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. . --- - -._ Q�3/YZ. � �� C[TY OF DIAMOND BAR ^ DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Copley Drive Suite 190 (909)86Q3195 Faz(909)861-3117 PRESS ���^'� BUII.DING PERMIT APPLICATION FIRMLY y JOBSITE APPLICAT10tJ�_Z � � NUMB R� f1/C � o ADDRESS_2IpS� � Ca�LE}� �/'�- DATE � ISSUE TYPE OCC � APN LOT TRACT ' DATE CONST. GROUP p OWNER �fYJS let�E-r%� L�Q�d/.' p ADDRESS 2O�d �N,�_1.tJ �� ZONING SETElACKS � CITYI.�'V/.Ut'� ZIPj��7/{ TEL.���--7f!�'� REART RW p APPLICANT TEL. SIDElSIDE STREEi RW O � CONTRACTOR.Ql/Q-=LniV ' • SIDE O ADDRESSroZG t'.S.a.t� �`�JCAit1'L� L�,�_ pROPOSED USE " `��^ �'�'� "/�" �.� � CITY����iSL� ZIP��T L.Z 'ry-6,:r>� � o ARCH/ENG/ l� - c V � DESIGNEA NO.DWEL NO. NO.� ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � re DESCRIPTION SO.FT. FACTOR PSF ADJ.ARErWALUATION Q OWN[R-BUILD[R DECIARATtON SFR/ADD,'REM O 1 HEREBY AFF6W UNDER OENAITY OF OE0.IURY THAT I AF.1 E%EI�PT ipOA1 TH[CONTMCTORS LI• Gdf8g8lCdtpOA W CENSEUWFOHTMEidllOM9NflREASON(SEC7W1.6BUS:NESSANDCROFESSqNSCODE:ANVdTY00. (f� �7 COVNTYNRtlCMRE0URE5APERMRTOCONSTflUCT,ALTERM7ROVEDEMOLISH,OFiREPA:RANVSTfiUC- �J,J patio/Deck LL� TURE.ifi�Oli TO RS 65UANCE.AL50 REOUIRES TME APP�ICMlT FOft SUCH PERMIT TO FILE�SIGNED w STATEMENT TUT HE OR SHE IS LIGENSED VURSV�WT TO THE PROYi510NS OF 7HE CONTMGTORS U• � CENSE UW(CMAPTER�(CpAMENCINa MATH SECTION 7000)OF DIVISqN!OF THE BUSINESS AND PRO- V" Pool/Spa iES5qN5COD�ORTlMTHEORSHEISEXEM:TiHEREFFiDA1ANDTHE8AS15FORTHEA:IEOEDE%EA1P• � T10N.AH'lVIOLATIONOfSECT10N70.1t.6BYAHVAOPLICAMTiOR�PERA1rtSUBIECTSTMEACttICANTTO z Re•Raof � ACMLVENALTYOFNOTAqFETXINFNEHLNDREDDd.l.AAS(f500��: � O�A501N�EROF7HEPROPERiY,OAMYEMPLOYEESWITHWAC[SASTHE11150LECOMPCNSATqN, O Commercial - WRL DO iHE WON(,AND TFIE STRUCiURE IS NOT WTENDED OR OFiERED FOR SALE(SEG 7w�,BUSb J � NESSAILI iROFE55qN5 C90E:TME CAN7MCTORS IIGENSE L/�w OOES NOTAPPLY TO AN Ow'�ER OF � VNOPERTY WFfO BUIlD4 OR YVROVES TXEREON.AND Nrt10 DOES SUClI VYOFK HI415ELF OR HERSELF OR (L TNROl16HW50RHEROYlNFlA7LOYEES,Vi1�N�EDTHATSUpfIMPROVEMENTSARENOTIN7ENDEDOR m � OFFEPEDFORSKEIF.N[TNEYER�BtlIDINOORMCROYE4EMIS50lDWIT1aNONEYEAROFCDAAPLE• Z TION,T1C OWNER�BULDER YALL NM�E TNE BURDEN OF PROVN6 TNAT ME OR SME OD NOT BU�ID Ofi � CAPROVE FOR ME PURPO6E OF&LLF�. �y,� ❑4ASOY.NEflOFTHEVflOPERTY,AMEXQU5IVELYfANTMCTNOWRF�UCENSEDCONTMCTORS [[ TO CONSTRVGi THE PRQIECT(5[G 70N,BUSINF.75�fD PROFESSIONS CODE:TME CONTMC70it5 U• VflIU�IIOfI ADJ.AREA W CENSEUwDOESNOTA➢PLYTOIWOV/N[HOFAPROPE�iTYVYMUBUL�SONd!Pfi0YE5TMEREON.AND � MAqCONTItACTSFORSUCHGROJECTSYATNACONTMCTOR(S�L�CENSEDPUiLSUANTTOiHECONfPAG QUANTITY �ESCRIPTICN FEE � TORS LICCHSE UW} J O I MA EXEIAPf UNDER SEG. B.