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�' �� _ CITY OF DIAMOND BAR �� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � 21660 E.Copley Drive Suiu 190 (909)860-3195 Fax(909)861-3117 PRE$$ ���"� BUII.DING PERMIT APPLICATION FIRMLY o� JOBSRE - ��r�' APPUCATION 2� I PERMfT r,+ � r �/ ��� � ADDRESS � DATE NUMBER� d L � ISSUE TYPE pCC PN LOT T�CT DATE CONST. GROUP ' � � �WNER ��M a. DDRESS - � �VYC ZONING SETHACKS u' CIN IP �EL. QI � Z �1 FRONT RW ❑ �� APPLICA EL.�Iy �2og14�1 REAR p � ' ---� SIDE/SIDE STR• ❑ CON � R �� ' � SIDE p ADDRE S � � CffY ZIP EL G (� PROPOSED U$E � � ARCH/ENG/ • � - � � L� w ,. DESIGNER NO.DWEL �0. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. N DESCRIPTION SQ.Ff. FACTOR PSF ADJ.ARElWALUATION Q OWNER-BUILDER DECUIRATION SFR/ADO,REM O p 1 HEREBYAFiG\I LNDEF VEIULTY OF CEtWRY THAT 1 AlA E%EYPT FTIOA�iHE CONTRACiORS LL Garnge/Carport [Ll CFNSEIAWiORiHEFOLLOWWUREiISON(SEG7071.68USNESSANDVROFESSIONSCOOE:/WVCITYOR (n Z COUNTTYNIIL/IREOUWESACERMRTOOONSTRUCT,AL7E0.�PROVE,DEAM7LISKORREPAIRANVSTAUG W PatiaDeck u� 7URE,PAqil TO RS ISSUANCE,ALSD REWIRES TME APPLICAIlf FOR SUCM iEqMIT TO FILE A SIGNED w � BiAiENEHT T7AT HE OH SHE IS UCENSED WRSUMIT TO 7ME VROYISIONS OF iME CONTMC70R5 L4 � � CENSE Uw IpMPTFR Y(COMMENCPIO WI7H SECTION 7000�OF 01V6qN 7 0F TH[9USINESS AND VR6 POOUSpB FESSqN5GO0E�CATHIRHEOqSHE15E%EMPTTMEREFROMAHDTNCBA;ISFORTHEALlECE0E7(FAIP• (� TION.AHVVqlATI0NOF5ECfION7071.6BYANVAVVLICAMFORAVERMITSU6)ECTSTHEAVFLIGMTO z p�p�� � A CIVL VENALiV OF NOT MOHE 7NAN iNE HUNDRED DOLURS({500).�� � OI�aN�ENOFiHEPROPERT7,ORYVEMPLOYFESVATHWACESASTMEIR50lECOMPENS�TqN, 0 Commercial . - 1MiLLD0 THE YVOiK,AHD T11E STiK1CTURE 6 NOT IMEWED OR OFFEREU FOR SALE(SEG 10u,BUSt� J y NESS MA VROFESSIONS COOE 7ME OONfMC70R5lICENSE Uw DOES NOT IDPIY TO!W OWNER OF ? PNOiER1YMM0 BUIIDS ON MPfqVE37/1EREON,AND MMO DO[5 SUCN YIORN MMSELFOR NERSELF Oq � 7HROlX3H W S OR HEH ONM EMttOYEE9,VR01/IDm TVIAT SUGI MPROVE/AENTS ANE NOT IMENOEO OR m ll7 pFFFpm(pqS�LEIF.IqWEVERTNEBULDIN00RIMPROVEUBRI55OlDN7TISNONEYEAROFCOA1alE � �TION.THE O'MIEREUILOER 1NLL MAVE TME BURUEN OF VROYwG 17iAT ME OR SNE OD NO7 BUILD OR YFiqVE FOR h1E 7URPOSE OF SALE). W Olti40WMEROF7HEPROPFHT1;AAlEXCLUSNELYCOMMCTW4WT�LICENSEDOONTMCTOliS (� TO CONSTIWCT THE Pi10JECT(SEG 7Da,,BUSII:ESS AND iROFE55iON5 COOE 7HE GONiMCiORS LF 