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C1TY OF DIAMOND BAR ' � • � �� � --�� --1 DEPARTMENT OF COMMUNITY 8c DEVELOPMENT SERVICES � 21660 E.Copley Drive Suite 190 � (909)860-3195 Fax(909)861-3117 PRESS . �'�'�� BUII.DING PERMIT APPLICATION FIRMLY y JOBSITE APPLICATION �i Q �� PERMIT G��P/C o ADDRES ' DATE � NUMBER�� 11 c� ISSUE TYPE OCC , � .- APN LOT, TRACT DATE CONST. GROUP p OWNER u' AODRE ZONING SETBACKS o , z CITY — ZIP ( TEL. REAR RW p g APPLICAN7 TEL SIDFJSIDE STREET RW ❑ � CONTAACT - SIDE ❑ � ADDRESS PROPOSED USE L✓ , o CITY ' ZIP TEL. `- � o ARCH/ENG/ , � DESIGNER NO.OWEL., NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY 21P TEL � OESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECLARATION . ' . ' SFR/ADD/REM � O � p I HEREBYAFiI{NI IRDER PEN/�LTY OF OEMIRY THAT 1 AM EXEMfT FPAII ME COMMCTOR$L4 Garape/Carpon � � W CENSEUWFORTHEid.LOWNOREASON(SEG70.t1.6BUSINESSANDVROFE55qN5CODEANYCT'OH (n � COIMTYNT4Q1RE0UWE5APERMRTOCONSTRUGT.i1LTE1lMPROVE.pEr.�OUSM.OFiREPNRIIM/S7RUG W Patio/Deck _ � ' NNE.PiiWR TO ITY�SSUANCE,ALSO REW��iES TME APPl1CAHf FOR 6VCM PERMIT TO FlLE A SI(`,NFD w S7ATEMENT TNAT NE OR SiIE IS LICENSED iUHSIJIWf TO 7HE PfiOVIS10N5 OF THE CONiMCTOPS Ll• � CENSE UW(QIAPTEfl�(COMMENCPIO YATH SECTION 7000)OF D�VISqN]Of THE BUSINE54 AND PR6 � PooUSpa . " . � FESSqNS CODE)OR 1/LR Mf OR SHE IS EXEUPT iFiEPEFROM AND THE BASIS F01t MEALI,EGED E%E1AP. TION.AN1'VIOL11110NOFSECilON7671.6BYAN'IIIVPLICANfFORAPEfiMITSUBJECf57HEAPVLIGWTTO z RaRool � �„� AGV4PF71AliY0iNOTMORETVUNFIYEFIIMDREDDOlLA/15�f5oo).�: ' � OI�OWNEROFTHEPR00fFTV,0i14VEM�lOYEfSW1T11WACE5A5THEIRSd.ECOAIPENSATION, ❑ �mmercial - ' . . WLLLDD THE M[NaC�VO 7HE Si{WCiuRE 6 NOT IMENOED OR OFfEREO FOR SALE ISEG 7aN,BUSI• J � NE5311`O FROFES510N5 COOE:7NE COHiMCTORS�ICENSE LAW DOES NO7 AFPLY i0 AN OMR�ER OF = . � OROOEHfY YN10 BU4DS OR MVROVES iMEAEON.Ml�VI11000E5 SUCH NORK MIM$ELF ON NERSEIF OR � [L 7W10lMHMSORHEHONNEM�LOYEES.PROVIDEDiN�T5UGIWPROVEMENTSARENOTNTFNOEDOR � � OFFEREDFORSKEIF,FIONEVERiMEBULDPIQOFIMPHOVEYEM1550(DN7THINONEYFAl10FO0MPLE� ' TION,iHE OWMEN�BUILDEN WILL FUYE THE BUHDEN OF VROVINO TMAT ME OR SNE 010 NDT BUll,p pq � MPROYEF01tTHEPURPO5EOF6�L.E1 W OI.IISOMMEROFTMEP110PERII;NAEXCLUSNELYC01lTMCTINaN'fIHLICEN5E000NTMCTORS � TO CONSTRUCT 7HE PRb1ECT(SEC.7W�.BUSINE55 M1�iROFE5510N5 COOE:THE GdflTMCTORS L4 Valuation� - ADJ.AREA � CENSE Uw OOES NOTAVPLY TOAN OVM�IER OF A PROVEHTYN7q BURDS OR M7ROVE9 THEREON.AND � �� MApCOMTMCTBFOHSVCHPPAJECTSY/ITHACONTRAROi1(S)LICENSFDOURSUNJTTOTMECONTMG QUANTITY DESCRIPTION ' � � FEE � lows uc.