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CITY OF DIAMOND BAR .� �� -- DEPARTMENT OF.COMMUNITY�t DEVELOPMENT SERVICES 21660 E.Copley Drive Suite l90 ' (909)860�3195 Fax(909)861-3117 , PRESS �"^' BUII.DING PERMIT APPLICATION � ' FIRMLY 4 DDRESS �(��D G C�. +�/ ^ APPLICATION I/ �� PERMff �C�m p/C o DATE < < NUMBER /d`FJ'_ �► � APN LOT_ � TRACT �SSUE t TypE p�C O OWNER ���ti��'t7 LQ� DATE CONST. GROUP o AODRESS ZONING SETBACKS " � CITY 21P TEL. FRONT � qyy � APPUCA , �l N� TEC�' "T� SID SIDE STREET � � RW p CONTAACTOR t SIDE 0 ADDRESS � CfTY p��..w n ZIP�'jZ�n7�TEL PROPOSED USE � ARCH/ENG/ � DESIGNER NO.DWEL . DlO. � ADDflESS NO. UNITS 'STORIES N C� ZIP TEL. BEDROOMS N DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION p� OWNEFi-BUILDER DECIARATION O . SFR/ADDlREM p 1 HFREBV/IFFK�A I,NDER OEtULTY OF VERAIRY TIUT 1 AI.1 E%EIAOT FR01A 7HE CONTMCfOqS Ll� W CENSEUWFOi1THEFq10NANaqEASON(SEC.70.7i.6BUSR1E54ANOPpDFESSIONSCODEPNVdTVOR _ N Garage/Caryort . � COtMYWWCl/AEWIAE9APERM,7TOCa.Y5T1ilJCf,K7FR�MPROVE.DEAfOLISH,OqREPA1RANYSTRt1G W Pa��� �� 7UNE.7f1iDR TO RS ISSUANCE.ALSO REOUIq[5 TME APPLICArlT FDR SUCH iENAIT TO fllE A SIGNED W ETATEN[NT 71Ui NE OR SHE IS{J(�NSED R10.SUANT TO TME VROVISIONS OF iHE CONTMGTONS L6 � CENSEUW(dUP7ERi(COMAIENCWOWfMSECTqN70]0)OFOMSqNJOFTME8U5iNE5SANOFRO. �- PooVSpe � � FESSqNSCOO�OqTHATHEOR5HEISE%EMPTTHENEFqOMANDTHEBAS15FORiHEALLECEDEXEAIP• C7 TION.ANYVIOlAT10NOFSFCT10H7q1.68VhNYAPDLK'.ANTFOR4PE/WITSl181ECTSTHEA7PLICANTiO z pB.qop} � ACIVILPENALIYOFNOTMORET/ANfNEHUNDREDDOlUAS({Soo).�: ' p ❑l��MrNEROFiHFPROPERT'.OqYYEMPLOYEESWITHWACESASTMEIRSOIECOUPENSATION, 0 COfflmBfC471 _ Z M'ILL OD TME WOFiI(AND i1fE StRtCTURE IS N07 MREHDED OR OFFEAFD FOR SAIE(SEC.70N,BU56 J � NE55 AND VROFESSIOt�S COOE i11E OONiMCTORS LICENSE UW DO[5 NOT APPLY TO AN pWNER OF VROPfRTVVAqBULp$ORMIPROVESTHEftEDN.ANOVAI0DOE55UCHWORKHIMSELFOFiMERSELFOq� � 2 THilOUC.NHI50RHEqOMf1EYDLOYEE£�N�VOEDiHAiSULHYAGROVEMEHTSARENOTMEN0E00q Cfl 0 OFFEAEOfOR5ALEIF,NON'EVERTHEBURDpKiORYPROVE►IENT650lDWfTHMONEYEAFOFCOAIPLE- Z '7CN.7NE OWNER�VILDER N7LL/UVE TNE BURDEN OF VqOViNp iNAT MG OR SHE D�D HOT BtnLD Oq = MPROVE FORTNE R1RPC'E OF 3ALEJ. � OI��M/NEROFTMEPROPERT`/.M1D[CLUSNELYCOMRACTNOYrtTNUCENSEDCONTRACTORS