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CITY OF DIAMOND BAR � COMMUNITY DEVELOPMENT DEPARTMENT a,.e 21660E.CopleyDriveSuite190 PRESS (909)860-3195 Fax(909)861-3117 / 'M'� LDING PERMIT APPLICATfON FI R M LY N JOBSITE APPUCATION� �� LJ�( PERMR P/C o ADDRESS OATE � U NUMBER�i� M c� ISSUE TYPE OCC APN LOT T�G DATE CONST. GROUP °C OWNER tltK.'3 � ADDRES� '" 1 ' ZONING SETBACKS W � ZIP TEL. FRONT RW ❑ � C� REAR ❑ APPLICANT • TEL. SIDE/SIDE STAEET RW ❑ � CONTRACTOR SIDE ❑ o CDDRESS ��Z1P c � � PROPOSED USE ti � �. � ARCHIENG/ � DESIGNER NO.DWEL NO. NO. d ADDRESS UNiTS STORIES BEDROOMS. � CITY ZIP TEL u�i DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNEH-BI:ILDER DECLARATION SFR/ADD/FiEM O W CENSEUWEFOR E d10WMl�REA50N(SEC.mtm.SBUSNE SEAUU�ViiDFES�5qN5W0�EANYdTYOR GareqetCarpori U COUHryWNIdiREWIRESAFERMITTOCONSTRUCT,PLTER����'E.�EMOUSM.ORREPAIR�N'/STi4UG W patbiD¢tk � � NRE PRpR TO rt3 ISSUANCE,ILL50 REWIRES THE AVP�ICAtfT FOq SUCH PERMIT 70 FlLE A SIGNE➢ w � ST�TEUENT lN1tT HE OR SHE IS 110EN5E0 PURSUANT TO THE PRONSION9 OF iME CONTRACTOR9 l4 � CENSE UW(dUGTEA 0(CdAMENCeJO MniH SECTiOH 7aoo)OF DMSqN 7 OFTME BUSiNE53lJlD PRO. u- PooVSpa FESSIONS CDO�ONTHAT ME OFI SNE IS EXEMPi THEREFROM AND THE BASIS FOR T11E ILLLEOED E%EMP• V TION./�FlYVIOlAi10NOfSECT10N70J1_SBVIINYAVPLIC�NTFORAPERMIiSUB1ECT9iHEAGPLIGN�TO � Z RrRoof A GVIL�ENAITY OF HOT 1�ORE 7Hu1 FNE Il1NORE0 DOLLARS(isoo)): Q OUSOM7iEHOFTMEPROPERTY,OqUYEMPLOYEESM'I7MWAGESASTHEIRSOLECOMPENSATION, . O �Commercial - � - Z WILI DO THE WORK,AN[f THE STRUCTURE IS NOT INTENDED ON OFFEREO iOR SKE(SEG 7Nt,BU54 J � NE53 M70 PROFESSIONS COOE THE CONTMCTOAS UCENSE UW OOES NOTlNOLY TO ANOWNEH OF � PiqVEHT�'Mrtq BURDS Ofl MPROVE4 7HEREON,AtA YIFIO DOES SUCII WIMK HIMSELF OR MFRSFIF Ofl � THNOU6H MS OH HEROWH EMPLOYEES.PRONDED THAT SUCH tlAvqpVEMENTSARE NOT MENDEOOR m , QOfFERE0FOR3KE1F,IqWEVERTMEBUIDINQORlAoqOVEA1EN7155C(DWRHMONEYEAROFCdAPIE• Z TION,THE OWNER�BVKDER vALL MAVE THE BVFDEN OF PROVMJO TNAT HE OR SNE�ro NOT BUttD Oil � lAPiqVEFORTMEPURPOSEOF8�11E1 � O 1�3 OwNER OC 7NE PiqVERTV,W Ef(CLUSNELY GONTRACTRN3 NRil1 LICENSFD CONTRACTORS � TO CDNSTRUCT THE FRO.IECT(SEG 7a�,BUSME53�HD VROiE54qN9 CODE�11E COHfRACTGi3 U- V21U8IWI1 ADJ.AREA W CENSEUWDOESNOTAPY�1'TONiONNEROFAVROVERTYM/HOBURDSORMOHOVES7NEREON,NA � vr�ocartrucrs�or+svaior�crsvnrr��courrucroals�ueEuseowaswwrron�Eca+rrua pUAN11TY DESCRIPTIO FEE � TORSLICEHSEUW.). . ` Q O 1 W EYEYiTU�IDER SEC. B.