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CITY OF DIAMOND BAR ' ' -- " -- DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � �„� 21660 E.Copley Drive Suite 190 � , � (909)86Q3195 Fax(909)861-3117 PRESS ��'M'� BUILDIIVG PERMIT APPLICATI�N � FIRMLY p D RESS �d s�ti � /� � � IBOD � OATE CATION Q ^ J��g NUMBER f L I-�`V �lC . D t � APN LOT TRA T ATE �"" I�9C� ONST. GAOUP p OWNER ' LJ ' "" ADDRE S di - ZONING SETBACKS � � CITY ZIP TEL R�R RW � o APP ANT TEL SIDE/SIDE STREET RW ❑ � CONTRACTOR � L' SIDE � ❑ AODRE � CfTY i ZIP��f��TEL - � PROPOSED USE o ARCH/ENG/ • - ' t �z,, DESIGNER NO.DWEL NO. NO.. � CDDRESS Z'P �L UNITS STORIES BEDROOMS � �n DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION O OWNER-BUILDER DECUIRATION SFRlADD/REM - ". .� 11ffRE8Y AFFlRM UHDER VENALTY OF GERIUR`/THAT I M1 E%EMPT FROM TME COHfRACTORS L4 G9f8QB/C81pOR GENSEUWFORTMEFOl10WN[iREASON(SEG70.71.6BUSNlESSANDVPOFESSIONSCODE:ANYCITYOR (n LVIMf�MTM71REOlNiESAPEHMRTOCONSTRUCT,ALTER���E.DEYOLISH.ORREPAIRANYSTRUC. W P8Ii0/DBCk-"- ' NRE,PRIOR TO RS 68UANCE AL50 REOUWES iHE APPLN'J!R FOR SUd/PERIMT TO FILE A 61ONED W � STATEMEHi 7NAT HE OR 8HE 6 LICEN6E�PUitSW Wi TO TNE GIiOVtStONS OF THE CANTRACfOaS U• CENSE UW(CHAVTER Y(COMMENdlq WITH SECTqN 70a0)OF DMSqN 7 OF THE BUSIHESS AND PRO- � PooVSpa . . . FE68OHSCODE)OR7HATHEORSMEISEXEMPTTMEREFFIOMANDiHEBASISFORiHEALLEGEDEXEAIP• .. (� TDN.MIYVIOIATqNOF5ECT10N7o]1ABYANYAPPLICAHTFORI1iEAMRSVBJECT9TIEMPLILANiN Z Re•Raol � � ACMLPEW1LiYOFNOTMONETTUWiIYEM1NDRED00lUR5�t5o0�.1: - . _ o O�ASOYVNEROFTHEVROPERT'/.ORMYEMVIOYEESWITHWAGE5A5THE1fI50LECAMPENSATpN, � �mmerelel - � Wl1 DO TNE VYOIY(,ANO TME STiM1CiUilE IS NOT INTEHDED Oq OFFERED FOR SALE(SEG 70N.BUSL J y 11E98AID GROFESSIONS WOE:TNE ODHTRACTORS LICENSE LAW DOES NOTAP0.Y 70 AN OWNEH OF . ? VNOOEMY YNIO BUILDS OR YVROVES TNEREdL ANO Mllq DOCS SUCH YVORKHIMSELF Oq HERSELF OR (L TWIIX1011MSORNFROMNB�IPLOYEES,PROYIDEDTILRSUpIWPROVEYEMSMENOTMENDEDOR m l�l p�EREDFORSKE1F,110WEVERTMEBUI.dNOORMPi10VEMEMI550IDNRf10iONEYEAROFppAPLE• � TqM,7T1E OWNERdIMDER YJILL W WE ME BURDEN OF FHOYPW T/NT ME OR SME D�O NOT BUIID OR . YP110VE FOR Tf PURPOSE OF S�LF} w O�ASOMMEROFIHEVROPERTY,AMEIfCLUSNELYCONiMCENOWITMIICENSEDCOMMCTOiIS (r TO CONSTRUCT THE VH�IECT(SEG 1Wr.BUSINESS AtA VROFESSIONS CODE:TNE CONTiiACTORs U. VBIU9tion ADJ.AREA LLI CENSEUWDOESNOTAPPLYTOIWOYMEAOFAVROVERT'WNOBUILDSORIMPi00VE9THEREOH.AND Z WHOOONTNACT9FOHSUCHPROlECf5WR11ACOHTMCfOR(5)LICENSEDPURSUIWrTOTHECONiMG QU/VMITY DESCRIPTION .FEE ,� � tara uc�uw.