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Home My WebLink About11993 �� CITY OF DIAMOND BAR DEPARTMENT OF COMMUN[TY&DEYELOPMENT SERVICES ` 21660 E.Copley Drivc Suite 190 � �. PRESS � (909)860-3195 Fax(909)861-3117 '��'� BUQ.DING PERMIT APPLICATION FIRMLY JOBSfTE / � APPLICATIO PERMff !C �+ o ADDRESS ' 2ob33 I�u.Ss ��% DATE � � NUMBER � _`�'� �� APN LOT��TRACT, 30� ISSUE , - _ TYPE ' • OCC � DATE ' CONST. GROUP p OWNER _M� �' �� "' ADDRESS r u S r ZONING SETBACF(S ,`._ + � CITY Q�A�-o nr D ZIP 1"I�'GI TEL. �`J • FRONT ' ' • � RW ❑ APPLICANT TEL R�'R � SIDE/SIDESTREET RW ❑ � CON'fRACTOR SIDE ❑ Q ADDRESS pROPOSED USE ��T�� QM T a •$ � CfTY ZIP TEL �.�K�dOM 2 w ARCH/ENG/ � ¢ l' /1F� q r � DESIGNER N�WEL�� NO. NO. n. ADDRESS UNITS � STORIES BEDROOMS � CIN ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OVYNER-BUILDER D�CLARATION SF D !REM � � Q'V O p I HEREBYAFFlRIA UNDEH iENA17Y OF GE0.IUHY iHAT I M1 EXEMPT iHOAA THC COMRACT00.5 L4 Gyrege/CerpoR W CENSEUWFOR7HEF011OwwaRCASONI5EG7o�t.58u5WES5ANDPA0FE5510N5CO0E:ANYCITYOR (n � �UNiYNN1p1RE0UWESAGERA�ITTOCONSTRUCT,lLLTERMVROVE,OEWl151�ORREVAIRANYSTRUC• W Patio/Deck �,,.�` Ti1RE,PR10R TO fTS ISSUANCE. S�REWIRES THE AiPIIGVfi FOH SUCM PERMiT TO FlLE A SICNED W 2� O O a p v � STATE4ENT TIN7 NE OR SHE IS LICFNSED PURSUANT TO T/E PROV1510N5 OF TME CO!lfRACTORS LF , � CENSE UW(CMAPTER Y(COAIMENGNO YATM SECTqN 70D0�OF DMS�ON]OF THE BVSINESS AND iRO� LL' POOVSp3 FESSIONS COOE)OR THAT ME OR SME IS EJ(EMPT iNEREFRqA M+O i1�E BASLi FOR iHE ALLEGED E%EMP. TION.ANYVIOlAT10NOFSECfION7W1.6BYANYIIPVLIGNTFOFAGEfwITSIFLECiSTHEMVl1GNiT0 Z RB-R001 �,,,, ACMLiEtU1TY O�NOTRqRE 1MAN FIVE MUNDREO DOLUAS(f5o0))� � O4A40MRIEROFTNEPROFERTY,ORMYEMPLOYEESYn7MWAGESA5IHEIRSOLECOIAPENSATION. O Commereldl - YALL DO THE WOWC AND 1NE S7RUCTURE IS NOT MENDED O{i OCFERCD FOR SALE(SEG 7W�.BUSI� J N NE55 AND VHOFESSIONS COOE:TME COHTMCTORS LICENSE Uw pOES NOT APVLY TO AN OWNER OF � '��P�1 GROPEHTY NMO BUlDS OR�ACROVESTHEREON,ANO YA10 DOES SUCN WORK HIMSELF OR HCRSELF Oq Q T7ROl1f'JIIIISORMERON'NEMPi0YEE5,iROY�DEDTf1AT5Ud1WPROVEl1EM5ARENOTMENDEDOR m w ,OFFERE�FORSALEF,NOWEVER711EBUlLNNOORMVRDYEMEMI550lDW�THMONEYEAROFC04PLE� ZTqN,TME ONRIERSUIIDER NALL IIAVE THE BURDEN OF PfiOVWa TMIIT NE OR SHE DiD NOi BURD OR = WPFpVEFOHTMENJRP06EOF3ALE4 W OlhSOYmEROFT1EiROVEHTI;AAIEXCLUSNELYCONTMCTNOWITHLICENSE�CONTRACTDftS � TO CONSTRUCT THE CRO.IECT(SEG 