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Home My WebLink About11016 ---��---• CITY OF DIAMOND BAR • � � COMMUNITY DEVELOPMENT DEPARTI�tENT � ' 21660 E.Coplcy Drive Suite 190 . . � PRESS (909)660-3I95 Fax(909)861-3117 ''"' BUILDING PERh4ITAPPLICATION FIRMLY � JOBSITE . ti OD 2 � APPLICATION PERMIT p/C . Q ADDRESS Gd � o DATE �NUMBER�� p � ISSUE TYPE OCC . APN OT TRACT ' DATE ' CONST. GROUP � ¢ OWNER .(- 0 o ADDRESS �' O ZONING SETE3ACKS z CITY ZIP TEL. FRONT .Ryv p � APPLICANT - TEL.__� REAR p . z SIDEJSIDE STREET qHl ❑ ¢ CONTRACTOR � � SIDE - ❑ - ADDRESS f.4'' ^�� . ._ . � CIN � ZIP /�j'Jj�L. �, PROPOSED USE . w ARCH/ENG/ , � ["[" ' z DESIGNER ' a ADDRESS NO.DWEL. NO. NO. � CIN ZIP TEL. . . UNITS STORIES BEDROOMS ' � ; cn DESCRIPTION SO.FT. FACTOR PSF " ADJ.AqEANALUATION O- -. OWNER-BCILDERDECLARATION . . . � gFR/ADD/REM �• � p 1 HEREBY AFFIRM I/NOCR PENALTY OF PEiWRY TMAT I AA1 E7(EMPT iROM THE CONTRACTORS LI- G3f392/C31pOfl � � � � - W CENSEUWFOR7FIEFOLLOwINGREASON(SEC.7037.SBUSINESSANOCROFESSKKJSCODE:ANYq7YOR (n ' ' � � � ' ' - U COUNTYNMICHREWIRESAPENAITTOCONSTFUCT,ALTER�MPqOVE.DEMOLISH.ORRE7AIRANVSTRUC- 1 W NRE.PRIOfl TO 1T9 ISSUFNCE,ILL50 flEOUIRES THE APPLICANT FOA SUCH PERMIT TO FlLE A SI�NCD W Pa;io/Deck . . . . � • - •. � STA7EMENT THAi ME OR SME IS LICENSED PURSUANT TO THE PRONSIpNS OF iME CONTRACTORS U• � � CENSEUW(CMAPTERY�COMMENCWGYATHSEGTqN7000)OFDIVISION70FTNEBUSINESSAtiDPRO- PooVSpa . LESSiONSCODEIORMATHEOHSH[ISE%EMPTTHENEFROlAANDTH[BASISFOR7HEALLECEOExEIAv. . C7 V TION.ANVVIOIATIONOF5ECT10N70�1.58VANYAPDLICAMFORA7ERMIT5U8JECTSiNEAOD�ICANTTp ' Z Re-Roal . . - � � �„� A CN:L PENALTY OF NOT A10qE TIUN FNE HUIVDRED DOlURS(SSoo�.�: _ � 04ASONrt�EROf7HEPROPEFiY,ORMVEMP�OVEESWiTNWACESASTHEIR50LEC01/PENSATION, - � Commercial �'' � z WILL DO TME WOPH,ANO THE STRUCTURE IS NOT INTENDED OR OFFEREO FOR SALE ISEG.7oN,BU51• J ' � N N[SSANO PROFESSIONS CAOE:7HE CONTMCTORS LIGENSE UW DOES NO7APPLYTO AN DWNEROF• � . _ PROPER7YN'F10BUILDSORIMPROVESTHER[ON,ANDMRIODOESSUCHVlORKHIMSEIFORMERSELFOR � � CL THROUGHNISORHEROKTIEM7LOYEES.VROVIDEDiHAiSUCH4APROYEMEMS�R[NO71N'ENDEDOR L� w OfFEREDFOHS.LLE.IF,NOWEVERTME8UIL01NCORllAPROVEIAEMISSdDWRMNONEYEAqOFCOAIP�E- ' ' � ' ' � TION,iHE OWNEq-BUILDER N'ILL HAVE TME BURDEN OF PROVINa THAT HE OR SHE DID NOT BURD OR Z MPROVEFORTHEPURGOSEOFSALE). Q_ �CI,ASOWNEROFTHEVROPERTY,AME%CLUSIVELYCANTMCTINGYlITHLICENSEDCONTRACTORS TO CONSTRUCT