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I ' �,� _ CITY OF DIAMOND BAR � ' �� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES > 21660 E.Copley Drive Suite 190 � (909)860-3195 Faz(909)861-3117 PRESS '�'�' � BUQ.DING PERMIT APPLICATION FIRMLY o ADDRESS C4� �t �I DATECATION. NUMB R //77� M/C � ISSUE / TYPE OCC APN LOT TRACT DATE � CONST. GROUP p OWNER BAODRESS 2A+ 1J£�- ZONING SETBACKS CITY L -" . FRONT RW ❑ � APPLICAN�T��M 2c+i 21P TELz,-S"73 070C� REAR ❑ � . SIDE/SIDE STREET RW ❑ CONTRACTOR � SIDE ❑ ADDRE S� PROPOSEDUSE f SjT�a+�, ��j � CffY — ZIP 9�f3?D TEL 'S Z�7�' 1 —�—�Z o ARCFUENGI /J ' ° - �� � PESIGNER I�� TNTF�.iLi4�le.N�C- NO.DWEL. NO. NO. ADDAESS UNITS STORIES BEDROOMS y CIN L I� ZIP TEL�-�I3//a�. cn DESCRIPTION Sa.FT. FACTOR PSF ADJ.AREANALUATION � p� ONRJER-BUILpERDECUIRATION � SFWADD/REM O p 1 HEREBY AFFlRM UNDER pENALTY OF PE0.AIRY TNAT I M1 E%EMPT FFOM TME CONTMCTOR..ll• Gef896/CefpOR W CENSEUwFOqi}1EFqlOWiN6REASON(SEC70.71.68USINESSANODROFE5510NSCODE:ANYdTYOq (n COUHTYYMICMREOUIfiE511YEitMRTOCONSTqUCiALTERWPpOVE0E�10LI5M,ORRE7lUNAN'ISTAUC• �1J pa�;dpeck 7URE,WMR TD RS qBVANCE./L80 REOUWES THE APPLICNlT FOR SUpi FEHMIT TO FILE A 61CNE0 W _ _ _ _ 8T�iFMIXT THl1T ME OR SHE IS LICENSE➢NJ0.5UANT TO iHE PROVISIONS OF iHE CON1RACi00.S ll• ,. � CENSE lAW(C1UPiER�(CdAMfNGNO MA7H SECT70N 7�)OF DIVISpN i OF THE BUSINE55/ND PRO• LL' PooVSpa - FESSqHS000k�ORiW�7HE0ii5MEI5E%EMpTTMER£iRdAANOTHEBhSISFORTHLNIECEDEXEMP- (� TION.ANYVIOLATIONOFSECTION70J7.6BYANYMPLICJNTfIXiAVERMIT5lIB1ECT5iHEMPLICJWiiO z qe.qoof � ACNCVEWLTYOFNUiMOiiETWWFIVEHUNDRfDDOLLAA3�f5oG1�Y � OLASOWMFAOFiHEPRODERTY,ORMVFYV�OYFESNRTNWACE5AST/EIRSOtFCpMPENSATpN, COR1filBfCl�l � Wll DO iHE YVOfiC AND THE STPUCTUflE IS NOi NTENOEO OR OFiERFD FOR SALE(SEC.70l1.BUSL Jn � NE66NDPROFESSIONSCOOE:THECOf(fMCTO0.5LICENSEUWDOESNOTAVPLYTOµOWNEROF = iROPEFfY Yl1q&11I.p5 OR 4oqOVE57HEREON,IIAIN�ODOES 5�1CN NpqK H�YSELF Op XERSELF Oq [L TMKRJOMNSORMEROVMENPLOYEES.iROYDEDiMAT5l1p11MPROVEMENTSARENOTMEN�EDOq m � OFFEREDFOHS/LEF.HOVIEVER��wO0R�1PfiD'JENEM550lDWRHINONEYEAROFODMPIE• . � �TIOH,TIE OWHER�URDER YAL�HAVE THE BURDEN Oi VPOVNf7 TW�T NE OR SME DIO NOT BUILD Oq W PROVE FOR 7ME PUPPOSE OF 9�LE4 - � 04��EROFTIEPROPEHT`/,IWIXCIUSNELYCOHTMCTNOWIiHLICENSEDCOHTMCTOR3 �„ TO CON5TiN1Ci 7}1[VRnIECi(SEG 