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J� C1TY OF DIAMOND BAR � DEPARTMENT OF COMMLTNITY 8c DEVELOPMENT SERVICES �` . 21660 E.Copley Drive Suite 190 (909)860-3195 Faz(909)861-3117 . PR E$$ ^���'� �BUQ.DING PERMIT APPLICATION F�RMLY � JOBSffE APPLICATION � �L f- C,1 PERMIT �3�j 7 P!C o ADDRESS o � ' l � DATE � NUMBER �t � APN LOT TRACT ISSUE TYPE OCC DATE CONST. GROUP p OWNER � j� S PrK i ADDRESS � ZONING SETBACKS � � CITY ZIP TEL REAR RW ❑ APPUCANT TEL. SIDE/SIDE STREET RW ❑ � CONTRACTOR / SIDE ❑ I � CrDnDrRESS o Z�P TEL S�H?-�l PROPOSED USE ��/P/ � rt t',il r � ARCH/ENGI � DESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS � CIN ZIP TEL v�i DESCRIPTION SQ.FT. FACTOR PSF AOJ.AREANALUATION p� OWNER-BUILDER DECLAAATION SFFi/ADDlREM O � I MEpEBY AFFlitld tINDER PENALTY OF VERIURY THAT I MI E%EMVT FROA1 THE OONTRACTOPS L4 Garege/Carport � CENSEUWFORiHEi0l101V716REASON(SEC.70.71.6BUSINESSA4DVROFESSi0N5C0DE:ANYq7YOR . (n COU(TYWFNf]1NEd1WESAPERIARTOCON57i1UCT,ALTE0.MPiiOVE,DEMOLISiLOHNEPAIRANYSTRUG W Patiolpeck TVRE PRqR TO rt4 6SUAHCE ALSO REWIf1E5 THE APVLIGNT FOR SU01 VERMR TO FILE A StCNED W 6TATEMEM iW�T HE Oq SHE IS UCENSED PURSUAM TO THE PROVISIONS OF TME COHTMCTORS L4 � CENSE UW(CHAVTER i(COMMENCNO YA7H SECTqN TODa)OF DMSION 70F THE BUSINE49 N1D iR6 V" POOVSp2 � FESSqNSGO0EI��TMEOfISHEISE%EMPT7HEREFROMANDiHEBhSiSFOHiHEALLEGEDEXEMV. (� TION.ANYVIOIATqNOFSECTION70]t.lBYMlVAPVLICANTFOHAPERMITSUBJECiSTHEA7VLIGANTTO Z Ro-Rool F ApVRVENALTYOFNOTAAOREhUWfNENUNDREDDOIURSIf50o41: � ^ ❑�LSONRJEROF7HEPROPERTV.OfiYVEA1PLOVEESNAiHWACESASTHEINSOIECOMPENSA710N, � (�`pmffl0fCI81 - � W�LLDD iHE WOiY(,M�D THE STRUCTURE IS NOT NlTENOCD OR OFFERED FOR S/LE(SEC.7a�,8U56 J N NE54 AND PHOFESSIONS COOE THE COHTi1ACTORS LKENSE Uw OOES NOT APPLV TO AN OWNER OF j � iHOFEiRYYhiOBUIDSOR14Gi10VE5TMEREON.IWOYh/0DOL55UdIWORKHIMSELFOFiHERSELFOR (t TMROUOMNISORHEROWNEYFLOYEES,iROVIDEDTMATSVCHMPROVEMENTSARENOTMENDED011 m � ,OFFERmFORSALE1F,IqWEVER1/1EBULDIN('ORMPROVEMENiIS50LDYYITMNONEYEAROFWMPIE � �TION,TME OM'NfRBULD[R M7LL MAVE iHE BURDEN OF PROVINU iHAT HE OR SHE DID NOT BUiID OR MPROVE fOR ME PURPOSE OF SMEL W ❑1A40wNEROFTNEPROPErtTY,1LL1E%CLUSNEIYCONTiUCTWOWfTHI�GCNSEDCONTRACTORS � TD CONSTAUCT TME PRO.IECT(SEG 7Wt,BUSMESSlIND VIi0iE5510N5 CODF:IHE CONTMCTORS LI- V8IU8110f1 ADJ.AREA LL� CENSEUWDOESNOTMPLYIOANONNEROFAPROPERttYVNOBUILDSORMPROVESTHEREIXyAND � WMOCONiRACT3fORSUR1PFqJECTSYATHAOGfiMC7CR(S)LICENSEDiUi�UNRTOiT1ECONTMG pUANTITY DC-SCRIPTION FEE � 10RSI10EN5EUW.). O 1 AlA EXEYPT UNDCN SEC. B.i V.C.FOR THiS P[ASON Q '� U � [L pATE OwNER V . . � W 4 LICENSED CONTRACTORS DECLARATION � OC W .. ..