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. ._ � . r . . _ CITY OF DIAMOND BAR ' �� �� � -- --� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �� . 21660 E.Coplcy Drive Suite 190 ' . . (909)860-3195 Faz(909)861-3117 PR ESS �'^�' BUILDING PERMIT APPLICATION � � � FIRMLY oN JOBSITE �� � APPLICATION PERMIT p/p ADDRESS OATE NUMBER � 2� N � � ISSUE TYPE ' OCC APN LOT -TRACT . �. �DATE !L� — CONST. GROUP p OWNER O�. - o ADD SS ZONING SETBACKS , � CITY - ' �IP S TEL. 2- FRONT ' - RW ' ❑ APPLICANT (TEL REAFi p � _ - SIDE/SIDE STREET RW ❑ CONTRACT SIDE ❑ ADDR S � CITY ZIP TEL - " PROPOSED USE o ARCWENG/ DESIGNER �3i � NO.DWEL NO. NO. = C'DTMDRESS Z�P TEL UNITS STORIES BEDROOMS � rn �ESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION . � SFFUADDJREM p - - � p 1 HENEBI'AFF6W UN�ER VEWLLTY OF PERIURY TMA71 AM E%EMPT FROM TME CONTMCTOFiS Lb� Gaf2gB/L+81pOft � � ' ' � � CENSEUWFOHiHEfIX10WIN(1REASON(SEC70.71.6BUSINESSANOVROFESSIONSCOOE:ANYCfTYOR (n . . COUNi7WHIp/RE0U1RE5ApEFtA1RTOCONSTiIUCi,ALTERMPROVE,DE�N0U5H.ORREVAIRANYSTRUP W pe�iO/DeGk TURE.PNdi f0 RS RfiIANCE,ALSO REIX11RE5 TNE APVIMJUJT FOIi SUCM DERtAIT TO FILE�SICNED � � -- '"' ' '""' ' "'' - ' - STA?F4EHT 7HAT HE OR SME IS LICENSED WRSWUR TO T11E iROV15tON5 OF THE CONTRACT0ILS L4 � W � � CFNSE UW(CHAPTER�(CqAtJ[NqNa VATH SECTION 7000)OF DIYISION 7 OF THE BUSIHESS IND PRO- ' LL' PooUSpa FESSqHSCaDk�ORTHATHEOfi5NEI5EXEMPTiHEREFRdAMATHE8�.4iSFOqTHEALLEGEDE%EMP• C7 TpN.AN'fVIOLATI0NOF5ELT10N70]7.6BYANYAVPIIGNlTFORAPEW.�RSUB1ECf57)1EMVLIGNTTO Z Re�Roof � 1lCML►ENALT70FNOTMOHETM/WFNEMmONEUD0.URS(tsro).): . . . 0 04ASOM'NEROfTHEPROPERTY,ORYYEMaIOYEESMnTHWAGESASiHEIRSOIECOA+PENSAT�ON. O �mOrCial - � � - � WILL DO iHE WONC AND THE STRUCTURE IS NOT WTENDED OR OFFERED fOR SAIE(SEC.7ou,BU51• _1 � NE54AHOVROFESSIOf15COOE:TNEC01lTRACTORSUCENSEUWDOESNOTA7PLYTOIHOWNEROF ? . . PROPEfiTYNnqBU0.D50RIUPqOVE57HEREON,/WON/HODOESSUCMYlORKMMSELFORHERSELFOR Q iHHOUGHM50RHEROVMEMPLOYEES,PROVIOEDTfATSUCNM�ROVEAIEMSARENO7MENDEDOR m Q OFFENmPofl511LEF.NOYIEYEil717E&RDPlOOfiMVi10VEMEMI550IDYYITHINONEYEAROFCOMPLE• . z TION.TNE OWNEN-0UILDER WILL HAVE THE BURDEN OF GpOVIN(7 THAT ME OR SHE DiD NO7 BUIID OR . MVROVE FORTME PURPOSE OF S/�LE4 � � OIASONMEROFTMEPRODERT7.MIIXCLUSNELYCOHiMCTIN0YA7HLICENSEDCONTRACTORS ft TO Cq+STPUCi THE ORO,IECT(SEG 7ou.Bu5iNE55IWD 7f10FES5qrl5 CODE:THE CONTiUCTONS U• VelUelidl �ADJ.AHEA � �� � � (il CENSEUwDOE9NOTAPVlYTO1WOWNEROFACROPERiYNM1qBURD50RMvqOVESTHEREON,AND � vnaca+rrucrsFonsuaivao�crsvnnucarrrucTa+�s��kEr+sEoruruuu+rTon�¢oorrrw�c OUANTITY DESCRIPTIOV FEE � 70R4IKEHSEUWj. . . . . . . . . � O I AM E7(EYPT UNDER SEG B.i P.G FOR THIS REASON Q 3 �-' u. �DATE OW�+ER J 4 UCENSED CONTFtACTORS DECLARATION W OC INERCBYAiFlPo1UN0ERPENALTYOFpERA1RYi1UTIAMtICENSEDUNDERPROVISqN50FCHAPTER V. � p_, Y(C0IYAENfJNO YVITN SECTI�N 7000�OF DM510N]OFT1fE&ISINESS AND PROFESSIONS COOE,ANO Z X W LICENSE IS N FU.L fOqCEAND E�FECT. m llJ n 0 LICEN SS ` LIC.NO.