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Home My WebLink About12402 (13) r _ _ . . .. . .__ .------------- .. _. - --. . . J� CITY OF DIAMOND BAR � � � • '� � �_ DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES `� ;,,� . 21660 E.Coplcy Drive Suite 190 . . . ' (909)860-3195Faz(909)861-3117 PRESS � �'�'� BUII.DING PERMIT APPLICATION � FIRMLY } JOBSITE p -WL� �� APPLICATION `��-''I� PERMIT b7� Q ADDRESS �IO�7v � o DATE NUMBER�__ #� ISSUE TYpE OCC. r- APN LOT I RACT ZZ DATE ' CONST. GROUP p OWNER � � � o ADDRE S tc ...✓' ' ' ZONING SEfBACKS �"' CITY 21P •TEL: �� Ci� FRONT RW ❑ APPLICANT 'TEL. REAR p � SIDE/SIDESTREET pVy ❑ CONTRACTOR � SIDE p � CITY E Z P` ` TEL. � ' PROPOSED USE o ARCHlENG/ � 7�J� ^ � OESIGNER -- - ' NO.DWEL NO. NO. ADDRESS � CITY Z�p 7EL UNITS � STORIES BEDROOMS � y DESCRIPTION SQ.FT. ' FACTOR PSF ADJ.AREANALUATION O . OWNER-BUILDER D�CLARATION SFRlADDIREM � p I HEREBY AFFlRM UNDER VENALTY OF PEM1M THAT 1 M/IXEMPT FROM T1[CONTMG7DR5 ll• G8f9Q9lCeIpOR LL CQJSEUWFORiHEFd10WNOREASON(SEG70.71.6BUSWESSANOPROFESSIONSCODE:ANYGITYOR (n V WUIRYMTeCMREOUIRESADEHAIRTOCONS7fY1CT,ALTER�PROVE,DEMOLiSIi,OfiREVIURMlYSTRUC• W Patio/Deck ' � TURE VRqR TO R9 65UMICE,AL50 REQUWES TNE APVLIGUlT FOR SUCH iERM1T TO FlLE 116iGNED W � ' .� STATEMEM THAT HE OR SME 6 LICENSEO R1iLSUAHT TO THE VHOVISIONS OF TME[ONiMCf00.S U• � � CENSE lAW(CFUP7ER Y(COMIAENqNO WITH SECTIOH 7000)OF DIVISION]OF T1/E BUSINESS/�ND VRO- POOVS�3 FE531DNSCODEIDRTHATHEORSMEISEXEMPTTMEREFFIOMANDTNEBtiSISFORTHEALLEOEDEXEMP• (' TION.ANYNIXJ�TIONOf5ECT10N7W1b0vANYMPtICANTiORAPERMRSUBJECTSiMEMPIICMI7T0 Z qe�Roof F A CML PENKTY OF NOT AqRETlUW iNE MINDREDDOlURS(iSool.Y - - . � Olti`OwNENOFiMEPROPERT`/,ORM7EYFLOYEESNAiMWACE5A5TME1RSOlFCOMPENSATDN, CpmmO�Clal � - ' W0.1 DO T1�WORf,AW THE STRUCfURE IS NOT IHTENDm OR OFFEHED FOR SALE ISEG 7W�.BU51•. �J N NESS A!O iROfESS10N5 COOE TNE WHTRACTORS 110ENSE UW DOES NOTADPLY TO AN OWNER OF� ? VROPERTYYVF108U1➢SORMPRONESil1EREIXJ,AND1NqDOESSUC11NfORKHIMSELFORNfRSELFOR � ' . . � THRIXJOHHSORHEROWNEMDLOYEES,VROVI�ED7NATSlICNWOROVE4EHT511RENOTNTENOEDOR m OiFERED FOR SN.E 6,HOWEVER THE 6ULDINa OR MPROVEUEM 6501D W1TNtN ONE YEAROF CDYVLE• - Z TqH,TNE OWNER-BUItDER NALL IIAVE T1E BURDEN OF VROVWO THAT HE OR 511E OID NOi BUIID OR � MPROVF FOR7ME PURPOSE OF SALE� - : . . . � OIA.