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i _...._.. _. . . .. _ _. . 1. . . . � �l �� CITY OF DIAMOND BAR' � �- � • - � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVI ES �� 21660 E.Copley Drivc Suite 190 � ' ' (909)860-3195 Fax(909)861-3117 PRESS � ����^'� BUQ.DING PERMIT APPLICATION". � , , FIRMLY JOBSITE Q � APPUCATION 9 PERMR Z P/C � o ADDRESS_��BU �-�-� DATE �O � G' NUMBER p c� ISSUE TYPE OCC APN LOT ACT DATE CONST. GROUP p OWNER " ADDR S ZONING SEBACKS W CITY ZI - FRONT RW ❑ � APPLICANT � REAR O � SIDE/SIDE STFiEET RW O � CONTRACT R� SIDE ❑ ADD S " PROPOSED USE � !- /��L�JQ L o CITY / '��/ 7" ZI � TEL - � �, C wo ARCFUENG/ • ��i� � DESIGNER ' ��''��`� NO.DWEL. NO. NO. - n. ADDRESS UNITS STORIES BEDROOMS ' � CfTY ZIP TEL cNi� . DESCRIPTION S .FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECLARATION _ SFRlADDIREM � i O O p I HEREBY AFFIRM UNDER PENALTV OF VERIUR`/THAT I AM DlEMPT FROA1 TNE COHfMC10RS l4 G9�egB1(:.7ryOrt � ' LL CENSEIAWFORiHEFdlfriVINOHEASON(SEG70.t1.6BUSME55ANOPHOFESSqNS�DE:ANYCRYOR (n C7 CqJHryW1Af,1/REpU1RESA7ER/JRTOCON5TRl1CT,ALTER�OfiWE.DE\IOLISH.ORREPAIRANYSTHUC. W P8IIO/DBG( Z 7URE,PR10Fl TO R9 6SUMlCE/�LSO REOUWES TME MP�1UNf FOR SUCH PERMIT TO FILE�SICNED �I� STATFM[NT TUT HE OR SHE t5 LICENSEO PURSUANT TO THE PROVISIONS OF THE CONTMCfORS LI- � W . � CENSE UW(CMAPTER Y(COMMENCINO MATH SECTqN 7000)OF DM410N 7 OF THE BUSINESS pND VRo- LL PooVSpa � • . FESSDN9 WD�OR7W�TMEORSNEISEJ(EMPTiNEREFROMANOTNE&lSISfORTHEALlE0E0E7(EMP• iqN.N1YV10lATqNOFSECT10N7071.6BYANYMPLICANTFOR�PERMITSU&IECfSiMEAVPLICANTTO Z R9-ROOf � ACMLPEN+LLTYOFNOTMORETWWFNEHIMDREDDOLLARS115001�1: � ' � 0�1L501N1EROFiHEPROPENT/.ORYYEUPLOVEE5W17HWAGE5�57HEIR50LECOUPENSATION,� ❑ COmrtl6fCi01 - WILL DO TH[YYORIC AND TH[STRUCTURE IS NOT IMENOED Oit OFFERED FOR SALE(SEC 70u,BU51- J � NESS/UD iROFESSIONS CODE iNE CONfMCTORS LIGENSE LAW DOES NOTAPPLY TO AH OVMER OF � . . iA0PER7'/YNq BUlDS OR MPRDVES TNEREON,MID WMO OOES SUpI WORK I/IMSEIF OR MERSELF OR - Q TWiOIMJIMI50RNENOWNEYPLOYEES,PitOYlUEOi/UTSUCMMPROVEMENTSARENOTINTEh9E00R m pOfFFREDFOASALE1F,IqWEVER7MEBULDW00RIMPROVEYENiIS50lDYYITTaNONEYEAROFCOMPLE- � � � Z 710N.7HE O�MIER8U0.DER 1NLL IIAVE THE BURDEN OF iROVINO TNAT ME OR 6HE DW NOT BUILD OR . � W OpOVE FOR T/IE VURPOSE OF SALE} �.�: � W 04ti70M�NENOFTFIEPROPERTY,M/E%CLUSNELYCOMTiUCT11J�1NT}ILICENSEDCONTiUCTOiiS [C TO CONSTfM1CT 1HE PROJECT(SEC.7oa�,BUSiNE55 AND PROFESSiONS COOE:THE CON7MC70R5 LL Valuatim ADJ.AREA � 11J CENSEUw00ESNOTAYPLYTOANOWNEROFAPROPERTYYAqBURD50flMVROVESiHEREON.MO � NR�OCOHfflACTSiOflSUG1PRQ1EGT5WITHACONTMCTOA(SJLILENSEDPURSUANTTOTNEOONfMG pUANTITY DESCRIPTION � FEE �� � . TOAS UCENSE UW.). . /�� !