� . _. � . ,- . INERE6YAFFIRYUNOERPEtJA:.TYOF0EIWRVTHAiIAMLICENSEDUS7EflPROVIS�ONSOFCFIAPTER V. 2[ •(CpAYENCNO WIM SECTION 70u0)Of OMSqN�OF ME BUS!HE55 AND GROFESSIONS CO�E,AV� Z W UCENSE 19 N illl FORCEAND EFFCCT. � L�� y L � � UCENSE CLASS�.�L�L1C.NO._ � � V DATE�_—�CONTMCTOR � d W � WORKERS'COMPENSATION OECLARATION 1 �2,-� Q NIHEREBYAFFlRMUNDERPENAITYOFPERIURYONEOFTHEfOLLOW:NGDELLAMTqNS: V Z 6 � �IHAVEIHDWRLI.UMTAINACER7IFICATEOFCONSENTTOSELFJNSUREFORWOpKERS' _ � CO4PENSATqN.ASPROY1�EDeYSECTONiTOOOFTHEU�BORCODE,FORT1EpERFORMANCE U 4 OFiMEY�ORKFORwH1CH7Ni4iERMITRI55UE0. � O _I IIA'/F MD M1LL EWI.TAR7 WOfllCER4'COUPENSATION INSUiUNGE,AS REOUIRE'J BY SECTION 4 7)OOOFTHEtAEORC00G,FOqTNEDERFORiAANGEOFTHEWORKFORWHICNTHISPERMITIS � ISSUE0.W WORKEAS'WM�,ENSATION INSUP E HIER"2'9 HUMCERARE: CONSTRUCTION � c,ww¢n COM�� /l�� • PLANREVIEW � POIICYMJ48ER � � ELECTRIC � � (M59ECilONM1EEmNOTBE�l.EfOCFTfPEPoAR6i0R0�:ElU�Di1EDOCUARSIitOqORl6S� PLUMBING � � � Z ICERTiYTUTP:h1EVERFORMN:CEOFTHEWORKFORMMIOliHiSPERMiTI5155UED,1 MECHANICAL [i 6wi:LNOTE4PLOVANYOERSWNANYWWNEN50A5T09ELOMESU&IECiTOTME � YNJRMERS'LOAIPENSATqNUW50FGLIFORNI�ANDAGREE7HATIFIS�tlUL08ECOME INSPECTIONFEE S SVOJECTT07HENpRICEAS'C061PENSATIONPROVISIONSOFSEC71CN77000FTMEUDOR / GOOE,ISFUILFORTYM1YMCOMPIYNNhIhqSE ROVISioNS. / ISSUANCE q /r � • �' YI��J�Prucurt: f!'NP �� PI SMIP p DATE: � , W ENER�Y P/C � WAqNINO:FAIURE TO SECURE WORKERS COMPENSATqN COYERAGE IS UNUWFUI.AHD SHKLBE (—y SUBJEGfM7EMP�0YERiOLRMPULPENIL71E3ANOCMLFWESUFTOONEHUNDREOTFqUSAHD ENERGYPERMIT DOl1AFi51i1C0.oao1.N FWIiION TO iME C0.5T OF COM7EN511TpN,OMUGES AS PROYIOED FOR IN ¢ SECTION770tOFTHEUBORCOOE.NTEREST,ANDATTORNEY5FEE5. ' RETENTIONFEE: a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � I HEREHV AFFINA UNDER VENILLTV OF PERNRV THA7THEFE IS A CONSTRUCTION LFN�WO AGENCY FOR 7HE PERFORAUNCE OF TME WdiN iOR WHIC11 THLS�ENAR IS ISSUED{SEC.7007,pV.C.). L1J � LENDER'S NAME � IEHOER'SADORE55 O � ICERiifYTUT11uVEREADiMISAPPlJ61TI0NAND5T�TETHATTiEABWEINFOfUAATqNISCORRECT. TOTAL FEES W IACREET0004VLYN7THALLCITYANDCOUNTYOMiNANCE5AND5TATELAWSRELATIN6709ULLDIN6 � � QDNSTRUCTqN.N�IDNEREeYAUi1qR1ZEREPRESEN7ATIYE50F7H15COUNTYTOEMERUDONTXE � - � IBOVE�MENiqNEDPRDVERTYFORINSPECTqNPURPOSES. COMMENTS � ,,�v��,- l�r„r�s m PENMITTEENAYE(PWHT) ' Q N � N SIGNATVf1EOFPEH4ITTE U�TE � RECPL NO., _PWO 6Y VALIDATION WHITE-0epaRmant Copy,YELLOW—Finanee Copy,PINK—Aseessa C.opy,GOLDENRO�File Copy,GREEN—Ilpplicant's Copy ' � . .� ..:. ... 1 ..I... .. �. .•r.. .. ' ..,..� . ! '� . �.y . .. ,�� '•� � CITY OF.DIAMOND:BAR , . ;:, ,. . -.' "�_���.;: INSPECTIOtd�RECORD .. � . = :� : '`�.�i.l►!�I.�'r��"C�I�'!.)�_� ��.��� 1�.�������..��..... _1 ._�''��,�1�)}.6�.`���-�Ir ;,� � �t�r���;�. ..r r,...__ _ .••ri�� :��_:' . ...,.:�'��� �r;F��-. �' . -�- __.. _.,.M_..._.__,.�.,�....., �,...d d r.,.w .,.._.J _ ;SET BACK :;�.