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- CTTY OF DIAMOND BAR • � COMMUNTTY DEVELOPMENT DEPARTMENT 21660 E.Copley Drive Suite 190 , c�>s6asi9s rax c�>s6i-s�n PRESS '""� BUILDING PERMITAPPLICATION FIRMLY � J08SITE < ADDRESS�a�I I` �,t�CC�'r7 al9�� y yw�T APPLICAT PERMIT /�Q L,�P/C p DATE_ NUMBER M � APN LOT TRACT y��S��� �SSUE , TYPE OCC DATE CONST. GROUP ¢ OWNER Te %/I-�6 ,b,/.l. O o ADDRESS tb �OD ZONING SETBACKS � CfTY_�f.�V=`/ ZIP TEL. ' $ FRONT RW ❑ APPLICANT TEL. REAR ❑ SIDFJSIDE STREET RW ❑ � CONTRACTOR ��f�/2> ./l SIDE ❑ O ADDRESS - CIN ZIP TEL PROPOSED USE w ARCH/ENG/ �� z DESIGNER t � . W NO.DWEL NO. NO. n. ADDRESS UNITS STORIES BE ROOMS � CIN ZIP TEL. � cn DESCRIPTION S�.FT. FACTOR PSF ADJ.AREANALUATION Q . OWNER•BI:ILDER DECLARATION SFR/ADD/REM O I HEREBY AFFlNM UNDER VENALtt OF VEiWRY TMAT I AM E%EMPT Fi10M THE CONTMCTORS Li Garege/Carport W CENSEUWFORTHEFOLLOWNOREASON�SEG70]1.SBUSWESSAND7ROFESSIONSCODE:IWYGTYON (n � U CpUHTYWHIp1qE0UiRE5AVEHA1RiOCONSTRUCf.ILLTER.MCiIOVE.DEMOL15FlONREPAIRANYSTRUC• W PatiolDxk Z 7URE,GRqR TO RS ISSUANCE.ALSO REQUIRES TME A7PLK'.ANT FOR SUCH OEiWIT TO FlLE A SICNEO W S7ATEUENT 7w�T HE OR SNE IS LICENSED WaSUANT TO T11E PROVISiONS OF T1�F CONTMCTORS U� W � C£NSE UW(CHAPTER 0(COMMENdNQ NATH S[CTION 70007 OF DMSION 7 OF THE BUSINESSAND CR6 � PooVSpa - � FESSqN5CO0E)OHTIIATHEORSHEISExEMPTTHEREiROMANDTHE8A5i5iOR7HEALlEGEDE%EA1P• (� TIDN.AHYVKI�TIONOFSECTqN7071.SBYANYA�PLICANTFORAVERNITSU&1ECTSTMEMPLICANTTO Z Re-Roo( A GML VENALTY OF NOT MORE THAN FlVE/MJDREO DOLURS(SSOOI�I� � OI,ASON?IEROFTHEVROPERTY,ORMYEMFLOVEESWITHWAGE5A5THEIR50LECDAIPENSATqN, ❑ COmmOrCifll � NALL DO THE WORK,IWO THE SiNUCil1RE lS NOT INTENOEO OR OiFER[D FOF SALE(SEG 7a�,BUSI. J � NE55 AND CROFFSSiONS COOE:THE CONTMCTORS LICENSE Uw DOES NOT AVPLV 7pµOWNfR OF � PHOPENIY WHO BUq.DS OR 14PROVES THEREON,/WD Nh10 DOES SULH NqRK NIAISELF OR HERSEIF OR � THROUGFIMISORNEROwNEMPLOYEES,PROVIDEDTIIATSUq1uAPROVEY[MSARENOTW7ENOEDOR m 0 O�FEREDFOHSKEIF,NOWEYER7MEBULDWGORMPROYEMENTISSOIDWfTMNONEYEAROFCOMPLE� • Z TION.THE OWNER�BUILDEH NnLL HAVE THE