81U8!IOf1 AQI.AREA 111 CENSEUWOOESNOTMPLYTOANOIVNEROFAVROPERTYMlHOBUtC50R111PROYE5IHEREON.ANO � MRDOOMTRACTSfOqSUQ1VR0.1ECTSYrtT1fAGONTMCTDR�S)I�CENSEDRIRSVMlTTOTNECONTRAC pUANTITV DESCRIPTION FEE � TDRS UCENSE UW.). O I M1 EXEMPT UNCER SFC B.t P.C.FOR THIS qEASON J U � LL OATE OVMER F- � U UCENSED CONTFiACTORS DECLAHATION W � IV1fRE8YAFi1RNLNDERVEtU1TYOFPERNRYTHAiIAMLICENSE0UN0ERPRONSqNSOFCHAPTEq � � �(COAMENCWONtT15ECTILN1000�OFOMSiON�OFTH[BUSINESSANDiROFE55qNSC00E,AND Z � �� W UCENSE IS N MLFORCEAND EFiECT. — f � LICENSE Sn` � LIC.NO. U OATE ��'J Z CONTHACTOR��_� d t7J � WORKERS'COMPENSATION DECLARATION �.�1 i Z I HEREBY AFFlRAI LNDER�ENALTV OF OEiiNM ONE O:THE FOLLDWING CECLAiLli1C � � �t/NVEIWOWM1IMAMTAMACERiIFIGTEOFCONSEMTOSEIF•WSUREFdiWORKERS' $ OWVEN4AT10N,ASVfqVIpEDBY5EC71011I70aOFTHEU180RCODE,FOFiTHEVERiORMANCE W Q OFTHEWON(FORWHIdITH13PERMITI3155UED. ` Q �I HAVE IW0IMLLMAPlTA1H YIORNERS'LOMPENSATqN INSUMNGE.AS REGUIREO BY SECTION /� �7a00F 711E U1BOH COOE FOR TME VERPoFlMANCE OF THE 1YOR1C iOR Nrt11CH TM5 PERMIT I5 �/r/L l� � ISSL'm.AfYWOHKERS'LOMPENSATqNINSURlW/�CrEWIR:ERINOPOLICVM1AIBfRAHE: CONSTRUCTION �J��}�i '- � //y_�.(J � CAHRIER� �T�/�l 1 C- ��f� PUW REVIEW �Y✓v• �7—r�+f• � vaucrrruuoEp IALII�- '1"l � � � ,ELECTRIC 2- ,/��_ TJ— (fli55EcnoNr�FFDwiBECUstFfEDOFhEVE1Wi6fa(tU+ElU�q1ED00tUuis�Slm)0(1l�Sy !PLUMBING W �v � IC[NTIFYiWtTM7HEPERFORMANCEOFTHEWORKFORK'H�CFITMiSPEfWITI5155:1ED�1 MECHANICAI A�. ��1 SNALL NO7 EMI'LOY M1Y PERSON N ANY MANNER 50 AS 70 BECM�E SUBJECT TO THC � WOPo(ERSLOAIVENSATqNUWSOFCALIFORN1,tANDAGREET11AfIFISHOULDB[COME INSPECTIONFEE S SUBJECTTOTMEWOii1:ER5'CpAPENSATqNPROVI5iON50FSEG1UN77aoOFTHEU80R — � E,I SIMLL FORTSMAiN C0IAPLY WIM iH05 ISiONS. ISSUANCE ��� ^,,, �,,,.� I'J`� � ��Y��`"7� ��\Y�� �SMIP J� `p OATE: �^Z APPLICANT: � ��/ � � ENERGY P/C IriTV�� WARNINa:FAILUitE TO SE WRE WOf1KEFli'CDMPENSATqN COVERAGE IS L'NUWFUI,AND SHALL B[ �=r � SUBJECiANEMPLOYERTOCAIMINALPENAlTIESAYDCMLf7:ESUPTOONEHUNDNEDTN0U5AND EhERGYPERMIT ,Y DOlLARS(f 1oa.00o1.W�01770N TOTHE fAST OF COM�ENSATqN.�AAIAGESAS PFOVIOED FOR IN � EECTION170lOFh1ELABORCOOE,INTEREST,ANDJITTORNEY5FEE5. RETENTIONFEE: 1♦ �v '� • OCONSTRUC7ION LENDING ACaENCY PREALT E • �� � � INCREBYAFFINAIUNDEHGENALTYOFVEMIRYTHATTMEREISALONSTRL'CTIONLENDWOAGCNCY ' � Z FOR THE VGRFORIAANCE OFTNE WORK iOR WHld/THIS DERUI715155UED�SFC.