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� �� CITY OF DIAMOND BAR � � DEPARTM�NTOFCOMMUNITY&DEVELOP EXPlRED � . 21660 L.Copley Drive Suiu 190 (909)860-3195 Fax(909)861-3117 O C T �� �Q PR�$$ �`'�^'� � BUII.DINGPERMITAPPLICATION , � Q�IRMLY � JOBSITE D � ���� ���''� APPLICATION '� PERMIT f� / P/C� -'Z� �„ Q ADORESS DATE NUMBER � f� 11 � ISSUE TYPE OCC � APN LOT TR CT DATE CONST. GROUP °C OWNER A - � 0 �'"p ADDRESS � D� . wv ` ' ZONING SETBACKS �W CITY V il�L� 21P`�`�."_R/,� TEL. s�7 REAR RW ❑ APPUCANT Lnu�� �{CR�tt TEL. - 7 � � SIDE/SIDE STREEf RW Q CONTRACTOR SIDE p g ADDRESS " ' ' '� ~-' PROPOSED USE ��J ' t-C� r�-�- S �� ��n � CITY A►�4 t.� ` ZIP TEL �oJa-� /�00 ARCH/ENG/ A n � ,� / i DESIGNER NO.DWEL NO. NO. ADDAESS UNITS STORIES BEDROOMS � CITY ZIP TEL N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREA/VALUATION � OWNER�BUILDER DECLARATION . SFR/ADDlREM O p I NEFEBY AFFliW UNDER PENALTY OF VEitAIAY TWIT 1 IlM E%EMPT FROM THE COMTMCTORS LI- GllfUge/C81pOR � lL CENSELAWFORiHEFOLLOA7NCiflEA50N(SEC.70.71.6BUSIN[SSANDPROFESSIQHSCqDE:ANYCITYOR, (n ' ... , ' .. . . . . . . y COIMliY'M�CMREOURESAPERAIRTOCOF75TRUCT,ALiERMPROVE,DE�.�Ol15M,ORREPNRANYSTRUG W Z 1URE PRIOH TO RS RAJ�NCE.ILL50 REWIRES THE ADPLICANT FOF SUp/PEH/AIT TO FILE�SIGNLO P����� � 4TATEMENT THAT HE OR 8HE IS LICENSGO OU0.SUM7T TO iHE VNOVISIONS OF iHE CONTMCTORS U� � � t£715E U�M(QIhPTER Y(COMMENqNO WITN SECTION 7000)OF DIVISiON]OF THE BUSINE5511ND FHO� P��PB - FLSSqNS COD�ORTY/AT HE OR SME IS EXEYPT THEREFROAI ANO THE B.�SIS FOR TME ALLEOED E%EAIP- 1qN./1NYYIOLA7qNOF5ECTqN10.t1.6BYANYMPLILlVi7FORAVERM�T5U8JECT5TM[APPLIGArlTTO Z Re-Root' � �CMLVENALiYOFNOTMOREM47�NEHUNOREDDOLLAR5�f5a0).): OtISOMMEROFTHEGROVER7Y,OHA1'/EMPLOVEESWITMWAC[SASiHEIRSOIECOMPENSATION, 0 ('qmr110M1�1 g�,MLL DO THE WORK,AND THE STRUCTUFlE IS NOT IMEN�ED OR OFFEHED WP SALE(SEC.7a�,BU56 J � NESSAND PiqFE5510N5 COOE:THE GONTR�CTORS LICENS[UW DOES NOi�iPIY i0 AN OWNER OF ? PR07EHTY1MN0BUMDSORM�VROVES7HEREON,MID WHOOOESSUCII WORK NIA75ELFORHERSELFON (� TNp0U0NWSOfiHEHONMEMPLOYEES,VROVDED7HAi5UpilA1PROVEAIEHTSM[NOTNTENOEDdi m ' IL OiFFAEDfORSALEIF,HOWEYER�BU�LDWaORMPROVEUENTlS50lDVATHINONEVEMOFCOM0.E. ♦ z �•Tdl,TME OWNER�BU0.DEH YALL HAVE THE BUHDEN OF PROViNG THAT NE OR 6HE DID HOi BUIID OR = MPiqVEFORTHEPUHPQSEOFSAIEl � W OtASDOMIEROFTNLPROPEirtY,/WIXCIUSIVELYCOMAACTWGWR1iL�CENSCDC01iTMCTORS [C TO CONSTRUCT iT1[PRDJEGT(SEC.701t.BIFINLSS/ND VROFESSIONS CODC:THE COtTMCTOH3 U� V81UetI0f1 • `� _ADJ.AREA lL CENSEUN�DOESNOTAPPlViOANOWNEROFAPROPERTYWHOBUItD30RMPROVESi11EPEON,M10 � NRIDCOHTRACTSiORSUCHFRQ1ECi5YATHAGOflTMCTOR�S)LICENSEDPURSUANTTOTMECONTMG pUANTITY O[SCRIPTION FEE � roas ucENSE uw.