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�� CITY OF DIAMOND BAR '� •' • � ' � � DEPARTMENT OF COMMUNTTY&DEVELOPMENT SERVICES •- 21660 E.Coplcy Drive Suitc 190 � (909)860-3195 F�(909)861-3117 PR ESS ���^' BUII.DING PERMIT APPLICATION ` FIRMLY � JOBSITE �� r APPLICATION PERMIT �PlC o ADDRESS �. )�� ��'������� DATE �� NUMBERI� � $ ISSUE TYPE • OCC APN LOT ACT DATE CONST. GROUP °C OWNER - � � � ZONING SEfBACKS o ADDR S w C - IP TEL. -�' - FRONT RW ❑ � APPLi APfT TEL.-~����� REAR ❑ � ; SIDElSIDE STREET RW ❑ CONTRACTOR SIDE ❑ � ADDR S � � C � Z�P � • , r � PROPOSED USE o ARCFUENG/ • ��Z� � DESIGNER NO.DWEL NO. NO. ADDRESS CITY ZIP TEL UNITS STORIES. BEDROOMS � . DESCRIPTION SQ:Ff:• �FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFR/ADO/REM � O p 1 XEREBV AFF6W UNDER PEN/LTY OF GEiWRY T11AT 1 MA EXEAIPT iliOM TME CONiMGTORS L4 Garege/Carport . ll.i CEHSEUWPOR7}IEFOLLOW�NOREASON(SEC.7N7.6BUSWESSANDPROFESS�ONSCODE:ANYqTYOR (n �.7 GVIMTYYN11p/RE0U1qE511VERMR7000N57AUCilLLTEi�MPROVEDEApLISVlOIiREPAIRANYSTAUG . uf 4J NNE PNOR TO R3155U�NGE.PLSO REOUIRES THE APPLICMT FOR SUC11 PERMIT TO FlLE A SiGNED W POtI�/Dgtk STATEYEHT TUR ME OR SME LS 110EN5E�PUiLSUANT TO 7ME VROVISIONS OF THE CONTMCTORS L4 . .,� CENSE Uw(dU1PTER Y(COAIAIENCWO WITN SECTqN 7000)OF DIVtSqN 7 0F TME 8U51NES5AND PR6 - LL POOVSprt . FESSIDNSCODE)ORT4UHEOR5/1EISEXEMPT7HEREFROUANOTNEBA515FORiNEALLECEDEXEMF• (� TIDH.ANYV101�710NOF5ECT10N70]L68YANVMPLICANTFdiAFERMITSU&IECTSTIEMPUGwfTO .' Z Re-Roof � ACMLFENALiYOFfqTMOfiE7T1ANflVENIXARED00lWt5(SSoq.} � � � ❑4��NNEROFTMEPROPER7Y.ORMYEMPLOYEESYnTMwAGESAS7MEIRSOLELDMPENSATqN, 0 COmTBfCl21 - YV61 DO ME WORIC AND THE STRUCIURE IS NOT MENDED DR OFFERED FOR SALE(SEC.70r�.BU51-. . J N NE55 AND VNOFESSIONS OOOE:TME CONTMCTORS LICEriSE LAW DOES NOT MPLY TO AN OWNER OF j . , VR07ERTY 1M1D BU0.D5 OR YPRONESTN[REON.AND MAq DOES SUCH M/ORK HIuSELF OR H[RSELF OR ' (L TNROUCHMSOiiXERON7lE4PLOYEESPROVIOEDiIUTSUCHRAPROVEMENiSARENOTNTENOEDOR � m � � OFFEHEDFORSALEIF.NOVlEVEq1MEBULDN�ORMPROVEMENT650lDNTT/aNONEYFAHOFCOMPIE- � � �'TION.TME OWNER�UILDER MnLL NAVE TME BURDEN OF iROVINO TIAT ME OR SME OiD NO7 BVILD OR MPROVE FOR THE PUfiPOSE OF 6/�LEy ' W ��IISONNEROFiHEVROPENT`/,AA/D(CLUSNELYCONTMCTl1�VYRHLICENSEOCOHTMCTON3 2 TO CONSTRUCT THE PR0.IECT(4EC.7oN,BUSINE53 A4D GROFFSSIONS COOE:TNE CONTMCTORS lb ValU0lion ADJ.AREP.