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CITY OF DIAMOND BAR PRESS
2 DEPARTMENT OF BUILDING AND SAFETYAWBUILDINGPERMIT FIRM Y
JOBSITE
ADDRESS 23(q t lOt S
RMIT usc— DATE CA N NUMBERCODE
ISSUE 3.. TYPE occUP. DATE CONST. 1- GRO' APN LOT TRACT
CROSS STREET
OWNER i ct 0
ADDRESS 1L9 &S% `1 .
ZONING SETBACKS Dowia immm
FRONT RW
REAR
CITY UDlC.,& ZIP 511 TEL43 bm SIDE/SIDE STREET RW 1:1SIDEAPPLICANTTEL
CONTRACTOR cE3
ADDRESS 3221 FJLt IAJ= 10
CITY 7" ZIP `117
SEWAGE El PUBLIC ' t. PMT N
DISPOSAL Cl PRIVATE SO. FT./100 GAL
STATE
LIC. NUMBER 4L3S7 GRADING CU. YDS. EXC. ' CU YDS FILL
C0 TYPE SO FT FACTOR PSF ADJ. AREWALUATIONARCH/ENG/
W IDESIGNER
ADDRESS LLL. 2
CITY ZIP TEL. Q 3
PROPOSED USE Car d S
ac A
Z 4
GARAGE
NO. DWEL NO. I NO.
UNITS STORIES BEDROOMS
LOT DIMENSIONS
PORCH
In
VALUATION `fes ADJ. AREA
QUANTITY DESCRIPTION FEENO. OF BLDGS HOW
ON LOT USED
o CONTRACTORS DECLARATION I Wold :than hn I am konwd ur" piwuims d Chapter 9 (tm.mectnp
wnh wan 10001 bl ,.w 7 d the Siam and Poktvtnt Code, and aM loom It in hd lane Ad effect
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OWNER BUILDER DECLARATION I h.Wy a1Mm Ow 1 am eemel boor dw Contractors lcmm to. to the follomm
now ISR 70015. Buaaets and Professors Code Any atY a tarty whrch re"m a Prue to tomsowt,
altarmpew, demaesh. of tor Ary smatV,.e, p,to ds moa—s. alta tohes apkant Wtwh prnw
k 11 1,. sVdd stat"m that h n kmsd pwsuant b Cow pwmms d aw CmaKtv's License Law 1Uapr
9 kommenunp wrath Sectun 70001 o1 Omsm 7 of th Busnu and hokutom Codel to foot he r ownpi uwdraw
aro th bads to, me aMked l"bm Any ..Moon of Sector 7071.5 by cep INWAM too a poem soleus
to 600.4m to a cvd PenriY at not more than hw I.Ntd daWt (=50011
I, as owner at pe popenty, m my onployns .rah Noon as Mae tele compeom on. war do 11a Note, and
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IN'Inewe a not ntend d a Blued la ret ISec. 7041. ll rams aro holossaa Cade. Th Com mev't Lmnte
n notLawdoappy to an o wmr of preen who builds or m9mm prem, and who deet cud work hrmsdl,
a wouplt hn awn empl"i. pwdd than tteh mpa.anmts we avec mlolld Or dlatd he 10 It, hawses,
war kwe Cow toad" e1 powngINb.ld,m a tnpvwntan n sodNth.ateN. to. d Im-Plom m. Cor aww-bddw q
In.,h dM not build a mvm k t he purpose of take.)
I, at Mmr at he pperty, as mkm.wl, tmt-I.V wnh kemed embsews to emWwt th Paton ISR
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10a4, Bumnss ad Pelnsms Cade Th Contractor'{ Leann Law pose ort Iv* 0 an awns, at P WnY who
bales a rmpwet Mer1m. and who cmnata for such papcu with a commomotisl kmsal pwmmi in ON CmaRtoya
Lma—LawI CONST UCTIO
Cl 1 am I—pt Under Set 0. B PC tAnoth Ceralicalll. PLAN REVIEW
D'1e Dm 1.
