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_ _ . i _ �-�C - CITY OF DIAMOND BAR ' ' COMMUNITY DEVELOPMENT DEPARTMENT :..,; 21660 E Copley Drive Suitc 190 (909)86Q3195 Faz(909)861•3117 PRESS ''"'' BUILDING PERMIT APPLICATION FIRM LY � JOBSRE ` APPLICATION PERMR p/C . o ADDRESS ��JI O �(O�J L DATE NUMBER.�� N � APN LOT - TRpCT t/�S� ISSUE TyPE pCC Y OATE � CONST. GROUP. °C OWNER YU�'��Q D. O p ADDRESS D C�C1 ZONING SEfBACKS � CITY I�t�'v'�'—/ ZIP�l TEL. REART Rw p APPLICANT TEL. SIDEJSIDE STREET RW ❑ o� CONTAACTOR [�C_.!�/9 C / SIDE ❑ ADDFESS o CITY ZIP TEL PROPOSED USE / _ o ARCH/ENG/ � DESIGNER NO.DWEL _ NO. • p, CDDRESS Z�P TEL UNITS STORIES �• BEDROOMS � cn DESCflIPTION S�.FT. FACTOR PSF AW.AREANALUATION p� ONMER•BL'ILDER DECLARATION SFR/ADQ�REM O p 1 NEREBY AFFlRM UNDER PENILLTY OF PERAIRY 71M7 1 AM E%EMPT iFiOM THE CONiRAGfORS LL GBMpB/Ce1pO1S W CENSEUWFORTHEFOLLOWWOREASpJ(SEG70.7I.6BUSINESSANDVROFESSIONSCOOE:ANYqTYOR (n U COIMYNM1UC11REd1WESAVEIWITTO00HST%1Ci,ALTE0.YVROYE.DEYO11511,ORNEPAIRANVS7RUC- W PBlId�6Ck ' ' � TUR�PRUR TO RS ISSUANCE,ALSO REOUINES T11E APDLICANT iOR SL'd10ERYiT TO FlLE A SIGN[0 W � � � STATFMEM TMAT HE OR SME IS LICENSED PURSUANT TO iHE GRONSIONS OF THE CONiMCTORS LI- CENSE UW�puPTER�(CdAMENCWO W17H SECTION 7aoc)OF OM510N 70F ME BUSINE93 AHD Pp0 V" POOVSpi � � � ' - fES5qN5 CODE)OR TMAT ME OR SNE I5 E%EMPT THEREFROM ANO THE BASIS FOR 7ME ALLEGED E%ENV• TqN.AHYV10U1TqHOF$EGTIOH7071.6BYANYAPVLIp1NTFORAVERNITSUBJECiSTNEAPVLICAl1TT0 � Z Re•Roof � AGVILVENALTVOFNOTMOHETWWFIVEHUNOREDDOLURSIf500).): O �LASOWNEROiiHEPROPERTY,ORMYEMPLOYEESWITHWAGE5A5TMEIRSOIECOYDENSATION, COrtIrtIBfGlel � . Z W1LL 00 THE WORK,/WD THE STRUCTURE IS NOT IMENDEO ON OFFERE�FOR 6ALE�SEG 7oN,BUSI- � � MESSANDPROFESSIONSCOOE:iHECONTMCTONSLICENSEUwDOESNOTAPPLYTOANOwNEROF j VROFEHiY YAq BULDS OR IMPfqVES iHEREON,AND W/q DOES SUCH W7HK HIMSELF OR HERSELF OR � Q TMi10UOMXISDHNERONniEVPLOYEES.VROVIDEDiHATSUp11MPROVEYEHTSMENOTMEHDmOR m � OFFEREOFORSALEIF,110WEVERTMEBURDNGORMPHOVCMENTISSOLDWITHNONEYEAROFCOM0.E• • � Z TION,TME OWNER�BUILDER MALL HAVE iNE BURDEN OF PROViNO TNAi hIE OR SHE DD NOT BURD OR = MIPROYEFORTHEPURPOSEOFSALEL . . W ❑lAS ONMER OF THE PROPENTY,M/EXCLUSNELY CANTRACTINO N1TM LICENSED CONTMCTORS � TO CONSTRUC7 THE iRQ1ECT(SEC 7Wa,BUSINE44 AND iROFE55lON5 CODE TME COHTRACTORS LI- VlIUe(i0f1 ADJ.AREA W CENSEUwDOESNOTAVPLYTOM101N�EHOFAPROPERTYMA108UM1D40RWPq0VESTMEREON,AHD � WNOCOflTMCiSFOR�UCY1vRp,1ECiSYnMACONTMGTOR(S)LICENSEDMIRSUANTTOTMECONTMG ounrmrr DESCRIPTION �E � � � � TORSLIGENSEUw.