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Home My WebLink About13828 (25) .. _ ,. .__.---._ .. ._.... ... _ ._ _ _ _ _._ . . . . � _ CITY OF DIAMOND BAR /�� '�� DEPARTMENT OF COMMUATITY&DEVELOPMENT SERVICES (.r'/ : .� 21660 E.Copley Drive Suite 190 � (909)860-3145 Fau(909)B61-3117 PRESS ^�� BUILDING PERMIT APPLICATION FlRMLY o ADDRESS OA7E CATION �ji � NUMB R/��+'�"" �r� � ISSUE 7YPE OCC APN LOT ACT DATE C�NST. GROUR � OWNER ' ADD S ZONING SETBACKS � C Z TEL • FRONT RW ❑ � APPLICANT TE - � REAR ❑ SIDFJSIQE STREEf RW ❑ CONTRACT R '' t SI�E ❑ g ADDR PROPOSED USE CITY ZIP TEL. �i ARCH/ENG/ �'�^�.;� o�f1 � DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORtES BEDROOMS yy CITY ZIP TEL. DESCRIPTION SQ.F7: FACTOR PSF ADJ.AREANALUATION � OWNER-BVILDER DECLARATION SFFUADDfREM � I NEREBY AFFlRM UNDEH FENALTY OF VERAIRY THAT I MI EXEMPT FAOM 7NE CONfMCMR9 LI� Gfl199B/GBIPOfI CENSELAWFORTFFFOLLOY'lWOREASON(5EC.�031.66USINESSAN�PROFESSIONSCODE:ANVpTYOR ,(n OOUMVYAi1CMREIXIIRESAPERL�RTOCONSTRUCT,ALTER�PqOYE.DEMGLISN.OFRE�AIRAVYSTiYUC- W P811NDBCk iURE,PRIDR 10 ff5 RSUMICE,ALSO REOUIRES TXE�PPLICAlR FOR�UCJi PERMIT M FILE�B�aNED � 97ATEYENT T11AT ME OR SHE 18 LICENSED PURSUANT TO THE PROVISIONS OF THE COMRFCTORS L4 CENSE l/N4'(q1APTEP Y(COAIMENCINa YVITH SECTION 70D0�OF DINSION 9 OF h1E BUSINESS MA PH4 �' P�USPB FESSIDNS COD�ORTMl1T NE OR 9HE IS IXEM�T h1EREFROM AND iME BASIS FOR TME KLEOED E%EMP- TpN.AHYVIOLATIONOFSECTI0N7097.68VANVACPLICANTFORAPERMITBU&IECTSTMEAVPLIGNTTO Z Re-Raof F ACML/EW�LTY OF NOT M011E TVIM1 fNE HUNORED DOLLAR9(i500).}. 04ASOWNEROFTHEPROPERT/.ORMYEMPLOYEESWITHWAOESASTHEIRSOLEOOMPENSATION. C) Com111BfCi81 �� g. YVILL DO THE WOAK,AND 1HE 6TRUC7URE l5 N�T INTENOED OR OFFERED FOR SALE ISEC.7ou,BUSI- � J y NESS N!D Pf10FRSqNs OODE:hIE CON�RAC70RS IICENSE�Aw DDES NOT APGLY TO/iN OWNEH OF j PROPEHTY NM1iO BUTASOR IYPNOVESTNENEON.AND NA10 OOES SUOi WORK HIMSELF Oq HERSELF OR Q TF4iWOi1HI50RHERONNEMPLOYEE9,VROVIDmhUTBUCHMPROVEMENTSARENOTIN7ENDED0f1 m , � OFFER�P�RSALEIF.HOWEVE0.THEBULDINGORMAPibVEMENT1860L�YVITFIINONEYEAROFCOMPLE- � TION.T/IE O�NNFR-BUILDER WILL/iAYE TIIE BURDEN OF PROVIN6 THA7 NE OR 6HE�IO NOT BUILO ON YPROVE FOR TFIE PURP09E OF 9A�Ey O I,AS ONMER OF TXE