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. - .... . . . ...... . ...... . ... .. � �� CITY OF DIAMOND BAR •� I•� �� %1 DEPARTMENT OF COMMUNITY 8c DEVELOPMENT SERVICES (�) �� 21660 E.eoptey Drive suite 190 `� (909)86D-3195 Fax(909)861-3117 PRESS � .ti�'� , � .BUQ.DING PERMIT APPLICATION . FIRMLY JOBSITE-�l f�Q l �A APPLICATION /� PERMIT P/C 4 ADDRESS��v + `J\ �r�'�I �� DATE ��I NUMBER � ' 0 � ISSUE TYPE OCC � APN - LOT TRACT DATE � � - � CONST. GROUP p OWNER �` ADDR S ZONING SEiBACKS � CITY� � � J ' I ... FRONT RW � . � APPLICANT - TEL. _ REAR ❑ � SIDE/SIDE STAEET RW p CONTRACTOR � ' � SIDE ❑ r o C'DTDYR SS � � E PROPOSED USE � � V( o ARCFUENG/ • I'n ..L't� • - - - � DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS ' � CITY ZIP TEL. N DESCFlIPTION SO.FT. ' �FACTOR PSF' ADJ.AREANALUATION ¢ OWNER-BUILDERDECLARATION _. 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V pnh corar�ucroa a w � WORKERS'COMPENSATION DECLARATION Q �Q +�l � � V N �IHEREBY/FFIRNUNDERFENFLTYOFVEfWRYONEOFTHEfOLLO'MNODEGLAfUTpNS: � Z �Z �C , � _I/UVEANDMALLWINTAINACERi1FICATEOFCONSEMTOSELFJNSUREiORYVORKERS' _ ���QJ'� CqIPEN5AT10N,Il5PROVDEDBYSECiIONl7ooOFTHEUBOHCOOE,iONTNEPERFORMMIGE U ' /� D �'/� � �/'./+ /'� � OFTHEWOFiKFORWMIpITNISVERMR�5155UED. � L / � O HAYEAND N7LL WUMARlVNORNERS'CDUPENSATION INSURANCE.AS REOU�RE�8Y SECTIDN Q ]7o00FTMELABORCOOE,FORiH[PERWNAANCEOFTHEWORKFORWHICHTFIISPERMRIS ISSUED.MY MqfL(RS'COMPE AT INSU . CARRI M1D POL M�ERME: CONSTFUCTION . � CARRiER ) � � �r��-�' �`��r�i.x_�' "'y . _.._ . . . -- -- -. PLAN REVIEW � iOLICYMIM9ER_S/�,� �� IC!' "��SC' � � ELECTRIC . 0 �rwss[cr�r�mwre�oa.nFrmoFnfvErsnrt�swr+ar+e��ocuutsp+aqaalEssl PLUMBING -�,� Z ICERTIfYTHATNiNEPEHFORMINCEOFTMEWORKFORYMICHTHISPER417I5155UED,1 ANI - �JI (•} SMALLHOTEMPLOYANVVERSONNIINYMANNfRSOASTOBECOMESUBJECTTOTHE � WOiUCERS'COI.�vENSATiO1J Uw50F ClLffOPNitiAND AGREE Tui IG 15110U1D BECOME INSPECTION FEE , � � � 6l.BJECTTOTMEM10Fi1cER5'CO�.�PENS B� ROV1510N5 �FS f7ooOFiMEUBOR � �-� eooEi w�u,r n�eour ,e vr ISSUANCE : � SMIP � p OATE� � APR NF. ' . . � ENERGY P/C WARNINO:FAILURfTOSEGUREIMORKERS pE �ION VERAGEISUNUwFULANDSHAILBE (—y SUBIEGTANEMPLOYERTOGRI1AwALPENAL71 CMLFWESUPTOONEMUNDREDTHOUSANO ENERGYPERMIT - � pOLLAFi5�St0o,Doo),N/�DDI710NTOTMEG0.S70FCOMPENSATpN,DAMAGE5A5GROVDEOFORIN ¢ SECTION770lOF1HELABORCOOEIN7EREST,ANDATTORNEY5fEE5. � RETEI'JTIONFEE: �' ��� � a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: Ya•'� �� � ��� � O �- � IHEREBVAFFlRMUNDERVENALTYOFFEfWRYTirA7THEHEISACONSTRUCTIONLENDPqAGENCY / �' " - Z FORTME�ERFOR4.WCEOFTMEWORKFORWMI HTHI PEWAITISISSUED(SEC.�oV1,CIV.C.