TO CON57RUCTTHE iRO.IEA(5EG)oM 8U51NE55AND VFOFFS510N5 CD�E T11E COM.MCTOR3 Ll• ValUefi00 AQI.AREA � CENSEUWDpE3NpTMPLYTOANONR1EflOFAGROPERiYYlHOOULLASOflIMPROyE$TH[REON,ANO �M1�OONTRACTSFOqSUqiVqQ1ECT3W(TN�CONTqACTpR(SIUCENSEDiURSUNfT70TNECONTMF p�qM�Ty DESCRIPTION �E � Tdt3UcdYSEUwJ, O IAA1 IXEMFTUNDER SER B.i O.0 FOR THIS REASON q U LL DATE OWNER �-�. � ' . � • � � U UCENSED COMRACTOAS DECLAAA710N W � INEREBYAFFWYUNOERPEWILTYOF0E0.JUHYT/UTIAAILICENSEDNJJERPPAVISiONSOFCHMTER � s ��(Z71M1CNCvqWITMSECT10NToo0)OFOM3KK1]OFTHEBUSINESSANDPqOFE55qN500DE,AND Z " � LLJ ���E IS N FULL FOqCE ANp Ef FECT. m � 110EN5[CU 5 �–ZG LIC.NO.G�L�/� � . . �'j o�r���eorrrrtneroa�j�QyY�� a I � WORKERS'COMPENSATION DECLAIihTtON r / l K/ � � �. . Z.l.. � . ,._ v1� � r .. ,, : ' :: � '��Il ��} N IHE(iEBYAFFIR4UNpERPEHAl7Y0�➢ERAIMONEOFTMEFOLLDW:NG�E � ' n� t�� � `n / ( �` A1�1 .� I-3 � ��NAVEANJWLLMAKfT�NACEq�FIGTEOFCONSENTT08ELF.1 ri[F ER�'' � �, COI/FENSATpN,l�SpiqVIpEOBYSECilONA000FTME E,FOR EVENF Q OF T1�G MfOPo(FOq WHICN 7Hi5 VERMR LS ISSt1ED. a � �HAVEANDV19LL1M�71TAWWOANERS'COAIPENSATqNIN MNCE,ASRE Iq V :CT f {� � � �70DOFTIEIABORCOD�FORTHEVERFORMIWCEpF EWORKFORWH P IS � LT�1 �C�Y U��lG� ISSUED.WNpRKFF50OYDEKSAiIONIN5UF4WCECAR :ERA.`l�POIICYN M CONS7RUCTIOfV _ti��y.t��' jw�aen� PUW REVIEW ���"'����j.� � roucrNuueEa L ' LECTRIC � (1llSSECIIONNEIDrniBEOWPLElIDaflfEVE%frswRaa� .R: rn i LUMBING ��� . `—y W j��[] .r �9 Z �CENTIFY7MIITNTFIEVEFiFORMANCEOFTMEWORKiOR ACNTIIS�EMI ISISSUE i MECMAN(CAL •iay�,j/ _y C;J SHALLNOTEMPLOYANYCERSDNNANYMAt1NER$OASTp ECOIAESUBJECTT THE (n YqRKERSUM�PENSATqNUWSOFGµ1FORNi^►ND�GRE THATIFISIiWLO ' E INSPECTIONFEE S SUBJECTTOiHEVNRKERS'COM7ENS�TqNPROV1510NSOF5 77ooOFT� CODE,ISl/Al1FOqTHWITHCOMP�yWITHiTqSEPROVI510N5. ISSUANCE __ ILII_ � , �nnn p OATE: APPLICAN7: �SMIP ����� � ENERGY P/C CITY OF D1AM WARNINa�AIIURE TO S[CURE WOf�XEFlS'LOMPENSATION COVERAGE IS UNUwFUL IW 0 SMALL BE T*T� �T/� wT ��!{!�/ � SUBJECiANEYvIOYERTOCR:YINALPENALTIESANDGVILFINESUPTOONEHUNDRE0TMIX15ANp ENERGYPEqM1T �SJli.