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Home My WebLink About13376 (7) �� CITY OF DIAMOND BAR ' � �- DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � 2i�oE.cop��y�►�os�c�i90 PRESS (909)860-3195 Faz(909)861-3 L 17 .�.��^'.; BUQ.DING PERMIT APPLICATION ; FIRMLY o AODRESS_`��0� �� I FTiLFI DATE CAT�ON g�,//�_�d NUMB R��3 7� A !" " O 7 O � APN LOT RACT ISSUE TYPE ��3�{� p�C DATE S� 3 "�� CONST. GROUP g OWNER D.a . p ADDRESS O 20NING SEfBACKS Z CITY ZIP TEL REAR RW p g APPUCANT (7EL SIDElSIDE STREET RW ❑ � CONTRACTOR ' SIDE p A�ORESS ,/�� g CITY ZIP TEL PROPOSED USE_ � 1�� F��'I��Vs �q.1�/�h(�QiNS•-. � DE�S�IGNER J�.N A1 G ` N ADDR SSZ p UNITS EL 2 NO. � (YO. , J STORIES BEDHOOMS � cmr zi � . � cn OESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION � OWNER•BUILDER DECLAMTION - SFR/ADD/REM O BIMEPE9V AFF6W UNDfR PENALTY Oi iERIURY iHAT IAY EJIEYPT GHdA iHE CONTMCTORS U.� � Gafeg6/C9tp011- _ CENSEUWFOH7NEFOLLW/INOPFA.rON(SEC.70.71.6BUSWESSANOPROFESSION9COOE:ANYCITYOR (n � C�lMf7MYGIRE0U1RE5APEHMRTOCONSTRUCT,ALTERIMPHOVE.OEAqL1F1.ORNEPAIRANY57RUC• � W patfo/Deck � ' � TUi�.OP10R 70 RS S3UANCE.ALSO PEIXIIRES THE�PV�ICJUIT FOR SUCH VERIAIT TO FlLE A SIONED W BTATFMENT 7HAT HE OR SNE IS LICENSED iU0.5UAM7 TO iHE PROYISIONS OF iHE CONiMCTORS U• � CENSE UW(QUPTER i ICDA1MENqN6 VrtTH SECiION 7000)OF DMSqN I OF TME BUSINESS AND VRO � PooVSPa � . FESSqNS COD�ORTIUT NE OR SHE IS EXEMVT tNEREFHOM ANO TIE BtiS15 FOR THE FLLE6ED E%EMP- 7qN.ANYV10lATqNOF5ECT10NTOJ1.6BYMIYAPPLICANTFORAGERA11T8U&IECTSTHEAVPLICANTTO Z Re-Roof F A C7VIL iOI/LTY OF NOT MORE THAN iIYE HIINORED DOLlARS(3500).1: � O�A40NR7EROFtHEPPOPERT/,ORYYEIAPLOVFESWITFIWAGE50.5THEIR50lECOUPENSATION, 0 (',pmmBlCWI � � Ylltl DO THE MfORK,Id�p TIE STRUCTURE IS NO7 INTENOED Oit OFFERED FOR SI�LE(SEC.7DN.BU54 J . � NE33 MID VROFESSIONS COOE:TNE COMMCiOHS LICENSE UW DOES NOT MPLY Tfl/W OWNER OF � PROPERTY 1M10 BUlDS OR MPROVES 1HEREON,11hD W110DOE5 SUCN NORK HI45ElFOR MERSELF OR � Q 7FI11pUOMNISORHEROWNEMVLOYEES,VROVDEDTHAT5UGIMVROVEMENTSARENOTNTENDEDOR m . L�1 OFFEf1miOR511LEIF.110VJEVE0.7NEBULDN00RIYPRDVEUENTI550L�riTT/YNONEVEAAOFC04PlE• z •TqH,THE OWHER-0UILDER WiLL HAVE iHE BURDEN OF PROWq TUT NE OR SHE Dt0 NOT BUItD OR = MPFqVEFORTMEPUHPOSEOFSA�E� - � OL�.401MNEROFT71EVR07EHTV,WD(CLUSIYELYCONTMCTNaWfTNIICENSE�CONTMCTOR3' TO CONSTMICT TNE PPOJECT(SEC IOM,BUSINE55 AHO PPAFESSIOHS CODE THE LOffTPACTOR9 U• V0Il18II0I1 AQI.AREA , � CENSEUWCOESNOTA➢PLYTOANQMNEROFAPROPENTYW/108U1A50RMPqpVESiHEREON.ANO W/qCOHTRACT3iORStK110R0.1ECT4N7TNACONTRACNryS)LICENSEDPURSUANT70TNECONTMG pUANTITY DESCRIPTION FEE ; � 70R3 UCENSE LAri.J. .. . . �J . . . . O I/UA EXE4pT UJDER SEC 8.