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-- - -- - -- - - --------- -- ----`- - � - CTI'Y OF DIAMOND BAR � � COMMUNITY DEVELOPMENT DEPARTMENT 21660 E.Coplcy Drive Suite 190 . PRESS � (909)B60-3195 Fax(909)861-3117 '�'� BUILDING PERh1ITAPPLICATION FIRMLY y�, JOBSITE Q � DATE CATION � � � � NUMBER 113/s NlC 0 ADDRESS � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER �` "' ADORESS�� � _. �� '.�C �'r- (�1 V��• ZONING SETBACKS • Z CITY ZIP TEL. RR�OpT RW O� g APPLICAMT TEL. SIDE/SIDE STREET RW O � CONTRACTO SIDE O � A�DRESS � p PROPOSED USE CITY � ZIP ` 3 TEL`.� o ARC NG/ � � DESIGNER NO.DWEL. NO. NO. n. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BI:ILDER DECLAHATION SFR/ADD/REM O p I HEREBY AFFIR4 UNDER VENALTY OF VERIURY THAT I AU E%EYPT FROM THE CONTMClORS ll• Gef89e1C8�OR � W CENSEUWFORTMEfOLLOWiNGREASON(SEG70.71.69USRJESSANDVHOFESSIONSCOOE:ANYGTYOR (n U COUNfYW11Ip1RE0URE5APEIWRTOCONSTtiUCT,ALTER1417RDVE,DEUOl15H2ORREO�IRANYSTRUC. W P8Ii0/DBCk � TURE,PR10R i0 RS ISSUAHCE.ALSO RF�UIRFS iHE APPLIGNf FOR SUdi iER1A1T TO FIIE A SICNEO W E7A7EMENT THAT ME Oft SHE i5 UCENSED PURSUNfT TO TME PHOYi5lON5 OF THE CONiMCiORS LF . � CENSE Uw(GIMTEH Y(COMMENLWG YnTM SEGTpN 7000)OF DIN510N]OF THC BUSNiE55 AMO iR0- V"' POOVSpa fE5510N5 COOE)OR TINT XE OR 511E IS E%EMPi TMEREFHOM AND THE BA515 FOR THEAILEGED EXEMP• � TION.l1N'/VqLATIDNOFSECT10N7D71.SBVANYAPPtICANTfOR11PENMITSUBJFCTSiHEAPPLICANTTO Z Re-Roof � 11 UVIL OENALTY OF NOT IAORE THIN FNE HUNORED DOLLARS(5500�.1: O4ASONMEROFTNEPROPERTV.ORMVEYPLOVEESNnMwAG[SASTMEIRSOLEC011PENSATION, Q Z CommefCiel � � ' WILL DO iHE WOf1N.AND THE STRUC7URE IS NOT IHTEADED OR OFFfRED FOR SnLE(SEC.7u1,BUSI- J � NE33 M1D VROFESSiONS CODE:iHE CONTMCTORS UCENSE UW DOES HOTAPPLY TO AN OwNLR OF � . FHOPERTY YV110 BULD9 Oq IYviqVES TNEREON.AND W110 DOES SUL/I WORK NIMSELF OR MERSELF OR [[ THROUGHHISORHEHOWNEMPLOYEES.PROVIOEDTHATSU(71IM7ROVEMENTSARENOTWTEIAEOOq m pOiFENEDFORSAlE1F,110WEVEi�iT7E8ULDW00RMCROVEMEMISSOLDWITHNONEYEAROFCOMPIE� Z TION,iHE OwNER�BUKDER WILL HAVE TH[BURDEN OF VROVNO THAT HE OR SNE OD NOT BUILD Oq � IAIPPOVE FOR TME VURPOSE OF SALE4 . w OI,ASOwNEROFTMEPROPEH7Y,AME%CLUSNELYCON7RACiNOMrtT11lICENSEDCONTMC70q5 . � TO CANSTRUCT TV1E GRO.IECT�SEC.70N,BUSINESS AND PROiE5510N5 CODE:THE CONTMC70R5 U- V8I11B210f1 ADJ.AREA W CENSEUWDOESNOT�vPLYTO/WOWNEqOFAPROGERiYWnOBULD50RI4PROVE3711EREON,AND � YV1qCONTMCTSFORSUCHVR0.1EGf5YnTHACONTMCTOR�S)LICENSE�PURSUMfiTOTNECONiMG OUANTITY DESCRIPTION FEE � TORS IICENSE UW.). � J � O I AA1 E%EA1PT WDER SEC. B.