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J,� CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Copley Drive Suite 190 � ' ' . (909)860-3195 Fax(909)861-3117 � � PRE$$ �y^'�� BUII.DINGPERMITAPPLICATION FIRMLY � JOBSRE APPLICATION PERMR Il P/C o ADDRESS�3�TU, /J�� �� DATE NUMBER ���T � � APN LOT TRACT ISSUE n -� G TYPE OCC DATE—_1r�Z��- 1�• CONST. GROUP p OWNER���NN «�L�iY�f ADDRESS ZONING SEBACKS � CITY � ZIP��TEL. � � b REAR RW p APPLICANT TEL. SIDE/SIDE STREET RW ❑ � CONTRACTOR � �/ SIDE ❑ g ADDRES � � PROPOSED USET D CITY��bv4�� ZIP go7r6 TEL. � ARCFUENG/ • '�Z."L � O ,s'[i�(,��i,— DESIGNER NO.DWEL �. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. ti �n DESCRIPTION Sa.FT. FACTOR PSF ADJ.AREANALUA710N p� OWNER-BUILDER DECIARATION SFR/ADD/REM O I HEREBY AFFqWI UlOEH iENALTY OF PEIWRY TNAT 1 AIA E%EAIPT fROM THE COHTMCTORS LI- G8�8gB/CefpOA � CENSEUWiORTMEFOl10MANUNEASON(SEGTR71.6B115NES5MIDVROFES510NSCO0EANVdTVOR (n COUNiYMMIC11RE0UWESAVfRA1RTOCONSiRt1Ci,ALTE0.YAVf10VE.DEMOUSµORREDAIRANY3TRUC• W PBIiQ�OCk TURE,P(YDq TO ITS ISSUANCE,/LL50 REWtqES T/E APPUCANT FOR SIKH PEHIIIT TO FILE A S�CNED W 6TA7EMEM THAT HE Oil SME IS UCENSED PURSUANT TO TNE PRO'VISIOf15 OF TNE CONTMCTOFt3 LI• CEMSE UW(QUVTEN i(C06�MENCPq W7T15ECTqN 700a)OF DIVISION 7 0F THE BUSINESS AND iR0- V" PooVSpa FESSqN5CO0E�OHTINTHEOR5MEI5IXEMPT1/fEREFHOMANDi17EBA515FORT1IEALLEOEDEXEMP• (3 iqN.ANYVqlJ1T10NOF5ECf10N)071.6BYANYA7PLICAHTFORAPERMITSUBJECTSiHEAPPIICANTTO Z Re-R001 �,,,� A dNL iEN�LiY OF NOT MORE h1AN iNE MIHDREO DOUAR,.It500I.1: � OL�OM�MEROFMEOROPER7V.ORMYEI�PLOYEESNATHWAGESASTHEIRSOLEOOMPENSA7qN, 0 �mmerclat - Y/R100 THE WORI(IHO THE STRUCTURE i5 NOT l7TENDED OR OFFERED FOR SALE(SEC 7w�.BUSI- J � 1�53 A1a VRDFESSIONS COOE:iME CONTMCTOFS LICFNSE UW DOES NOT APPLY TO AN OWNER OF j ifqPERTY Yllq BUILDS OR I4PROVES T1Ei1EOH.NA V1110 DOES Sl1CH YIORK HiMSELF Oii MERSELF ON � iWiOUONN50RMER0IMJEYPLOYEES,VPOVOEDTNT5UGl1WVROVEMENTSMENOTNTENOEDOR m � OFFEREDiORSALEIF,HOWEVERTHEBU4DNf70RMPf10VEMENT650LDYA7HWONEVEAROFCOYPIE- � 'TION.THE ONMEH�BUIIDER N'ILL IUVE THE BURDEN OF PNOVPl6 THAT HE OR SME DiD NOT BURD ON 4PROVE iORTNE PURPOSE OF SALE1. w O t�OMM�EROF THE CR07EIRY.AA1 El(CLUSNELY CONTRACTNG MATII LICENSED CONTRACTORS 2� TO GdiST{iUCT THE ORWECT(SEC.MM.BUSMESS AHD VRDFESSIONS C9DE TME CONTRACTORS LI- Ve�UBS10� ADJ.AREA U, CEHSEUWDOESHOTMPLYTDINOMMEROFAPAOPEi1TYYnqBUlD50RWPROVE9THERE01tAND Z WNOWMTMGiSFORSUCHPR0.1ECI5WI7H11COHfMCTOR�S)UCENSEDPURSUANTTOiMECON7MG �UANTITY DGSCRIPTION FEE � TORS LICENSE UW.). . , ' . O I/W F7(EYM UNDEq SEG B.