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J� CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY 8c DEVELOPMENT SERVICES 21660 E.Copley Drivt Suite 190 PRESS (909)860-3195 Fax(909)861-3117 ` �'���'� BUII.DING PERMTl'APPLICATION FIRMLY � JOBSITE APPLICATION[Q � a PERMR I� P/C o A�DRESS Z-- DATE " � � NUMBEF# �1 $ ISSUE TYPE OCC APN�Q,T�,�__y_L TRACT DATE CONST. GROUP g OWNER _ V���Y o ADDRESS-� ZONING SETEiACKS Z CITY ZIP TEL. REAR RW ❑ g APPLICANT TEL. SIDE/SIDE STREET RW ❑ � CONTRACTOR E G r SIDE ❑ ADDRESS � CfTY �1y�S.,P 21P R7Sr{_S�7EL. / PROPOSED USE � AACH/ENG/ OES�GNER NO.DWEL. NO. NO. = CrDrDrRESS Z�P TEL. UNITS STORIES BEDROOMS u� � tn DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION Q OWNEF-BUILDER OECLARATION SFWADD.�REAA O eI HEREBY IIFFIqY UNDER VENAL7Y Of VE0.RIRY iH4i I W EXE�PT FAOrJ TNf CONTRACTORS L4 GaragolCarport CENSEUWFORIMEFOLLOWWGREA50N�SEC70]1.6BUSWGSSANDPROFE5510NSCODE.ANVCITYOR (f� ' � COUHTYWHKi1REOUIHE£APERIARiOCOqSTRUCi,ALTERMPROVE,pEAqL15H2ORHCPNRANYSTPUG W patio/Deck 7URE,PNOR TO RS 158UANCE.AL50 REOUIRES THE A7PLICAN7 FOFi SUCn PERMiT TO fILE A SIGNED � STA7EMENT iFMT NE Ofi SME IS LICENSED FURSUANT TO TME PPOVIS�ONS OF TM[CONTMC70R3 U• � � CENSE UW�C7IAVTER 7(COMMENCNO WITN SECTqN 7000)OF pNIS10H 7 OF THE BUSIN[SS IW�PRO� POOVSp3 FESSpNSCODE)qiTHATNEOHSNEISEXEA1PTiHEREFROMAh9THEBA515iORTHEALLEGEDE%EA1a• (� TqH.M1YV10LAT10NOFSECf10N7o]1.68YANVAPGLIGMFORAVERIAITSUOJECTS7HEAPPLIGWTTO Z Ro-Roo1 �„� ACMLVENALTYOFNOTIAORETIUNFNEHUNDREDDOlLARS(f5oo).): � OlA50NNCROFTHE�ROPERT/,ORIAYEMo�OYEESwIMWACE5�t5M[IfI50LECOlAP[NSA7qN, COrt1fl10fCiAI - YALL DO THE WOfUC/�NO TME STRUCiUNE IS NOT INTENDED Oil OFFERED FOR SA:E(SEG 7Du,BU51� � N NESSAND YROFESSIONS COOE:THE CONTMCTOfiS LICENSE Uw DOES NOT A7PL7 TO AN OWNER OF � 7ROPENTN YMq BUR.DS Oi11MVROVES iHEFEON,MID VMO DOES SUCH WORK HIMSCLF OR MERSELF OR Q T1tA0U0HWSqiHER01VNEMPLOYCES,PROVIDfDTHAiSUCN1IAPROVEMEMSAR[NOTMENDE�OR m � OFFEAEDWRSALEIF,IIOM'EVER7MEBULOWGORIAIPROVEUEM1550lDWITHINONEYEAAOFCOMPLE• Z 770N.TNE OwNER�eURDER NnLL HAVE TME BUR7EN OF VMNNO TNAT HE OR SHE U�D NOT BUIID Oq = IMPHOYEFORTMEPURPOSEOFSALF} W OI�OWNEROFiHEPFqPER1Y,MIEXCLUSNCLYCCMRACTINCNi7H1.�ENSEDCCNTRACTOR4 � TO CONSTAUC'T iHC PRO.IECT(SE4�W�,BUS�NE55 AND PfqFE5510N5 CADE:7ME COYTMCTORS U� V81U0IIOf1 ADJ.AREA CENSE UW OOES NOTMPLY TO AN OwNEH OFA PRCPERTY 1YMD 9URD5 OR IA'PIIOVES TMEREON,ANO � IN*qCOHTHACTSFOR5Uq1VRQ1ECf5WITHA�NTSUCTOl1(SIUCENSEDPI;RiUAMTOTNECONTMG QUANTITY DESCRIPTION FEE � TORSl10EN5EUW.