� O�AYE7(EYPTUNDERSEG � -. . . B.1P.C.FORTWSREASON � Q {' � 1/C_ � �j � {a /( l �=" DATE OWNER � F"' W �d LICENSEDCONTRACTORSDECLARATION • W � CL IHEREBYAFFIPYUNOEPVENALTYOFPEiWRY7HATIAMLICENS[OUN�ERPROVISIONSOFCHAPTEA • Vr � Y(OOAIMENClNO WfiH SECTqN 70001�OMSION 10F T1E BU51NE55ANO DR�FE5510N500DE,AND � Z ' ' ��� UY UCENSE IS N FULL FOR AND EFFECL m ..� UCENSE SS LIC.NO.__�� J � �j DATE CONTRACTOR� �� a W � WORKERS'COMPENSATION DECLAFiATION a = U N I NEREOYAFFIRM UHDER VENPLT'OF CEiWRY ONE OF THE FOLL01NN0 DECUMTqNS: Z -- Q � _IHAVEANOW:LLMAMTMlACERTIFlCATEOFCONSEMTOSELFJNSUREFORMqHICERS' 2 COMPENSATIDN,ASPROVDE�BYSECTION]70oOFTMEIABORCOOE,FORTHEPERfORMANCE W OFTHE WpiK FOH WMICHTNIS VERMR IS ISSUEO. � � 1 HAVE IWD WILL EWMAN WOPoCERS'COIdPENSATION MSURANCE,AS RE WIRED BV SECTqN . � ]7000FTHEL1IBDRCOOE,FOq7NEiERFOHMANCEOFTHEWOFMFORWMICMTIISPEflMRIS � RSUm.UYM�OFiKE 7ENSATIONINSURANC ERMlD,`POLICYNUGB.RIIRE: CONSTRUCTION ' � GRRIER �TA��� �V PUW REVIEW Z vaucr�u�+oER rs..� — ELECTFiIC ¢ � �sEcnor+�rxrreeod.stErmoanFv[aArrSraau+eMra��oou�sR�oqontFss� G Z ICERTIFYTHATNTHEPERFONIIANCEOFTHEWORKFORWHICHTHISFEWAITISISSUED.1 MECHANICAL � � (J SWLLLNOTEUPLOVANVOER50NNANYMulNER5045TOBECOMESUDJECTTO7HE � NqRKERS'CdAVENSATqNUw50FGLIFORNitiANDAOREETIIATIFISNOULOeECOME INSPECTIONFEE SUBdECTTOTHEWOHKEN3'CdAVEN5AT10NVROVI510N50FSECTION]7000FiMELABOR � � - ` cop`il !�n+ca.+r�rvnrnnroseeRo�sans. � SSUANCE ��l p DATE: APPLICANT:c!(,���_ ' � -�}{L'{ � . �W WIIRMNO:FMURCTOSEGUREWORKER5CpAPENSATIONGOYERAGEI3UNUWfUL.ANDSFULLBE ENEFjGYP/C ��V� SUBJECT/�NEMPLOYERTOCWMNALPENlLLTIESANDCMLFWESUPTOONEMUNDfiEDTHOUSAND ENERGYPERMIT � OOUARS(f 100.00%.N AD�ITION TOTHE C0.5T OF COMPENSATqN,DMUCES AS PHOV10E0 FON P7 ¢ SECTY/N�7oeOFT/EU100RLO0E,l1TEREST,AlIDATTOflNEV5FEE5. RETENTIONFEE: T�� �N�A� ' �OL. GONSTFiUCTION LENDINO AGENCY PRE•ALT FEE: ��� �1 T � O � IHEREBYAFFIRMUNDEHPENALTYOFGERNFYTMATTHEREtSAQDNSTRUCiIONtENDPIGAGENCY . - fOR TME VERWRMANCE OF TME WORN FOR WHICHTHIS PEW.�iT IS ISSUED(SEC.9097,qV.G�. Z ' W � IETIDERS NAME . . . . � . C IENDERSADORE55 �� TOTAL FEES ICERTIFVTHATIIUVEREAOTM6ADPL�CATqNANDSTATETW�TTNEABOVENFORYAT10qISCORRECT. � � IACREET000IAPLYWfiF1ALLCfTYANDCOIMTYORDWiWCE5AND5TATEIAwSPEUTINOTOBUILDINU '� � CONSTRUCTION.ANDHEREBYAURqR1ZERCPRESEMATNESOFTHI5C0UNTVTOENTERUPONiHE . . . .. . ,� ,/ ���,"�/] ABOVE�MEMqNEDYROPERTYFORINSPECTIONPURGOSES. COMMENTS "�/l-�/�1 T/ � �J J � m PE Q . . � � IONATUREOF DAiE � _ , _ FiECPT.NO. � PAID 6Y� VALIDATION _— WHITE-0epertmenl COpy,YELLOW—Finente Copy,PINK—AssessorCopy,GOLDENROO—File Copy,GREEN�llpplicent's Copy � � - -- - - - - - .... ..... ...._,.�..,� . �.. :.�...,�.•<:..�•.�.,.. . .... �o� .r_,- . .�- . . .. .�. - i . . .y.. . . . .. ,,� . . , .. , ._ .. .. . .. .... �. � . . . . :,: ,-. ... �.., �._. ........:. ... . �.. . . ..