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r � �� CITY OF DIAMOND BAR EXPIRED DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Copley Drive Suite 190 (909)860-3195 Faz(909)861-311? . ��N 1 8 1�02 PRE$$ "�'�� BtJQ.DING PERMIT APPLICATION FIRMLY � JOBSRE APPUCAT y PERMfT P/C o ADDRESS3Z�{O �iQy��}- TW�S �-h ��.m�CA DATE �1�7I2�� NUMBER�_ M � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP °� OWNER Jenk�K� J.,1.,,� 3 Stis.,« p ADDRESS_3:}r� �,'3�.,i- "�'�� �..�.+C ZONING SEiBACKS W CITY R- CA' 21P 917i:� TEL9�7F��1-cL7 FRONT RW ❑ � APPLICANT le� I..c. TEL. �bf ����� S DEJSIDE STREET RW O � CONTAACTOR�'"�S�,r•�l- Mn,.��Er+�.r. 6ac�a SIDE ❑ ADDRESS 7.Cr'►HI '.�-.�blA 'Prr¢.��t 5�;�' �o-22Z pROPOSED USE `At � � �' !O � C(TY �'��+��� �Nd� CA ZIP 92G�v TEL4US u�l 3�� r—r— —�p P� ARCWENG/ • � DESIGNER NO.DWEL N0. NO. ADDRESS UNITS STORIES BEOROOMS � CfTY ZIP TEL � c� DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER OECL4RATON SFWADD/REM O � 1 HEREBYAFFWA UlDER iENAL7Y OF PERAIRV TIiAT 1 AG EXEAIPT FT10M iHE COHTMCTORS LI• G8reQ6ICery0R CENSEUWFOR7}IEFOlLOAYiNONEASON(SEC.70J1.SBUSWESSANOPROFESSqN5C00E:ANYqTYOR (n GQlHTYNMK]1NEOIARESAPERMRTDCONS7AUCi.ALTEftIMPROVE,DEMIX15llORNEPAIRANYSTIiUC• W F8fI0/DBCK TURE.PRqF TO RS 6SUANCE.I150 REWIRES 7HE APPLICANT fOR SUCH PERMIT TO FlLE A SIGNED W MA7EMEM TWR HE OR SHE 13 LICENSED W1HSU/!R TO 7HE VROVISIONS OF THE CONTRACTORS U� � CE1qE LAW(Cf1APTER 0(COAIMENCWO VATH SECi1ON 7000)OF OIVISION!DF THE BUSINESS AND PPO� � P�USQa FE89qN8 COOE�Oq iTNT HE OR SHE IS EXEMPT iMEREFpOM AND THE BA515 FOFi TME ALLEGE�EXEMP• TION.MlYV10lAT10NOF5EGTqN7o11.68YANYMPLICFNiFORAVERMIT5U8JEGT5THE11PPUCANTTO Z Re-Roof � ACMLVENALTlOFNOTMOiiE1)UNFIVEHUNORE��OLURS�i500J.�: � O OI.IISOVINEqOFTHEVROPERTY,OFMYEAI7LDYEE3WITHWAGESASTHEIRSOtECOMPENSAT10N, � �mmercial - � 1NLL DO iNE WORKAND THE STRUCNRE tS NOT INTENDED OR OFFERED FOR S/LE 15EC.7D1�.BU51• J NESS AND VROFESSIONS COOE:TME CONiMCTORS 110ENSE UW DOES NOT APPIY TO AN ONMER OF = � � VHOPERTYWHOBUIlD40HYPROVESMEREON.ANDN110DOES5UCMKORKHIIASELFOqME0.5ELFON CL TMROUOMM160RHER014TIE/APLOYEES,VROVIDEDTHATSUd/1MPROVE11EM5MENOTMENOEDOR m �1 OFTERED ibR SJLE IF,IIDWEVERN��71LDNOOR MPROVEMEHT i5 SOLD WRHM ONE YEAROF COMPLE- ..