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-J� ---- CITY OF DIAMOND BAR� - -. , ' � • � . DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � 21660 E.Copley Drive Suice 190 " � M� (909)860-3195 Fas(909)861-3117 PRE$$ � ��'�'�• � ,BUILDING PERMCI'APPLICATION , . . . FIRMLY Q D RESS ���0�V� � � � DATE CATION � 2� 9�NUMBER � P� ' � APN LOT�}. TRACT ISSUE TYPE _ ' OCC ._ .� OWNER / O/`f" 1Y�E � �— OATE CONST.' GROUP o ADDRESS / UN �1 20NING SETBACKS W CITY " 21P 7 .S TEL. 7 � FROPfT RW ❑ � APPLICANT ' TEL. REAR ❑ � SIDFJSIDE STREE? RW ❑ CONTRACTO � SIDE ❑ � ADDRESS •.. .. CfiY ZIP TEL - PROPOSED USE o ARCFVENG/ • � DESIGNER - NO.�DWEL NO. NO. ADORESS CITY Z�p ��, UNITS STOFiIES BEDROOMS cr� cr� DESCRIPTION S�.FT. FACTOR PSF ADJ.AREANALUATION Q . OWNER-9UILDER DECLAHATION SFR/ADDlREM O e I HEREBY AFMM UNDER VENAL7Y OF CERIURY T11AT 1 MI EXEYPT Fi10A17NE CONTMCTORS LF - GefBpB�C01pOR _ � �' - . CEHSEUWiONTMEFOL1d4WOREA50N(SfG7o71.68USP1E55ANDVROFES5�ON4CO0EANYCRYOR (n - � � CQMtWHIGIRE0U1RE5APEliMRTOCONSTRUCf,ALTFRMVROYEDEMOLISH,ORRECAIRANYSTNUG W P8110/DBCIC .MiE.VNdi TO R9 195UI1NCE AL50 PEUUIRES iHE APPUCANT FOA SUdt FENaiT TO FILE A 6iCNED W � 6TATFMEHT iHAT HE OR 8HE IS LICENSED WRSUANT TO iNE VROVISiONS OF THE COHiMCTORS L4 � ..� CFNSELAW(OUIPTERY(i.UMMENQNOWfTHSECTUN70W)OFOMSqNlOFiNEBV5ME55ANDPRO• POOVSp2 � . . iES3qNS COOn OR THA7 F1E OR SHE IS E%EMPT TMENEFROAI AND THE B�iS FOR THE ALIEGED E%EMP• TqN.INYV101A710NOF5ECTqN7W1.6BV/NVMPLICMfTFORAPEAM176U61Ett97NEA0PLM1NTT0 � Z Re•Roa1 � ACMLVENALTYOFNOTMOAETNANFNEMUNDREODOLUAS(iso01.)' O ❑1A90W1�EROFTHEiROPERTY,OHMYEMPLOYEESWIiMWAGE5AST1EIflSOIECOMPENSATIOH, O Commerclal - � � WHL DO iHE WOfYC.IWD iNE STRUCTURE IS NOT PITENDEO Oit OFFEREO FOH SALE(SEC,70��,BU51� �l � NFSSANO P110FESS�ONS CODE:THE CONTMCTOR9 L1C£NSE UW DOES NOT MPLY TO/W OwNER OF� FROPE17fYN?q8UlD50RYPROVESTMEREON.ANOYMOD�E55UO1YARKMIYSEIFORNERSELFOq • � � Q TY10U6MHISOftNEflONMEMPLOYEES,VROYIDEDTUTSUCHMPROVEMENTSAqEN071NTENDEDOR " m OOFFEfiEDPoRSAL6G,1qWEVER7HEBlAq1�WORGPRpVCMENTi550LDWfTwNONEYEAROFCOMPLE� Z TqN.71�E qvNERbULDER NALL NAVE TNE BURDEN OF VPOVNU 7HAT HE Oq bNE D�D NO7 BUItD OR . = MPROYEFORTHEVURPOSEOFSALEy . � � � � O��SUNNEROFTiEPROPERTY,AMIXClU51VELYCONTMCTNOWI7HLICENSEDCOMMCfORS M CONSTRUCT iHE PRD.IECT(SEC 7W1.BUSINE55 M10 VROiE55qNS CODE:IHE COHTMCTORS U� V01Ue�i0n AQI.AREA CEISE Uw OOES NOTAPPLY TDAN OWNEX OFA VROPERiV Y/HD BUM1LS OR MVROVES 7MEREON,/f[] YAqCONTRACfSFORSUdiiRWECTSWITMACONiMCTOR(S)IICENSEDFURSUANTTOTH[CONTRAG pUANTITY DESCRIPTIOY FE . � TOfYS 110EN5E UW.