��uw.1 . . . . . . OIAMIXEAIPTUNDERSEC. B.1V.C.fORiHISNEASON U 3 � _ �= DATE OYMER � . W � UCENSEDCONTRACTORSDECLARATION ' w . � INEMBYAFi1RA/UNDERPENALTYOFPERIVR'/THATIAMLICENSEDUNDERPROVISiDNSOFCMAv7Eq V, .ti., . � 0(COWI[NfJNa IM1H SECf1�N 700D�OF�MSION]OF iNE BUSINES511N0 PROFESSIONS COD�AND . Z X WUCFNSE6NFUlLFOFCEANDEiFECT. � LICENSE CUSS-�C�-�-'�� —�—LIC.NO. ��� "�� � � v onrE 3^ �—/ 7 � corrrnncToa � — a w � ' •WORKERS'COMPENSATION DECLARATION � , . , . � .. N IHEREBYAFFlRAIUNDERPENALTYOFiER1URIONEOFTMEiOLLOWwd�ECUMTIONS: U � �� �� � � ' " ' ' f� Q 0 _INAVEAIAMALLIMRlTANACEAi1FlG7EOFCONSEMTOSfLF-INSUREFOfiNARKERS' 2 � CpAPQ15ATqN,ASPROVIDE08YSECTqNT7000FTNElAF30RCO0E,FOR7HEVEAFDRMANGE �U OF 7HE WONK FOR WHIQ1 TMS PERMIi IS�SSUm. � � � �IHAVEAN�WILLMAnfT11P1NORIfERS'CdAPENS�TqNINSURANCE,A5RE0UiREDBYSECTION • � - � � � � � �- Q �7oDpF TME UBOR COOE FOR7ME PERFORMANCE OF iHE WORK FOR WNICH T1115 VERMITIS , � ISSUE0.1AYN9RKER-S)'CO(y��f'NSATIONINSURANCEGRRIERANOPOIICYMIMOERME: CONSTRUCTION jCAMIER ✓,,`• '1- PLAN REVIEW � � POLIC'/NUMBER^ � I I�� I���1� .EL . . � 0 (nas[crnNl�E�rar8Eml.fiE7IDOFnEPEPo.ffISWfia+EHl/Ofi�OCUAit",R��IOnLE551 PLUMBING � . W Z ICEHiIFY7HATWTHEVERFdWMiCEOFTNEWORKFORWMiCH71115PEiu1ITI5155UED,1� � CNANICAL (3 SMALLNOTEMG�pYANYVER50NWAM/WNNfRSO�S70BECOMESUB1ECTiOTHE ` ' y WORKERSGOh�PEN5�T10NUwSOFCALIFOiw�AAND�GREE7MATIFISHpACBECOME INSPECTIONFEE �a,j S SUBJECTTOTHEVq1iNER5'CW.�PENSATqNPRON510N50FSEM10N�7000FTMElA80R �•� y COOE,cI SWJ.L i0i1THWIM CO4PLY WITN 7N0.5E PROVISIONS. ISSUANCE J . p DATE:��`l �S S APPLICANT: -�— _ SMIP �.� ��IT A� 1 �k�� w ENERGYP/C�i���Trn A TY �� � WMWINO:fM.URETOSEWAEY.VIiNERS'Cd.�PENSATIONCOVERAGEISUNLAWFUL�NDSHALLBE �{]JU T: �Y'S-� SUBIECfIWEMVLOYER7UCRIMWPLPENALTIESANOLMLFWE5UP700NEMUNDREDTNOUSAND ENERGYPERMII ��i��~�� ''�, DOlUfiS(f 100.000�tl ADDIT70N TOTNE C0.5T OF COMPENSATqN,OMIAOES AS PROVIOED iOR IN J SEC710N�70lOFiHELMORCOOE,NTEREST,ANOATfORNEYSFEES RETENTIONFEE: � � � nW. CONSTRUCTION�ENDING AGENCY pRE•ALT FEE: � ' O � IHERCBVAFFlF71JUfAERPENALTYOFVERR1RYi}UTTHEREISACONSTNULTONLENDINC�CENCV ' ' ' iOR THE�ERFORMMICE OF T11E YK1RK FOR WMIq17N15 VERYIT IS ISSUEO ISEG]oY7.GV.G). � I � � LENDER'S NAME . . ... . _ . � � LENDERSADDflE55 ¢ ICERTIFY7HATIWIVEPEADiH15AVFUCATIONM103TATETW�TTHE�BOVEWFORMATqNISCOMECT. TOTAL FEES � � . . Lj r�1 � � IAGREETOOOAIPLYVlITNALLC7YANDCOUNTYOROWANCES�NDSTATElAWSNEIAiIN�TOBU1DiNG . ' CONS7RUCilON.A!ID HEREBYAUiHORRE REPpESENTATNES OF 7H15 COVNTY 70 ENTER UPON THE . .. . ' � dAENfqNEDPROPENTYFORINSPECTqNVViiPO"E5. COMMENTS � ��� m ocau�rr ¢wwe�vwrrt� .�+��� - , � �� � vj i10NATUREOFVERA11ifEf OATE : � RECPT.NO. PAID BY VAUDATION WHITE-0epeRment CoPy,YELLOW—finence Copy.PINK—/Ueeesor Copy,GOLDENROD—File Copy,GREE icanCa Copy � • .. ,. .. . . . ....:,� ,�� , .. . - , .. , .. . , ... . . . .. . . .. ... . . - . � CITY OF DIAMOND BAR �,+ - •;; , �.._ . .,:.j�: . �..