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. i _---� . _ _.--- -- . ..._.---- - � -- � �� CITY OF DIAMOND BAR ' �� DEPARTMENT OF COMMiTNITY&DEVELOPMENT SERVICES 21660 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861-3117 PRE$$ ''�A� BUILDING PERMIT APPLICATION FIRMLY o� JOBSfTE � ��� APPLICATION `�.,C j�a PERMIT �j�-j -P/C ADDRESS-2 � � G ^� DATE NUMBE�� ✓ J li � ISSUE TYPE OCC � APN LOT TRACT DATE CONST. GROUP p OWNER � " ADDRESS G� ZONING SETBACKS � CITY IP ` TEL 2 � ' � ' FRONT RW ❑ APPLICANT TEL A�R ❑ � SIDEJSIDE STREET HW ❑ CONTRACTOFi SIDE ❑ � ADDRESS PROPOSED USE kl � f'� S"}c S]�� CffY ZIP TEI. � � ARCHlENG/ . , , DESIGNER NO.DWEL. NO. NO. ADDRESS UNRS uT�RIES BEDROOMS � CITY ZIP TEL � v� DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION p� , OWNER-BUILDER DECLAMTION SFFUADD/REM O p �1 NEREBY AFF1qAI lXlfER PENALTY OF VERIURY THAT 1 M�ExEYPT iROU THE CONTMCTORS L4 Garoge/Carport CiJ CENSEUwfORh1EFOLlOVANOqEASON(SEF70.71.6BUSWESSANOiROFE5410N5CODE:ANYCITYOR _ (n G7 CWNf'lNMICHREOUIRESAV£RMRTOWNSTRUCf,1LLTERIM7HOVE.00MOIASFLORHEPAIRANYSTAUG- W PdtiWDBLk Z IUNE FRIOH TO ITS 159UANCE.ALSO RE W tRES TH[APPLIClVJT FOR SUCiI PER111T TO FILE A SICNED ��� STATFMENT iTf�T NE ON&1E IS LIGENSED PUilSUANT TO THE PROV�SIONS OF TNE COhTMCTORS LI• W � fFNSEU�N(dU17TERY(Cd.IMENdN�WIiHSECTION)ODO)OFDIMSION]OFTHEBUSMESSANOVRb � PooVSpa fE551DN5 COO�ORTHAT ME OA SME IS E%EMPT TMEREFROM ANO TIE BA515 FOR TME N.IEGED EXEMP• 710N.ANYYqUTIONOFSECf10N70J1.6BYAryYAPPLICMliFORADERMITSU&lECTSiHEAPPUGwTTO Z Fl0-ROO( � A CML 7f WLLTY OF NOT MOiiE TUN FNE NUNDRFD�OlURS(f soo).1: O Olti40NMEROFiHEPROPEFi1;OR4YEMPLOYEESWITHWM+ESASTNEIR50LECOMVCNSATqN, � COT111BfCi31 - Z YI1LL DO TNE WOfiK,AIA THE 6TRUCfURE l5 NOT IMENDED OR OFiER[D FOR SALE(SEC.iON.B1154 J � NE54 ANO PROFESSIONS COOE:TNE CON7RACTORS LICFNSE Uw DOES NOT APPLY t0 1W OwNEq OF ? YROVEH7`/Yl/q BUlD3OR MPROVES TXEREON,AND N'NOOOES SUpi WOfiN HIMSEIF OR MERSELF pq � 7}IROUGHHISOfiMEROWNFVVLOYEES,VROVDEDiHATSIX]/MPROVEYENTSARENOTRliENDEDOq m OFFEAED iOHSKE IF,/qN2YER 7NE BIAlDINO pRIMPROVEMEM IS SOID WfR1MONLYEAFi OFCOIARE � 110N.7HE OWNER�URDEH MnLL HAVE TME 9UROEN OF VpOVINO iHAT HE OR SHE UID NOT BURD OR MPiqVEFORTHE VURVOSEOF 4�LEL O 11�4 CWNER OF tNE PROPElrtY.AA1 E%CLUSIVELY CONTMCTwO YVT7 UCENSEO CONTMCTORS [C TO CONSTRUCT T}1E FRd1Ett(SEG fOH.BUSINESS AND PROFESSIOHS CODE 7HE CONTMCTORS ll- V31UaIi0f1 -� ADJ.AREA W CEHBEIAWDOESNOTMPLYTO/WOVMEROFAPROPERiVNR10BU�D50RWPROVC$THEREOft.u10 � W1qCOHTMCT9FOR5UGIVRO.IECTSWRMACONTRACTOR�S)UCENSEDPURS:UVRTOTHECONTMG OUANTITY DESCRIPTIOV FEE � � TOfYSUCENSEUW.} . � , O I AM E%EYPT UN�EH SCC 8.�P.G FON 7HI5 REASON 4 � ' U � —�—s-- F t DATE OwNER U � . LICENSED CONTRACTOFS OECLARATION � .. 