� . �J y� ❑1/li EXEMGT UNDER SEC B.t P.G FO(i THIS NFASCfI � Q D / S 1 3 � LL � OATE ONNER • � LICENSED CONTHACTORS DECURATION � W � � � � J � INEiI[BYAFFVMIVNDERFENKTYOFPEM1RIRY7MATIAMUCENSEDUN�EROflON510NSOFGIAP7ER , � � -p, ��COYYENCN(iWITHSECTION7oDD�OFOMS�ON]OFTHEBUSINESSANUVROFESSiONSCOOE,AND � Z � X W�NSE R PI fULL FONCE MA EfFELT. � � UCENSE CUSS � LIC.NO.� ���" j � �j DATE � . . COMMCTOR � a W � WORKERS'COMPENSATIONDECLARATION ��31'�' ¢ LC' L , N IMER[BYAFTIRYUNDERPEWILTYOFVER�URYONEOFTMEFOLIOWNGDELUMTICNS: � Z � � J L -- - . L� C �IIUVEANDYALLMAMTAMACEIRFIGTEOFCONSEMTOSELFiNSUREFORN'ORKERS' _ � LOMPENSATqN,ASPRONUEDBYSEC710NiTooOFTMELABORCOOE,FORTNFPERFORMANCE L1 Q OFIHEWORKFORNM2HiH4•PfNUITI51S5UE0. � G ' /� Q �1 HAYE AND WRL YAMJUN WORKEfS CCMVENS�TION INSVMNCE,/5 REOl11RED BY SECTION J7000FTMEUBORCODEfOR EPERFORMMICEOF EM'ORKFOHWMiCMTHiSPEWATIS � ISSUEO.MY WORKE YOOMP A INS�C eaum vaicr M.�+s=_n�we: CONSTRUCTION � c�pq�eq ' ^� _ PLAN REVIEW __(l -7_« � PoLICYMIIABEH !-v ELECTRIC ��—r7 � �nssEcrm�smnoraEmr.n�lmaFnEc[ar.�rsw�ar€Mrnnmmu�uisR,�Ia+�i PLUMBING • Z 1 CERTIFY iHAT N THE PERFORMANCE OF TNE WOPK FOq Y1H1CH TNiS CEN.aT t5155UED,1 MECHANICAL - � (,7 51W1NOTEMPLOYANYPERSONNANMMANNFRSO�STOBfC01.1ESUBJECT70THE � y YpqNERS'C04VENSATIDNLAWSOFCALIFORNIIANOAGRCETMAIIFISNIXIL�BECOMG INSPECTIONFEE S SIAJEGTTO7HEN'ORKER5COMPENiAT10NiROV15lON5 f3ECT10N�7ooOFiF�ELABOR - caoE.i wuii n�caur�rwin� 105EPR0'Vlr Ns. ISSUANCE ✓ � SMIP � p OATE: � APPLICANT: � � , � ENERGY P/C � WAqNINO:FNLURE TO SE W RE WOPo(EP4 COYPENSATION COVEfUGE IS UMJIWFUL.AND SHALLBE I ry SUBJELTANEMP�OYEFTOCRIAIWALiENAlT1E5ANDCM�iWE5U7TOONENUNOREDT�0U5ANO ENEFiCaYPERMiT . OOLWiS p Io0.000�,N ADO�TION TO THE COST OF C04PENSATpN,DM.uGE5l4S PROVIOEO i0�PI � SECTIDN770lOf7flEUlBORCOOE,NlEREST,ANDATTOHNEYSFEES RETENTIONFEE: � � d CONSTRUCTION LENDING AGENCY PRE•ALT FEE: � . 0 . 0. I HERFBYAFFiRM UNDER PENALTY OF PEMIRY TUT THERE IS A CONSTRUCTICH LEN�W O�CENCY ' : FOR iHE PERFORMANCE OF 1H[WORK W R WXIf7/TMS FERYI715155UED(SEG]oY7,dV.G). . . j - � LENDEfYSWWE - � I C LENDER'S.10DAE55 � ICEHTiFViHATIHAVERE/D7/45APPLICATIONNIOSTATETUTTHEABOVENFORMATqNISCOPRECT. TOTAL�FEES � ' ' � IAGqEETOd.7�d7LYN7TMALLCRVANDOOUNTYONDWINCES�NDSTATEUwSREUTINOTOBURDIN(i � D �� , �'TRUCTION.ANOHEREBY RIZEPEFRESEMATIVESOFTMISCOUNiYTOENTERUPON7NE S� ABOVE•MEHTIONED PROVE Fdi INSPECTION PURFOSES. L'QMMENTS � � . 9 - � Ry177 /� � (!j PEL'V EEN �tlTl�/"�D/ ��r/ . . . . � ', iy ' y 310NA7UHEOiPElWRTEE D�i � . .� _ . . . RECPT.NO. _PAID BY . VAl1DAT10N � WNRE-0epartmmt Copy,YELLOW—Fhance Copy,PINK—Aeeessoi Copy.GOLDENROO—File Copy,GREEN�Aypicanl's Copy � � , � „ . .. . . . _ _.. . . , _. ,. . . . �,. •• ,. .. ;; _.. .. . .. .. . .... �, . ., ... .. ., ,. .. .. . :.