�P.C.FOR TMIS HEASdJ s[ 3 � , ,.. � � _ '� MTE OWNER � U � � UCENSED CONTRACTORS DECLARATION W _ . INEREBYAFFlWIUNOERVElULTYOFVERM1IRVTIUTIAAILICENSEDUNDERPROVISIONSOFCHAPTER � yvyy_,..'� � �(QOMMENCYq WRl/SECTION 7000)OF DMSqN J OF iHE BUSINESS M1D PROFESSIONS CODE,M!D� - Z `� ' �V MTUCENSEISNFUlFONCEANUEFFEGL m � LICENSE CUSS IIC.NO. ' J •�II Y :J O �j DATE CONTRACTOFi �- . � �r �, . . . = WORKERS'COMPENSATION DECW7AT10N a ,T r +--�u^_ 1 v � IHEREBYAFFlRMlMOERPENALTYOFPE0.NRYONEOFTHEFOLLAWINODE0.AMTqNS - Z ""~�•�� rf ` � ��IHAVEANDMALLMAMNNACER'i1FMATEOFCONSENTTOSfLF�INSUREFORWORKERS' S � CONPENSATION,�SVROVIDEDBYSECTION�7oo0FTMELAeORC00E,FORi11EPEFFORMANGE W " OF 1HE WORN FOR NMIC11 TM14 VERMR IS ISSUEO. � 0 Q �I NAYE AND 1MLL MAMTAW NOAKERS COAIVEN5ATI0N INSU0.WCE.�5 REIXIIRED 8Y SECTqN ]7DOOFTMEU180AODDE,FORTIEFEHFORMANCEOFTNEWORKPoRWNICHiMISPERMRIS � i55VE0.AIY WORKERS COMPENSATION WSU{LWCE GRRIER ANO Dd.ICY NUAIBER ARE: CONSTRUCTION •�O � t�qaiER PLAN REVIEW � POIICYNUAeER ELECTRIC . . 0 �ss[crnr+ni[mwisEoor.s�tmoan�rErr,�r�sroaa�µrnr+�ooat�sg+oo�oa�ssl PLUMBING Z ICEFii1FITUTNTHEPFFFORM+wCEOfTHENbN(FORWNIp1TMISVEi1MIT156SUED,1 MECHANICAL �� - (,'} SHALL NOT EMPLOY AM'PE1iSON W M7Y MMlNER 50 AS TO BECOME SU&IECT TO ME � WORKER5COYVENSATIDNUw50fGLIFORNI�IAN�AGREETHA71F15/1OlAD0ECOlAE INSPECTIONFEE S SUB.lECTTO7F�EIMONKERSCdAPENSA710NPROVI510N50FSEMIONltOOOFTHELABOP ' cooE.i swu Forrrmvmi cour�r vnrn n+osa rao�sia+s. ISSUANCE 5•v n -� SMIP . � •�d � DATE: APRIGWT: .. . .. �� WMNINU:iA�URETOSEGURENqRKER5COI.IPEN5AT10NCOVERAGEISUNUV1fLl,AND3W1LlBE ENERGYP/C . [�y SUaIECTANEMPLOVEHTOCRIMPULVENALTIESANDCMLFWESUPTOQNENUNDREDi110U5AND� ENERGYPERMIT ' ' - � DOlUAS(5100,000�IN PDDITION TO TNE COST OF COMPENSATION,�AMACES AS VPAVIDfD FOR IN �( � J SECTIDN J7o!OF iNE tABOR LOOE,H7EFE5T,M7D ATTORNEY'S iEES. ' RETENTION FEE' � / U� lL, ' pCONSTRUCTION LENDIN6 AGENCY PFFF{{{�� LT FEhE: 'n• � IXEPEBYAiFiRAIUNOERFENALTYOFGER7URY7HATTHEREtSACONSTRUCT10NlENDIN0A0ENCY � Il��a.