� W --- � � LEHDERSNAME _ . .. . _ � LENDER5:10DRE55 2 W ICERTIFVTUi1MAVEREADT115ACPlIGTIONIJ105TATEiHATiHEABOVEINFORAIATqNISCORRECL TOTAL FEES � IAGREET0004PLVWITNNICRYANOCOUHTVORDINANCESANDSTATElAM/SHELATN6TO8UdDIN6 - CONSTRUC'f10N,AND NEFEBV A1.R110i1QE PEPRESENTATNES OFTHIS COIMTYTO EMER UPON TNE . . . . � ' � � ABOVE•4ENTIONE�GflOPER7YFOqINSPECTIONPVRPOSES. COMMENTS i � ..J � QVERM �, -- J� �'r� _ ' N !lONATURE � DAT � _ RECPT.NO. PAID BY VAUDATION YVHITE-aepartment Copy,YELLOW-Finence Copy,PINK-A.iseasor Copy.GOLDENROP-Fite Copy,GREEN-ApplicanCs Capy� � �� � � - , . ..,.. . . . ., ,. . .. . ,. . . , . , ,, . . _ .. . . , .. , .. , , . .. , . ,. .. . . . _ ;,.., . .. . . ., CITY OF DIAMOND BAR ; -,:: �, , � ., '�- ' � - ��j����INSPECTION REC�RD�:.: - . �:: � . � �:. _ , .. .. _ .. � � � • ' • � � . � . SET BACK ' ' ' � I � , '• . ', , - , �. FLOOR J015T . '� ; • - . �� . � � •. FTGSIFORMS/STEEL ' =: :.- FHA REQMTS�; •�. ,—_..---....._ _ . . . _ _ �...v_ .. .__... _. . ELECTRIC GROUND..-._.. _. -� - - ......._ . ._ .._ .. UNDER FLO Fi'Dl1CT:: ;.� _ -- _ _. : . . � - GROUND PLUMBING � • llNDER FLOOR CO�IQUIT. ...'�__�:. :•� : - - � - . ._. . . ... - .. , SCABGRADE -- - . --• - ----- - - - -- . � FIREPLiACE=FOF�NDATiON �" -•• `:-•�-- a !_.-.,.- .--- '� . ' , TEMP POWER -- �� - ' • ` _ . ` FIREPLACE BOND BEAM -- . . .: . - . - .WATER SERV�CE�.-__: : . :=-.:-.: -. :� � -• _ _ . _.. .__.. . MfP HT_'�BOND•BEAM ' = , -' ; ..._ _-_' - . , .. .. � _ T- ROOF SHEATHING • � � •• -- • --•• • `- ' 8 FT:"BOND BEAM• r';� � � • . � FRAMINGNENTILIATION FINAL BOND BEAM -- • - � " ' ' ROOF COVER .." �' � 'PRE-GRADING-� ----. _. . . -ROUGH HEATING- . - 7. : - - -- BENCHING - - - = - _ _. . -------. - . , . . ROUGH ELECTRIC � -- � ` - ` �=- ` ROUGH GRADING � �FiOUGH PLUMBING -: _ _.. _.. ._ .... .- --. .-. --- -- . FINISH GRADING.,,. . ,... , : . SHOWER/TUB TEST� .. - --- _. _.. .._.._._. - - POOL ELECTRlC • , : EXT.LATH/SIDING � . FOOL FENCING '. � . ' ' WALL INSULATION ; POOL FINAL • � . CEILING INSULATION � - OFF SITE IMPS. . � , DRYWALL NAILING ' DEDICATIONS � . - ,� , :, • ' .. ._ FINALENG. • - �� SEWER ._._._.. - -- - ' - - . . .-- - .. - _.. . _ , SERTIC.TANK.._._ . '...___ _.. . LANDSCAPE/IRRIG. . ' •' ' -SEEP PITlL.L.. ._... -_. . �._ _ _ _ .._. .. . .�N SITE IMPS. :. � . GAS AIR TEST -� - -- -- - - FINAL ZONING : ; :- FtNAL CONST. - --- - - - � - � -- FIRE DEPT. FINAL - - � � .- FINAL HEATING - � -- �1� �� �u;, - -, � � --- �- HEALTH DEPT. FINAL � � FINAL ELECTRIC - - ; � - DEV.FEES PAID � -� , • FINAL PLUMBING , ENERGY . - - �� ; .. � ,�- . . - . I �i ;, , s o -' - _ - - . . ' __ , _ .. _ . _ _ .--. - , � • �- - . ... - iCC�(v�M�NTS�•- .�'' -�.,. _ �ti,'_+'�`y� _ _- .�� . . � � . _� __. ��'-. .� r,� _. l�1 - _.. 'rv 1�:`�r:..� .._•,r. r y�..:.`�7RIN^�"_.•. � . .. , � �:r�' _ • ... . . . (� ^''' . ..\ r:�. �'�� - 1� .\ _1•!ti .... . _ . . . . . _ '_ -_: , ; - � ; _ :� �.. - �.i. l_ - � - , _.. � ; . r-.. •�. �.•,�, ,'. ,:•. ; _ .' - = -- _ - . - - . , � � , . . I . . . . ._. . __ - __ . . I � , . . - -- . � . � . ° - - - . . ._ � , • -. ' _.. ` �. � . � . - --- � -- . - ._ . . . .. i - \: —•:.� � . � SEPTIC TANK SIZE�- • - . � ' '. � ' -� . -. - .. � ; , . . SEEP PIT/U SIZE �• • , ,.. . '�1 •.:...' _ , _ i I . . . , , , . ;� _ ... -- I j , , , � - -- - -__ - ' � ' . ' _ . . .._._. , ... .. . ' � f ,. . . . , . , � _ . __ .. . ._._.__ - . . � � 1 I _ ,. . ' ; - � - . . , : _. i . _ _ .. - , . ...._.._...- -,-, • �.. , . - , . , __. i . . . . _. . — - - -- -- - `j�. ,- - -----;