4 W - pC IHEREBY/FFRWUNDERVEWILTYOFPERNRYTW�TIIU.IUCENSEOUNOERPPOVISiON50fCXAPTER V, s �(OOMYENCNO WfT1/5ECT10N 7000�OF ONISqN]OF THE BUSINESS AN�GROFf55qN5 COOE,MA z LL�� MY LICENSE IS N FlAi FOfiCEAND E�FECL m � LICENSE CLA55 LIC.NO. j �j DATE CONTMCTOR d W � , WORKERS'COMPENSATIONDECU1fihTION ¢ � IHEREBVAFFlFUUNDERPENAL7YOF0EFUIRYONEOCTHEFOLIAW�NODECLAMTiONS: z � �IWNEIN01MLL1.wN7ANACfFiTIFIGTEOFCONSEN'TOSELF.INSUREFOi1VARKEHS' T - COMPENSATqN,�4Vf10VIDEABYSEG710N71ooOFTMELABORCOOE,fORTNEF[RFORMIVlCE W OF 1ME WOP1C FOR NM1CH iN15 VERMT iSISSUED. � 0 �I HAVE ANO lNLL W�AW WORI(ERS CCAIPENSATqN INSURANCf.AS REOU�RED BV SECTqN � Q ]7ooOFiHGWlORCOOE.FOftTNEPERWRMMICEOFTHEWOP.KfORM'M�p1iHI5PERMITIS /' . iSSUfD.WM+ON(EFSCC47ENSATqNINSUNANCECA�RIENA.Y�POIICYNU4BERME: CONSTRUCTION • �f � � � GiWER PLANREVIEW �— —�— � � rot�crt�u�"BER ELECTRIC L� � (IFcsEchONr�rqiBCap.�IETEDaFnEVEabfiC'iPoaoN[H1D(lEODot1Ms(S�oo�antEss� PLUMBIhG Z ' ICERTIFYi/1ATNhIEPERFORMANCEOFTHEWORNFONNM�CHIHISPEPJd1TISI55UED,1 MECHANICAL (> SW1lLNOTEMPLOYANYVER50NNNJYMANNER50A5TOBCCOMESUEUECTTOTHE � WORKERS'CCMVENSATIONUMlSOF�FOPNI�INOAGREETNATIFISNOIriOBECOAAE INSPECTIONFEE S SUBJECT TO THE WGiKERS'COMPENSATqN PROVi510N40F SECiION 770o OF iNE IABOR _ _ � COOE,I SNAtl fOR7H1NTH GOMPIY VAT/7MOSE PROVISIONS. ISSUANCE • � SMIP p DI1TE: APPLICANT: � ENEHGY P/C WARNiN(�FA�LUitE TO SECURE 1NORKENS'MYDENSATION COVERAGE IS UISAWFUL,IWD SHALL BE � � BUBJECTANEMP�OYERTOCi11MIWLLFEN/LLTIESNJDCNLLFWESUPTOONEHJNDREOTFqUSMA ENERGYP�RMIT DOLLARS If�oo.000),IN 11COR10N TO 7ME CAST OF COMPENSATqN,OAM�GES AS PHOVnED iOfl IN '�� SECTIONf70tOiTNELABORCODE,11fTENEST,AND11TiOHNEY'SFEES. � RETENTIONFEE: � nW. • CONSTRUCTION LENDING AGENCY pRE-ALT FEE: O � IHEREBYAiFlR1JLNOEROENAL7YOf7E0.R1iiVTHA7TMfRElS►CONSTRUCTIONIENDWGAGENCV Z Fdi TNE OERFORMANCE OF TME WORK FOR YVMIGITMIS VEFWIT IS ISSUED(SEC.�oD7,CN.C.). W � IEN�ER'SNAME � S� lENOER'SADDRE55 LL ICEft'fIFVTMATIHAVERGWTH15APPLICATqNM1DS7ATETHAT7ME11BOVEN�OfWATqNISCORRECT. TOTAL FEES � w IA4REETOLOMPLYWIMALLCT'AN�GOVNTYOROWANCESANDSTATEUWSREUTPlaTOBVI�pINfi ���'�� � [DNSTRUCfIDN.MIDHEREBVAl/fNORIZEREiRE5EMA71VE50FTHISCOUNTYTOEN7ENUPONiHE �}- ��n 1{. \j{ S� ABOVE-MENiqNEDPRDPEHTYFO11IN5VECTqNVUAPOSES COMMENT$ �`^�V'v ,�I���� �I��jG� � � � �(u*1 k�r v�-� - ,, � m PERMIiTEEry�}�(VRi�� " i � N f77%f✓�/��(.�,�-- �/�f a-rv/ �i! 0 Y t - in. y SIGNATU�E FVE iTfEE DA7E � RECP7 NO. AID BY VALIOATION WHITE-0ePenment Copy.YELLOW—Finance Copy,PINK—Assessa Capy,GQLOENq9 ile Copy,GREEN—Applicant's Copy �� / G� . . . � . . . � .�. .r. ... ... . � . . a.... . ._ _ . � . . r . ... .� ... . � � " ��� . , 11 . . " '. _ .. t � . � • � � CITY OF DIAf�OND,BAR . . , . ._ ,,. ,. , � � � ,: '�=:'':. -' :-::INSPECTION�RECORD � .�• � .�.� . . . ..._. � � ._ . - .l����r,��!�°����„_;.�...�.°�+���� �ra�.��� �o�=��•'I����;.1'"m� ql��*,��� .li , ,(��y;�.�-�._.—..____ r.:.�... ;i�l'p�. � _���!'. 11. r��e.