ELECTRIC
WORKERS' COMPENSATEIN DECLARATION I hereby atom " I haw a nMcn N cmemt to to .0wo. or
a Cettd.ate of Yddkai Capmsnm Insurance, or a ead.d copy hand (SR. 71100, lab CL
C of d taps m haab, twwwd j
PLUMBING
MECHANICAL =;
Caufad Copy d Mad wrath n W"m msw m Delarkeenl or Deputmrm. Q
CERTIFICATE OF EXEMPTEN FROM WORKERS' COMPENSATION PGAANCIE Tfla wcom rad ort be cerphad
1 he Perrot n Ter orw hudrd 171001 or Ian I orally Ow n IN patmnnee at ore work for wkoh dw
permit n waved. I thal not Ir.po/ ane pttm n any awrw w as to IRatw subptt b Ma Wrkaf Cimp"~
Lars of Cadaaa
an
9
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LL
IP •.
PARK FEES.
SCHOOL FEESmeof ( el h erNOTICETOAPPLICANTM, altar tmkutp *.Icere d e.tgam, you shed) batty PAWCaN
Campntow ponsms of IN Labor Cole, you a.wa fwu..dt cmON No such prwwr. a If" pend
be dee-d rtwld
IDIYOFR10USTRIALSAFETYPEAWCERTIFICATION,
i r
I hreby caldy Mat no eRaatm 1" (51 or man Mt n dwA nw vhwh t Party is record 10
w ode m tmrwctm N. wet muwud by an P•md. mad Mat W Wood" foroco e. a"nomb.p, tats—k.
a demoanm a .Memo,*"' lh,wl. wd be enaae Nan Maty.ae 178) Mea I* (Che. 72. GP 2. An 2. Sec
74tTae.cAc1
a, e'' ii l Aly" CJITVite' _-
tt• 1r; AND t5Ar
As owns -builder, 1 wd am emlay anyone b de wok whch wadd tayme a parol ham Cow On -em at
ln&sttwl Safety. as neol Waw. mins such proem hn a pants M do wise werl heat n dommu m. i
y B1S i
0 mon d huh mW S*l wand No TOTAL FEESCONSTRUCFIONUNDWAUK'y 1 hw*v MFam Mm Mae to a mw mm wM epaey M Cod rYnataare
of it. wok 1. whch M prom o imai (Sec 7087, cm. Cl.
und.'sN'aw COMMENTS
Larder's Atmos
CLRT FICATE OF COMMICE AND A ITHD RATION OF 101M. I a * 1 have teal cls mkcetim and naw
t Coot Uw nlanahm p^'ert m tarts. 1 a ijy wits as ad eft wolo moa bate M Wy
t [omttwtam, mod mMra a apnww D Malery ad Sol ry V wear pm perryco
whch 1 Itew
allo
a Mr M Yoe tm
aon '
e:J
P
X
t an Apam D.a CPT NO0— PAID BY VAUDATION QREk.LAYc
Vll`lft;ttment Copy, YELLOW—Finance Copy, PINK—Assessor Col* GOLDENROD—File Copy, GREEN— Appkards Copy
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4.*l- ..5, 4 -1 -.0 1,-- --"
CAETY OF DUMOND"BARI i r
INSPECTION RECORD
k-1.71
EI
ISET-BACK..'-'-FLOOR
FTG S'Ff)HV*/STFE
ELEG T'RIC GROUND ......
STSJOI,
FHA
ERR"
QYTS
gimiNG IJNDqR FLOOR CONDUIT
SLAB GRADE IRffP LACE -FOU N DATION
EMP POWER FIREPLACE BOND BEAM
WATER SERVIC E PAID HT, BO D 13FAM. 2L
OFT BOND X M
Rb6`F--55-vE—r:I, 7
FIN B EAM
PRE -GRADING
ROUGP HE-ATiNG, BENCHING
FjOUGH ELECTRIC
I ROUGH PLUMBING——
TE -5
ROUGH GRADING
6-,3- T
XT; LATH!SIDING
WALL INSULA'; N
CEILING INSULATION -_
I POOL ELECTRICT ..... .....----- 1 POOL FENCING
p
11 1 IS,,
ONYWALL NAILING———
OFF
DEDICATIONS
SEWER. FINAL ENG.
S E RTJICT, N K .. LANDSCAPE BRIG.
SEEP. PIT/L.L. ....... . ......
GAS AIR TEST
ON,SITEJMPS.-7:--.. ......
FINAL ZONING
17,11NAL CONsf, FIRE DEPT, FINAL
i CINAL HEA-1 ING 1 HEALTIT Ct"
1.7,11JAL ELECTRIC I I DEV. FEES PAID
FINAL PLUMBING ENERGY,
COMMENTS ---
I,,; T1. - --------
SEPTIC TANK -SIZE
SEEP PIT/U