BURDEN OF PROVMlQ 1//AT HE OR SHE OiD NOT BUIID OR = UAVROVEFORTHENRPOSEOFSALEI ,W OLASONMEROFTHEVR]VEHfY,AME%Q1151VFlVCONTRACTVJGWfiHLJCENSC�CONTqACTdiS � TO fANSTRUCT THE CROJECT(SEC.70��,BUSiNE55 AHD PROFESSIONS CODE:TIIF CONTMCTORS L4 V01U8t1Of1 ADJ.AREA W CENSEUWDOESNOTAPP�VTOANOMMERDFAPROPERTYWHOBUd�SORIMP{lOVESiHERE0N,l1ND � NAqCO1�TMCTSFORSUCHPRO,IECTSYVITHACONTMCTOR(S�LICEHSEDPURSUANTTDiHECOMRAG QUANTITY OESCRIPTION FEE � TORSLIGENSEUw.). � O I AM E)(EMPT UNDER SEG. 0.i P.C.fOR THIS RE1150N Q � U ' . LL ¢ DATE OVYNER�P V Z W . . ¢ LICENSED CONTRACTORS CLARATION W �C I NEREBYAFFIRM UNDER GENALTV Of PERtt1RV THAT 111A1 LICENSED UNDER VROVIS;ONS 0F CHAPTER V, . � o(COuuENCP10 WrtH SECTqN 7aoo)OF DIVISION�OF TME BUSINE55 AND DROFESSiONS COD[MA Z �� MY LICENSE IS N FULL FORCE AND EFFECT. m � UCENSECUSS LIC.NO. j •�~ � �� F— � V DATE CONTRRCTOR d W [� WORKERS'COMPENSATION DECLARATION � � IHEREBVAFFIRAIUNDERVENALTVOFOEfWRYONEOF7HEFOLLOW!NGOECLAfUTqNS: z �.��^i� (�� � •�� � - � _IHAVEANDNnLLMA1NTAMACERTIfICATEOFCON5EIRTOSELF�INSUREFORWORKE0.5' _ � CWIPENSATION,AS PROVIDED BY SECTION]7ooOF TME UBOR COOE,FOp TME VEFFORMANCE W Q OF 1HE WORN FOR WHICH THIS VENAIT IS ISSUED. � Qw �I MAVE AND MALL MAINTA71 WORKERS LOMPENSA71ON INSURANCE,AS REOUIqED BV SECTION ]70o OF TME IABOR CO�E,FOR ME PEAFORUANCE OF TM[WORK FOR YMICM TNIS PERAlIT15 � " y s� �v J ISSUED.MYYYORKERS'COMPENSA710NINSUFANGECAAqIENANOPOIICYMIMUERARE: ONS UCTI � CARRiER PLAN AEVIEW o ra�crNUMe[q ELECTRIC z ¢ p (n+asccmar�mw76EmMtrrEoocnEVEwurrsaaa+Ew�ooaw�s�sioc)ai�s:l PLUMBING Z ICERTIFVTHATRITMEOERFOiWANCEOFTIEWUNKFORYMICHTHISPEiWITI5155UE0.1 M[CHANICAL (�} SMAI.LNO7FMPLOVANYPER50NWANYM�NNER50A5TO0ECpA[SUOJECTTOTHE Uj WOW(ERS'COYPENSATIONUWSOFCALIFOiUiI/�ANDACREETNATIFISNWIDBECOME INSPFCTIONFEE S SUBJEGTTOlMENtlRKERS'COM7ENS�7qNPROY15qN50FSECiqN]70DOFiHEIABOH / COOE,I SHALL fOfiTlM97H COMPLY WI7H 1l105F PROVISIONS. � $ � �� p DATE: APPLIGINT: W ENERGY P/C � W�RMNa FNLUR[TO SELIIRE WOFIXERS'CpdPCNSATqN CAVERAGE IS UNLAVYFUI,AND SMAlLBE � SIAJECTANEM�IOYERTOCHi1IRJALPENALTIESANDCMLFWE5UPT0ONEMUNDREDTM0U5AN0 