PIi�PEiRY,AM El(CLUSIVFlY CONTRACfINO N7TM LICENSEO OONTMCTORS � TO CONSTRUCT 7HE PRO.IECT(6EC.7W1,BU81NE5&AND PPoOFESSIONS ODOE:7HE CONTRACTtlHS LI- VBIUetIOn ADJ.AREA CENSE UVW DOES NOTAPPLY TO AN OWNEfl OF A PROPERiY WHO BUILUS OR NAPpOVE9 TiEREON,MIO WHOCONfRACT9FOR861CFIVqOJECTSMAT!ACOMTMCTOR�S�L�CENSEDPUN5l1AN7T07NEWNTqAC• QUANTITY DESCRIPTION FEE � TOHS L10Eli5E V�W.� / O I AM E%EMPT tINDER BEC. B.1 P.C.FOR TNIS qE�50N U � k u � V" DI1TE OYYNER V � LICENSED CONTHACTOHS DECLANATION � � � W 1 NEREBYAFFIRM INJDER PENALTY OF PERIURY THAT IAM UCENSEO UNDFR PHOVISIONS Oi CMAPTER � � Yf�MENGWOWI7H5�700o�OFDNISION90fT}IEBUSINESSANDPROFESSIONSCODE,AND 2 W LICENSE l4 N FLLI. AND EFFECT. � ��- UCENS �LIC.NO. - „'J7 t� DATE��'�'7/�� CONianCTO � a t7� a� WORKERS'COMPENSATION DECLARATION Q � v y IHEflEBY/FFRMUNOERPENALIYOFVERNRVONEOFTMEFOLLOWINaDECIARATqNS: Z � _INhVEANDWILLMAMTNNACERTIFlCATEOFCONSENTTOSELF�INSUFEFORV/ORKERS' _ CdAPENSA710N.l1S PROV�OED BYSECl10N 770o OF 7NE VBOR CODE,FOH TIE PENFOiiMANCE U � OFTFIEWOPoCWRYR7ICXTXISVENMRISI6SUED. � � �1 H/�VE ANO WIIL MAMTAIN MfORKEflS'COMPENSATION INSVFANCE,AS REWIRED BY SECTDN Q 870a OF THE LABOR COOE,FOR TNE PERFOPoNANCE OF iNE WORN FOR NM111CH THIS VERMIT 15 ISSIIED.MYWDRK�CI�+IPENSATIONINSURANC qAN voucrNwneeR�ne: CONSTRUCTION � CMRIER �.. .P - .,.f x: . � POI.ICV NUMBER ^�� ELECTRI _ � (IHssCt'IIONNE�wiBEmL6LE�oF7rEPEwxfsioaaNEIaADREomuAis¢�ao)at�Ess). PLUMBING � I CERTIiV TXAT N THE PENFORMANCE OF hIE WORN FOfi WHICH THIS PERMIT IS ISSl1E0.I MECHANICAL �� J� SFULL NOT EMPLOY ANY PERSON IN ANY MMINEH SO AS TO BECOME SUBJECT TO 7HE (p WOiIKERS'CqNPEN5AT10NUW50FCALIFORNI0.NM�lU1REE7MATFIS/pULDBECOME INSPECTIONFEE p�,��_�y�.,�nR.'Yt,'�1�]�A� 81.6.�ECTTOTHEWORKERS'C0IAVENSATIONOROVISIONSOFSECTION97000FTHEUBOR Vl� 1 Vi� 1�'�f"= -rj cooe,i sruu romrwrtH caer�r wini nase rrmwsaHs. ISSUANC •,.x+r�; ��Tj'F?T�' .?.�'� O DATE:L�fC_lL APPLr•,ry7�� // �� — , . W � WMNIKKi:iAILUqETOSECUREWORKER3'COMPENSATIONCOYERAGEISUNLAWFUL,ANDSWILLBE ENERGYP/C � SUBJEC7AN EAIPLOYER TO CHUAMAL PENAlTIES ANO CIVIL FINES UP TOONE HUNDRED TFIOUSIWO ENENGY PERMR Y DOLUAS(i100,000�.INADDIi1ONTOTiECO6TOFCO4PENSATqN,UAMACESASPROWDEDFOPIN � 6ECTqN 370E OF THE U1BOH ODDE.INTEREST,ANO