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Home My WebLink About11705 (5) --J,�--. CITY OF DIAMOND BAR . � . -� �., � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � � 21660 E.Coplcy Drive Suitc 190 � � ' (909)860-3195 Faz(909)861-3117 . � PR E$S - "�"! - BUQ.DING PERMTT APPLICATION ". FIRMLY y JOBSITE / / Q /' APPUCATION R PERMIT 1i7 j p/C o ADDRESS�^�� iV.S�t��✓�"S Y�� DATE f � NUMBER � N �� APN LOT - TRACT ATE Z -!!� TMPE � ' OCC " CONST. GROUP ' p OWNER � p ADDRE S 'ZONING SETBACKS , �W CIIY P�� TEL FRONT Ryy p APPLICANT TEL _ REAR p � SIDE/SIDESTREET pyy ❑ CONTRACTO GC �51DE p ADDRESS C. � � CI71'L/4 1/F.ONF, R�! IP(� TEL �,,«p PROPOSEDUSE t o ARCFVENG/ oU30 _ .� - � DESIGNER . �^NG '^ ADDRES NO.DWEL. NO. NO. � CITY �� ZIP J TE UNRS STORIES BEDROOMS � ; ti , DESCRIPTION S�.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER•BUILDER DECLARATION _ SFFiIADDlREM O p 1 HEREBY AFF6W UNDER FENAITY OF PERIURY THAT I AM EXEYPT FROM THE CONTMGTOfiS U- G818(�B/C9fpOf( L1J CENSEUWFOi1TMEfOl10WINORU5d/(SEG7o]1.6BUSwE55ANOPRDFES5lON5CO0E:ANYCIT`!Oq (/) U OOIMfYYMIG1qE0UIRESAPEtWRTOCONSTtiUCi,ALTERM�pOVE.DEFql15F{ORREVIURANYSTRUC W patio/peck � iL1RE YNOFi TO RS ISSUANCE ALSO REOUIRES THE A77L�CANT FOR SUpI PERMIT TO FILE�SIGNED W ' � � STATEMENT 7MAT HE Ofi SHE IS LICENSED VURSUAHT TO iHE FHDVISIONS OF TME COMRACTORS L4 CENSE UW(tl/A7fER 0(COYYENCWO N7T1 SECTION 7000)OF DIVISqN]OFT11E BUSINESS MID VR0. �- PooUSpa � ,. . . FE5510NSCOOf)ORIW�THEORSMEISIXEMPTiHEREFROMAtAiNEBA5i5FOR7HEhLLECEDEXEMV• (� TION.ANVVqI�lT10NOFSECT10NiWf.68YMlYAPPLICANTFOR�PERMITSUBJECT9711EMPLILM1770 Z RaFoof �,��''• �,,. �ava rv+�un oF rar wone nuw Fnre Hur+oneo oaur+s asao�.�: � OIA+ON�NEROFTHEPROVEHiY,ORYYEAIRO`lEESYM7NWAGESASTHEIRSOLECOMPENSATION, � CqnmBfCi01 - YVR100 iHE M/OIiK,MD iHE 5TRUCiURE L NOT INTENDED OR OFFERED FOR S1LLE(SEC.70u.BUSI- J N NESS IVO PROFESSIONS CODE:iHE COHiRACTO0.S LKENSE UW OOES NOT ADPLY TO AN OwNER OF ? VIiOVEHiYlM10BUlD90RY7ROVESTHEREON,ANDNMODOE55Ud11\'ORKHIYSELFORHERSEIFOR - ' Q iliidlCHHISdiHEHOWNEMPLOYEES,VRONDEOTHATSUCIIMPROVEMENTSMENOiMENDEDOfi m �l� OFFEREOPDRSALE6,FIOWFVER7NEBULp1WORtlAPROVEIAENTI550LDwfRiNONEYEAROFCOMRE- Z TION.il1E OMNER-0UII.DER YALL FNVE THE BURDEN OF PROVPI�TXAT ME Oti SHE DD NOT BULLD OR . � W P1iOYE FOH TNE PURPOSE OF SALE7. ' � . � OL�MOWNEROFT/1EPROCEHTY,AME%0.USIYELYCOHTRACTNUVATHLICENSEDCOHTMCTOqS 70 CONSTitt1CT ME PRO.IECT(SEC.T01�.BUSINESS MID PHOFESSi0N5 CODE:THE CONTAACTORS L4 VBluellOn ADJ.AREA CENSE UW OOES NOTAPPLV TOAN OWNER OF A PROPERTV NTq BU6D5 OR MPROVES iHEREON.AND � YNIOOONTRACT4FORSlKHVRO.lECfSWIMACONTRACTOR(5)LICEHSEDPURSUANfTOTNECDNTMG pUANTITY �� D SCFiIPTIO.V - - � - FEE � 70i3S UC£NSE UW.} - . . O I AA1 IXEM7T UNDER SEG B.�P.G FOR iH15 RE1150N Q 3 � . , . .