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/ - _. _ -.., .. I V CITY OF DIAMOND BAR � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861-3117 PRESS ��� BW.DING PERMIT APPLICATION : FIRMLY o� JOBSITE -•7'Z����h�.�d�//,L r �/„� APPLICATION ✓y-a NUMB R` �� 13�1C ADDRESS r�J �"�� DATE � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER K�llt.d /f�J 0.�t�. � ADDRESS •� C� ��� � /1�"� ZONING SETE3ACKS � CITY��Ir1'"J�+� I ZIP TEL. REAR Rw ❑ APPLICANT TEL. SIDE/SIDE STREET RW ❑ � CONTAACTOR� / 1• -D � SIDE ❑ a A�DRESS � c.�+n � CITY��r� ZIP � �� TEL C7� i�' L.l�' PROPOSED USE � ARCFUENG/ DESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORIES EiEDROOMS � CfTY ZIP TEL. N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � Q OWNER•BUIL�ER DECLARATION SFR/ADD/REM O p I HEREBY AlFlRM UIIDER PENAL7Y Of GE0.A1Rv THAi 1 M1 EXCtAPT iROM TME COrRMCTORS LF Ga2ge/CarpOR W CENSEUWFOR7HEFOLLOWNdPEASON�SfC.}OJI.SBUSWESSANDPROFESS�ONSCODE:ANYCI7YOR (n (.� GOUNiYWHICNREOUWESAVEfU1RTOCONSTAI:CT.KTE0.�PROVE.DEMOLISFtORREPAIAANYSTAUG W pati0/DBGk u� TUi1E VRqq TO RS ISSUANCE.I�50 ilEOu�RES TH[APPLICAN7 FON SUCH PERIu:T TO FILE A SIGNED W � 6TATEYEHT i}7AT HE OR SHE IS 11CLN5E0 PURSU�flT TO THE Oi10VI5lONS OF THE CaNTRACTORS L4 � CENSEUW(C1IAOTERY(COVMENCNOWITNSECTION7000�OFDIVISION70F7MEBUSINESSANDVRO- u' PooVSpa FESSqNSCODE�ORTMAiHEOR5HE1$E%EA/PTTFIEREFRd1ANOTNEBA515FORTHEALIEGEDE%EMP- C7 TION.ANYVIOLATIDNOFbECT10N70.71.6BYAM'�PPLICANfFORAPERMITSUBJECT5THE11VGULINTTO Z pe-Roaf � A ClVIL VENAL7Y OF NOT AIORE TNAN FNE HUW REO OOLURS(f SOD)): � OIIISONMEROFTMCVRODFRTY,OHMYEMDLOYEESW17HWAGE5A51H[IRSOIECOAIFENSA7qN, O CpmmBfCiel ' WILL DO 7ME WORKµ0 TH[STR'JCTURE IS HOT IMENDED Ofi OiFERED FOR SALE ISEG 7W1.BUSI• J ME55 AND PRO�fS�lON4 OOOE:TME CdfTRACi00.S UCEHS[Uw DOES NO7 APPLY TO 1W dNNER Oi � PROPERfY1M10BU4D30i111IPROVESTHEREON.M1DW1q00E5511CMNORNNI/ASELFOFMEHSCIFOR = [L TNROUOIIHISq1HERONMEA�PLOYEE5.pF70'ADEDTUTSUQ/WPROYEIAEMSMENOTMENOEDON m � OFFERCDfORSALEIF,MOYlEVERiMEBUIlDP/QORMPROKMEM1950lDVATHINONCYEMOFCCA1i'LE� Z TION,TME OWNER�BUIIDEfl VnLL NAYE T11E BV�IDEN OF PIIOVG�iO TMI1T ME