} . � OIMIEMEUPTUNOERSE0. B.Ii.C.FONiHISREASON � � 3 U , � LL' DATE � OWNEH � � ..- , . O W . � LICENSED CONTRACTORS DEC RATIO W � IMEREBYAFFWMUNOERPENALTYOFPE0.IURYTNATIANLICENSEDUNDEHiHOVISIONSOFCl11PTER V. . , � �(COIAMENCINOWRMSECTION/0oo�0iDM510N70FTNE8U51NE3SIWDPROFESSqNSCOOE.MiD Z �� W LIGENSE IS W FULL FORCE►NO FFFEGL m � UCENSE CUSS LIC.NO. j _ .-. {�. ^� V DATE CONTMCTOR . � -'�4 :i'�, t,li L w �. ��"U`•{`s'" � WORKERS'COMPENSATION DECLAAA710N � � IHEREBYAFfIRM1,NDERFENALTYOfiERR1RVONEOFTHEFOLLOWIN�DECLAMTqN3: Z . � �IHAVEIW01MLlMAINTMNACERTIFICJITEOFCONSEMTOSELFaASUREiOR1WRKERS' _ COMPENSATqN,A3PiqVIDEDBYSECTION770oOFTMEV60RCO0E,fORTHEPERPDfMINKE w O OFTHEWORKFOHMAIICHTHISPEiUARISISSUEO. � , �I MAVE M70 WILL WMNN WORKERS COMPENSATIDN INSUAANCE,AS NEOUIRED BY SECTqN ��`/// Q J70o OF TNE IABOR CO�E.FOR TF1E PERFORAUNLE OF iME WORK FOR WMlpl TMIS PERYIT IS . �� �]J � ISSUED.MYWOqKERSCOMPEN5AT10NW5UfLWLEGRHIERANDPOLICYNUABERME: CONSTRUCTION l— J� � CARRIER PLAN REVIEW . . 0 POIICYNUMBER . . . � ELECTRIC o (nssEenoHt+emnoTeeoor.pttrmovncvew�rtswraa��ro�n0at�spiao�oatess1 PLUMBING Z ICERTIFYTHATNTHEOERFORMANCEOFTHEWORKFORNM111CH1HISGEfU11TI5155UED.1 �.1ECHANICAL C�} SMALLNOTEMPLOVANYPERSONWANYMANNERSO�STOBECOrAESU&IECTTO7HE � WORKEiLS'GUMPENSAiIONLAWSOFCALIFOHNI�ANDAOREETMAiIFIS/qUl0BEC01dE INSPECTIONFEE � � S 6UBJEGTTO i11E WOHNERS'COMPENSATION iROVI510N50F SEttIDN 770o OF TME UBOR � CODE,I" L FORTMMTH COMPLY WITH T/q5E iROVISqNS. ISSUANCE � SMIP p 011TE: APPLMANT: � ENERGY P/C WARNINO:FA4URE TO SEGIIRE WORKERS COMVENSA7qN COVERAOE IS UM/1WFUl.AND 5lULL BE j�y SU&IECTANEMP�OYERTOCRMNAIiENALTIESANDCMIiNESUPTOq1EHUNDRE07}tlUSAND ENERGYPERMIT Od1AR5 ploo.000).Ml MDI710N TO THE COST OF COYPENSATION.DAIUOES AS PHOVIDED FOR IN J SECTION]70�OFTNEUBORCODE,NTEREST,�UIDATTORNEY'SFEES. � w RETENTION FEE: �i� �� q.. CONSTRUCTION LENDING AGENCY PRE•ALT FEE: O � IMERfBVAFFIMIUNOERCENALlVOF0fR1URVTHATTNEREISACONSTRICTIqJLfNDwOAOfNCV � FOR iME PERFORUANCE OF T11E WORK fOR MMICH T11i5 PERAnT IS ISSUED(SEC.foa7,qV.C.