-. �—`' o�re owNea � V . � LICENSED COPITRACTORS DECLAAATION W � IMEREBYAFFlRM{1N�ERPENALTYOFFEFlA1RYT11ATIMILICENSEDIMOCRPROVISION50FCHAPTER � . s 9�COMAENCYqYrtTHSECfqN700o�OFDM510N70FTHEBUSIHE55ANDVROFESSqNSCODE.AND Z ' X 1,(Y 110EN5E IS H F'U.L FORCE INO EFFECT. 0 UCENSECLISS_,�_L1C.N0.�o�'r vSO '� 7 � � c�, o,��I��g' Cor�rtrucTOR��j'�`�'��'(� �' w � WORKERS'COMPENSATION DECLARATION a � INEREBY�FfliWU10ERPENAI,TYOFPEiLR1RYONEOFTFIEFOLLOWINGDECLAM7qh5. Z �� _IHAVE/NDWILLMAMTAHACEHTIFlGTEOFCONSEMTOSELF•MSUREFOHV/ORKERS' _ Cp.IVENSATqN,AS VRONDED BY SECTION�70o OF iNE L/BOR CODE,FOR 1ME PEFFOPoUANCE 1U Q OF T1E WORK FOH MA11CN iMS VE W.1IT I5 155UED. � � �t HAVE AND WILL W RITAIN WORKERS'COMPENSATION MSUf W1CF.AS REOURED BY SECTION ]7o00FTMEUBORCODE,FORT11EiERFORUANCEOFTMEWOPICFOHNnnCHiHISVEiW1T15 I��.O� � ISSUFD.MY WORNERS CdAPENSATpN NS CE CARqIER AND POLICY NVMB�R ARE: CONSTRUCTION �) [ � unaien_��f- t 1�/k,� �JI�S �,,r,� PLHN REVIEW � X � PoLICY NUMBER� � Z � ELECTRIC d � (MSSECf10NN�NOTBEN6ilE7IDCFM7EAI.�TBiOROA'EIMDiIEDDd.IARS�itro)ORLlSS�. PLUMBING 2 IGERTiF'/TMATNTMEiERFORYANCEOFiHEWORKFORwH�p7MSPEHAIRISIS'+UED,I MECHANICAL� - C`} 5/VLL NOT EMPLOY ANY PERSON N ANY MANNER 50 AS TO BECOME SUBJECT TO THE -�^•�-„-..�_. (p WORKERS'COMPENSATqNUN/50FCALIFDRNItiANDAGREETMATIFI5H0ULDBECOME INSPECTIONFEE ��''�"� ' S SUBIECTTO7HEYYOR1fEN4CdICENSA710NCRON5lON50F5ECT10N]7ooOFTMElA80R - ' "' . COOE,1 SHALL FORT/A47M G0IAPLY VATH THOSE PRONSiONS. ISSUANCE . I S.O�O 0 p DATE: APRICANT: SMIP . • _ �: I . ;Q � ENEHGY P!C '.•• W�RNINO:FAILURE TO SECURE NORKERS'COAIPENSATqN COVEMGE IS UNLAWFU�AND SHILL BE � 6UBJECTANEA1PlOVERTOCRUAMALPENALTESANDCMlFWESUPTOOHEHUNDi7EDTHWSMq ENERGYPERMIT ¢ DOU.MS�i100.000),W ADDITIpi i0 TME COST OF CpAPENSATION,ONAAGES AS PROVIDED FOR IN SEGTIDN770lOFiHEUBORCOOE.MTEREST,ANDATTORNEYSFEES. RETENTIONFEE: � � . O CONSTRUCT�ON LENDING AGENCY PHE-ALT FEE: �- � INEREBYAFFIRMUNDERFENKTYOFPEFUURYTHATTMEREISACONSTR'JCTIONLENDW6AGCHCY , FOii TME PERFORMANCE OF TN[WORK FOR WHlpt TMIS GERMIT IS ISSUEO(SEG iDW,CIV.C.�. � : � IENDERS W1ME . � LFNDERSADDRE53 � TOTAL FEES I o � ICERTffYTNATIWIVEflE/�UlYf15APPLIGTqNANDSTATEiHAT7HEF60VEINFORAIATIONISWNRECT. � W IAORfETOCOMPLYWrtl1�LlCRYAN�COUNTYOR0INANCE51WO5TATEUWSREUTNOTOBUl�IN6 � CONSTRUCTqN,ANDHEREBYAUf1qRIZEREViiESENTATIVESOFTIUSCOUNTYTDENiENUPONiME ' � � � ABOVE�YEMIONE�VHOPERTVFORWSPECfIONGURPOSEi �� COMMENTS � 9 �r � r ��SC m PEPo.UTTEE WU1e r��f��'/5�y.K �r�/� Q y � 7 N sarutu ¢w�� DATE � � . RECPT.NO. PAIDBY _�, VALIOATIO � WHITE—Dopertrnent Copy.YELLOW—Fnance Copy,PINK—Assesea Copy.GOLDENfi00—File Copy,GREEN�Applicant's Coq . . . . . , , ,. . .r• .. - , . , '�. � .. ';�. � , ,.. , , . , ,.. . .. . . . . ' . , . . � '" . , . � . , •-. . .. _ . . .� , _ , . , ' -�� CITY OF DIAMOND BAR :,.�:, : �:-,�: �. ,— � _ ,, ' �� .:.