�MMEROFTMEPRD�EHiY,MIE%QUSNELI'CONTFUCTNaWfiMIICENSEDCONTMCTOFS' TO CONSTNUCi TF1E Vq0.1ECT(SEG 70N.BUSINESS AND Vf10FESS10NS C00E:THE COHTRACTORS 11• V91�eti0�1 ppJ,qpEp � CENSE UW DOE9 NOT APPLY TO 1W OYMEH OF A PROPERTV YVMD BUILt75 OR 0.1PROVE3 TNEREON,A!D � ��EMMCT�FORSUCHVRn1ECfSVrtTHACON7RACTOR�S�UCENSE�PURSUANTTOTNECONTRAG QUANTITY DESCRIPTIOY � ��E , � O I IL1 O(EMPT UNDEN SEG B.i P.G FOR THIS REI150N Q �� - - � 3 � u" DATE ON7+ER U . � UCENSED CONTRACTORS DECLARATION � W � INEREBYAiFIRNUNDERPENAITYOFVERIURY7/MTIMIUCENSEDUNDERPPOV15pNSOFGHAPiER � � i(CWMENCNaN7iTI5ECT10N70W)OfOM510NJOFiME8U5INESSANDPROFE5510NSCODE,AND Z � ' • �l� W UCENSE IS N FUl FORCE AND EFFECT. m � I.�C�[E/N$ECLASS �� UC.NO.' vO � �j �ONT� CONTiUCTOR l'> �' a _ 'WORKERS'COMPENSAT�ONDECLAAATION a � �� _ � IHEREBVIIFFIRAIUNDERPENALTI'OFPERAIRYONEOFTHEFOLLOWINGOECUMTIDNS: Z t�v a , � _INAVEMAMALLLWNTANACERTIFlCATEOFCDHSEHTTOSELFaNSUREFORYARKERS' = a ' CdAPEN3ATqN,ASGROVpE�BVSECTIONflooOFTHELAAORCODE,FORINEVERFORMANCE U � �O �C�+ `�, Q Of TME WORK FOR MMICH T1U9 PEPYIT IS ISSUEO. � O �1 NAVE AND WILL 1U.7lThN WOAKERS'Cd1PEN5AT10N ttJSUMNCE,AS REOURED BY SECTION � � ]700OF THE LABOR COOE,GOR THE PERFORAUNCE OF iHE WORK FOH WHICHTNIS FERIIR i5 � ISSUED.M'(WOPxERS' PENSAT WSURANCECARWE ANDPOLIC NUMBERML: CONSTRUCTION � e�wwen L�_�� PLAN REVIEW � POUCYNUMBGR�(/ 7..—��(<<f�O?Ce` / �ISG CS ELECTRIC p (�s�cm+Km�+�re�o��no�n�a��*s�a�µ+n�Doa.�uuts+acla�tcssl PLUMBING Z 1 CEHTIiV THAT N iNE PERFORIAANCE OF iHE Nl7Nf FOq Nn9p1 THIS PERIAT IS ISSUED,I MECHANICAL U' SHALLNOTEMFLOYAN'/PERSONINAWUMINER50A5TOBE MESU&IELTTOTHE N WORKERSCdAPEN5AT10N CAU NI/�AND i1FI5H�UlDBECOME INSPECTIONFEE ' `- SU&IECTTOTMEWORI(E COMPENSATION R FTHE � � �� coo¢.isy�LL coannvi cae� nfa v �1�� ISSUANCE O 7/��/(�� " p DATE;__��/ AP r V SMIP � ENERGY P/C WAANINO:iAILURCTOSECUREYPDRI( NS i0 COVERAGEISUtdAwFUL.AhDSHAILBE �� SUB1ECfIWE4PlOVERTOCRtuINALPE ' ES .LFNESUPTOONEHUNDRED7NWSAND ENERGYPERMIT� ' ' DOl1AHS(f700,000),NADqTONTOTMECOSTOF PENS�TION,DAMACESASPRM'IOEDFORIN � SECTION f70e OFTHE LABOR COOE INTERE57 M!D A7TORNEY'S FEES. RE7ENTION FEE: OCONSTRUCTON LENDING AGENCY PNE•ALT FEE: � � � IHEREBYALFlRMUNDERPENALTYOFPERNPYiHATiHERE6ACON57RlICiIONIENONGAGENCY � Z FOq iME FERFORMANCE OF TNE WOfiN PoR WHICN IS PERMIT IS ISSUED(SEG.�097,qV.G). W :L lENOER'S NAME . , i � LENOER'SADDRESS � ¢ TOTAL FEES - '�� . � W IGERTIiYiHATINAVEREADTHISMYUCATqNANUSTATETMATiMEABOVEMFOfiIAATqNISCORRECT. � p„ IAGREEiOCOMPIYW(fHALLCfTYIWDCOUHiYOROPIANCFSANDSTATEUWSREU7INOTOBU0.DPl0 � � CONSTRUCTIOf�ANDHEREBYAUiHOiLZEREFRESEMATIVESOFTWSCOUNTYTOEHTERUPONTHE . ._ � /1BOVE-MENTIDNE�VROVEHTYFORWSVECTIONOU E5. COMMC-NTS � J ,i/ 7 m VERA117TFE E(PWNT) � Q � (n 81�NANREOFPE �E � RECPT.N0. PAID BY VAUDATION �� WHITE—Depertment Copy,YELLOW—Flnanee Capy,PINK—Atsessor Copy,GOLDENROD—File Copy,GREEN—ApplicanCa Copy - . .. .. _.. ....... .. .. ... .... ... � . ,,.. .,.. . . . . . _ . . . .. . •., . , . ,,, _ . . .. . .. _ .. .r , . �.