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Home My WebLink About12570 (17) .__ . i �� CITY OF DIAMOND BAR ' � � ^ DEPARTMENT OF COMMUNITY 8c DEVELOPMENT SERVICES / �� .> 21660 E.Copley Drive Suiu 190 . . .. .. , _ � (409)860-3195 Faz(909)861-3117 PR E$$ ��'�" BUILDING PERMIT APPLICATION' � �FIRMLY y JOBSITE � ,�y�l pr �.5�,�� Quln (� APPLICATION /O ,� PERMIT�Z 5�]oP/C o AODRESS (�f/"1! d DATE � NUMBE � � $ ISSUE TyPE p�C -- APN LOT ZRACT DATE ` CONST. GROUP p OWNER � o ADDflESS ZONING SETBACKS W FRONT � CITY 21P TEL: RW ❑ APPLICANT TELr SIDFJSIDE STREET RW p � CONTRACTO O I/� SIDE p ADDRESS � � CITY ZIP TEL. PROPOSED USE o ARCH/ENG/ • � OESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS CfTY ZIP TEL. � cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER D�CLARAT�ON SFRfADD�AEM O p I HEREBY AFFliq/UNDEN VfNAITV OF DEiWRY TNAT I/u/IXE1AaT FROA/THG CONTMCTORS LI- Ge1HQBlC81pDR 11J C£NSEUWFOIITNEFOLLOWNOqEA.AN�SEG70.71.60USWESSANDPROFES510N50]OE:ANYCRYOR (� �J C0117TYWIIId/i1EOlMiESAiERMRTOCONSTRUCT,KTEq0.1PRDVE.DEMOLISH,OFIREP�:RANYSTRUC- Z TUFE,PiYOR TO R3 IS9UANCE ALSO REOUIRES TME MPL1CJfli FOR SUp1 PERMIT TO FILE A SIONED w Patb/Deck � STATEMENT TMAT ME OR SME l5 LIGENSE�VURSUANT TO iH[PROY1510N5 OF THC CpliRACTORS L4 � ..' � CENSE UW(f.71APiER Y�CDMYENCMO N7TH SEGTqN 7000)OF DMSION]OF THE BUSINESS AND PRO� PoaVSpa . FESSIDNSCOOEI�R7MATNEORSHEISE7(EMPTTMEREFAOMANDTHEBASISFORTHEMLE�EDE7fE1JP• (� 710N.ANYVql�T10NOFSECT10H7071.6BYANYAOPIICAHTFOR�PERMITSUBIECT57MEAPvIICAN7T0 z Re-Raol �„� ACIVd7Q1ALT/OFNOTYORETHANFNE11lR1DREDDOIURSff5001.). o O�/S01M�FROFTHEVROPERTV,OR4YEUPlAYEESWI7HWAGE5A5T11EIRSOLECWAPENSATIDN, 0 �mmerolal - L N7LL DO iHE YV�FY(ANO THE 6TFlUCNFIE IS NOT IMENDED OA OFiEREO FOR SALE(SEG 7oa�,BU56 J � NESSAND PROFESSION9 COOE:i11E COffTMCTORS LICENSE LAw DOES NOTAPPLY TO AN OwNER OF � FfiOPEATY NR10 BUIDS qi MVROVES TNEREQN,AND MMO DOES SUCII YNDNK HIMSELF OR HERSEIF OR � � TTWIXIONMISOFiNEHOMMENVIOYEES,VROYIDEDTHATSUU/W7ROYEMENTSMENOTMENOEDOR m OFFEREO FOR SME.IF,iq4YEVFR�BULqNO OR 0J7ROVEMENT IS SOID WRHN ONE YEAR OF COYPLE. � 'T10H.THE OWNERAUIIDER N7LL HAVE TME BURDEN OF VROYNO THAT NE OR 6HE DID NOT BUiLD OR MPROVE FOR TIE PURPOSE OF SKF). (y� OlA40NMEROFTMEPROPEiRY,IWEXCIUSNELYCOHTMCENQWRXLICENSEDCOHTMCTORS � 70 CONS7RUCT i11E VROJECT(SEC 70u,BUSINESS IWD VROFESSIONS CODE:TME CONTRACTORS U- V01UetlOfl �ADJ.AREA CENSE UW DOES NOTMPLY TO MI OVMER OF A PROPERTY NT10 WLDS OR IAIPROVES THEREON,AND � 1MqO0qTMCf9FD115UCHPROJECT9WfTi1ACONTMCTOR(SJULENSEDVUFSUIWTTOTHECONTMG pUMfTITY OESCRIPTION � � �E � TOR9 UCEHSE UW} OIIIAEXFAIPfUWCRSEG B.1P.GfORTHISREASON Q 3 � LL o�� OWNER � � LICENSED CONTFiACTORS DECLARATION � � w INEREBYAfflRNUNDERPENALTYOFVERAIRY7N�TIMILICENSEDUNDERPROV15qNSOFGHAPTER � , � �� (COM/ENGNOMATHSECf1ON70001�OM5iON70FTNEBU51NES5AN7VROFE55pN5CODE.MA Z � �� 1.