~ _ - _ _ 1� � _�.\� � , • . \ L • ,__� � _ . " _ "_ ' � . ' .�_, .. . .._ .. �r�. � .. .__. _, � � SEPTIC TANK SIZE � 6�,��- � . . . , � ' � ' ' SEEP PIT/U SIZE _ _ . , ,. � . r {�. " r 1l(jj� ' .. � U��G: :l J ' . , . . %Er:i C;i•�i.'I'ti.��„;1: ,•�•,• � -- - - - ',� ��'!c�`f;�::;k%J��~�)✓l�C�.):�1�'�., ,�. . � . . . i �� 1 . � ,_�' , ','� ' ' . : - \ - i - ' • . . __.. • . . �. . . . . . \ I . -- . ` - . � ,�;5� _ ., �_ .� , _ � ; 'c.;..i:. � � - - - _ - � . I\: .