�'��_� j V OATf�� 1 COHTRACTOR��':�' L� a W � WORKERS'COMPENSATION DECLARATION -i NINEREHYAFFlRMIMOERDENALTYOfPE0.NRYONEOFTHEFOLLOWNCiDECLARA7qN5: -� �- � Z � � � � � � � ' O _INAVEANDMAILIMMTNHACEHTIi1CATEOFC�ON5ENT705ELF�INSUREfOi1WORNERS' _ Q COYOENSATqN,IISPRONDEDBYSECT10Nflo00FTNEUBORCODE,F011THEPERCORMANCE W � OF 711E WORIC FORNMIGI7MIS VERMiT I5155UED. � 1 _I HAVE AND NlILL WMAM WORNERi OO��PENSATION INSIhUNCE,AS RE�UIRED BY SECTION . Q �7oDOFTH[{ABORCODE,FOfiTHEPERFOR1AUKEOFTHEWOAKFORNMICHTHISPERMlTiS ISSUED.MYMt7RKERSGp/PENSATq!Ny�lSUiLWCECAMiERIWDPOIICYNUMO°RARE: CONSTRUCTION � GIRRIER L��—_ � V YZ�_.L1^QX��_. PLMI REVIEW 2 va�crr�uieaEA� (L � 1�1.3�"�� ELECTRIC Q �[1 1 � (hGSECiIONNCmNDT8E00M'IETmOFMP6MT6fORd+[HXOfim�Otl/1iSRt0�ORLFSS) PLU 61N ��) �_ Z ICERTIFYTMATNiHEPERFOfiMiU10EOF7HEWORNFORWHiCH7HISVEfWIT1565UED,1 CMANICAL � C} SHALLHOTEMPLOYANYPERSONNANYMA4NCRSOASTOBECOMESUBJECTTOTHE y VVORKERSCd�PEN5ATIONUW50FGLLIFOfU�I��IJOAGREETMATIFISHDUlD9ECOME INSP EE Ang ' `- SIAIEttTOTNEWORKERs•CdJCENSA7qNVRONSqNSOF5ECT10N]7000FTMElA80R (+ � � ("�� W ��I LFO�'�MMCOMPLYV��VI��� SUA " � Yl�^����.�J � p DA APPIICANE L.� SMIP �x f h� � WMN:NafMU1tETOSECUREMORKEiiS'ODMPENSATqNCOVEMGE15UNLAwFULANDSFW1BE ENERGYP/C �y]��A'�S1' � � SV61EC7ANEIAPLOYERTOCWMP1AliEN.LL7iESAh9CM�FWESUPTOONEHUNORED7HOUSANO ENERGYPERMIT rt���t rl } DOLLARS�f1W,000),NIIDDITIONTOTTIECOSTOFGONVENS�TION.D�GESlISPFOVDEDFORIN �( �. J¢ SCCTION770lOF7HELA80RLODE.NTEREST,ANDA7TORNEYSFEES. RETENTIONFEE: ��`lV a CONSTRUCTION LENDING AGENCY PREAL7 FEE: � O � INEREBYAFFlNAUNDERVENKiYOFPERNR(1HATiHEflE15ACON5TRUCTIONLENDWGAGENCY FOR 7HE GERFORMANCE OF TN[Y:ORK FOR WHICM THIS PERMIi IS ISSUEO(SEG 70G7,CN.G). � � IENDER'SWWE �(� S . .. . . `'— ^....�.--r�- . � LFNOERSIUDRE55 � IGERTFY7HATIHAVEREADTHISMPL1CATqNANOSTATETHATTHEADOVENFORIAATIONISCDRRECT. TOTAL FEES � � W IACREETO[dAPLYWITI1ALLf7TVANOCOUHTYORDWANCESANDSTATEUINSREIATW(1T09U0.DIN0 � � CONSTRUCTION,MIOHEREBYIIIJ�Iq{SREREPRESENTATNESOFiWSCWNTVTOENTERUPONTXE S� E�MENTqNEDiROPE�IT/FORWSv�rar�vuaaoscs, COMMENTS � J � (� , _ Q �wirr r+ e � � 1 N v E E � .. RECPT.NO. PAID BY VAI.IDATION WHITE—Dopartment Copy,YELLOW—Finanee Copy.PINK—Aseeeeor Copy,GOLDENRO�File Copy,GREEN—Applicant's Copy - - � -� � � � . ............ . .� ...,.�.... -.....,, <�... .� . �._, � .... , , . � . ..