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�� CITY OF DIAMOND BAR �— DEPARTMENT OF COMMUNITY dt DEVELOPMENT SERVICES �� . 21660 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861-3117 PRE$$ �'TM'� BUILDING PERMTI'APPLICATION FIRMLY. � JOBSRE ^� �7 I� APPLICATION � PERMIT P/C o ADDRESS�L?jO� IS�tiD ��� �I� DATE � NUMBE #� � ISSUE TYPE OCC APN L�T TRACT DATE CONST. GROUP p OWNER � S o ADDRESS , SA-t/l� R-ISD�, -f ZONING SETBACKS �w CITY ZIP TEL. �� REAR RW p APPLICANT :T�h/ �16"'� TEL.s��r- -�,��. SIDE/SIDE STREET RW D � CONTRACTO 'A1 A K e ND 1�Xc�/ SIDE ❑ � ADDRESS • N1� CfiY L ZIP TEL PROPOSED USE o� S't7 � �N � ,D �N � ARCH/ENG/ • . . DESIGNER NO.DWEL: -_ NO. ;C.- '�. _ � NO. ADDRESS UNITS STORIES � BEDROOMS � CITY ZIP TEL � v� DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION Q OWNEFi•BUILDER DECLAHATION SFRlADDlREM O � I HEREBY AFFIRIA UHDER VENALTY OF PEiWRY THAT I MI E%fA1PT FROM THE CDNTRACiORS U. GaregO�•�.3�pDh ._ .... CENSEUWFOR7HEFd1GWINOREA.�ON15EG7071.SBUSINE55ANDVROFES510N5CODE:ANYCITYOR (n COIMIYWFq/REOUIRE$APERMRTOCaN5TiLL1CT,ALTER�PFiOVE,CEY0U91.ORRFVAIRANYSTRUC• w P81b�BCK 7URE,PRIOFl TO R9 ISSUnflCE,ALSO REOUIRES TME APPLICMR FOR SUpI PERMR TO FiLE A SIGNED w STAIFMENT TIAT HE OR SHE IS LICENSEO OURSUANi TO THE VilOVISiONS OF TNE CONiMCTORS LI• � LENSE Uw(p1APTER i(COMGENpNO YATH SECTION fooD)OF DINSqN�OF TME BUSiNE55 AND PRO• u" P��Spa - FE551ON5 OODE)OR TIAT HE OR SME IS EXEGPT TMEHEFfiOM AND iHE BASIS FOR TXE ALLECE�E%EMP• TpN.11NYV10LAT10NOFSECT10N70�t.68YANYMPLM�WTFORIIVEHIUIT5U61ECTSMEAPPLICANTTO Z RB•ROOf .. F A GVIL PFNAITY OF NOT MOHE THIVI FNE MJNDRED DOLLARS If5o01.1: ' � �1A30wHEFOfiNEPROPENTV,ORMYE47LOYEE5MA7HWACESASTNEIN50LECOMPENSATqN, O (',OTrttBtCi01 . - WILL DO THE NAFYC AIA THE STRUCTUR[IS NOT INTENDED OR OFGEREO FOR SALE(SfG 7ou,BU51- J N NE53 AID PiqFES510NS COOE TIE CONTMCTORS LICENSE LAW DOES NOTAPPLY TO AN OWNER OF j VROPEHTY IM10 BUIl.DS qi MPipVES TNEHEON,ANO IMfO DOES SUCH WORKNIMSELF OA NERSELF OR Q TMROUOMMISOFtMEHOYmEM7t0�'EES.DROVIOEDTMA75UG1MPROVEUENTS�RENO7INTEN�EDOR m � OFFEREOWHSALEIF.FIOVlEVERTMEBULpNQOR1YPRpVENENTI55plDWffMNOhEYEAROFCOMPLE- Z �'710N.7HE dYME14BURDER 1NLL MAVE TNE BUiiDEN OF PROVW67HAT ME OFi 6HE�D NOT BUIID OR . . = YPiqVE FOq T1[iURPOSE OF S11E7. W pL/�SOVMEROFTHEPiqFERTY.1WEXd.UStVELYCONTRACTw01MTHU^ENSEDCOrRRACTWi,4 � TO CONSTRUCT 7NE PIWJECT(SEC.70M.BUSIN[SS MA P110FESSIONS COOE THE CONTMCTORS l4 Valuetion '� ADJ.AREA � CENSEUWOOEStATAPPLYTOFNOYMEROFAiROPERiYW/qBURD50RMPFqYESTHEREON,AND M4qCOMRACT9FORSVLHPF10.1ECf5W1TNAGOHTRACTOii(SjLICENSEDPURSIJANT70iHECONiMG OUANTITY DESCRIPTICN FEE � TOfiS UCENSE UW.