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Home My WebLink About13070 (25) _�� CITY OF DIAMOND BAR � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � e ai�o E.c��y nriv�s�►c�i90 PRESS (909)860-3195 Fax(909)661-3117 ^�� BUII.DING PERMIT APPI�ICATION FIRMLY oN JOBSITE � DATE CATION NUMB R� �e�-`!�� ADDRESS 1�� '�� '"�� `�"�' �� $ tSSUE ,. TYPE OCC APN LOT T CT Z- � DATE � �� I CONST. GROUP � OWNER � ADDRESS ZONING SETBACKS CITY TEL. FRONT RW ❑ APPLICANT TEL. REAR ❑ � SIDE/SIDE STREET RW ❑ CONTRACTOR SIDE ❑ � ADDRESS PROPOSED USE e� CITY ZIP TEL. e ARCHlENG/ � DESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS CITY ZIP TEL.�� DESCRIPTION SQ.FT: FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDER DECIARATION SFqlADD/REM � � 1 NEREBY AFFlRM UrDER PENALT'OF VEiW RY hiAT 1 AM EXEMPT FHOM iHE CONTMCTOR9 LI- ' GO�a�� CENSE UW FORTNE FOLLONIINa REA�ON(SEC.7031.6 BUWNESSMIO Pf10FES510NS COOE:ANY qTY Ofl OOUNTYWHIp1RECUIRESAPERMRTOCONSTRUCi.ALTERIMPROVE,DFMOlI3H2ORREPAIRANI'STRUC� w � � NRE,PRqR TO R9 189UANCE.ALSO REWIRES THE APPLICAHf FOR 8UCh1 PERM�T TO FILE J�SIONED � STR7EIAEHT 11UT NE OF 8HE IS UCENSED PU0.4UM1T TO 1ME PqOVIS10N3 OF THE CONiMCTOR3 U• CEN9E 1AW(CIMPTER�(�MENCWa WITH SECTION f00G�OF DIVISION�OF THE BUSINE53 AND PPG �'�' POOU5p8 FE931ONS COOE)OR TMATXE OR SHE IS EXEMPTT1fEREfROMANO iHE BA915 WR THEALLEOE�EREMV- TpN.M1YVIOlATqNOF5ECT10N7M7.6BYNl�MPLICANTFOqADEfWITSUBJECTBTNEAPPLIC/NTTO � Re-Roof � AGML�ENKTYOFNOTMORET/NNFIVENUNOHEDDOLL.\R9�i5m�J: ` . ❑4�.SPN�NEROFMEPROOEHTY.Oi1MVEMROYEESWITlIWA0E5A5THEIRSOLECOMVEPbAT10N, O COTTeICIeI WILL DD TFiE YVORK.AM1D THE STRl1CTUHE IS NOT MfTENOED Ofi OFFERED FOR BALE(SEC.70M,BU51- J � NFS9 ANO PROFESSION9 WDE:TME CONTRACTORS LICENSE l/1W DOE9 HOT APPLY To IW OWNER OF � . �t PIiOPEqfY 1MFI0 BUIL�e OR\IPRDVES iHEHEON,ANOINIDOOE9 BUCM WORK HIMSELF Oq HERSELFOR �� THNOUGHtiSORHERONRiBAPLOYEES,VflOVIDEDIHATBUCHIMVNOVEMENTS�ENDTINTENDE00Fl � � OFF6imFOR8JIEFHONIEYER7MEBUlDINOORIMPROVEMENrBSOLOWRNNONEYEAROFOOMRE- TqN,THE 04MER�6UlLOER WILL MAVE THE BURDEN OF VROVINci 7/uT NE OR 6HE pID NDT BUiID OR MYfqYE FOR 7NE WRi06E OF SALE). W ❑4��EROFTHEVROPERTY,AMEXCUISIVELYCONTMCTINOWI7MLICEN5E000MAl1C70RS � TD OONSTMICT THE PpOJECT(SEC.TON,6USINE86 ANO PROFE5810NS COD@ TNE CONfFUC70RS LI- V9k1Bt�On ,�_AOJ.AREA CENSE UW DOES I�TAPPLY TO AN OYMER OF A PROPERN MhfO BUiLDB OR IMPf104E3 THEREON,/WD N7IDCON�q11CT8FORBUCHPRO.IECBMATHACOHfMCTOF�lSILICENSEDPURSUANT70THEOON�MG pUANTITY DESCRIPTION FEE � TORSl10ENeELAW.