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Home My WebLink About12419 (14) 3 �� CITY OF DIAMOND BAR f- DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Copicy Drivc Suitc 190 ' (909)86Q3195 Fax(909)861-3117 PRESS ��%M'� BUII.DING PERMIT APPLICATION FIRMLY JOBSITE ./' APPLICATION f� PERMIT P/C o ADDFiESS Z�� 11'�AZ L�•l�l� DATE � v✓�`�� NUMBER � A � ISSUE TYPE OCC APN LOT�1_ TRACT�7_-�Z� DATE CONST. GROUP p OWNER :� �` ADDRES� ZONING SEfBACKS � CffY I ZIP��TEL.��/1 S-41L REAR Rw ❑ APPLICANT r TEL. �ILL- SIDE/SIDESTREET RW O CONTRACTOR �'�� /�-�/; �=if' . SIDE ❑ Q ADDRESS,�1�7?S!. /3✓.' . �G L/�S � _s�N. '�'S p�OPOSED USE � CITY� � ZIP��TE4!�a�l�`l'ZL� o ARCHIENG/ n'� � DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL N DESCRIPTION SQ.FT: FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECUIRATION SFR/ADDh3EM � p I MEREBV AFFIILI LNDER VE1uLTY OF OE0.IURY TMAT I IJJ E%EMPT FNOA1 THE CONTRACTORS L4 Garaqe/Caryort 111 CENSEUlWFO(1TFIEFOLLOVIIHORCASON(SEC.7W1.6BUSiNE55ANDPROFE5510N5CODf:ANVCITYOF (n L� WUMYMM1d1PEONRES�PEN.IRTOCONSTRUCT,K7ERMPqOVE,DEUOLISH,ORREPNRANYSTAUG W patialDeck � TUNE,PFUOfI TO RS 159U►fKE.K50 REWIRES THE MPLICANT FOR SVCH PERMIT TO FILE A SIONE� W STATEMENT 7)UT NE OR SME IS LICENSED PUiiSUANT TO iME PROVISIONS OF THE CONTMCTORS LF � CENSE U'N(p1APTER 0(COMMENCINO M'17H SEGT70N 7000)OFDIVISION 7 OF 1ME BVSINE55 ANO PR0. LL PooVSpa FESSqNS OOD�OR TlUT HE OR SHE IS EXE4PT TMCHEFROAI ANO THE BA515 FOR TNE ILlEOED E%EMP• TION.ANVV10L�710NOFSECTIONTo71.68YAHYMPLK'J�NTFORA7ERMITSU&I[CTSTH[AVVIICANTTO z Re-Roo1 F ACMLiENALT'OFNOT►UIiEiFUNFNFMINDREO�OLUA5�f50017 � DI.tiSOWNEROFTHEPROVERTY,ORGVEM7LAYEESVATNWACESASTMEIR50lECOA1PEN5�TICN, O (�`pm111BfCWl � WILL DO THE WORK AND iNE STRUCTUF3E IS NOT INTENDCD OR OFFERED FOH SALF(SEG.70N,8U51� J N NE55 AND PROFE5510N5 LOOE:TNE CONTMCTORS LICENSE UW OOES NOT APPLY i0 AH OWNER OF ? 