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Home My WebLink About12132 . � - ..._. .. . . _ ; _ . . . . . ._.. ....� . _ u �� CITY OF DIAMOND BAR ' � � � DEPARTMENT.OF COMMUNITY 8c DEVELOPMENT SERVICES � . 21660 E.Copley Drive Suite 190 . . � . � (909)860-3195 Faz(909)861-3117 PRE$$ • . "^"- 235�S. BiJII.DING PERMIT APPLICATION . �•FIRMLY } JOBSITE �j��/ ` �J APPLICATION v PERMIT p/C �- o ADDRESS�a'�'F',]/� �14I//Yt//1 Z� �/T DATE o � � NUMBER Z�3z-- # � ISSUE p TYPE OCC APN LOT TRACT : DATE Z� [ CONST. GROUP p OWNER ' � � �•. ��,<< ; ADDRESS 3 !J Si • ZONING SE�BACKS•:''�"'•��:•,.:.._ . , u' cirr G• ZI P�f?_S'V 0 TEL. � FRONT..•��•`.., . .•,.. RW � . APPLICANT G ,n TE�, REAR ❑ SIDE/SIDESTREET pW ❑ CONTRACTOR 1 ' SIDE ❑ ADDRESS �rs� - . � CfTY G. �v ZIP TEL - PROPOSED USE o ARCFVENG/ • . . . DESIGNER NO.DWEL NO. NO. ._ . � C�DRESS Z�P TEL. UNITS STORIES BEDROOMS � ' cn . DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER•Bl11LDER DECLARATION _ . ' SFRlA�OIREM • - • ' \ O • eI MEREBY 11FFIfM1 UNER VENALTY OF VEfWqY i11AT I MA EXEMPT FROM THE CONfRACTOR5l4 .G8f89B/Ca1pOR � GENSEUWFORiHEFOLLOWINOREASON�5EG7071.68U5WES5ANDPFiOFES510N5CDDEMIYCRYOR (n � COIMYWHIpIREONRESAPERMRi000NSTRUCf.AITEitMPROYEDEMOl15H2ORREVA1R11NVSTAUG W P2I10/DOCk __ � � Tl1NE VIYOR TO R4 RSUANCE,AL50 REOUIRES THE 11DVLICJNT FOR SUPI PERMIT TO GILE A SICNED W STATE4EM TU1T HE OR SHE 6 UCENSEO VURSUANT TO THE PRONSqNS OF TM[CONTAACTORS LF � CENSE UW(d1APTER 0(COAIYENCNO Wfi11 SECTqN 7000)OF DMS�DN�OF TNE BUSINESS NiO PRP � PooVSpa . � . � � FE5310NSCODE�ORTMA7MEORSMEISIXEAIPTTMEREFROMANDTIIEBASISiORTNEALLEGEDE%EMP•� (� 71�N.ANYV�OLATK]NOFSECT10N7af11.68Y/WYAPRKIWTFORAVERMITSUBIECTSTHEAPPIICANTTO Z Re-Raot , F, AGNLVENALTYOFNOTMORE7HMIFNEHUNDREDDOLlAR511500).). . . ... � . � OIASOWNEROFiNEPROFERTY.ORAIYEMPLOYEESMATHWAGESIISTHfIRSOLECOYPENSATION, COmfnBfd01 . - WILL DO iHE WOf11C A![I THE STRUCTURE IS NOT IMENDED Ofl OFFERED FOR SALE(SEC.70u,BU51- �J � NESSAND Pi10FF5510N4 OOOE:T11E COMMCTOR9 LICEHSE Uw DOES NO7MPLY TO AN OVMER OF j . P110PEHTY YNq BUTAR OR MGRDVES THEFEON,MiD YMO DOES SUpI YIORK HIMSEIF OR HER6ELF OR , Q 7F910UOFINISORNEflOWNEVPLOYEES.CRONDEDTHAiSUGIMPROVFMENTSARENOTIMENDEDOfi m 0 OFFEAmPOR9ALE1F,FqNEVER7NEBUlDa100RIMPROVEYENTI55q,pW1iMNONEYEAROfCOMRE- � � '710N.7HE OWNER-BUttDEfl MALL IIAVE T1E BURDEN OF VROVWO iHAT HE OR 6NE OD NOT BURD OR _ . MVROVEFORTiGPURPO5EOF8ALE} � . . � W �L��WMENOFTHEFROVEHT`!,/JdE%CIUSNELYCOMiUCT11J�WI7HLICENSEDCONTRACTOR3 (,L TO LONSTi1UCf T1E VAQIECT(SEC.7ou,BUSME55 AND OROFESSIONS CODE:THE CONiMCTOR5l4 Velue(iOfl O DO ADJ.AREA - LU �N6EUWOOESNOTAAPLYTOIWONNEROFAPROPERTYMTqBUKD50RMPilOYESTNEREON.AND � 1M�OOO/ITM.Cf9FOR5Up1GR0.lECTSN'ITIACONTRACTOR(S)LICENSEDiUR4UMlfTOT1EtONTRAG pUANiITY �ESCRIPTION � � � - FEE � 7DRSULENSEUW.} . . . . _ _ c_ . O I AY EXEYPT UNDER SEG B.t P.C.iOR 7HI5 HFASCN � � �I Jcf C'P �I�� f�Se� 2S� V u" DQE OWNER • � ' I SU� n e V✓ Z D �4 LICENSEDCON7RACTORSDECLARATION ' W 1 • . � 2 IHEREBYAFFIW.IIMDERPEN.LLTYOFOERRIikYTiNT1AAILICENSEDUNDERVHOVI510NSDFCHAPiER � V, s ��COAIYENCNOWITHSECTqN7oo070FOM510N]OFTHEBUSINESSMI�OROiE55i0NSC00E,AND Z � � X MY UCENSE I61H FIAL FORCE AND EFFECL m 0 IICENSECLASS LIC.NO.,,,,,�/1�� U ,.. � �"'j w7E corrrancroa�c-a�l�1i rt t. Ja / — � WORKERS'COMPENSATION DECLAAATION a NIHEREBYAFFIRMUNDERPENALiYOFPEiWRYONEOFTHEFOLIDWIHaDECUMT10N5: � Z � � �IHAVEANDWILLWUHTANACERTIFlC+ITEOFCONSEMTOSELF�NSUREFORWORNfRS = a COMPENSATqN,ASPROVIDEDBY5ECT10N]7ooOFTHEUBOHCOOE,FONTHEOERFORMANCE �U Q OF Tl1ENOfiK FORMIMQ/i195 iERA1tT 19ISSUED. � _INAVEINDWILL6WMANWORI(ERSCdAPENSATIONMSURANCE.ASPEWIREDBVSECiION � � 77o00FTHELABOi1CO0E,fOA1HE0ER�0iiMANCEOFTMEWOIiKiORWH1CHhiISVERMRIS _ � ISSUED.MYYAfuCERS'COVPENSAiqNINSURANCEWRPoEHANOPoLICYNVMBERARE: CONSTRUC7ION � CAAR:ER PLAN REVIEW � POLICYNJMBER ELECTRIC �� ssEenor�r¢mrrneEad+tiErmoFneve�w�rswr�or+eHtr�eooatutsR�oo�aa�ss} PLUMBING Z �CENTiFV 7�UT�N 7ME PEPFORMANCE OF THE WOR1C FOR WHICH TMS VERMR 6155UED,1 MECHANICAL C7 SMAILNOTEUPLOYANYGEfi50HINnNt'uANNERSOASTOBEC01.�E4UBJECTTOTHE � WOPo(ERS'CdAVENSATqNUWSOFth11FOFlNi,�IWDACREET1uTIF15110ULDBECOME INSPECTIONFEE S SUBJECTTO THE WON(ER5 COMPENSAT70N OVISIONS OF SECTWN 7�0 OF iME LIDOR � � e,i swui vomrmTn�corav�r wi E PROVIS ISSUANCE �O O O p OA � ,� APPL . _ �— SMIP . . e SO �� WARNI :FAIUIRE TO SECURE WONCERS'COMPEN 7qN COVEHACE 15 UNUwFUL FND SHALL BE ENERGY P/C �y SUBJECTANEAIPLOYERTOCRWIWLLYENALTIES cm�cwesuPtooneMmoa[otHous�rro . ENERGYPERMIT OOUAflS(it00,000�,P1ADDITIONTOTHEWST C06�PENSATION,OAMI10E5115PfiDVIpEDFOflIN - - ¢ SECTION�70e Of THE UBOfi CODE.MTFHES,ANDATTOfWEv'S FEES. RETENTION FEE: oCONSTRUCTION LENDING AGENCY PRE-ALT FEE: � IHEREBYAFFIRMUNDEROENILLIYOFPEMIMTHATTHEREISACONSTpUCT10NlENDINOACENCY . • FOR THE VERFORMANCE OF THE WORK fOR WHICH TMIS PEHMIT IS ISSUED ISEC.�Oi7,GV.C.1. .. � � LENDER'S NAA1E + � lENOER'SADDflE55 � ICERTIFYiMATIHAVEREADTNISADVt1UT10NMID5TATEhUTT1EABOVEWFORYATqNISOORNECt TOTAL FEES � - /� ' W 1 AUREE TO COAIPLY WI7M ILL CrtV AND L'OIMTY ORDwu10E51wD ST�TE UN5 REUTwQ TO BUILDIFq p � �//.� � � � COHSTRUCTION,ANOHEREBYAUT}/ORIZEREPRESENTATNESOF.tH�SCOUN7YTOENfERUPONTIE � f'-a� 7 ��. ,ABOVEiAEM10NE0►RDPERTY IOR INSPERION PURPO6ES.:l,:,.'` �I� I97` E� �� ' " � � . COM�AENTS � • - . ;� � , P N E Q� 1�_ . .. � . . . . . .. . yV` � G� y l�oNAT E �TTEE OA7 � . � � RECPT.NO. ' PAID BY VALIDATION � � - WHITE-0epertment Copy,YELLOW—Finanee Copy,PINK—Asseseor Copy,GOLDENROD--File Copy,GREEN—l�pplicant'a Copy � �-•�� CITY OF DIAMOND BAR; ;•_ -�:, ,•, �;:. ` ` - - ''��iNSPECTION�RECORD�'. .. .. . . .. � � � . _ T, . . . ,. �� :',�, �- .. • • � � • - • � � • - SET BACK ._.