OIi SNE 0�NOT BUM Ofl = MPf10VEfD1liNEPURVOSEOFSALEI. �y,� ❑IIISO�M�EROFiH[CROFENiY.AMEXCLUSNELYCONTMCTPlOWfTHUCENSEDWIlTMCTORS (r TO COHSTRVCT THE VR0.IEGT(SEG 70W.BUS:NE55 A7:D PROFESS�ONS CODE�,iME CON'RACT01i5 Ll• Valu2lion AQI.AREA lL CEN9EUWDCESNOTAPPLYTOINOWr:EHOFAOROPERTYVnqBl1ILO50RrIPROVE5TIEREON.ANO � VRIOCONTMCTSFOR6UC11PR0.1ECTSN'�7NACONTRAROR(S)L�CENSED%1RSUFMTOTNECOHTIUG QUANTITY DESCRIPTION FEE � � TORSUCENSEUW.). e ///��� /�� � �IAM EXEA17TU10ER SEC B.t 7.C.iOR iH15 RGSON U �F-V��� �� w � 3 ¢ u' OATE ONNER V �Q . LICENSE�CONTRACTORS DECLARATION W � CL IHEREBYAFFIIWUNDERPENII�TYOFVERR1qYTW�TIAMUCENSEDUNDERPPOV15KKI50FCMAPTEN a, ��COYMENCNOWITNSECTIONIOW)OFOMSIONJOFTMEBUS:NESSIv+OPFiOFE55iOr+5CO0E,AND X W IICENSE IS N FUl FORCEAND EFFECi. lL m � LICENSE CUSS G � LIC.NO. S�`•��� l j V pA7E � `� CONTRACTOR �� a W n� WORKERS'COMPENSATIOY DECLARATION -� = 4 N U � 1 H[AEBV AFFlPu VNDER PENALTV OF VE0.IUNY ONE OF TME iOLLOwING DECUMT�Or:S: Z � Q � �IN�VEANDW4LMAMTAINACERTIFICATEOFCONSEHTTOSELFdNSUREFORWORKERS' $ � Cd.IPENSA710N,A5PROVlDEDBYSECTONJ7000:iNEUBOHC�OE,FCftTHCC[RFOFUANCE W �� OF N.E WopK iORN'N'CM TN:S DE�4R IS ISSUE�. � G �111AYE IN0 W:LL M�INTAJI WORI(EFS LO�APENSATqN INSUMNCE,AS RCCJ:REO BY SECTqN O ' ' 77000FTMELA[idi000E,FORTHEPERiORA1MICFOFTHEWOPXFOnN'MiCl1THi5PENARIS � ISSUEO.MYY.ORKENS'CDIAPENSATIONWSIIRMICECARHIERANDiOIICVNUMDLRMC: CONSTFjUCTION > uqqiEq PLAN REVIEW � . POl1CYM1fADER ELECTRIC p (i10.S5EC71CklI�L[EDNOfBE001.i�EfIDOFMPERMT6fOF10F1FH1N7f1m00LWF�R'�O�1lLSS� PLUM1101NG _ _�1 w •a...� Z ICERTIFYTHATNTNEPERCORMANCEOFiHEVYORKFORWHICNTNISVERUITISFSl:EO,I ME-CHANICAL (} SYIALIHOTEMPLOYANYiEH50NN/NYMANNERSOASTOBECO�AESUBJECT70TNE . N YVORRERS'COMVENS�TqN U�OF L/�LIFOiiNI�AND�GREE THAT 6 I SMOl�lO BE E INSPECTION F = . � U SUQIECTTOTMEWOf11(ER+COM�ENSATqNPHOVIilON50FSECTION7� OFT .ABOR ISSUANCE � s CO�E.1 SNALL FORTHMnM LpaPLV WI TN(j�'GNOVIS`� B � ��_ APPLICANT:�t�� SMIP p DATE: - W ENERGY PIC WAiWING F�ULURE TO SECURC WOFiK[NS'CAMPENSATqN COVERAGE IS UM.AwF114 AMD SHALL BE �y, SU&IELTANEMPLOYERTOCR'•MINN.PENALTIESAN�CMlFWESUPTOONEMUNDREDiMWSAND ENERGYPEFiM1T