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Home My WebLink About13452 (29) �� CITY OF DIAMOND BAR /�� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �c . 21660 E.Copley Drivc Suiu 190 (909)860-3195 Faz(409)861-3117 PR ESS �� BUILDING PERMIT APPLICATION FIRMLY N JOBSITE APPLICATION .— PERMIT r P/C o ADDRESS �S�� LS►L 11Lf IATP. DATE S `I Z- NUMBER � J� A c� ISSUE ^ TYPE OCC APN LOT y T CT �ZNd07 DATE�-" IZ��"! CONST. GAOUP , _ p OWNER �� L% ADDRESS ZONING SETE3ACKS � CITY C��a MC'�F4 ZIP�p�C TEL. � R�R RW ❑O APPLICAPlT TEL. SIDFJSIDE STREET RW ❑ � CONTRACTOR J Q�i�1-1�:�c' '�nC • SIDE ❑ � ADDRESS�?�+': G'rP�Y�l/� PROPOSED USE__Q I U1VLF�1 r�,c ��I M��3 o CITY .�lV ff ibe ZIP�� TEL. � . w ARCHIENG/ � � DESIGNER � ADDRESS NO.DWEL NO. NO. UNITS STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION � Q OWNER-BUIIDER 0_CLARATION � SFRlADD/REM � O Q 1 MEREOY AFi1RM 1RIDER PENALTY OF PEiWRY iF1AT I IW EXEMPT FFdA h1E CONTiUCTOf15 LJ• GLfflg0/CBfpOR � � " � W CE/+SEUwiORTM£FOLLOW�NaFEA50N(SEC.70.71.68VS�NESSANOPROFE5510NSCODE:ANYqTYOFl (n C� CpU!lf7WlapIRE0U1RE5AiERA1RTOCDNSTRUG'i.ALTER�MFROVE.DEMOlJSN.OAREPNRANYSTAUC• W patio/Deck - � Z 7URE,PNIOR TO RS ISSUANCE.AL50 REOU�RES TNE MPLIGVlT FOR SVp1 PEHMIT TO FILE A SIGNED �� STATFMEM 7HAT HE OR SHE IS UCENSED RIRSUANT 7U THE PRWi510N5 OF 7HE CONTRACiONS LF � CENS[U�M(OUPTFN Y(CoMMENCRq WITH SECT�ON 1000)OF DMSION 70F THE BUS�N[SS/Uv9 PR6 � Poo�Da FESSqN5CO0E)diM.�THEOft5HEI5E%EAI7TTMEREFROMIWDiH[80.515FORiHEALLEGEDE%EMP• (� TION.MNY�OlAT10NOF6[CTON7W1.6BVNlVA7�LICANTFORAVER1dIT5UB.lECTSiH[APVLCANTTO z Re•Root � ACMLFENIILIYOFNOTMORETIANFNEM/NDREDDOUMS�fSaO).)� � OI��ENOFTNEFROPERT7.ORMYEMPLDYEESYATHWAGES/STMEIRSOLECOMPENSATqN, � Commerclal � MALL00 THE M'ORK ANO THE STAUCiURE IS NOT MENDED Oii OFiENCD FOR SALE�SEC.7oa�.BU54 J NE55 AND GROFESS�ONS OOOE:TNE CONTNACTORS LILEtISE UW DOES NOT MPL�TO AN OM�NER OF N iR07ERTYYAIOBULD50RIYPROVESIHEREON,ANONM1IODOES5UQIVIORKHIMSELFORNERSELFOq � � Q TNqOUGHN140RHERUN�EuttOYEES.VROVIDE01HATbUCHW7ROVE�[HTSARENOTMENOEDOR QOFFFREDFORSILEIF,HOWEVER�BUIL�wOORMCROVE1AEHilSSOIDWfTICNON[YFAROFCOMPLE� Z TION.THE OWNEF�U�LDER N7LL MAVE TME BURDEN OF GROVINO TMAT ME OH SHE DID NOT BIJIID OR = MPROVEfORTHEPURPOSEOFSKE). w