�,-- ._�\_ � :-� -;;.,� . .� -�i� 1-. � ;., FLOOR JOIST ` I C. .. . ��� ':.� �--� ���' � '• '` . _ - �FTGS/FORh1S.�STEEL.._._ . . . : .., ._. , ... ' - --- FHA RED"�rTS __ _' . ' .... ..--- �-� �,�' --- _. ..__.. . i �_. ;ELECTRIC GROUND... .__ . '` " � . _ -- . ._.. _ . .. �UNDER FLOOR dUCT -..._.. ' � -: - . ...:. . . -----:. . i _ . ... ;;--... iGROUND PWP�IBING • UNDE(�FLOOR CU'�'�!UIT' �` ' '' ' ` - - - ' '� �� � .. . , . � I — -�� -- - ;Sl.AB GRADE- - --- ��' - -- -- - - '� � FIREPLACE FOUNDATION � .... `" .., � ` � � . , _ . _.. . — ;--- _ . _ � :!: �. • FIREPLACE BOND BEAM -. . _ . r��� '•: . ' � ; �TEMP POWER �VJA'iEP.SERVICE. . _ . ..__ . __.�.. .. . _ p,�ID HT.BOND•BEAP.1 • � ,• '. . ' �ROOF SHEATHING ':, � ` ' ' S F4. BO1JD BEAM ..� ' �� - • ' � . _ . ; !FRA�!;IP.G!VENTILIATION - • ` • -`'- rIroAL�BON��BEAM � ;ROOF COVF_R � •' �.•? PRE-GRADING - ' . !ROL'GH HcA71NG . - - ' "' `" - 6ENCHING ` . ; ,. �RO:i�a�i.Ez��TRIC . ... _.. . ' . . • '---�'_:. - ' ... ._:... ; . : ROUGH GRADING .. ..-- - .- - - -- .: �RO;�i,�-i PLUMBING -: _ .. .. . ._..__ .. :__ ......... ' . . - . FINISH GRADING ' " . �'SN'v"v�li;R/1"UB TEST -- - ----- --- - -- • POOL'ELECTRIC ' �--- — i�=Xi:-L-�zit-iISiDING -- -. ... ...__._ .. __... .._. POOL'FENCING ' ' ' F-- ;;4°:A�+-tNSI)LATION- - ----- - - -- . . -- - POOL;FINAL � i'��IL�TJ3 Ii�:�ULF�Tl0�1 -� - - - . . -_ _ . OFF SITE IMPS. • . .�7RY�•,;{'�LL NC.{LING" - _ . _ . ... _. ... DEDICATIONS � �-:— _ _ , . , t;6cl"t�F-ri-- -- - FINAL EtJG. :. . �__-------- � ����P:i:,TANK LANDSCAPE/IRRIG. " ' ;:'����•=� :=iT/L.L. _ ._ ON 51TE�MPS. i'='': �,cs,'�"=ST I - ' FINAL'ZONING . �• + - ._._. ... __ _ - - - �'`"° _�.�NST.- _---- _iS-Yy _�, �. FIRE DEPT, FINAL . _ .. �, ...,_-_ �, .' '' iEAT1NG ._..._ . .. HFAL7H DEPT. FINAL . ; _ . .. , ._: .. .. .._... _ :,�; _.: ..�LECTR{G - --- -- - - . . DEV. FEES PAID ._.. . . --- - -- -- . ± -= •--.-PL:UP�4BINCa - - G..�Is-RR ��• . ENERGY . , , � ---- - - -- � .' _ � - , . !... -:--. . .- - --.... . . - ... _... _. _ ��..,.�9.--"� 5j�� �f: G i.,L: � 1 \• � � r. � _.�_ .JC .W L:u' r.. ...... : . . .._..._.. .. .. .. _...__._.._.. . ..... .. . ......-_ _ ___ ' _ "" _ � � ' . r . `.J ��4 �� . \ +l•. . � •- ._� _ . ' . _. . . - -- -- -... . . . .. . .. :_;., - ; F:�C�,.rIU{ENTS ' �-1,'" -- r ' . . . � ` .. - - �- - - . � . : . . � . j , i - _ _ • . : ' '�J;\j. � � .t� . , . � "_1.� \',_ _. ... --- . . f.. - . . . _ , � . ! i �.: � ..... . . .. . . . . ._ .. '- . � ; i . . ' . . ' . � �" - ' ,v\ r,. . ,. , . � � � ; �� '� ( • . � � - .. J�v`� , � . . . ' '. � ' : . � . , • , . , ; � . , . : , , . , �SEPTIC TANf�'�1?`._1 . ; _. - � �� . � ; , . , . � � � ��'� } }�. 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