�. O I AM OIEMPT UNDER SEG &l V.C.fOR T1115 REASIXJ U L S -4! (/ 3 � � ��. x g- u" OATE OWNER � LICENSEO COM'RACTORS D[CLARATION W . , • � 111EREBYAFFlPoJUNDERVENALTYOFiERR1RY711ATIlWIICENSEDUN�ERPROV15lON50FCHAPTER � , � �1C01YENCYq YATM SECTION 700010F OMSqN 7 OF THE BUSINC55I�tA PROFESSIONS COOE Ml� Z L1J 1.f1'UCFNSE IS N FULL FORCE AND EFFECT. m � IICENSE SS IIC.NO.' �� j � �j DATE CONTRACTOR � a w � WORKERS'COMPENSATION DECLARATION Q � IHEREBYAFFlAAIUHDERPEHALTYOFFEM1itY0NEOFTHEFOLLOVANODECIARATqNS. � � Z ' ' - � _IHAVEAHDMIILLNANTAINACENf1FIGTEOFCONSENTTOSELFdNSUREFORWONKERS' _ Q� CUAIOENSA7qN,ASGROVIDEDBVSEC7fON7fooOFTNEUUdiCOOE,FORTHEPER�ORAUWCE U OFTIE WOFiK FOi1NM1llp1 TH19 CERMIT t4155UED. � Q �I HAYE AND N7LL 4AINTAP!YVONKERS COMPENSATpN INSURANCE.AS REOUFED BY SECTION �7o00FTHELABORCODEFORiNEGERFORIAINCEOFTH[WOiU(FORNMIOIiHISVERMRIS � ISSUED.WWORKERS V�lEys,�T�ONINS CECARR ANOPOLICYlNueERARE: CONSTAUCTION � uwweq /� v�� PLAN REVIEW � iOUCYNJMBER "' ELECTRIC _ � U p (nuS[C�criNEmwiBEOOF�PLEiEDOcnEOEp.ffsa7aon[H+atYDDOU/AsR+oolariLE'ss? PLUMBING Z IGER7IFYTUTNTM[PERFWUUNCEOFiHEMIORNFORWMIpITM15PEM1IT1555UE0.1 MECHANICAL - . (� SMALLNOTEMPLOYANYPEf�50NN11NYYANNER50A5T00ECDYESU&1CCTTOTME (p NDRKERSCOMFENSATIONUWSOFCALIFORNItiIWDAGREETMATIFISHOUIDBECOME WSPECTIONFEE SUBJECTTOTMEN'ORKE0.5'OdaPENSATqNVRONS10N50FSE ]7000FT UBOH O� s E.i Nw,c n�ca.�v�rwm�injbt/s6 qru. ISSUANCE ���� O � � %�"�i �� SMIP p OATE: APPIIGIM:� . � ENERGY P/C WARNINQ iA1LURE TO SECl1RE WOi1KER5'COAIPENSATION fAVERAGE IS L1MAvlFlA,dND SMALL BE � SU&1ECfAN EA1PlOVEq TO CiUMINAt CEwLLT7E5 AND CML FNES UP TOONE NLNDRED T11W4AN0 ENERGY PERMIT DOLIAAS(f t o0.000).N FDOITION TO THE COST OF COIAPENSATqN,DA/MGES AS PROVIDED FOFi IN � SECTION]7oe OFTME LABOR OOOE,NTERE57 AND A7TORNEY3 FEE4. RE7ENTION FEE: oCONSTRUCTION LENDING AGENCY PRE-ALT FEE: � IHEREBYAFFIPoAU/DERVENALTfOFPEFWMTNATTMEREISACONSTRI)CTIONLENOWaAOENCY � � FOR T1E GERFORMANCE OF THE WORK FOR WHICH TMI9 CE1iMIT IS ISSUED�SEC.Joi7,CIY.C.). � . � � LETDER'SNAME . � LENDER'SADDNESS � TOTAL FEES � ICERTtFT7YNTIHAVEREADTMISADVUC�TpNM1DSTATETw�TTHEA80VEWFOfUTATpNISCORRECT. � • W I�OREETOCOMPLYWfT11ALLCRYANDCOUN7YORDIWNCESANOST�7EUN5REU7NOTO8ULDINO CONS7RUCTqN,AN�HEREBY AlT10RQE PEORESEMATIVES OF THS COUNTY TO EHTER UPON 7HE ABOVE�4ENTIClIED YRDPERTY FOR PlSPECT�RPOSES � � COMMENTS��, � n 1 a� � L o � i�_Oo � _ m PFRMRT E NAUE(PN r.�.������� Q - - - � - y � N EO PE TTEE OATE � . RECPT.NO. PND VALIDATION WHITE-0epertment Copy.YELLOW—Fnance Copy,PINK—Aeesssot Copy,GOLDENROD--File Copy,GREEN—ApplicenYe Copy � � � - CITY OF DIAMOND BAR , ., ::.� : : � , � -,, :... � .