� . . . . ...,.. ,.. . . , ....,, . .. ..,..,-.. ... .. ... .... . .... ,. .. .. t , . �. . . . . . . , ...� . .. . . . . . � . . .. . 1� ' ���� - • `�� - - CITY OF DIAMOND BAR .� ; . -; :� ::_, , . . . . _ .. . . . . .. . . . .., . . ��:�'�,. : � ''���`INSPECTION RECORD :, . = .:: � _ . � ,_ . s e � a - • � � � - ., . SET BACK ` '- . ) ' FLOOR JOIST�.c� , ;�,_•,� 1 '�^� -..1 �• , FTGS/FORMS/STEEL =•��� ' � FHA REG1ti1TS �, � - - � � � � � _ ,. . .. ., � � . _ .. - � . � -�--- - - . . -. ELECTRIC GROUND � . _ UNDER FL•QOR'DUGT.'��: , ,c �• i ,-, :� r. �, � ��-�.. • . . GROUND PLUMBING UNDER;FLQ R CQ��DUIT�,;=, •;;.`�, ` • " - - - � -� - - - SLAB GRADE._...— - � - � - -. _ . ._ - : _ . ; FIREPLAEE'FOUNDATION -�^. :.;=.' i�.,_:_:` �_ ;'.:_ :�', • . � , ; TEMP POWER - - -- � ' � ' '. ' FIREPLACE:BOND BEAM _.. , . , . �. , � -� :..1.;_;. . , , -WATER SERVICE � -- . -� ___; - -- - - MID HTr60ND BEAM'•`; ---.'-: -• -. , .. .. ROOFSHEATHING�' 1�` = . .;, :_,. �� ,-'- . .. .. . � SFT.BONDBEAM ••. ,' �`:., �;: - "'. .��� •. �. �,,',� , . FRAMINGNENTILIATION FINAL BOND BEAM � ' ROOF COVER ` � PRE-GRADING - --- - . • ROUGHHEATING -... .. -- - - -- - - - ... . BENCHING - ; .. . � <. ROUGH ELECTRIC -, '2 r �-� ROUGH GRADING , : • � ' ROUGH PLUMBING ' ' ' -�-- -- FINISH GRADING -. ' ' SHOWERlTUB TEST. - - - -� POOL ELECTRlC �' • EXT.LATH/SIDING � � � �� POOL FENCING - WALL INSULATION POOL FINAL ' �� • � CEILING INSULATI�N • OFF SITE IMPS. DRYWALL NAILING DEDICATIONS ' ' ' . . _SEWEFi_ .. .. _ __ . . � FINAL ENG. __. . . SEPTICTANK _ ._. .. ... . -.- . -:. LAN�SCAPE/IRRIG. . . SEEP PIT/L.L,. , �:.: . ... . . ._... . . _ _ - ON SITE IMPS. ' . ,�.. , : •GAS AIR TEST, -. - r-. � ... , FINAL ZONING � � � " : �FINAL'C-ONST:: == T` " ' - -�' ' ' '-�"' -• '.. ' ;� '• .FIRE DEPT.FINAL - F1NAL.tiEATING J` � ";�'�' - � "";� HEAI:TH DEPT..FINAL ; ,. . .._. FINAL:ECECTRIC - �- � " �� �' ' DEV.�FEES PAID - -- -. , FINAL PLUMBING ENERGY • • � � . . � . , "� � • - �.� � . . _. . ._. _..._ .. . _ . . __. . ._.. . COMMENTS- - - � ' � � � � ' -- - -- --- - - - . - . . _ . _ . . , . ., , �� .. . ._ . . . . � ' _ . � -•� 1 �1 � - i . \ . .:_ _— _. �---------- — � �• " - - '� . . `- . .. • � __. :.�'s:;. . _ . � _ - � t . '----"--�`r� S ..\�-- - :1 . �' .� l . . >e�f C� ' '`' , . ' . _ ,., • , � .. . .. _.... ..._ _ .. 41 � � • . . .. i . SEPTIC TANK SI,7r�' �+�^;'t l:^,1t:!�iiJ.^i.�. -� � , . <- SEEP PIT/U SIZE'..;Z:s�:,:.;'t?!".��'.�;.��i � � I , � � �'�' -- �� .. . ; . - • ; , _. _ _ .._.. _ � . : ' � _ - , - . .... � -. � ^ < _.. . _� ,;�. . � � � . .. . i - � , . , . i • . . .. . . .. . . �- � - � i -�— i . , . — .. . .. ._ _ ..... . I —..�. ,. _.� � .... � .- , . �'- , • .. , . . _ . ___. .. .... �.--' ___. ; ' • '_ , \ ,"• . [. i'I. i `'1'I .__ . . . � ..� `... � . _�J . . . , 1