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�� CITY OF DIAMOND BAR � i DEPARTMENT OF COMMUMTY&DEVELOPMENT SERVICES , 21660 E.Copley Drive Suite 190 r..- • � � (909)860-3195Fax(909)861-3117 PRESS ���^'� BUILDINGPERMITAPPLICATION FIRMLY , � JOBSITE a ADDRESS � � FL)/'���C(/t J � APPLICATION � �_ PERMIT � � �/C o —�— DATE NUMBER It g ISSUE TYPE OCC �\ APN OT TRACT DATE CONST. GROUP � OWNER � �CZ�Q�1 �2-._ , "' ADDRESS A. '� 20NING SEfBACKS � CITY � ZIP TEL. REAR Rw p APPLICANT TEL. SIDE/SIDE STREET RW O � CONTRACTOR SIDE ❑ ADDRESS � CffY ZIP TEL. ROP�U�E p ` � ; o ARCWENG/ • � DESIGNER NO.DWEL " , NO. 1 . NO. C�ESS Z�P TEL. UNITS STORIES � � BEDROOMS � �n DESCRIPTION SQ.FT. 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W � WORKERS'COMPENSATION DECLAAATION a � INEREBYAFFViYUNOERPEWILTYOfVEFWMdJEOFiMEFOLlON7NGDLCUMTqNS. Z � _IHAVENAYVILLLWNTA?7ACEFTIFIGTEO�COHSEMTOSELFaNSUREFORWJfiKERS - 2 ' . - . , . • • Cd1PEN5AT10N,A50ROVUEDBY8ECT10N]7a00FTHEl/BOHCOCE,FORTNEPERFOIWANCE W OF TIE WOHK FOR WHICH THIS PEHAIIT IS ISSUED. � 0 _I HAVE IVA MALL LWHiAR7 WORKER�COAIPENSA7qN MSUfUNCE,AS RE WIRED BY SECTION � Ol7000FTHELAOOiiWDE,FORTHEVERFORAIANGEOFTMEWORXWRWHICHTHISPEiVA1T15 � ISSVED.MYWORKERS'COMPENSA710NWSURANCECARR:ER/WGPOIICYNUMOEFME: CONSTRUCTION � euuaen PUW REVIEW Z va�n'ruueER ELECTRIC �� d p (IItSSECiCN1�[�NOTBEfridiFfIDCFTE0fp1ATBiOROA'EHIA[7i1ED0011AR;(S�ro)OqLE55�. PLUMBING Z �CERTiPV TfUR W h1E►ERFOHYANCE OF iHE WOFK FOR W1iiG1 Ti15 iER1AITI3155UC0,I MECHANICAL (,`J SWLLl NOi EMROY/NY PERSON N ANY MANNER 50 AS TO BECOME SUBJECTTO THE (p WDPo(ERS'COYPEN511TIONUWSOFGL�FORNI�MIUAGREETMATIF15170ULD9ECOME INSPECTIONFEE S SU&IECTTO7HEWW1NER5'COMPENSATIONPRONS�d150FSECT10N77000FTHElABOR cooe.isw�u�omramn+couv�rNnninas¢vRONswws. ISSUANCE � � � sMiP �(; AMU� p DATE: APPLICANT: � ENERGYP/C �3jjn,,L1ITiG AND S WARNINO:FA0.URE TO SECURE NOANERS'COMPENSATqN COVEMGE IS UNLAN'FUL AND SHALL 9E �y SUBJECTANEMPLOYER70CRIAAWAIGENALTIESANDCMIFWESUPTOONENUNDR[DTHDUSMID ENERGYPERMIT WLWiS(f t00,0o0),O!ADDIiION TO THE CAST OF COMPENSATqN,OAMA�ES IS PRONiOED FOR IN � SECTIDN]7DlOFiHEUBORCODE,INTEREST,ANDATTOiWEY'SFEES. RETEM�IONFEE: OCONSTRUCTION LENDING AGENCY PRE•ALT FEE: � IHERCBVAGFIRMUNOERPENALTVOFPERNRYTHATTHEAEISACONSTPUCTIONIENDINCACENCY