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J �� CITY OF DIAMOND BAR � DEPARTMENT�F COMMUN[TY&DEVELOPMENT SERVICES 21660 E.Coplcy Drive Suite 190 (909)860-3195 Faz(909)861-3t17 PRESS �'�A BUQ.DING PERMTI'APPLICATION FIRMLY � JOBSITE SY�� 3� APPLICATION l PEFiMff 4 ADDRESS Z./ L� L��'LZ' ,T�2 �!Z� o DATE NUMBER 1f � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER .��vF'.+�fT �G'�f��.nN� LL' ADDRESS��ZZ. ��02�'/.C'-L?� /�!�`fi ZONING SEfBACKS � CITY�-�i-►+ � � ZIP�EL. - R��RT RW O APPLICANT /�/GZ`' fi���'T�?ii TE � SIDE/SIDESTREET RW ❑ � CONTRACT .rE<'X ' sn.i �vitt Y rc7 SIDE ❑ � ADDRESS / "�.-'s CITY�'Q.s1 .b�' 4/LO ZIP p�9. TEL - PROPOSED USE �Pi ARCH/ENG/ � DESIGNER NO.DWEL NO. N0. ADDAESS UNITS STORIES BEDROOMS � CITY ZIP TEL. N DESCRIPTION S�.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLAFiATION SFR/ADD�AEM O p 1 NEREBY AFFlqd UNDER FENAITY OF PEfLA1RY THA7 1 M1[XEMPT fR01a THE CONfMCTOfiSll- GdrdgBlCO•pOR W CE�ISEUWWHiNEFOLLOWHCREASON�SEC.7071.6B1�'MESS�MJPfiOfE5510N5COD[:ANYCIiYOfl (n � COU7TYNR9p1R[qJIRE9l1VENMRTOCCt�lSiflUC'i,KTERIMPROVE.DCNOU$H2ORPEPA:RANYSTRUC- W patio/Deck _ 7L1RE.VILOR TO RS ISSUMICE.�I.SO RE�UiitES THE�VVLICAHT FOR SUCN VENMR TO i1LE A SIGNEO W ETATE4EM TWR HE OH SHE K L�CLNSED VURSUANi TO THE FRONSIONS OF TNE CONTMCTORS LI- � CENSEUW(C7UP1ER0�COAIMENCINOWIMSECTqN70D0)OFD�VLSION7OFTHEBUSINE55ANDVIiO- � P�VSpa iE55�ON5 GOOE)OR TNi NE OR SME IS EXEYPT T7EREFR0/.1 A.VD TME BA515 FOfi TME�L�EGED E%CMP• TqN.ANYV10lAT10NOFSFCT10N70.]1.6BYANY�DP�ICAMFq7AFFPMITSUBJECTSTHEAFPUCANTTO Z Re-Rool f„ ACMLPENAL7YOFNOTAqR[T�WIFIVEMIAOREDDOLUR51SScn).�: � ❑�/LSONT7EROFTNEPflOPERTY,OFAIYEMPLOYEESWITHWACESASTMEIR50LECOMPENSA7bN, � COTmefCl.71 - M�LL DO7H[M�OHK.AND 711[STRUCTIJRE LS NOT IMEIOED OR OFFERED FOR SALE(SEG 70N,8U51• J NE35 AND FROFESSIONS CODE:THE CONiMCTORS LICEHSE Uw DOES k0T�VPLY TO AN OWNER OF y V(100EHfYVAqBUIIDSORIMPROVESTNCREON.ANON7/ODOESSUpIWORKMIYSElFOi1HERSEIFOR = � TIqGl10HNI50RMEROVMEIIPLOYCES,iiq'ADEDTMATSUGIMPppyEMEMS�RENOiINTENDEDOfl m � OFFERFAFOHSILLEIF,HOV/EVE�L7HLBU0.L`INGOR9APROVE/AEHTISSOLOWITMNONGYFAROFCp1APLE� Z T10N.TME OWMER�UIIDER WILL MAYE TN[BURDEN OF iqOVa�O TMA7 ME OR SNE DiD NU7 BUILD OR � WPROVE FOR THL PURP0.5E O�SALE� W ❑1A50NRlEROFiHEVROPERTY./WE7(0.USIVEL7CONTFGCiNOY/iTNI�CENSEDCOMMGTORS � TOCONSTRUCTTM[PNWECTISE47ou,W9R:E55INDPROiESSIONSCODE:7HECOHTMC!ORSII- VdIUBtiOf1 _ADJ.AREA � CENSEUWDOESNOTMVLYTDAYCYMEROFAVROVEfITYY/N09URDSORMYfi0YC57HERCON.AND N/qCONTMCi5fIX15UCHPRQIECTSYATHACONTRACTMI(5)UCENSEDPURSUMRTOTHECONTMP pUANTIN• D[SCRIPTION FEE � 7WISUCENSEUw.�. . _ OIMIE%E11PTUr:DCRSEC. B.LG.C.FORTMiSRGA50N a I-3on G.�RLYiT•'.. 