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N CITM�S �y��� ' Z1P41� ,�� `� UNRS uTOR1ES BEDROOMS N DESCRIPTION SQ.FT: FACTOR PSF ADJ.AREANALUATION p� - 'OWNER-BUILDER DECLAFL4TION SFR/ADD/REM � ' � + , � O � I HEREHY AFF1fIM LNDEq PENKiY Of PEftA1HY THAT I 1W E%EMPT ifiOM fHE CONTMCTORS LI• G8f8Q0/CBtpOR B CENSEUWFONTMEfOl10M'INONEA.M1ON(SEC.70]1.68USWESSMI�VROFESSIONSCOOE:MIYLITYOR (n CaIMTYMM1�p11tE0UIRE5117EAMRiOCONSTRUCT.ALTERIMPROVE,DEMOLISH.ORREPNRANVSTRUC• W pgIIOlDBLk IURE,PR10R TD R9 ISSVMICE,AL50 REWIRES 7HE APPLICANT FOR SUp1 PERMIT TO FILE A SIGNEO ETATEMENT 7HAT HE OR SHE IS LICENSED iUfiSUANT TO 7NE DROY510NS OF 1H[CONTMCTORS LI• �S CENHE UW(CHAPTEN 0�COMMENCWO WITH SECTION 7000)OF DMSION]OF THE BUSiNE55 ANO PRO � PooVSpa t � iE5310NS000EIORiHATMEORSHEISE1iEMVTiMEFlEFHOMANDTHEBA515FOqiHEI�LLEO[�E%EMP� T1DH.ANNVIOUITqNOFSECTION7o�1.6BYANYAPVLICAMFOR11pERMIiSUBlECiSTHEAPDLICANTTO Z pe-Roof . � �CMLVENALTYOFNOTMORE7)UNiIVEM1NDREDDOlUR5�f5o0�.�: � ❑I,ASONNEROFiNEVROVERT;OHYYEIADLOVEESWITHW�GESASTHEIRSOLECOAIPEN5AT10N, ❑ CommorcWl . - YALL DO iHE WORK ANO THE STRUCTURE IS NOT INTENDED OR OFiEFEO fOfl SILE(SEC.)oN,BUSF J N HE53/JW PROFESSIONS OOOE:7HE CONTMCTORS LICEHSE Uw DOES NOTMPLY 70 AN OWNER Of ? � PROPERTYMFqBUILDSWIIMPRDVE4THEREON.h1AVMODOE55Ud/W0(YKHIMSELFORNEqSELFOR ^� i/1R0U011WSORNEROYMEMitOYEES,PFpVIDED7HATSUd11GPROVEAIEMSARENOTMENDEDOR • m OFFEREO FOR SILE 6.NOWEYER 7ME BUID�NU OR MPROVENFNf ISSOL➢WfT11�N ONE YEAROFCOYPIE- � �TION,THE OWNER�BNIDER VALL HAVE TF�E BUF�DEN OF FROVWG h1A�MG OR SHE OID NOT BUILD OR W PROVE FOR TME VURPOSE OF SALE� � OL��M�NFAOFTHEVROVERf'/,�AIE%CLUSNELI'COHTMCTNaWITH�ICEN5ED00NiMCTOR3 TO CONSifUCt T/1E tRO.IECT(SEC.70u,BUSINESS Mq FiqFE59lON5 COO[:THE QONTRACTORS l4 V21ueU0f1 � ADJ.AREA CENSE lAW�OE9 NDT M7LY TO Ml ONMEH OF J1 PROPERTY N'/q B11M5 OR lAPRDVES 1HEREON.IW D � MApCOHfMCTBFORSUCHPRWECTSN1THACONTAACTOi1(SJLMENSEDVURSUANTTOlHECONfRAG .QUANTITY DESCRIPTION FEE � TOFtSUC£NSELAW.1. � ' O I MI EXEYPT UNOER SEC. B.l G.C.iOF iFtlS 11EASON U T T � /7z+�/r � ' 3 ' — •-�-=1 13S LL" DATE! OWNER . - � � � UCENSED CONTRACTORS DECLAAATION � �—t! ' � ' � W . IMEREBYI�FFpWUNDERPENALttOFGERR1MT11AilANtLICENSEDUNOERFHOVI510NSOfCHAPTER � ) V , ' � ��COYYENCtbVfRHSECT10N70ao)OFDMSION]OFiHEBU51NE55ANOPROFESSiON5CO0E,AND Z � � �� W UGENSE t51N FUl FOfiCEb D EFFECT. ��(]� ��� m r l' � LICENSE GLASS LIC.NO. � • � � � �. �- ����� � o�rE �` coarr�cToaPll�fJN/NG AD/IfS7'. a �JII�D�I.- 120L!