} _ O IAY IXE11PT UNDEN SEG B.t P.C.FOR THIS RrJ�SdJ U ll.. ¢ OATE ONNER V . � LICENSED CONTFWCTORS DECLARATION -� � w IHEREBVAFFIiYIUNDERPENALTYOfPE0.0.1RVTHATIAM�ICENSEDUNDERGRO�510NSOFCMAPTER V, S ��OOA�YENClWWITHSECTqN7oo070FDiVi510N70FTNEBU5iNf55ANDPpOFE55qN5CODE,AKD Z X W LICENSE IS W FULL FOfiCE MA EFFECL m LLJ 0 LICENSECUSS � LIC.NO.��� � � ' J �'j a�tE corir�ucroA��y[1_��� a � ` = WORKERS'COMPENSATION DECLARATIOU a � I HEREBVAFFlRIA LNDEH FEN�LT/OF PEMJitY ONE OFTHE FOLLOWINC D[CLARATIONS: Z � �IFIAVENIOW:LLMAa1TNN�CEFTIFICATEOFCONSEMM6ELFaNSUREFORWORNEPS' _ - ' COAIPENSATION,AS PROVIDED BV SEGTION]7o00F iME UBOR COOE,FOA THE YERFORMANCE U � OFTNE WWiK FONN'HICH iH13 iENAR IS ISSUED. � O �I HAVE 1WD VALL IlACRAA!NpRNERS'OO�APENSA7qN INSURANCE,AS REWiRED BV SECiqN s{7 Q ]7o00FTF1EUBORCOOEFOATHEFERFORMANCEOFTHEriORNiORWHICHiHISPERMITIS l��1-�I � � •' ISSUED.WWORKENSGWPEN/S�ATIOHINSUfW�CECARRIF �va�crr�uMeea�wE: _ CONSTiiUCTION �� > uwwsa si��L�� �u.�p PLANREVIEW � POLILYlA1MDER��,._'��/� ELECTRIC � � � (ncssEG7pr�rtmr+o;BE00MtETEDOFhEPEi►.�T6PDRUYH1KFiED00lL�fYi(StOc)ORIESSI PLUMBING Z 1 CERTIFY 7HAT W THE GERFOHMANCE OF iHE WORK FOR WHICH THIS VENIAIT IS ISSUED.I MECHANICAL �1 � WORKERSCDM ENS�iONEUw50�CALIFORNEtiANDACR EETGA'TIF S�i�oULDBENCdAE INSPECTIONFEE ��� N SU0.JECTTOTHEWORKEiiS'C�0IAPCNSATIONDF10N510NSOFSECT10N77000FTHEUfiOli s CQO E,ISHMLFORT7WiTHCOM?LYVlIlMTT105EPqOVI510N5. ISSUANCE T (�+/f� J / ✓ r,r W DATE:_]_LGL�O1 APPLICANT:� i�I C�J SMIP i� � � . � � r \. J WARHIN6:FAlLURETOSECUREWOFiKEHS'COAIPENSA7qNCOVERAGEISUNUwFUL,ANOSHALLBE ENEFiGYPlC � SIAJ[CfANEM7lOYERTOCRIMINALPEWLLTIESMlDC7V4FWESUPTOONEM/NDRCDTFqUSAND ENERGYPERMIT �_. � pOLURS(f100.OD0�.INADDITIONTOTXECOSTOFWIAPENSATqN,DAM110E5ASPFOVi�EDFORIN � SECTIDN]7oeOFTNEL�BORCODE.WTEREST,ANDATTOiWEV'SFEES. {�E7EN7�ONFEE: a CONSTRUCTION LENDING AGENCY PpE-ALT FEE: O � IHEREBYAFFIRYUNDERPENAITYOFPERAIRYTHATTMEREISACONSTRUCTIONIENDING�GENCY � Z FOR TME VER W MW�CE OF THE N'ORK iOH WHICH THIS VENAR IS t55UED(5[C.7ovT,CIV.C.). W � IENDER'S NMIE - C tENDER9ADORE55 � ICERTFYiMATINAVEREADTHISADPLIGTIDNANDSTATETHATTHEABOVENFOfWATqNISCOMECT. TOTAL FEES . . t W IACREETOCCMM.YM77MALLG7YANDCd1N7YORDWANCESANDSTATEUwSPEUTNOTOBUILD�NO � � CONSINUCTION,/J.'DMEREBVAUT110N12EREFPESEMATNESOFTHISWUNTYTOFMERUVONiME ��/\ ��� � ' ' � ZABOVHAENTIONEDPROPEFTYFORINS�ECTqNPURPO5E5. COMMENTS U ' 0 �� ' m VEWAITiEE R fj � Q y SM,NANRE D E D�T � � � RECPT.NO. PND BY � VAL�DATION WHITE—Depertment Copy.YELLOW—Finence Copy,PINK—AsaessaCopy,GOLDENRO�Fib Copy,GREEN—Applicant'a Copy �, � ___ CITY OF DIAMOND;BAR '., \ . , .. ., . R�SPECTION RECORD . .� � . __•.� . ' J�X�..► � 'q�'— '.� ��e .1�.�.�' ��,�,a Q�lS. _ ��r�^��� . . 4����- �.,- J_��. . _. .. __�-�__ __ �:.�..,..,_..r.����: ___.. ;SEf BACK - • , i I�`, � � '� '' . FLOORJ015Tir - - .� n��:,r �,r- � • � ;FTGS/FORMS/STEEL ' FHA REQMTS � . - � ' ' ELECTRIC GROUND.. .. _ UNDER FLOOR,DUCT �GROUND PLUMBING UNDER FLOOR GbP,IdUIT "-: , �� _ • i:� - :�, �. - �SLABGRADE- � FIREPI:ACE-fiOUNDATION � �TEMP POWER -. � FIREPL�ICEBOfVD BEAM f • -� , _ �� �.•;••� � WATER SERVICE - MID HL BOPJD BEAM�=1;.�:,�� ���'� �:� I�T - �i�•' �ROOF SI-�EATHING `••`.l ' %2�L �. . ��- S FT.BOND BEAM ',;_ `�'r'., ��,. -: - -_ - • � � �� FRAMiNG,NENT1L'IATi�N ;' f `'' " J-'�•� •�-��t FINAL'BONDBEAh1� ' �� • ROOF COVER . . � ' S, (-a l � PRE-GRADING - �ROUGH HEATING � ' 6ENCHING ROUGH ELECTRIC ROUGH GRADiNG - - - • �ROUGH PLUMBING -- ' FINISH GRADING SHOWERITUB TEST - . POOL ELECTRIC EXT.LATH/SIDING- - POOL�FENCING WALL INSULATtdN- � - �, � POOL FINAL CEILING INSULATION - - ` " OFF SITE IMPS. � DRYWALL NAILING . DEDICATIOP�S � � .. ,SEWER � FINALEPJG. SEPTICTANK ; LANDSCAPE/IRRIG. � SEEP PIT/LL. ` ' '•.�" C ON SITE IMPS. � � . 'GAS AIR TEST FINAL ZONING FINAL CaNST..` ._ _. - (-O( FIRE QEPT.Fit�/',L ;FINAL HEATING . HEALTH DEPT. FINAL .FiNAL ELEC�RIC - DEV.FEES?AID - - - -- :FiNAI PLUMBING - - ENEFiGY ` � _... . . ... . '.0 j(�� f31:%�4 :w;�:._'..,.. ..;� ' � . � . . . .;:x�• .�....,err.._:a.�r� . ..> .. - -- - _ - 1�..,1=� }..�;'�--- ► .; � � � t� �: � :COMMENTS _ . - — • -_:,___._.____---- ------------ - -. � � , �1 � .. . ;. . �i . . ;�=� � � -� . , , �,�� - � ,;-_ . ��.. � � � - , . , . , �-- , ' ' ' ' r . � 1 I--� 'I J� '� �'� �•. � - � — SEPTIC TANK SIZE ' SEEP PIT/U 51ZE — \ y; �r.M , . . . � � - `i i r'�� i � _ . i . . . - . . . . . _. .. . - .' ';:,'•I , . . . � , ��� �Rr:� , _� �. , � � �; � . . I . � 1 j � r •,�� . . � —' l. 1 � t���. �, � . _' ; . - . ti ,"� _� � r . . � . �_ � , .: � .. ! G ,,` \,\ : � . • ; �+�.��,�,'j i . -' � , r�� :�_, _J ��.� � .......,�......,__ ...J . '—� '