�. �I/JA E%E4PT UNOEH SEC. 6.i P.C.FORTHIS PFJ�SON Q 3 � �=" DA7E OWNEA � . U � LICENSED CO"JTRACTORS D[CLARATI04 W � INEREBVAFFIRMUNDERPEWIIrYOFPERIURVT1U71AMLICEN5E0UNDERPROV�5l0`lSOFCtIAPTEF � (� Y(COAMIENCNOWI7HSECTqN7000)OFDMSpN70FT1EBU5�NE55ANDPaOFE55iOh5CACC,l�NO Z X MY LIGFNSE IS N NI.L FOHCE AN�EFFECT. m LlJ / ` � LICENS/E CU-S1S C��+��_��C.NO. �! � WDATE(P—L—�—"1� CONTMCTOR . _ 0. _. / , � WORKERS'COMPENSATIO4DECL RATION �� 4 -Z � � �t � � IHEREBYAFFliWWDER�CNALNOFPEFWRVONEOFTNEFOLLOw'N�DECLAAATOhS: �v Z � �,,.i-� q.ny� Q-��V� a V•'1��T�iT � � �_IHAVEANDN^LLIAAINTNNACERT1fI�;ATEOFCONSEMTOSCLFdNSUR;FORWURKERS' _ • � LdJVENSATION,ASVFiJYIDEDBY5EGT1UN7lDOOFiNELA:iORCO�E,FOHTNEVERFORMANCC U � � Q OFTH�WORICFOFwHiqITNiSFEPMiT6L5UED � � �„ �1 FUVE IWD W'LL MANtAIN wOfiNERS'COMVENS�TqN INSUR�NCE.AS RE W�RED BY SeCiqN � ]7000FTHEVBORCODE,FORihEPERfCRMANCEOFTNCWORNiORNM•CHiHISPENM1T15 lSSI1E0.NY KERS'COMPEHS `ONWS'JMNCEGRRIEAAN�COIICVAM1IM�ERARE CONSTRUCTION � CMRIER � Vv� �I/L� n PLAN REVIEIV � POLICY NUAIBER� ��,� A!�I 0� i.�_ ELECTRIC � (11YSSECIIOriNEFDFq'tRCWMtERCCfi1[6EH.(i5�OH01lEHl�LR�'DD]t1A.'lSatac)On� PLUM6ING Z 1 CERTIFY TUT N THC PERFOAMM:CE OF 7HE WCAK Poq WH;CH THIS VEN.iil IS ISSUED,I MECH` nNICAy 1 ('J SIIALLNOTEA:PLWANYiER30YNAVYLIANhERSOASTOBCCOMESU&IECT70THE (n WORRERS'COMFFNS�iIONUY/50FCAL1iORNi�,ANO/.GREE7MATIFISHOULDBECO,.�E INSPECTIONFEL 1/�� S SUaIECTTOTHEWORKERS'COMPENSATqNVRJV1510N50F5ECT10N770oOFTHELUiOR � CODE.I SHALL FO�RMYITH COMPLY WiT :E PitOY�S�ONS. ISSUANvE � C�w' SMIP p OATE:��h--l�APPLIr,ANi: _ � ENEFiGY P/C WMNINO:FAILUR[TO S[CUt7E WO(ii(ERS'COMP � ATION CAVERAGE IS UNUWM.AN�SH�W.BE ,�T,_ � SU6IECTANEMPLOYERTOCi11AA+1ILLPEN.LLTlE4 JCMLFWESLIV700NEHUNDREDTNOUSAND ENERGYPEFiM1T I�!��'�tEt DOLU.RS(S f Oo.0a0).N IDDITON TO THE COST OF COYPENSATqN,DA4�GE5 AS VROVIDEO FOq IN � SELTqN710lOFTNEIABOROODE.NTEFEST,/NDATTORNEY'SFEES. RETEN7IONFEE: •• a CONSTRUC710N LENDING AGENCY PRE-ALT FEE: 1 1 � � IHEREBV�FiiRMUNDERPENALTVOFVEqlUMTHATTNE0.[ISAOONSTRUCT�ONLFNDINCACENCV `IIl��! ' ��� J FOH THE PEHFORUANGE OF TME WORK FOR WHICH TNiS OFRM:T IS ISSUED(SEC.]ODI,CIV.C.). 7� �... ,.._ ' •T2 f�.1� �S ►E�mcasruME - - �,_ . ... - . - ;-;`t% y C LENOERSAODR[SS ,�� f w� TOTAL FEES i 1 CERTIFY 7HAT I MAVE REID iHIS MPLICATqN AND STATE THATTME/�BOVE R+FORMATICM IS CARRECT. p� IACREETOCOMP�YWRHKLCffYINDCOU�TYOFDINANCES/WOSTATEI.Aw+PEUTIN070BU1LDIN0 � CONSTRVCiION,ANDNEPEBYAUIFpRREFEVFlESENTATIVE50FTHI5COUMTVTOFMERUPONiME Z /DOVE�MENTIONED PROPERiY fORINSPECfION 7URPOSCS. COM�IENTS O � Y �Y m VE HAYE IPR1tfT) Q � N � l- _ N iGNAT EOf EHMIT7EE DAT � � RECPT.NO. PAID 6Y ` VALIDAT70N WHITE-0epertment Copy,YELLOW—Financa Copy,PINK—Assessor Copy,GOLDENROD—Fite Copy.GREEN—ApplicanCs Copy . , , . .. , •c , •. M f� , �. .