`�:=-1NSPECTION'RECORD�, ' � ' . � ' :. � r".. _..:�'. � ;; � • � - • � � • - � � � , . � . SET BACK ., �� �� � �` �: �,�,\_,��� ��� _ FLOOR JQI�T�\� ' . � , C . . :�..'�•.� � - ,. ; -- FTGS/FORMSlS ~ TEEL '_ � � n�, .�� � . FHA REC2MTS � �' --- _ . - . � ELECTRIG GROUND. '� � �� -' " - -"'-���'' - � - UNDER FLOOFI DU�T,;,L.. ' - , � _,: , " C�- "' �� � �•• GR�UND PLUMBING ` ' � �UNDER FLOOR CO�IDUIT�`.'• .�. •� :�, :. '�'_�'i� ' :� ��. ' -' _ .--- �- -- .. .., ' -��"- - -- FIREPLACE FOUNDATION � SLAB GRADE-..--- - . _ :`� _ ': ' :'•�:::�.,� r„�. � � ' FIREPLACE BOND BEAM � TEMP POWER- - -- ���' ' -- - ` � _ . � . _ _.. WATER SERVICE'�- --�--- - - -_ , -- --- - -- =MID HT.BOND'BEi4M .' = ' � �-�_�• ,�, �"�� �. � •— c , ROOF SHE�ITHINC`af� . � r,;- - :'`� 1 �r . ' 8 FL BOND.•�EAM�:� :'- - :. �., � •i a` --�� - _ ��",, � FRAMfNG/V�NTIL�ATJON r ��� " FINAL BOND BEAM � � � � ' ' .__. . ;�. PRE-GRADING � - - . _ - . ROOFCOVER_' . ' -ROUGH HEATING - .. ... _ .. _ BENCHING� � •� - _ .__ . , .� � ROUGH ELECTRIC --' - ` --��� � - � �ROUGH GRADING ; . ` ' ROUGH PLUMBIfVG ; � -�- � -�� : 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. . � ., . - - .. . . .SEPTIC TANK _ .. .. -_- - ---.- - '-. --.- LAN�SCAPE/IRRIG. . ' • ' SEEP PIT/L.L.-- -- - - --- "- -- - � ON SITE IMPS. . . i ' �GASAIRTE,ST. -- - �-- - -- � FINALZONING • ' FINAL CONS'i.' ,—, ; ���-,;, �_ 'L' ` � ' ' �; FIRE DEPT.FINAL' - -- " • . _.. .... FINAL-HEATING �� ` ' � - - � ' � HEALTH DEPT.FINAL ' FINAC ELECTRIC - --- d' DEV. FEES PAID • - - � - ; FINAL PLUMBING ' ENERGY \.C_" �• . . . ' . g � ' '\ � \ _ ; . � . .. . .. ....... . . . .."' . � \ . �. .."""" "_'_'_" _ ' ' '_ ' -. ..._ .. .r � ....... . . ' '..__ ' ' .' '_ _ ' ' ' '_ _ ` '_' 1 COMMENTS - - - � . ' , --- . . .. .- . ..... -- - - - �. , , . ,- - - - - - - -_ . � ,- . . , � - � - - --- - . . • � • �, . . . . . �,, - - .. . - - - � . . ; , . . ; � _ _ � � �����,' � __`.. ^' � . ... _ . .. i . .��''�� `r!,r-,� .. h, �(�(` 1�� �� �`,�� �� ' � . � � � . . . ' . , � . ____"" "_'_ ' __ " ' _ " ' ' ' . � • .. . . . ,� '- , . , . ' � ; ---.. �, �_ , , - ' � \ ., � \� . :�• r_ , � . _ . � . • . _. .,. . . __. ... •- ' • ' � , , .. SEPTIC TANK SIZE � ` � - - - , � , SEEP.PIT/U SIZE -� _ . • � . . , . , , ; � - . , � _ - - - ---- . . � , , - - - - -. . . . _ .. � . - �- --.. . --- �- �; ai �: ti-! ;i i i . . . . _ . .� . � r-. i I ,� \ , r. t �+� r"' 1 �'' - - - ''— � I _. _... � . �" — 1 . — � �v\ w.�r�.� — � ;,l �� ••� `` . �r�, i �� ��. � �\ . __ � �' . � .1� _. ;1.*! �f J ,�. r1�Y �� ; . ...,. i , . �. ``' � �' ..�,- .. 1 �'