�. � � LENDER'4 NAME i C LENDER'9ADORE55 � TOTAL FEES � ICERiIFYT/1ATINAVEREADiTd3A0VlKAT10NANDSTA7ETHATTNEl1BOVENFOAMATqN15CORAEGT. ' W IAOREETOCOY7lYW1iHALLGTYAIqCOUHTYORDINANGESAHOSTATEIAWSREUT11qTOBULDIN6 � GOHSTf0.1CTqN,11NOHEHEBVAUTIqRIZEREPRESENUTIYESDFTNISCOINTYTOEMERUVONTHE S�. ABWE�MEMIONEOPROPERTYipiP15VECTIONiUNPO5E5. COMMENTS � � �� �Aa� C � ' � veawrrcEwv.��va�rr� - � 1-? S'� -/J (A BqNATUREOF RTEE DATE � RECPT.NO. PA1D BY VALIDATION . NMITE-0epertmant Copy,YELLOW—Fnence Copy,PINK—Aseasta Copy,GOLDENROD—Flb Copy,GREE —AppIInM'�Copy . . . . . . . . ..� . ':d��7� '',1".;.a,'�:c.'.y ...,. - .,1:. �.y. ..i.i'r. .•.(ta'^"•�': ••M1'•�.r/�av �. •>�.•?'. . � �.o.�"„�'..':r'c}•. �,5�. ,�_1'� _ . . .i�r�. . . ..� , . , '9 , ,{'�.'i'�����" .. r.�:I"r. , +�'r�r. [1.�� ...t ..r � . �. . .. . .. ��K� . ... , � a� �-c� - � � CITY_OF,DIFif�1aP�lD GAR �. `u:- :;;-, - - ; ; ,. � .,, ����, .. ::�> f.:;-, , . . _ �1.. . �. . . � INSPCCTIOt�E R�Cf3f�i��.. , .,. ' ��� .`,, .R'�� .:, -, :�. • � . . . . . . ��'��?..��. . ' ��.1��:.. ... ... ,.... ..I IJ..I�l. ���� `�. �I�.�� ���' � o�►� e ;�� r [�`�-�1 ��"mJ:���� , i� �,�.a..,�`,.� e��'� ` c` ���; �f�s:'l�a�irzir��.�' r�!_ ,..�t. R �p � K� �r �. �.. _�� `i •��, r. 1l �...., +:'.. . � . - _���...�,.�f�.:.........�._.�_.�_,� ... ri_�. ----- --_-.�.'-.� _ .J: �.�._ _.._J 1._..1_...:�....,.....�.�__.__. SET BACh"":�:-- - ; - -- .; . . _.,..i,. ... ._ ,__.i�j ���'`- .�FLbQR JOIST---�- - -- - ----- -------- -- �----- -- —{ �=: _..,.� -, �:' . , .. _ FTGS/FORFJIS/STEEL---- �-- '','� ` --- -- -- - --- ' FH/'�REQ"!T5--- `'- � ,.., . ,, -- -----.... ., — �� ., � ,�� -�-��..,�,;--- �.:t.l..,�„�� _ � -� t ,.. ELECTRIC GROUND �:''!-'::;': = • .UNDER FLOOR DUCT �.�� ,�••: ;`.�1 ^.����:�; <�'�ca I ;: GROUND PLUMBING' �� ---------- .---- �� _ � � UNDER`•FI`_OJR�GCJNDUI? _lt' "-,' ''• ----- ==t'--:�' .!,1 •�n� { ;- SLAB GRADE---- -- �'' � ------ �`- , ..�'-- :. : : FIREPLfICE.FO[1�1DATTO�d-- ..------:- .-_----..--�---� `•.. TEMR_PDWER -- --- �_=_�=- :� :-- .--.:-_.._-�-� - - =f'IREPLACE 60ND BEAM -- - �.1 .r`.�.'`. ��.�_rc;.,",�:r::.;� � r': , ; . - - L"JATEA SERVICE-� -- - -- - -• ----- ---:�`; � ��91D HT. BOPJD BE%',h1 �-, ��,� v��, � �. ROOF SHEATHIIVG � `- ' � + e FT.60ND E3EAM � � �'`��- '� � 1' FRAMINGNENTIL�ATION ��y ' ' .. �' ' �FINAC E30ND BEAh4 � " �� -� -- - - --- ----- ---- --•-���-� � ------.. ..--- --.. .- ------ - � :,- -ROOF:COVER .---._ --- -----�---- -- ---...