{P.C.FOR THIS P^-150N Q � U U.. ¢ �ATE ONTlEH � .. . _ J � LICENSED CONTRACTORS DECLARATION W 1HERE8VAFFRWUNDERPEN/I�TVOFPEfLNNYTHATIAIALICENSEDUNOERPROVIS1045OFCNAP7ER U. (� �(CpIM[NCNOMAiN5ECT10N700ojOFDM510N]OFTHEBUSIN'c55ANUPROfC55iON5CODF.,�hD ` X W IIGENSE t5 W F1A1 FCRCE ANO EFFECI m t1J ' � LICENSECLASS�^2� LIC.NO.� 6' � � �j DATE�=���QQ' CONTMC a L�J TE�d. � = WOFiKERS'COMP[NSATION D-CLARATIOY ' Q �Y� +�SJ�i � - � N IHERCBYAFFlNJW�ERGEN1rTYOFPER1UiiVONEOFTHEfOLLOW:NOD[d.AfUT10N5'"/�-'71 I a ��j! �1C S O�ITfrd/s . � �v � __IHAVEANDW.�l1.uMAMACE�7T:FICATEOfCONSENTTOSELFdNSUiEFORWORKEfLS' 2 � /�' �`�+� �p�p�s . � 2.y(q? � C04PENSATION.AS VROVIDCD BY SECTION 77o00F T11E UBOR CODE.fOR TNE VERFORUANCE W ��/ OFTNEWOfU(FORWHICHT115VERMI715155UED. Z � `n ��J/G G ' � � �� �I HAVE AND V/:LL MAINTAIN WORNERS'COI.�PENSAT�ON INSURANCE,AS REOUiFtED BY SECTION Q ]7000F iHE U,ilON COOE.FCfi TME VERFC'�MNICE Of TME WOFN FOR N'MiC11 TFIIS PERMIT 15 � ISSUED.4YW�RKER.^.COY7FNSATIONIN�URAVCEURRiERMOGOIILYMIYOERARE: CONSTRUCTION y GRR!iR��l�,�s'y.5� PLANREVIEYJ � OQICYMIM9ER_������ �� ELECTRIC � (iVi55ECfqN��NO7BE0CAftEfIDOFMP[iMi6FOf7O�EMf,O(1GOOl1Af�R��IORLESS} PLUM6ING � 10ER11FV7T1ATWTNEPERFORMAkCEOFiHENt�RKFORWNICHTHISPERI+ITISISSUED,1 ME�� \ �J' S1ULL NOT EMP�OY/�NY PER'..C.`N IN ANY MANNCq 50 AS TO BECAMC SVIlJECT iOTMC (n WORKERS'CdAPENSATqNUW50FLALIFORNII�ANDACREETHATIFISNOVIOBECOME INSPECTIONFE[ S SU&7ECTTOTHE WORKER�COM7ENSATION FRONSqN50F 5[CTqN�7000F THc UuIOA COOE.ISHALLFORMMhICOMPLY .,� fMpSEPROVISqN'. ISSUANCE ����111_ l � li1J p DATE:�Lj� APPL NT: J _ Sh11P � ENERGY P/C WARNINO:FALURETOSECURE �NEHS'WMPENSATpNCOVEMGEISUNU +ALLBE � SU0.1ECiANE4PLOYERiOCA:MW GENALTIESANDCMLFINESUPTOONE � Fl T SANO ENERGYPERMIT „����� OOLURS(tt00.0oq,NA�OITIONTOTNECOSTOFCDIA7EN5A1qN.DAMACES P V DFORW L J 6ECTqN�7oeOF717EUBORCODE,R+TEREST,AND�7TWwEv'SiEES. RETENTIONCE'�T °� �Y-� � � . OCONSTFUCTION LENDING AGENCY PR[-ALT FE� � � I HF0.EBY AFFIIU!UNDER VENLLTY OF GERNRY TNAT THERE IS�CONSTRUC'TIdJ LFIr01NG�GENCV � 1 :y V � ' iOR T1E VCHfORMIVvCf OF TNE WORK FOR NMiCMTH15 7ERIAIT IS ISSUEO(SEC.9o01,CIV.GF � � LENOER'S