TME PR0.IEGT(SEG 70N,BUSINC55 AND PROFESSIONS CODE:THE CONTRACTORS LI• V81113IIOf1 /�p,J,/�{�� W CENSEUWW[SNO7APPLYTOANOWNEROFAVR07ERTVWHOBUILDSORIIAPRJVESTHEHEON,AND � � WHOCONTMCTSFORSUCHPROJECTSWITHACONTHACTORiS)LICENSED7UHSUANTTOTH[CONTRAG pUANTITY' DESCRIPTION � � '- � � -- � Y ToasucENSEuw�. . FEE . . � OIAAlE%EAIPTUNDERSEC. B.BP.C.FORTHISREtiSON � Q \ - /V � � � � � V _ � ' ' � � - ' - :- � . . .. . . ... .. _ DA7E OwNER F— ZW . . .. _ . . _ . _. .. . . . . ... . �._ � LICENSED CONTRACTORS DECLARATION ' W . . _ ;. ,... .. ¢ ._ . . . Q I HEREBV AFFIHM UNDEF PENALTY Of PERIUM Tw171 MI LICENSED UNDER PPOVISiONSOF CNAPTER- � � � . _ , - . � . p„' Y(COMMENCINC VYI7H SECTION 7000�OF OM510N 7 0F iME BU51NE55 AND PROFE550N5 CODE,1�N0 ' Z '� '� �� OMY IICENSE IS W FULL FORCEAND EFFECi. �� .. � . , . � LICENSE CU55 LIC.NO. � � .. � LL~ DATE�� COMMCTOfi a � -�� WO ERS'COMPENSATION DECLARATION ¢ , N IH/CREBVAFFINMUNDERPENALTYOFPERIURVONEOFTHEFOUOWINCDECLAFiATqNS: Z � �IHAYEAN�WILLMAINTAINACERTIFICATEOFCONSENTTOSELF�INSUREFORWORKERS'� S ' � CdAPEN5AT10N,A5PROVI�EDBVSECTION77000FTHEUBORCODE,FORTMECERFORMANCE U OFTNEWOFKFORWHIGiTHISPERMITISISSUED. . W � 0 � . .... .. . .. ... .. . . . .. _ � ... . w _IHAYEANDWILLMAIMAINWORKEHS'COMPENSATIONINSURANCE,ASPEWIREDBVSECTION _Q 97000FTHELA90RCOOE.FORiHEPERFORYANCEOFTMEWORKFORWMIp1THI5VERA1lT15 ISSUED.MYWORKE 'COh ENSATIGp�`NSUFiANCEGR RANDPOLICYNUMOERM[: � CONSTRUCTION -"' ' "" ' "' J , . .. . ..... � CARRIEH � � . ... .. PLAN REVIEW � Zra�cr nun+oea' � ELECTRIC � -. . _ � �s 4 �� (rr�ssEcrqNN[mPqi�ECOnrREiE00cTEVEw�irlSwqor+EHlrL%iEDDOWlftslt+ao)OnLEssy _ PLUMBING . Z IGER7IFYTHATNTHE�ERFORMMICEOFTMEWORKFORWMIAITHISPEFMI715155UED,1 MECHANICAL .U' . ..SHRLLNOTEMPLOYIWYPEHSONWANYMA4N[RSOASiOBECOMESUOJECTTOTHE � WORKERS'CONPENSATIONUN50FCALIFORNIAANDAGREETMATiFISNOULDBECOUE INSPECTIONFEE �� - � ' � - � �� - - - SUOJECiTOTHEWORKERS'COY.PENSATqNVRO SIONSOFSECTION77000FiNEU80R ` _ .coce.isw�Fonn+vnrNcor.+r�vvnn�t»os ao sions. ISSUANCE _�� J .O.O O . . _..... . . . p DATE: APPLICANT: SMIP � WARN!NC:FAILURETOSECUREWORNERS'COMPENSATIONCOVERACEISUNLAWFUL,ANDS/UILLBE ' �ENERGYP/C� � � SU0.IECTANEMPLOYERTOCFIMINALPENr1LTIESM:DCMLFINESUPTOONEHUNOREDTHOUSAND ENERGYPERMI� OOLIMS(f 1 DO.00D),W ApD1TION TO THE COST OF COMPENSATION,DN.IAGES AS PROYIDEO FOfl M � J SECTION�TOB OFTHE UIBOR CODE,INTEREST,MDATTOHNEYS FEE3. � ��--- � �� - � ��---��- ' ¢ RETENTION FEE: - ' " OCONSTRUCTION IENDING AGENCY pRE-ALT FEE: � � � � � � � � � �'' � ' � ' � IMEqEBYAFFIfiMLWDEAPENAITYOFPERNRVTHATTMEREISACONSTRUCTIONLEN0INCAGENCY . . FOR THE PERiORMANCE OF TXE WORK FOR WHlpl TMIS PER41T IS ISSUED ISEC.