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CITY OF DIAMOND BAR � � �1�-- DEPARTMENT OF COMMUNITY,&DEVELOPMENT SERVICES 21660 E.Copley Drive Suite 190 � ' (909)860-3195 Fax(909)861-3117 PRESS `,��.f BiJII�DING PERMTT APPLICATION � FIRMLY �' JOBSITE �O t D � P� r �� � APPLICATION d ILL�Gj� NUMB R ]33l0� �'� ��� Q ADDRESS V�' DATE 0� � � � ISSUE TYPE OCC APh LOT T_FjACT. DATE CONST. GROUP g OWNER F✓ �'� �` ADDRESS O�a L�Z LN •• ZONING SEfHACKS � cmr � � zia 4�7l�'��. -- - a�RT Rw o 25 APPLICANT .� •�• N p(.ElN TE SIDFJSIDE STREET RW O � CONTRACTOR ' SIDE ❑ ADDRESS PROPOSED USE � I Q(hAlS. � CITY ZIP TEL �� �aP� ARCWENG/ �, 0 DESIGNER J � NO.OWEL. NO. NO. ADDRESS UNITS � ST�RIES �� BEDROOMS � CffY ZIP E � OESCRIPTION SO.FT. FACTOR PSF ADJ.ARE/WALUATION cn Q OWNER-BUILDER DECLARATION SFR/ADD/REM O 1 HEREBV AFFlRM UIOER pENAL7Y OF PERAli1Y TUT 1 M/EXEMVT FFqAI THE CON7MCTOitS LF G8f3{�8/CBf�OR. � e CENSELAWFOR711EFOlLOWWOPFASON�5EG7D91.68U5WESSNIDFROFES510115CO0EM7YGITYOR . (n 8 C.� CGIM(TYWHIpINEOUIRE3AVERMRTO00N3TRUCLAITERMPROVE,DEMOIlSH,ORREPNRMlYSTRUG W Pe[IOlDOCk � . . � TUpE,VWOR TD R9 ISSUANCE,ILL50 REQ/1RE5 THE AiRIGW T FOR SUpI PEHMIiTO FILE A SICiNED � 8iATEMEM T1MT HE OR SHE IS IICENSED PURSUANT i0 THE PROVISIONS OF TME MMMCT�R4 LF , � GENSE UW(CHA7iER Y(COYYENCND WfTH SECTION 7000)OF DIYIS�ON]OF TME BUSMESS M1U DR6 LL- PooVSpa FE3910N3 COO�OR TUTME Ofi SME IS E%EMPT iHEHEFROM M1D THE&1515 FOR THE ALLEOED E%FMP- TpN.ANYVIOU�TtlNOF5ECT10N7071.69YAN'/AVVLICMlTfORAVENMRSUBJECTSTHEAPPLICANTTO Z RB-R001 � ACtVILPENALTYOFHOTMOiiET1UNiNEM1N�REDDOIURS�i6o0�.t - ` � Olua'�NEROF7HEPROVEifT`/,OfiMYEMPLOYEE5N9THWAGE5A57HE�RSOIECOMPEN5A7K1N. 0 (,`pTfnetCfel � N71 p0 THE MAFK AMO THE SiFUCTURE IS NOT IMENO[D OR OFFERED FOR SALE(SEG 7oN.BUSI- J NESS MD VROFESSqN3 CODE 7NE WNTMCTOF6 LIGENSE UW DOES NOT AFPL�TO AN OWNEN OF � iq�PEHiYVApBUIDSORMVilO�'ESTHEREON.ANDWVIODOESSIKHWORKH145ELFONHERSELFOR = - � T/1RdJOH HIS OR NER OWN EM7LaYEES,VFiOVIDED THA7 SUCH MPROVEIAENTS ME NOT tltTENDED OR m OFFEPEO PDN SAlE6 f10WEVER iHE BULdNO OR MVROVE�@!T IS SOLD WITMN ONE YEAROF Cp.�PLE- TION.TME OMiNE0.&11LDER N/ILL H�VE TNE BUROEN OF VROYP!