�:�. . �r.rti ,r�-�. ,. �r� :�^ . ...r. . v. , .. . - . . , . . �. � . ,.. ,.. ....,. . .. .� ,.. .,.� . , . .� , .. � . • . . , . .. . . , . . ,;..,�.� •� �-....,.. .. •:� �•,. •��•n�: � . . . .. . . . . . , .. �_ .�. . . ��`1 �4MOND BAR .:�:� ,. , , :_ �. _;;��.-:.�.; .� ..:INSPECTION RECORD.,. . �. �.,��, :..� . .. .... . . :� ;,. � - � � s e . • - • � � - • - i SET BACK ` n I S''_.t' : , .. ' . FLOOR JOIST',�,_; ; � - , . ;. f ,. .• FTGSlFORMS/STEEL -� ' � �) )_ , - FHA REQMTS - ---- - � � - - -- � - ELECTRIC GROUND--- ' '_. - l �. _'- ' UNDER FLOOR DUGT. �, ", ..� . ' 1 - � �-= - GROUND PLUMBING =�'��� ' 'UNDER FLOOR CO�IDUIT: . • . � ': J �� 1� '��- � - �SLAB GRADE .... _... -- - . . --- -- •_,,: .' � , ., .. : . .. ... ' FIREPL'ACE FOUNDATION �- - -—� '- • • - -- . � .'.;�: , , ' FIREPLACE�BOND BEAM .- .' ' . _..._ _ :._ _ . ; : TEMP POWER - — �..• _ -- _._ ...._ _....._.. WATER SERVICE _:. :_. ._ . . -.._ . ... ..:__...... -.. .- _�- MID HT.-BOND BEAM` =•',__� . .:�� �_ � ,.. . .• .. . . , _ , _ . .... ._. . . . . ROOF SHEATHING --- - - - - ,;, .... S FT.BOND BEAM.�,. , , , • . , • ; •�. ;• •• �., „ ; • FRAMINGNENTILIATION � FINAL BOND BEAM ••• ' ROOF COVER " PRE-GRADING _ . . . . ._ -ROUGH HEATING � ---- - -�-- BENCHING - -- " ROUGN ELECTRIC : - ` �� � -�- '� ROUGH GRADING • : ' ROUGH PLUMBING- - " -- � - -- � - "� . FINISH GRADING . � - . SHOWER�TU6 TEST - - . . _ .. . . . . POOL ELECTRIC , .• . EXT.LATH/SIDING - � POOL FENCING ' WALL INSULATION POOL FINAL . ' ' � CEILING INSULATION OFF SITE IMPS: ' I % DRYWALL NAILING DEDICATIONS ' � SEWER ' --- FINAL ENG. • ; ---. _ .. ... .. . . .SEPTICTANK_. .._. . '. . . _.. -:--- .. _ . . LANDSCAPE/IRRIG. . '' ; SEEP PITlL.L:... _ -- - `- -- _..� _. . _ ON SITE IMPS. . . r -GAS AIR TEST• - - - - �• FINAL ZONING ' FINAL CONST. --- --- - - - � - FIRE DEPT.FINAL � � ` FINAL�HEATING �-- - - - - �� �� HEALTH DEPT. FINAL . ,, ' FINALELECTRIC _._. .... - . ._ .- . -- DEV.,FEES PAID . ._ . .-- ' , FI All?L1J�VIBING -; � . . ; i ENERGY . . , ! , , �R. 6 • � - - - - - ' ' � - : . .— ' - •- •• � . . i -� . ���. � .. - _ . ---- -------- � �.-i � �� . ... . . . . . ; COMMENTS- ._. _. . _ . _ ._ . _ . . , - - . . . , � � . - - , .�_ , . - ,., ._ . \� .`�)� . ' .. . ��f.f ,f' ��.�j . . ' .. . ' ' � ' . ' ' . . . " ti. " � � • � ' � , , � . . .. . .. . Ji . :i^ - 1 . . � . . • �.`._.J .. , _ ��^ �'• . � �� ''. `'---% I ' • ' t SEPTIC TANK SIZE ��� � ' � � t_ . � ' ' � � SEEP PIT/U SIZE � • . � • `� I ; . . ; i . . . ; . . � i ' . . - - - _ .... , � , . -. � . , , . ;1l� �` . . , ' .. , , „ . ._ . _ . .. i • , ' � .,, � - .-. . , j - \i, , � - - - — . 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