�P.C.fOR THIS REASdJ � q 3 � � � DATE OMMER V W �Q LICENSED CONTRACTOFiS DECLAHATION W CC IHEREBYAFFIRAIUNOERPfNALTYOFPE0.NRYTHATIlu1tICENSEDIMOFRPROVISIONSOFCNAOTfR V. p„ 0(COwdENCtNO YnTH SECTION 7ooD)OF Drv1510N 70F ME BUSMESS N�O PFOFESSIONS COOE,AND Z MY UCENSE IS IN FULL FORGE AND EFFEGT. ` • � � m O ti 1 F LICENSE CU55�_6�c- .�IIC.NO. � �� � •t , V DATE CONTRACTOR �1 - � W ``• � WORKERS'COMPENSATION DECLAFiATION U � � 1 � INERfBY�iFlRAIUNDERVENALTYO�GE0.IURYONEOFTHEFOUDWWG�EC1AiLl710N5: V✓ Z '� Q � _IHAVE/NDWiLLMA1N7AiNAGERiIfILATEOFCONSENTTOSEIF•WSUREFORNfORKER4' 2 COMPENSATqN,AS�HOVWEO BY SECTION 77000F THE LABOR COOE,FOfi 7HE 7ERFOiU1ANCE W OF ME WORK FOR WHICH TMIS DERuiT IS ISSUED. � C w �IHAVEANDNnLLMAMTNNWORKER5COMPENSATqNWSUiiANCE,A5RE0UiRE08YEELTKN O �7000FTHEWBOFCODE,FORTHEpERFOR4ANCE0FTHEWORKFORNMIOVTHISPERM1T15 ISSUED.MVNUiucER'COUP SA71DN� CEG�RyR/Iyp�r,ovaicrNuraaeauae: CONSTRUCTION jcnawEn `� PLAN REVIEW � DOIICYMlMBER � � Z ELECTHIC` ¢ / � � 0 (I}GSSECIIONN�NOTBECDf.pIE�EDOfMPERMT6FIXi0NE 6tOCI0i1LESSI P6tlAdBIN9' _�— � ' Z ICER7IFYTHATNTHEPERFORMANGEOFiHEY�ORKFORWHIGITH157E1WITI5155UE0,1 MECHANICAL U' SM�U.LNOTEMPLOYANYVERSONWANYMnNNEfl ASTOBECOMESUBJECTTOTHE ' (/� WORNERS'COMPENSATqNLAW50FC11LIFORNI. ETNATIFISYOULDBECOME INSPECTIONFEE 6U&IECT TO THE YlOi1NE0.5'COAIPENSAT S OF SECTqN 7700 OF TNE IABOfi s COOE,ISNALLFORT11wI7NWUPLVWi E swNs. ISSUANCE I � SAAIP p DATE: APPLtCANT. � ENERGY P/C WARNING:FAILURE TO SECURE WORKERS C01.1PENSAT RAGE IS UNLAWFUI.AND SHALL BE �y 6U&1ECTANEMPIOYERTOCRIMPUtPEN�LLTIESANDC fWESUPTOONENUNDP[JTNIXISAND ENERGYPERMIT DOLLM..(fto0,0o0),W ADDITION i0 iHE C0.570F COUPEN5A7qN,OAMACES AS PROVDED FOR W .�J 6ECTUNi70eOFT11EUBORCOOE,NTEREST,ANDATfOiWEYSFEES. RETEHTIONFEE:, � Q a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: 0 � I MEREBY�FFIfiM UHDER VENKTY OF PERAIRY IHATTMERE 15 A CONSTRVCTION IENDWO ACENCY ' Z FOR TNE iERFORMANGE OF iME WORK PoR NTIIGI7MI5 PERMIT IS ISSVED(SEG]DGT.C1V.C.). W � IEWERSWwE � LENDER'SADDRE55 �/ r/� ¢ ICERTIFVTHATINAYEAfADTqSAPPLIGTI0NAN05Tl17EiHA7iHEA80VENFORMATqNISCORRECT. TOTAL FEES J,/ f/ W IACREETOOOMiLYMIITHILLLCtiYAh9COUNTYORDWANCESANOSTATEU�MSREUTiNaTOBU0.DIN0 � CONSTRUCTiOH,Iu�D HfREBY AUTIqRiZE REPRESENT�TIVES OF 1HI5 COUNTY TO ENTER U70N iHE � ABOVEJAE PqAp aiYFORI SPEU�ONPURPOSES. COMMENTS � � • 1��'����� � � m VEN►uTTEE M) ' � Q . N N SiOruiu i E O�TE � � RECPT.NO. PAID BY VAUDATION —Depanmant Copy,YELLOW—Fin e Copy,PINK—,Asaescor Copy,GOLDENROO—Flle Copy,GREEN—Appi�cenCs Copy , CITY, OF DIAPfOh!D 6AR ;;. � �., ��. . , . ; :. . _ , IhfSPECTlO�! RECORD , ' , . ' � . - . �I�F-'��=�,;;�'l ���t r�1;�= �i►�k-��_��, ��s _...