�_,c�,�: .. � � :INSPECTION RECORD:�:: . ,,, ,•.. .. , . � � , ._ . . .._ . • �, � . � • . ,. . �._. . ;�: � ., _ � • � + • ' ' • � � • ' SET BACK�' ` f o _ ' ' `�= ,�- • ' FLOOR;JOIST•_� ,� ,• ��) ..� .t�� \- �'� :, . - _ ..... � - FTGS/FORMS/STEEL ' = � �\ _ , � `�- FHA REQMTS,�:,.-�-;,�: � � - � � -� �--- � _ELECTRIC'GROUND=-- -___::.___ � :-_ ' � �_ - �_. -' ' UNDER FLOOR'DUCT. .; ' �" � � � ' • � � GROUND PLUMBING �• = 'z1 ` '' _UNDER F�i�9R COPI�UIT _�_. ;;•;-:� :=• : ''` �� • - . � ' ., � • �. � , 1t•;.�• �_.�_;.:��'•, .. SLAB-GRADE`- -- -- -. _ _ , . FIRE LACE�FOliNDATION ----.'-: , ..;.. _. . � � _ , . - - TEMP POWER-- --- .. - - - - . '. - , .. • . FIREPLQCE��6ND BEAM '.' -:� . ' - - WATER SERVICE . - . - -=_-. -- :: - .-- ._ - :: -PAID HT.BONb BEAM •.' - :�_ �. �`,-.='-- ,`• • . � ROOFSHEpTHWG=:'' - '-- ._ _._ . .. � . S Fi'.BON�.BEAM.�,-i ' - - - - '. •.,'' �..',�; i�'�•. . � ,.. FRAMINGNENTILIATION . FINAL$OND�EAM--- ' � - - � • . ROOF COVER .' , , .PRE-GRADWG��. i•= � ;.... �__ _ . _ ROUGH HEATING --- - - - - - - -� -- - - BENG�NIN�'a;"r:=,�.,•�. ' .- - - - --:.�ti•�'.�1•.:; . , ROt1GH ELECTRIC ;-- ' �� - �� '-- ROUGH GRADING �• � � � � � �ROUGH PLUMBING-� - �� - � - -- �. � . FINISH GRADING ' ` SHOWER/TUB TEST i � � � . POOL ELECTRIC ' ' ' EXT.LATH/SIDING � , POOL FENCING ' WALL INSULATION i (,-zL f� ,� POaL FINAL • . � , . • i CEILING INSULATION � OFF SITE IMPS. • � ' - DRYWALL NAILING I DEDICATIONS ' " . SEWER ._ _ FINAL ENG. � : � � --.. _ _ . SERTIC TANK _._- -- ..i_--. - LANDSCAPE/IRRIG. , . _ _._ .... _ .. __, . . � SEEP PIT/L.L. _ - _ _:- .. .- .'--.---. ' :- 1 ' :.. ON SITE IMPS. . - ,' , GAS AIR TEST, ---- - --- -- -- - �-� - FINAL ZONING .,' -FINAL-CONST.'---- -�- G.�2„f=�� - ----- - -• -FIRE DEPT.FINAL -FINAL�HEAT�NG-" -"- -" '" ----� - � HEALTH DEPT. FINAL - .... . FINAL ELECTRIC� - � � ' � - DEV. FEES PAID - - � � --- FINAL PWMBING ENERGY ' '• • � • - ' ` •t, �. a � . .. _ • � _ .. . . ..- - . . .:z:., •.�:. - - .•� - ,, . • �_ - , � . .: . . • : : COMMENTS .. ...... .. ._.. . ._.. . . ,..__.. .. ... . ; ; . , , . . „ . , , . - ------ ---.. _. .. .. __ ._.. � . •�� .`�� , , , . . .� : - - - - � , , ,� - - - . .. , , . � . • •�.;>--` �: . ., .�.� � _ :. __ . . ' ' � �' �, •� ' •. . -- - - � � • . - � . . -- - --- . ; . -- --- - _ . -- � . : , , . , �, `-"' �' � - -- • • � „ . �'�; I ' � i. .._. . ... _ ' • , i '- SEPTIC TANK SI�,�. c� t, . � . .., � ' . . . : SEEP..PIT/U SIZE - . .: � ; . , , � , . � : '� � ' , ,. , . . . .. . I � ; _ . _._.. ... . .. �� _.. . - - � • i '�' � ' , ,.� .. _... ... ..., .. . .. . - : ., � . _ -- � -- - ---- -- .. . � ., . . . ;, .. _ .. .. . � .. - t�; •- -... . - - • i - .r _ "'"1 _ .�\.� ' ' ' ::J • . . � . i . ' I --- - - - - . ,. � i .:i —. ; . ; ., . � � , :�. - � _ .. . . . . - -�_. • _ ._ ; - - ... - - — ' •-,c� --\ � ' I <.�`- - ��-�� _. . ;: _� . __,- �: �.