NMiE C IENDERSA�DRE55 � 1 CEflTIFY THAT I NAVE READ iH15 AFP�IGlT1ON AND STATE iHATNE ABOVE INFDR/AATqN IS CMiRECT. TOTAL FEES � � IAON[ETOCOMPLYWRHALLCRYM1DCOlRRYORDINANCE5MO5TATEUWSREUTINCTOBULDINQ CONSiRUCTION,/WD M[FlEOYAIliNORIZE FEPRESENTATIVES OF THIS COUNTYTO EMER UPON iHE � ABOVE�4ENTqNCDFflOVERTYFOFINSPECiIONVURV05E5. COMMENTS � � L/1 � �c�/�//rd.t 7_� m P I E NA/AE fPRINTj � Q N W�' `� ��� SIG 7UHEOFP RMf1TEE OATE � FlECP7� � PAID BY VALIDATION WHITE—aeparUnont Copy,YELLOW—f inance Copy,PINK—Assessor Copy,GOLDENROD—Fiie Copy,GREEN—Applicant's Copy • . .. . . CITY OF DIAA�fO�➢D BAR . • �' . . INSPECTiOf�.REC�RD ��►'_���=;c`r�`���k ����!"W,��-��a:��'I���� A�;1���'1R���,�g�cl�E�+ +����bC= �i`E-5:.��E��''c��� , .u.,,— _ . . ...._. —. —�.s��a� - � . rr...>_.�_ ..�......,.._...,.._. v,_... .,�.. ..,..,...�_,..___.. _.._._ SET BACr � ' ' FLOOR JOIST� �~� � �. �FTGS/FORD."S/STEEL ' FHA REQ",�TS . . �`- � • � ` ` , • • ELECTRIC GROUND ' UNDER FLOOR DUCT - �GROUND PLUP�181NG UNDER FLOOR CUi!JUIT�.�, � ;: �� -. � ., - SLA6 GRADE • FIREPLACE FOUNDATION . �_�—_� , �. '• , _: . �TEP�AP POWER • FIREPLACE BOND BEAP;9 � WATER SERVICE h11D HT. BOND BEII�.", ; � � --� =' ` = , �ROO�SH�ATHING�- `:_ " ��\ I 8 FZ'.BOND gEAP,1 � � ' • - ' '" ' FRAMING.�1/cNTILIATION FINAL BOND�BEAP�1 � �� ' � � ROOF COVFR PRE-GRADING ROUGH HEATIPJG BENCHING ROUGH E�ECTRIC _ , ROUGH GRADING 'ROUGfi PLUF�IBING FINISH GRADING SHOVVER:'TUB TEST POOL ELECTRIC EXT.L4TH.�SIDING � POOL FENCING ' I VVAL.L INSULATION POOL FINAL .CEILIN^u IP•JSULt�TION OFF SITE IMPS. � �DRY4Vl,LL PJF,ILINu � DEDICATIONS �SELr,'ER FINAL ENG. S�PTIC T61NK LANDSCAPE/IRRIG. S�Ep.P1i/L.L. ON SITE Ih�1PS. G�S AIH i CST � FINAL ZONING ' � ' '`FI�•11;1,C��NST. ; . FIRE DEPL FINAL �li:��.�HEF,TIP�G � o� HEALTH DEPT. FINAL I :�:�.�F•�L=LECTRIC; DEV. rEES PAID � - .�'"L PLUMSING E�vERGY . --- --,-.�..,.e....-.�_ .....---._.- !_._-- ..C�'.,��.'.:il•,iS;��:+:. __._....�,___. - `- -� .�a -.:s rir::�_• 4 . - : . . r._. . , - . .-� _ . _ _ . -• , _ - ���o���r,�ENTs �. , .- - �- -- . ... ,_._.___ _ '/G�_ZrC_i_��_f��l'_ ?� '�'!-�_'�.i 1,�\,\_ �1�.r'- - . I li .� f �- r :: � � 6.\ ♦ � , .� - i • • •- . � , � i : � " � -' , (�t• . . , .- � , :SEPTICTANK SIZE � � . _ : . � . SEEP PIT/U SIZE � , . - , � i�_� .._._--�---__-� . �`� 1 1 � � . �� � � � b ,1��� • � �. _ ' . . -. , ��. . . . � � . . � .;- : , ' :: - �i . ' ` ` • . . . - �: , ����' , •' . • � --