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CITY OF DIAMOND BAR /'� --�� - DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Copley Drive Suiu 190 ' (909)86(1-3195 Fax(909)861-3117 PR E$$ �'►M� BUQ,DING PERMTf APPLICATION ' FIRMLY � JOBSITE APPLICATIO PERMIT I r�,P/C o ADDRESS I �C I� ��KJ!Lv L� P( �v� O!L DATE � �l�'-cj�{ NUMBER��l �`�A � APN L�T TRACT �SSUE TYPE OCC DATE CONST. GROUP g OWNER �7'�'r'�I►A /�-W(yt.'�SO lU a ADDRESS ZONING SETBACKS "' CITY �rr1�)v�u�c.� /�7l�-rlZlp 74,1 TEL � . FRONT RW O � APPLICANT h(il t O�v C �o tdN-/NC-TEL.'i�y��3-'i o� l� REAfl O � _ SIDE/SIDE STREEi RW O CONTRACTOR ,r, - i1 G- f SIDE p � ADDRESS 10 s3^� n.a-t C PROPOSED USE CITY S'r!i M"UKJ ZIP 9 '�TEL.7�Y^f'.i 1-9 d/ri" � ARCH/ENG/ • DESIGNER NO.DWEL NO. NO. ADDRESS UNRS STORIES BEDROOMS � CITY ZIP TEL ti cn DESCRIPTION S�.FT. FACTOR PSF ADJ.AREANALUATION p� ONMER•BUILDER DECLARATION SFR/ADD/REAA O p I HEREBY AiFYW LHDER FEWLLTY OF PEiWRY TiIAT I MI EICEYPT FiIOM TIE CONTMCTOF35 ll• G2�egB/CflryOrt , LL CENSEUWFORTHEfdLLOWDJ�REASON(SEG7m1.68U5P1ESSIFDVPOFESS10N5CO0E:ANYqTYOq (f� C..� WLNTYN�AWRfONRESAVEPodRTOCLNSTRIKi.ALTERMFROVEDEMOIISH,ORREDAIRANVSTRUG W LL� TUHE.PRqR TO RS 65UAHCE.ALSO IIEWIRES TIE APPLICN7T FOR SUCM OERMIT TO FlLE A SICNEO W P8110JDBCk � 6TATENEHT TFIAT HE OR SHE IS LICENSED iURSUANT TO THE PROVISIONS OF TXE tONTMGTOliS U• � � GENSE UW(CMAP7ER�(C�OMMENCMd YnT115ECT10N 70oo)OF DIYISiON 7 OF iHE BUSINE55 AND PRO• POOVSP3 iE55qN5 COO�Oit i}UT HE OR SHE IS E%EMPT iHEREFROAI I1D iHE Bi1515 FOq THE ALLEOED EXEAIP• TION.IIHYVIOLATIONOFSECTqN70.71.6BYANYAPVIK'.IVlTFORAPERMiTSU[ilECTSiHEMPLICANiTO Z qo.q�� F ALMLiENALTYOFIJ�TUORETHMIFNENUN�REDDOlU0.S(f5a0�.� � OI�+dNNEROFiHEPR07ERTl,ORMYEM7lOYEESVATHWACESASTMfIR50lECpA1PENSAT10N, O Cpmmarclal - YALL DO iHE WONK AND THE STRUCTURE IS NOT NRENDED OR OFFER[D fOR WLE(SEG 7u�,BU51- J N NE58 AHO GAOFESSpHS C/JDE:iHE CONTMCTORS UCENSE UW DOES NOT AVPLY 70 AN ONMER OF ? PHOPERiY 1Mq BURDS OR MPi1DYE5 TNEREON.AHD NA10 DOES SUCH WORK NiMSELF OR NERSELF OR Q iMROUOMM90HMEROYMEYVLOYEES,VRDV10ED7HATSUU1MPpOVEMENTSARENOTNTENDEDOR m � OFFERmFOq5ALE6.110WEVEi�1HEBUlDP1a0RMPROVE4ENTI550LDWITHINONEYEAROFCOMPLE• Z �TqN,THE OWNER�BUIDER MALLlUVE iHE BURDEN OF PROYNO TMAT HE OA SHE 010 NOT BUIID OR � MPfqVE FOqT1E PURPOSE OF SILLF�. � O�ASOWNEROFiHEPRO7ERTV,AMIXCLUSNEIYCONTMCiNOMA7HLICENSWCOHTMCTOR3 ro oaasTnuer n+e rnaeeT�sea�o.