Z FOR T1E PERPOM/NKE OF 7HE WORK�ON WMiCH T7IS PE RA1IT IS ISSVED(SEG 70Y'�,CIV.GJ. W a� LENDER'S NAME � C LENDER'SADORE55 W� TOTAL FEES ' ICERTIFYTHATIHAVERFJ�DTHISAPGLIWTIONANDSTATETi1ATTME�BOVENFORMATpN15COPRECi d IAGREETOCDMPLYN7THILLLC7TYANOCOUNTYOROWANCESIiNOSTATEUWSREUTNOTOBUILDIN(i � CONSTRUCf10N,MDHEREBVAUi110RIZEREPRESENTATNE50FTNI5COUNiYTOENTEHUPONiME ABOYE EDp R07ERTYFOR INSPECTION VURPOSES. 0 �_/� ���� ��� COMMENTS J r � m V 1�1 :lPRiif� � -.z-r - (n SIG ATUNcOFPENMITTEE DATE RECPT.N0. PAID BY VALIDATION WHITE-0eDartment Copy.YELLOW—Finence CoDY.PINK—Aesessor Copy.GOLDENR�D--File Copy,GREEN—ApplicanCs Copy . . ..... � .. . ,. r..-�.•.•, .. .��., . , . , �d . . �. � , _ . . ,. .. . . •t . �. • 't E•. . •.ti,••s�; r:..:�'..- �a.,�. .�.,,,•�,. • , , _ CITY OF DIA�J�OND BAR � � :.l��SPECTION RECORD ' - .._.�.;� �----� � � :���j��:�i�e�, G��1►�� •, I���r!� •. ::l►�.�-���.���'��� �i�.�t.E-7:��.h`'Rt��i��{��� �:��� : w����J.�a���F��.., �ScT BACKz _.. , ._�__i_ -•- �---I' , , , . �` FLOORJOIST , .•... � _ \.�,W (�...._ - _ '' •FTGS!FORP�".S�`STEEL � ' ` � � FHA REaPvlTS � "" ` �� ' � ' .. . .. .. .. ELECTRIC GROUND. UNDER FLOOR DUCT . , { � • _ GROUiJD PLUi�161NG I��JDER FLOOR COP•�DUIT '' '' � • -• -` � � SLAB GRF,DE • FIREPLACE FOUNDATION � TEMP POV'JER FIREPLACE BOPJE7 BEAM ' ' Vi,�ATER SERVICE. • - MID HT.BOND BEAP�1 I ' �3 �' ROOF�$HEATh{ING U � '3-�7'�L� .�,�,� s�."Borao aEnr�n - - . , FRAF:IINGNENTIUATfON I � ' � ---�-�, •'. �=I. FINAL 60ND BEAh� ( ' ROUF COVF_R �� 7j=/,��� I `=�tu�-a.s''•—�~ PRE•GRADING ' ROUGH HEATING BENCHING ROUGH ELECTRIC I ROUGH GRADING - - R�UGH PLU1l�BING - � FINISH GRADING SNOVVER/TUB TEST POOL ELECTRIC EXT. !�'�TH?SIDIfdG � POOL FENCIPJG I �"1F�LL INSULF1TIOi�J - - �POOL FIPJAL � . CEILulG tNSULATlO�� � - - ' O�F SITE Ih4PS. _ DRYI�VAL.L P��',ILIPJG DEDICATIONS - SEI,'VER F1NAL ENG. � SEPTIC Tr1NK L.1INDSCAPEIIRRIG. � ' SEcP PIT/L.L. _ . ' �" .�O�l SITE�f�APS. GAS AIR TEST � � FINAL ZOPJING (I�J�,L COt��ST. �../Z-QY • �,Q�' FIRE DEPT, FINAL ; ' � � Fih!�,LHr/�TlNG . _ H�ALTH D�PT. Flf1AL ' � . • � • ;_�, ��,; ` • ,-. ,_',, �--T---•--= ' � . t;���,L[=1_ECTRIC DEV. FEES PAID � —� �-._. ---� 1,�i^:r,�PLUt•.4ElNG _ .,�. 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