�a97,CN.C.�. Z . ... .. . ._ . . . . . .. . . . ' . ._ ' .' '" '. ' • . ' W � LENDER'SNM+.E i �� ' . � . S 1- LENDER'S/�DDR[SS �� ' ' w I CERTIFY TMAT I HAVE READ 7H15 APOLICATION AND STATE T/ATT+E�BOVE WFORUATION IS CORRECT. TOTAL FEES � z I./jS � 111GREETOCAIAPLYVATNALLpTYANOCOUNTYOHDINANCE5AND5TATEUwSRELATINC700UiLDINC ' " ' ' " � , � CONSTRUCfION,ANDNEREBVAUTrqW2EREPRESENTATiYESOFTIISCOVNTVTOEMERUPONTHE ' � Z ABOVE_MENTIONEDPROPERTYFORINSPECTqNPURPO5E3. . . �COMMC-NTS � � ,V� �� d PEHMInEE E YT) ' � � . .... . . . .. .... . ..... .. . � - : ;a3 � _ SIONA , � DATE d/,, �. RECPT.N0. �`+ PAID BY �� - VALIDATION �� F � � - -�-� -� -� �WHITE—De artmenl Co YELLOW—Finance C p py, opy,PINK�Assassa Copy,GOLDENFlOD—File Capy,GREEN—Applicant's Capy �. . ... . � .. ,. - .. ..�. ...r,.:.. .'. ..� ^1^ . ... • . . ..'v�: . �T.:. . r , . ,�>. , �.. . , x, . • •�.+.w•.. . .. , . .. . ' .. ... . � � � --- CITY OF DIAMOND B�►R ' � . : . � INSPECTION RECORD '. � � . ___ , � �. . . . � � , • � - • • � � . � . SET BACK '' � . ` � � �• ' �' FLOOR JOIST � FTGS/FORMS/STEEL ' ' FNA REQMTS `. � � ' ELECTRIC GROUND UNDER FLOOR DUCT . � .� �• �� GROUND PLUMBING - � UNDER FLOOR CO�IDUIT SLAB GRADE - � FIREPLACE FOUNDATION _ - _ . .. TEMP POWER - � - - FIREPLACE BOND BEAM ' � " '-='- ' � � WATER SERVICE -- - MID HT.BOND BEA1dl� i � � . ROOF SHEATHING 8 Ff.BOND BEAM ' � � FRAMINGNENTICIATION ' FINAL BOND BEAM ROOF COVER �- - - PRE-GRADING •� ROUGH HEATING - BENCHING � ROUGH ELECTRIC - • � Z � ROUGH GRADING FiOUGH PLUMBING . - � FINISH GRADING SHOWER/TUB TEST . - - - � POOL ELECTRIC EXT.LATH/SIDING POOI:FENCING ' ' WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS. ' DRYWALL NAILING ' DEDICATIONS SEWER ... _. :._ _. FINAL ENG. SEPTIC TANK .. . .. ... _ .. . _. LANDSCAPElIRRIG. SEEP PIT/L.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 �- ,, . • ._ �_�. . ,� - , .. .;'. .. . • • _ . .� . . •, � .. .. ... . .. .... ... . COMMENTS - - , � . . � , . ,.� . . � , , . ( \, /`� '�'✓'; ' , i . 1 . ' . ..__ ' . '_.' �}� ' . . . _ . . . . ..�. �� }� �. • . ; , SEPTIC TANK SIZE ' ' - - - SEEP PIT/U SIZE . , , - ' � . . ��. � �D ?. ,� `` . , -- ��L , � \ , i �� ' . I ..`'i� . ' ' j \ ...