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CITY OF DIAMOND B AR' � � --�� -- DEPARTI4ENT OF COMMUMTY&DEVELOPMENT SERVICES � � 21660 E.Copley Drive Suite 190 • (909)860-3195 Fax(909)861-3117 PRESS � �����.� BUII.DING PERMIT APPLICATION � � . ' FIRMLY o ADDRIESS :l���J �I h� � I�� ��/ . �' DATE CATIONp �J � NUMB R I ZI JS g/C � fl c� . ISSUE TYPE OCC APN LOT - TRACT DATE � Z� � CONST. GROUP � OWNER � p ADDRESS ��.see�f C� ZONING SETBACKS Z CITY ZIP TEL. REART RW p g APPLICANT TEL. SIDE/SIDE STREET RW ❑ � CONTHACTOR SIDE ❑ � A��RESS PROPOSED USE � CITY ZIP�� TEL. _ ' 8 ARCH/EN , , � ADD ESS - NO.DWEL ; , �- . 'NO...�., �. NO. � o L�C(p . ; , `; �. � CfTY ZIP TEL UNITS - STORIES� ` � ,� BEDROOMS N DESCRIPTION SO.FT. FACTOR PSF AOJ.AREANALUATION � Q OWNER-BUILDER DECLARATION SFRIAODIREM - � � - O p 1 HEREBY AFFlfW UNDER VENALTY OF GER1Uif7 THAT 1 MI DIEMM FPAAI7NE COHTMCTORS LI•� Ga�g���� ' Lll COJSEUWF00.THEFOl1f1WNOpEASON�5EG70]f.6BUSWESSANDVROFFS510NSC00E:ANYCfTYOR� (n - Y COURVWVnWRE0Ui7ESAPEHMRTOCONSTRUCT.ALTER�P�E.DE►IOLISH.ORRE7�iRANYSTAUC. W Patla/Dedc � b TUiIE,PRqR TO RS 65UANCE,AL50 REOUIRES THE MMMlNi FOR SUCH VERMIT TO F0.E A SiGNFO W � ETATfMENT TFIAT HE OR 9HE IS LICEHSEO iuRSUANT TO THE PFqVI5lON5 OF TNE OOMMCTOR9 ll- � CENSE lAW(G1AV7ER i(COMMENCCIO WITH SEGTqN 7000)OF DMSiON]OF T1E BUSME55/�NO PR? LL PooVSpa FESSpNS CODE)OR TTUT NE OR SHE IS O(EMPTiHEHLFHW ANO T11E BASIS FOR iNEALLEOED EXEMP• iION.ANYVIOLATIONOFSECf10N7W1.6BYlUl1'APVLICANTiORAVERMITSUBlECTS7HEAPPLICAHTTO Z Re-Raof �„� AUVR VEMALTY OF NO7 NORE714W FNE FNNDRED DOl1AR3(t5a0I.):.. � �4��NEROFTNEPROPFR7V,OR4YfuPLOVEESMnMWAGE5A57NEIqSOLEC04PEN5A7qN,� � O COTm9rCi01 � - YALL DO TME YIOi1K AND THE 6TRl1CTUHE t5 NOT INTENDED Oit OFFENEO FOR SALE(SEC.7a1,BL151- J N NE43 AND VROFES&ONS CODE:THE WNTA�CTOR9 L�CENSE UW OOES NOTAPPLY TO AN OWNER OF ? — VROPEHiYYN10BUILDSORM7ROVE5i11EREON,AND`MMDOESSUd1WOiiKMYSELFORH[RSELFOR � � 7HROU01iMSOqNEHOWHFMPLOYEES,GROVDEDiHAT5UQ1MPflOVEMINTSARENOTMFNDEOOR m OFFERED R7it SALE ff.MdWEYER7ME BIADPlOOR tAPR0VE11EHT IS SOLDIMIiHIN ONE YEIW OF CDMRE� 'TtlN,THE OwMER�BUILDEN WILLliAYE iHE BURDEN OF PROW70 TNAT ME OR SHE D�D NOT BURD OR MPROVEFORTM=PURPOSEOFSALEI - ... W OI�OMNEROFTHEPROPEHfY.AME%CLUSNELVOONTRACTNOMrtTHLICENSEDCOHTMCfORS � M CONSfRUCT THE PROJECT(SEG MII.BUSINESS AND DROFESSIONS CODE:THE CONTMCTORS IJ- VeilJellOn ADJ.AREA CENSE UlW OOES NOT MPIY TOAN OWNER OF A PROPERiY YM110 BUIDS OR I�IPROVES TNEREON,AND � YY1qCONTMCfgFORBURIFHOJECT5WI7MACONTMCTOR�S)LICENSEDPURSUANTTOTMEWNTMG - QUANTITY DESCRIPTION - FEE � fORSUCENSEUW.G , � OIAM IXEIAPTUNDfRSEG B.1 V.G FORTHIS IiEA50N U 3 � _- � .. . , , . LL.T�" OATE OV/NEfl �' . 