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// �� CITY OF DIAMOND B AR � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES > 21660 E.Copley Drive Suite 190 ' (909)860-3195 Fax(909)861-3117 PRESS ����'�� BUQ.DING PERMIT APPLICATION � FIRMLY . o ADDRESS �L 1 y0 'G• �a�Q�`1 �QQ-' APPLICATION�Z_ '�� �NUMB R� )� M/C���r �~ DATE � ISSUE TYPE OCC APN LOT�-�_ TRACT DATE CONST. GROUP g OWNER �\��I�I-P� �Ja'� Q . �� ` ZONING SETBACKS o ADDRESS � W CfTY ZIP TEL FRONT RW ❑ � APPUCANT RL '�'�I TEL.� REAR ❑ � SIDE/SIDE STHEEf RW ❑ CONTAACTOR D'C• SIDE p � ADDRESS � PROPOSED USE l l�I�(/ /' CITY ` ZIP� TEL. '�-� o ARCH/ENG/ • a � DESIGNER NO.DWEL N . NO. ADDRESS UNITS STORIES BEOROOMS � CITY ZIP TEL. � DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATIQN p� OWNER-BUILDER D�CLARATtON SFR/ADD/REM O �ppp 1 HER�Y AFFYW UN�ER PEWLLTY OF PERIURY THA71 M1 E%EMPT FROM THE CONiMCTDRS U• Gafe�i�CnfpOR LENSEUWFOR7HEFIX1(riVIHCREASON(SEC.70.71.6BUSIHESSANDVROFESSIONSCODE:ANYqTYOR (n COUHfYYNGfSIREOURESADERAIRTOCON57PUC'f.ALTER�MPROVEDEMOlISH.ORREPAIRANMSTAUC• W PatidDeck �iURE.PRIOiI TO RS 65UANCE.�L50 REGU�RES T11E APPLICANf fOR SUCH VERUIT TO FILE A SiCNEO W STATEYEM THAT HE OR SHE IS LICENSED PURSUNlT TO THE PRO`ASIONS OF TXE COMMCTORS U� � CENBE LAW(dUVTEX�(COMIAENCwO YnTH SECTION 7D0o)OF DiV75qN!OF THE BUSINE55 AVD PRO� �- PooVSpa � FESSUf6CO0E)ORTw�7MEOR5ME15E%EMaTiNEREFRpAM1DiMEBn515FORTMEAl1EGEDEXEMP• (� TIDH.IIN'lNOLATIONOFSECTqN70�1.6BYANYAVPLICAYTiOR�PERMITSUelECTSTHEMPIICANTTO Z Re•Rao1 � A CIVIL PEN�LTY OF NOT MOHE THJW FNE MUHDRED DOUARS(f5a01.} � O1A50�VWEROFiHEPROPER7V.ORMYEYDLOYEESNn7HwAGESASiHEI1150LECDMPENSATION, ❑ (`,pmmBfClel - W0.1 DO Tl1E WOIiIC AND THE STRUCTURE IS NOT INTENDEO ON OfFERED FOR S/�LE(SEG 7M�,BUSI. J N NE65 AND VROFE5510NS CODE iNE CONTM..^TORS LIGENSE LAW DOES NOTAPPLY 70/N OWNEF OF � PIIOPENTY N7p BULDS OR MPROVES iHEREON,AND NTIO DOES SUCl/WORK HIMSELF OH HERSELF OR Q TWIOUGHMISOft/EROVMEM7lOYEES,GROVIDEDTHATSUCMWVROVEMEDlTSMENOTN7ENOEDOH m � OfFEPEOFOq5MEF1qwEYER��4[MtHIORWPROVENEMI550lDWITlYNONEYFAROFCOMPLE• � TION.TME OWNEI4BlMDER WILL HA4E THE BURDEN OF PROVNO TNAT HE OR 6NE OiD NOT BUI(D OR . W VROVE FOR iHE PURPOS[OF SALE7. W 04�.