�.eusiNess u+e vnorEssior+s eooe:n+e ca+rruerons u• Va�uetion ADJ.AREA � CENSEUWDOE9NOTMPLYTOANOWNEHOFAiROPEATYMA70PUILD50HIUPROVESTM[RCON.AND WIqCOMMCT9FORSUCHPROUECTSYnTMACONTMC70R�5)LIGENSWPURSV/MTOTMECONTMG QUAPfTITY DESCRIPTION FEE � TOHS LICENSE UW). O I MI E7CElAPi IMDER SEG 8.10.C.iCR TNIS RGASON a 3 �' � � � OATE OWNER V - � • . � LICENSED CONTRACTORS DECLAHATION -� � w INERFBYAFFIRMUNDERPENALTVOFiE0.NFVMATIIUALIGENSEDUN�fRVROVIS10N50FGIMTfR � s ��COAMENpNAMATNSECTION70ao)OFDMSION70FTMEBUSWESSMWVROFESSION7COOE,AND Z �L W UG£NSE IS N FULL FORGE AND EFFECT, m � LICENSE CLASS `�� LIC.NO.,��V I �� � J � wh��� Corrtrucroa nr!i't OLV G� _ � WOAKERS'COMAENSATIONDECLARATION I 'f -3 I_2 a F C� � � ��-" � � IHEHEBYAFFGWUNDERVENALTYDFiERIURYON[OFTHEFOLLOWINGOECUWITIONS: z Q Q `I � _IHMEANDYALLVAINTAMACERTIFlCATEOFCONSEMTOSElFNSUREFORriOFlKEqS 2 � COMPENSATqN,I13GROV10EUBY6ECTIONJ7000FTHELAfiORCOOE.FOflTNEiERFORIAANCE W Q OF i11E WORK FOR WHIp1 THIS CERMIT I5155UED. � � �IHAVEAHONILLLWMAe1N'OAIfERS'COMPENSATqNINSURANCE,ASREOUtRED0Y5ECT10N Q7tooOFh1ELABOflO00E,fOfl7MEPERFORMIWCEOFTMEVVORKiORW111Cf77H15PERMITIS � ISSUE0.WWOHKEIIS'�EIPENSATqNINSURANCECARRIERANDPOLICYNUTABERARE: CONSTRUCTION GRPoER �� PLAN REVIEY� Z oa�cr►uue[p W� I I 7 C1 O�(, "" ._�,� ELECTRIC Q � �rvass[era�r€�r+orsem.nF�IDaFnEr�n.�tswaa.�E�.�o[wruR+aolon�Essl PLUMBING Z ICERTFYTIUTWT/EPERFORMANGEOFTNEWORNiORWHICNTMSPEiW1i1SIS5UED,1 MECHANICAL L (7 SNALLNOTEIAPLOYMIYPERSONN/�NYM/�MlERSOASMB[CpAE5l.9JECTTOTME � WORKERS'C0IAVENSATIONUWSOFCALIFORNIhµDACREETFWTIFISMOULDBEC04E INSPECTIONFEE S SU&IECTTOiHEWORKERS'GOMPENS qNPiiOVI5qN50F5ECTqN]70oOF7HELABON 000�iswuicoRr�n�wur�rwi TF105EPROV oHs. ISSUANCE ✓ O q p OATE:3'�L�� APPIICANT: _ SMIP � ENERGY P/C WARNINO:FARURETOSEWREWORKERS' NSATqNCOYERAGEISUNUWF 10 BE (-y SUBJECTANEMPLOYERTOCRIMWAI.PENALTIESMIDCMLFY:ESUPNONEHUh9 o ENERGYPERMIT OOLURS(f 100.000).IN ADDIiIOH TO THE C0.5T OF CO�APENSAiqN.DMIAOES AS VROVIDEO FOR W �--tr*�/;f3-� ¢ SECTION])OtOFMELABORCOOE,NTEREST,ANDATTORNEY5FEE5. ' RETENTIONFEE: I IHR �. ���� �•�`� OCONSTRUC710NLENOINGAGENCY PRE-ALTFEE:CIT�����i�iriz��9N�-�AR �- fORT11EDER�OIWANCEOFTXEWORKFORN71K71TH5EEEWATI5�I55UERD5�700701rvG'ENCY TTTnnT2�Tn A}_TT�`� .j'�'.'rY 1Z'PQTI'fZr � � lEN0ER5 W�A1E �S LENOERSAODR[55 "- ICEFTIFYTUTIMAVERE�DTIISAPPIJCATqNANDStATETMATTIEABOVENFOilMAT10NI500RRFCf. TOTAL FEES � � IAGREETOCpAPLVWfT/7ALLCRY/NDCOUNTYORDIN.WCESl�NOSTATEUNSREUTlWTOBULOINO � CONSTRULTION,ANDMEREBYAUTMORREREiRESENTATIYESOFTH15COUNTYTOEMERUPONiHE /HOVEdIENTqNEDPROVERTYFORMSPECTIONPVRPO5E5. COMMC'NTS �' G J � � VE iTTEE NAME(P Hn ¢ � 3-r�� �' � � REOF IT7EE OATE � RECPT.N0. _ PAID BY VALIDATION WHITE epenment Copy,YELLOW—Finence Copy.PINK—Aesessor Copy,GOLDENROD--File Copy,GFiEEN—ApplicanPs Copy , ..,. .. , .