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.� �' CITY OF DIAMOND BAR -" " DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � ' . � 21660 E.Capley Drive Suite 190 ' (909)860-3195 Fax(909)861-3117 ��� PRESS � _ BUII.DING PERMIT APPLICATION FIRMLY o DDR 5S��2'Z' ��F�7V AQN" V" DATECATION�. �C� NUMBER �� � q/C 1 $ ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP °C OWNER /!-�/ G � O p ADDRESS_ s'�_�� A� �I�v�� F � ZONING SEIBACKS u' CITY ZIP TEL 0- FRONT RW ❑ � APPLICANT TEL REAR ❑ � SIDE/SipE STREET RW ❑ CONTRACTOR p'F 1 l�3 SIDE ❑ ADDRESS _ gCITY � l � ZIP TEL PROPOSED USE /'"' � � w ARCWENG/ � ��,-� DESIGNER NO.DWEL NO. � NO. I � CDDRESS Z�P TEL UNITS STORIES BEDROOMS � �n DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDER DECLARATION SFR/ADD/REM O p 1 HEHEBY AFFlFW UNDER CENKT'OF PERAIRY i1uT I MA E%E1A7T FROM THE CDNTAACTDRS LL Garoge/Caryort LLI CENSEUWFORTHEFOLLOWRIOREASON(SEG)D31.SBUSINESSMIOPiiOFE5510N"COD@ANYCITYOq (n U �DU!(fYWNIp�REQ11iiE5�PER�IRTOCONSTRUCT,ILLTER�7FiWE���51i0NHEFRIqM/YSTRUG W PB�IOIDBCI( � TURE,PRIOR TO R9 ISSIIMICE,KSO REWiRE9�/1E AVP�ICANT FOR SUdI PEiWiT TO FRE A SIGHED W - � 4TATEUENT TXAT HE OR SHE L4 LICENSED R1RSlLWf TO THE PRONSIONS OF THE[DNTRACTOAS LL CENSEU�M(CHMTERi(COMMENCMOWIh15ECT10N700o�OFOMSqNfOFTHEB'JSiNESSMOGRO� � u' PooVSpa FESSIDNS COO�OR TIUT HE OR SHE IS EXElAPT7HEAEFN0�1 AN07ME BASIS FOFi 7HEALIEGEO EXEMP. TION.NlYVqlAT10NOF5ECT10N)071.SBYANYA7PLICANTFORAPEHMRSUBJECT91HE11PPLICANTTO Z Ra-Roof dJJv � � A C7YIL PENAL110F NOT1A0{iE iHAN FIYE MAJDREO DOLLARS(fS00).r . � � O1�30WNEROFTHEiROPERTY,ORUVEAIPLOYEE9MnTHW�c3E5ASTHEIR50lECOMPENSATDN. O COfM1flIBfCld1 - � YiILl D�7HE MqFilf.AND TME STFi�CTURE IS NOT ttlTENDED OR DfiERED FOq SALE(SEG)ou.BU54- J � NE53 MA 7AOFESSION4 COOE THE WMMCTORS LICENSE UW DOES NOT AGPLV TO AN ONMER OF � FR07ERTYYM/0 BUlD3 di i1�RdVEgTNEREON,IND VA10 DOES SUdI WOftN HIMSELF Oq HERSELF OR [L TfA71M/11rt50RHEROWNEMOlOYEES,PAOVtDEDTUTSUCNIMPROYEMENTSAAFNOTRlTENDEDOR m �GOFFEREDFORSAlEK110WEllEI�TiEBU4DM00qMVROVEl/EN1145QDWRNMONEYFAROFCO'AR6 Z TION.iHE OwNER-0UIIDER YALL NAYE THE BUHDEN OF iROVINO Mtt ME OR SME 01D N07 BUttD OF � MPRWEFDRT/EPURPDSEOFS.LLEl . � w OIASOwNEROFTYIEPROPERTl;M1EXC1l15tYELYCON7MCTNGNTR/LICENSEDCqffMCTORS � TO CONSTRUCTTNE DROJECT(SEC.7ou,BUSINESS ItA PROFESSIONS CODE THE CONTMCTORS LL Valuatlon