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i f� CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY 8c DEVELOPMENT SERVICES ai�o s.c�i�y n�;�e s�c�i90 PRESS � (909)8G0-3195 Fax(909)861-3117 �����'�� � BUQ.DING PERMTI'APPLICATION FIRMLY o� JOBSITE n � 7�y�_ Z �ID�'1I�F APPLICATION � � PERMfT I��(,/DP/C ADDRESS��OVZ�� ( � DATE NUMBER A ISSUE � I ��/ TYPE OCC � APN LOT TRACT DATE ✓� CONST. GROUP p OWNE��LL�Q_�n�- o ADDRESS ZONING SETBACKS � CITY ZIP TEL. REAR Rw ❑ APPLICANT TEL. SIDFJSIDE STREET RW ❑ � CONTRACT R Y1f P-�0�� G, SIDE ❑ ADDRESS � CITY (h Or � ZIP � 11 TEL PROPOSEDUSE ON S � w ARCH/ENG/ � - F / � LL DESIGNER NO.DWEL N . � NO. = CDTDYRESS Z�P TEL. UNITS STORIES BEDROOMS � v� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDER DECLARATION SFR/ADD/REM O p �HEREBY AFFlRM UNDER VEN�LIY OF CEfWN'/TNAT 1 Ald E%EMPT FROA1 iHE CONTMCTqiS LF Gef�gB/COrpOR lll CENSEUWF011T1Ef-0LLOWNOREASON(SEGT0�1.68USINESSAN�GHOFESSION9000E:ANYCT'OR (n �7 COU1fiYWF11d/REOUWESAVEiWRTOCOKSTRUCf,ALTERMGROVE,DEMOUSM.ORFE7AIqANYSTRUC W Patio/�eck Z TURE►RiOR TO R9 ISSUANCE�L50 REOUIRES THE APPLICMIT FOfi SUCFf PERMIT TO i1LE A SIGNED ��l� 6TA7FMENT T4lT HE OR SHE b IICENSEO PURSUANT TO TME PFtOVI5iOH5 OF TME CONTMCTORS l4 W CENSE UW(GIAPTER Y�COMMENCPW WITH SECTqN 7000)OF DMSqN]OF T7E BUSINESSAND FRO LL' POOVSpd FE6510NSOCOE�ORiNA7HEOf15HEI5EXEMPTTHEREiRpAANDTHE&lSISfORiHEALIEGEDEXEMP• iION.ANYV10lAT10NOFSECT10N7071.6BYANYACVIICANiFORAPERMITSUBJECT5h1EA0PLIGNTTO Z Re-Roof F A C7VIL VENALTY OF NOT YORE 7HAN iNE MINDREO DOLURS(t5o011: � O�iISGKNEROF7HE7RODERTV,OiiWEUP�OYEESVATNWAGE5A5iHEIR50LEC04PEN5AT10N, CORIf11BfCI21 - WKL DO THE YaOiM,MO T11E 67RJCTURE IS NOT IHTENOED ON OFFERED FOF SALE(SEG.70u,BUSI- O NESS NID PAOFESSIONS CODE iHE CONTiUCTORS IICENSE Uw pOES NOT AVPLY TO AN OwNEN OF ? � � PROPEHTYYIFIOBURDSOi1MVipVESTHEREON,ANDMAI0DOE55ULHY/OAKMIMSELFORHERSELFOq (L TNROU(YINISORMEROWNEMPL0IEES,PfqVWWTNATbUGIMVROVEMEMSARENOTINTEN�EDOfi m 0 OFfEREDFOR3ALEF,IiO�YEVEi�THEBULDIN(iORM1VROVEIAENTIS50lDWfTNNONEYEAROFCOMPLE• Z TIOH.7HE OWNER�U0.DER YALL HAYE iHE BUPDEN OF iROVWO h1AT ME OR SNE DID NOT BUIID OR _ \IiR�YE FOR TFIE PUPP0.5E OF SALE1 w 041�SOWMEROFTMEVROPEKTY.MAEXCLUSNELYCONTPACT1NONrtTHL10EN5EDCONTRACTOR3 � TO CONSiM1CT THE PROJECT(SEC.7Daf,BUSIN[SS AND PROFESSIONS ODOE:THE LONTMCTOPS lF VaIUB110(1 ADJ.AREA W CENSEUWDOESNOTAPVLYiOANONHEROFAVROPERTYN?IOBULLDSORMPfldYE5T1EREON,M�D • � NTqCONTRACT5FOR5UCHPRWECTSNTMACOMMCTOR(5)LILENSEDPUitSU/u1T7OlNEWNTRAG QUANTITY DC-SCRIPTION '• � . . FEE - � 7OR5 UGENSE LAw.j. O 1 A11 EX[YPi UNDER SEG B-t P.0 GOR THIS REASON Q 3 c' . � � DA7E OWNER V � LICENSED CONTFiACTORS OECIARATiON W J � W INEHEBYAFiWYUNOENPENALiVOFPE0.NiiVT1U71AMLICENSEDUNDERDROV1510NSOFCHADTER � p., �(COM/AEHCNO WRH SECTqN 7000)OFDtVI510N]OF irlE BUSINESSAND iROFESSiONS CODE,AND Z �X W LICENSE 16 N FULLFORCE ANO EFiECL ( � ��... IMENSE CLASS � LIC.NO. -JQ L q � t� DATE � ' CONiMCTOR - d l71 � WORKERS'COMPENSA710N DECLARATION -� � IHEREBYAFiUWUNDERPENALTYOFPEfWRYONEOFTHEFOILOWINGDECLARAT10N5: Z � _IMAVEANDM'ILLWVNTANACERTIFlGtTEOFCONSEMTOSELF-INSUFEFORIWRKERS' _ CONPENSA7qN,A4 PROVDEO BY SECTqN Aoa OF TXE LhBOR COD[,iOR iHE PERFOMIANCE W Of THE WORK FOA WMIpI T1115 PERAIIT IS ISSUEO. Q � � IHAVENCIVALLEUUMAMWORKERS'COY7ENSATIONINSURANCE.ASREWIqEDBYSERqN ��/�\+ �� dQ• 97000F THE I.ADO(i COOE,FOR THE�ERFORMANCE OF THE WORK fOR WHICM THIS GERMRiS I, ISSUED.MYMOPoCERS'COMPENSATpNINSUMNCECARPoERIWDPOLICYMJIAOERML: CONSTFlUCTION � �� j �ER STA-TC �I�/JD PLAN FEVIEW � POLICYMIMBER OC7( . �GIU� O ELECTRIC � � (R13SECIf01+rCmWiB[OU.PtE7ED0inEPEw.iit5F0aCNF1Af�E�OalARSR+�MOtilL55} PLUMBING � Z ICERTIFYTHATMTHEPERFOAAIANCEOFiHEWORKFORMA11dITHISPERA�ITi565UED.1 MECHANICAL (i SN�IINOTEUPLOVIINYVERSONNANYYANNER50A5708E00MESUBJEC7iOTME � WORKERS'COIAPENSATqNI,AWSOfCALIFORNI/�ANO�GREETHATIFISNOULDBECOYf INSPECTIONFEE S 6UBJECTIOTMEWORKFRS'COMPENSATIONPROVISIONSOFSECTqN17000FTHElABOR � COOE.1 SMML FORiMMTf1 CdAPIY N'ITi TF105E VROYISqNS. �SSUANCE �! � SMIP 1 p DAiE: ��i -Q� APPLICANT: - � ENERGY P/C CI1'Y nF D3AM0� � WARNINO:FA4UNE TO SE WRE WOfiKERS'COG�PENSATqN COVEMCE IS UNUWFUI.AND SMAIL BE SU&1ECT AN EYPLOYER TO CRIMINAL iENN.TIES AND CML FINES UP TO CNE MUNDRED 1110U5AND T � OOLURS(f1oa,0oa�.INAO�ITpNTOTHECASTOFCpAPEN5ATI0N.DAMAGE5A5PFOVIDEOFORW ENERGYPERMII�UTI.T]TT�� AND SA�T ¢ SECTIDN�70lOFTHELA80fICODE.MITERESLAND�TTORNEYSFEES. � RETENTIONFEE: a CONSTRUCTtON LENDING AGENCY PRE-ALT FEE O � IHEREBY/FFIqMUNDERPENALTYOFVERIUFYT1U77HERE15ACdN57HUCTIONLENDP1Ol10ENCY - Z FOR iNE VERFOqM�NCE OF iHE WOAK FOR WHICHTHIS VERYIT IS ISSUED(SEC.]097,CN.C.). W � LENDER'SNAME � LENDER'SADDRE55 W ICERTIFYTHATIFI�VEREADTHISAPPLICATIONMIDSTATETUTTHEABOVENFORMATqNISCORRECT. TOTAL FEES ((J! p, IAGREET0001A7LYN7TMILLLCT'ANOCOIINTYOROPIANCESANDSTATEUWSREUTIN�TOBUIL0IN0 � � CON57RUCTION,/JJDHEREBVAUTMOR12EPEPFESFMATNESOFTMISCOUNTVTOENTERUPONiHE ' ABOVE�MEMTIONED FROPERTY FOi11N5PECTqN PUiil'06E5. COMMENTS � CLI �� �!