/JYj . t�'Z, , � � WORKERS'COMPENSATION DECLARATION 4 � . N U � IMERLHVAFi1RMUNDERFENAL7YOFPE0.1UfiYdJGOFTHEFOLLOMANaDECLAiUTIONS: Z L1 _IMAVEAN0IMLLGAIM/UNACERTIFlGTEO�CONSENTT08[LFJNSIIREFOi1WORKERS' _ � , � � '� ` ' + � � COMPENSATION,ISPROVIDEDBY9EGTION77000FTNEL�BORCODE,FORTHEiERFORMANCE W OF iHE WOPK FOR NMICH TNIS VEHIAIT IS ISSUEO. � � ,�IIUVEANDW�LLMNMAdJWORKERS'CON�ENSATIONINSURANCE,ASqEOU�REDBV5ECT10N QQ �70oOFTMEU�DOfi000E,FOFiMEPEHFORMANCFOF7HEWORKFORMT1iCHTNISPER�.�iT15 ; ISSUEO.WWORKERS'COYPENSATIONINSUqANCECARRIERMIDPOLICYNUuOERARE: CONSTRUCTION � � CMPoER ST�-T� V��D PLANREVIEW ` � � ' POIICYNUMBER,�. � ELECTRIC �� " � � � � •0 : (M1tSSEence+NE�la78Ecp�s�ErIDOFTEPEPo.tf6fi%tord�u�nEDDatMSR+arI��"�? PLUMBING . .. .a ,WZ i 1 CER7IFYTIAT N7}1E PENFORMANCE OF TNE 1NORK FOi1 WHICH TH�S PEWAR IS ISSUED.I MECHANICAL � ��J � (J SFIALLNOTEMPIOYANYPERSONINANYMMlNEHSOAST06ECAMESU&lEG7TOTHE : -•.� - WOPofERSCOMPENSATIONUWSOF IFONNIA,ANOACqEETMATIFISHOULDBEGWE INSPECTIONFEE r i� �1 S ' SUBJECiTOTHEWORKERS'COMPENSA iRO�A510NSOFSEGTION]70oOFTHEI/�DOR I!Y_O!'��in���'iINT��� • O . moE.isww.coar�rvnn+corao�vwi varnnsar�s r.�, ISSUANCE $IIn.T)?���; T�;TI 0 onh: "S'O� APPLICANT 1 � SMIP F._.__5.11.I-�.T-Y .,-..t�— � WAPNINC:FALURETOSECUNEWORKE CdAPENS qNCOVERAGEISUNLAWFUL.ANDSHAlLBE ENERGYPIC SVBIEGTANEMPLOYERTOCRIMNALPEN HLFINESUPTOONEMUNDN[071/OUSAND ENERGYPERMIT ��JJS� OOLLARS(if00,0oo),N�DDfT10NT07HECO5TOF ENSATqN,DAM116E5A57ROV�EDFORR7 /� � SECTION 17oeOFTNE LA80R COOE,NTERES(M!D�TfORNEY'S FEES. RE,7ENTION FEE: �1 A� o � CONSTRUCTION LENDINO AGENCY PREALT FEE: ^ � INEREBVAFFlqMUNOERPENKNOFPEPJUMTHATTNEREtS11GONSTRUCTqNLENDINOM7ENCY � /1 / 1_ fORTHEiERWWAANCEOFTHEWORK(ORVA71diM15FERMtTISISSUED�SEC.J0i1.GV.0.�. �.� V � 7�r w ' IENDER'S NAk1E --�— � � IENDER'SADDRESS /J W ICERTIFYTIATIMAVEREADTHISAPPLICATqNANDSTATETMA7tHEABOVEWFOnNATIONI5C0�1RECT. TOTALFEES "'a. ��t y�-`/ � � IAOREETOCOMVLYNITHALLCfiYM1DCOlM7YORDINANCESMlOSTA7EUWSREUTMlOTOBULDINO . . . , COMSTRUCiION,ANDHEREBVAUTHORIZERE7RESENTA7NE50F7�11SCOlMTYTOEHTERU00N7ME ��` /�/�^� , /y� ZABOVEdACNT70NED PROPERTY FOA WSPEGTION WRPOSES. COMMENTS iv r j��� `+� � . W 1t� QP[iUIiTTE e�varn� � � �,O� � r N IUTUNE O�TE � RECPT.N0. PAID BY VALIDATION WHITE-0epartment Copy,YELLOW—Finance Copy.PINK—Assessor Copy.GOLDENROO--FiI[i Copy.GREEN—App icant's Copy . . . � ... . .. . — —. , , , � . , . , , ..:, �.. i�-�,��. CITY OF DIAMOND BAR . . ,. �� ' . �. � � � . ,� . � . , ._ �__ ,:.,' `. �: •. :Ih1SPECTION�RECORD � ,� . � , � " � ,/ � �, _ _ . _ 4 . � . �. �..� I...1� _ -� _�'n��� ���1��.'