�. � ..J � ❑IAM E%EMPT UNDER SEC. 8.t V C.FOq 7HI5 REASON q U 2 LL DI1TE OWNEH U � LICENSED CONTRACTORS DECLARATION W � INEHEBYAFFINMUNDENPEWLT'OFPERIURYTNATIAMLICENSEDUNDERPROVISION50FCH0.PTEH � � Y(COMIJENC�NOWRIISECTqN7oW)OFONIS�ONiOF1HEBUSINESSANOVROFES5lON5CODE,ANO Z W LICENSE IS N FlAL E Ml�EFFECT. m � UCENSE CLASS LIC.NO. �� _ ',.,I � ppTE CONTRACTOR _ _ a � WORKER�OMPENSATpN DECLARATION Q � INEREBYAFFIfUAUNDERPEWILTYOFPERRIRYONEOFTHEFOLLD'MNOOECLMATIONS: U y Z 6 0 _�INAYEANDWILLMNNTAINACERTIFIG7EOFOONSENTTOBELFdNSUREFORWORKERS' _ � COAAFENSATION,AS PqOVWED BY BECTION 370o OF THE U180R COOE,FOR TNE OERFORMANCE U `� OF THE MIORK FOR WMIGI7MI3 PERMIT 191SSUED. � � �1 MAYE AND WILL MNI'fMN'NOFlKERS'COMPEN5�710N INSURANCE,A9 REIXIIREU BY SECTION �4 a7oo OF T1E LABOR OOOE,WR iHE PEAFORAAANCE OF 7HE WaNK FOR WHICH iNIS PERMR IS J��f� aSUED.MYWOq�AS PENSATIONINS�RANCECAAflIERAf�POLICYNUMBERME: CONSTAUCTION _ 1 � . .. . ... (� . .. . . . . . . . . . . . . .. . ...j CARNIEH ��Y PLAN REVIEW O�C� � POLIGYNUMBEH � � ELECTRIC � (fFtlgyECTqNNE�NOfpE(bAPLEfEppFlt�EpEqMrtst27FioNe1x1N1qmDOLLMs�S�mlonlEss} PLUMBING t. � I CENTIFY hIAT IN 7HE PERfORMANCE OF TME WORK FOR VMICH T11S PERMIT IS ISSUE0,1 MECHANICAL �,�k � BWLLlNO'fENPLOVNlYPERSONINAN'IMANNERSOASTOBECAMESUBJECTTOTHE ^ (�p WORKERS'COMPENSATION LAVYS OF GKIFORNL�,MIDAOREE THAT IF 18N�UL0 BECOME INSPECTION FEE �,"4��J -_----',7� SUBJECTTOTH NERS'COM7ENSATIONPfpVISIONSOFSECTI�N 70�OFTHELABOH 1 �i S COOE, SHNl FiTMM7HCOrdPLYWITHTTIOSEP VIS ISSUANCE 2 � SMIP �Z � p WTE: MPLICMIT: . _ . � WARNINO:FA UHETOSECUREVARKERSCOMPENSA710NCOVERNciE15UNLAWFU.1wD5HlLLLBE ENERGYP/C � 8�18dECTANEMPWYERTOCRIMIWLLPENALilE5M1DCMlFWESUPTOONEHUNDREO2F10USNW ENERGYPERMIT DOLLAIiS(i10o,000�.Ml ADDITION i0 TME CASTOF COMPENSATION,DAMA�ES AS PFOVI�ED FOR IN * � SECTIONJ70E OF THE IABON OODE.NtlTERE9T,ANO ATTORNEY'9 FEES. RETENTION FEE: 1• — Q - CONSTRUCTION LENDINO AOENCY PRE•ALT FEE: __�rr r�i j[: �4I�� I HEAEBY AFFIRM UNOER PENK7Y OF PERRIM THAT THERE IS A CONSTRUCTION LENDING