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�� CITY OF DIAMOND B AR � � �� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES f 21660 E.Copley Drive Suite 19D � (909)8603195 Fa�c(909)661-3117 PRE$$ ��^^� BUII.DING PERMTT APPLICATION • FIRMLY o� JOBSITE 2� Q o> Juc�. C�u r-� APPLICATION PERMR �S'� P/C ADDRESS � DATE NUMBER N � APN L T Z� TRACT SZ� 6� DA EE �' � CONST. GROUP p OWNER q C�c `L ApDRESS • �r ZONING SETBACKS �o / CITY ZIP� TEL. � �/ FRONT RW ❑ APPLICANT TEL. REAR O � SIDE/SIDE STREET RW ❑ CONTAACTOR � U• SIDE O � ApDRESS � _ PROPOSED USE CI7Y I)) . V . ZIP�L TEL. E � ARCH/ENG/ • DESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. y DESCRIPTION SQ.Fi. FACTOR PSF ADJ.AREANALUATION N OOWNER-BUILDER DECLARATION SFFUADD/REM Q I 11EREHY 11FFlRM UNDER►ENALTY OF PEiWM THAT I IUA EXEMFT FHOA/THE CONTMC70RS l4 Garage/Carport � W CENSELAWFOIIh1EiOLLOWINOREASdJ(SEG70.71.68USINCSSANDGROFESSIONSCODE:MIYGRYOR � (n .� COUNfYWFaCHREOURESAFEN.�RTOCG:STN1Ci,ALTEiLWPROVE.DEMOU51/.OHREVAiR/�HYSTRUG � P8ti0/D6d( .. . . 7UPE PRUR 7D R9155VAHCE,1150 fiEW WES TN[APPIiCJUIT FOR SUpI PEPMIT TO fILE A SiGNED STA7EMOJT THAT HE OR SHE IS LICENSE�MIRSUANT TO iNE VROVISIONS OF TNE tDNiRACTOR3 L4 � CENSE UW(CkNPTER i(COA1MENpNO WfT11 SECTION 70001 OF DMSION 9 OF THE BUS!N[SS Ah'D Pflb LL PocUSpa FESSIONS COOE)OR iFUT HE ON SHE IS EXCYPT iMEREFROM ANDTME BA515 FOR THE ALLEOED ExEMP• TqN.AHYVK%Ai�ONOFSECilON7W1./BVANVMPLIC/NTFORAPER4ITSUBJECTSTHEM�L�CANTTO z Re-Raol �,,,� ACIV4PENAL7Y OF NOT MONE 7HIW FNE MUNDHED DOttARS(fSOC�.r � O�ASO�NIEROF7HEDROPERTY,OHMYE4PLOYEESNnTHW.�GESA57HEIRSOLECOMGEN5AT10N. � CpmmOfGid1 ' WILL 00 T}7E WORK AND THE STRUCTURE IS NOT IMENDED OR OFFEREO FOR SALE(SEG)W�,BUSI- J � IE53 AND VROFESSIONS COOE:THE CONTMCTORS UCENSE Uw DOES N01 AVPLV TO IW U�'NER OF = � PMPENTY W/10 BURDS OR IMPRO�/ES 1MEREON,MA W1q DOES SUGI WONK HIMSELF OR HERSELF OR �C TMPOUOMMSORNEROMINEYGl01EE5.iROVIDEDiNATSUCHWPqOVEA1EM5ARENOTN7ENDEDOR m � OOFFEREOiOR5�LE6.NdWEVER���IWUORMVROVEYENfl550LDWfTHNOHEYEAROFOOAIPLE- Z 'TION.THE ON7JEH�BUIIDER N'ILL NAVE T1E BNW EN OF iROVvq T1iAT HE OR SME OiD NOT BUIID Oq = MVROYEFOHIMEPURPOSFOFSALEI W OLA40M'MEROfiTiEVROPERTY,MdEXCLUSNELYCONTH�CTPWN"T1iLICE45E000NTRACTOR3 � TO CONSiRUCT TNE PROJEGT(SEG�W,b�3INE54 AND PiqFE5910NS COOE:7HE COMMCTORS U• V01J�ti0n ADJ.AREA CFNSE UW OOES NOTAPDLY TO Ml ONMCR OF A PROVERTY NMO BUILDS OR YPROVES T}1ERCOt{ANO � MAIOCOMMCTSFORSUCHPRQIECTSN9iMACONTMCTOR�S)UCENSEDPURSUINfTOTMECdfiMG pUAMTITY DESCRIPTION FEE � TORS U(�HSE UW.). OIAME%EMPTUNOER8EG. B.iP.C.FORTMtSREA50N Q 3 � � ¢ ' DAYE OWNER V ' � J UCENSED CONTRACTORS DECUIRATION W � INEREBYAFFIRMUNDERPENALTYOFPERri1RYTHATIMIUCENSEDU�DERPROYI5lON50FCHA0TER �. � . � �(COYYENCNO WI7H SECTiON 7oW)OF OMSION�OF TME