�iiy�i AIVD Sl1l'L'1 1 � DOLIARS(f t0a.0ooi.NtAUD171011 T07NE COSTOFCflMPENSAiION.DAMACESAS PRpy1DED FOR IN SECTIONJ7aOFhIEUBORCOOE,wTEREST,FND�T70iWEY5FEES. w RETENTION FEE: Q CONSTRUCTION LENDING AGENCY PRE•AL7 FEE: � lMEREBYAFFIIWMOERPFNALTYOFOERNRYTNATiNERE15ACON5TRUCTIONLENDWOAGENCY � iORiHE PEAFOfiMAHCE OF TME WOiM FOR WNICHTH15 iENAAIT IS ISSUfO(SEC.70Y7,CIV.G4 � � IENDEqS MM�E - F— IENDEqSA00RE55 w ICERiiFYMA7IHAVEREAO7Nf9MPL1CAT10NANDSTATE7/LtTTMEABOVEHFOAlIAT10Nt5COqRECT. TOTAL FEES �/�f' p„ I AGREE TO ODA1Pl�N7Ti ALt GRY ANO COIMTY OHOIN�NCES AND STATE Uw5 HEUN�TO BURDiNO J r � CONaTRUCf10N,M10HEREBYAUT1qRRER[7RESENTATNESOFTHISCOUI�TYTOENTERUPONTHE ' ' z ABOVE•MEMqNEOVRODEH HINSPECiIONPUHPO5E5. COMMENTS � � ' � ����I . m V EfP . � � , (p SIC,r:ATv 0 P aTTkE DAiE � � RECP7,N0. FAIO BY VAUDATION WHITE-0epartment Copy,YELLOW�inance Copy,PINK—Auessor Copy,GOtDENAOD—File Copy,GFIEEN—AppticanCa Copy � CITY OF DIAMO�lD.BAR . _ � .. .:; , . � - . :_.•,-..,.,.��.;:lNSPECTIOf�! RECORD '�.: � .�,... '... : , � .. , , ,. .. � �.�►��=a���n1��.l�J ��':�1��.=— �.rP.�����.�4�ie'(►�.�-�_��►�����e7.�p�� s.����;�i��' ,�.:�►r.�- ��C�`�'�� ;SET BACK ..., _ -.� -.• I i . �, ' • .•� FLO�RJOjST �.... _._...,,.�._�_� � �..� . ' . ' ;FTGSJFORf�4S/STEEL . �. � ,I- - ,- .. . _,. �, �, •,--' .. FHA RE�P,t�T '� '_.. i^�.•__, _'.. . .' � . : . --' ` IELECTRIC GROUND..._. _..__. ' ` ' � ' -"� . � ,, ' . • . � UNDER FLQOR DOCT.. ... � �. � -- �. �— .. . . . , . . .. . .• , � % . �,; - • -'=' - - . _... ..--- �GROUND PLUNIBING � UNDER FLOOR COidDUIT _. " =-•--�---- ;SLAB GRADE - --- ` -- . _ _ __ '. ' FIREP.LACE FOUNDATION ..,;:; ; , ITEMP POWER---.._... .;_.. . . - - - , r . ,�; . , '. FIREPIA� E��Oid�6E M' ��.,»;�,�r�:' � �,; ,--.:. .. .:_ .-i..,-- �WATER SERVICE --.- . . �, � P�AID HT. BOND'BEAM:'i`�'.:• �"i:�r'% l� ':�1: ;,.., ..._.:., , i (ROOFSHEATHING I BFZ.a(�NDB J� . ' j'-: : ', ''-;•-' ` � •�_ _ , . . . ,.,_ . - ., � ;� .• . . , - : � �a �.�.-�' .. . . _ . .. � , !FRAPJIIf�GNENTILIATiON �'�= . -�-- - FINAL�BOND B-AM - ' ' ':ROOF COVER .�. ' � ' . PRE-GRADING - � � � IROUGH HEA7ING . 2 �(} �.. . --- . BENCHING - , . , ; ; ; i ; .ROUGH ELEGTRIC. .' - "._.: - _-�.. :_ . �... � _ .�: ,ROUGH GRADiNG .. ._ -- - - -- --- - - . . . �ROUGH PLUMBING -- - - - -- ' -- - ..- FINISH GRADING �. 'SHGb'VER.rfUB TEST _ . - . .