MIT DOlURS(f Im.000),IN/��I7ION 10 iME COST Df CWIPENSATION,OAMACES AS PROVIDE�FOR W � SECTION77oeOFiMEU�BOROODE.WiEREST,ANDATTORNFY5FEE5. E �� O �� CONSTRUCTION LENDING AGENCY pRE-ALT FEE: � IHEREBVAtCIRYUN�EROENALTYOFDE0.JURY7MRTTMEREISACOHSTRUCTIONIENDWGACENCV FOq TNE iERLOiLA.WCE OF 7ME WO(1K FOR Nn11di THIS VE iWIT�S ISSUED(SEC.]OY7,qV.C J. � � IENDER'SWWE � IENDERSADORE55 w ICEfl71FYT1UTIMAVEREADiH19M0�ICATIONANDSTATETHATTHEIIBOVENFOiiMATqN15CORRECT. TOTAL FEES y(J � • �D � IAGHEETOCOMPLYYAiHALLCfTYhMJCVJNTYOR0IWWCE51WOS7A7EUW5REU71NGTOBU0.UING � I„ WNSiRUCiIOf{ANDNEREBYAUTMORIZEP[VRESENTA7IVESOFTH6COVN7Y70ENTERUPONTHE � A80VEdIEMqNEDPROGER7YFORINSPECTIONWFPOSES. COMMENTS 4�Y� � aai� GAi��/ /1. ��Y� � �., •R'�' ' m PE0.u1TTFEWtME(PWNTJ ` � � . � -�� -y � (A SMaNATUREOFV ITiEE DATE � RECPT.NO. D PAID BY VALIDATION WHITE-0epartment Copy.YELLOW—Finante Copy,PINK—Assesaa Copy,GOLDENROD—File Copy,GREEN—f1ppllcanP6 Copy � � • - �YS��AY' . .. :�'.., I..._M�� i i.�:+..� .. �.¢.d�� . r•'1ti:. v. . V,_�^ .Ia."'�' - . 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FRA��AINGNENTILiATIOfJ FIPJl1L BOND BEAh1 RJO�COVER - - - PRE-GRADING - - ' ' ' ROUGH HEAT{NG - - F3ENCHING ROUGH ELECTRIC - � ROUGH GRADING ROUGH PLUMBiNG - FINISH GRADING SHOWERIrUB TEST - POOL ELECTRIC EXT.LATH/SIDING - POOL FENCING WALL INSULATION � POOL FIN�1L � CEILING INSULATION ' OFF SITE I".1P5. � ' ORYWALL NAILING � ' DEDICATIONS SEWER FINAL ENG. SEPTIC TANK �. `�' . LANDSCAPE/IRRIG. SEEP PIT/L.L. - ON SITE 1�.1PS. ' GAS AIR TEST ; FINAL ZONING ' --' � � •- FlNAL CONST.-� -- -i�� FIRE`f3�.F'-T:`�tJAL'\.-.-`:. :- c..�,:, i 1'.�:-.-�,. . � ,� FINAL HEATING - - � ' HEALTH DEPT. FIPJAL ' '. FINAL ELECTRIC � � - DEV. FEES PAID • FINAL PLUh9BING . �_� EPJERGY r: . ; . ,� . .. _ . . I � q.--t�cj.-C r(r; ._. .S_5�.��_�.____�_..- COMMENTS. . � ,� - � . � �_ -------_ . _` _ _. ._ ._ , SEPTICTANK SIZE � �-- - �-"�� SEEP PIT/U SIZE '!�'� � , r'� . . � . �I '� '.. . , � ; _ _ ._ ; ' .. � ��� � � . , _ -� � , � �_. :'#a'� ' .-�� ; . -. .. 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