��• . . � • , . � � . .�j , CITY OF DIAMOND BAR : ,;_ :,;� ;;...: . .. . .... . ..., .. . , . .._ . .: _ . . ^..� �t�;;:� � .. ,-�INSPECTION RECORD:� :,, . ,.. ' �,' ' � ��'._.. . . : 1.I , � ,�, . _ � � � •_ s r � . - • � � • � - SET BACK '' _ ' " . � " FLOOR JOIST;-.� ' '� - � � � - _ ; = , � � . . _ , _ . . FTGS/FORMS/STEEL = ' "FHA REQMTS; . - ; : -. ; - ELECTRIC'GROUND--. ": _ _ - - UNDER FLO�R DUCT `. � " ` • --`�" ' . - • i - GROUND PLUMBING � ` = �UNDER FLOOR�COMDUIT•. - . �: `. , : _ ,: , � : •,� i : : . . . , SLAB GRADE� "" _. . . .. _..__ . _._... . FIREPLACE FOUNDATION'='=- = -. . •.•:i.^ ' �'-' ' ' :. . ._...�_, ' TEMP POWER - — '� -- -- - " ' ' �" FIREPLACE BOND BEAM "'"' WATER SERVICE - - -- - - -- - --- - MID HT.BONb BEAM • � � � _ �.• � � ROOF SHEATHING --- - _.- . , _, 8 Ff.BOND.BEAIN .�- -.: -• , _ . --. . � �� ,� - - FRAMINGNENTILIATION _.. _. FINALBONDBEAM ' - - --- ... .. ROOFCOVER.` : ' ' PRE-GRADING - ROUGH HEATING - t � - BENCHING �- '-'' ` � ----- - ' ; � �ROUGH ELECTRIC- ! -� = - - •-- - �ROUGH GRADING � -' ROUGH PLUMBING � -- -'�- " FINISH GRADING . . ,• � SHOWER/TUB TEST. -- - ��--� � � �- POOL ELECTRIC ' ' ' EXT.LATH/SIDING � POOL FENCING . ' ' WALL INSUTATION . • POOL FINAL : • CEILING INSULATION OFF SITE IMPS. • ' -. DRYWALL NAILING DEDICATIONS � " . �. ! �� SEWER-- — - - -- � - . FINAL ENG. , � ��. SEPTICTANK..___. ' .. . _. _. .... . _. LANDSCAPE/IRRIG. . � � � • SEEP PITlL.L..:-- .-----. --- � --.. -. _ - ON SITE IAdPS. . . . � , GAS AIR TEST; � - -- --� FINAL ZONING + ��' -FINAL CONST.; -- - - -- --- - -- - --- FIRE DEPT.FINAL ' - ' FINAL-HEATING -- � L � HEALTH DEPT. FINAL • .• i • -FINAL ELECTRIC - - - - ' DEV.FEES PAID � - -- FINAL PLUMBING ENERGY • • • • � • . � •. ; � e '. , . � - �COMMENTS-- - --.. _ . _; \,`_.,� ; . , � . . . . , _. . , . . . . _._ _ , - . - -. . ., _ --- -- —• , '- ; --- - - _ ; =� ,_:.; _ ..-- - , _ ; . . . . . , • , . ._ � . . , - - - -. . , � _ . _:�. ... : .:• . . , , . �: . - - . , � - • . � - . � .�•�. -. � ` . -;..--�- ��, � • ,' ',_�•. ��;�� ., �. .. � `� . . . _..._ .. _ . . . .. • , . •.•;, •:� . , . � . . , , • �a . �:.� SEPTIC TANK SIZE ' ` , . ' , . SEEP.PIT/U SIZE f��+_ �j �' .. .. , _ ,�, �y.�.... . . . - ; I ,� * . , ' . . . : , - . ..:.-. . + - .. � = .... . . _ :�1.. � ' � ; � i .._ , .... - . , .. . , , ._._... . �J �� ..... . .... __.. � � � �. � � , __ ' ' - _. _. . - � � , � _. • :�:�� .. . _ . -- -- -- ._ . - �•, + ; ... ', . . - � - _ - , . �,�. - ." � . ' _ , . .. ...,. . , • : . �•� � - • . .. . .. ..