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Home My WebLink About13435 (24) . ._.. _ . ... .... .... . .... -� -- ._........ .. .. - -------._.�__. . ... _ _..�--.— �� CITY OF DIAMOND BAR - � �� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ,� 21660 E.Copley Drivc Suitc 190 (909)860-3195 Faa(409)861-3117 PRESS � ''�' BUILDING PERMIT APPLICATION FIRMLY y JOBSITE APPLICATION PERMfT !�� p/C o ADDRESS � DATE NUMBEFi I� J # $ ISSUE /� 7yPE pCC APN_�,�,_ LO'[ T T DATE �I I'—�`�I p OWNER �L� s CONST. GROUP p ADD SS � LVt� 20NING SETE3ACKS Z C ZI TEL. � FRONT qvy p g APPLICAN7 TEL REAR p � SIDFJSIDE STREET RN/ p � CONTRACT _ SI�E p ADOR ' � CITY� ZI TEL.�' PROPOSED USE L oARCH/ENG/ 3' � � DESIGNER NO.DWEL. NO. NO. = CD.TMDRESS Z�P TEL UNITS STORIES DEDROOMS � � �ESCRIPTION SO.Fi. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFR/AD0.�REM ' �" O Q 1 HEREBY�FFIRM tINDEfl PENIlTY OF PERIURY THAT t A1A E%EA�PT FROM THE LONTMCTORS Lb Garege/CeryOR W CENSEUWFORTHEFOLLOWWOREASON(SEC.7D71.66115P1E55�MJVROFES5lON500Df:ANYGTYON (n �� COUMYNM1d/NEIXIIRE5A7ERMITiC1CON5TAUCT,AL7E0.MVRpVE,OEMOLISH,ORPEPAIRANYS?RVC- W PatidDeck u� IURE,ORqR TO 1T9 ISSUANCE.ALSO HEW IRES iNE APP�ICANT FOR SVCH PERMIT TO FIIE A 51GNED w � STATEUEHT 711AT HE OR SME IS IICENSED PVRSUANT TO T/E PROVI51ON5 OF THE CONTMCiORS L4 LL � CENSE UW(CFIAPTEq Y(COMMCNCINO VrtiM SCGTION 7000)OF DNLSKKI�OF THE BVSiNE55 MlJ VRO• POOUSpB FESSqN5000E)ORT/UTMEORSMEISE](EMPTTNEREFFpAANp7l1EBA515FORMEALlEGEOF%EMP• (} T10N.ANYVpLATONOFSECTION70]1.6BVANYAP7LICANTFORAPCi1MIiSUBJECT57H[APPLILANTiO Z Re-Roc1 � ACMLVENALTIOFNOT6AORETWIFIVEMINDREDDOUAR5115001.1: O OLASOYMEROfiMEPf1OPER7Y.ORMYEuOLOVEESWiTMwACE5AST11Eiq50LECOUPEN5A7pN, 0 COmmBrClal .• � YALL DO 711E W'ORK,ANO 7HE SiRUCTURE LS NOT IMEMJED OR OFFERC�FOR SALE ISEC.70�1 BUSi� J � NESS AHO PIqFE5510NS COOE:TME CONfRACTORS LICENSE UW DOES NOT A7PLY TO AN OwHER Of ? Pfi�PERiY VMHO BVRDS OR MPf10VE5 TIEREON.IW D NT10 DOES SVCH WORK HIMSELF OR MERSELF OII ' WT1/ROUOI/HS OR HER OWN EMPLOYEES,PROYfDEO THATSUGN MPROVEAlEMS ARE NOT PlTENOED OR m Q OFFER[DFOR5/1E6,FqwEYERn1E8u0.Din�OHnAPROVEMQfTISSOlDW�7MNONEYEAqOFCOMPLE� � TION,TNE OWNER�6UIlDER NnLL HAVE iNE BURDEN OF GROVN1a TNAT HE Oq SNE DID NOT BUIID OR � IIAVROVEFORTNERIRPO;EOFSALEI. � _ �yJ OLIISOVMEROFiHEGf10PERTY,IIMEXCit15NElvCAMqACTWavrtTNLICCN5EDO0IJTRACTOfI^. (= TO WNSTRUCT TH[iRQIECT(SEG 70u,BUSInE55I�NO CROiESSldaS CODE:TNE CONiRACTOi15 LI- VZIUeliO(1 ADJ.AREA lil CENSELAW00[SNOTAPVLYTOMIOWNFROFAPROVERTYVnqBUILD50fl1uPfWV�g7HER[ON,/WD � WNOCONTMCTSFORSl1P/iRQ1ECT5WITYACONTMCiOR�S)L�CENSEDFURSUAMTOh1ECONTMG QUANTITY DESCRIPTION FEE � lOHSUCEHSEUW.). 0 ❑INADlE4VTUNDERSEC. B.IP.C.FORTMISH[ASON Q � / w � � � � � k � LL' DATE OWNER F- o c' —<,O F LICENSED CONTRACTORS DECLARATION W � IHERCBY/FFIfWIM�ERFENALTYOiVERA1RYT/M7IAMLICENSEDUn�DERPROVI5iON50FCMAl'TER V, � i�COYYLNCPI�N7TH SEC7qN 10001�OM510N�OF TM[BUS:NESS AND Pf10FE55qN5 CAOE.�ND Z �� W IICENSE IS N FULL FOR MYJ EFFECL �J � m � LIGENSE U155 LIC.NO. /_______��\��t� J WDATE + CONTHACTOFi�v �C.lf�� a � WORKERS'COMPENSATION DECLAFiATION ¢ . NIMEREBYAFFIRUUTAERPENALTYOFPE0.IUPYONEOFTHEFOLIOri".NCDECLAMTIONS: Z ' � _INAYEMAN^.LtA1NNTAMACERTIf1CATEOFCONSEHTTCISELFaNSUREfORWORKERS' S � WMPENSATqN,A57ROVDEOBYSECTON]7ooOFTHEWiORCDOE.GORTHEPERFOiiuudCE U ��-///�� OF THE WO�iK FOR NMICH i1115 PERUIT IS ISSUCD. W � � 1 W IMAV[AMJWILLMAIMAPIWC]RKERSLOMPENSA710NINSURANCE.115HEWIREDBVSECTqN � �70o OF TNE LABOR COOE.iOR THE PERFORAIANCE OF7HE WORK FOH WHICH THiS PERNrt IS � ISSt1ED.11YN9RKr • ypENSATIONINSUR RRICfieVDVOIICWNUAlOSRMC: CONSTRUCTION r\ 7 GIRRIER � ` u PLAN REVIEW � iOIICYNLMDER �—� ' . ECT . _,.• � �� U�/r -...� � (f1f�SECTCNNEmWTBE�1.f't£IEDO�hCFER1.R6PDilONEHfIffDDOl1Af15R�OGIMlE5S1 ING Z ICERTIFYTMATNTHEPERFOHMANC[OF�HEWORKFORWNICHTH157ERMRISISSUED,1 MECHANICAL� ('� SHA:LNOTEMPLOYMIYPERSONWANYYANNERSOASi00[COM[SUBIECTTOTHE / (/) WOFKER5CpAPENSATqNUW50FCALIFOfiNIA,MIDAGREETM�TIi15MOlJL�BCCOME �NSPECTIONFEE � �� ' � 7i��ny . `- Sl43JECTTOTNCNOfiKERS'C�MPENSATqNPROYI5qN50F5ECTION�7d`^�THELAflOR ;�7+��r.'r .. ��V�/ � ./�'_ ,j' S �ry e.isHutvoan�wirNcan�rwm� aRovi5ar�5. SUAN 7f� ` i, p DATE:1 � 6�APf'LICAM� _,� � SMIP '�'lJli�j�j ' �� '�`II �SFI(� � ENERGYP/C ' '�' '.� .:.� ;..�! �;.J,ti. WARMNC:FARURE TO SELUHE WORICERS C0IAPENSATION COVEflAGE IS UNUWFUL,AND SHALL BE � SUBJCCTANENPLOVENTOCNIAPIALPFNiILTIESANOCMLFWESUPTOONEHUNDREDTH0U5AI:D ENERGYPEFMIT � DOLURS It1oo.0001.N PDDITION TOTHE CAST OF Cpu7EN5ATqN.DAMAGESAS PROVIDEO FOR IN � SECTiON])oe Oc T11E UBOR COO[,NTEREST,�NDATTORNE"'S FEES. RC-TENTION FEE: OCONSTRUCTION LENDING AGENCY PRE•ALT FEE: � IHER£HYAFFlNAIXAERPENALiYOF0ER1URY7HATTXEREISACONSTRUCTIONIENDWGAGCNCY Z iOR iNE OENFORMANCL OF TNE WORK FOR YmICH T115 VERIAIT IS ISSUE�(SEG.]OGT,CIV.C.