70U.BUSINESS AND Pf10FESS10N5 CODE:7NE CONTRAC7D0.5 U• V8IU8Ii0f1 ADJ.AREA � CF-N9EUW WE9NOTMPLYTOANONNEHOFAiROPEA7V1M708UM50RM�RWESTHEREON,MA YIIqCOMTRACT4FOq9Up1Vi10.lERSWfiHACONTMCTOR�S�UC£NSEOPURSUANTTOTXECONTMG QUANTITY DESCRIPTIOY �E � rais ucFrsE uw�. OIAMEI(E4PTUNDERSEC, B.aP.CfOqT11ISREASON U � � , DATE OYR:ER � � LICENSED CONTRACTORS DECLARATION � � ` W 2 1HEqEBYAFFIFYVN�ERPENKNOFPEiW0.VTHATIAMLICENSEDUNDERPRON5�ON50FC11APTER � S Y(CdA�IENLN(iN7TH5ECTION)000)OFOMSION]OFiMEBUSINE55�NUPROFE5510NSCA�E,1W� z !G W UCENSE a N FUII fORCE AND EFFECf. � UCENSECUSS � LIC.NO. G 7S (J • � j v o�� � �.'� 'd�00O corrrFucronGtLr�rr�? Ca '- _ "' w � WORKERS'COMPENSATION DECLAFlATION d � IMEqEBYAFiIRMUNDERPENALTYOFiEfWAYONEOFTHEFOLLON",NODELUMTIONS; z " 0 ��IIIAVEANDYALlMAR7UNACERTIFlCATEOFCONSENTTO4ELF�INSUHEFORWOfLCERS' z � GdIVEN5A7qN,A5DROVIDEDBVSECTIONT/oaOFTHELAf10ltCO0E,FOR7HEPERFOfU1ANCE W OF 1ME WORK FOR NMIUI TF1IS VERMIi IS ISSUEO. � � � �IH�VEANDW21W1MAINWORKERS'COIIPENSATIONMSURANCE,ASAEWIREDBYSECTION � � . O77ooOFTHEIABORCODE.FOAiNEPFRFORUANCEOFTHEWORKFOHWHICHTHISVERNITIS I�O.�� —a7 ISSUEO.AfYNORNE 'CdIPEN5AT10NWSURANLEGRRIERAhOCOLICYNUM��FARE: CONSTRUCT�ON '/ > CMPoER a' l JicMv� �A� PLAN REVIEW � � °°��cr"'a"eEa — ELECTRIC � (n�sEctortxmNoreEoaRtFrIDaFMGEwAisPorlOr+ENlroriEnoat/lslf�oo)ORt6s). PLUMBING Z ICERTIFYTMAINTHEPERFOHAIMJCEOFTH[WWINFORY•'NICIITHISPERAIITISISSUED,1 �MECFUINICAL C') SH/LLL NOT EIAPLOV ANV VERSON N MIV EI/NNEN SOAS TO BECOIAE 5�1BJECi T0 TXE � YIOPoCERS'COMPENSA7qNUwSOFGALIFORMAAND�GREET1wi1F15110ULDeECOME INSPECTIONFEE " 6UBJfCTTO1HEMtlRKERSCdAPENSA7qNPROVI510NSOF5 C7qN oOFTHfUBOR � .�J� rj tDDE,ISHALIFOqT1/WITICOYPlYN1 SEPROVISIONS. ISSUANCE _ � DATE:SA� SMIP p APPIICANT. � ENERGY P/C WAqNIH�:FALURE Tp SEWRE WORKE 7ENSATION COVEMGE IS UNU UL p SNALL BL � SUBJECTAHEYPLOYERTOCRNINALV TIESANOCMli1HL5UPTOpNEFUN on+ous�wo ENERGYPERMIT D�IURS(3�CC.WO�,W ADDITIOH TO iME COST OF C01A7ENSATION,OlWACES AS PROVIDED FOR IN ¢ SECTION]70eOFTHEUBOi7CO0E.NTEREST,ANDATTORNEY5FEE5. RETENTIONFEE: a CONSTRUCTION LENDING AGENCY PRE•ALT FEE: O gIHEREBYAFFiN.�UlDERVENALTYOFPERJUitY7HATTHEREISACONSTRUCTIONLENDiNOACCNCY �� ' fOq THE PERFOflMINCE OF i11L WONC FON N'M�CM TMS PERMIT IS�SSUED(SEG 7oY7,pV.W. . � � l[NDER'SNwE . � LENDEH'S�DDNE55 � � TOTAL F ES � �.