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CITY OF DIAMOND BAR� � �- `• ' � (�` �� � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � 21660 E.Copley Drive Suite 190 ' � '� Y (909)860-3195 Fax(909)861-3117 PRESS . ����^ BUQ.DING PERMTT APPLICATION _ %�9�� � FIRMLY � JOBSITE // /� APPLICA I N � PERMIT� �_ o ADDRESS'� ���� �'��C OGC� b�T' ..DATE�� NUMBE N � APN LOT TRACT pp EE �- L_I-Q`�1 TMPE OCC CONST. GROUP .� OWNER oG� -��c.�o.rrn-C7_' ' ADDRESS�-��O i -f.-�7 G� r ZONING SETBACKS 'P'' CITY �r� P /TG• TE�,90�5'4�/-4 f FRONT RW ❑ � APPUCA�ff _t- �b P/u M I TELS�Z- ZS-V�/S'� REAR ❑ SIDFJSIDE STREET RW ❑ � CONTRACTOR �f1 n F'lu r►� SIDE ❑ ADDRESS /L'Z3�Y�-+�-et.✓etin-r /.� v � C�7y�tlr�iurv ZIP dG+ TELs�'!- 2 S'-�/y� PROPOSED USE � o ARCH/ENG/ • , � DESIGNER NO.DWEL �JO. NO. . . = CnDRESS Z�P TEL UNITS STORIES BEDROOMS N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDERDECLARATION _ , . — - SFWADD/REM O Q 1 HEREBY�FFiRM UNDER PEN.LLTY OF PERAlRY THA7 1 NA E%EUPT FFlOM 7HE CONTMCTORS LI- G3t0QB/CBfpOf1 � W CENSEUWFORTHEFOLLO'MNOREASON(SEC.70J1.68USMESSIWDPFOFESSIONSCOOE:ANYd7YOR (f� G�„� COUNiYWMIGIRE0U1RE5APENAiTTOCONSTRUCT,ALiERIMPNOVE,DEMOL15M.ORREPAIRANYSTRUC- • W PdIiO/DBCk � 6 NNE V WO(i TO RS R9UMlCE,A150 REOUIRES THE APPLMJWT FOR SUCM PENMIT TO FILE A SIGNED W � STATEYEM THAi NE OR SHE IS LICENSED PURSUAN7 TO TME OROYI510N5 OF T11E COHTMCTORS Ll• . � CENSE UW(QU7TER i(COMMENpIW N77H SECfION 70o010F DIVISqN 70F THE BUSiNE551WD PRO- � PooVSpa � � � fESSqNSCODEI��TMEOR5HEI5EXEA1PTiMEREFAOMANOTME8A515FOHiHEI11E�EDEXEMP• (� 710N.AHVVqLAT10NOFSECT10N70:11.68Y/JIVAPFLIGINTFORAVERYITSUBIECTSTHEAPPIIGNTTO Z Re•Roof � A CiNL PENALTI OF NOT MOFiE T1AN FNE HUNDRED DOtUAS If sool.): ' ' . . OlASOWNEROFTHEPROPERTY,OHMYEMPLOYEESWI7HWACESASTHE1RSOtECOMPENSA710N; O (`,pmmBfdli WILL DO THE WOP1(IND THE STRt1GTURE IS NOT IMENDED ON OFiEREO FOR SALE ISEG)W�.BU56 J NE53 AND PHOFESSqNS OOOE:7ME CONTMGTORS LIGENSE UW OOES NOi AVPLY TO AN OWNER OF N Piq7EHf7W/1O8UM50RA.1PROVESMEREON.MIOWMODOE5511L11W0/iKMIA15ELFORHERSELFOR � � Q 711HOUONHSOflXEHONMFII�LOYFES,VROVIDEDilU1T5UQ114PROVEMENiSMENDTMTENOEDOR m 0 ,OFFEREDFORSALEFFqWEVERT1E8UlDP7OORMPi10VE1AEHTISSOIDWITMNQVEYFAROFCOMPLE- Z TION.TME OwNEH�8UIL0ER WILL HAVE TME&IRDEN OF VROVWO iTUT HE OR SHE DiD N0T BUIID OR = MIPROVEfORTNEVURVOSEOFSILLEI' W OI,ASOWNFROFTNEPROPERiV./WEXCLUSNELVCOMMCTINOWff11UCENSfDGOflfiiACiOfiS � TO tONSTRUC'TTH[PRQIECT(SEG 70�1,BUSINESS AND PROFESS�ONS CODE:TME CONTMCTORS lt- VelUeliOn A0.1.AREA CENSE lAW DOES NOT MPLY TO AN d1M1ER OFA PROPEi1N YAq BUIlDS OR IMPFqVES iHEREON,AND � YVHOCOH7RACISFO(iSUCMPROJECTSNnTH11CONfRACTOR�9�UCENSEDPUR5UA17TT07NECONiMb OUANTITY DESCRIPTION � - FEE�.