-1NSPECTION REC.ORD' � :, ��, � � � . � r, .._ . . • � � � ' • � � • - 5Ef BACK , , . , . 1 ' �• �. � ,,I , . . FLOOR J015T � . ' ' -. . FTGS/FORMS/STEEL - ' FHA REQMTS - - - - - - - - - --- ---- ; . _ELECTRIC GROUND --. �_ _ �.� -:.- .�- ��-- � : UNDER FLOOR DUCT. ' . _ ..._ , GROUND PLUMBING � ' • UNDER FLOOR CO�IDUIT_ • • -. -� , , SLAB GRADE --- -- � . _ - - �• , FIREPLACE FOUNDA710N . _ - -'- - -- . i • . TEMP PQWER - - --�--- �• : . ' FIREPLACE BOND BEAM _ _ _ . ' ; -WATER SERVICE--; - � _ - . . _ .._ - - _._ ._ - . :MID HT.BOND BEAM �- -��- � .�: ••� • � - ROOF SHEATHING'. - � . ' ` . � . ` 8 FT.BOND BEAM ' ' --- -� - ';,. , . FRAMINGNENTILIATION � FINAL BOND BEAM ' �`• j . : ROOF COVER.- PRE-GRADING - - � •ROUGH HEATING.__ _.. . . ._ . _ ;_ . . . .- . BENCHING : • . _. .._ .__ � _._ ': , �.. ROUGH ELECTRiC--: "-- - ' -: •=- . - ROUGH GRADING ,. . . ; .. . ; R�UGH PLUMBING';�" �-- - " -- ' --� . FINISH GRADING . : , � SHOWEWTUB 7EST`-� � - -- -� - � - � � � ��-� �.� POOL.ELECTRIC EXT.LATH/SIDING � -: POOL FENCING : .' ; ' WALI INSULATION ; � POOL FINAL . CEILING INSULATION OFF SITE IMPS. � DRYWALL NAILING DEDICATIONS SEWER _ - - - -- . FINAL ENG. •• . � . ; :. SEPTIC TANK__ __. ___ _ LANDSCAPEIIRRIG. , ` = ' . . SEEP PITlL.L. - ' ' - . ON SITE IP�APS. - . ; .• GAS AIR TEST; .- ---. _ . - . . . . FINAL ZONING . ; :, FlNAL CONST.� _.._...._. . . ....-. - - - .. _. .... .. ..._.. _ FIRE DEPT.FINAL` . � , FINAL HEATING --� - - - � � �- -� HEALTH DEPT.FINAL . 1 . _ ... _ .. � FINAL ELECTRIC - - " - - -- : -- " - DEV.FEES PAID - � FINAL PLUh181NG l�,\ � , �� ' �' �. .� � � ENERGY � � ; :� � . � , , , � s • � • � • ... ---._.._. --, ------.... �.�� . - - ------ - ---- : . . _ .. .. . . . _. . .. . -- - � . , . ; . COMMENTS.. ;� ... . c�'. . �✓! ��-, � ` . . 3-/r���S j , --�- - - - -._.. . .. .__ ._ . _ _ .._ . � _ _ -- ---- - - - ---. , � . � --- - . ..-- - _. . �� . _. . .. . _ . , . : _ - - - - _ _ .. _. � �: � - � � 7n � � � � -� ���,' � - ; , , 1. �' , .1 Y� .. �. �..s� � � .. � . .,. . � . . , .. . . - !` •�. " �.. . : . . , . . . . . - . --.. ... . . . . . . . � � . . . � .. . , . ' � , �, . ...._.. _. .. � .. .. . . : �r. . � - ' i : . . . • . . , �� � . � . i SEPTIC TANK SIZE - ' " � - _ , ; . ,.. , „ SEEP_PIT/U.SIZE , . . . - - . . , � , , .. _. _. _ _.. .. ..... .. .. � . . � - .. _ . � . . _ , - . ..� „ . . � . _ .. , � , c . , , _ .. , - .--. _ ...�. , .. ._ , - - - _ ; � - ---- -... ..- � I �,- .. . , � � .. � 1. _ ;.1.: j f.. _ _ . ; _�• ` - ._ .. _._ ---- : ,,. � ! � _ � . . __... . .. . ...... ..... ..._. __ _ ---- - �--....._..._.._ _ /