AQENCY �7 FORTHEPERFORMANCE�FiME F7K FlNM17iCH7MI5PERMITI5155UED(SEC.]OY7,CIY.Q�. �I W �-1 Y � LENDER5 W�ME (� � LF�DERSRGDRE35 W 10ERTIFYTMATIIUVEREAD7HI5APPLIC�TqNANDSTATEnUTTHEABWENIFORMAT10H19WNRECL TOTAI.FEES �3�� U p� IM7FEE M COAIPLV NIITH ALL CT'AND COl1NTY OROINMICES M1D STAiE UWS RELATM�Ki 10 BULDINQ CONSTRUCTION,M1D HEAEBY MltFiORIZE REPRESENTATNfS OF THIS COUNTY TO EMER IAON 7HE � 'S� �eovEa.�EnrionEovnave nwn srecrqnvunnoSEs. COMMENTS � P►�t c.t � PEiWITTEENAME(PRI!!� � fJ7 � BIONATUFE OF PERMRfEE ATE � qECPT.NO. PAID BY "' ��' VALIOATION WHITE—Oepenment Copy,YELLOw-�Inence Copy.PtNK--Assaanor Copy,OOLDENROD--File Copy.GREEN—AppllcanYs Copy , . ,. , , . . . .. . . , , CITY OF DIAI1!lONQ BAR . ' IN:SPECTION RECORD . � , . � � - • a fl . � . SET.BACK FLOOR JOIST i �,+,r � `��t !� �`�.;,,j ,c `�,i ., � FTGS/FORMS/STEEL FHA REQMTS; , : f , , El.ECTRIC GROUND � UNDER FLOqR FQUCT - �i.• , � .. ; - ,�;T, � GROUND PLUMBING UNDER FLUOR�Cf)PIDUJ�''t?'�' '`:i it '� •__.' ! E. `<%.`.` SLAB GRADE FIREPLAC F�31J{Vb' TION . � ",;, - TEMPPOWER � FIREPLA��•�ONt3�EAM `' $� �.`'".�' `. `- -"•'t WATER SERVIC . MID HT.BaND BEAM---'• " � ' " ' " ` ROOF SHEATHI�IG' ' � =� 8 FT.BOND BEAM FRAMING/VENTILIATION � 7�Z�E FINAL B�ND BEAM •- •I, "; ROOF COVER PRE-GRADING� ; � A - ROUGH HEATING BENCHI'NCa!'� � ;< • ROUGH ELECTRiC _ Y ROUGH GRADING ROUGH PLUM8ING .'�• . , __. FINISH GRADING SHOWERlTUB TEST �i. � . POOL ELECTRIC EXT. LATH/SIDING � POOL FENCING WALL INSULATION POOL FINAL ' CElLING INSULATION 7' , OFF SITE IMPS. DAYWALLNAILING '7-3f•`I t� �l;,;` DEDICATIONS SEWER , FINAL ENG. SEPTIC TANK 'R . - ,.; •;� LANQSCAPEIIRRIG. SEEP PIT/l..L. ' y � i ON SITE IMPS. GAS AIR TEST � FINAL ZONING � _ _ FINALCONS`i: t.3•�°ti ': FIRE OEPT. FINAL FINA�HEATtNG ' � ; HEALTH DEPT. FINAL ( �— FINAL ELECTRIC i � DEV. FEES PAID �___� _ F1NAL PLUMBING � I ; ENEFiGY { � — �II � �11 4, -- _.. r,y �� ,,, , t. � . .� 14 ' t, �� S < COM1ilIENTS �J �.�' y ,. l � �4 f.. �� . . ., ; ; -- . J� � ; . « • f ;�"1 ! �5� .1 i �.e �, . ' . . ." f ''i, � 31 � .T r. , �{ ' � .i,+ . � } ...l.:.:} 'k.. r � � ..; . . . , . . _r - � ' ' :"1 i - SEP I�TANK SIZE _ SEEP P1T/U SIZE ��' ;' ��, �.. ' � ! 1 - "-..-;_ �.. � . '. �• .c' _. � .` � _—____. � � ` , , . .. ..�..+ -- � :' � . ; - � i.