OIASOMMEROF7MEPROPERTY,AlAO(CLUSNELYCONTMCTPlOWfTHLICENSEDCOMMCTORS � TO CONSTRVGT TME VNWEGT(SEC.70M.BUSINE55 PND iROfE5510NS CODE:THE CONTMCTOiLS Ll• VdIU3tiOf1 ADJ.AREA �17 CENSEUWDOESNOTAPPLYTOFNOWNEROFAVPOPERTYW/108ULDSOflIMPHOVE4TMERCON.AYD F� M/NOCONTMCf$FOHSUCHPROJECTSWfTH�CONTNACTOR(SI��NSEDPURSU/�MTDTHECONTMG QUANTITY DESCPoPTION' FEE . � tORSIKENSEIAW� . . . 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B.l VC.FOA TMIS REASON U 3 r� � D�TE OVMER � 7r W F LICENSED CONTRACTORS OECLARATION W � IMEREBYAFFIRUUNOERPENA:TYOFVERAINYTIUT�NdlCEN5E0lM�ERVROVI510N50FCXMTER V. � �..� � . �',� �j � ��COWIENCINOWITHSECTION70oo)OFDM510N70FT11E8USINESSANDPROFE5510NSCOD[.Ml� Z �� MY�ICENS[ISNFUILFORCEMlDEiFECL m h��l �Q y -} y� h� � UCENSE CUSS �7�G_LIC.N0.�J y � � � �' D F�— Vp,�� corrt�ucron� � m.�.} a w o D , � WOHKERS'COMP[NSATION DECLARATION Q � U N IHEREBYAFFIR4IUNDERPENALTYOFPERIURYONEOFTHEFOLLAWiNGOECURATIONS: Z Q C ��WNEµpWI��UAINTIIHACERTIFIUTEO�CONSCNTT(/SEIFaNSUREiO(1YARKERS' _ Q CpAPEN5AT10N,A5PROV10EDBY5EC7tON77ooOFTHELAOORC�DEFORTIEGERFORUANCE w OF THE WORK fOR Vh11q1 TMS PERM�T IS ISSUED. � � _I HAVE AND WRL MAMNN YpRNERS COM7ENSATION INSURANCE,/S R[OUIRED BY SECTION Q J7000F7HELABORCODEFO(iT1EPERWM.�NlCEOFTM[WORKFORWHIGTITMISPERMiT15 ISSUED.MYWONKER'COMVENSA7qN�N5UiUNCECAHN�[RANOPOI�C'�NUAAOERAAE: CONSTRUCTION � unwER � �'�� P PLAN REVIEW . . . . _ G pOLJCYNUu6ER_!�y_�� 3�N -- ---- ELECTRIC � �rsssccnor+rcmnoreEoaa�ooanEaEaMrsr�a+ewnor�moou�uasa,oa,rnirs� PLUM�ING .Z�.b� � �CEqTIFYTlUTR1iH[PERFORMANCEOFTHEWORKfORWHICNTMiSPEPURI5155UED,l MECHANICAL • '�� (7 5141LNOTEUPLOYANYPEN50NNMfYMANKER50A570BECOME5U0JECT70TM[ �y�" N WORKERS'Cd,PENSATI�NUN50FCALIFORNitiANOAGREETFUTIFIS��IXRDBECOME INSPECTIONFEE S SIAIECTTOiNEriORKEf15'CDUPEN5A7ioNOPAVI510N50F5ECT10N170oOF1H[UEfON �SSUANCE �� O CODE.I SHAl1 F011hnA7H CG.�PLY WITM T105E pil�V�S�ONS. � O SMIP . � � 1� ` p DATE: APPLICANT: t '� �v`� !�— � ENERGYP/C L��'1`, •''�� WAqNINC:FNLURETOSECUREWORKERS'COA�PENSATIONCOVEHAOEISUNUWFUL./�N�SMALLBE '1•`-" }�— � $UBJECTANEMFLOYERTOCWMINALPENALTIESANDCMIFWESUVTOONENUND1iEDTNOUSAND ENERGYPERM�T � . �T�:�t�� _ c�S'L� DOLLARS(5100.000).N hI7DITtON TO THE COST OF C0IAPENSAiqN.OAMACES AS VFOYIOED FOq IN . ¢ SECTIDN]70lOFTHEUDORWOE.INTEREST.ANDATTORNCYSFEE9. RE7ENTIONFEE: �1 „`S�Z�T�� ,v ` W CONSTRUCTION LENDING AGENCY pRE-ALT FEE: �L i�"' d O � INCitCBYAFFlFUIUNOERPENALTYOFVERAIRYTUTTHERLISACONSiRUCTIONLENDINGAGENCV Z fOH iHE YER W RwWGE OF THE WOHK fOR N'HICH THIS iERM�T IS ISSUED(5[C.1av7.CN.C.