�. O IIW E%E4PTUIJOEN SEC. B.�V.C.FOR THIS PEASON a 3 � � � DA7E OWNER U � . � UCENSED CONTRAGTORS DECLARATION W � 1MEREBYAFFIHAIUNDERPENILLTYOFF[RIVRYTHATIAAILICENSEOUNDEH7ROVISIONSOFCHAPTER Vr (� ��COMIIENCwUN7THSECTqf170oo10FOMS10N10FTNEBU5INESSANDPROFESSiONSCOOE,AN� Z X W LCENSE LS P!FULL fOPCE AN FFEGT. �^— � LICENSE C SS _�_LIC.N0.J��� � � .f I � � . � �j pATE �� � CONTfUCTOR �J a W � WORKERS'COMP[NSATION DEC ION a N I HEREBYA�flRM UNDER PEN.LLTY Of OENURV ONEOi TNE fOLLOYANO DECIARAT10N5: U N Z d L1 _IHAVEANDWRIW�R�TAINACEfiT�F�CA7EOFCONSEHiTOSELFdN3UREFORYVOPitEFi.^, 2 COu0EN5A7qN,ASPROVIDEDBVSECTONf7oo0F1MElAUONC[OE,FORTMEPEHFORMANCE U Q Of TNE riOR1(FOR W111G�11MI5 7ERMIT IS ISSUEQ � W .�I 11/NE MrD WILL W1MAM WORNERS'C01./7EN4ATION INSURANCE.AS REOUIRE�BY SECTION f � Q J7o0 OF iNE LADON COOE.FOR TNE iERFORMANCE OF TM[WOPK FOR WHIG77 THIS PERMR IS (, ISSUEO.MVN9RKERS'CWAPENSATIONWSUnANC[CANRiERA1:OPOLICYNU OERA f� CONSTRUCTION / � l.l > CMRIEH -t-�. _� ��- � � P�RE��, r,�� � � vakrrn�r.�een _ ELECTRIC o �na;sEcmr��r�mrare[mht�maFncvErMrsFonarErua�nocuucmoc)a ��,�t PLUMDING y I CERTIFY iHAT N T11E PERFORMMICE OF THE WDFK FOR WHICN TIIS DEiU1R IS 55UE0,1 MECHANICAL L'} SIv�tLNOTEMPLOYIWY/ER50NNMlYMANNEH50A5TO8ECMAESU&1[CTTOTHE vj WOFKERS'COAIPENSATIONUN50F��ORNiAANOAGREETNATIFISMOULOBECAME INSPECTIONFEE �..> � S SUBJECTTOTHEwORKERS'COMDENSAT,NV SOFSECTIONJ7o00FTHEU90R � _ coo�,is �u.�Form+winrcouairwi nas sar+s. ISSUANCE �'r�y 0 SMIP p DATE:��_� APPLICANT � WAANINCi:FAWRETOSECUFiEWORKERS P SATIONCOVERAGEISU�UWFUL,ANOSHAILBE ENERGYP/C r� ��•� � SUCi1ECTANE�IPLOVERTOCRIMPULV[NALTI ANOCMLFINF:SUPTOONEMUNDRED7HOUSANO ENERGYPERMIT � � � � � ^T��'\�� DOIWL,(5100.Ooo),N I�DOfTiON TO TH[COST OF COUPEN5�710N,DMUCES A5 7ROVIOED FOR IN JSECTIONlIoeOFTHELA00RCODE.INTEPESLANDATTORN[YSFEES. ��V .� n°J�.�'-r'",.r.`Y�1, �' � RET MION FEE: — pW,. CONSTRUCTION LENDING AGENCY pR �AIT FEE: C��t� `��� L� ' �' � 1 HEREBV AFFIRM UNOER PENALiY OF PENURV 7HAT TNERE IS A CONSTRUCTIdJ LENDIlM ACENCY •='����•��' ' nZ' FORTME VE(IFORMANCE OFTME WORK FON MMIGI T195 FERMIT IS ISSUEO�SEC.�Oi7,GIV.G�. W � IENDER'4 N/JaE � LENOERSADORESS , p�j w ICERTIFVTUTIIUVEREADiNISIPGLICAT10NMlOSTATETUTTHEA80VENFORAlAT10NI5COM[CT. TOTAL FEES /�// J 1L� // � IACiREETOCOMPLYWITHILLLCiTYANDCWNTYORDINANCESANDSTATEUWSHEUTiNUTOBUMINO O ���---yyy ^� / � f! CONSTRUL'TION.ANONENE9YAUT110RRER[PRES[NTATIYESOFTHISCOUNT'/TOENTERUPONiME C �l /1 r / ZABOVE•MENilONE00ipVEflTYFOfiINSPECTIONPURP05[S. J `� / Q COIdMENTS � �r m PEiWI7TEENAME 'RINn ' Q cn (/���' r,_ � SIGNATURE O PER i . � � RECPT.NO. PA'D BY VALIDATION WHITE-0opaRment Gopy,YELLOW—Fhance Copy,PINK—Assessw Capy,GOLDENROD—file Copy,GREEN—Appl�cant's Copy . . .. _ .. .. ' r'.