{V.G FOR T115 REASON Q U � F DATE OWNER V � W UCENSED CONTRACTORS DECLARATION -� � w INEREBYAFFlRNU�DERPENµTYOFPE0.IURYTNAT1AA/LICENSEDUNDERVROVI510NSOFCHA07ER V. s �(COEIAENCINOWITHSECf10N7000)OFDIVISqN]OFiMEBU5INESS/�NDPROFE55lONSC00E,AN� Z "V MY IICENSE IS N FULL FORGE AND EFFECL m � UCENSE CUSS v� UC.NO. � USI�"O � � �"���� J .. . V DATE COHTFUCTOR�fp��x� n- W � WORKERS'COMPENSATION D[CLARATION Q yIHEREBYAFF6i41UN0ENPElULTYOfVERA1RY0NE0FTHEFOlLOYANGDECLAMT10N5: Z 0 _INAVEAND'MLLYAMTAINACERTIFlCATEOFCONSENTTOSELF-INSUREFORVIOFiKERS = ! COMPENSA7qN,A5 YROVI�[D BYSEGTON TOo OF 7ME U�BOR LODE,FOR THE PEAFORMANCE U � OFTHEWONNFOAWHIGHiH13FEHIARRISSUm. � 0 _I HAVE I�ND WILL MAIMAN Wq1KERS'COUPENSATION W SUiWICE,AS REOUIRED 8Y SECTION O ]'7o00FTHElAB0ACO0E,PoRTi1EiERFORMANCEOFTHEWOPKFORwHICHTHISPERMITIS '��' ^�l � ISSVm.WNOFiKERS'W�APETJSATIONWSU ECMNiERANDiOUC'INUMOEHME: CONSTRUCTION I�' / � GNiIER � "1" PLAN REVIEW �� � POLICYM»+BER �S^�I EIECTRIC ��}•�' 0 �n+ssEctnr+�IDrqrgeca,qrrmoFnfpcnwts�+a+eru�d�moa.wuR�aqant[ss} PLUMDING Z ItERT1FYTNATN7HEFERFORUANCEOFTHEWORKFONN7IN]IiHISPERMITI515SUED.1 MECHANICAL � 1 _ C} SMILL.LNOTEUPLOVANYOERSONNANYlA1WN[RSOASTOBECOMESUB.IECTTO7NE [� � WOPo(ERS'COA�PENS�TqN�AW50FCALIFORNI/�MJDIICREETHATIF15110UlDBfCOME INSP CTIONFEE _�n � _e�w�`' r S 6UB.IEGTTOTHENVi1KER4'WIAPENSATqNPROVI510N50F5ECiICN�7ooOFTMEUBOR �. ♦ T eoo�,i sniu.�i rn wur�r wirn nase varnnsior�s. I SUANCE � +_hO .�', �L�(�] � DAT£d_�APPLICANT. SMIP S � Cl�����"1��� . -1�� � WMNINO:FARURETOSECURENORKERS'GOMPENSATpNCOVEMGEISUNLAWFUL.ANDSWLLLBE ENERGYPlC C1���1��'� �, � SU&IECiIWEMMOYERTOCfUMNAIPEN/LTIESANOGMLFWESUPTOONEHUNOREDTFqVSAND ENERC,YPERMII'4}V1 DOLURS(f f CO.D001 N PDORION TO iME C0.5TOF COMVENSATION,OAAUOES AS PRONOEU fOFi IN � SECTtlNf7oe0�T11EUBOR[DDE.MEREST,ANOATfORNEYSFEES. � RETENTIONFEE: . d CONSTRUCTION LENDING AGENCY PRE•ALT FEE: O � I HEREBV AFFlRM UNDER VENALTV OF PE0.NRY THAT THEAE t5 A CONSTRUCTqN IENDPiO AGENCY FOR THE VENFORMANCE OF THE WORN FOR WHIG17H15�EN.aT IS ISSUED(SEC.]oY7.pV.C.1. �' �o /9.6�l�! IEt�IDEifS NAME � LENDER'SADDRE59��L7+� 1 1 � ICERTIFYTUTIHAVEREADiMI5A0PLIGTqNANDSTATETHATiHEA80VENFOiWATqNISCORRECT. TOTAL FEES W IAaREETOCDIAPLYN7THALLCfTYANOCOUNTYOPD4LWCE5ANDSTATEUNSREUTN6TOBV0.DING � CONST{lULT10N,/WDXEREBVAUTF/ORIZEREPRESENTATNESOFIHISCOUNTYTOEMERUPONTXE � Z /1BOVEa1EHT10NED PROVERTY FOR WSPECTION VVRPOSE3. COMM[NTS 9 r�.17 �'os�o� � m PEMIITTEE N E(�PIHT� � Q -o 0 2-/_y�� � y B�GNAiLn[OFYERMiTTEE O E � RECPT.N0. PA1D BY V/WDATION VIM�TE—DePartmbnt COpy,YELLOW--Finente Copy,PINK—Asaessw Copy,GOLDENROD�Ia Copy,GREEN—Applicent's Copy . .., .:� , . .� . . . . .+j7'- . I lr_.' ,'�.'... :��. �. . ... . . . :f^.�t`.• .'s` .1�- .. .L•�. ... ., � ,.�•rr. _L :.�.� .. ..� . . wd•c , . • , . ...ti . . CITY OF DIAMOND BAR . . - . - , �. -,. �.