�� '7qN.T1E OWNER�BUItDER WILL HAVE TNE BUilOEN OF PROVWa TMAT HE OR 51/E DID NOT&1ILD OR � MPNOVEFORTf1EPURPOSEOFSALEI (y� Ot,ILSOYMEROF7MEV1iOPERTl;A1AD(CLUSNELTCONiMCTN�WIIHLICEN5E000NTPACTOR3 t-� � TO NHSTAUCT TME VR0.IECT(SEG TON,BUSINESS Mm PROFESSIONS CODE hIE CONiMC7OHS U• V8IU81IW1 �"��'•C� ADJ.AREA CENSE UW DOE6 NOTMVLY TO MI OWNER Of A FHOPER7Y WHO BU4DS OR UIPROVES THEREON.AND VR1000f(iMCTSFOR5Ud1VF1WECT3NATHACOHTPACTOR(S)LICENSEDPURSUANTTOh1ECOHTMG pUANTI'tY DESCRIPTION FEE � TORSl10ENSEUW.). OIN.IIXEMVTUNOERSER B.iP.C.FORTNiSREA50N 4 U �= DATE 01YNER r . � W UCENSED CONTRACTORS DECIARATION w � IHEi1EBYAFFIWAUNDERVENALTYOFGEiUUR`/TNATIAYIICENSEDUNDERDRON510N50FCHAPTER V, S f(C01.adENCNfiWRHSECT10N7000)OfDMSiON]OFTHEBUSINESSINDDROFESSIONSCOOE.MlD Z - �K MY IICENSE R IN iULL FORCEAND EFFECL m 0 UCENSE CIASS ��G LIC.N0. �2 j � �j DA7E y1�7/'11Y.� coNraacroa a W � WORKERS'COMPENSATION DE N � � INEREBYAFGIRMUNOERPENFINOFPERAIMONEOFTHEFOLl01MN0 i0N5: Z ' Q � _IHAVEANONILLWVMNNACERTIFICATEOFCONSENTTOSELHNSUHEFORV�l7RKEHS' S COWENSATION,ASVROVIDEDBYSECTIONS/o00FTHElABORCODE,FOqTHEDERFOR4ANCE w O / OFiHEWORKFOqWHICFIh115VENAlITISI55UE0. � ✓ _I HAVE AND YALL MA1HfAP1 WORKENS'CDM7ENSATK7N W SURINCE,AS REIX11RE0 BV SECTION Q ]7DOOFiHEU18di000E,iORTNEPERFORAIMICEOFTHEWORKFORWMIpITHISPEA/AIT13 ISSUm.M'IWO(LfERSCOMPENSATpNWSUNANCECARPoER/NDiOLICVNUAIBERARE: CONSTRUCTION � CARNEfI � �c� C/FJLR1E0. PIAN REVIEW � ��'�"�R ELECTRIC 0 (iH6SECi10N�N0TBE001.SiEiEDOFiYEPER.�isFOltoNEHIrI%imOCitAFSR»��sF PLUMBING Z ICERTIFY7NATINTIEiERFORIAANCEOFTNEWORKFORWM THiSVER1.IRLS155UED,1 MECHANICAL (i 6'W.L NOt EMPLOY FHY VERSON N INV MMINER 5 AS O B E SUBJECT TO h1E � WOPoCERS'Cd.�PEN5AT10N Uw50F CALIFORNI RE HAT IF 1 SHOULD BECOME INSPECTION FEE S SUB7ECTTOiFIEYlORKER5CDMPENSATIONi S ooOFTHEUeOR _ _ �_•- .. . . . coo�,i s�uu coRT�+wim ca+P�r mn+ . ISSUANCE 0 � p OATE: � G APPLICANi: SMIP � WAiWMa FALURE TO SECURE WORKER5 COMPENSATION R E IS UNUwFUI.AND SHALIBE ENEFlGY P/C SU6IECTANEMPLOYEFTOCRIMNALVENALTIES�IWCMI UPi00NEHUNDREDTIOUSANO ENERGYPERMIT DOLLARS�f I o0,000�N/�DDITION TO THE COST OF COM7ENSA710N,OAAUGES AS PROVIDEO FOFt W ¢ SECTIDN370EOFTHEUBORCODEN7EHEST.IW�ATfORNEY5FEE3. ' RETENTIONFEE: ` _ pW„ CONSTRUCTION LENDINO AGENCV PRE-ALT FEE: O Q INEREBYIIFFlW.IUNDERGENAITYOFPERJUR'/iMATT1EREI5AWN5TRUCTIONLENOWOAGENCY � aZ- FOR THE VERFORAIANCE OF iME wORK FOR WMIp1 TNIS GERMIT IS ISSUED(SEC.