� ��OFI� ��. m oEfi{MIrfF�NMAE IP� /9�—� N �.� < < � y SICNATUREOFVERYITTEE DATE � � RECPT.NO. � PAID BY VAUDATION WHITE—Departrnent Copy.YELLOW—Finance Copy.PINK�AssessaCopy,GOLDEN O�File Copy,GREEN—ApplicanYs Copy . ,,_.,..., _ .. .. . _ ,,. . , .... ....:�...� . . . . . . . , . . ., . . .. . . . ........,, . . . , . . . . . , . - ,. . .....;-,•. . - — - _, . . . , . ..._. . .. , � . „ .a., CITY OF DIAMOND BAR . � . � It�lSPECTION RECORD '� � � �al���.�* .e �.�-� 5 � .►,k���� l�:►q E ' .F '�����.`�;��'�: __ 'SET BACK '�, ;,�. ; . � -. ' �� � . FLOOR JOIST. _ , FTGS/FORMS/STEEL - ' `� '�, ' FHA REQMTS. .. �. : _ . ELECTRIC GROUND .. • ~� �-- �� UNDER FLOOR DUCT ' � �GROUND PLUMBING UNDER FLOOR COP,IDUIT " ' ' +SLAB GRADE- FIREPLACE FOUNDATION � ' TEMP POWER� - � • FIREPLACE BOND BEAM -- ' - �WATER SERVICE � - - - MID�HT. BOND BEAM � - • flOOF SHEATHING ''= � � �� 8 FT.BOND BEA�.4 � � � ' • � - - 'FRAMItJG,NENTILIATION . : •� • � � FINAL BOND BEAM ' i I ,ROOF COVER •- � :,-: --- .�, , _ ;`� .J (� PRE-GRADING - - - �ROUGN HEATING - � BENCHING ROUGH ELECTRIC .. • I • ROUGH GRADING -�-; - ROUGH PLUMBING FINISH GRADING ' . SHOtiVERlTUB TEST '- - POOL ELECTRIC ;EXT. LATH/51DING - - POOL FEPdCING ' VIIALL INSULATION - - � POOL FINAL �CEILING INSULATION OFF SITE IMPS. � '• • " ;DRYWAL:L P�,4tLING -�" - - DEDICATIO�JS , ;SEWER � � � • FINAL ENG. SEPTICTANK i��_ LANDSCAPE/IRRiG. , SEEP PiT/L.L. •--� ' • ,' i ON SITE IPAPS:• • , `GAS AIR TEST FIPJAL ZONI^JG � � , ;FINf�L.CONST. ' � FIRE DEPT. FINAL i : Flh�L HEATING _. � HEALTH DEPT. FINAL � � �- - DEV. FEES ?AID ' FIVF.L ELECTRIC - - - f=!`lAL PLUMBiNG - EtvERGY . . , � ' , � , � �� — :;�-Gr.F i�1r tci w a . :._.,.: .:caw�,....,.:,:i.�r��.�W �,,..._...... � . • -- ' . , � '�- ` .- - � . - - . _ i COh�MENTS _ - - . � ; ; , -- , , � � � , • � . � , . , . ; - ; _. ; .. _ � i-;, , • _ . . _. ,, . r . , ! •- - , .. , . SEPTIC TANK S{ZE . . . .. . ._ .. _..:� ;; , ; _ . �`� SEEP PIT/U SIZE - - - - . ..,`.� �_1�.�.:... ...,��: -- - . � ; �; . s..:.. . ...ry i :� _ , -. . • :i . �, , _ i j `,�� �a.� . � � .—'i �.� � � . . - i .. . . . . . . . .. . . . �;- ...�,� ';.:�; .v� ' � �i . � . . . � �.�.�. ..� .. .�' ! ,::io�Mo-; �'a- ... - ...._. . . . . . . , _� .. . . ' i � �, : 1 . . .. . . ' ' , .-''�y�':' ���.1�}. .. .. ,� ����- 1. �� 1(1 1 . � . . . . ,- . . � ...�t...+l��,..._�._...:.i:....�.i� ,\ � �-.1 � . � - -- . . . . .. .