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_ ----� ------- -- CITY OF DIAMOND BAR� � � J� --- DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �� . 2I660 E.Coplcy Drive Suite 190 ' (909)860-3195 Faa(909)861-3117 PRESS '�'. BUII.DING PERMITAPPLICATION � . FIRMLY � y JOBSITE APPLICATION/�_��n PERMtT�i� P/C _ o ADDRESSI�RY����1_'I f��� I�/2- ' DATE _f � 7 NUMBER � # $ • ISSUE TYPE OCC APN LOT TRACT - DATE ' CONST. GROUP g OWNER � � p ADDRE S ZONING SETBACKS , w C ZIP� TE � FRONT - pyp ❑ � APPLICANT TEL REAR p � SIDEJSIDE STREET RW O CONTRACTOR � SIDE ❑ ADDRE�S � CITY• ZIP TEL P��S���, oARCH/ENG/ � l�r�.c. � DESIGNER N0.DWEL. NO. NO. CnDRESS Z�P TEL UNITS STORIES BEDROOMS' cr� - �n , DESCRIPTION SQ.FT FACTOR PSF ADJ.AREANALUATION Q ONMER-BUILDER DECLARATION . SFR/ADDrAEM O ' _ p I HEIiEBY PFF6iM UNDER PENALTY OF PEMJRY T/UT 1 AM E%EMPT FROM THE GON�RACTOHS L4 � GBl8q0lC8�Dfl � ' lL GENSEUWFORTNEFOLLOWW�RUSON�SEG7o71.68U5WE53AN�VROFE5510NSCO0EANYCITYOR (n �� COUliYWHIp/NE0UWE5AVERMRTOCONSTRUCT,/LLTERMPROVE,DEMOLISH,ORREPAIRANYBTRUC. W u� TURE VRqR 10 RS ISSUANCE AL50 REIXIIRES iME MPLICANT FOR SULTf PEfU11T TO FIIE A SIONEU W P8�i0IDeCk � � 6TATEYENT 7HAT HE OR SHE IS LICENSED CURSUIW7 TO TNE VROVISIONS OF THE CONTMCTMi4 U- CENSE UW(pUPTER Y(COMMENqNO VATH SECTWN 7000�OFp1V1310N 1 OF THE BUS�NE55 M1D PRO � POOVSpB fE59qNSW0E�qiiHA711EOR5HE15E%EMPTTMEREFROAIANDiHEB0.515FOqTHEALIEGEDE%EAIP- (� TIDN./WVVIOIAT�ONOF5ECf10N7W1.6BYANVMPLICANTFORAPERMITSVBJECTSiHE/WPLICMITTO Z Re•Roaf � ACMLiENKiYOFNOTWRETW�FIVEMUNDREDDOLUUiS(f5o0)J: . - o OtASOYMEROFTHEPRODERTY.ORMYEMPL0YEE5N7iHWAGES1157HEIRSOLELOMPEN5AT10N, ❑ COmTBfC181 -� � � YALL00 THE WORK,AND THE 6THUCfURG IS NOT MlTENDEO OR OFGERCD FOR SALE ISEC.7Di�,8U51- J N NESS ANO iROFE5510NS OOOE:THE COHTMCTOR9 UCENSE UW DOES HOT AVP�Y TO Ni OWNER OF ? , . VROGENiY 1NID BUL0.4 OR Y7i1DVES 7MEREON,MD VAq DOES SIICJI WORK MYSEIFOR HERSELF Oq • � Q TH110UGHMSdiHEqqVNEMPLpYEES.PROVDEDTHATSUCF/MPROVEMEflTSARENOTME1.mE00A m � .OiFEREOFORSALE.IF,FIOWEVERIMEBUIDlIOORIYPROVEMFNTISSOIDYniMNONEYEAROFCOMP�E- Z •iION.TME OMn1EM1&10.DER YALL NME TME BUROEN OF VROVINO TNAT NE OR 6NE OD NOT BUILD OR - � MPiqVE FOR T11E PURP0.5E OF SAL�. . . , W ❑4�OVMFNOFiHEYROPERfY.AMEXQUSNELYCONTMCfP10WfiMlICENSEDCONTRACiOFiS � TO CONSTiiU(.T 7HE VRO,IECT(SEC.7ou.BUSINE53�ND VlOOFESSIONS CODE:7F1E OOHTRACTORS tl- V0ltletl0� ADJ.AREA � CENSE UW OOESNOTMPLYTO/W OWNEHOFAFROPERTYN'/1O WlD50HIMPROVESTHEqEON,IWD WNO CONiMLf3 F011 SUGH iRQ1ECT9 WIiH A COHTMCTOR(91��CENSE�PUNSUMRTO THE CONTMG �y��uW� OUANTITY DESCRIPTION � FEE, � �1 AM EXEAIPT UNDfR SEG B.i V.C.GOR T1I5 RE/�SON 4 � � � � � � ' 3 � . LL" DATE OYmER � � W �4 UCENSED CONTRACTORS DECLARATION " W ' CL �HENEBYAFFYWUHDERVENALTYOFFERNHYTIUTIMILICENSEUUNOCNiROV15lONSOFCHAPTER � s �(C011YENCaR1VrtTN5ECT10N7oDo)OFDMSION�OFTHEBUSINESSANDVROFESSIONSCOOE,AND Z ' �X W UCENSE 6 N FULL FORCE ANO EFFECL t m . � UCQSECUSS�,r UC.NO.