•, . . �� .. , ,. r•. �., . . . . . . � , . . . . , . . . . . • CITY OF DIAR�iOND BAR � • INSPECTION RECORD --�----�---- -�-..-----�--�� I►��=�;����;rj,s;���l �;�.�!= I.�!E-�.►��.c e �I►�.�-�;���t��,�l��l�ph -�'1���`�c; f►��`i��:c��"°1-i �' _ ._._....�.:...:�....:._...V._....�.� __�._.�.,..._.....__..�.;_.._.._.__._I�. .�_.w:_�.�__.......,_..�..._s....._....�. _._._ SET BACK I , � i ' _ ' • FLOOR JOIST , .I. .., ' � .` " ' FTGS/FORP�ISlSTEEL - ' ' • FHA REQMTS ' '' )�y_�' ' ' 'ELECTRIC GROUND � UNDER FLOOR DUCT � • �. _ GROUND PLUMBIfJG UNDER FLOOR Cai,.DUIT I - _ � !SLAB GRADE FIREPLACE FOUNDATION ; _ iT�PJIP POVVER FIREPLACE BONiJ BEAM WATER SERVICE � MID HT. BOPJD,BEAM •.`:� r ? ' - %• I ',,-�� •, , : RODF SHEATHING . I I $ �• BOND.BE/,1P� .. � `'� ` �'! '' '``• � � '- - FRAP.11tJG.NENTILiATION FINAL BOND�BEANI � � � ��' � �� ROOF COVFR . • PRE-GRADING ROUGH HEATIPJG BENCHING ROUGH ELECTRIC ' ROUGH GRADING ROUGH PLUMBING � FINISH GRADING SHObVFR.ri'UB TEST POOL ELECTRIC EXT.L�,TH!SIDING - POOL FENCING '�^lALL INSULATION {. . POOL FINAL ;CEILti�G I�:SULATION � �� OFF SITE IPAPS. DRYL'�'AI.L PJAILING �� � DEDICATIONS SE1,",•'ER FINAL EWG. l SEP i IC'.TANK LANDSCAPE/IRRIG. ; S�EP PIT/LL Oh SITE IMPS. � G�S f�l�;TEST � " FINAL ZONING f=ii�!'�l.��ONST. FIRE DEPT. FINAL Fli:��.�HEATING .. HEALTH DEPT. FiNAL Er�;.L ELECTRIC DEV. FEES Pr",ID " - :�.�L PLUti1BING EtJERGY . ..__ �.-,-r,.,.-�-.�. i_ r:;c:-�:.:.�`.1:_�.;�.i�- i-_� — r��.- _.) .�,_a:.:. _ _-_ : , . .._ .,. __ . t. . . � - - --•----— ---- :�____ ;••-�= �t' t-:\�-._. . . . �- .. , �Oiv1AfENTS,,; -, ;� l! ; ' ;_ . . . .. ,,.. - 7�2(IS S.�;1; �•l.L'�'/.��; �1�G�1'�f`, E, 1!Cj���UI� �—�-- _ . . � ...I . � , i"' :r ,� {-i . : • .�, . :- .- � ' � .�'� _ '��,' . ..L,�"%�.�_S: � . , ' . . . `� .` . ' l. , . -, _ , I 1 _ . I . . ` ,', .� ' " _ . . . . -- . - . � � ' .. .__ . . ' ` • � \ � ' . -�� .. . � . -.... . .'i � I r-� .: , � ,SEPTIC TANK SIZE � �SEEP PIT/U SIZE . ;.._..� �.►y f___..�.�. � ` � — � i . ,��y� ;�� . , _ i �. � � _ .:� �. �c`/ . �(-� '': • .. � `r � � i � . . � 1 .�..�` 1 l _ _� ,.� � �� ' _•'\ � __�...,.`..�....�~'�...�........�......J ' __' � ._. .. . ._. �. i 1.