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.j /� �� CITY OF DIAMOND BAR'- �� � � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES `� 21660 E.Copley Drive Suite 190 " (909)860-3195 Faa(909)861-3117 PRESS �y^� BUII.DING PERMIT APPLICATTON . FIRMLY , � JOBSITE �Q ('�f�� p�� , APPLICATION PERMR / P/C o ADDRESS 210`�' � '/ ' DATE_ /w,�/,�� NUMBEW 2 S'17 x � �� -Pp- APN LOT TRACT ' DA EE ����' l �' ONST. GROUP � p OWNER ��.�' ' ' ADDRESS ZONING SETBACKS � Z CITY IP TEL O � REART ' RW � . g APPLI A T �TEL. SIDE/SIDESTREET FiW ❑ � CONTRACTOR Ii SIDE ❑ ADDRESS � PROPOSED USE' � CfTY ZIP ,(. _TEL. - �/ ��- o ARC G/ � . � DESIGNER NO.DWEL , �� NO. .� . NO. ADDRESS UNITS � STORIES ' ' � BEDROOMS' � CITY ZIP TEL. � c�r� . DESCRIPTION Sa.FT. FACTOR PSF ADJ.AREANALUATION p� OWNEF-BUILDER DECLARATION ' SFR/AD�,'REM � . O 1 HEREHY AiFlRM UHDER VEWILTY OF GERRIRY TMA71 AM E%EAIPT FROM TME CONTMCTOitS l4 GaragalCarport ' ' 8 GENSEUWiON1MEFqlOWINCiREA50NI5EC.70.71.6Bu51NE55MNPPAFE5510N5CODE:ANYtlTYOR . 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LL" DATE OY/NER � Z W � LICENSED CON7MCTORS DECIARATION • W � IHfREBYAFTWIAUNDERPENALIYOFiE0.R1RYTHATIAMLICENSEDUNOERPROVI510NSOFCH�7TER � � � . . d �(COAIYENCNO NrtTH SECfION 7000)OFDMSIDN 7 OF THE BUSINCSSAND VROFESSIONS CAOE.AND Z X W LICENSE IS M RRL FORCE AND EFiECT. � m I1J � LiCENSE CUlSS��l�LIC.N0. ' 2 j � V DATE�g�_CONTPACTOR�1 /// � W l V�i�f! v ✓a.• � WORKERS'COMPENSATION DECLAAATION a . � IHER�YAFf1RMUNDERVEWLLTYOFPERNRYDNEOFTHEFOLLAwwGDECUMTIONS: V - - � `� a � �IHAVEMlDIMLL6WNTANACEHTIFIG7EOFCONSENTTOSELF.INSIIREiORWORKERS' _ � CpAPENSATION,ASPFqVIDE�BvSECTION770oOFTHEUDORCOD�FOttTHEPERFOAUANCE U Q OFTNE WORIC FOR WHid1TMi5 PERMIT IS i55UED. � � _I HAVE AND VnLL YARrtA:N WORKEi1S'COIAPENSATION INSUMNCE.AS RCCVINED BY SECTION dQ �7000FiMEUBORCOOE,FdtTHEPERFORIAANCEOFTHEWORKiORWHIp/7HISPERMli15 / Z 7 O 65UED.MYWORKER5COMPENSATIONINSUR . CARRIERAN�FOIICYhVMBERME: ONSTF�UCTI 1 � GIRRIER L� PLAN REVIEW � POLICYNUMOER � �J,� � ELECTFiIC � �nsucnor+r+EmnoTeem.s�roaFn[�a.�rst�a+EMrnnmoou�sR+xlontFssl VLUMBING Z ICERT�FYTIATNTHEPERFORAIANCEOFTHEWORKFORWMI0/TXISiERMITI515SUE0.1 MECHANtCAL (7 SMMLNOTEMPLOYANYVERSONINANYMANNERSOASiOB[COMESU6IECTTOTME N WOPI(ERSCOMPENSATIONUWSOFCALIFORNIA,/1NDACREEiHATffISHOlAD6ECOM[ INSPECTIONFEE SU&IEGTTOTHE WORKERSCOA.IOENSATqN PROVISqN50F SECTION 77000F TNE UBOR � M COOE,ISHALLFORTj�T�CWPLYN�TNiHOSEPROV1510N5. SUANCE I v � p DATE:,`(�,�JL APPLICANT: _�/�G� IP � W ' r!� ��� � WARNIN6:FAriURETOSECUREM.ON(ERS'COMPENSA7iOrJCOVEMGEISVNUwFUL,ANDSHKLBE ENEFlGYP/C �y SU0.IECTANEMP�OYERTOCRIMINILPENALTIESANDpVILFNESUPTOONEHUNDRCOTHOUSAND ENERGYPERMIT � � � DOlURS(f 100.000�,W/�DDiT10N i0T11E COST OF COMPENSATqN.DAMACES AS PROYIDEO FOR IN ¢ SECTION770lOF1H[UBOi1CO0E,INTEREST,ANDA7TORN[YSFEES. RETENTIONFEE: a CONSTRUCTION LENDING AGENCY PHE-ALT FEE: ��� ' O Q IHEREBYAFFIRMUNDERFENALTYOFPERM11HYiHATTHEREIS�CONSTRUCTIONLENDIN011GENCY ' � FORTHEPERLORMANCEOFiHEWORKFORWHIq/TNISYERMRI5i55UED(SEG]OV�.CIV.G�. � lENOER'SNAME � O�}� ' H�r4s , � IENDER'SIIDDRE55 � ICERTIFYTHAiIlMVEREAO7HISAiVL1CATpN►NOSTATETUTTHEABOVENFOR1AATqNISCOMECL TOTAL�OFDIAMONDBAR /y�J � IACREETOWAiCLYWI711ALL(YTYANOCOUNT`lOR�WANCESANDSTATEUwSRELA7Nf]TOBU0.DIN0 BUILDING AND SAFETY � �� � L . CONSTfiUCT10N,M:JNEREBV/1lfT)qRRERCPRESEMATNE50FTWSCOUNTYTOEMERUPONTHE � ABOVEdAEMIONEDFAOPEHTYFORINSPECi1DNPURPOSE& COMMENTS C� 0 J � � m VERMITTEEN iNn � g , � DA7f � � RECPT.NO. PAID BY VALIDATION WHITE-0epanmant Copy.YELLOW—Fnence Copy,PINK—AsseesaCopy,GOLDENHOD—File Copy,GREEN�—Appicant's Copy � � • , .. .l' .- � ' � %'�. � � . r � . � . .�1'.. � . . . , . .. . . 1 ' . ` •f�•,. •1�„li;' � . .` .� .� . � . ` ' � . ' . . r. • .. . '�'��.���`._'��....�. �.' � CITY OF DIAIiAOND BAR ., ;.; � . , . ..,. , . . ;.. .INSPECTION��RECORD�, �: �.� ;� . ` . ' • r � • � . • • � � - • - SET BACK ' ` �. - '�` •� .,•., ti� � FLOOR J015T %1\ �.S��•�•t �•;;�?�.% ��J;�r , . . - FTGS/FORMS/STEEL " � , . , -��; ' ,,;�`' FHA REQMTS - � - - -- --- - � • ELECTRIC GROUND -� � ' ' UNDER FLOOR DUCT � •. �, " -� GROUND PLUMBING UNDE �00�CO DE1JT C}.1 '�;�J`�'':4t; �•'C;"t � " " SLAB GRADE - -- FIREP�Q��� UNQATION � � '�; `� l'fi'!ti+l'•.� '' . TEMP POWER � � - - - -... . _ _ � � �".., . : FIREPL�+C�'B'ON���AM- :_.�.»1:ti, �.� • -- . __:.. �� . . �� J � W�T R SERVlCE- .. . - � . - - - ' MID HT.BOND BE M. :T�,;. �' � �. - ; �`'�Rob'�SN�;� tvt� ��,��w, ',t�.Q � 8 FT.c�� ND BE ' - '� '�,` . ' . ..'�. ��� , � • ; , .� .MI�I�%V NTILIATIC�T� � ' `��• ���'�`�`'"� FINAL BOND BEANI • � ' 'Rd0 �OVER I-G-4 -�ccu.¢� ; PRE-GRADING -� - - � � � ROUGH HEATING -- - - - - --- BENCHING �- � � - � � �� ' ' � Fi�UGH ELECTRIC � � ROUGH GRADING � ROUGH PLUMBING - - FINISH GRADING , �� SHOWERlTUB TEST � - � POOL ELECTRIC • • • EXT.LATH/SIDING � � � POOL FENCING WALL INSULATION � ��• ��.•� POOL FINAL � • CEILING INSULATION � OFF SITE IMPS. DRYWALL NAILING � DEDICATIONS ' � ; � SEWER FINAL ENG. • � � � SEPTICTANK-..-- --' __... . � ,,, _ . .LANDSCAPE/IRRIG. , . • "... . . , . SEEP PIT/LL. . - - �•--" .ON SITE IMPS. GAS AIR TEST - - � FINAL ZONING • • � - FINAL CONST:. {(—(o�Qg �Cy -_� FIRE DEPT. FINAL � FINAL HEATING -- - - HEALTH DEPT. FINAL •- � -�' FINAL-ELECTRIC - � - DEV. FEES PAI� � - - �- � , • FINAL PLUMBING ENERGY � � �� ' �- s a ��� `;•`•t - I , �, • _ . ,�::;. .;�.. ;, �� :�, r� . . � . _..----��--� - - - - - � -�----._----�-_ _ �-- �--� --- - --------- -. COMMENTS - ' � � � . .J �•,•, � � - —1. ... > > �) � _ �•, � _ _ ' " ' ' •�'� � �� 'i �l',J ..1' � . �. :r� �,� ` . . . . � , _ _ . � . - i .. ��, � t� . � . � . "' �\\`, "' ' " _ �(� '� �� Iti. � ��{ � _.� . •►' `��..i ` 1�.� , � . SEPTIC TANK SIZE . „ . , , � ' ' . � SEEP PITN SIZE �� :.� i ��i . i � . � i•,,.« , � � :. ..,� :. .., . � - _ . • . . , _ . ... _ _ � - �4 __. . . . _ . '" . S:i�fT : .� ::r: . �,.� _. .�. � '� :�'r:T�11't?C.iT�� :1L•i1:' :f i!i � : ', .' ' ; , ' - ' � � � � - -- - \ a,� ��� �.,.,� ��.� � - :.• '� �;� ir�.}� -. . . -- �, �.. : ' . ��,�'�,� ;�''`:`�.JJ'�`�y�1,:.:�_._�:�'•- .