- . POOL'ELECTRIC , � � rE�'T:LkTH!SIDING - ;_. _ : - - - -- - POOL'FENCI��G. . . , POOL FINAL � ' ;WALL-iNSULATION- --; ._. __.. ... _ . .----- - , , :CEILiNG l�•:SULATION . _. ._.. . _._. . - - . - OFF SITE IMPS. `' : , _., , _. �DRYUVt1Lt i1AiLiNG� ', - - - - � DEDICATIONS ` , ,, !SEVJER . . ......... .. _ .. ; . _ - - FINAL ENG. �SEPTIC TANK L.�INDSCAPElIRRIG. !SEEP_PlTlLL. . . ON SITE Iti1PS. • � �GAS tiIR TEST ' _ � FINAL ZOFdING " � , � -_. , `FIP�AL.CO�dST. _ '.._. . . FIRE DEPT. FINAL , . � ; . lrlid%:�.H�ATING __._... ----' q� Qf __ .. _ H[ALTH DEPT. FfNAL - ' - �----- -�1 — i .. : ��i"J:".L ELECTRIC ... . . _- _ DEV. FEES PAID _ . __... _ . ._. ! _------- ;.;.-,:,.r.,l_PWMBING -----. _ . _. . _ .. .._ . __. . ENERGY. , „ -- ----- - - _ -- - - -- ;� , ... ....__. ' ---. ..-- ----� - -. . ,�'�.," � - -.. .. � . . g t;�tt_c^I� f'.�;�ic�:' *`' . . .� -�. •.� . _._...._ . ..._.__._..__ '�/ � ' .. ". . . . __. . .- _.. :W. ! .J_s'^ '_ , .n...� : . � . . . . _...__. _ ..��\�'� '��)T��l�:'��:��r"� .,`� �{ .\ 1�... � ;COfUN�ENTS��Q�_�� m'���,:;,2o uGr,a-:•t.�v�:Z'S p•(� � � ' _ _ . - _�� i. ' -- '� .'•. . �--�,-�-:,'� ; -.� , �.- • � I��� , � .. _.. ._..._. ..... . ., �- ' . _ S_, , � '� (' "��.. � � - �,_.� ��. � i , . 'J,'.,1 _ - .� i�� !. :, i - �` _ � , I - _ ' ;`'1\��i:J`1��.1•�); � �'�' fial�l-� � . �. . . . � i I � �-�--� -- - i/ ��-i'']i. , t; i� .. ) . .. .� .� . - .. i _ . - . �1 .• (j/;i /' �('��,1. � � �1-.f� _ /" i `_ . . . _ '`� ^�.. . ' ,, i i;I i �, _; � • . , _ . , . � .. � -. . . . -.. . . y� 1 "� � i •• � ;� ., � _ •- _ - - . DUOS' ' i �ll!, � ��� . .. , � �SlE`,f�C1.�0�%��IC; =�t; ", �::' ' + `_ •'SEPTIC TANK SIZE _1�i`;�,�: :��:�: �.:��:c,,_.�_i�_�•- . . , . � � , , � :. � . , . ;SEEP PITlU SIZE - ' ; ;. . -. 1 . , _ --- -. i ___......_.____..., , . j ;. � . j��.. i _ . . , . .. , . .. ; i , , _ , _ i . - - . - .... .._ _. _ .. . .,��` , .... ;�i -- , _ i . . � . . . - , ; i — ' – , , . i I , , � . � . ; , . . .. .. . .. .. . . . _ ___ . .-- - .. .. . . . _ r -- I . I .-.-- _.. _ 1 . -•`-=r>� Ili�' rf� �"• t1 I , � i �,: . ; . ' ' � � � . . '�\� � .. � ' .. , � ' � r. ; � �i� � � -�J�_ ....__�. � • 1 � �1 J i � :.' � ��' � `. � � - _ : , . .. . `�. �