�1'v � j �"j a�tE "' ^ corrrwictoq�L��( � "'a � WORKERS'COMPENSATION DECLAFlATION _ a ; , , ` ; ,� � N IHEREHYAFiI[UIUNDERVENALTYOFVER1lIRVONEOFIHEFOLIDW?l6DECLAMTIONS: Z � �.\ l � �F�1 HAVEAND WILLAIAIMAAIACERfIFlGTE OF CONSEHT70 SELF�NSUR[FOR WORKER5�. �� _ .. � 1', � , � ' • � •� � � 001.�VfNSATqN,A3PROVDEDBYSECT10NJ7D00FTHEUBOqCOOE,FO117HE�ERi'OqA1ANCE W � � OF TME WORK FOq WHIp/TH13 VERMRIS ISSUED. Q � � 1�• 1 Q _INAVEANUWILLEWNTANWOFIXERSCOMPENSATqNINSUMNCE.115RE0UIRE0BY5ECTqN • � - , � -• ,� l J70oOFTHEUIBORCODE,FORTHEFERFOPoAANCEOFiHEWORKFORMM1IICHTNISPERMRIS � � ISSVED.MYWO KERS NSA710N1 URANCECMWERANOiOLICYNUMOERARL: CONSTRUCTION_ ' I� ���U �o �--9� � euwiew - PLAN REVIEW � va�cYNur.mER�t�1I �= , ELECTRIC � � ' � (IIl55ECKNt�EIDNOTBEm,s7.ETIDaFi�EPEAMfsii7f10r+EHMIREDDOtU1lSlStaqOnlF55? PLUMBING, ^ . Z I CEqTIFYTHA7INTHE PERFORwM10E OF TME WORN fOR WHICH TNB iENA11T IS ISSUED.I MECHANICAL � 1I I�T /1 � (') SwLLLNOT EUPLOV/NV PERSON N IVJY 1.1/WNER SOAS TO BECp,1E StAJECTTO TME ' ` (n WORKERS'CdIPENSATqNU`A90FG�L�FORNIRANOAOREETHATIFISHOULDBECOME INSPECTIONFEE ��ITlr�._ SIAJECf TO iHE YYORKER5 COMPENSA710N VRONSIONS OF SECTIDN 77000F THE UBOR rj COOE,ISHAILF THCOMPIVWIT1i110,.EPR 51ON ISSUANCE �� � �e _ � �i O�� � �u SM�P �c�� � , �:�. ' p OATE: _ APPLIUNT; � Tc� � ENEHGY P/C �1 I WAqNINQFMURETOSE UREW�ON(ERS'COFAVENSATqNCOVERAGEISUNLAWFUL.,INOSFULLBE � SUBJEGTANEMPLOYERTOCNIIWALPENKTIESANDCM�FNESUPTOONEMUh9REDiH0U5AN� ENEFiGYPERMtT OOLLARS(f 1oo.00D7.N ADDITON TO7HE CQST OF COIAPENSATION.DAMAGE3 AS PROVI�ED FOR W � 6ECT�DN]TOeOF7HEUBORCODENTEREST,Ar�DA7TORNEY5FEE5. RETENTIONFEE: OCONSTRUCTION LENDING AGENCY PR[•ALT FEE ' ' � IHERFEYAFFlRMUNOFRPENALT'OFPEiWMiHATTHEREISACONSTRVCT10NlENDINOACENCY z FORTIE FERFORM�INCE OF E W WiK fOR WM� TMIS VERYIT IS ISSUED�SEG 70az,GIY.C.). W , � LE4IDER'4 NAUE . � LENOEtt5A00RE5S � IAGNEETOCOMPLYYIITMMLC'ITYANDCOUMYORDINANLESMIDST�EUM/SREUTN'iOBUL01N0 TOTAL FEES � ' � � COIiSTRlICT10/1ANDHEREBYIIUi)q(iREREPRESENTATIVESOFTWSCDUtfTYTOEMEpUPONTME . _ . . .. ' IBOVE�IAFHTIDNED VROPERTY FOF wSDEttqN PURPOS��:� COMMENTS 9 �'r �iff--l�l� . . m iEPouiTTEE WW vW . -E�-L2-r a �—��� Go ^m_�T9, � , (n b�ONANRE FPEfW EE DATE � � . . RECPT.NO. PAID BY "� VALIDATIO � WHiTE—OepertmentCopy,YELLOW—financeCopy,PINK—AsseswrCopy.GOLDENROD—FileG�py,GREEN�Pppicant'sCopy � " � ', CITY OF DIAMOND BAR ., .