ADJ.AREA CENSE UW DOE3 NOTMPLY TO 7W OWNER OF A iROiER7YYR10 BUlD3 OR PAPipVES 7HEREON.AND � �aoarta�creconwwvao�crswin��marFucroa�s���HSEowasuu+rTon�Eca�rruc �UANTITY DESCR1PT10N FEE Y rau uc�se uw.l . �J � • � . � O I hM E%EA1PT UNOfR SEC. B.i P.G FOR iHiS PE�SON Q • ', � U � � . .. ' LL � DATE ONNER V F— w 110ENSED CONTHAC70RS DECLARATION w � 1 MEREB`/AFFlaM UNOER PEH.LLTY OF PE0.A/RY T1UT I AM LICENSED UNOER PFlOYISqN4 OF CHlIPTEfl V. p� �(QOMYENCNO WITM SECTION 7000)OF OMSION!OF TME BVSINESS AND DHOFESSIONS CODE,AN� _ Z LL W LICENSE IS N FULL FO�iCE AND EFiECT. m � ��E�sg c 3 9 ��.�.�o_� � V DATE �f��/('�O cor+TrucTOA�� Ltl`�- n'-'. . w � WORKEpS'COMPENSATION DECLARATION -� 6 � IMEREBYAFFlw.IIM�EHPEIUITYOFVE0.A1HY0NEOF7HEfIXLOWRJaOECLARATIDNS: � Z � ' � �IHAVEMIDWRLY�MT�MI.CERfIFlCATEOFO0N5ENTTOSEliaNSUREiORYAqKERS' a S OOMPENSATqN.ASCROViDE08Y5ECT10NS7ooOFTHEUBORLOO�FOR7HEPERFORMANCE W ' Of iHE N'O�M FOR WMICM�/i13 FEiPAR 19155UED. � Q _t HRVE/ND YALL MAIMAIN Y/OPoCERS Cq{PENSATION MSURANCF,AS i1EOUIRED BY SECTION 0 77DOOFTHEUBORODOEfORTHEPERFONuIWCEOFTHEWOFKFORWH�7Fa5PEHMlT15 , ISSUED.Id'/Y�KER5COIl0ENSAT10NM5UNANCEGRPIERANDPOUCYMIMB£qARE CONSTRIICTION _ ( � CARRIFq �t��� q PLAN REVIEW � PttICY M1M9ER b �� �_�/ �_j fl 0 ELECTRIC .-. 0 (nuSCC�WrE�t�lOiBEoo�.iiETFDOFhEaEiM.tfsiaROn�EN.+ti7�DOd.UUL5K�4DlORLE551 PLUMBING _ Z I CERTIFYTHAT M iHE PERFdW1�D10E OF THE WORK FOR WHIC1i iM9 VERMrt IS ISSUED,1 MECHANICAL� - � (J SHILLINOTEN%.OYANYPERSONMMIYAiAN4EH50A3TO8ECOMESV&lECTTOTHE � � � /��/�� (n YNFlKER5CdAPENSATqNUWSOFGLLIFORM/1,AN0ACREET/UTIFISHOIADBECOME INSPECTIONFEE ���]I •/ /j�[J�j� SUAIELTTOTMEWORKERSCQAPENSATqNPRONSqNSOfSECTqN77000FTHELABOR `� �/ � `•"v .. O000E,� uLeam�vnn�eoe.�v�vvnn�nasev�snr+s. ISSUANCE 0 0.,�:_1���d������l �.l� �`I1 Y�F � ENERGYP/C �U�DING AND SAFETY � WARMNO:FAIIURETO�EWRE WORKEQ5 CddPENSAT10N COVEMGE IS UNLAWFiI�AND SHALL BE � (—y SV&IECThNEMP�p�ERTOCRIMINKPENAL77E5M1OCMlFINE3UPT00NEM1NOHEDTMW5�N0 ENERGYPERMIT - pOLLJ�RS(tloo,oao�rti MDI7pN 70 THE COST OF CDuoENSAT�ON.O�uAp�3 A4 FROVroED FOq IN J SECTqN770lOFiHEU�BOqO00EWTEREST,MiD�TfORNEY'9iEEA RETENTIONFEE � CONSTRUCTION LENOIN6 AGENCY pRE•ALT FEE O � I HEREBYAFFIFIM UNDER PENitIT'OF PERAIRY THAT THEP.E IS A CONSTRUCTION LENDMO AOENCY � FOR TME GERfORMANCE OF iHE WOFK W R WMiQI TMIS VERMIT IS ISSUEO(SEG]oYT,QV.C.). � � LENDEiM9 