7W.BUSINE55 ANO GiW iFS510N5 CODE iNE COHiRACTOFiS ll• VelUa�iOf1 ADJ.AREA I CENSE UW DOES NOTAPVLY TO AN O'M1ER OF A OPOPFRTY VAq BULDS OR W PROV[S THERCOH,ANO � 1MpCq7TRACTSFOFiSUp10R0.1ECTSWITTIACONTMCTOR�S)I�CENSEDPURSUNITTOTIECONTMC QUANTITY �� CRIPTION FEE � NRS UCEHSE UW). OIAFID(EIAPTUNDERSEG B.IP.GFOHMI5RG50N Q I� ^ u' UATF 7"� OWNER , M�- ��• 1 I 1 ,�/ Z w �d �• �'T��S � • � F6 UCENSED CONTRACTORS OECLARATION W [L IHERCBTIIFFROAUNDERFENALT70FVEiWflYT11�T1AMLICENSEDUNDERPAOViS10N50Fp/�PTEfl � I._/ w� 1. �,r(o�1 i/ .� 2 ` O � �(COYYCNCNON7TMSECTIONTODa)OFOMSION70F7HEBUSINESSAHDPROFESSqN5CO0E.AND Z NN i-�..�'�� +si�� {�{$W IIY IILENSE IS N FUl FORLE AND EFFECT. 11J � I 2 c.e+�n�cit-�s�vS � LICENSC U/l5S IIC.NO. J b�� V DATE GONTMCTOR n- W � WORKERS'COMPENSATION DECIAHATION � 4 � IHEREBYAFFIRIAUNDERPENAL7YOFPERJUR'�ONCOFTHEiOLLAWINCDECUpATqNS: � V � - � Z Q � _IMIIVEANDYl�LIWMTIUNACENTIFICATEOFCONSENTTOSElFdNSUREiORKORKERS' 2 � COMPENSA�ION.ASPROVmEDBYSEGT10N77o00FTHEU00RCODE.FORTHEPERi'ORMMICE �U OF TNE M/ORK FOR NM1p1 TMiS 7ERYR IS ISSUED. � 0 �IMAVEANOWILLMNNTAWYfORI(ER5COMVENSATIONINSUMNCE,ASREWiHEDBYSECiqN .�J �/7 n /\ 4 77DOOFTHELADOFILODE,fORTHEPERWRM/WCEOFTHEWORKiORWHK71fH15VERMITIS ��/1"1 `t/ � LSSUED.MVWORICERS'fbMPEN5AT10NINSUIWdCECARRIERANDVOLICYNUMB;RARE: CONSTRUCTION / ✓`� / � � ` 4 ] GARIEH PIAN REVIEN! � ��Y�O�R ELECTFIC � 0 �lC',SCcroNrLFDwiBEL�iETe7ofh[PEra.(rsfORa.E�arulEnDat/xsa+oo)atLEss1 PLUMBING � Z I CERTI�`/TIUT MTMf iERFORYANCE OF THE WORK FOR WMKII TH'S OERYR LS ISSIIED,l MECHANICAL (} 51W1NOTEMVLOVAN'ICERSONNN7VMANNERSOASTOBECd.1C5UBJECTTO7HE N YVOR1(ERS'L01A7ENSATqNUW50FCAlIFORNI/�ANDIIGREETHATIFISHOUIDBCCOMG INSPECTIONFEE � S SU6lECTT07MEMIORKERS'COMPENSATIONPROVISiON50f5ECTqN1]ooOFiHEUBOR a� cooe.�s�+�ut Farr�rn coua�r vnrn n.osE raov�s�ows. ISSUANCE ]�� p DAiE: APR�C�Nr. SMIP ""'� " W ENEHGY P/C WAfiNING:FALURE i0 SEGURE MIORKER5 Cd.�PEN$�TION COVERACE IS UMAWFUL./V:D SNAII BE � SUBJECiANEMPLOYEHTOCWMPlAL7EWVLTIESANOCM.LFWESUPTOONCMUNOHEDTqUSl4� ENERGYPERMIT ' 6 � DOLLMS(f100,000),P!AOOITION TO THE C0.5T OF COMPENSATqN,DAMAGES AS PROVDEO iOR W ��T � SEC7bN noeOF TNE LABOR CODE N7EHEST./�N0 ATfORNEYS FEES. RETENTION FEE: � r �✓ � d CONSTRUCTION LENDING AGENCY pRE-ALT FEE: � � O Q I HEREBYAiFIRAI UNDER CEN�LTY OF DERNRY iH117 THERE IS ACONS7AUCTION LEN�iNO�C[NCY -� �Z FOfi THE PERFORMl1NCE OF TME WONK FOR VlHIp1 7M15 PEFMIT I5155UED(SEC.