� � � LLJ CENSEUWDOESNOTAPPIYTOANDNRIEROFAVROPERTYW1iOBURD50RIA1PROVESiHEREON./WO ' � YIHOWHTMCT9iqi5UdIDR0.1ECTSMAiHACOHfRACTOR(S�LICENSEDPURSUAHTTOTHECONTMC QUANTITY DESCRIPTION - � �- � �E � TOiL9l10ENSEUW.). . . . ... . . . . .. O I AM O(EMPTUNDER SEG B.t P.G.FORTMIS REASON Q 3 ' � . � �. . V" OATE OWNER U '- •.,� . + � UCENSEDCONTF7ACTORSDECLARATION W , � � IMEREBYAFTiRMUNDERVEwLLTYOFVER1UM7/UTIAMLICENSEOUMJERVROVi5iON50FC1WTER � � , . p. �(COL1dCNC11qVATHSECTqN7000)OFOMSION]OiTiEBU51NE55ANDGROFES5i0NSCO0E,AND Z � � X AfYl10EN5E15NFULLFORCElWOEFiECT. m . 11J � LICENSE C���USS///��''��' _ 11C.NO. � j V �� MCTOF � a W � WORKERS'COMPENSATIONDECLARATION ¢ �• � � IHEREBYAFFIRMUNDEHPENALTVOFFENUHYONEOFTHEFOLLDNnNGDECUMiqNS: � � Z � � � CyL` � •�7 '�'� (-+ � _IHAVEANDWILLMANTAINACERTIFIUTEDFCONSEHTTOSELF•INSUREFORNORKERS' 2 I � a �C (' � � �J COMPENSATqN,ASVRWiDCDBVSEC7fONifooOF7HEUBOROJOE,FOpTHEDERCOWAANCE ,U �' OF TNE MONc FOR VM1CH T114 PERMR IF.ISSVED. � — � �IIUVEANDNILLNA1rRNNWORKERSCpAPENSATIONINSURANCE,ASR[CUIRE�BYSECTON � J7000FTMELA00RCWE.FOHTHEPERCORAIANCEOFTHEWORKiORMA1Id1TMISPEiUAl715 ISSUED.AlY RKE COMPEN TIONWSUiiANCE RRIER OPOLICYMIAI RME: CONSTRUCTION juwaea � PLAN REVIEW s Z . poucY"U"sE" �V ELECTRIC ¢ � (IHSSEcroNN[mwiBEod.�;£rmoihEGEar.risroaoNENl.wf+IDOaivasRtro)oqLFssl PLUM�ING �. Z 1 GERTFY TUT IN T11E PERFORMANLE OFTHE WORK FOfi wHlp1 TNIS PERMIT IS ISSUED.1 �-CHANICAL � (,'} SHAILNOTEMPLOYIIN'lPERSONINANYMMINEHSOASiOBECAME5UB1ECiTOTHE �� � WOPI(ER5 COMPENSATqN UWS OF CALIFORNIhAN�AGREE TMAT IF 151q1AD BECOME I FEE S SUBIECTTOTH[MlOitl(E0.5'COMPENSAT � ROVISON^ 5 OFTHE OR � � � � � cooE.isH�ucoannvm�ca.v� s s. (� ISSUANCE �� � � SMIP p DATE:�� APPL NT � � ENERGY P/C WAHNIN@FMURETOSECUREW(MKENS EN . NCAVERAOEISUNLAWFl1L.ANDSHAlL9E �� SUB.IECTMIEMVLOVERTOCW4WALVENALTIES MLFNESUVTOONEMUNDREDTNOuSAND ENERGYPERMIT '���C.�._�.��� � � � DOUARS�i1oo.00o).NADDITIONTOTHEC0.;70F PENSATION,DN.uGE5A5PROVIDEDFORIN � � SECTqN 77oe OF THE UDOR CODE,IN7EREST,INDATTORNEYS FEES. (a[7ENTION FEE: OCONSTRUCTION LENDINGAGENCY r�e-A�T�E:CITY OF DIEIMOND BAR � CC IHENEBYAFFiRMUNDENiENALiYOFFERIURYTHATTHERE6�CON5TRUCTIONI£NDWO�GENCY BiJII.DING AND SAF'EI'Y � � FOHTHEVERiOR1AANCEOFTMEWOFKFORWHId77HI5PERMiTISISSUED(SEC.]OVI,qY.C.�. . � � LENDER'S NAME , . .. . . . . � � LENOER'SAOORE55 � ICERTIF`ITMATIH�VEREAOTIISMVLIGTIONANDSTATE7W�T7NE/iBOVE1NFOflAIIUlONISCORRECT. TOTAL FEES � � � �� � /��. `��� W IAURE•':TOCOMFLYN7TIALLCfiYANDCOUNTYORDWIWCESANOSTA7EUN5REU7NOTOBURDIN(i � CONSTRUCTIp{MOHEREBYAUTIIDRQEREPRESENTATNESOFTHIS TOEIfTEflUPONiHE � � A80VE•►IEMqNE�P0.0CERTYFORINSPECT10NMl,P� COMMENTS - ' O � r �/ � m ITi NM1E P � � OF IT7EE O�7E . .� � . . . RECPT.NO. FFUD BY � VALIDATION - WHITE—Daparnnent Copy.YELLOW—Ftr�ence Copy.PINK—Aesesmr Copy,GOLDENROD—File Copy.GREEN—ApdicenYa Copy _. � . .,. ., . .. , . _ . .. , .. . ,. . . , , .. . . �,, ... . , . .. •,. .