BUSINESS/Ji0 VPAFE55KK75 COOE.AN0 � W IICENSE 6 N NLl FORCE/ND EFFEGT. , �iJ� Q� �a.v � IICENSE CLASS LIG.NO. (,/l Y' �� / J �'j pATE � COMMCTOR tL a W � WORKERS'COMPENSATION DECLAFiATION Q � IHEREBVIIFFtltAIUNDERPEWLLTYOFPER1URYdJEOFTHEFOl101NNCDECLAR�T10N5' U � Z Q C �IIUVEIWDN7LLYAiNTAiNACERTIFlCATEOFCONSENTTOSELFaNSUF[FORwORKEF5 � � � 'Td- COMPENSIUION,AS VROIlDED BY bECTON 7TOOOF 7NE U�BOR COD[.FOR THf PERFORMANCE W Of TME WORK FOII WHlql TNIS VERUITIS ISSUED. � � �1 NAVE AND WILL 4AINTAM WORICERS'COMCENSATIDN INSUiW.CE,�S REOUIRED BV 5[CTIDN � 77pU pF TXE l/80R CDDE,FOP TME PERPoPIMNCE OF TM[WORK FOR WXICN TNIS PENMR 45 ISSUED.MYWORKE/ge�� P NSATIONINS�VCEGIMRIEFANDDOLICYNUY�ER�RE: CONSTRUCTION � Gi1R1ER (��7��� �'L PU1N REVIEW � /� , � voucrrnnaeEA �((�Uyi� � �' ELECTRtC � Rw`SECTONIEmN0T0[OU.iRETIDOFMFERMf6FORWElUd1CDDOlUFUlS�OolOftlF`.,5} M81NG - r. ._.+_6 `� I 27� Z 1 CERTIFYTW�T N iHE PERFOfVMNCE OF THE WORK iOR Wwp1 THIS 7EM1iT IS ISSUED,i HANICAL �l 1'�� (J SMAt1NO7EMVLOVANViERSONINANYMANNEH50ASTOBECOM[SU0.1ECfTOTHE � NORKERSCOIAPENSA7qNUw5OFCAUFORNU,ANDAGREETNATIFISHa.tDBCCOAIE INSPECTIONFEE S SUBJECTTOTMEYIORNERS'COMPENSATqNVHOVi5qN50FSECiION]7000FTHELA60R �^r^ /1 Ci-. /�Tl CODEISHALLFORTNN'i7HCOMVLYW17H1NO5EP/R-OVISIDNS. ' I � r � O ,S'�-ll-`!� �� ���. � ! �iHi�-'�., ' . p o�h: �rv�kMrr: i C i7C rc� G.� (��r1 SMiN � � ENERGYP/C�TY nT:S1!.:t', i .t: [i::►t WARMNa:FAILLRE TO SECURE MARI(ERS COMPENSA710N COVERAGE IS UNLAWil1L.�NO S�uLL BE T� � SUBJECTANEMPLOYER70CRIMWAIPEWLL7tESINDCMLFNC5UP100NEHUNDREDTFWU5AN0 ENERGYPERMI'(LZl'"�' � ' ' : Y' OOLURS If to0,oa0),N AO�ITON TO THE LOST OF COMPENSATqN.�AMACES AS VROVIOED FOR IN � SEGTIONi7aeOF7HEUBOFiCOOENTEREST,AND�TTORNEY'SFEES. RETENT�ONFEE: pW„ CONSTRUCTION LENDINGAGENCY PRGALT FEE: � INCREBYAFflRA1UNDEflPENKTYOFPERAlRYT1UTTHEREISACONSiRUCf10NlENONaACENCV FOA 71�E PEHFO�ANCE OF iNE WORK FOR WMKyI T11i5 GERIAIT IS ISSUED(SEC.iovT,Crv.C.�. � � LENDEi1'S NAY[ C IENDEftSADORE53 , � � ICERT�FYTHATIMAVEREADTMSAPPLIGATpNMIOSTATETW�TTMEABOYEINFOfUTATqNISCORRECT. TOTAL FEES � IAGREETOCq.�7LVW,TNALLGTYANOCOUN7YOROWANCE5AND57ATEUNISREUTNOT08UilDINO CONSTiiUCi10N.M1D HEREBY AUT110W2E PEFRESEMATNES OF TNIS COVNiY 70 FNfER UPON THE ZABOVE#IEMIONEDPROVEAnFOH�NSPECTqNFUAPO5E5. COMMENTS � � IecG��(rd � • }�1e��n _ QPER41TfEE NM�E-! iNT� �/'� �_ �'_ Q/1 cn � � /� 7 / (A SK+NA7URE0 PENMITf E DA7E � � RECPT.NO. PAID BY VALIDATION WHITE-0epartment Copy.YELLOW—Finance Copy,PINK—Assessor Copy.GOLDE ROD—File Copy.GREEN—Appliranfs Copy .. . .., , . . ...... :. . ... . . .... . . . . , . . . .,. . , . .. . . . �,. . . •iy.. .. � , .. .r. .. „ .. , .. . , . CITY OF DIAMOND BAR :;�._ .,; .,.._.,, `.�i� ......,,.... .: .��INSPECTION RECORD . ,.:: '..:. _..' , . .,._. .. . - . .., __ . .... .. - . ... . . . _..v_: . ._ .