7H07ERiYMA1D BUIDS O(i MPROVES TMENCON.ANO KHO DOES SUG1 WONN HINS[LF OR MCRSELF OR Q 7Wi0UI7HNSORNERDWNEMPLOYEES,VROYI�EOTHATSUCH�APROYEMEMSAqENOTINTENDEDOF m � OfFEREOFORSALEF./10WEYER7MEBU0.DINUOAWPROVCMEMISSOlDN7THNONCYFJiROFCOMPIE� Z TION,T1E OWNERbU1LLER 1MLL HAVE THE BURDEN OF VROVNO THAT HE OR SME UID NOT BUILD Oq � MPi1OVEFOqiMGVUaPOSEOFSALEG W O�h90VMCROFiH[PROPCRfY,AMEXCIUSNELYCOMMCTiNOWRHLICENSEDCONTRACTORS (t TO CONSTRUCf 7H[PfiOJECT(SEG 70N.BUSIHE55IWD PROFESSIONS COOE:iHE CONTRACTORS L4 V8IU8Ii0f1 A0.1.AREA LLl �NSEUWDOESNOTMFIYTOANOWWEROFAPROPERTYWMOBU4D50RMPFlpVEShiEflEON.AND � Yrt1000HTRACTSFORSIKNVRQIECTSYrt(NACONiMCTOR(5)LILENSEDGURSUANTMTMECOHTMG QUANTITY DESCRIPTION FEE � TOi1S LICENSE UW} � ❑IAA1 FXFYFT UNDER SEC. B�P.C.FOR TH�S REASON U 3 � LL OATE OWNER � . . F4 LICENSED CONTRACTORS OECLARATION W CL IHERE9YAFFIiWUNDERPENALTYOFVEiWiiYT1UTIAMIILENSEDUt�C7ERPROV15i0N50FCNAPTER V. d ��COYYENCrqN7T115ECTDNi0o0)OFOM510N�OFTNEBl151NESSAh9PilOFE5510NSCO0E,AN'J Z X W L10EN5[iS N FULL fORCEIwO EFFECT. m � 1II,C,�E(N1SE CI.ASS � O LIC.N0. �� J V DRTf CONTMCTOR _ a W � WORKERS'COMPENSATION DECLARATION � ��v �. " - � •� � INEHEBYAfFIR1AUNDERFENALTYOFGERNMONEOFTHEiOLIOwiNGDECUM7qN5: U �"� � a _ � �� .� � _IIUVEANDNnLWAMTUNALEHiIFIGTEOFCONSEMTOSELFaNSURBGORKOPI(ERS' S I LJ � Z � , ?� { COYPENSIIiqN,ASPROViDEDBVSECilON77ooOFTHELA�ORCOOE,FORTHEPERCORUANCE U � Q OF 7XE WORK FOR WMICN MIS VERMIT IS ISSUEO. � ,� C 1 NAVEl�MI WILL MNMAP!WORKERS COMPENSATqN INSUFANCE,AS REOU�RED BV SECTION !Ml O 77DaOFTNEL+180RCO0E,fORTHEVERCORA1ANCfOFTHCWOaKFOpWHICHh115DEiWR15 ISSUED.MYYVORHERS'COMPENSATIONINSURAN£CARNER/WDPOLICYNUAI�£RARE: CONSTRUCTION � GwRIER ��•� �/•�� — C�, � PLAN REVIEW � POLICYNWB�R � IL E/�o��-I G�-LJ� ' ELECTRIC p �s[croNra�wre[m�si�oocncxaMts�oaa�K+nnmmiurisR+ml��ssl PLUMBING z I CERTIFV i11AT M 7ME VERFORMANCE OF THE WOAK FOfl WN1C7i i1C5 VERMIT IS ISSUED.1 I�ACCHANICAL � SF4ILNOTEMPLDYANYPERSON VNCRSOASTOBEW�.�ESUBJCCTTOTME N WORKENS'COMVENSATION .. tGLLIFO "A11N011GREETM�T�FISnWlDBECOME INSPECTIONFEE SUOJEGTTOTH[WON(E CONVEN 'IONP OV1510N' 77oo0FTHEU80R �) s LOOE.�SMALL FOHf .H COUPLV T ' �CF L(�/��l!� ISSUANCE / � � SMIP p DATE:�Lc'L A .ANT J '. � ENERGY P!C WARMN6�FA0.URCTOSECUREWORNERS '. 5 1LOVEFIACEISUNUWFUL.ANDSHALIBE ry StAIECfANEUPLOVERTOCR:uPlAL0ENILL .ANO LFWESUPTOONGHUMJRFDiM0U5AN� ENERGYPERMIT DOl1AR5�f�OO.OW),N/�DDITION TO TME COST OF COMVENSATION,DI1I.UGES Il5 CROVIDED FOfi W � SECTION770lOFiNELABORCODE,N7FRE5T,AN0ATfORN[Y5FEE5. ' RETENTIONFEE: pw., CONSTRUCTION LENDING AGENCY PHE•ALT FEE: � IHEREBY�iFliLAUNOERPENALTYOFPERNi7YT/UTTMCREISACONSTRUCTIONLENOWO�GCNCY �- FOR iHE OERFORMANCE OF iHE WOi1N FOR VnnCH TMIS PERMiT IS ISSVED�SEC.