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. - - -- _ _ _� J� CITY OF DIAMOND BAR � DEPARTMENT OF COMMLJHITY&DEVELOPMENT SERVICES zi�o e.copi�y nri�e s�w i90 PRESS '� (909)860-3195 Fax(909)861-3117 ���A� BUQ.DING PERMIT APPLICATION FIRMLY � JOBSfTE APPLICATION PERMR ��2 P/C o ADDRESS � L " � DATE _ NUMBER� k � ISSUE TYPE OCC APN LOT�_ TRACT DATE CONST. GflOUP �j OWNER ��,�S (,1 �r�� � er�R C�Ra�'i.u,✓ LL ADDRESS ZONING SETBACKS W FRONT RW ❑ Z CITY ZIP TEL. REAR O � APPLICANT TEL. SIDEISIDE STREET flW O � CONTRAC70fl GG` r�L CTR� =�i!_G SIDE ❑ � � ADDRESS Z`�`� PROPOSEDUSE-� DI�FGC'� j�LDL Sl�I.C�IL CfTY �1/�N� ZIP,tj�TEL'.j 4 4-R U'�� �� tC 01�1 �_ � ARCH/ENG/ DESIGNER w��-V A�JG NO.DWEL. NO. NO. ADDRESS •T v � UNITS STORIES BEDROOMS N CITY `� -ZIP��p TEL'�t� �4�'rT,?�3 y DESCRIPTION S0.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFiUADD/REM O p 1 HEi1F9Y AFFIM UNDER GENALTY OL DE0.M1IRY TNAT 1 Au EXEAIPT FROM TME COHTMCTORS L4 Garaga�Carport LiJ CEHSEtAWFOi1T1EFOlLOWiNOREASON(SEC.7D71.68USWESSANDDROFESSIONSCOOE:ANVCfT`/OH (f� C) �q1NiYMR/1CFIREOVIRESAFEFlAIRTOCONSTiriJCi./LTERMPROVE,DEMOLISN.OHNEPAIRANYSTRUG W PafOIDBCK u� TURE,PRqq TO ITS ISSUANCE I150 IIEOUIfiES THE AaPL1CANT FOR SUCH PERMIi 70 FIIE A SIGNED W � STATEVENT THAT ME OR SNE IS UCENSED PURSUANT TO TME PFiOVI5lON5 OF 7ME COHTRACTORS U- � CENSE LAW I��p 9(COIaMENCWO WIiM SECTION 70001�DIVISION 70F TXE BUSINE55 Ml�PRO• � POOVSpB FE69qNStDDE)ORT/UTMEORSNEISEXEYPTTNEREFROAIANOTHEBASISFORTHEALLEOEDE%EMP• TqN.ANYViOLAT10NOFSECT10N70�1.68VANYAVPUCANTFdlAOEiUAITSU6IECTSTHEMPLICANTN Z Ro•Roo1 � I1CIVq,GENALTYOFNOTMOHEiHANFNEMUNDREDDttUAS�S5a0),): � 04�3OWNEROFTHEPROPERTY,ORMYEMPLOYEESWITHWACESASTHFIRSOLECOMPENSATION, � CpmmB(CI�I yMLL p0 i11E WOF11(,AND THE STRUC7UR[IS NOT IMENDED OR OfFERED FOR SALE(SEG 7at,BU56 J NE55 NA iROFE55iONS GDDE TIE COHTMCiOfLS LICENSE UIW DOES NOT APPLY TO AN OWNER OF � VROPERTYNFqBUlD50RI1JPROVE57HEREON.AN0YMO00E55UL11N9RKMIAISELFORMERSELFOR m � iNNOUGHHI30RHEHOMME4PLOYEES.FRONDEOTW�TSUCNWPFOYEAIENTSARENOTNTENDEDOR �}1 ,OFfEREDFORSALf.tF,FqN�EYE0.TMEBULdNaORWPROVCI.IENTISSOLDNrtfHNONEYEAROFCOMPIE- E:�•� TqN,iHE ONR/ER-BUILDER W1LL HAVE THE BUHDEN OF PROVIN�TNAT HE Oft SME OD HOT BUILD Oq � MPqOVE FOR TIE VURPOSE OF SALE} � O��ON�NEROFTHEPROPEHTY,/WE%CIUSNELYCOMMCTIN�VATHUCENSEDCOHTMCTOR3 TO CONSTRUCT 