�_ �* �+1►��7'�f��GG£��! -��'+af_= '�.`������°�:�'��r,,,_+�"�I�E-���t���1��'::�� +et�1'-�.r� �►�.4-�w����'�'��a� SET BACK i ,, - '�;•:- ••� FLOOR JOIST � � . - '.I'. � : ��.. � �..J !FTGS/FORP�ISlSTEEL--- , _ ,, ......._., � .. .._,.1 ;_._.__ . .FHA REQMTS - -:... -- , !ELECTRICGROUND .. .... "� �'•�- ' �' ' • � �.� UNDER FLOOR DUCT ' � " '� �- ...._, _ . ._ _. ; _ .,, ;- ;. _ -. +=•- GROUND PLUFJIBING - UtJDER FLOOR CUf iDJIT � � " ;,; I `. ••- • ,--�- 'SLABGRADE -- - •� - - FIREPLACE FOl1NDATION •'� ' ' ' . - - -- . . . . .. _ �.: , �_.. ..--- �TEh1P POWER� � - � = . � FIREPLACE BOND BEAM " �` � �VJATER SERVICE - - - - - - MID HT.BOND BEAPJI � � � • - ' , �ROOF SHEATHING 8 FT.BOND BEAP,A - • -�• - ":.,' � ,�; FRA6AtNGNENTIL:tATION -- - - - FINAL BOND BEAhA � - � � •�-,�• ' ,ROUF COVFR .'��� •• � PRE-GRADING - ' = � , � ;ROUGH H�ATING - - � ' ''': � � BENCHING - ;.. ,.. .� .'.- . ROUGHGRADING .._. . .. .. . . .. ... _ .__. _.._._�..._, �.. ;FiOUGf-i ELECTRIC..__._. . ..,,' , -. - ---. - �.ROUGH PLUh1BING - � -- - -' - - �---- -' FINISH GRADING ' 'SHOJJERlTUB TEST-. . _ ._. ._...._. ... .: -.- . --. . - --... . : POOL ELECTRIC ' � . � ��XT:LtiiHiSIDING _ . - - - -- POOL FENCING � . ' ,: ���";A.LL INSULATION --. . _ .. _ - � POOL FINAL � � i,�ILIP1a IP:SULATION - -� OFF SITE IMPS. . • �• DRYLVALL NAILIPJG - -- - DEDICATIONS : '- +SE4";ER ............. . _ .. . _. .�� , FINAL ENG. . _ � . �t'�P�,— �iStPTi�TANK LANDSCAPE/IRRIG. � S��P..PlTILL... . ON SITE IMPS. ' �_.__G;:fi f�i:z i EST � ' FINAL ZONING j _., _.._.. �--__-:-:.-__ . - ---... . .. ; � FIRE DEPT.FINAL � . � r=ii� �ONST.. , , . ------ - - -.._.. _._ . _....... _ .._ _. 'iJ;:�:�'-lEAT1NG..------ .. __... ... ._ HEALTH DEPT. FINAL i •: _..._...-- •- '� ' " �LECTRIG--.._ _ . ._.. . . _ ;_ DEV. FEESPAID - - --- --- ---i ; u _"=':= :� :'.':.�-PLUMBING�--- - - -- - -- - - ENERGY ' : � ._ . ..------ -- - -- , . ; _ ,� • � ' , __ _-- .. _. ...-- -- ------ � � �' �C► ai ;� L� ct ! ; . !�1 _.�.Sv:c.�._.di:..... ecr.�,--- -._..�.._ . --- - ��. . - ---�-- ... _.. .. ... ... .... _ . . , �...-" • . ...._ . .. ... ... . _ � . ... . _.... �. . . . . _ .. . �: i � � : > -- - ..... .. . .- - � - - : cc<<;rr�nENTs _.. . _ _ . . _. .--- . i - - : . - � - . . _ .. . , . _ ... . . � , �_ . I : `. � � � -- - - , ; ,. :— � � � .... ' `�.; ,,' '`. .. . .. . i'` _ . ' , : _ -- , , . , ,�; , . . � . . �. - � . ;SEPTIC TANK SI�E - � , : i ' . � ;SEEP PIT/U SfZE - _. � � ` i�,��`.�. . . }� - - - . . I 1 . � , ,. _ ,. ' � . .. .... _ .__.._ ._ . � __.. . . _... _ _-- � �}1� '. ' �. ,� ' - j ; _ � , . . � . � � � : ; _. ._ , _ �, . .. , � � ; ; .. _ ' _ .. j � . . � ..... _ .. i ._. � \� ��\ - - �; I � .�...... 15....,...�..._....�....J .. \ - f_'� ""_" `, �\` ' . .. I