1� - . . . . .. � W . UCENSED CANTRACTOFiS DECLARATION ' W � �MEREBYAFF6i4UN0EHPENILLTYOF0E0.1UtivTHA71A1dLICENSEDUJDEROROVIS�ONSOFqUDTER! � . . � •(CaMYENCNO NrtTH SECTION T000)OFOMSqN 70F iHE BUSINESSAND PROFESSIONS CODE,AND Z W UGENSE IS N FULL FORCE hND EFiEGT. m ' � LICENSE qJ155 G��]f_UC.NO. � o .� � . � o�re �—'.1/— 1�_corrrsutieroa ,� a : w � WORKERS'COMPENSATION DEC TIO a = U N IMEREB�yFI�MrUNDERPENAL7YOFVERRlHYONEOFTHEFOLLAWINODECLMAiqNS: ' � � N Z G �IlNVEANDMlM1LM�NTNNACERTIFICATEOFCONSENTTOSEIF•INSUR[FORNORKER5 = � COMPENSATION,ASPROViDEOBYSECTION77o00FTHEUBOFCODE,FORMEiEAFORMANCE W OF THE WOiiK FOR NTIIGI THIS P£RMR IS ISSUED. � � �I M�VE AND N7LL MIUNfAl1 N'ONCERS COMPENSATION INSURANCE.AS REOViRED BV SECTqN Q77000Fi/1ELABORO00E.FOi17MEVERFORMANGEOFTMEWORKiORWHiC11THtSiERMITIS � . . . /�O,C� � ISSUED.AfYYVORKERS'Cd1PENSAT�PANC6C�RfU[RANDiOLICYNUMBERME: CONSTRUCTION j � 7 CARPoER Y C _�.[ , i PUW REVIEW � KIICYNJ4BER I�I, ��r ' � ELECTRIC. .. � (IHSSCCIIONNEIDNOfBER1,q„EfEnaFnEVEPo.RswRONEHIt�v�IDOotut�SR�mlall£55? PLUMBING z ICERTIFYTHA7NiHEPfRFORM�NCEOFTNEWOiL(FORW111CH1HISVEiWI715155UED,1 MECHANICAL� " (•} SwLLLNOT CMPLOYANY PERSON N ANY MANNEH SOAS TO BfCOME SUOJER TOTHE N WOiiKERS'COMGENSATqN UWS OF CALIFORNiA ANO AGREE 1MAi 61 S�qUID BECOME INSPECTION FEE "`- SUBIECTTOTHE1VOfiRERS'CO�APENSATIONPROVISqN50F5ECTqN]7DOOFTNELABOR- - - - - S COOEISHMLfORfF�MATMCpd7LYWlilITHOSEPAOYISIONS. ISSUANCE � SMIP � p DATE: APPLMANF. . � WAPNIN(i:FA0.URE TO SECUHE NDNKERS COMPENSATION COVERACE IS UMAwFUL M+D SMALLBE ENERGY P/C �y SUBIECTINEAIPLOYERTOCfiIYNALiENALTIESAN[1CMLfWESUPTOONEHUNDRE�TF10U5NID ENERGYPERMIT OOILARS(f�0o.o0ol.M7 AOD1710N T07HE C0.tt OF CONPENSATION.OAMACES AS PROVIDED FOR IN J SECf10NJ7oeOFTHELABORCOOE.INTEREST,ANOATTORNEY5FEE5. � RETENTIONFEE: - � Q d CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � � � IHEREBVAFFIRIAUNDERPEN.LLiYOF0E0.ri1NMTHATTHEREISACONSTRUCTIONLENDINdAGENCV FOR THE FEH W RM.WCE OF 1ME WORK FOR WNldl TMIS Vf iW IT LS ISSUED(SEG]oY7.dV.G). � � LENDER'S NNAE � � C IENDER'SADDRESS . Wicermvrr�uriw�veaewnns�ar��na��v+osreren+�rn+E�eovEr+ra�u�rar+�sconaECT. TOTAL FEES J� ///1��))) � IAGREETOOOA�PLYWRHALLCfTYAN[1CAUNTYOROPIANCESANDSTATEUWSPEUTINOTOBUILDIIM I �� � �/ CONSTRUCTION.MID NEREBY AUfYqitRE REGRESENTATIVES OF TW S COUNTY TO ENTER UPON THE � . S� �BWEdAENT1DNEDPROPERiYFORWSPECTIONVVRPOSEA COMMENTS � , � � , 9 ��v r T !� - _. , Qvcw�mEE rm v � - cn ���� uj SIONAN O�P OATE � _. RECPT.N0. FA1D BY VAUDATION - YYHITE-0epartmenl Copy,YELLOW—Ffnence Copy,PINK—�Asseasor Copy,GOLDENROD—File Copy,GREEN—ApplicanPs Capy � , CITY OF DIAMOND BAR �.;� �; ;-: ; : . , .,..._ - , . '` ,. . �'INSPECTION RECORD.. � :•� � � _ • "�. . � _..,- � ��, �, , , � _ . • � � • - • � � • � • SET BACK .. , _': � � ,. , . . • ::,`, 1..