711E PR0.IECT REC.lw�.BUSINE55 AND PROFESSiONS LODE:7HE CONTMCTORS ll• V91uBli0f1 ADJ.AHEA � CENSEUWOOESNOTAVPLYTONIOVMEROFAPROPERiYMT10BVRD50RMPROVESTXEREON,NA WHOCONTMCTSFOfiSUCHPROJECf5YA7HAWNTMCTOF(5)UCENSmPUR5UMITTOTMECONTMG pUANTITY OESCRIFTION FEE � TOR.LKENSEIAw). � ,� O I/M IXEYPT UNDER SEG B.1 P.0 iOR TH:S RElSON 4 Z 77 0 •� � � .0 L' Und�u 3 •� u' OATE ONMER U �(/ �C�RA� �. � � LICENSED CONTRACTORS DECLARATION w D 7 ' .�ZO � 1 NEHEBYAFiIRM UNDER PENALTY OF VEitIURV TNAT IAM LICENSED UNOER PROVISIONS OF CHAVTER � T� ' ,� /�O s �(COMNENGNU WrtH SEGT�ON 7000)OF DMSqN�OF THE BU51NE5S IiNO PROFESSiONS C00E,AVD � X W LICENSE R R!FULL FORCE ANO EFFECL e� w� .1 � L�CENSE C1A55�S� IIC.NO.� / V� � `� c��u 1T �, o�rE 4i — 3/ � 9� oor,Trv,oTon�R;G-`g �5.,�.� _. � a6 WORKERS'COMPENSATIONDECLARATION /1.,\.� �_ ` �� ' )\ � . . . . . . N ,IHEAEBYAFitPMUNDERiEtULTVOFVERri1RYONEOFTHEFOLLOW:NGDECUM S� . • . . � � _.. ' '-�• ,���MAVEhMOY1nlLMA�NTAMACEfiTIFICAiEOFCONS[MTOSELFdNSUHEFOAN'ORKERS' �� • �' -.� ' - � � . CqIPENSATqN,AS VROVDEO BY SECTIOH]700 OF iHE UBOR COOE.Fpi TNE VERFORMANCE FTHE WOftN FOP VMIQ/TNIS OEA��T IS ISSUEO. ' Q ""'.. �MAVENAW:LLMAIHTANM/ORKERS'CAIAPENSATIONINSUMNCE,ASFEWIflEDBVSECTION � � O ,77o00FTHELABORC00E.FOflTMEPERWRMAHCEOFTIIEWONCFORYJMiCMh115PEflMIT15:. �. '• � • ,� .. ..�SSUED.YVN'ORKE0.5 COMPENSATION INSURANCt CAAWER M10 VOLICY NUTABERARE� . ` •CONSTRUCTION � WYIIER � R1�� _ '�W Z• .: _ .. o ��,�„�Ea��ww. o�y � cZ.�/L\�a EOTR�� � `(nssEcrnNr&�N�TeER1.PlErIDaFnivEf�MMrsFona��al�a�mauus(S,a�rntEssl PLUMB�NG •�' ,C2 -- 4' , S � ICEATIFY7NATNTNEPERFOMAN�CEOFTMEWORKFOHWMCHTXISGERMITISISSUED.1 MECHANICAL �'3 � �` = SMALLNOTEM7LOYI�MlPERSONINANYMANNERSDA5T00[CAMESUBJECTTOTHE � �'� � �� ' � WORKERSCOMPENSATqNUWSOFCAUF0f7N�il�N�ACPEE7HAT6151101ADBECOME � . P�GT�ONFEE � � \ ' � � S SU&IECTTOTH[WORKERSCOM7ENS�TqNPPOVI510N+OFSECiqN77 VBOH � �. �w.��' `V , n� �O cao�sw�ucoannvrrncor.�vtr ror+a SSUANC �� � ����� �� p DATE:�ti ���QqAPPLICANF. SMIP . '/ , tl i��`�,:`\ST , . . � WARNINO:FAIURETOSECUREWORKERS'COA�PENSA7IWCOVEMCE wFui.u+osMK�ae .ENERGYP/C •�t..S�,�1� �� � � �y SUBIECTANEMPLOYERTOCRWPlILVENILTIESANDCMLFINESUPTOONEMINDREDTHOUSIND ENEFlGYPERMIT �,�,��C� DOIURS It�00.000).N ADDITION TO THE COST OF COAIPENSATIDN.DMIAGES IS PROV'DEO FOR IN ` � SECTON77oeOF1NEUDORCODE,WTEPGST.ANDATTORNGYSfEES. RETENTIONFEE: _,,y'�._�l � CONSTRUCTION LENDINGAGENCY PRE-ALT FEE: ��,1�� � IHEREBVAFFlRMUNDfRPENALTYOFDER1UpVTHATTHERELSACONSTRUCTIONIENDVHIAGENCY v /� � iORT1EGERiORA1ANCEOFiMEWORKFORWHICiliHlSDEfWITISIS5UE0(SEC.