+�N�NENOFiHEVROVERTV./WE%CLUSNELYCONTMLTNOWRHLICENSEDCDNiMCfOFlS � TO COMSTRUCT TME PpO.IECT(SEC.70a�,BUSINESS/ND PROFESSIONS CODE TNE CONTMCTORS ll- VBlU01iOn ADJ.AREA � CENSE UW DOES NOT APPLY TO i{N ONMER OF A PROPERTV YVNO BULDS OH IMPROVES TNEREON.ANO � 1MqCOMTRACf9GOHSUCl/PRO.IECTSNnTHACOHiRACTOR(5)LICENSEDPURSUANTTOTHECONTMG pUANTITY �ESCRIPTION � FEE 1 � 70RSUCENSEUW.} O IAM O(EMPT UNDER SEC. B.1 P.C.FORTMiS NEASCN � 1�.. � DA7E OwNER� V . �4 LICENSEDCONTRACTORSDECLAFIATION —� - , � ¢ W . . INEREBYAFFIiN1UNDERPENALiYOFPEiWRYTHATIAMUCENSEOUNDERGROVIS�ON50FCHAPTER � _ s •(OOYME/KNfi WIT115ECT10N 7000)OF DM510N]OF THE BUS�NESSAND PROFESSqNS COOE,AhU Z .. . X W IKENSE IS N FULL FOiiCE M!D EFFECL m C � UCENSE CLASS LIC.NO. � � � 7 � a�rE � corrrrucron.�]� 1 .�C a W � WORKERS'COMPENSATION DECLARATION a � IHEREBYAFfIPoAUNDERPENALTYOFPE�WRYONEOFTNEFOLLOWWODEGURAT10N5: � � V - `—`� a � � �IHAVEANDWILLAIANlAINACfRTIFICATEOFCLNSEMTOSEIFdNSUR[FORWOHKERS' _ COYVENSATION,ASPROVIDEDBY5ECT1ONf7ooOFTHELA00i1CO0E.FOqiNEPERFORMANCE W OFTME WOfiK FOR WNIq17H15 VERMR IS ISSUED. � � �1 HME M!0 MnLL YAMUN VVOR1(ER5 CdAPEN5AT10N INSURANCE,I�S REOUIRE�BY SECTION ^�+ /� O O ]7000FTHELAOOFiCOOE.FORTHEPFRFORIAANCEOFiHEWORNFORWHICHi111SPERAlIT15 1��.•/ ISSUEO.MYWONCERS'OOMPENSI1TpN SUFWICEGRRIERMlOFOIICYNUMBERME: CONSTRUCTION c— � POLICY M1i.�BER�a �U 'I PLAN REVIEW I�7�7D � � ELECTRIC ���Z�I�9y � � (IrIeS£Cnor+rEIDNoiBECG.ptE7IDOFiVEPEfx�isti)iiOr+LFuoflEoOottAiLSR�m�atlF551 PLUMOING Z ICERTIFYTW�TIN7HEPERFORAIANCEOFiHEYARNFORNhiIpiTH15PERA1IT6155UED.l MECHANICAL f^^'' � (7 SwLLLNOTEUPLOVIWYVER50NNANYIAANNERSOASTOBECOME5U0.1ECTTOTHE ,'J,r+` � WOPo(ERS'CdAPENSATqNUW50FCALIFOfiNIA,ANO�GREETHATIFISHOlA08ECOYE INSPECTIONFEE SUBJECTTOTHEM'OPoCERSCO�APENSATIONPROVI510NSOFSECTiW77�000F7HFlABOq � wQ� �I^ s GdOE.IZ�I�rncouv�vvnn� EP t57pL"..�_ � j .�U C �� T 0 o�re: % APPLMdWL `�'CJ�S�w SMIP • : �J'�� �C2 —V � WARMPW:FA0.Up[TOSECUREM/ORIfERS'Cd.IPENSATIONCOVEfLtGE15UNUWFUL.ANDSHALLBE ENERGYP/C � •� •'•'r�� �'"T�, � �y SUBJECTANEMPLOYERTOCRBAPIALGEN/�LTIESANDCMLFINESUPTOONEHUPDflEDTNOUSAND ENERGYPEFMIT +^� �1�r��,+r'�`'•��1•�� DOLLAfiS(i100.000),N PDDITION TOTHE COST OFCOM7ENSI1TqN,DAMAGES AS PROVIOED FOR W �1 '� ¢ SECf10N1)0lOF1MEUBORCOOE.IN7EREST,ANDI1TTOfWEY'SFEES RETENTIONFEE: _ ��� •n�Q_1 r`�� y pW.. CONSTFUCTIONLENDINGAGENCY PHE•ALTFE � t�U�'. � � IHEREBYAFFIRAIUNDERPENALiYOFPERNH'ITMA7THERE1511CONSTRUCTIONIENOw6�GENGY fOftTHEFENfORMANCEOFTHEWORKFORYMIL/1iHISVEWAITISISSUEU(SEC.7oY7,Crv.C.