� �� FORT/1EVEPFOfiMANCEOFTHEWORKfORVMIGHTHISFERA11TI51S5UED�5EG1W7,qV.G�. ��i- � � IEfIDER'SN�WE .. . . . . ," � LENOEfYSADDRE55 � 70TAL FEES . W ICERTIFYTMATINAVEREADiHl4AVFLiCAiqNMl�StATETHATTIEABOVEWFpM1ATI0NISCORRECT, p„ IADREETOCOMPLYWfTHALLC(fYANDCOUNTVOHDINANCESANOST�TEUw3PEUTN(3TO6URDINQ . - � pONS7RUCTqN,MDHERE8YAU71qRIZEPEPRESENTATNESOFTHISCIXINTYTOENTERUPONTXE .. . _.. . ABOVE�MEMqNFAVROPEHTVfORINSPECTqNCURPO5E3. COMMENTS � � � U/U . . _ � PEP/AITTEENM� PfU ' d S 3 _ � N 8K+NANREOF E DAT � RECPT.N0. � PAID BY V VAUDATION WMITE—Department Copy,YELLOW---Flnance Copy,PINK—As�essor Copy,OOLDENROD—Fla Copy,aREEN--AppicanCe Copy � � � - , _. ,. .. .. ...:.. .. .. .. .. . . .. . . ,. ,_,:, ..,..- .. ,: .,. . . ._. . , _ . . �,. . � , , :;� _ , . . .. . . .. :,� .s �, . . CITY OF DIAMOND BAR.,,� . ;, .... ,_„ ,. . ... .: '' �� INSPECTION�RECOFiD','� =�. . � _ ,, ; � e � • s - � � � • • - SETBACK " •'v =.�.�: �� _ ,- -,', FLOORJOIST ..�. t�;�f , � .:� �'�;, : ,. .• _ '_ . FTGS/FORMS/STEEL\�L - � ', . . . �_. _� FHA REQMTS - � � " , - - - __ ELECTRIC GROUND - - r ' `� 'UNDER FLOOR DUCT :, � GROUND PLUM8ING • UNDER FLOOR CO�IDUI7• :��; '�- �:t',�.;.� �� .'.'•:;;,� SLABGRADE - _ _. _ ____ - --- '; , FIREPLA E QUNDATION�=::31:' •=1:? , 'v:t'::�L�;•: . , TEMP POWER � '` - � ` FIRE�LAC�Bt3ai3BEAM`"`�'�`.::•-. , ::. _ .� .._ WATER SERVICE. - - : - -. . MID HT. BOND BEAM - - _ RO��SNEATHIRIG': �==': ` . . - � `. .. '�-- 8 FT.BOND BEAM - . FRAMINGNENTIUATION � � � � ' � � FINAL B�ND B M..,.. ..�,.., , , , , ,.. � -... ROOF C�VER _ _ . . �ti PRE-GRA G.��'�`�a��+ ��;i�,�i �:�.�r1'� •r_�; '_,, ROUGH HEATING --- -- - - --- __ __ � - - BE M�P�C'r' �:>•_.ti!'i .`_' ' ::" ;r:.,`��,._,.�•. ,; , ROUGH ELECTRIC - -- - - ROUGH GRADING ' ' � ROUGH PLUMBING - - - -- � " FINISH GRADING . ; - SHOWERITUB TEST . _ - �_ . - POOL ELECTRIC � EXT.IATH/SIOING ' � - � -, PO�L FENCING WALL INSULATION i POOL FINAL CEILING INSULATION OFF SITE IMPS. . , DRYWALL NAILING DEDICATIONS SEWER . -. _-- - - FINAL ENG. . . . , SEPTIC TANK � _ _ _. __ _ .�.. , ,_ .y , LANDSCAPE/IRRIG. SEEP PIT/L.L. - _ '_.' '• ' i _ 1'- _ ON SITE IMPS. � . GAS AIR TEST - - - - - - - - - - FINAL ZONING � - fINALCONST. . ---- p - FIREDEPT. FINAL ; ; fINAL HEATING � - - HEALTH DEPT. FINAL _ _ , FINAL ELECTRIC " DEV.FEES PAID - FINAL PLUMBWG ENERGY � • a� � � _ -- _... _ COMMENTS . �- - _ _ _ - - - _ - - - _ _- - _ . _. _ . -- _ _ ? i �� 1 ' � � . _. . . . _ 1. �`. �_`. . _ _ __. _ . . I .. _. _ . . ._ ..-- - . . :� t' . '� . ._. . . . . _... . . , . . . . � . . � _. SEPTIC TANK SIZE � . . � � � � ; . � SEEP PIT/U_SIZE �- - ' , , , ,, ,�-I—' �� ' , � ,.r��. _ . � ,_. i . i, , , , , � _ _ - - - - . , � ; _._ � � t � , l� , _ ., , ,,.,_ - - :�>1 � \' _ � �°� , • `` ,-c . ; �\ � �_ .. . ,\ � � ` .