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_�� �,� CITY OF DIAMOND BAR EXPIRED DEPARTMENT OF COMMUNITY&DEVELOPMENT S$RVICES _ � zi�o�.coPi�ynri��s��i90 MAR 20 2002 , (909)860-3195 Fax(909)861-3117 , PRES$ � ���^�� BUII,DING PERMIT APPLICATION 'FIRMLY ¢ AD�RESS �,"�20� ��� �r"��� �• "�•�/ . APPl.ICATION '1 PERMIT \`��y�� P/C ' p DATE_ ��-�`'� �� NUMBER � JA vr u � APN �' LOT � TRACT Z �SSUE ��� tQ� nP� �c DATE CONST. GROUP o OWNER � 1.CJ � ADDRESS � ��� �� C� D ZONING SEIBACKS � � 'CITY /C IP� TEL. �' � � r RFAR RW p APPLICANT L TEL. �r SIDE/SIDE STREET RW ❑ , � CONTRACTOR b _ p �iM SfDE ❑ v, g CITY ES 21P a TEL _ _ l PROPOSED USE 66 L�, '`"., `Pu ARCH/ENG/ , � DESIGNER " NO.DWEL NO. NO. ADDRESS ' UNITS STORIES BEDROOMS ��N CfTY ',{ ZIP TEl. Y DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � ;,,f:,`� OWNER-BUILDER DECWiAT10N SFF/ADDhiEM '� �I IIEREBY 11FFpW UNDEH PDIALtY OF GENUFYYTHAY IAM EXEA/PT fpd.l TiE CONTRACTORS L4 Garape/Carport Q . CF)/6E{AWFORiNEfOLLOWIN�REA40N�3EG7031.6BU51NE53Pf7DVROFE55qNSCODE:ANYCfTYOR (� .GOtN(LYWMGMPEOURESAFERA/RfOWN57FlUCT,KTERMPROVE.OEMOLISH,ORREPAiRANYSiRUC W pBtIOIDBCk � TINIE,'MIOR TO R9 l4SUANLE.ALSO REOUIRES 7HE MPL�CMYi FOR SUCH PERMR TO fllE A SIONED . W . iTIUE\1ENT 1TUT ME OR 8NE IS IICENSE�PUPSUANT TO THE PROVISIONS OF THE WPlTMCTORS LF �^!^ �CEAtSEUW(Q1.tPTERY(COMMENC�NOri1TN3fCT10H7000)OFDIYISIONlOFTNEBUSINESS�ND7RD� � POOYSpd -- ' � FEu�ONS OOD�OR TUT ME Oq SHE 19 OlEMPT 7NEfiEFpp1A ANp TNE BA519 FORh1E KlEOED EXEMP• TIDN•I�NYWOLAT70NOFSECTION1071.6BYANYAPPLICMfTiOqAVERMRSUBJECTSTHEAPPLICANITO Z Re-Rool � - � . �. � ACM1IILVENALiYOFNUT610itETNAHFIVEHUNOFEDDOLtAR9(f300/.r . �• � � p►/3pMR1EROFTIEPAOPERTY,ORWEMGLOYEE8NA7NWACiESASTNEIH50lECOMPENSAT10N, � Commercfal . . - �� �� YVl1 DO TME YAliK,NA THE STRUCTUHE IS NOT HTENDfD Oq OFFENEO COR SALE(SEC.)Olr,B1154 J - NE59 MA 7ROFESSION4 OODE:THE COHTWICTORS LICENSE LAW UOES NO7 APPIY TO AN OwNE11 OF ;� ' �� VPOiEHTYYAiOBUIDSORMdPROVE371/EREON.IVJDYA1000ES5UCHNtlqKHIYSEIFORXERSELFOR � �� ,� �: THil0U0NNISqiNEqONMEMPLOYEES,iROVIDEDTHATSUQ�IMVROVEIAENTSARENOTMENOEDOA CO ,OfFFRm fOR 9ALE If,/10WEVER��NOOfI MPf10VEMENT IS SOID WIT}qN ONE YEMOFC01APlE. ��f I�h� � 'T10N�TME 01M�ER8URDFA W1LL HAVE 1HE BURDp!OF VROVINO THAT NE OR 6HE dD NOT BVILD IXl 1 �� � WCROVEFONiHE►URPOSEOFBN.FJ. • . .'