�a__°F. ' 1� ,�19.G�►.� �'"„osi�� $.r_..._.�.........' ._:..,. �. ._.._..e: � � � . . ., � 1 . —.�.~ � p , jr�.-�� c� � ''�� �0 1 � �'� �I r� +�-�•�� i �• ie � e? 1►�- �!r„�`��"��.::... ;SET�BACK� � �'��,/� , -' ! FLOOR JOIST_, , , ��; ' . .. r.:>`^ •...�� -, �• � �� , �„ . ., , � ., , i . - ;FTGS/FORMS/S .� �/27 � ' ' - --- FHA P,EQMTS�' ., `. .. . . : , _ SL7� ^ _ . . ... . _. . jELECTRIC GROUNQ... .. .. . ' � '=� _._ . UNDER FLOOR DUCT � ' � � ' „ .� - - - -- . . - . . . �_ •- ;GR�UND PLUMBING � . .� , �, „. . UNDER FLOOR CUr,IDUIT1.:' '.� ; :. ,•'. '',,-..'; . " • � �. ISLAB GRADE. ..__ 2 � �; � FIREPLA�E'FOUtJDQTION ' '��'�: , • :•,s,+�� • ,.'.,� r- ; -'- �TEMP POWER _ -- - � _ � , FIREPLACE BCSfJD`E3EAM r ' ''`,.•'�,�� � �. ` .� _ ;', , ... ;-! l-� 'WATERSERVICE ._.. .--- - -�-�- --- - - - --. .. _ .. : _ MIDHT. BONDBEAM; ;.,�':�r� �� ����.t, r.�a'� � ,, , � � IRO�FSI-fEATHING � r, :, .� `"i ,• �.� , 8 F1'.BOND,BEAhA , �, �`�, ,i ,••,�, . � •_ • � . { �.. , ., �, : : . .. , - - - — ' _. . • - ;FRAMINGNENTILIATION ��i�(,�� `� FINAL BOND BEAM� � ` �� �� �, -,.• I , ;ROOF COVER .c ;+. '� PRE-GRADING.,. - i. - ��•.l, �• ' r: iROUGH HEATING . .. , .; .. _. . BENC�IING ��:+� �.'� l�.;:,�; ' :�• �.�:. , � y�s _.. • _ .. -- -. IROUGH ELECTRIC. i '7 ��/ _ : _ ' � .'. '. ' ROUGH GRADING - � ---- - ;ROUGH PLUMBING -• -I- , '�-� - ' FINISH GRADING 'SHO✓VERlTUB TEST� ' - - ' ' POOL ELECTRIC � ' � _ _ . ;EXI'.-LATH/SIDING ._. _ .. .. ._--- ; ---._. _ .. , POOLFENCINCa ' ' ': i � � IWALL-INSULATION . _._.. .._ .. _. . .. POOL FINAL � : . �CEIC:l�1G iN:SULATtON.- ._._. OFF SITE IMPS. ' _ .• . . � ; , IDRYWAL:L NAILING- � - ; DEDICATIONS " ;SEWER .. _ _. ..... ........ . __. ... . i_ . . ._ ... _ FINAL ENG. ; � - � (SEPTIC TANK � LANDSCAPE/IRRIG: ; ; ' ' . SEEP.PIT/LL..... ;, � �-;' `' ` �== 1 ON SITE IMPS. � �C�ASAIRTEST `~' '- FINALZOP�ING ' . ' ,. i . . . . .. ;FIiJRt.CQNST .' ___ ._ . � (� �' ��1• ',�; 'Z' FIRE DEPT. FINAL . . i ; ;FI�;AL HEATING _. . � �� �• ' c:: •;. -�• �: HEALTH DEPT. FINAL - _ { ���lNC.LELECTRIC'=.�:� �� �";3� t ` � �••Z` __L•. _. ::: DEV. FEES PAID _ :' , ;�::;i,1t.PLUh1BING ., . .... ... (� _.. . , ENERGY ' , I ;-: •----�— , + _ .. ,.. _. __... _ . _ " . � „ . . , - � ----- . � , , _. _..._.. . _. _ . .. . , . . _-. --� ,�� ' _. �s�=� �+��= o c e��..�v,�.�..' � i � I ��-. -- • - - _ . _ _ . , - . . �.._. • ��_�.• �_ - . f, • x. j ` `" � . '. '�{It-��: i;11�5': „ ��i.: � ��.. � .�'.� �-' (� i _. . 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