� ¢ I CEirtIFY iH�T I HAVE RE�D TM9�PLIG7�ON►1A STATE TwV TH ABOVE HiORMA710N IS CORRECT. W IAGREETOCOYDLYN77NALLCITYANOCOUMVORDPUNCE5.4ND ►TEUWSFlEUITINOTOBURDIN(7 � a CONSiRUCT1ON./JJO HEREBYµlTIOiUZE REPRESENTATM1'ES OF iT115 COUNTY TO EMEq UPON iHE ����// S� 1100YEJAEHTIONEDFROPERT'/FORINSPECT70NPVRPOSFS. COMMEN S ��`-' � d �5 ^ 4 P ITTEENIWEIVPIHT7 � �� ^ . �.i.c—�� � (q NREOFPERYI77EE DATE — RECPL NO. PPJD BY VALIDATION INF11TE-0epartment Copy,YELLOW�Inence Copy,PINK--�AaeeasorCopy,GOLDENROD—File Copy,GREEN=Applic�Ps Copy � � - CITY OF DIAMOND-BAR � �� . ,��., , .. - - . ' " � , � � INSPECTION RECORD . � � . . : . , , � �� •l F� e � � • - • � � • - 5ET BACK ' . ., "'.., . .. FLOOR JOIST, � -` ' , .�. ', t ! . \ _ , .. , FTGS/FORMSJSTEEL ' � �� „ � FHA REQMTS • � -- ELECTRIC GROUND . '�. " - '' 'UNDER FLOOR DUCT � - - - GROUND PLUMBING • � � UNDER FLOOR COM1IDUIT� t, - � � • SLAB GRADE --- � FIREPCACE-FOUNDATION ' ' . . TEMP POWER - ' � � ' ' FIREPLACE BOND BEAM -- �. .� � ....'" ._ � WATER SERVICE ---- � - - � MID HT.BOND'-gEAM='•`••��=• == •� - ' • - R�OF SHEATHING'� ' - ' '��'�`" � " ' 8 FT. BOND.BEAM• • • � � � � FRAMINGNENTILIATION � ' FINAL BOND BEAM ROOF C�VER " PRE-GRADING � ' - ' � � � ' . . ROUGH HEATING . . . _ BENCHiNG'�•� ` '�.�• `• � t , ROUGH ELECTRIC - � ' - - � ROUGH GRADING " "ROUGH PLUMBING - -- � FINISH GRADING .. . . ; ;:� SHOWEWTUB TEST � POOL ELECTRIC ` EXT.LATH/SIDWG ROOL FENCING ' • WALL INSULATION POOL FINAL � • CEILING INSULATION OFF SITE IMPS. � : DRYWALL NAILING DEDICATIONS SEWER _ ._ __. . . FINAL ENG. ' . . . --.... .. _ . SEPTIC TANK.- --- -..- _ . .. : LANDSCAPE/IRRIG. ' � SEEP PIT/L.L. - -- ' `• ON 51TE IMPS. GAS AIR TEST' - - - ,�- FINAL ZONING � FIRE DEPT. FINAL � • FfNAL CONST.- - - ��' �._..� FINAL HEATING - " � HEALTH DEPT. FINAL � . . FiNAt ELECTRIC � - DEV.FEES PAID - FINAL PLUPrIBING ENERGY � - - �. �•l':,�r��_ +&P . . _.. _ _. . . .,....- - - - COMMENTS ' � � � �' . . _ . . �, . . , .. � , . .�._ , " . , . \ ,... � �-,�. - � - � , ; - � . _ � � �_ .. _ . - _ � i i -; . - - , SEPTIC TANK SIZE ' ! ' ' ; � , , SEEP.PIT/U.SIZE _ . _ � , , . .� --------� . , , . . . _ _ - -. � � � _, �1 � - " � . � , � . . � . � �.; � • • . � i . ._.�. . _....._ . ; , ,_ , � . _ . _ , .. , - . ; . . • i - _ , „� ; • . . . . _ - - "• 1 . -_ I -