`.�:'� , .. FLOOR JOIST �. '. .,\ � :.f. �L_ .�k' � ;;.. . � ,.. , . . . ., . �: FTGS/FORMS/STEEL ' � � ,..> .. '�.. ;c � :.� -FHA REQMTS -- - --... _.. .. . -- - - :- ..._._._ ...._� ... _ELECTRtC GROUND_�.- - _ -_: :: `;_. ' � � '� -� - UNDER FLOOR DUCT - -" � - - �� ' • �� . ,. GROUND PLUMBING - • UNDER FLOOR CO�IDUIT� •. '. '� - -� -• _ . , . _ • SCAB GRADE - - �� � � FIREPLACE FOUNDATION � � --- ---� - - -- '�� �' ' . . . . .. �TEMP POWER __ ' .. •' ' � - � FIREPLACE BOND BEAM- --- . . -- : - --- � - ' ' -WATER SERVICE==:..: .: _ :.-:_�_ . . . .. ... ... ... . .. .MID HT.BOND BEAM;--'-!`-=�'. ..�,_\ :� .�_, ,. �_._..._. _.. �f�QOF'SHEATNtNO> '�`: •�J � S FT.BUND.BEAM:�: , .r�� =•, � � �. • . •; ' " ; �. FRAMIf�GNENTPL:1AT1atV .`_ _.`�� �� � � � FINAL BOND BEAM � � RbOF'COV� - -/�-`j �PRE-GRADING _ ---- . . , . .�r ROUGH HEATING-- -- . :_. . .. ..__... ._._ ...._..__.. ..... BENGHING .. . . ---- - � r � , : ROUGH ELECTRIC ;-- ' = � - , ' - - �ROUGH GRADING - - . , - . ;. -. ,- . ' ROUGH PLUMBING i- -" - ---- - "- " '� �: FINISH GRADING , , ... �� - � .� . POOL ELECTRIC SHOWER/TUB TEST i-_ -' -� � .. EXT.LATH/SIDING � - POOL FENCING - � WALL INSULATION ! � POOL FINAL .' . CEILING INSULATION • • OFF SITE IMPS.. � • � � DRYWALL NAILING ' DEDICATIONS . ' ' . �� ; � ,: SEWER_ V . . _..._..--�-----:.. ' -- --.. FINALENG. • • . .. .. .. ._. . _.. ..._.... SEPTIC TANK .. ___ ..__._._._... _ _. LANDSCAPE/IRRIG.. . � SEEP-PIT/L.L. . - -- _ ON SITE IMPS. - . r . , GAS AIR TEST ---- -- --� - - - FINAL ZONING ; � „ . . , FfNAL�CONST.. .. .. _.. . � ._ _ .._. .. _. . .. � `�- -�'�' /�tr,� - FIRE DEPT. FINAL . FINAL HEATING � �-- -- - - - HEALTH DEPT. FINAL � .., . --. .. ._ _ , . �FINAL:ELECTRIC �-� -- ' . :. - DEV.,FEES PAID - � FINAL PLUMBING ENERGY: � �� , � ��.: �,m e�� . . _ � . . � . . : . ,�•,..,f,\ �-.•_` � . . . � . � • . . . . , ___ ..._.. .. _.. ... _ . _. . . ..... _.... COMMENTS , ..._. . ._... �. , ;. ... , . . , ; , ._ . - --- - - ---- - � � . . , . , -.. . . � ; ..._ ._ _ --- . . . _ � • ; . . � := �= .:,`��� _ . _. _ . , ; ,. , , ,. . ; � , . , �.,,:, - - - : . . �:\ — � � � ��—v� _ _ r . _ . .-. -.- -. . . .. . _ � � , . •. ; ... . � � • •, . _ . . . . ._ _ - ' , , • . I -. � . _ _ . . . � . ., . SEPTIC TANK SIZE - - ; . � , . - _ ,. . ' ! . � , .. , _ ; SEEP PIT/U SIZE i � . . , ; � � , . -- . . . _.. - ' i � . . � . . . _.. _-. - .. _ . '_ - --. . _ _. . . _ ._ - . , i �:. . , _. .; , • � _ , _, . ,��....�.�Irr___�� .. i � . ; , . . ; � i i ..,. �...� � . .. . .. . . . .. , � '. � '^ •� ... •� ". � ' ..... . . _ �• �a �� • � . . . .. .. : �\. . . . .'-\ . -_. ' f .. �,'•� .�� ` . . . � . '1 '. '� . -. � �' .. ' J ._ , . •� - �� � Z� . .. . .. • ' �.� _�..i�:Q\ . . .