�,F ' uJ ❑11�90V/NEROF7HEVROPEFRV.A/AbICLUSNELY[ONTRACTINOWITNLICENSEDCONTMCTORS �� (� TO CONSTRUCTiME iR�IEGT(SEG tON,BUSINESS Mq pROFESSIONS CCDE:TNE CONTRACTORS LM Valuatim ADJ.AREA tLl CENSEUtW00E3WTAP7LYTO�ttOVMEqOFAiftOVERTYN'NOBUpD50RMYNOVE9THEREON,AND � �� , WY�OCOHfMCTBFOfiBUWPibJECf5MA7N�CONTMC7011(3)LICENSEOPURSWNTTOiNECONTMG �y�p rortsucENseuw�. �UANTITY DESCRIPTION F6E ' .;,� O I AM IXEMPT UNDER SEG B.t P.G Fdi TMIS REASON Q . U � � � OATE OHTlER t- � W l,� UCENSED CONTRACTORS DECLAFaATION —� 'y w - VS h: � �MEREBYAFF7WVNDERPENKTYOFPEFWRYTNATIMIL�CENSEOUNOERPqOVI510N30FGMPTER , . �4� f(Cd11AENC�MfITN SECfqN 700D)OF OMSbN�OF iME BUSINE54 ANO PROFESSIONS CODE,AND Z K W UCENSE 45 kl FlJLL fORCE MlD EFGEM. m ��. � �L/CENSE CUlSS tIC.NO. � j .''� wrE ' — ��corrraacroR a � WOFKERS'COMPENSATION DECLAFiATION Q i� i� . v �` IHEREBYAFiIPMUNDEfiPENALTYCFpE0.R1qYONEOFTHEFOLLON1NODECIAFiAT10N5: Z .�.,'� +� �I MAVE AND WILL►UNTAIH ACERTIFlCATE DF CONSENT iO SElFdNSUqE FOR N0lY(ERS' _ � . ' OOMFENSATION,ASPROVIOEDBYSECTIONJ70oOFtHELABOqCOOE,FOqTHEPERFORMu10E U �I�. � �i_OFTNEWtMICiORWF1ICHTNISVENM1tISI5WE0. W .. � ( . . .. . . � . ��I HAVE 1W WILLMJUMAPJ WORKER$'COMPENSiR10N INSUIUNCE,AS REW�RED BY 6ECTION .,. ',� i7o00FiHEW30FiCOpE,F00.TMEPEN�OFMANCEOFTHEWORKFORMMICHTHISPERMITIS 1 /�� 4SSUEO.W RS'ODIAPENSATqNtNSURANC iERANDVOIICYNUMBERME: CONSTHUCTION 1 Oa V . � !� GRPoEA;�� ^ G�� PLANREVIEW !� POL)CYM148ER�_�yE�� I��S�'• ELECTRIC ^ t���IDN�TBECd.�IEfIDOFhEFERMTSFORWEIA.WRmOCl1KtSRio�aRlFssy PIUMBING �1 Z �CENT�FYTW�TR1TNEiERFORUANCEOFTHEWORKFOqWNK]ITNiSPERAIITISLSSUE0,1 MECHANICAL U' S1/ALLHOTEMtPLOYANYPE1t+ONMIM'1'�MNJJEA60ASiOBECOAIESUBJEC7TD711E y � WOPKERS•CdIPEN5ATI0NUW50FGLL�FORNIti1wD�ORE87HATIFIBFtOUIDBECOME INSPECTIONFEE � S SUBJECTTOTHEWWiKERS'COM7ENSAT1pNPROVISiONSOf6ECTqN97000fTHEU�BOR ( cob�.I sruu wRnrvnrr ca.�viY vnn�nase PArnnSia+S. ISSUANCE � a O p DA7E: APYIICANT. �SMIP � ENERGY P/C WAP1dN0:FAILURE TO 9ECURE WORKEFlS'COMPEN9�TqN ODVEqACE IS UNUNM1Iri,MlD SHALL BE '� SUB.IECTNJfMPCOYEHTOCiUuwALOENALTIE9ANDCNtLFM(ESUPi00NEMUNOREDTHOt13M1O ENEHGYPERMIT OOLUAS(lt00.0a0),N ADDI1iON TO THE COST OF COMPENSATqN,DAMAGES AS PpOVIDED FOq IN � SECTIDN7TaeOFT11ELABOfiCODE.INTEHEST.ANDATfORNEY'SFEE3. ' RETENTIONFEE: , O