� �, . , " �..�j" . . ; �`INSPECTION RECOf�D;.' ',� ,� . � �� ;:. �. . . . , .. ;. . . . . . � � , � . . � � , � . SETBACK ' � ' ' . . _�V�.` . FLOORJOfST ;: ; .` � +�•;.'� ', �•.,���7, :.. � .. FfGS/F�RMS/STEEL .' � � 'FHA REQMTS - - -- � - � -- - - _ __ . ELECTRIC GROUND �-- �- - _ �_ � _. �� � - ��-'- UNQER FLOOR DUCT - : �; , � � � - ' .•�.r � , .-r— - � : GROUND PLUMBING � �' ' UNDER F OQR COI�DUl�, '�'� :.:'; - \'•'�;-- �.�- ,�•, ;•� ; - • � SLAB GRADE - _._. .__ _ .. .. ! FlREP�����FUI�NDA�ION -Z Y,l� __�: :?_;-:,--':�;.'•>.`,� ��:: •• TEMP POWER - '• -- � � ' � ��' FIREPLACE BOND BEAM -- - ' WATER SERVICE - - --�--� - -- MID HT.BOND BEAM � � ='' �'��' '•v-'`: �••.,�=�_ , • ROOF�SN�AYF-�ING :,��: D v -�-!��.��� S.FL BONQ•��'AtJ� ��� � "�� _ � _ ;;1.�,•. ' - �`� _� •��ni�•.� : _ �F,FfAlvtl G%VENTIL�A�I�N, . _���i �� ,-^, :��!�•�•-`•,}.'�, FINAL BOND BEAM ' , ROOF COVER " PRE-GRADING � " " - • � • ROUGH HEATING - -- • - BENCHING . _. - � - - AOUGH ELECTRIC ` � : � '- ROUGH GRADING ' ROUGH PLUMB(NG � -- - �` - - - � FINISH GRADING � ' SHOWERITUB TEST; ` --��� - � " �POOL ELECTRIC EXT.LATH/SIDING - � POOL FENCING WALL INSULATION r•,;l! , POOL FINAL , CEIUNG INSULATION OFF SITE IMpS. • • DRYWALL NAILING DEDICATIONS . i . SEWER _ FINAL ENG. � • � SEPTICTANK : _ _. _ __,. . . ' __ . LANDSCAPE/IRRIG. . , SEEP-PIT/LL. . - - -- `- - . ON SITE IPAPS. . • . GAS AIR TEST - ---� - - -- -- _�_ - FINAL ZONING , , -FINAL CONST. -- � " „(; FIRE DEPT.F1NAL � FINAL HEATING �--"- -- � - HEALTH DEPT. FINAL - - FINALELECTRIC- '-- - � DEV.'FEESPAID " ' - FINAL PLUMBING ENERGY • , , e g �' -� • . � - -----------� :. .__----- �_ .. .. . . . � � . COMMENTS d'/1- `���a..� n.5 i��' ,� �,va s S�v . -,, =-�rcr� � ; . -- -- - - � • � 7- i I�. o �.. _!�� _ ._ 1 � - � --- �'-� 1. .�� dti� . .�s�s � � — , � . E� . f �. . �' � �' � �- . ���,.�1 � - .� G/- � /1 o e�T=-�2 c Q7`� > 7 U . J 1,'. . . �•7i-.� ,/�,� .�— =�l , , i (J . � /},l��j I .� • �{�t t . . � . . � . �J �',' n!�1�. 1. •. . 1'\ �:',� � .,.,\ ' \' .�!1 L 1l. . _-iY• �•. .. .. . .. �� . . • . .1 ' . . . ' ' SEPTIC TANK SIZE . , ' ' ' ' - . ` SEEP PIT/U SIZE - -- , . , , � , j - . .. , � , \,` . .•. , � - 1 . _.11, ,v'r-,.._._ - - . _ - _ .- .=-. , .. - � � . ...�::.ti:ii�,��',".:' J: `l�`r<-.�5'.' `:;�?-� � �c., �..._. ._, ,. ' j : � . , �' . ' . . . i .. i r � � .. . . . . .. . ... � I � -,. f. .1 � � ��� - _ , � 1 � 1y � � \ � '�-1 , \ . _ -- - , � , . �. _ . _ ;_ ( . ... . . . ` � '•,�.� . .- .� . ��i , ---- - .: