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J,� CITY OF DIAMOND BAR • � '� � � � DEPARTMENT.OF COMMUNITY&DEVELOPMENT SEFtVICES - � . 216b0 E.Copley Drive Suite 190 " " ' � �l . (909)860-3I95 Fax(909)861-3117 l!/ PRESS . ��^�"'. BUQ.DINGPERMITAPPLICATION . . FIRMLY y JOBSITE ( f _ APPUCATION ��I�r b. PERMIT f 1 p/� o ADDRESS �•G DATE I � NUMBER.,�� � � � APN LOT �• - TRACT • . ISSUE 7yPE �C OATE CONST. GROUP p OWNER p ADD SS ZONING SETBACKS , �W C , t FRONT RW O APP ICI NT TEL SI�SIDE STREET RW O � CONTRACT �` � f SIDE p Q AD O C POSED USE o ARCWENG/ `{�,`_ !��{ � DESIGNER N0.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS CITY ZIP TEL . . N DESCRIPTION SQ.FT. ' FACTOR PSF ADJ.AREANALUATION Q OVYNER•BUILDER D�CLARATION SFWADD/REM � O p I HEREBV AFF'RMI UNpER PEtULN OF PEM1NqY THAT 1 AM EXEMPT FROA1 iHE CONTMGTORS L4 Ga�H � ��CL! CENSEUWFOItTHEFOLLOWPI�REA90N�SEG7mf.6BUSWE55ANDPROFES510N5000E/WYGITYOR , (f� O�e�POR � � �. 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I . . - � LICENSED CANTRACTORS DECLAFlATION � W � IHEREBYAFFYWUNDERVENAITYOFVEiWRYT1NTIAlALICENSEDUNOERGROVI510N50FCHAPTER ' � • p. ��NMMENCNOWITHSECTk7N70a0�OFDM510NJOFTHEBU5INESSANOVROLE5510NSC00E,AND Z � � . � MYUCENSE IS W FORCE EFFECL � m ' � UCENSEC�ASS LIC.NO.� � • �� V DATE '� CON1fiACTO d W � WORKERS'COMPENSA710NDECLARATION ¢ �� �� NIHEREBVAFFIRMUNDERPENALTYOFPEiWMON[OFT1iEFOLLOWIN6DECUMTIONS � Z � � bO � / � � _IHAVEM9N'ILLMARlTAMACfRTIFIUTEOFCONSENTMSELFdNSUREFORriORNE0.5' _ ` �j /� � COYPEHSATION,ASDROVIDEDBYSECiIONl7ooOFTHEU�ORCODE,FWiTHEPERFORI.W�CE U � ' � S C •q/ __ �OFTIIENOHKFORMnf1CMTHISGERMiTI5155UED. � / O � I HAVE AND N7LL 4AIMTAIN WOpKER5 GOMVENSATION INSUMNCE,AS REaUREO BY SECTION Q ]70DOFTHE RCODE, ORTHEVER�O O TH� cORNMI TMISPERMITIS � ISSUED.W WO KERS 5 W U E I`�D Wl MBE /V�: CONSTRUCTION _... .... . � ' � GIANIER ._ . . - - C � PLANREVIEW - . .._. —'---- ----�-�--------� � POIIC'lNU.18ER ELECTRIC p f�sEcnorrN[mraofeEm.�.Erooanev[tarttstrnor��un�oaUnsR+aoloa�ssl PLU� Z ICERiIFYTMATNTMEPERFORMi410EOFTNEWORNFORWHICN7M:5PER61RI5155UE�,l c.ldECRANICAL SHALLlro7 EM7LOY ANY PERSON N ANY M/W NER SO AS TO BECOME SUBJECT TO THE N WORKERSCOAIPENSATIONUWSOFGLLIFOfU1I/�IWJAGREEiHATIFIS BECOME INSPECTIONFEE S SU6IECTTOTMEINDii1cERYCd/PEN VIS�ONSOi ECT �TIEUBOR� �- � . . . . .. cooc. swuiF«mnvin� wm� c ISSUANCE O j� p DATE:�/� �/ APR � � - SMIP . � ENERGY P/C WAqNINO:iA�URETOSEQIREWORKERS'COM �T COVE EISUNUV/FULANOSHALLBE �y SUBIERAHEYPLOYERTOCRIM?lALPENALTIESAND VILFMES TOONEF0.INDREDTIqVSANO ENERGYPEFMIT- � JDOLIARS(3100,000),W/iDOrtION TO TME COST OF COMPENSATqN,OAMAOES AS PRWiDED FOR IN �� SEGT10Nl70tOfTNEU80RGODE,NfEREST,ANOATTOf7iEY5FEE5. RETENTIONFEE: �� � ~� • � � O CONSTpUCT10N LEND�NG AGENCY � �� � =�� � ��' � PNE•ALTFEE: �• � � . � INEREBYAFFIRMUNDERGENALryOFVEFLM1IRYT/1ATiHEflE1511CON5THUCTIONLENDINOAGENCY � Fq17HE7ERfOPIaANCEOFTMEYIORKPoRWM TM iEHMIT�5�55UED�SEG]Oil,pV,C.�. � LENDEH'S WVAE � ... . . . � LENOEfCSA00RE55 W ICERTIFYTHATIHI1VEflEADTMISAPRICATqNANDSTAiETNTiHEABOVEWFORM�T10NI5COiiRECT. TOTAL FEES � � �� � IAOREETOCOIACLYN7MALLCT'ANDWUNiYORDIWWCESANOSTATFUNSREUTNOTOBULDINO - � OONSTRUCTION.ANDNEqE9YAUT/10HREREPRESENTATR'ESOFTHISCOUNTYTOEMERUPONiHE , , ' � ABOVE�YEHTIONED PRODERTY FOII INSPECTION 7UNPOSES. 