�P.G fORi}if3 HEASON Q �V - � U LL F � OAtE ONTIER V �, � O W Q LICENSED CONTRACTORS DECLARATION W OC IMEREBYI�Fi�AMUNDERPENAITYOFPEIWRYTHAT1AMlICENSEDUNDERPROV15pN90FpuPTER � �(COMMENCMIOWIMSECTION700qOFDM510N70FTHE8U5�NE5S�NOVROFESS�ONSCDOE,uA Z - 1 X� 1AY LICENSE IS R1 FUIL FORCEMID EFFECf. u, S, �.. ��,� r. V, -m .'� UCENSE CU53 ��UC.NO. J V DATE CONiMCTOR ' a W (/ � WORKERS'COMPENSATION DECLAFiAT10N � g,j I'�O � ` � IHEREBYAFFIRMUNDERCENKTYOFOEiWMOHEOFTHEPDLIOWUWDECUMTqNS: V � - � � � _IM�VEMlDWR1►/AMTNNAGENTKKATEOFCONSENTTOSELFdNSUAEFOANdiKERS $ CpAPETlSATqN,A9FipVIDEDBYSECTION]7o00f711EU�BORtODE,FORTHEFERFOAA1fNCE U Q OFTNE V/ORK FOR WHid/TNiS DEPo.�IT IS ISSUEO. � 0 W _IHAVE/�tAWILL1AAMTAMWOPoCERSCOMDENSATpNMSUfUNCE.ASREOUIREDBYSECTION Q ]7000FT1ElA80RO00E.FORTHEPERFORI.IIVJCEOFTNEWORKFOHWMiGITH�4PEN.1R19 - ' 6SUED.A/YVA ' OMP SATIONI ANCECARN�E POIiCMM11A8ERME: CONSTRUCTION � CARRIER / � - PLAN REVIEW Z va�cr rnn�een� ELE� d � (nsSEcrvrr�IDrqigem,aErIDOFnfpEwarswqar��un�oottutsryto�or� PLUMBIN � Z I CEIiT1FYTUIT IN7HE FERFORIAANCE Of TNE WORK FOR WHICH7H14 PEPo.MTt$ISSUED,I MECHANICAL � � - � SNALL NOT FMPIOY AM'PERSON W ANY MMMEN SO115 TO BECOME SUBJECT TO THE N VYORKERSCOMPENSATIONUWSOiCKIFOPNiAµCA6REETMATIFI5NIX1tDBEGOuE INSPECTIONFEE - S SUBJECTTOTMEY/OHKERS'CpAPENSATIDNPf�n510N50F5ECT10N77ooOFTHEUBOR cao�,i siwi coann�nrn wuar win�n+osE raawsaas. �SSUANCE � SMIP p OATE: APPLICANT: � WAi71R10:FAllURETOSEQJRE�AHKER5COMPENSATIONCOVERAGEISUNUWFUI,ANDSNALLBE ENERGYP/C �y SUBJECTANEMPLOYERTOCRAIRULOENRlTIE4M1DCMlFwE4UPTOONEMINDREOTHIX)SAHD ENERGVPERMIT DOLURS(f1o0.000�W/�DOITION TO THE COST OFCOMPENSATION,O�CES AS PROYbED FOH IN � SECTION]70lOFTMEUBORCODE.RlTEREST,ANDATTORNEY4FEE3. RETEN7IONFEE: d CONSTRUCTION LENDINd AGENCY PRE-ALT FEE: O � IMEREBYAFFlRMUNDERPEN/iLTYOFPEiWMTHATMEREtSACONS�RUCTIONLENDwOAGENCY ' ' n- FdiTHEPERFORNJINCEOFiHEWONKF�RVMK}1TM�SPE�iT151S5UE0(SEG7ov7,C1V.C.�. _ � � lENOER'3 N/u.1E � lEN0ER3IDDRE54 - W ICERTiFY7M�TIlUVEREI�DTH15AVPLK,ATIONANDSTATEI}UTTHEABOVENFORMATIONISWRRECT. TOTAL FEES / � I AGFEE TO COAIPLY MATM ILL1 CRY AND COUNTY OPDINMICES�NO STATE UwS REUTwO TO eUiDiN� � CONSTRUCTION,ANDHEREBYAUT1qRREREVRESEMATNESOFTH�SCOIMh'TOEN7ERUFONTHE , ,�aove rrtia+eo� TY FOR INSPECTqN PURPOSES. COMMENTS 9 _ ¢ PERMI f E(� � ' , . . . � -,7�L � 0�t� pECPT.NO. PAID BY ` '� VAUDATiON � � - ITE—DepaAment Copy,YELL ence Copy,PINK—Assessa Copy,GOLDENROD—Fite Copy,GREEN—AppticanYa Copy : ._ . .. ., ....�.�... . .�..,�.,..�. .. . . _.,.-.-.�T. , ` ;,,,. .. ....�.:.}�.,.�:^y:-..:r:•ti'`.� -.. .. .- : _ .-. .. . .. � CITY OF DIkMOFVD BAR :,:�`,'� • � , ,. " : ; . `,IfVSPECTION REC�J�D � - , - _ - - ._-.. . . ,. �.. ,._ . , . .., . .