� ' � TORS LIGENSE UW} , J 0 O IAA1 EXEUPT UNDEH SEG� B.i P.C.FON THIS REASON Q � � U , � . .. _ _ . .. . . . lL ¢ DA7E OWNER V . • W F¢ LICENSED CONTRACTORS DECLARATION W ¢ INEREBYAFFIRNUNDERPEWLLTYOFPERNNYT/UTIAMLICEHSE�UNDEHPPOVI510NSOFCHAPTER � �� �, / , � �(COMMENCN(iNrtTFISECii0N7000)OFDMSqN70FTHEBUSINES5AN0oROFES5iON5CODE.ANO Z ��' •f' �j� W IICENSE IS N FUpLL FORCE/WD EFFECT. � LICENSE 55 v � � LIC.NO.� �/�O ' _ j . V DA7E 'L J � CONTRACTDR L�U I d W � WORKERS'COMPENSATION DECLARATION Q , � IMEREBY�FFlRAIUNOERGENN.TYOFOE0.NRYONGOFTIEFOLLOWWCOEC1AM7qN5. ' V ' " [n Q G �IHAVE/WOY/iLIIMINTANAG£HTiFIGTEOFCONSEMTOSEIF-INSUREFOIIWORKERS' _ � COYPENSATION,ASVROVIDEDBYSECTIONl7000F7HEUflORCODEFORTMEPEHWRAUNCE w OF h1E MlORK FOR WHN717}/IS PERMIT 6155UED. � 0 �1 HAVE AND WILL W PRNN WORKEilS'OdAPENSATqN MSUMNCE,AS REOURED BV SLCTION O � 770o OFiME UBOR OOOE,fOR TME PERFORMANGE OF THE WONK FOR WM1p1 T115 PERMIT IS AN R ISSUED.IAY RS MPENSAT�I�NSURANCECARWEH/NDPOLICYNU BERME: CONSTRUCTION � �1` l.C7M �7LS . � � PLANREVIEW r_S] � � GRRIER ��. (� � iOIICYMIIAB[H v 7 �S ELECTRIC �.�1 + —T Y . � �nusEena�rfmwreeoawtiE�ovner¢wHrsxaor+e�+uorcooaUxsRim�a+�ssl PLUMBING �y 1 Z 1 LERTIFVTUT Ml iHE PERFORAIANCE OF THE WORK FOR WHICH iH15 PENIAR 6155UE0,1 MECMANICAL - (7 SHALLNOTEYFLOYANYGE0.50NINANYYANNERSOASTOBECOMESUBJCCTTOTHE N WOR1(ERS'COA�PENSATIONU�MSOFGLL�FORI:I.�AND�GREETNATIFISHOUlDBECOAIE EG�� EE !' ./1. SUBJECTTOhIEN+ORKER5COu7EN5�T10NOROVISbN50FSECiq 7oDO�1MEUBOR � � -rj cao,�sw�uvoGRnm�n�cornr�rwiTTTlltlll...�II�����o SEPROVISIONS J�� ISSUANCE � � 0 oA�:.��I /C APPLICANL� 1� � W ENERGY P/C WAANINQFAiURETOSEIXIREYIORKERS'COMPENSATqNCOVERAGEISU JN/FULANOSNALLBE � SU&IECTANEAIVLOYERTOCRnA�N�LPENALTIESANDCMLFINESUPTOONEHUNDRCOTIW5AN0 ENERGYPERMIT DOLL11R3 p100,00C),W 11DOfT10N TO THE COSTOF COMPENSATqN,DAMACES AS PROVIDED�OR IN J SECilON770lOFTHEUBOHODDGNTFREST,ANDATTORNEYSFEES. RETENTIONFEE: � � a CONSTRUCTION LENDING AGENCY PRE•ALT FEE: O � IMEREBYAFFlfiMUNOERPENALTVOFPERNR'(1HATiHERE15ACON5TRUCTIONLENDWOACENCV � FOR TM[FERFORMANCE OF T1[WONC FOR WHICH TMIS FERMIi IS ISSUED(SEC.