- . , , . -. , . . ,. �-— .��=� CITY OF DIAMOND BAR ,,.:; _., �;�; ,-,; ���. , � . �1:� ; _ . �� : �-1NSPECTION RECORD�;,:.:±,�.. .. . .. . . �- .-- : ,� � 't . . - � , , • - � � + � • - SET BACK ,. .: �.. ..� � � . � . _. � � . , , FLOOR JOIST`;•..%• i 1 � - �.�� '. , _ . . , � , � FTGS/FORP,AS/STEEL -: .� �FHA REQMTS -: , - - -- - ELECTRIC'GAOUND � � � UNDER FLOOR�OUCT; -," : '-' ' ' - � . . . -- - - - GROUND PLUMBING �'�� �-` UNDER.Fl.00R_CU�IDUIT:..__ _. .:. ' • � "' __ _, _. ...__. � � - - - FIREPL'ACE�FOIiNDATION•�- ='� ' SLAB GRADE- -- . . - ---�1 .;:_' _ .. ,::. � . TEMP POWER-- - �'' � � � FIREPLACE BdND BEAM . :_ —' —._-_.. ._. .._.,._. � _ ... � WATER SERVICE _� - _ - __ . _:__. -:...._�. .... . . .MID HT..BOND-�EAM._:. ,;-- - . �, . � , _ . .. — ,t: — • - - - =- -- -•� � - -•-.. . _ .. ROOF SHEATHING . -. - - 8 FT.BOND BEAM • .-.,.. :. �. . ' ; ,-, � '- FRAMINGNENTILIATION � � FINAL BOND BEAM � ROOF COVER � PRE•GRADING � � � � ROUGH HEATING � - �� ;- - BENCHING ' � ,'- ; . ROUGH ELECTRIC � - ROUGH GRADING t . ROUGH PLUMBING � - - � - - FINISH GRADING . , ' �SHOWERIfUBTEST: � � - � POOLELECTRfC -� � '- - POOL FENCING EXT.LATH/SIDING�- � - . � WALL INSULATION ; POOL FINAL ' CEILING INSULATION � aFF SITE IMPS. • � ; � - DRYWALL NAILING : DEDICATIONS ' ' - SEWER _. _... .._. ... - -. .. _ FINAL ENG. • ' � _SEP..TIC.TANK _......._:. . . _ ..._ . LANDSCAPE/IRRIG. ' - , ` SEEP PIT/L:L. .=_ ---- ---.. .-, ' � - ON S1TE IMPS. GAS AIR TEST ------ -- - - � - - - � FINAL ZONING � • -FINALCONST.----- - - - FIRE QEPT. FINAL -- � F�NAL-HEATING -- --� � HEALTH DEPT. FINAL ; - ���� F1NAL ELECTRIC- --"- � - �- - DEV. FEES PAID � � - - , . FINAL PLUMBING ENERGY - � • , , ,,.. : e o -� -- - COMMENTS - -- ' = - - ` - � - - � ; `_ . -- -. �. �;. , , _ . � ' � ..� - .. _ � _ -- -- . _ • _, . . � . . ; . ., _. � _ _ . ' ;� }��... :1;- --, - -` ; - _': .� :� _. . _ _ _ . . , � , _:., , , _ . . � _.. ..__ . � . �� �. _ _ _ _ . , �"i.l�'h`i .. . ,. :� _r ...:... , _ - . � ... - - - ,, . . - ,., . . SEPTIC TANK SIZE �-� .�'=.� v ;.�. L,:,�: . . ' : ; . � . - . SEEP PIT/U.SIZE. :f•'ts;r;i',:i„r;r;1..� -.t ,. . �!_t � - ... . ;i�1�b�l••'1LtTr� .,�;:' 'r' � —- _ � ,` ,. : . . . , ......... ... .... ; � � : L, �•, ; . � . , _.._ . . _.. .. ._ .. , , i _ A ,` "-. . � � . , . c .... , . • _ -- ... � �,� . , . � : . , , � ,. .. _ . _ . . .. . .. . ._... .. .. ! ' "1/�`I f l.`', ' �" . � . � ` ..• � •.. , I ' - j �; f�i i � -- _. � ,�� i j . . ,..' . ..>. . �