�.��iti JSET BACK . , ! ` : , , . . •, , -., ' '� _.., FLOOR JOIST; � . .�,-�_..,. . -,I_..._ iFTGS;FORr�1SISTEEL .' • :' - FHAR�,Qti1TS -; ' , ` . � • �.- ' ---.. .. .. �- - � - . ., ------ ;ELECTRIC GROUND. _ ___ '"" _... UNDER FLOOR DUCT- -- �� � : -.. . _ � : ' =, .,. - _ . iGROUND PLUh461NG UNDER FLO�R COidDUIT : " "" ' � ... lSLAB GRADE-� -- -- t ; _... _ .... _. . .,. .. . FIREP:�ICE�F.OL�NDATION�. �. �',.• . ..�:.., : , - ;� . ""_---==;-� ���;- . _...:._— iTEMP POWER- ---. - , ; - - - - --- - - r. . . := : ' FIREPLACE BONO 8EAh4 - _ ' � : ' . ; :.' �WATER SERVICE -�- -- -- - - -- - MID HT. BOND BEAP�A � ; , . r _ .. � •,� ..� �.. �I- �ROOF SHEATHINCa �-i; r- t 1 ;'�; ) ' r';�� 8 FT.BOND BEAD.�..._. .. . --- - � _- . . ' . ' � . 'FRA�.IINGII/ENTILIATION � •`=1� •.- - - FINAL BOND BEAM � - - � --- - , ., � i'. �_ I ROOF COVER � : �.' PRE-GRADING - � i •`, IROUGH HEATING -. . __ .. __.._._ � .. BENCHING . � ' � : � . ;ROUGH ELECTRIC _' `;� ", ..:. '--.- :. : , . ROUGH GRADING . - - _. . . .. . .. .... .. _ ._. _._.. , , , �ROUGN PLUh1BiNG • -- ---- . - - .' FINISH GRADING ; •_. ISH�WER.rfUBTEST-- _ - _ _. - � ' POOL ELECTRIC . � ; �EXT-LATH.�SIDING--- - - - -POOL FENCING IV'JALL-iNSULf�TfON - ' - --- ----- POOL FINAL _.. ..... . .. ..... . � , , jCEILi��G i�•1SULATION -- - .--- -- - _.. - - OFF SITE IMPS. � � --� iDRYYVAI:LNAILING -' " "" - � DEDICATIONS '• � • iSEUJER- - - _ FINAL ENG. • � . :SEPTlCTANK ' LAPJDSCAPE/IRRIG. � ; ISEEP PfT/LL__._. � '-' , •, , �. \_1 ON SITE IMPS. . , IGAS AIR TEST I � � FINAL ZONING �FINf�L CONST..!. . ._... ��--. _ _ FIRE DEPT.FINAL , . � , , lF1Ir't.L HEATING _. .._. _ _ HEALTH DEP•T. FtNf�L.,• �� -- i • --- - t ' , , .. . �I�Jt - �1,��, — - . . . , J.- .,L CLECTRIC --- - . DEV.FEES PAID � ' ' • � ------- ' ' II-:I�r , ; ,:,.,�PLUMBING -- - _.. .._ .. --.� . . .. _. EtJERGY . ; - — ,._..._. _ .... ..----.. . . _. _... - - .. _ ;i _. . �•-- �---- --- --. ... -- - ; , G�:.'G .'t�C''�C1C��; - -- "T' � -� -,-_ ':-� �______� _ ...---- -�--.._ .._. ...----- — � __.._ _ - .. ,� — . • -� � ; c..� �COtviMENTS - __ - _ .. . ._.. -----. ....._ ._. .. . � . , _.. _ . � ; � j .\ . ;, , . . .— ; � �`�. . _ — � - 1� � ' . i . , � . ._ . � : , --- ; ' , � � ._.. - - . -._ _..�.--��,.�-,,,..1 � , . I-- � . , , ,;. ., . ; .. _ � . . �,._ . . . . `. �� ; . i _. . . .. . .. '�.. ' 1 , _ � — ISEPTIC TANK SIZE '._`1! ' . � ; • 1-: -- _• -... ; ISEEP�PIT/U SIZE � � � '-- . ... ..... -- . --- i . . =.�t� : � .. — . . . . � ; � -- . . . _.. .... .... _. ; . _ . . . i — � : . . ; . . _. _ � i � :. i _. - — �f � I � ':�',�' . . :�i,i � , ' ""� � .. � . . " _'' ' _' . .- _-. . _ . . ..__ ; ... ; : -�� _. . , _ :,. � ,_, . , ; ; - ; ;-� i : _ . ..;. , .. , . -, � ; .. ` - . _ „,,_ � ��� . , _�. ,. _ '�� _ ,. . 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