� � �-' -� . ','\ �,�.'��; " FLOORUOIST �-. � � ;;. ..1 ;.`�� \�. !i, . � � _ __�. . , FTGS/FORMSlSTEEL �' � �:��,',. ; ,.;•,�;�, FHA REQMTS - -- . .. _.. . .:. ..- ----- � _EL�CTRIC GAOUND.�. - - - � _.�• �. UNDER FLOOR DUCT .:;' . ,.,�,,, . :, ._ . . .. i .;- GFiOUND PLUMBING UNDER.FLOOR CO�IDtJIT �•..•� �•., '�. r' `•. �, .: : , I :_ SLAB GRADE- �- - � � FIREPIACE ft7UNDATION ' ` ' � � _ . � ...�. .. • , , .. , TEMP POWER - .::. _ . ._ , ; ' . : FIREPLACE BQND BEAM -- -- _ "_.. ,- .: .-l'- � - --:._.--- .._; : . .._� ._._ . .. -. _ .. . _ . . C�•.:.: ..1. \�.l 'J 1 � �l, . . -. 1 ; � ' WATER.SERVICE � , _ _._ _... . .._.._. _ .. . _ .MID HT.80ND BEAM . . �. '.' ' .- . • � ROOF SHEATHING '.:/. rJ.�_.r.;. �i�:�; .-�: _ 8 FT.�QOND BEAM,�� . ; � • . - ::\� - FRAAIIING/VENTILTATION �+. '' �� "`' FINAL BOND BEAM ' ' .. .. _ .. _ -- R�OF COVER'-.;: PRE-GRADING • • , -ROUGH HEATING-...., ___ _ _ __ ___ _ _ BENCHING ...._ . . . . _ _ _.. _. .._ �rri.> ; ROUGH ELECTRIC i ��' �"� - ROUGH GRADING • • . .• ' ' ROUGH PLUhABING ° -- � � �." - FINISH GRADING . . • .. . ,- I � SHOWER/TUB TEST i -- � �: � �� -POOL ELECTAIC ' EX7:LATH/SIDING � POOL FENCING .. WALL INSULATION i ' � POOL FINAL • • CEILING INSULATION - OFF SITE IMPS. '• � • ! r� • DRYWALL NAILING DEDICATIONS - � SEWER . _.. .__ _ .. FINALENG: • � - -....._.._ . _... . _.... SEPTICTANK ._.... . _ .. . LANDSCAPEJIRRIG. . . , .. . _.. _. :''=, ' ',.-' . ON SITE IMPS. ; SEEP PITlL.L:.. _. --. . .. , GA$AIR TEST (_. - -1, ; --- - -� - - -FINAL ZONING • FINAI.CONST.� '; - � ;'-�►,��%g�4 �"" " ; -- FIRE DEPT. FINAL -FINAL HEATING' ' � ' " '� 'i - - HEALTH DEPT. FINAL : FINAL"ECECTRIC � � - � DEV.FEES PAID � - - � � " , ,,. ,. . FINAL PLUMBING ENERGY � � � : - ; � . ., , ��;.�,a e ' .c, _ ,. . , � : - . — . --- - - . . . . . . . . , , � �, ,. _ ._. _ . . _...__. .. , �_.. . COMNiENTS - - - - ' . ` : � j 1 ...' " ._ . ... .. . .. _....... . ' .... ..._. . ... .. .. F �� '� _ .' _ . � . � � , � , -- - --. . _ . _ . . . . . . . .. � . � . .. . � R . ... . . .. • .. � . . . . ...i'��.�.. -. ' ' � _ ' (J` . . . . . . .. . _. . . • �ry .\ � � "...,_'__ "\ ' ".• ' .� �.a� ��•`� . � i_ . . . . ._.__ . _ . . ' i . . �,� y ' ` ,1 ......_ SEPTICTANK�SIZE _ I ' ' - . ; � SEEP PIT/U_SIZE _ � . , ,. _ , � . . . . . . _ ' i � �� - .. . .. . . ... ......... . ; .. .. .. < - . _�.. , - _ • f-._ -_ ,. , . . ; � , <= ' :��i , ... ... ; ! r'��""1" ' ',:.__..� �. - � t .-1'�.,---=�--^--=--� �`�� f �� . � ---- �J�� , �. ._ ;,_,,., r� � . � . C 1 l � ....,, � ._, _ �� / � -- �� '�` , - i. • • ` _(.