�. W � LENUER'S NAME ' S � LEI�DER'S.V�DRE55 �/y�y� �j � ICERTIFYhUTIWNEREAUM1511�PLICATIONANUSTATE111�TiNEA80YEINFORMAT10NI5CORREC2 TOTALFEES � � •�^ Y'O � IAGREETOCOM7LYN7TMALLCITYANDCl�IMTYOfiOTUNCE5AND5TATEUW3AEUTNlOTOBVILDING � CONSTRUCTION.ANDHCREBY/lIfTMORRERE7H[SENTATIYESOFTNISLOIMTI'TOEMERUGONTML ADOVE�YENfY1NE0 CROVEifTY FOR INS�ECi1DH PURPOSES. COMNENTS ¢ PERMfTT IME��ri�DN�UI�,f1�1+ �I_ . [A v� � � - � $qNATUHEOFP DAIE RECPT.NO. PA1D BY VALIOATION � WHITE—Depanment Gopy.YELLOW—Finence Copy,PINK—AsseaaorCopy.GOLDENROD—File Copy.GREEN�J1pplicanYs Copy - � CITY OF DIAtIrOND BAR . � . � " � INSPECTION RECD�iD �� • � � • - • � � . � . SET BACK ' ' ! ! - j - 1`� : , FLOOR JOIST FTGS/FORMS/STEEL � FHA REQMTS , � EtECTRIC GFiOUND ' ' -' ' - UNDER FLOOR DUCT ` ` . -- GROUND PLUMBING ' UNDER FLOOR GU�IDUIT.` ,' •� ••1 . .� . : � . ,. SLAB GRADE - FIREPL'ACE'FOUNDATION- ' ' ��'�' ' ' ' ' TEMP POWER � FIREPLACE BOND BEAM WATER SERVICE - MID HT.BOND BEAM • _ - • � ROOFSHEATHING �- � '�' ' - " � ' � BFT:•BONDBEAM • .. • , � . �,'_: FRAMINGNENTILIATION FINAL BOND BEAM ROOF COVER.' PRE-GRADING ROUGH HEATING - BENCHING R�UGH ELECTRIC - ROUGH GRADING . ROUGH PLUMBING - -(,= ' aU1� FINISH GRADING SHOWERRUB TEST POOL ELECTRIC EXT: LATH/SIDING POOL FENCING. WALL INSULATION P�OL FINAL CEILING INSULATION ' OFF SITE IMPS. DRYWALL NAILING ' DEDICATIONS SEWER FItJAL ENG. SEPTIC TANK _ . LANDSCAPE/IRRIG. . SEEP PIT/L:L. - - - ON SITE IP�1PS. �GAS AIR TEST -- � -� FINAL ZONING FINAL CONST. - �� - FIRE DEPT. FINAL -FINAL HEATING - - HEALTH DEPT. FINAL FINAC-ELECTRIC - DEV. FEES PAID FINALPLUP�1BING 0<f3•�( � •,c ENERGY t�f1'. .l: � r . , _ i � .� 'i � �. I �2 R fn . L.. &ir -� _"- . '.- �` -' � ' .'-- � -� i . . . _.... ... . ......-"... - . _ ..- ._ . . . . _ ._ . . COMMENTS ' , - - . , ,. •„� . � . . . SEPTIC TANK SIZE . SEEP PIT/U SIZE � ' �.r � _ _ .. , __. ;: _ , . , , _. . . , .� . . . . , . . __. . , � �� .� � . �' •- --- .� , _ .