The URL can be used to link to this page

Home My WebLink About12888 � - -� -- - - -- - , CITY OF DIAMOND BAR � COMMUNITY DEVELOPMENT DEPARTMENT Q , ,,. 21660 E.Copley Drive Suite 190 PRESS (909)860-3195 Fux(909)861-3117 ��^M'` LDING P RMIT APPLICATION FIRMLY y JOBSITE '7`f'�ZZ �qyc � '�� APPLICATIO PERMIT /C p ADDRESS v—w �'t� pATE NUMBEfi # � ISSUE TYPE OCC APN�' LOT TRACT DATE CONST. GROUP °C OWNER L-� GEa O ' p AODRESS OZ ZONING SETBACKS Z CITYU�GK-�4 — ZI TEL. FRONT RW ❑ g APPLICANT 7��, REAR ❑ SIDE/51DE STREET RW :� � CONTRACTOR/�7�1/�rs P' - ___ _ SIDE ❑ Q A�DFiESS PROPOSED USE �' ' -? � � CITY ZIP TEL. �s w ARCH/ENG! � � _ E Z DESIGNER NO.D NO. ,�� . C� � a ADDRESS UNITS ST RIES OMS � CITY ZIP TEL. N DESCRIPTION' ' SQ.FT. FACTOR PSF ADJ.AREANALUATION � �OWNER-BI:ILDER DECLARATION SFFUADD/REM O I NEREBY AFFIRM UNOEH PENILLTY OF PERJURY TMAT I PM E%EMPT FFiOM TNE CONTMCTORS U- G818QB/C81y0R L,�LJ CENSELAWFORTHEFOLIOWINOREASON�SEC,7Q]7.6BUSINESSANDPROFESSIONSCODE:IWVCITVOR (n U COUNTYWHICHREd11RE5APEAMITiOCONSTRUGT.P1iER.IMPROVE.DEMOUSM,ORqE�AIRANY9TRUG W pg�l0/DBCk WTUFlE.PRIOF 70 1T8 ISSUANCE,ALSO REWIRES iHE APPLICANT FOR SUCH PERMIT TO FILF A 61GNED W � STATEMENT THAT HE OH SHE IS LICENSEO PURSUANT 70 THE PROVISIONS OF TNE fANTMCTORS lJ� � GENSE UW(CH�MER Y(COMMENCIN�WITH SECTtON 1000)OF OIVIS�ON 7 OF TNE BUSINESS AMU PRO- ' � POOVSpB � FESSIONSCOOE�OPTHATHEORSHEI3EXEMPTTHEREFROM�NUTHEBASISfORTNEALLEGEDE%EMP- . (' TION.ANYYIOLATIONOFSEGTIIXJ7o91.58YANYAPPLICANTFORAPE��TSU&lECT6THEAFPLICANTTO 8-ROOI � ACIVILPENALTVOFNOTAIORETHPNFlVEHUNDPEDDOLURS�f500).�: � ❑I,ASOWNEROFTHEPFiOPEflTY,ONMVEMPLOYEE5W17HWAGESASTHEIq50LE00MPEN5ATION � � CORITBfCIeI WILL DD 7HE WORK,AND TNE S7RUMUHE IS NO71NiENDE�OR OFFENED FOR S�LLE;9EG 704�,BUSI- J NESS ANO PROFESSIqVS CDDE:TME CONTRACTORS LICENSE LAW DOES HOT APPLY TO AN OWNER OF � PNOPERTYYVFiOBUI(ASORIMPROVESTHEREON,MIOWHO�0E55UCHWORKHIMSELFORHEFiSELFOR = � TNPWGH HiSOR HEA DNM EMPLOYEES,PROVIDED 7HAT5t1CH IMPROVEMENTSARE NOT MlTENOEDOA � W OFFEREDFORSILL.E.IF,HOWEVER.iHEBUILDNGORIMPROVEMENfISSOIDWIi}UNONEYFAROFCOMPLE- ZTION,1}iE OWNER�9UIlAER WILL HAVE THE BUROEN OF PROVING THAT ME OR SNE DIO NOT BUILA OR = MPROVEFORTHEFURPOSEOF9ALE�. ❑I,AS ONMER OF hIE OFlOPERT'�.NA E%CLUSIVELV CONTRACTIN�WITH LICENSEO CONTRACTORS � TO fANSTRUGT THE PRQIECT(SEC.70I�,Bl151NE59 AND PFOFESSIONS CODE:TH�CONTAACTOR9 U- V8I118IiOf1 0� ADJ.AREA W CENSEUWOOESNOTAPPLYTONJOWNEROFAPROPERTVWHOBU�LUSORIMDROVE37HEREON,llNO � WHOCONTMCTSFORSUCHPpQ1EGT5WITHACONTRACTOR(5)LICENSEDPUR9UANTTOTHEODMRAC� OUANTITY DESCRIPiION FEE Y TOqS LICENSE IAW.�. � O � �E GTU RSEC. 8.8P .FON ..R � � � � DA7E � U . - • � r LICENSED C NT C70fiS DECLARATION � I MEPEBY AFFIRM UNOER PENALTY OF PERJURY THAT 1 MA LICENSED UNDER PHOVISIONS OF CHAPTER � p� 'COMMENCWGWRHSECTIDN7000�OFDIVISION90FTHEBUSINESSANDPFOFESSIONSCaOE.ANO � X u ENSE IS W Fi1LL FORCE AND EFFECT. m LL1 � � LICENSE C S LIC.NO. J V DATE CONTRACTOR a W � RKERS'COMPENSA770N DECLARATION � N U � IHEREBVAFFIRMUNOERPEN OFDERIURYONEOFTHEFOI.LOWINGOECLAMTI . � G _IMRYEM1DWiLLMA1NTAIN ERTIFICATEOFCONSENTTOSELF-INSUREF WORKERS' Q COMPENSATqN,AS PHOVID BY SECTION 37oa OF THE LAfiOA CODE.F THE PERFONMANCE � OF THE WOqN FOR WHICH THI FRMIT IS ISSUEO. � _I HAVE AND NALLMAINTAIN WORKE 'COMPENSATION INSURfNC REOUIREO BV SEC710N � /1� Q9700�F THE LA60R CODE,FOR THE RFORMMICE OF TNE WO FOH WHlp/T195 PERMIT IS V � ISSUED.MYYYORNERS'CAMPENSATIO SUHANCECARRIER i �POLICYNl1MBERARE: CONSTRUCTION � CARRIER PLAN REVIEW �� z F+aicrNUMeEa — ELECTRIC ¢ Q . (IFILSSELTKINNEmNOTBEWI.1FLEfEDOFTIIEPE PoaaueM�000unicsRiao�a+�ss1 PLUMBING z I CEFRIFY THAT IN THE PERFORMANCE OF 7ME ORN N WNICH THIS PERMIT IS ISSUEO.1 MECHANICAL (.'} BWLLNO7EMPLOYMlYPEH50NWANYM ER50 TOBECOME3U&IEGTTOTFIE � � WORNERS'COMPENSATION LAWS OF CALIF NIA,AND A iEE TNAT If I SFIOULD BEO�ME INSPEGTIDN FEE _ � � —w_ SUflIECTT07HEWOPoCERS'COMPENSRT NPROYISIONS SECTqN370aOFTHELI.BOR S COOE.I$HALL FORTNWIhICOMPLY WI THOSE PROVISI ISSUANCE p DATE: APPLICAN 5MIP B�T��r�� v � ENERGY P/C WAfWINO:FA�LURE 70 SECURE WOR1( 'COMPENSA710N CAVERAOE IS U WFUL,AND SHALLBE �y SUBJECTIWEMPLAYERTOCRIMINAL NALTIESANDCMLFINESUVTOONE DREOTMOU9AND ENERGYPERMIT OOLURS(i100,000�,W AODITION TO E C061 OF COMPENSAiION,DAMUGES A ROyIDEO F00.1N � SECTIDN 9708 OF THE 1A80R COD r+rEa�,sr.�wonrroaNErs FEEs. RETENTION FEE: d C STRUCTION LENDING AGENCY PRE•ALT FEE: � 1 HEREBY pFFlRM UNDER P ALTY OF PERIURV THAT THERE IS AGON9TRUCTION LEN�M ENCY FORhIEPEAFORMANCE THEWORNFOqWHICHTHI3PEFMITISISSUED(SEC.3o97,CIV. Z w � LENGER'S NA�E _ F- IEN�ER'ShDO 5 � ICEflTIFYTH IHAVEREADTHISAPPLICATqNANDSTATETNATTHEABOVEINFORYAT10N15CARRECT. TOTAL FEES ` � 7 RGREE TO MPLY YATM ALL CI7Y AND COUNTY ORUINANCES AND STATE UWS RELATING TO BUILDiNO � CONSTRUCT AND HEflEBVAUTMORIZE REP SENTATIVES OF T1/1S COUNTV TO ENTER UCON THE Z E�MENTIIXJEOPROPERTYFORINSPEC uRvosEs. COMMENTS � J ` � m MI E(PRINn a � � SION R ITIEE - — RECPT.NO._ PAIDBY __ VALIDA710N � WHITE—Department Copy,YELLOW—Finance Copy,PINK—,Assessor Copy,GOLDENROD—File Copy.GREEN—ApplicanYe Copy CITY OF DIANiOND BAR INSPECTIUN RECORD 0 i � . � . . � e � • . SET BACK � _i FLOOR JOIST FTGS/FORMS/STEEL FHA REQM7S ELECTRIC GROUND UNQER FLOOR DUCT GROUND PLUMBING UNDER FL�QR COf�DUIT SLAB GRADE FIREPLACE FOUNDATION � TEMP POWER FIREPLAGE BOND BEAM WATER SERVfGE MiD HT. BOND BEAM ROOF SHEATHING � j•-1l � 8 FT.BOND BEAM FRAMINGNENTILIATION � ' • • FINAL BOND BEAM ROOF COVER �—11-RQ1 PRE-GRADING ROUGH HEATING BENCHING ROUGH ELECTRIC � ROUGH GRADING ROUGH PLUMBING I FINISH GRADING SHOWER/TUB TEST POOL ELECTRIC EXT, LA7H/SIDING P�OL FENCING WALL INSUlAT10N � , POOL FINAL CEILING�INSULATION ; OFF SITE IMPS. DRYWALL NAILING ' ` DEDICATIONS SEWER FINAL ENG. SEPTIC TANK LANDSCAPE/IRRIG. SEEP PiT/LL. i ON SITE IMPS. � GAS AIR TEST � FINAL ZONING 4 � FINAL CONST. �., . � ` FIRE DEPT. FINAL ' - FINAL HEATING ; HEALTH DEPT.FINAL' � 1 FINAL ELECTRIC DEV. FEES PAID � FINAL PLUMBING ENERGY i I � w COMMcNTS ;. . � ,��r., , I, ,' . _. : � . .. . . . .. . SEPTIC TANK SIZE ` SEEP PIT/U SIZE -- ii ,'�I ` �u �p ��,, �, � � �p I�� ;� °j �j ;