�OD7,pV.G). W � LENDERS NAA1C � LENDERS/'JDRE55 W� TOTAL FEES ICERTIFYT/UITIHAVEREMTHISAPPIICATqNANDSTATET/NTTM[PBOrMFORMATI0NI5CORRECT. � IACREETOCAYVLYrifTF1ILLLCT'MlDWU1TYORDINANCE9P7ASTATEUWSREUiNOTOBVIL01N0 � OONS7iU1CT10N,ANOMEREeYMlTF1oRREHEPRESENTA71VE50F71115COlrtRYTOEMERUPONME ABOVE•MENTIDNED PROPERT7 FOR WSPECf10N PURPOSES. COMMENTS � ��.� S�rc:vo Sl, �1 � � iERMfTTEF NAA1E(VRIt7T) J6� � SqNANAL OF PEflMI EE DATE J� � � RECPT.N0. • _ AID 6Y VALIDATION . WHITE—Dopanment Copy,YELLOW�nence Copy,PINK—Asxssor Copy,GOLDENROD--File Copy,GREEN—Applicant's Copy . . _ . � ,..r �... . . :p.•"� � , . a. ... � :...y. . ��•c. �: ' �r �.� ... . .- . �. ,,. . . , . ,.. �.. .:..�- , . . . .. . i � . . „ .. � .�;......�. . , .. . ,. r � , CITY OF DIA�JiOND�BAR , . . �• .�,.. .•:.-��,��..�INSPECTION�REC�RD �� : , , .' .� � . ; . . , � :;; : . �l►' . •X��s�''����1 �J��4'= � �.�i'_E-�►^�.:r�Ox��A�!(� �; �• t . .._ y __ c�ra -�__ . �.-�� - `� . ►F-`I:���' g.��:�1`t +� �;�+��= jl��- �= .�.t. iSE"f BACK. '; : .���.,, ; �I'� . -1 j j� . , FLOORJ015T ; � � �, ���. . . �ri , . . � ', : �- . ._..-- _ FHAREQM. S �.� :.:.•_, __ _ __ , _ FTGSJFORP�AS/STEEL . _. ,.. �. ., � �- -_ ,_ _ - �-- - - __.... . . - --- -_- . . _„ .., , ; ;ELECTRIC GROUNQ_ __ - �< " -- .. - - UNDER FL O �UCT t- - .' � - ----.. . . _..... , �- - -- . . :.. .. . _ , r:=_;- `GROUND PLUMBING : •• � UNDER FLOOF��CUi�DUIT, � � •- - - � ��ti SLAB GRADE `�` � `' FIREPLACE�FOUNDATION , . � . , `. " � � : ' i �_:.j •._.'_. i :TEPAP Pt�WER'_-.-_ - --.. • _ ;�� ..: ,."- -._.. ' FIREPLACE BOND 6EAM• . ...;,.. .: __' .__'__ ` _ ��• IWATER�SERVICE��- '_`' � --� - MID HT. BOND BEAP�'', r � � - � � � ' ' , . -- : , . � ,:..•. ,:. _ ,.. ,. ,, , , �ROOF SNEATHING � . ' ' �. �'� � �. �;' I 8 FT. BOND BE11M,-, '-�- :-'= ' ' - - ` � � � . � +FRAP.�I�JGNENTILtATION - '�• " � • FINAL'BOND BEAM � ' ' � � � � � �� . � . _ -- _.. _.� ' IRObFCOVF_R : � � ' PRE-GRADING - ' - . ! c " _ ._ 'ROUGH HEATING� .. ... . .... . . .. .. .. :_ . .. .. . . .. BENCHING ;,. .. -;, � � ._ lRO�JGf-�:E'LECTRIC. .. . -` ��- �--__ �.._� . . ,ROUGH GRADING - - - - - - - _...--; ;. �ROJGH PLUM8ING- ; -- - • - -� -� FINISH GRADING i �-� ;SHO4�i ERl;UB TEST•-' -- �- --- - ; �- �---� � POOL'ELECTRIC � ' ' ;��'T:LAiH/SIDING---�-- -- -: -- �-- _._,_. --�- POOLFENCING.. , ,. , � ; �'1�":ALL-INSULATION- .. - -------- _ _ - - POOLFINAL. � ;CEILING If•:SULATION - -" - - OFF$ITE IP,APS. i -' jDflY4V�1LL NAILING . ; - --- - . _ - . _ �EDICATIONS . . ' • " I .