�oa�,dV.CJ. � T...,, � ' � IENDERSNAME � � � �� C LENDERSADDRESS wICERTIiYh1ATIHAVEREADT11Sl1PPUGATONA�d15TATETHATTME/ieOVENFORMATqNISCORRECL TOTAL FEES""'�� '-'� ��. �SG • �� IAGREET0004GLrN7TMALlC1T`lANOCWNTYOROM/�NLESAHOSTATEUwSRELATINGTOBUrtDINC CONSTRUCTION,ANO MEREBY AUTIqRIZE REPiiESENTATNES OF TMIS GOVNTY TO ENTEfl VPON THE , � /�BOVE�MEHTIONEDVROPER7YFORINSPECTIONVURR75C5. COMMENTS � �, /P. J . � � ¢ OE{iYRTEENAM PWNn � N � � SWNANftEOFPEiwITiE �� RECFT.N0. PAID DY WWDATION NMITE—Depertmant Copy,YELLOW�inence Copy,PINK—A�eeasa Copy,GOLDENRO�File Copy,GREEIJ�Apq�cent'e Copy � CITY OF DIAMOND BAR �: _ . , , �� ' ' ' �� INSPECTION RECORD�� . , , � � • , ►�c�+ t� e ` • - � � � � - SET BACK � • FLOOR JalST . .- __ . • � . FTGS/FORMS/STEEL � FHA REQPJITS_ . - - ELECTRIC GROUND � - UNDER FLOOR"DUCT-'_ -- GROUND PLUMBING � UNDER FLOOR•CO�IDUIT •,__� ., •', ' . � _., .' SLAB GRADE � - FIREPLACE FOUNDATION �-= -'• ' � - ' - -� � TEMP POWER - ' FIREPLACE BONb BEAM - � �� WATER SERVICE - MID HT.BOND BEAM—• • -� - • - - - • ROaF SHEATHING 8 FT. BOND BEAM • �� - - . FRAMINGNENTILIATION FINAL BOND BEAF�1 . �'- ROOF COVER . PRE-GRADING ROUGH HEATING � 9a' —� BENCHING 'ROUGH ELECTRIC ROUGH GRADING ROUGH PLUMBING - � " FINISH GRADING SHOWER/TUBTEST POOL ELECTRIC EXT.LATH/SIDING � P�OL FENCING WALL INSULATION , POOL FINAL CEILING INSULATION OFF SITE IMPS. . � DRYWALL NAILING DEDICATIONS SEWER FINAL ENG. SEPTICTANK. LANDSCAPEIIRRIG. SEEP PIT/L.L. ON SITE IMPS. • GAS AIR TEST - � FINAL ZONING FINAI CONST. FIRE DEPT. FINAL - FINAL HEATING � << HEALTH DEPT. FINAL • FINAC ELECTFiIC DEV.,FEES PAID FINAL PLUMBING EPJERGY ' *c�ir��;+�]�,slt-; •- .�:.'...�..:._ ' - - - COMMENTS - - - ' - � �� . - � _. � . _:, .,-� -- . . . - , . _ . � _ "_ .. _ � . �� . _ _�� 1 �, _. . . .:- • �. .._ .-��- , , \ .` :; , . . _�__�._. = . SEPTIC TANK SIZE SEEP PIT/U SIZE \�; . :-- :'�\;, '�� , �� . . .. . � , � ; ;.. , • � . _ . . . . • , , .. _. -� � . - . , � , � . � . t - _ . -,_ - _ '.