CONSTRUCTION LENDINO AGENCY PRE-ALT FEE � IHEREBYALFIRMUNDERPENA�TYOFPEF4NRYTMAT711EREISACONSTRUCTIONIENDINGACENCY - ' �Z FOHiNEPE0.FOMVVICEOFTNEW�Op�CFORMM1IMIiTNISPEFMITI5155UED�5EG]OY7,CiV.G). W . . � LFNDER'3 W1ME . � . �. - � LENDER'SADORE53 � ICERTIiYTUTIlUVERFJDTHISAVPL1G1TqNANDSTATEIN�TTIIEABOVFNiOPoAATqHISCORRECi. TOTAL FC.ES ! � � � � � Q� � IM3NEETOOOMPLYV.7THILLLCrtYANDWIklTYORDINANCESANDSTATEUWSREUTN(7TOBULDIN6 � � � OONSiHUG'fiON.MI�NEREBY AUfH:MQE REPRESENTATNES OF TNtS COVNTY TO EMEA UPON TNE � � ABOVE#IEMIONEDGROPERryFORWSP iURVOSES. . . ' . � I! � COMMENTS � ' _ �e.�r l�.� t I QE TTEENMIF(PFI �- !� N j �; y I�NA 0.EOFVERwTTE OATE � � RECPT.NO. PA1D BY � � VAUDATION � WNITE-0epertment Copy.YELLOW—Finence Copy,PINK—Aasessar Copy,GOIDENHOO—F(te Copy,GFiEEN--Appicanfs Copy i.��.•. �f-� ..t �s �..'�{.��fN6. r,;1i»•M���ca..�x.t.��n,a• , - � ... - . , ., 'F+w,o�: .. . . -:r--.. . , . . a-_ _. � • cw+wc�� �r.�•;:wN.n��,.r.;�- r •t.9�:.' . , :.. . : .. . . 'ai�.. � � . � . � , ��r�I9;;= CITY OF DIAMOND.BAR , ,,, �.: .. .. .., �'.:'I�SPECTION RECORD . � ; ' �.- . .,., SG+1j 0 c 9r;�� , . , , � � ... , �. �. �� , ::a� �. � ��. � 'e:�� � : ��' o '� 'SET BACK . � ��, :� �n._ 1 �� I , , _:r, FLOOR JOIST � � •� - ; . . _ � ?_ . , , . . � ., . , ,. . . , .• , ;FTGS/FORMSJSTEEL' '� ' " " " - ' � � FHA REQMTS _ _ . - __ ._. _. ... _ _ , ., . IELECTRIC�ROUND_ _.- - _ `= __ . ,; _,'; -J - --- UNDER FLOOR DUCT i�� . ` ` .. "',� � _ � _ !GR�UND PLUMBING � -�;:,-, UNDER FLOOR COP�IDUIT., - ' "' '� , , ,- .. .. � ` ' '�� ' FIREPLACE•FOUNDATION ": ` SLAB GRADE- ___._ _ ., , _--- - ,,. . .. : , _ , • _ ,. � ,. . , . , , , iTEMP POWER--- - ,_ _ . _ ,- _ FIREPIACE BONDBEAM - - . . , , ;WATER SERVICE--_ . _. . _ _ ' _ MIDHT.�OND BEAM �, _ .. ,.> � '. ;:r', ,, �, ,--.�.: I , lROOFSHEATHING _' ` •� '' � 1 =� :1 . ;� 8 F7. BOND,BEAM, - , i ,�" ' ' � �� � - : I :''. �FRAMINGNENTILIATION � '- % ` ' FINAL BOND BEAM ` ` � ' � i�:;;; . :, I ; �ROOF COVER .• . - . .�: PRE-GRADING . - - .- '; ; '. { IAOtJGH HEA7ING --- - - ---- ' - -- _ ___ BENCHING _ __ . . ,; ' „ � ;, � - ; ;r'_ !. _� �� - _ 'ROUGH GRADING- _ _ _._.. _ . . . .�.: . IROUGH.ELECTRIC__'.__ " _ . __ . IROUGH PLUMBING - -- -- - I - --• ! - � FINISH GRADING j , . ;SHOWERII"UB TEST - ---__ __ _._ _ POOL ELECTRIC : . , . i, '�EXT. LATHlSIDING--_----. ----_____ __-- - - -- - -: . . .POOL FENCING � , ; �{;�•' IWALL INSUl:AT10N- -- �--.