�. ^� � �J1 � '/ 1 1 �Z IElIDERS NAME 5 C lENOEMADDRE55 � ICENTIFVTW�TIIUVEREA�Ti6/WVLIGTIONANDSiATETUTTIEABOVEINFDR1AATqNISCORRECT. TOTAL FEES W 1/WREETOCOAIv�yN7T/A{LCT'ANDCOUNTYORDIWNCESAlIDSTATEIAWSREUTNOTOBULOINO � CONSTRUCTICN.ANDMEREBYAUi110(iREREORESENTATIVESOFh115CIX1NTYTOEMEHUPON7HE S� ABOVE�4EMqHEDCROPERttFORINSPECTIONPURPOSES. COMMENTS � . .��� � m PERY A1+E(P � {c� �' (�4 Z_��� � BiGN�T OF VE�ITTEE � OATE . � ,. RECPT.NO. PAID BY VAUDATIO , WHITE—Dapartrnent Copy,YELLOW�hanta Copy.PINK—Assessor Copy,GOLDENROD—File Capy,GREEIJ—Applicsnt's Copy - � .� CITY OF DIAMOND BAR �- . � � .�INSPECTI�N�RECORD • . .`� � � � . � '� : . ;, • � � • � . . � � . � � - S�T B�C'�,����-r'.� � �;�. �-' -- � -. ;� j FLOOR JOIST . .,' , � . . ' . ', • � � ! S' FTGS/FOR��15/STEEL =• � � � FHA REQMTS -- - � ELECTRIC GROUND --. � ' - UNDER FLOOR DUCT , ' � GROUND PLUMBING � UNDER FLOOR CO�IDUIT ' � ' SL.AB GRADE - FIREPLACE FOUNDATION � TEMP POWER - ' FIREPLACE BOND BEAM � ' � ' � ' ' WAT.ER SERVICE: : -_ :. . :- - -. _. . : MID HT. 80ND BEAM '•� � : � , , f f •;:;• , , ;. . . � � . - ROOF SH�AI'H1NG"! �� �.�,. � •., . � ,�, , _ . .., . , . . �. � , 8 FT.80ND.BEAM � I ,, �. ; FRAMING,NENTILfATION ��'-� �\`.`�•�T :`.���:''• FINAL BOND BEAM ' ROOF COVER PRE-GRADING �- ' � ROUGH HEATING - - - � BENCHING -- - ' � ROUGH ELECTRIC - -� - � ROUGH GRADING .. � ROUGH PLUPJ161NG -- � FINISH GRADING ' SHOWER/TUBTEST � POOLELECTRIC EXT.LATH/SIDING � POOL FENCING � WALL INSUI�ITION POOL FINAL CEILING INSULATION OFF SITE IMPS. � • • DRYWALL NAILING DEDICATIONS ' ' - SEWER . _.. FINAL ENG. �- i SEPTIC TANK -. . _. �- ; _. LANDSCAPE/IRRIG. SEEP PIT/L.L. - � • ' ' ON SITE IMPS. . _ � ; GAS AIR TEST - --- FINAL ZONING FINAL CONST. - FIRE DEPT.FINAL -- FINAL HEATING - HEALTH DEPT.FINAL • FINAL ELECTRIC -�/ ' DEV.,FEES PAID - ' • FINAL PLUMBING � :�I�� ENERGY a • .� ' - _ _ - ...__.. ._..- — COMMENTS ' � � ; , . _ � • ::�, • _ •� ,,,�,"1 :, . � /� ,� i � .. . . �_ ��\ \. f, . . ' ,I I � 'I. '� ` i�� \ J • ' -__. ,r � ' � SEPTIC TANK SIZE , , , .. , SEEP PIT%U SIZE . � � , ` . _ . • • � , � ' � . , ' • ; • . _ ; � , ._ •� : 1•�j�, ,1 � ' }` 'j �� � � ! . - ``_ "�' - - . , I