�. , ;�': . . � r� l' .. . ., � ,, � , ... .. „ , . . � ' . , Y. . , , . . . � � � , " ♦ .. , . . � . ' �Y OF DIAMOf�lD BAR � . �, .'.;..' .. �. � .. � I:� . � . . . t,�{_„=ji�;;ti�t � SPECTION RECORD � , , .. - . . . _. .�I��-�1����`,��c�ia� a�:,��� . �1a:�-��� �e - .�.i�►�����►�a�:��ei��� � �*��t't��� �iC►�.������'�.�.:..,,��� � �SETBACK j ' ' " ' ' , , "j ��!' FLOORJOIST • , 1 �I � ' � • ' ,� , ^ !FTGS/FORMSISTEEL " - � - FHA REQMTS � �. . �. � , � '. .. ' " ; �ELECTRIC GROUND __ _ .� UNDER FLOOR DUCT � � : , ' - ; �GROUND PLUMBING UNDER FLOOR�U�lDUIT '' ', �' • �'-; - ' � "T` ; '-• SLABGRADE - - - - ' FIREPLACE'FOUfJQATION ,. •�•.' �' �; n.= ;: �, i '. ,�' � ' ' iTEMP POWER - FIREPLACE 80�D BEAM � • ' �''`''':` '• • '-' ! ' ' IWATER SERVICE � �- MID HT.BOND BEAM c �; �� t.'._ �� t ' �ROOFSHEATHING• - � � . , � ' 8 FL BOND EAM � _.; . � '�'' �• -, c. '. : �. � �. ;FRAMINGNENTILIATION • • FINAL'BOND BEAM � � � � � 'ROOF COVER � ' PRE-GRADING - � � 'ROUGH HEATING' BENCHING - ' R�UGH ELECTRIC '. �' -.' ROUGH GRADING - � � -�—�� ROt1GH PLUMBING ' FINISH GRADING ;SHOWER/TUB TEST--- - • - POOL ELECTRIC � � � .EXT LATH/SIDING - - - -- POOL FENCING ' ' - WALL tNSULATION POOL FINAL ` !CEILING INSULATION - OFF SITE IMPS. ! i • � IDRYWALL NAIIfNG , , •,•'-_--- , ;DEDICATIONS ', , iSEV+lER.... I ._. � `FINAL'ENG. , .. ; :._ ;SEPTIC TANK , LANDSCAPE/IRRIG. �SEEP P1T/L.L. ' " • > >\;�:. ON SITE IMPS. !GAS FJr�TEST FINAL ZONING � tf=1f�F�l_.CONST. .� FIRE DEPT. FINAL � tF1N%t�!-IEATING _. .. HEALTH DEPT. FINAL � - i � � � � - DEV. FEES PAID -' ' ��ird�';:_ELECTRIC . -- - '!i'�!!•L PLUMBING - - ENERGY , � � ,i ._..._ ._ .... _ . , i�.._._ . _ .. __ .��.'41 r.�_f°��}�; ' -.�. . � '' �` .ti , nt.�["��'L..'nL�'.i.� .�.�. .1 � . . ,. .. . .. . . . . (f' , ��1 i 1 �' � 1 . '�COMMENTS � , , �, ; : ; � i __ J � �. , ,. � , ., . � � � � �. ., � � ;, �, . .�. -. � ;- .. '��. ; _ ; . . . ,, , .. . .. , , , . -, � . �- \ , , ,. , . ,';,- . , . , , � :,1' . i �SEPTIC,TANK SfZE � " ' � ! - ' ;SEEP P1T/U SIZE � - - ,.M`�.��'� �� �,' , � � , � . ' - ` . . ; �:1i' ' � � � � § - . i f � , . - �.. , _.. _ . `1��,r�, ;I�' r I . , � � , ' � i . .� �.__ � ' , i ; � . � . . f r ' j\\ `\'`\ . � ,;. '111`'' . `'_ � - . _�.� �..�..� . -