� -. . __�._4.._ -_- _�_—_ _ _ _ __.� !Ti+i:'i=���ii��'R. !��t�`� •i��''{�c:! o p : i�;`�y'1— c- � c.`' .� ro1=i�=•. ;rC�j.�:T��;:s�t�al,'-� I _ _. _. _ _ T, . . , ; . . -- _ _ ___ . - -- - — �- - , �., � SET'BACK_... - • , - FLOORJOIST------- - �. _ ._._ _--- -- -- - - � FTGS/FORMS/STEEL --- - � ,, - - - FNA REQMTS-- , . -_ • ' • ---.,, i : ELECTRIC GROUND .. .,.. . UNDER FLOOR DUCT : '"� ' ' � . i `- �.. L .�.,��� `J ,,�,,a � ,. GROUND PLUPABING ' ' - - - -- - - �`� UNDER FLOOR CUNDUIT'-- � -- SLAB GRADE- ��• - - -- �� � � �� FIREPLACE FOUNDATION - ' -- � � � TEh7P POWER _ - - __ -- -- - - - fIREPLACE BOND BEAM - .__.-.. .. . :,-; ;�; ,. i WATER SERVICE-- �7 L7 .� - -- - '':'' - ���11D HT.gOND BEAM - - - - - - -- ROOF SHEATHING � - --�- � 8 FL BOND BEAM � ' � � FRAM�NGNENTILIATION � ' ' '� FINAL BONDBEAM - �• i -- _. ROOF COVER — -__ __.- -- - - - -- - - - PRE-GRAD WG _ . _ _ , ��., ; .. ROUGH HEAT{NG - _ , -- -'- - = ------=- BENCHING - - - - - - - - -- ----- ROt1GH ELECTRfC- --- �� - � ROUGH GRADING ROUGH PI.U�dBING�- -" "- - - - - � — -- FINISH GRADING ' ' SNOWEF�/TUBTEST'-— -� " " - - - - PDOL ELECTRIC �EXT.�LATH/SIDING � - - - -- __ _ -- - �'OOL FENCING � � , - - WALL INSULATION : POOL FINAL : � � " ` CEILING INSULATION OFF SITE IMPS. � � � DRYWALL NAILING ! DEDICATIONS .. ' ' SEWER FINAL ENG. - - -- -- -- - , SEPTICTANK -- -- _ : LANDSCAPE/IRRIG. ` , • .SEEP PlT/L.L'.._-_-__ -_-- - .--� " . ON SITE IMPS. . . . � , - _ __ _ . . . -. -GASAIR TEST.- -- • �- .'_'_�, - l.;�•. •'�.i., ...._. ------ FINAL ZONING . , .., FINAL CONST.. — -- .• < - � - ---- FIRE DEPT. FINAL - ; FiNAI:HEATING-------� ` - -- ._ = .. � . ---- HEALTH DEPT. FINAL - FWAL ELECTRIC� r� ; :. . ,- " ! , '� DEV.FEES PAID � . , . , i �, j - - - FINAL PLUMBING� _�./�?� -_ _ __ ENERGY . ; . , `'�• _ , -: 1"_, � _, _ _�, �� !�: � . _ . ' _ __ , <<i� �9('-�'��___---- � _ � , ,_ - , _ ... - -- -- - - - - -._ --- - -- _ - : � COMMENTS `� � " , , - - -. ._ _ - - - - - -- - _ . - -- - -. ; : --- ---- -- — -- - - ,. . . ; , - �� l �.t��� 1 :�' `-:�(� ' . - . . ; I , •_ � ����' . _��:,� �.� \ _ _. r"�p � i ; __ .-- _ - - ' ''��,t-� - `` ' _ . . - ; . , ; - . ,: ; � , , , - -- _ --- ��,�t r, ;��'h - ; ; � _ ,._. __ . _ - - � � , - . , ; SEPTIC TANK SIZE - - -- � � - - - _ - _ -- - --- , � . .. . ., , SEEP PIT/U SIZE � -- - „ .. . , � ; � _. .-.,, .�..,_, . jE+`� , ; . i � - � _ ; , "�'��' '� --- -- ':�i�% i: i � , . , . `,,.. .., � . ., . -- __� •_ - , - . , -- _ _ ; , � . , _ , *"�� j ,. _ ' - �'- ' i ,�„ _ ��\ 1 \ � t� i . � , . , . , . . .- .• _ .� _ � ..._