__ __. . __ --._ _ _ _ POOL FINAL ` � !CEILING INSULATION -�- - ____ ___._ ..-__ _ __. _ OFF SITE IMPS. , , DRYWALL NAILING - -"- - -- - - - - - - -- DEDICATIONS • , , SEWER _- - - -- — _. ___ __ ..-- _ ----... __ _ FINALEPJG. � ..� SEPTIC TANK LANDSCAPE/IRRIG. '` � SEEP_FITlLL. ___ _ _ ' =• .� �_': �' � ON SITE IMPS. GAS AIR TEST ' _ _ _ , FINAL ZONING , .� ,' ', �;�;: .• FINAL.CONST. _' -- ---- ----_•. . _ _ . _ --- FIRE DEFT. FINAL � - . , ; , `� FJNALHEATING -----.---____..—-, - --.._ _--- -- ---- HEALTH DEPT. FINAL ' . _ __ ... �, • FiNAI.ELECTRIC ---- - - -- -- _. _. - - ' � DEV. FEES PAID - -_ - --__ _ _ _----------- ._,,�.; �1ldAL-PLUMBING - - - --- --- --_ _ . _ _ ENERGY _ ,. . — , _- -- - _ - ------ - - - _._ ._ . ,> ._ I , � -- - --------- --- - _ - -__ - - -- - -__ ___ , ..�„�d' _ ;.F� a E';�",dG l'S: .'� ,- __ . ......_. .'_.__ _._ .__. _. ...> .•� / �..n . . ... .. ...��1 / ,f �_. . ..,. . �...i'. . �j' . . . . ., . .-_. ' . . .�'.�!. . '' • ,. . _ ..__.___. . .. . . _ . . . _..._ _ � � J COMMENTS-_ _._ _ , - ., r � � �. ,., � . ------ --____ __ —--.- , _ _ - - ------ —-- - , ,�. , - . - . i_ . _, _ , ( , .:. . . ,. , , -- ' �. �:-,� (� �—� � >,, , , � _- _ ,- ti•� ,.. .. . � , , � :. , � � - -- - -- - -- - -_ ._ _. _ . _ . � _ _ ,, .. - -- _ �, __. . _ �._ , .� .__ x . -- -- --- - --._ . ._ , ,., , ,. . � ,. , '.. . . },J ,z � . _ — . _ _. _ _- - _ _ , . � � SEPTIC TANK SlZE- _. ,.,, , � ., . , : .. ,:_. . . . . , ___ . . , . . SEEP PIT/U SIZE -- — -__ . ___ ---- �---.: ,;. '. . . _ • , `. ;_ _.,; . , , ,� .:. - - +-r.-�.�..*.-.-^,-, _ - - _ , . , '�... �'1 , . ,. _ - s -�� ,� _ , . ,. - _ . . , , . .: . . _ : r .� _ ,; _.� .._,: __ _ ._ _ __ _ . _ . - — _ __ _ . , . . , ___ .L �. _ . _ . . - — - - - -- - -- _ � , .. - --— - .. .,: . , � : . . __ _ _ ry,�,� 1 �*� i ��l - .. '� _ ��i��\1 , ' _ " _"_" .. ___._ ._.__ _. .._._.. .._._... �� � . i � y.` . .. .. , � � . . . . . . r r- . . . �� . ' . � .. , ,. " .-FY ,' . . ._...'__. ... ... _....__..._._. . -''." ,.. � � i . . . -__ _ ._ _.. .. _ _ !f J1� . , -f• % - � . - 4 °+.a� ..� -� �� '' . _ _ _ . - - .� _ . , :'� ,T : / • - .. .\ {• 1 /. . '�,......�:.. l .� '�E _. . . . �