NAA1E LENOERS ht7DRE5$ w ICEqTFYTHATIHAVEREADiHI4APPLILATI0NMA5TATETUTTiEABOVENWPoAA710NI5CORRECT. TOTAL FEES - � � I A6REE TO CdAPLY YVITH/�Ll CT'MA COUNIV ORDMANCES IND STATE UWS REUTINO TO BURDINO - � CONSTRUCiION,MIDHEREHVAU111O0.QEREVRESENTATIVE50FTHL5COUNT7TOEMERUPONiHE . Z ��.4EMqNEpiiqPER7YFORIH57ECTqNNR705ES. COMMENTS � 9 � J I J tf-c7 � � PERMITfEE N� � � � � L D� . �` � SKIN�N�' EE OAT � _ RECPT.MO. P/UD BY VJWDATIOM _ '\ WHITE--Depertment Copy,YELLOW—Finance Copy,PINK—Assessa Copy,GOLOENROP—Fib Copy,GREEN—ApplicanYs Copy - - , - , . - . . . , - .. .,,, , . . "r" , . . . . .-. . � . .. , � .. .. . . . . . �., " . � . - , . . CITY OF DIAMOND BAR , ��, ''� . . . .':- INSPECTION RECORD �� " i . . , . . : ,. . � --� -_ �a o � � � �. o - � o � � � o - SET BACK ' `� `�_: � , . . , , ; � 4 „ . FLOOR JOIST� \,-. �.,'r=i� � -=�: _ , FTGSlFORMS/STEEL � `, � FHA REQMTS - - ELECTRIC GROUND "UNDER FLOOR DUCT �. , ;,.,:,+ , -. � GROUND PLUMBING - UNDER FLOOR'_CQIUDISIT. ' -�, , ,. �-- SLAB GRADE ' FIREpIAG�FOUG�IDATION - - TEMP POWER - FIREPLACE BOND BEAM � - - _ -WATER SERVICE- - , - MID HT.BONb�B�AM�' ''' � "''-! ,� ' •�� ROO��SHEATNING `' : �'� � �� 't � 8 f�T.�80ND AM.- .... -- • ;• — ,. � -i''�_ .. FRAMING/VEN7'1LIATION ' ' • ;�.{/: ;(-,, FINAL BOND BEA�N1 � ROOF COVER � PRE-GRADING - - • -ROUGH HEATING ---- — - - BENCHING--- - --- — � ROUGH ELECTFiiC ROUGH GRADING � ROUGH PLUMBING - �" "" --- ' - FINISH GRADING : SHOWEFUTUB TEST � POOL ELECTRIC , EXT.LATH/SIDING POOL FENCING ' • • WALL IN�LATION POOL FINAL �. CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING DEDICATIONS SEWER . FINAL ENG. � ' . SEPTIC TANK _ _ LANDSCAPE/IRRIG. ' � SEEP PIT/L.L. ON SITE IMPS. GAS AIR TEST � FINAL ZONING FINAL CONST. FIRE DEPT. FINAL ' FINAL HEATING - - HEALTH DEPT.FINAL , -. FINAI:ELECTRIC DEV. FEES PAID FINAL PLUMBING ENERGY c-�=�'�1=�"fic��. � . �-- - -- - ------ - ;' , - j•, r_._ _ - - , . � �� - - - COMMENTS , . — _ - t'. � 1 ^(� ,ti: �� ^ ;T •c•. �;�'( ,, ' i t `1 `�q 4 � „ .. -- ��l����t I,.�: ��ii��: . . . � ' - - � � � �,?� .�►i;�� :.�;.Irr:I{� ' " � t�.., , , , � `:�.:i=:.�.;:�::;:. 7;i;ts ',!;"� _ , • . - _. . , . , , SEPTIC TANK SIZE , " , , SEEP PIT/U SIZE .. -- f�i ' � � �� : - . � _ , _- -. , �., � ,. �_ , •� r�;�� , _ , __ - . � , ;' I � , `' ' ,,ti - ;� �•... . �� _�.• - � -; _.�; . / _ . - - — � � 1