---- ---- - - PRE-GRADING- - -'" ---- - - �. -- ---- ----� - '�1!, � ��.: . , _ . _.. - -- --- - �- --- -- �-�- --- - �-- ._.... ...._ _..._. �RO�GH HEATIPJG� -�--:_ _~.-_''::-'- .-,-,_---:-' _' E3ENCHING .-. .... , , , .,•�,.... ., � s.: ROt1GH ELECTRtC ----- ---------- - ------;---�-` .- ROUGH GRADING ,. ,.. . . , .. . .., , .. . , `:; _ --- _- �--- ---:.... FINISH GAADING ; ., : .: ,: ,.: ., , , , �ROUGH PLUMBiNG '__ - ---- - -- - - • ' � ;. i ' ' SHOVVER/TUBTEST' --• -------�--�- ----- -- �- - ---- _'POOLEI.ECTRIC � , ,, . . � `•� . , . ------ - - , --..__._.....- •------ _ _ ,� . . - � :_; EXT.-LATHISIQING--"i---' -� , , POOL' FENCI�JG . � :'�. : . . WALL INSUL.ATION j -- - ; - i FOOL FINAL: � , . . . .,. ; CEILING INSULATION I OFF SITE IP.1PS. . ,...:�='.'.;.� � ,- . :..: ,,. ...,' I � DRYWALL NAILING I ' DEDIGATIONS�: .� : . .`.'� � '.. ' ,. � � : SEWER � ._... ..... . FINAL ENG. . , , • • ' I ----- -- -- ---- --- -- - ---�- - - �------ - - .... , . . . .. . , . , ,. , . : .. '._'. : LANDSCAFEIIRF�IG.. .'," ,, . � _� SEPTIC TANr_-.==:___-_ :..=__ . .._--.: .: -_.. -=_=-- -....:_- - . �. :,. ., SEEP.__P�T/LL'-�---- --- ------��- �--- --------�- .- ' '- _ON SITE IMPS. . . _ .... I :� � ----- - - -- --- - ----- - ' - F1NAL ZONING .. ,, ,. --- - --- : .. .. :�. .� .. � � . --- - . __.. . _. _ �. �. ` . ..._. � .-- --- - �INAL-HEOAT NG ------ - -- - ---� - -�-- FIF�U�PJ.'�`1��Al:.,ti �`�,�_-, - . _._. ._. --�� _-�� , ���. , �-- t,; � _: L� -- __..:- ----- ;---- -- -------- - HEALTH DEPT. FIP��1l-,;:�-.:.-- -:.:-::,��:;,:::;:.- :----;.--- --- ---- - -� 'r -- - ---- ---- -....--- -�-- _ � . FINAL ELECTRI.C- ---"""" - ; � DEV. FEES PAID � � :�:�: • -, . ----- - --. ._.... --. .__...__._. . _ ______ �_r..,.. _._. � FINALPCUMBING-- - � EraERGY � •� ° ; :-: - __ i . . _ `� i ... . . . ...... . . ..... .. ^ . - - ...-- - � _ _ I ' .. ,.,�„ . ,. I ��` a+ "'7c�eac'e= ...._ . .�'. _.. ... __ �. . . .���_s...__.�..:�j�_ _�....- -�-------------•• ....------._....---- -- - - -- ; , , -,.—... . . . ... COMMENTS- _. tiF�`� t —�. ; i � .. . . . . .. ... . . ... . . . ... --- r— — , ; Y�a`r ' -� . . . .. �,� . � _. � . - -- . ---- ---.—�---- -.-- -. -- ------- --.___. -- - -- - -- . ��� � I . . .1� , .� . A I c� -----�-`-----`'.-- --'---'�----' - '--'—�-----------I._._-- - -- ' - . ... . . 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