�oY7,GV.C.�. � �( A I I �I/�fl � LENDER'SWWE L I�• W� � IENDEHSADORL55 � ICERT�FYTMATI/UYEPEMiH19APPLICAT10NMlO5TATETHATTIEADOVENFORMATqN15CORRECT. TOTAL FEES � IAGREETOCOM7LYWITMALLG7YANOCOUNTYOROWANCES/JIDSTATEUWSPELATiNOTOBULDINO CONSTRUCTION.M1D MCREBY AUT/IORIZE PEPRESEHTATIVES OF THIS CWNTY TO EMER UPON THE S� ADOVE�AIENTIONEDiROPENiYFOfiINSPEC7qNVURP06E5. COMMENTS � � —2 f2 �/ m �µ~ Q oea aurt� � ' � �-� � N eOFPERMITTEE AT � RECPT.N0. FAID BY VAUDATI WHITE-0epaNnenl Copy,YELLOW--Finance Copy,PINK—AssessM Copy.GOLDENROD—File Copy,GREEN—ApplicanPs Copy -� CITY OF DIAMOND BAR — � IfJSPECTI��J RECORQ . _ . .__ --,_ �,....�...�._e...._. _._.._..___._,-, . ��s+�:�:I�c;;C����F ;��Y��_!'� li'�-Ja.��:���1r.� I�E�y�+�:�.1�1►!b �'�.f' I.�k-�;�?,;''��'a��4��' ..... _._______r_..._._._� _._�._ _�_.�.. __....__._.���:.�.v._=��....�. �.w .�..�.,._.�..� .�'. ,.... . _. _..r ______.�. . SET 6ACK � _� i FLO�R JOIST, �-._�...� �.-.~ � � • � _. FTGS/f'ORPAS!STEEL � i , ,, , , _.�� FHA'R�QiJI 5 '�T� ' "- � •`^ ELECTRIC GROUND � " "' ' "'_ UNDER FLOOR DUCT �----:--�. ' , � , I •... =- GROUND PLUF:r51�JG � UND a G�r;ID If �'"! ' '-•``= '.���' - � SLAB GRADE I I FIREPLACE FOUNDATIOPJ I TEP,1P POLNER � FIREPLACE BOND BEAP.A I �— � ' 4NATER SERVICE � 6J�ID HT..E3�F.'D B�A^.{�.���,a_��__1..� ri:.a ,, , ROOF.,�,lfFs4TH1�V_::; -.�1• . :.,...::-:�' IBFT.BONp�i� A,��.. �,,-,_; ,�..�,;-� . _:�•.:�..'� .. . FRAh11NGNENTILiATlON I. , ' �r ' ''�`"-' � FINF,L OND B�AM —� �� ' '�T1 '`�� ROUF COVFR PRE-GRA ING . •' `_ ." t• .'�•�'' r� .: �-_��,� . ROi1GH N�k71N^a 6ENCHJfd �. - t T"',,.,,` �,,.—���-��.-� ' ' ., ' . �ROUG}i E�.ECTRIC I ROUGH GRAD G �~� `'' / ` . ROUGH PLUMBlNG FINISH GRADING �� SHO�VER�TUB TEST � POOL ELECTRIC EX±. LfITN!SIDIfJC� POOL FENCIPJG � � V�dALL ItiSUl11TION POOL FI�dAL � CEILING IWSULATION O�F SITE IMPS. � DRY1%JC,L.L�JAILING. �EDICATIONS SEl"JC^n FINAL ENG. . S�PTIC TAN�C LEINDSCAPE/IRRlG. � � • S=EP PITIL.L. ON SITE IP,�PS. ! �:�',S AIR TEST � � I FItJ/IL 7_OPdIPJG � � --. �!':�,lr C0:'JST, . .,. ti.: ,� �.'.'t ., �.,•. �� ' . � 1. 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