(3 TW1T ME OR Sl1E�D NOT BU�ID OR IMPIqYEfORiH=►URPOSEOF9ALE1 � OlA40NMEROFIHEVROVERfY,Ai1D(CLUSIYELI'CONiMCTNOWITHLICENSEDCON�MCTOR3 TO CONSTRUCT iF1E PHOJECT(SEG MN.BUSINESS AND CROFESSIONS CDDE T11E CONTRACTOiiS U• V01ueI(Of1 ADJ.ARFA � CENSE UW DOES NDTMPLV TO AN OWNER DF A PROPEHTY HR10 BUlD4 OR IMPqOVES THEREON.IWO wwcartw��crswnsuaionaecrsvnni�ca+rrucra+�s���nsEovuAswwrTon+Ecor+riuc OUANTIN DESCFiIPTION FEE � rars uc�uw.G O 1 MI E%EYPT UlAER SEG B.8 i.C.FOR iMIS REASON U 3 • 1 �_:, . u' pATE OWNER � .4. .. ,� � J LtCENSED CONTRACTORS DECLARATION W � IHEHEBYAFFpb1UNDERVENALTYDFPE0.IURVTHAi1AMLICENSEOUNDERVHOVI510N90FCHAPTER� � � � � �(COMMENCN6YrtT1f SECTIDN 7000)Of DMSqN 7�FTME OUS�NE55 AND PROFESSKKJS CODE,AND ^ ^ �^^ W LICENSE i51N NLL iORCE AN�EFFECT. m �'�f!� �J �1 J J LLl 0 llCENSE CLASS L�G.NO. . . . � �j 1����j��.'�f��.:.:i�1�li U DATE CONTAACTOFi � j::Uli.11i2v Ci.Ai d U.,r-� •t:t. � � WORKERS'COMPENSATION DECLAAATION � N INEREOYAFiNMl1NDERPENAITYOFVERIUqYONEOFTIIEFOLLDVAN�DECUN�TqNS: � V � � � Z Q � C __INAVEANDVIILLMNNTAINACERfIFlCAiEOFCONSENTTOSEIFaNSUREFORWORKE0.5' 2 � ODMPENSA7K7N.ASPROVUEDBYSECilON7/000FTHEUBONC00E,FORTHEVERFORMANCE � OF THE YVORK FORYAIICH iHIS DEA�T IS ISSUED. � 0 _I NAVE AND YALL 4AINTAPI WOPXERS C01APQ7SATON INSURANCE,AS REWIRED BY SECT�ON Q 37o00FTHEUBORODDEFOFiTNEiERFO1WNICE�F7NEWORKF00.MMIWiHISDERMRIS ISSUED.WMORICER5CWPEHSATIONINSURANCEGRWERAN�POIICYMIMBER/WE: CONSTRUCTION � �aEq PLAN REVIEW � � POLICYNUABEN ELECTRIC 0 �nsSEcnor+�rpfeEoor.qErIDocnFvw.�rswaa�rarnr�oa�uxs6+aaloA�sst PLUMBING w MECHANICAL . Z ICERT�YTHAfNTHEPERFOWAANCEOFTHENVRKiORVINICHTH15PER1AITISISSUED.I (,� SHALlNOTEM7LOYANYPERSONNANYMANNER50ASTOBELWAE3�IBJECTTOTHE � M'OiiKERSCCMPEN5AT10NUV/SOFCALIFORNI^INOAGREETUTIFISHIXALBECOME INSPECT�ONFEE S SUBIECTTO7HEWORI(ERS'CUMPENSAiqNiROVI510N50FSECT10N�7ooOFiHELABOR CODE,151W1 KORTIN+IT11 COMPLY WITH iHOSE PROVISqNS. ISSUANCE ��] . O . � SMIP ^� • � � DATE: APPLICANT.-. . . .. . WARNINf3:FALURETOSELUREWORKERSLOIAVEN5AT10NCOVEMGEISUNUWFULAND3FUl1BE ENERGYP/C � SV9IECTANEMPIOYERTOCRIMWALPEWLLT�ESANOCMLFlNESUVTOONEMINDFEOT1/0U5M10 ENERGYPERMIT - DOl1A{LS(f 10D,000),N/�DDRK]N TO IYIE GOSTOF COMPENS�TION.OMUI�ES AS PROVIDED FOq M ¢ SECi1DNa70eOFTHEtABORtODE.MEREST,ANOATTORNEYSFEES RETENTIONFEE: OCONSTAUCTION LENDWG AGENCY pRFnA�1'FEE�` ` �C IHEREBYAFFIRUUNDERCENALTYOFVEiWRYTMATTNEREIS�CONSTRUCTIONIENDMOAGENGY '� � � FORTMEPERFONAANCEOFTHEWORK�ORMMICHTH�SiEPMI71SI55UED�5EG]OV7,d�.C.