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ISSUANCE . ��_'� � p �ATE: AP7.ICANT: .SMIP W ENERGY P/C WARNIN6:FALURE TO SECL'RE WOi1KER5'COMPENSATION COVERAGE IS UNUV.'FUL,AND SNALLBE � � SIAIECT/NEUPtAYERTOCRIMPULOENALTIESANDCMLFINE5l1Pi00NEHN�IDFlEDTHW5AN0 ENEFGYPERMIT J I.Ii�J:I DOLURS(ftoo,oDol,W�I710N TO THE GOST OF COA��ENSAiqN,D�IAAGES AS PPOV�DED FOR W -� � SECfpN37oeOF7HEI.�BORCOOE,RlTERES7,ANDATTOfiNEYSFEES. {tETEMIONFEE: CITY��:� - T"�."av.� � a CONSTRUCTIONLENDINGAGENCY PRE-ALTFEE: T��if n �+r+ . _ �Lf1 � IHEHEBVAIFIqMUNDER7ENA1iYOFPEiWRViHAiTHEFEISACONSTfiULTqNLENDINCAGENCY ��� V��['L'( � Z FOR T�E PERFOflMANC[OF THE WOi1K FOR WHICH iHiS PEFMii IS ISSUED(SEC.70W,GIY.C.�. W �Z IENDERS NM�E ' � � I � IENUEN'SI�WRE55 � IGERTIFYiHA71HAVEREADT1115APPLIGATIONMlDSiA7E�MTMEABOYEINFOi1MA710NISCOiNECT. TOTAL FEES ' � W IIICREETOW�.�PLYWIMALICRVANOCOUMYO�INANCESRHDSfATEU1M5R[IATINOTOBU�OINC � � CONSTNt1L'f10N./V+DHEAEBYAUTHORiZLREPRESCNTATIVE50FTHI5COUNTYTOEMERUPONTHE � � AOOVElAENT10NEDPROPERTYFORINSVECTIONPUR�OSES. COMMENTS '' 0 � ��� L ..1��=�,.,►.✓ m p ,�� - ¢ �n -- y S�CNAIUREOFVENAI OA7E � ��'�' '� � RECPL NO. PAIp BY __ VALIOATION . WHITE—Dopartment Cepy,YELLOW—Fnanea Copy.PINK—AasassorCopy,GOLDENROD—File Copy,GREE —Appl�cant's Copy � , . . .. , . . . v. , . . .. . . - . . . . -� .-ti . ' . , . .. . . Y.' � . . . , f�. _ . y�'.r . , ' . CITY OF DIAMOND BAR � . � INSPECTION RECORD ���.�;:a��:-�i����._ �Er:��r� ����.��= ��,� � ��►�.�=�;a�a:�r@�� �:��� ,i;,�-��'�=�y��w..�°?� �� .... - - .�:..._.....,.����:.�_.,._x ._._..._ w.. � 'SET B�1CK , i , ', FLOOR`J015T' ` - •- .I - �FTGS/FORP�"S!STEEL ' ' FHA REQMTS � ' � �� � :ELECTRIC GROUN� UWDER FLOOR DUCT GROUND PLUb1BIiJG UNDER FLOOR COf2DJl7 ;.� ,I -� .- • -- I� <' �-' �. SLAB GRADE FIREPLACt FOUNDAi IOP1 ;�• � -�•�-�-�-:.'� .� :TEF.4P POVJER FIREPLACE BOND BEAP.1 ' • • ' ' - 'WATER SERVICE MID.HT, BOND B�AP�1�. .�_�-.�. . .. . �. ._,-: .ROOF SHEATHING 8 FT.E30ND BEl�h1, . ' • ' ' � ' � �FRA"J11Na.NEtJTILtATI�N FINAL E30ND�BEAPJI � 'ROOF COVFR PRE-GRADING ROUGH HEATING BENCHING ;ROUGH E�ECTRIC ROUGH GRADING - ROUGH PLUPSBIPJG � � FI�JISH�RADING :SHO�VER:TUB TEST POOL ELECTRIC �EXT.L4TH/SIDING � POOL FENCING U`lALL INSULATIOPJ POOL FINAL CEILING It•:SULATION � - OFF SITE IMPS. +DRY4b'F,L.L NAILING DEDICATIONS S�t''JcP, � FINAL E�JG. SEPTI�iAhK LANDSCAPE/{RRIG. �EEF PiT+LL. OPJ SITE Iti1PS. G�.S J�I�TEST FI�AL ZONING ' • ;FI:'����•!:i:0id5T. ;' Z��^ ►CA � `.`-' =� •FIRE DEPT. FINAL ; . it:li•l��,�HEATING � � `HFALTH D:PT. FfNAL � T��"�',`•_El_ECTRIC 2,_ S' C��. '' "�� �DEV.FEES PAID - _��•�.�1�PLU�.4BING � � �" � ENFRGY __ .. . . . _. . . ...,�-,.� .—�.�-_..�_ � {. -_ � ..S�S�.'�1...���..JL'�i'13,�.� .._i� . •( ._ ` .. ' - i; . . . " � �. � ._a �. . . .. � � � ._ � � . ` CO"49f�JfENTS ' - i- . -^ �; ``� • 1 i ��. 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