�oW,CIV.C.). . ,, . W � LENDER'SNM1E � �S LENDERSADDRESS w ICERTIFYTMATINAVEHEADTH13APVLIGTqNANDSTATEiHAiT1EABOVENFORMATIONISCOflRECL TOTAL FEES d 1 AQREE TO COMPLY N7TH I1Ll CT'M1O COUNTY ORDiNANCES�NP STAT��AWS RELATMlO TO BUdDiNO � CplSTiIUCTqN,ANOMEREBYAUT110RIZEREPRESENT�TIVE50FTHI5COUNTYTOEHTERUPONTHE � - � ABOVE�MEHTIONE�VROPERiY FOR INSPEGTION VUHPOSES. COMMENTS G � Sf GI - m PEHMIiTEENAAIE(PP1 y �� y S16NATUREOFPER EE C/ OAT . � RECPT.NO. PAID BY VAUDATION MITE—DepartmeM Copy,YELLOW�inanea Copy,PINK—Asseesa Copy,GOLDENROD—File Copy,GREEN—Applicanfa Copy ,. .,, . ...: . , , , _ , . .. � . . � '.•� . • :.ti.... _.,.. �,. �. .����.:.- ...�.'. .:. .sr. ._.. ..,� . , � . . . , . . . '1� . •.J" !! ::I.rh,� �.. . � i ., . � . � • , . ... .. . . . . . . . .�� . CITY OF DIAMO�lD BAR ., .. . ; � ' ItrlSPECTION REC�RQ . ' . . ' �..., �7ur����� ° `� =» .� �. � � r��� ' � ° `� � ,f���-ti,���r�Q7r1 : �SET BACK ;� .; , ; � . FLOOR'J015T . i�GS/FORMS/STEEL ' . � FHA REQMTS �'. _ ' ' ELECTRIC�ROUND_ . __ UNDER FLOOR DUCT -- ' GROUND PLUMBING UNDER FLOOR Cd�?DUIT " - ' - SLAB GRADE- - - � FIREPLACE FOUNDATIOfV � TEMP POWER : FIREPLAG�'BOND BEAM - ' ' � '' 'WATER SERVICE - - MID HT.BOND BEAM - � 'ROOF SHEATHING � � -1 � :' 8 FT.BOND BEAM -� `.FRAMINGNENTILIATION - FINAL'BOND BEAM � . `�ROOF COVER PRE-GRADING • - ! �ROUGH HEATiNG � BENCHING . - : !ROUGH ELECTRIC ' __' . � ROUGH GRADING � - - ROUGH PLUMBING -- ` FINISH GRADING � ;SHOWER.ri'UB TEST - - - POOL ELECTRIC �EXT.LATN/SIDING - - - - POOL FENCING � { :WALLiNSULATiON � POOL FINAL ;CEtLWG R�SULATION - � OFF SITE IMPS. � !DRYIPJALL NAILfNG - - DEDICATfONS I ;� !SEWER - - - - - FINAL ENu:. � � � ±SEPTIC TANK ; LANDSCAPEI{RR�G. iSEEP PiTlLL � _ '�'' ON SITE IMPS. iGAS AIR TEST FINAL ZONITIG ' ' . �FINAL CONST. __ FIRE DEPT: FINAL ; �F1NAL HEATWG ___ HEALTH DEPT. FINAL --- '. '--- DEV. FEES FAID _ _ - - - ' IFJNAL ELECTRIC - _ . _ - ;f=1NAL PLUMBINf'a - - ENERGY ' „ � _ _ __ _ i i - - .y.�„ �,F..�� ._� "��� �I :.� � .� ���:. .k___ _. .... . .. . i - -. _ .r- � , � , •' -, , , COP�lIMENTS _ _ , �--_ . ; - __ - ; , � . � . _ , _ � -- , -. - . _ ; � _ __ � . -. . ;SEPTIC TANK SIZE '.SEEP PIT/U SIZE ' " - , ! .�� -�.�..�---,-i , ,� ; �r i �� � , � ' `F r ' I . .. .. � '� _;�-�� .� . . _ . . li . ,,-.'�� �� ��I ' . '. . . . . .. . . . .. .__ _. . . ._. .,_ .... _ . . .. _.. , I . �� • � . E � , # � - i • . . .�' • � ���a«..,.... � ., 'l I � \:>.: � . ' -