`,, ISE�"�ER- - --- - -,. _. . . _. - FINAL'ENG: ; _ ;StPTICTANK ; LANDSCAPE/IRRIG. ' + Stc?piilL.L. � . � . � C' ON SITE IMPS. . 1 � �i�=%•.S�',I�iEST � • FINAL ZONiNG ' ' j - �^• � -• - FIRE DEPT. FINAL • Ir���_;.�.t,UNST. - --- -` . .J' - --.. . � � .. , 'Fl.�_�HEATING.- - .---. .-- ---.. .. .__ .... �..... .. . HEALTH DEPT. FINAL . -- _ ; : _._..._...._--- , . . ` ELECTRIC------. . ...' ._. . DEV. FEFS PAID � �. � - :-..=_ -- � . �: _.__._. - . �,.::.�A�_PLUMBiNG...--- _�_ -� - --- ..._..._.._ .. . . ENERGY , ; � _ '. -- - _.. -----.. _. .. - --- .._.. ......_. . _ , .. .. , • . • — - � _,.,,,...,,�,,.... i , _ . . . - ------ ..--- -�-- .. ._ ..- -... ... .- -- .. _ ;I- - -� . --- W;C�C7`a7 ; �jq-N ,'--�--- � �.I�/ _� � � � .'a�.�.. _.,tsis�:+' __.�._._� ,. ...__ .. � ---.-.. --- - - --...._ _ _ . � .:�._. � I � . ')r ' ' ' • - . . .-; - � ; , 1 f---- . i, .{� -........ ... ..........._ ._... ...... _. .. . . .. :;; �i;,�MENJfS . . , -- . .. , , , ; � l , . -- - -._. _. .. .. . - - - --- . .. . , , � � . ' ,r i�.;'�1 . , � ... �. • � � � � . � . � " , �. . . .. i i' ' . . _ • . . .�. � � .. ' �� � . . . .. � i (�•-- � . l _, � � �� _ . . . ' � � t ---- -� -' . . .. . .. � . � � . .. _ i`_ I - � � ,, - -- ' �f' � � . . � • � � . �1 . . , . . , . I .. i ���,:�. _. .. ,. .- ._ .. -�� . . . . _ .. . . ! i .,. . . . . , . ./ � . � c � . ..._... . ... .. , . . . . _._ .. . i SEQ;IC..TANK.SIZE;- �: : . �,'',:. , . , � i ' . , _". I _ ISEEP P1T/U SIZE _. .. . _ _ . : .. . ., -- - - - � _�. - _ .. _. . � , � � . ---....... ;��h� . . ;. _ _. ;_ i . ... _. , � j , . .. . � - � - _ _ . _ - � � , . . . . 4. .. . ... r'.__ . .._____. . .. : � � . .; . � . . . . _ . . . .. . . ... . .. .'—'..._. I "' .. , �fl _' " '• ; �. ._. ... ... . ..... .. .. , ' ' 1 '��1�� � , iw*I .. _.... _. .. , . . .. . ' . . — � . . . . . . . . � . � I _' ... . . � ' i ._ _. -�--- . .. . ..._ . � • ' � i ' � ! " . � . .. ' . . -.. . . . -_ . ..: .. . ' _ __. .. . . . __. . . � . . . '_i . . i . . . .... _ . . . . . ..: . . ' . . .,. . . . . ... .- . ' _. �•��- . .. • + .I i" �.��1 - l�'� -'-- -._.. . .�.._._._..r�.�...__ •I � i j _ �' � — . ... . , .. � . . - . . .. . . . . . l, . . .