�097,CN.C.). � � -� IEHDEN'SNM�E - • � � � IENDER'SADDRE55 . w ICERTIFYTHATIHAVEREADiHISMPIICATIONAHD5IATETFIATTIEABOVEINFORMATqNISCORRECT. TOTAL FEES � a, IAGREETOCOMXYYATHALLCf1YANDCOIMTVORDIN/NCE5AND5T�TEUNSREUTNOTOBULDINO � CONSTRULTION,MIDMEREBYMlfF10RQEREFqESEMATIVESOFTItlSCOUNTYTOEHTERUPON7YIE . . � /�BOYE�MEHTIONEU PROPERTY FOR MSPERION RIRPOSES. COMMENTS 0 �r�v' ; -�-�-., ,r _ Q GE EEN/WE1� � / � y bM.MATVREOf F OAT / / , � ,. . , . . RECPT.NO. � PND BY � IDATION ITE—Department Copy,YELLOW—Finence Copy,PINK�AssessarCopy,GOLDENROD—File Copy,GREEN—Appl�cant's Copy � � � \� � ,. ..... . ,.. . .. „ . . ., - . .. ... . . . • , � .. , ,. . . . . .. . . . . . ....... ..,� .. . . ��.; , CITY OF DIAMOND.BAR .- � .; . � . . . ..,., ...�;:�, _... . . . . . � . . . . , INSPECTtON RECOaD;.' .' , I^ .. , . ; ,� . i . . �, . a � � • � . . � � , . � . SET BACK ' \- �. ' . �� I I�:1 \ FLOOR JOIST�.\ - . ,,- � .;.;` � , -�<: � '_ . ' ..' ! - FTGS/FORMS/STEEL , ,' � , ;�' FHA REQMTS - � -� � - — - -- ELECTRIC GROUND - - � `� ' � ' - UNDER FLOOR DUGT `, , �:, " , GROUND PLUMBING � UNDER FLOOR CO�IDUIT• ' ' �'•�• "a�"�'"` • - • ' '" SLAB GRADE- -� - � � � FIREFL'ACE'FOUNDATION ''' `'� � '� ' � - � • � `'- � ' TEMP POWER - " - - FIREPLACE�BOND BEAM i �-- . � � -� -- -WATER SERVICE- - --- �- - -- - - -- � � --� - - =MID HT. BOND BEAM. �; �'``''` ' ' � � �' � ' • ROOF SHEATHING - - `8 FT.B�ND BEAP,A•-.•; . •• , -.,..�,� ` ! . FRAMINGNENTILIATION FINAL BOND BEAM ' ' ! "' ROOF COVER '" PRE-GRADING - - - - • ROUGH HEATING . . _ _ - - - - . BENCHING . : � ,• , , . R�UGH ELECTRIC - � - � � -� ROUGH GRADING . ROUGH PLUMBING � - �� - - - - - FINISH GRADING � . , `. SHOWEH/TUB TEST � � ��� • POOL ELECTRlC i � EXI:LATH/SIDlNG POOL FENCING WALL INSULATION POOL FINAL , . • CEILING INSULATION OFF SITE IMPS. • . DRYWALL NAILING DEDICATIONS ' . . SEWER --- --. -- - .. - - FINAL ENG. , SEPTIC TANK _ _ LANDSCAPE/IRRIG. ' •SEEP-PIT/L:L. -��- -- - - � ON SITE IMPS. GAS AIR TEST'- -- - - FINAL ZONING ' � . FINAL-CONST. - f- ..�j1� �a�.ct�1 s. FIRE DEPT. FINAL ' ' FINAL HEATING �- - - ' - HEALTH DEPT. FINAL FINAL ELECTRIC -- � DEV.FEES PAID - FINAL PLUMBING L . �/ .Rq �(tic.c � ENERGY � . ; , � ', , , e ��� s • , � .. . � ... - -- ---- . _ .__... _.. � .. ,• + • f' �1' . ., . . - COMMENTS - - � - �j-!.�6:�,- - � : � - . . . . .. 1, .. . . ._ . .. . . .. _ . . , i - --- -- :.��r,1�' �� .� 4 1 � �J.f; i ' . �1-':. . . . . . � . f rl I , �Vr.. . .� .r.r . . � j J . _ �, c`���� , .' 1 l . ) %��; `.'`(, -'..`. '�, .l,', ' - _ '\i' �1 : � - � � ' i ir; . - . .. , . _ , , • � , - - - , . . ..-- - • . � • � _. � . � � ..�. � � � �" � � � . • , i .. .` , , ,� SEPTIC TANK 51ZE , '; ' ' � . SEEP PIT/U SIZE � � � � � . � � � �r' --- , "_' __. . � . . . . ._ ' � - - j . _ _._ ... - , . �i , ; , _ . . _ , ; . . , �. , � � , � � r.' - - . 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