ATTORNEYS FEES. AETENTON FEE: d CONSTFUCTION LENOING AGENCY PRE-ALT FEE: O � IHEREBYAFFIRMUNDERYENILLTYOFPER1URVTM�TTHERE1511CON5TRUCT�ONLEND�NOWENCY LOR THE PERFORMANCE OF TIIE WORK iOR WHIfJI THIS PEpM1T IS ISSUFA(SEC.9087,CIV.CJ. � � �ENDERS NM1E �� IH�DERSpUGHESS �� ICERTIFYTMATIWWENEA�MSAPPUCATIONANDSTATETUTTHEABOVENFOFMATIONISO�HPECI TOTAL FEES � IAOREEMCOMPLYWRMALLCT'ANOCOUNTYORDINMICESANDBT�TEIAWSPElATINUTOBUqAWfi • `' 'R GONS7AUCT�ON.MIOHEREBVAUTiORIZEREPRESENTAT1VE50F7HISCIXMIYTOENTEHUPONTHE L �BOVE•MENf�OVROPERIYFORINSPEC URP6SE5. 9 COMMENTS ,�, �C,,,_�� `�- r°'l?T'�! 0� _ �.�e� � VERMI7TEE IHry ' S ' � � � � �� /� (/� SKiNATUR WAi EE DME � REC� PAID BY VALIDATION WHITE—Depanment Copy,YELLOW--Finance Copy,PINK—rssessor Capy,GOL�ENROD--FiFe Copy,aREEN—Applicant'a Capy ..��..��.�.�.,,...,.�.....�. _—..... . . . t _� ;'. . . ... . .. . .. ..... . .. .. ._. . CITY OF DIAMOND BAR INSPECTI�N RECORD � � � , . � . . E i , . m . SET BACK F�OOR JOIa ,,,, . . �,� �: ��ti ;,,� � • '. FTGS/FORMS/STEEL ' FHA RECIMTS . . ELEGTRtC GROUND UNDER FLQOR�I1CT ; , �, -,'i„- , . . ---,', GROUND PLUMBING UNDER FLOOR COMDUIT �. , SLAB GRADE FIREPLACE FbUNbATION ':',' :``-�� }`._. , ' `. :�' ; TEMP POWER FIREPLAGE�BbNb BEAM WATER SERViCE MID HT. BCNUD$EAN� ` : • `- - • :E�' : '.'`- ROC?F SHEATHING :. i� , .. •', `: - , -� 8 FT.BOND BEAM - -�� • • ;':�'', FRAMINGNENTILIATiQN FINAL BON�BEAM`�.' , ,' ROOF C(�VER ' PRE-GRADING ROUGH I-iEATING BENCHING � ROUGH ELECTRIC • -z`I• �� ROUGH GRADING ROUGH PLUMBING FINISH GRADING ^ SHOWER/T'UB TEST POOL ELECTRIC EXT. LATH/51D[NG ( PGOL FENCING � WALL INSULATION POOL FINAL GEILING INSULATION � OFF SITE IMPS. DRYWALL NAILIh1G DEDICATIONS SEWER FINAL ENG. SEPTiC TANK LANDSCAPE/IRRIG. SEEP PIT/i..�. ON SIY�iMPS. � GA5 A!R�E6T . FINAL ZONING FIIvAL'COI�fST - • • - ' � �FIRE DEPT. FINAL F1CdAL HEATING ' ` " ' ;`'� HEALTH DEPT. FINAt i � F1NAL E�E�'l'RIC � �r ' �' ' " 1; DEV. FEES PAID � � FINAL PLUMBING � . ENERGY ` ' ,__ , �� :,. ( i � � � — — , . . . . . .. . . ' COMPJlENTS ,. - - ^ - - . , , . . . , , , .,. ,. ; . :, �_ �; ;M_:.� . __:__�_____.t._�----- , f'_._. _ , .. c ' — — � SEPTiC TANK SIZE SEEP PIT/U SIZE - -- �. � '�;�� _ � . , . _ , . . _ . . _ �.. . -.