� I►`�-��=.;�K�1�t � � �oj;��� • �1►��.y;:a��c'�E �;; f 0 C C I�� C-' l? :i � �. _. _..�_�... . _ . . . ._ �.:. --�----�r... ___�_._.. .� .-- -.�::........., ._ __� ,..._ .�_. ..�.��-"_-�_,.--.�.....�.._:__. •_-� -_' _��__r. � ,. .. �...� ..� ... . ._..'- SET BACK - • � - . -. � I FLOOR JOIST � . _ -- -' ' FTGS/FOR�ASlSTEEL - ' � - FHP�REQ�ITS " '' "�' - - ' ... - . - , - � ELECTRIC GROUND � `: � �I UPJDER FLOOR•DUCT . � � .- j GROUND PLUP.161NG � - ': " �UPJDER FLOOR CUfdDUIT -- . ' - - _ � ' � SLAB GRADE ..-. ._ �� _ _ - '=' � ' '• FIFiEPL/lCE FOUNDATION - '� � ' TEMP POVVER ...... ...._.-. .___.._ ... . ..:._ .. _._. .._ FIREPLACE BOfJD BEA�.�1.__ ' . _ . . . •. ,�:.... , ; — V�JATER SERVICE- ����� — - - ' • -h11D HT_ E30ND BEAM � --- -- - � ROOF-SHEATHING -�� �--- - -- 8 FT.BOND BEA�v1 ' i FRAP,AINGNENTILIATION � � � � FIPJAL BOND BEAF�1 - -- - "' ROOF COVER --. .. _. __ _ PRE-GRADING - • � ---' . �:.• � . ROUGH HEF�TING � E3E�lCHI��G - --- � , ROtJGH ELECTRIC--.---- - - -- � -- ` flOUGH GRADING., . ..,. . .. . � '- �ROUGH PLUP�181NG ' - - � - � - � FI'JISH GRADING • • ' SNOVVEHITUE3 TEST - -- �- -- " �- � --" - POOL ELECTRIC �EXT. LATH/51DING ; POOL FEPJCIPJG ; WALL INSULI\TION ; PODL:FINAL , . CEILING INSULE'�TION OFF SITE IPAPS. ' � DRYWALL NAILING I � DEDICATIOi�S : ' SEWER _ ._. FINAL EPdG. -- - -- .. -- - .SEPTIC.TANK._: � :� LANDSCAPE/IRRIG. � SEEP.PlT/L.L. .' _. _. _ _ _... ' . . ... � ON SITE IP,APS. ! -� GAS AIR TEST - • • • � ---- - FINAL:ZONING ' - ' � ! - FINAL CONST. ! - •- • •• � � •.� �_.: � � FfRE DEPT. FIPJAL FINAL HEATING - - • . _ ; .. , , :; . -- HEAL1 H DEPT. FIPJAL : _ _ .. _ _ FINAL ELECTRIC- - " ' --- " -' ;� DEV. FEES PAID . ; FINALPLUMBING ... , j'7� �f��• . / ENERGY _ _ • • . � �� . . ;: . I f' _ �- .- . -- ,� :. ; - , �-" _ .., ��.� -� , . �� �'�-::::?:f;'`�`-- -�''_. -,. _ . ._ _ _ COMMENTS _ � ' ' � � ' � - . , : _ -- - i . � . . ,�� � , '� \ _- �;=_;�,�;' _ _._. , - (, j.����+-� ; �a' ����`��^ -- � � , . , '�, �L� �� i ,��. \ . _ _.. ���.���—r ������ , . . _ , � — � — — --. , . . . ... . . , �� � � � . : ' , .. �SEPTIC TANK 51ZE � . ....... . ... . .. .. _.._ . . -- - - ; : SEEP PIT/U SIZE . . , . _ . . _.. .. . . , � • �.. i .\� : 1 ' I - � � - . . � - � ' = _ , . - • _ � , ... ...:_.. .: -- - —; ����1� _ • . , . ' _ � � - • r. . � : : •. . . _, i � . � . .... , . � . . _. . . ; 1 f. . ��.. _, , . ., ,, . �, . �. . � � � . . . . . ; S _ `('.�� �, _ _ . c - .. .. ,. , . . . 1` - --. , . - - • -- _._�_ _____..�_.._. � -- - � - , .