���- . . , .. , . CITY OF DIAMOND BAR : �.�- -; , .�._; , � � :;:.•. ._ .1:• �1NSP�ECTION�RECQRD . . . , . . ' . �: . . " ',:: ... . .. , . . • � � � � • � � • - SET BACK . '� �. ; i _, ;', ', ' �� '�', ' � FLOOR"J015T� ��;�'. <.,, �: '�1„+'ti�11' ' .. ,`, �,• . , , .. . . . , , , -- - - — -- -- ----. _.... . : FTGS/FORMSISTEEL � •� �� ' FHA REQM73� ,ti t L'\'� EL"ECTRIC GAOUND : " ' . � - - -: UNDER FLOOR DUCT " c•, : ',�� - - , GROUND PLUMBING • ' UNDER FLOOR COI�IDUIT �`�'- ' •`•'•���. ' •�•i•,\:•. :- - , _ . . . SLAB�GRADE--- . • � _ _ - - - - - , FIREPLACEFO�JNDATION-'ti >�•- `, . _.'_` _.�;_ _ •.• . TEMP POWER- -_._.�•.� .._ . _ . r_� - .. FIREPLACE BOND BEAM - ' -- - - - _ . . . .. ' ' �WATER SERVICE-_. --: -...-.:-.--. -:. -_. -- _ .. .-= = MID HT.BOND BEAM--'.'". �. .... -,�. . , ,. . ., ,. .,. : : , , , . . _ _ . _ . ROOF SHEATHING--- . . .. ._. _. . _.. . ..�. 8 FL$OND BEAM:'.-.� , ,. �:� ,: ,•. ;. a ,,.�� -. ; ., � , - FRAMINGNENTILIATION .. FINAL BOND BEAM �• -• � ROOF COVER . :. `: ' ' � PRE-GRADING - - � - -�` ! � ROUGH HEATING- - -- �- -.... .- BENCHING - .....• .. . . - --... : , � .. �ROUGH ELECTRIC - ` �� - - - ROUGH GRADING , , :,.. ,� .� ' ` ROUGH PCUMBING I- -- " - � � " "" ` � -� -. " " FINISH GRADING �' SHOWEH/TUB TEST1 -- -- - . - - - - -- . POOL ELECTRlC . • ,' � � EXT.LATH/51DING � � � ROOL FENCING �. ' WALL INSULATION � POOL FINAL CEILING INSULATI�N OFF SITE IMPS. ; �� DRYWALL NAILING DEDICATIONS , � , ? s•. . .SEWER. .. .... ___ .;... _... _ FINAL ENG. - SEPTICTANK .._. _..' .._ .- .-- ... . . _.._. ... LANDSCAPE/IRRIG. ..; _ � ; - . , , SEEP-PIT/L.L:- - - : _. - - ON SITE IMPS. GASAIRTEST: _ ; -: ;. : . . : ., - .FINALZONING ,:. � . FINAL•CONST. '• • � _'�''-- ' - - •'.J FIRE DEP7 FINAL - - - FINAL HEATING - � � / - ,. �-- HEALTH DEPT.FINAL ... . ' �. • . . - - - - FINAL ELECTRIC '- _� ` DEV.FEES PAID � - - - -- � -� FINAL PLUMBING ENERGY � • .. , �� ,� _ . , � ' e • -� , _, .. - - - _. _ . ._ _ . _ . }. . . . _ . , . _. :.... ... �- . - --- '. . .. � . , .. _ _ ._ _. . . COMMENTS ` ".•_ r �• -- , �'���.;:� \ �� j"., - . , ,. . .. . - . . � ., . �.� . , ----- �--. .. . . , . , ; . , � � - - - _ .. ;: � , , . _ . . 'f 1 r � _ , >� - � . .. , f. 4 .. . . . _ . -- .. . . `I,i .� V ���.\� r � � 'l t .....� . � •� .. . . . .. . " ' ' ' ' . . . � � . � . . . . . . _.. .. , - _ ` r _... .. _.._ _ . ' , _� . , � j SEPTIC TANK SIZE ' ' ' ' . ; ; ... . � � SEEP PITlU SIZE , . . - . �� � -- . _ .. , ;r_4• +�,i�. �.: - � � _ _ .. . _ . � ,� ` .. . , . � , - � �, , , . _ ._ - . • ; � , . . . . i ; : .� �� . `. _ . '.� , ''` ", � l_ , �; -- - i .; r.: �� ;• -- .. �: � . . _. �_ - , - � �� � .