�' INSPECTI011l:RECORD � . . . . . , . � , . . . -_.�.___ `T'�-�-----'"-_•� ---.• _.. , _ _ _ . ------T-,�, .... ...�.._ � �.r �' �� :��N��.I���.I ,I�.. =�. ���- _.,_._.. ._. . .,[. �_-.: ! �����K�.���r � ��W� _ _ _ ,._, ._ . ,.. _ k�E-'���a,;���e���� �+a.s� sef-��� ., ��-�;�.�eY:�° :. ��; �... �..Y.,....�.,....,_...,- -- .-..� - -- - - _ . _,_.._...............� ,..�,�_,.�_ ._,.,..,�,..>.��,-�:.. . . ... . �SET SACK ��. , ,. , � FLOOR JOIST � � •�� � . .. , • , -.. . _ �FTGS!FORPAS/STEEL � .�. . � - . . FHA REQMTS. :.. . .= , ` ` . . - .! _ ._ , ELECTRIC GROUND _ � - - �� , . - • _ � UNDER FLOOR DUCT � , , ' ' �� I +GROUND PLUMBING UNDER FLOOR Cdf�IDUIT�... . ': �� ,�.' �,-��=��—� � ' '� 'SLAB GRADE - - - - FIREBuACE�l��UtJJ�A,TION • , ���• � _;;. _. �..,•• �.' +•.;'. . - i 'TEP.1P POWER - � . � � : I FIREPLACE BOND BEAM IIti�ATER SERVICE - - - - MID HT. BOND BEAD.1:'��� •.�''• •:.',:��.-•-,:. .. :. � . ....:. � � . .E30 FC�F1Eic:THl^1G.� �n. � 8 F7. BOND,BEJ�h.�»` �. _ •��. �., .� .�•.•I,;� .�,.>>.._ � ` : , --'—����-g�` ;.. —yt=-�=* FR,4P.T1f�a7V�N`I,iLit�.�l��.�'��Y _� -� - ,'`_- FINA B BEAM ` I�—I, . , ! �. - _ '. _ . . : _ ., ROOFLUVf=R � � � ��f � PRE-GRADING - - - _ ROUGH HEATING - - BENCHING • �-��:, + ROUGH ELECTRIC. : . � ' ROUGH GRADING � : ROJGH PLUMBING - - � FINISH GRADING SHOVYER,r(UB TEST - .� POOL ELECTRIC '� � �`; �EXT. U1THJ51DING - - -- - POOL FENCIhJu . � a• lrlALL INSUl11TION -- - - - POOL FINA� ,_ . , �CEILIPJG INSULATION - ' � ' - OFF SITE ID11PS. ' -� DRYVVALL NAlLIP1G " DEDICATIONS . . SEVVER - - FINALEPJG. ' SEPTIC TANK LANDSCAPE/IRRIG. ' SEcP P1T/LL - ` "��'':-• -` ' ON SITE IMPS. � . GAS AIR TEST : _`� FINAL ZO�;iNG j ( � -. _FIPJAL C�PdST,. � �/�'�' FIRE DEPT. FlPJl1L � � , . , FINAL HEATING_ _ . r � �HEALTH DEPl: FINAL .,\�-_� t ,•� --.:�� :� , FI�Vi;L CLECTRIC - - DEV. FEES PAID " I ` ' ' -1- --- � : , FI?•:l��!PLU;�IBING - ' . ENcRGY ,^ . _ . . � -I -- --- . _ . `�.`� �••j��•���,C�t%w'r��-;��i \' � . .^i: J'�s:a_...K�n:wrtV2.. . .. "1 . . ..._,..._..._. . _ _.. . . . . . _._.. . .. "_ __"___"'__"_ .__ � �'_"-Ll � _'_' . _. ' _ _ _' • ' . ` ' _ ' ♦. �c ti4,�. ,I \ \-��\ 1 1 ' COf��1tJiENTS � ' :ti1r � ., . ..•i .. . . - . ' ' . - - --- ' ' " • - . � ti _ ._ti� � i _ � � � ti` — . .. .. � . � . . . .� r—^ �.. ' � � . . . � . % . � . . . ' - i � � i " . . • . . , . 1 _ `�...�•�.:. . .. i SEPTIC TA�dK SIZE � � � � � _ � , , . , , . SEEP PIT/U SIZE - _ � - - - , __�, ..�M_�.... , Tlti.� ' , . � _ � , , . •�, , . . . . . :, _ . �� '�.i:<.��': - �� :w. �; `.�- - ,,y�y�, :,}: • ,. . . . — _� . .._ � :F . . � . . � . . � ._. .. . ... i � . - . . ...: . .. �^' ��� • ��� y1 `! L .....:..:....:.....•'.�..,....._..__..._._� -- ' ' \;� ,`. ,�'. . .: .--��-- j