9 COMMENTS � m PE PRi � '' �P - � . � F PE OATE � � - . . . RECPT.NO. - PPJD BY , VALIDATION WHITE—Dapartmant Copy,YELLOW—Finanea Copy,PINK—As�eesa Copy,GOLDENROD—File Copy,GREEN--Applicanfa Copy � � . . �-� .. . ,•.. ' � . . . ' • . . .. �. . . �, � .i �� . . ..• , . • '`���.� . . � . �n .. � -' ' �. . . . , � V� . .. . . CITY OF DIAMOND BAR � : ;� ;��: ::, _ � ;.:: .-:- : ::"��INSPECTION RECORD`:: � : .. ' � � . .. .�. : �, .; . . . f e � � - • � � � - � FLOOR�OIST) ��; , + � -` • ! : SET BACK . � •� 1 . , ► . • � � FfGS/FORMS/STEEL �"� ' FHA REQIvITS-. �.- . - ELEC.TRiC GROUND : _ . :-._.' __:'�._ - � � �-. - UNDER FL'OQR DUCT : - � � ' � GROUND PLUMBING -� 'UNDER F OOR�UL�IpUIT_=_'_-�. : _ • ._�_ •'_" ' " _,_ _ . . , . . . . . . . . _ , . .. SLABGRADE" _ --- -�- � - - FIREPLACE FOUNDP,TIdi�J -•. , . ,_ �— _: : :_•_::•-�-- �. �:�-� ; : TEMP POWER---- - - ' - - - . . _ ;-: � �� ,-.� FIREPLACE BOND BEAM .. -_.._. . _ �_ -_-. � . • WATER SERVICE ---- ----- -- .. -- �----- -- 'MID hIT-BOND BE�4M'-. ` . . . , � __� ! , _ . - •------ ---- -- ROOF SHEATHING . ..--- ._. .... . ... ... . ............�,.� : �8 Ff.'BOND'BEAM�: , , ;.--._., , �;�. •-,. --- . ...: , , . . � ,_ FRAMINGNENTILIATION FINAL BOND BEAM • - ' � ' , - � ' ; ��. .. . .- -- - ROOF COVER:`;" - . . ' ' ` 'PRE-GRADING • ! � ROUGH HEATING --.. . .. .. .'�o� _ _._ .. .. _... BENCHING _. .:.• � - - . �,:: �, , -ROUGH ELECTRiC -:- � �� ' � ROUGH GRADING ,. :: , ROUGH PLUMBING ', - - � - --�� -��--�- ".-_ . -. . FINISH GRADING , - - SHOWER/TUB TEST�.� � -- �- � � � �� � . - POOL ELECTRIC • • .•' EXT.LATH/SIDING � � �� POOL FENCING ' WALL INSULATION ! POOL FINAL ' . - . CEILING INSULATION • OFF SITE IMPS..� • ' DRYWALL NAILING � � DEDICATIONS . . ' ' _SEWER. ___.._ .._ _._.. ... FINALENG. SEPTIC TANK . ...:.. .. ........._. . _ ___ __ . _. LANDSCAPEJIRRIG. ' - ' ; .. =SEEP PIT/L.L. .=. . : ---..- _ .... - __ ' ON SITE IMPS. . . ' i GAS AIR TEST� ---- ---- --- - - - - � - FINAL ZONING - • ' FINAL-CONST.' ----- - - - - ---- - _ ...- : . . FIRE.DEPT. FINAL - . . ; - FINAL HEATING - p`L�tF1 - - - - HEALTH DEPT.FINAL __ . � . _ , �. FINACELECTRIC----� -� � � ' " DEV. FEES PAID - FINAL PLUMBING ENERGY - � : ' __ .. �. . _ � . � e • .. _.. .. . . . . . ._.__...-- - . . .. ........ ... . _. � GO�ME-�{TS - ;.�Y�.''�.. '`^� :1-+.� ' S � � . . ,.,, '�'�= ` ';•,•�-� !��:.\ _,{� .�=- _. .. _ •-� •�'?- "v l• �,�, ',\• ti�, :�(�- ' __._. -- ��...... _�`. ` _-. '? , t L. • � � . �� � , r•. � � � ' -- . ._ .. ..__ . .. .. . - -. .--.-. . � � - . • , � i. � i�. . . .. .. . . _ _ . . .. . '' `1 '; 1._ 1.. 1'_._�i',_"_1 ,., `�'`l ' ' _.. .. _1 , ' , . _ . ; ..._ . . . . .. . . .. .. . . . , . . . . , , _. � • . i ' �_'.., - - � . .. '_' ' ' ' _ "'.. _ .. . . _ .. i . , . . ..,. -� , . ' , . ` "' " . ' `\_ . i , � -.... .. - � ' .- .. � ' . . . . ..__"' .. ._ . . ._ . , . . � . .. . .. . ., . � .. SEPTIC TANK SIZE-- • ' SEEP PIT/U SIZE�, , ---.- , _ � - _ _ .,..._ _�_ � � . . , _ . -, - . ; � , i . � • � _ __. .. _ .... . � , , • , _ _ . . . _. • _ , , • , - - - t , . _ . � ., ., _. . i ' � ' _ _ . . . .. -. � � � .. � - , ; -- ._ ._ . __ � , � ,. �- , - � ... _ .: ' .. .. . �- . : . � � ,-_. ,:i;_ . . , .. i. ,. r�': . •- -.