(YLICENSEISNFUILFOfICEANDEFfECL m . � UCENSE L1A55 L1C.NO. �D / _ j , V DATE �� COMRACTOR d �7 � WORKERS'COMPENSATION DECLARATION Q NIHEREBVAFFliWUNDERVENALTVOiVE0.RA7YONEOFTHEFOLLOWPMDECUMTiONS: Z � �IMAVEANDYAILIMRfTAMACER(1FIGITEOFCONSEMTOSELFdNSUREFORYNAKERS' _ COMVENS1RpN,l15iROVIDEDBYSECTION]7000FTNE�ABOqCODE,FONTHEPERFORMANCE w Q OF THE WORIC FORNMICFI TIi9 VERMIT IS ISSUED. � p �1 HFVE AND VALL MAM�IN WONfERS'CqAPENSATION MSURANC£,AS REOUi7ED BY SECTION J7oo OFT/IE U100R CODE,FOR ME PERFON.IANCE OF iME WOfU(iOH WMICM iH15 PERMIT IS � ISSUED.MYWOP.N RS'COMF S ONINSURMlCECARRIERAW LIC/NUMDEflARE: CONSTRUCTION � CARRIER Q PLAN REVIEW � POLICYNUMBER ' � �- ELECTRIC � � � QFi55Eci1�Nr+�NoiBECdTLEimOFnEPEaMIi6inap.L/�t�or+EDOauv�SR+mIORLESS} LUMBIN Z ICERTIFYTHATNiMEPERFOFMANCEOFTHEWORNFORWF11pIlH15VERMRI5155UE0.1 MECHANICAL C7 SHALLNOTE4DLOYNIYVERSONNANYWVtlJCRSOASTOB[COMESUBJECiTOTXE � HOW(ERS'CON7ENSATIONUWSOFGlL60RNI.�MlDACREETIUTIFISNOUIDBCCOAIE INSPECTIONFEE �y� S SUBJECTTOTHEN�ORKERS'C047ENSA7�ONVROwSg�+SOFSECTqN]1000F7HEUBOR - �f■ , . coo�.isNuiFormrv�nQn-�eouP�rwm�n�oserrysjvi�sro�rrs..Q ISSUANCE lii � -- p DI1TE: � � � �qPPLICANT.��/''�f� .. SMIP . � ENERGY P/C ,.,(��pnp WARNINO:FA�UfiC TO SEIXIRE WORKER500AIOENSATpN COVEMGE IS UNLIWFUL,AND SNALL BE �y SUB.IECTAHE�PLOYERTOCR0.IRULPENALTIESANDGVILFINESUPTOONEMINDREDTNWSAND ENERGYPERMIT � �„p DOILMS(f foo.000),W ADOITION TO THE COST OF COMPEN5�7qN,OAMAGES AS PRONOED FOq IN � SECf70N]]OOOFiMEU80RCO�E,NfEREST,ANDATTOfVJEY5FEE5. • W REiENTIONJY�.�� d CONSTRUCTION LENDING AGENCV PHE-ALT FE as 1 t-. +� � LjII,�3Ii�Tv n�'rB-&�I'�TY � IHEREBVAFFIRMUNDERPENALTYOFPEMIRYTHATiHERE15ACON5TRUCT10NtENDIN0l1GENCY ' FOfl THE PERFORAWICE OF TME WORK FOR YMId1 THIS GEAMIT IS ISSUED(SEC.7oY7,qV.C.). � � LENDEH'S NAA1E . . � LENDEHSADORE55 W ICERTIFYTHATINAVEHE/�DTHISIDPL1CATqNANU5TA7ETHATiHEAeOVEINFORu�TqNISCORRECT. TOTAL FEES w �,�0 � IA�REETOCOA/7lYN7TIFLlCRYANDOOUlTYORDINMlCESANDSTATEUNSREUTNOTOBVLDIHO �/ I.. CONSTiR1CTqN,ANONEREBYAUT110R12EREPRESENlAT1YESOFIM15LOUNT'/TOENTERUPONTME , r � ABOVE�AEMIONED�ROPERTlFORINSPECiqNGURPO5E5. COMMENTS � m �/-�� PERYRTEENAIA C � /� f � E�ONATUREOFPE TTEE O�TE � �� !c�/�f � � . _ RECPT.N0. '� PAID BY J-� �� VALIDATION WHITE—Department Copy,YELLOW—Fnence Copy,PINK—AasasaorCopy,GOLDENROD—File Copy,GRE��icant'a Copy. � � � n%IKJ� . , � ,. .., .. ... . ,.. ,... . • . . • , ... .� • ' "r .. .-.., �• . ' . .,�r�. .�.. .. ..._.. . - . . ,r.r -�� .. . .. .. _ .�__ CITY OF DIAMOND BAR_, r;; , ,�.� :;- , `:�: :� .;`'" " ��INSPECTION'RECORD ` .:-..• ' . :. :,' . - . - .. , . . .. .. . . .. . . . . . ,.,�. . . � r� e o � � ' • � � � - SET BACK `, • ; � : ' 'r � '� j ;� , • 'FLOOR JOIST�\1' .- . `� � - FfGS/FORMSISTEEL -. '+ � FHA REQMTS - - --- - �- - - -- - - - " ELECTRiC GR�UND - -- -_ ' " - -- - � � � UNDER FLOOR DUCT , ' � � ---- � ' GROUND PLUMBING � UNDER FLOOR,CO�IDUIT � - • SLAB GRADE - - - � - . FIREPLACE FOUNDATION - •• •`� ' ' ` TEMP POWER-- - . '� � _ -- ' ' - � FIREPLACE BOND BEAM .---- . _ � . . . �. . - �--_- --.-- , WATER SERVICE�-.- -- -� --- -- � --- � :-- : � - MID HT.BOND BEAM '•' .' , . , , , � - : - •- • - - : ..._ . . . ROOF SHEATHING - - - - � - � 8 FT.BOND.BEAM� �- . ; � FRAMINGNENTILIATION � FINAL BOND BEAM ' - ROOF COVER .. .- . - PRE-GRADING � � - - - � ' ROUGH HEATING-— ---- - -; - - - BENCHING - ` ROUGH ELECTRIC - -- - -- - -ROUGH GRADING � ROUGH PLUMBING ; - -- — - "- -- � FINISH GRADING • SHOWEF�/TUB TEST �- - �� " � � ' POOL ELECTAIC • ' � ' EXT.LATH/SIDING �, � � , � P�OL FENCING ' � :' WAIL INSULATION ; POOL FINAL ' CEILING INSULATION ' � OFF SITE IMPS. � ; . DRYIIVALL NAILING DEDICATIONS, . SEWER I ' FINAL ENG. . SEPTIC TANK _ ._ _� __. .. ___ _ . .. . _LANDSCAPEIIRRIG. . ' ' �..---.= ON SITE IMPS. ' • SEEP P1T/L.L. .-� -' - = • • . GAS AIR TEST: --- - - - - FINAL ZONING FINAL CONST:, -- ---- � -- �--- � FIRE DEPT. FINAL ' � � . . � •.. FINAL HEATING -- -- - -- —�- - � -- HEALTH DEPT.FINAL ,; ; � FINAL EL�CTRIC- - - - " DEV.FEES PAID - �� FINAL�PLUM8ING �� f� '� � ENERGY • ; - . . „ , �F �� - -. _._._._.._. .. . a .-. • ---•� .. . . .... _. COMMENTS - ' - --- �-- --- . , .;'� . . � - - . , , .. � . � ' � : -- . - . .. _ � , . - - - -.- . - �- � , - • .., 'i -. .. . ' . - , t � ti . . � . , . . . � � ... ..� . . , _�:y , � . . . , - -- - ��.t.� �� `� 1 .��' . i • . . , . . . . . .. . •- SEPTICTANKSIZE. ' � . ., —' �' � SEEP PIT/U SIZE —.._ ,,,:. � '' � �. .r,;;r� .,. . .•, c i ,s—�--�i,.,._,' :s,!� ;� .��,— , . , • . `..•. . ��;:�.s.�.t'. , �.r � _ � ; . . _. _ . , ; � , -. _ ; �,��y. �j .. � _ . ' . . . . .. , , . -- -- � � - . , _ � t . , , ,. __ ; _ . . . ,, � . . . . � ..� ..-r . .., .