DOIlARS(f 1m,000l.IN A�D1710N TO THE COST OF COMPCNSATpN.OAM�GES AS VROVIDED FOR IN � SECTIDNI7DlOFiNEU1BOfiC00[.WTERFST,AVOATTOfWEYSFEES. RETENTIONFEE: . �pL. . CONSTRUCTION LENDING AGENCY PRE•ALT FEE: O � INEPEOVAFFiRYUNOER7ENAlTYOFPERNRYTUTTMERE15ACON5TRUCTIONLENDINGAGENCY FOR THE VERFOPA.IANC[OF TNE WORN FOR WHIC/I iN15 DENMIT IS ISSUED($EC.70Y7,CIV.G). CL � LENDER'SNIWE � LENDERSADORESS � ICERTIFYTHATIMAVER[ADT1a�5APPUCAT10NA1:D5TATETIUTTNE/JiOVEINFORA1ATqNISCOiiflCCL TOTAL FEES �� � IACREETOCOMPLVWITHALLCIIYANDCOUNT'ORDIlUNCFSAMJ4TATELAN5PEU7iNaTOBl1R01N0 • � CONSTPUCTION,M1D HEREBY AUTqRRE RE�RES[NTATIVES OF 1Hi5 COUNTY TO EN'ER UPON THE /1BOV[�MENTqNEDiRO�ERTVfONW5PEC710NPUPF05 5. COMMLNTS 0 /' _� �i�'�i1L� _ Cf.�u�l� � m v RMITTEEN E�v T a y���� --, ,�-� , � , ,�-, � � 7 �iEOt E iE DA7E � ' RECPT.NO. �L� PND BY VALIDATION _ WHITE-0epartment Copy.YELLOW—Finance Copy.PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApD����'s Copy _ ' . . ,. .. . . _.... � _ . . . . .. . . . ,,. .. , .�• . 4 � � � ._ r � . .. . . . . CITY OF DIA�JiOt�!D BAR .. ,. •:� ... : ::I�vSPECTIOP. RCCORD . �� " .'—f���=-a�r`��(y���"' {:r,�.�i�= _ �.�.��-�,��.��'�.'1��I���=t'�!=i�;pic�li�i���+-T'�y�`a,r'' . .. �►�1-7-���-�f��'--_ ..._ - - - - - _ . .,::. ;SETBACK .. " G. ' � , � - FLOORJOIST . '�'.�_' �� ; � — 'FTGS/�ORP�".SJSTEEL - - F'HA REQ?�7TS � ' (� ELECTRIC GROUND U�vDEFi FLO�Fi DUCT ��__ . _ : GR�UND PLUMBING • Ui 1DER FLOOR CU�IDUI i ' iSLAB GRADE � FIREPLACE FOUNDATION I 'I '� � , .� _ ,TEMP POWER FIREPLACE BOND BEA!�1 I I � � WATER SERVICE Pv11D HT. [30ND BEAP.1 • � � . I • ; ; � :, • ;ROOFSHEATHING I .8 FT. BOhD.BEAD:1 . � � � " ' •� � -- ' ' FRAMihlGrl,'ENTILIATIOPJ FINAL BOND E3EAP.1 � ' � . ROOF COVER . PRE-GRADING - �R�tJGH HEATING BENCHING �ROUGH EL�CTRIC . . ROUGH GRADfUG :ROUGH P1_U;ViBING FINISH GRADING 'SHOVJER,TUB TEST POOL ELECTRIC ;�XT:L/,TH!SIDING – POOL FENCING � ! '1"JALI INSULATiON - - POOL FINAL CEICiPdG 1i•:SULATION �FF SITE 11�^.PS. -. �DRYbVAl..LPJAILING � DEDICATIOPdS ;S�V.'ER - � FINAL ENG. SEPTIG TANK LAPJDSCAPE/IRRIG. 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