�1..,. . . .r�. �1. .. ...��r�, - .. . ... ..� :(: .Yp .. � � -%�^�.'�.:.4 . '~� , ,'e1M^..y,tiv�Y:....�r r,'.'r.� . .a . ,...br- i•l�rf•.'. " . . . ' . -___` . CITY OF DIAMOND,BAR : , ,,. , ��-�� ," :,:': :�INSPECTIOP� RECDRD ' . : � � . �: � . - , _�;��i���j���•:�jf��� :o�'-��. '��-����1!,�i� 1►������'�b.l� �►� � .�el�: �' �.���.�-�%��'E�! °�l � . . . -- - �.... :�. �._...__ �.�?'-. � ...��-��. . �: . SET BACK . . ' �i � � FLOOR JOIST � - , �y FTGSlFOR�1S�5TEEL , � -- - �- '' '°'' �= FHA REQPATS �'_ -.'. -� : ^� . . �. �. � . - - - - . :ELECTRIC GROUN� _ . _ . � U�VDER FLOOR DUCT - - - � • �GROUND PLUMBING UNDER FLOOR CdhIDUIT � ' ' - ' I -� SLAB GRAD� - - � • - - --- - - FIREPLACE:FC3tJNDATIOPJ ', . �. �� � '.� ;TEMP POtiNER - _ � _ - � FIREPLA'CE'6btVD BEANI - ' "' `. -�...� WATFR SERVICE - - - �11D HL BOtJCI BE',Ah�, ; , �� � � • ROOF SHEATHING - 8 FT.BOND BEA'� " '-' - ' � - _ . .._ . . . --- - - - � FRAh."ING.NENTILIATION - FINAL'BOND BEAF.4 � � • ; " ;ROOFCOVER � - � PRE-GRADING � ; ; 'ROUGH HEATING' � - � BENCHING � � ` ROUGH ELECTRIC ... ' ' ' • ROUGH GRADING - - - -- -� ROUGH PLULIBING ..- - -- - - FINISH GRADING i . S!-iO4"JER/TUB TEST--' � - POOL'ELECTRIC. � EaT. lATHlSIDING � -- - - - - POOL FENCING i 1��;'ALL tNSULt\TION- - � - - POOL FINAL .. �CEILING iNSULATION - - " - � � . " OFF SITE IMPS. ' :DRYVJAI.i:NAILING - � DEDICATIO�dS � SEVVER - FINAL ENG. 1 SEPTIC TANK LANDSCAPEIiRRIG. � SEEP PITlL.L. ON SITE IMPS.. . GAS AIR TEST FINAL ZONING � � - FIi�F,L COidSL � � ' --- 'l�� FIRE DEPT. FINAL � ; . :FiNAL HEF'iTWG C�yyt •r�/ �%�--_ ~'j HFALTH DEPT. FINAL - . rI�J.�,L ELECTRIC - - ' DEV. FEES ?AID - - �f=1��,�!PLUt�19fNG - EPJERGY ____�___ — _ _. .. _ ; I � ,• - - - ;;�j�:hF. 4�1' t'rn�..•.�.��s,-�-•--� . ; ; , . '.�ms.: :.ov.�,:c!+.i:... .. - . . . . . _. . . . .. , �);,1; �1\ ''�1 . �� . . .- , . - � . COf�MENTS � � ; _ - -----�-- - - ,- - -, -, , . �' . . - - , ' � 1 � .. � � . . ; . , . � . ._ - . . , _ � - ; � . . i � � i — - . . , � . . �-�1�___. J � � , , . . , : � �SEPTICTANKSIZE � ; ' �- " , - � `� � - i , • , .;: . . - SEEP PITlU SIZE � . � � � , _ _ ----� ____...... __ _ ,. . . . .. . . ;`��� . �.; . . . � . � -. . _ _. - ;. . .� � :.. _ _ _ ' i - � .. - .. _.. _.� - ,��,� ,�;' . . - , _ : . . . , . . �. _. . . . � . � � ... . _ � � . : � �._ ,-. �� , _ �, .. . ;�,T . ��.:.::..:., :. ��:.: .::��. ...._::: �. �1 1.-�' ,'--- - - -�- . , . : � ' . . , , ,