�. W ZZ LENDER'S NAME _ � LENDER'S/�JORC55 � TOTAL FEES ,�(�1 � 1 CERTFY THA711UVE READ T11S APPLICATION ANO STATE MAT TNE ABOVE NFORMATqN IS COMCCT. W IAGREE TO COI�APLV WITH ALLGTY AND COVMY ORDINANCES AND 57ATE IAWS REUTINO TO BVIAING a � Cd�STRUCTION,ANDHEREBYAIlfHOli12EREVRESENTATNE50FTN15COUNTYTOENTERUPONTHE . Z ABOVE�MF EDiNOPERTYfORINS�EGTIONVURFO5E5. = Mr,�� /� COMMENTS J �fJ m VER F.N � Q / G N y NATUR i DEA4ITTEE DAfE � . . . R[CPT.NO. PAID BY VALIDATION WHITE—Oepertment Copy,YELLOW—Finence Copy,PINK—AssoasorCopy,GOLDENROD—FilaCopy,GREEN—Applicant's Copy � . . .. � . . .�...' :\,. . . ' . . . . . . . . . . . . , . ,. . �. � .. '_ � . . . . . � . ' � . ^�_. . . . . . ._. ..""'..., ."'._�..._....... . ..... ^" � �' :`.•�: ,, CITY OF DIAMOND BAR � � � INSPECTION•RECORD � E � � � , � - • � � • - SET BACK � . .• = � FLOOR JOIST �--�� (•:.\ 'I•-`v «�. ��`' ?'1 • FTGS/FORMS/STEEL � FHA REQMTS. , , ;, ;. - ELECTRIC GROUND ' ' - UNDER FLOOR�UCT, = �; . ; �� ; ��-•;:-, ' . GROUND PLUMBING � UNDER FLIDQR:CQnI�UIT:-;�,. , • �:•.:�.1 �,� '� ��; SLAB GRADE - FIREPLACE F��NDATION�-:�• - � ��-� :��'�� '•�'�5� � TEMP POWER � FIREPLACE BdND BEAM WATER SERVICE MID HT.BOND BEAM ' - - • '- L; `�'' " ':. ',., ROOF SHEATHING- �' � - 'l�� ' '�``-` 8 FT.BOND BEAM�; • •• � � � � � � � ,,, FRAMINGNENTILIATION FINAL BOND$EAM�••�� ROOF COVER PRE-GRADING ROUGH HEATING - BENCHING ROUGH ELECTRIC � '� ROUGH GRADING ROUGH PLUMBING - FINISH GRADING SHOWER/TUBTEST POOL ELECTRIC EXT.l�1TH/SIDING POOL FENCING ' WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING DEDICATIONS SEWER FINAL ENG. SEPTIC TANK LANDSCAPE/IRRIG. SEEP P!T/L.L. ON SITE IP,qPS. GAS A!R TEST , � — -. t-, .. c c .FINAL ZONING FINAL CONST.=• ', ;��'` ';� ' ' ' '' ' -FIRE�EPT.FINAL FINAL'HEATING ' � " };-, , ; � ,' HEALTH DEPT. FINAL FINAL ELECTRIC- -_�t�� J ' �� DEV. FEES PAID FINAL PLUMBING ENERGY .�>^t • a(r'; • ' • . :.� � COMMENTS � •-- , . . • � , �-�� _ _ :\. � - • • - - - , .,�-_. '_- �� : _ ----\ _ , ,•�. _ 1` ` SEPTIC TANK SIZE SEEP PIT/U SIZE ;r � , � ,F�� . . _:.,,�, _ .._. --., . _ , ,�� , , � � . . . -- � . . ...