�. —}--�-LL � � LENDEq'S NM1E ' '- L, _ — � LEN�E1fY11DDNE55 � ICERTIFYTHATINAVEREADTMISAPPLICATIONANDSUTETW�TTHE/BOVERILOH/IATqNISCORRECT. TOTAL FEES �� �� . � IAOREETOCOM7LIWIMNICT'I�NDCOUNTYORDiWWCE5AND5TATELAWSRELATINO70BU0.➢INQ �ONSTHUCTqN,M1DHEREBYILLl�110NREPEDqESENTATNE50FiM5COUNiYTOENTERUPONTHE . . _ � /BOVE�MEMION�ROPERTYFOflINSPECTION avoses. COMMENTS 9 , , l/ � VEiWRiEENA4E Q '_ - . ..... .. N � gp�n�p o�TE RECPi.NO. PAID BY , � VALIDATION � � - � - - WHtTE—Depertment Copy.YELLOw—Finance Cop�.PtNK—Assesea Copy.OOLDENROD--File Copy,GREEN�1lpplicant's Copy � - - -- � , . . . _ i . , i ,� .. .. � .. . � . , . . .. . • ... „ .. ,. . .. ♦ . , ... . _ ., . ..� .. �i. � � .. , � CITY OF DIAMOND BAR . -.� � � � ' " �` INSPECTION RECORD�,� '� `�' ' . • � � • - � � � . i . SET BACK • � ��, . ' �,� - ',�1 -:; FLOOR J015T '� , i`i; r l ! +��; . � � FTGS/FOFiMS/STEEL - r ,� , �, , _. '� FHA REQMTS- - -- -- - - i ELECTRIC'GROUNO - ' � ' � �- � UNDER FLOOR DUCT, " ,1 ,� i t ti- GROUND PLUMBING - ' UNDER FLOOR CU�IDI�IT� � ..;'!'� r :� 1 �.•;'�:-' -. SLAB GRADE- � - -- FIREP CEEOUND ION'1= ��l' • '•'' '` TEMP POWER-- - ` - ' FIREPLAC�BOND�BEAM - ' � _ _ _. WATER SERVICE - ._ - , MID HT.BOND BEAM - - - - � ' ROdF SNEATHING: ����:" ,'. +` " � i '"� � 8 FT.BOND BEAM FRAMINGNENTILIATION � � FINAL BOND BEAM, � r, � ..,� ROOFCOVER =� �c� PRE-GRAb1NG " `,� �;,:;,.t„� �,,-*. , �- - ROUGHHEATING - - -- - - BENCHING' . '1'• _�i . __ ;i , 'f.�_;���i�:!!-� ��. ROUGH ELECTRIC - ROUGH GRADING - ROUGH PLUMBING-'� - -" -� FINISH GRADING � ! -' SHOWERIfUB TEST� - - - POOL ELECTFiIC EXT.LATH/SIDING � POOL FENCING " WALL INSLILATION � POOL FINAL � CEILING INSULATION ' aFF SITE IMPS. DRYWALL NAILING ' D�DICATIONS � SEWER _ __.. _ __ __ FINALENG. ' SEPTIC TANK. - _ _ �, �. LANDSCAPE/IRRIG. SEEP PIT/L.L. , - - �- ' ` ' - ON SITE IMPS. GAS AIR TEST• --- - -- - - FINAL ZONING -FINAL-C�NST, o ,u, - `; , FIRE DEPT. FINAL . FINAL HEATING - HEALTH DEPT.FINAL I FINAL"ELECTRIC � � � DEV.FEES PAID FINAL PLUMBING ENERGY - ' �+�-g •� � _ _ - _.. COMMENTS ' � - - � _. . , r� �• '��• `� -- ` _ ... . .. ._. ._ , � - - - - � : - � .- - . ( �\', `' ...) . _ ' � , . � . . . . , S�PT1C TANK SIZE , � � _ SEEP PIT/U SIZE . , , , , . . . � � : � i �I i i ' , , . , ,. . ._ � . . - - ' i � �. �.. , I;� ' � .: - l� � • . . � �•., . __. ., ..\ �'�-- . 1 Ck_, ' .. `.-, -.�` �+ � . ; \`��. � \� • ` ' � ' . `, .