�0Y7.CIV.G). " W � LENDER'SWWF � LENDER3:IDDRE55 ¢ ICERTIfYTMATIIUVEREADTWSAPPLICA710NMlUSTATEiMATTHEA80VENFORMATIONISCOHRECT. TOTAL FEES�� O � w IACRCETOCdAPLVN77N.LLLCT'ANOCOUNTYOROWANCESANDSTATEUWSRELA7INGTOBUM1DINO � CONSTHUCf10N.MUNEREUYAUT110fLIERE�RES[NT�TIVESOFTHISCWNTYTOENTERl1DONiNE S� ABOVE�4EHT10NEDPAOPERTYFO(11NSPECiIONPVRPOSES. COMMC'NTS � � s�� r�- ,s � � m v 1 ENNAE(P �Mfj � ¢ � � N StlNATUREOFPERAUREL OA1E � � RECPT.NO. PA1D BY WWDATION NMITE—Oepertment Copy,YELLOW—Fnance Copy.PINK—A»essa Copy.GOIDENRO �le Copy,GREEN—Appicenl's Copy . . . .. , . .. . .. . . ,_ .. , . .. .,� ,, . .... ... ... . . , . .. ,.,.. . . . , . .. -• . . .. . �. • . . . � , CITY OF DIAMOND BAR • � , . ' � � INSPECTlON RECORD �'- ' ' . � ` e � � . � . . � � , � . SET BACK';• ' ' � : . �;,} '� ,,,.''� �. FLOOR JOIST.•.>,:,..'� ;:::.� ;��;' , ��.-. � • , FrGS/FORMS/STEEL ��- I�� __ FHA REQMTS�c•-,-.•, _ � �.,, ELECTRIC GROUND UNDER FLOOR DUCT ;'.;, ; _,, .,,�. GROUND PLUMBING a'i� FP _ �_' UNDER FLOOR CUPIDUFT• ��::;' _ SLABGRADE FIREPL'AC��FOUNDATION `��'' �1` • ' �' "`'�•��'� TEMP POWER FIREPLACE BOND BEAh1 - WATEF�SEAVIC� - � . FJIID HT.BOND BEAh1 RaoFsN�TH�N� �.,�. . y - �—� �. .. .� _ . 8 FT.BOND BEAM , .. .F�AI'�11NG/VENTILIATION•"C� ��' .= c�` � :�-":� ti:� ,.��. FINAL BOND BEAM ' ROOF COVER . PRE-GFIADING �� ROUGH HEATING BENCHING R�UGH ELECTRiC ROUGH GRADING • ROUGN PLUMBING {�� . .. -- FINISH GRADING • SHOWERlTUB TEST� ,. ,• POOL ELECTRIC ' EXT.LATH/SIDING p �'"" POOL FENCING ' WALL INSULATION �f� �D POOL FINAL . s-' CEILING INSULATION ��T� OFF SITE IPJIPS. • DRYWALL NAILING � �, p '� �5:_: �DEDICATIONS SEVUER FINAL ENG. ' SEPTICTANK .._ . LANDSCAPE/IRRIG. SEEP PIT/L.L. � . - • ON SITE IMPS. . . GAS AIR TEST • -- FIPJAL ZONING FINAL CONST.; y ,� . ';i-�/ � "�'" ' � FIRE DEP.T. FINAL, , , FINAL HEATING � � ;:� .� . - . •� HEALTH D�pT,:FIN�L ! �I•; ;,'% ,'� � �, !- ,:•; ��' FINAL:ELECTRIC- ' " DEV.FEES PAID ' FINAL PLUMBIIVG�....-,�; L .� - •;� ENERGY � � —> S i 1 ' �• .�._ 1T �� _ _r�� •<'.. ! � �pi��! �PJ �E�. .z-.- - ��'�--�-�`- COMMENTS � . ... _ , ; ; _ �:�,� _ . , .. : � �;- . � . : � , SEPTJC.TANK SIZE • SEEP PIT/U SIZE �' :' �; "' " � .....��aM,r�¢�� I . r� . ;, . ,._..:..,.�._..._.;�......,. � -. . �� , . . , � ;- , � ;- � ._. . . _ .. , , . . , _ , , , � t� � i ; i � . . . . � •' � I �---� ' ' -i�. . -_ � — %e �_ . ) ..... � .