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- - --� -__-- ---- -.. - - -- - - �.---- .._ .,— � �� CITY OF DIAMOND BAR � f DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �� 21660 E.Copley Drive Suite 190 (909)560-3195 Fax(909)861-3117 PRESS ����� BUII.DING PERMIT APPLICATION FIRMLY � JOBSITE � `' APPLICATION � PERMR P/C o ADDFiESS C�O�D� L Y�M'�'�� �� DATE �r �I NUMBER� 11 �� ^ ISSUE • ,• : • _ � TYPE , OCC � APN��'�� T TRACT (Yn3��4 DATE CONST. GROUP � OWNER �1G1�`A��L ,��,��}.fn ADDRESS L C' ZONING SETBACKS �W CITY • . ZIP 7EL. � � Cn REAHT RW O APPUCANT ,�1f.F�FCI- 1'�j;f�Nn TEL. SIOFJSIDESTREET RW ❑ � CONTRACTOR'� " W � V SIDE ❑ � ADDRESS PROPOSED USE �D�� P1��� '�O� � 5��, CITY ZIP TEL � AHCHlENG/ . . OESIGNER NO.DWEL. NO. NO. ADDflESS UNITS STORIES BEDROOMS � CfTY ZIP TEL. y DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECLARATION SFR/ADD��FtEM O �ppQ 1 HEREBY 11FFlM UND£R VEN.LLTY OF GERIUNY TMAT 1 A11 EXE4DT iROM TN[CONTRACTORS LI- G8f8Q0/C0fp0II CENSEUWFOf1iNEFOLLOWiNGNEASON(SEG7W1.6BVSiNE55ANOG110�E5510N9CO0E:ANVCITYDR (f� C9UNTYWF1dIRE0URE5ADERYRTOCONSTP.UCT./LiE0.14CROYE,DFA�OUSH,ORREVA:RANYSTRUG W P0t10/DBLk iUHE.PfipR TO ITS 65UM�CE,/�LSO REOUIRES TME MttK.ANT fOR SUC7�PENAiT TO F0.E A SiONED W � 6TA7EMENT TUT NE OR SHE 6 UCENSED PUFiSUANT TO TME PROVISIONS OF TME CONTMCT00.4 L4 .. - , � CENSE UW(CSUPTER Y�COAIYENCINO WITH SCCf10N 70001 OF DIVISiON 7 OF TNE BUSINESS/JJD PRO• � Poo�Spa fES^NHSCODE)ORTIATHEWiSHEISEXEMPTTMCREFROMANOTNEBA515FORTMEALLECEDE%EMP- � TION.ANYVqLAT10NOF5ECTION7Q11.68YANYA➢P�IGNiiORAYEHMITSUAlECTSiNEAVPLIGWTT(1 Z F�0-ROOI � Apr EtiALTYOFNOTAqRETHMIFNENUNDREDDOUAAS(i5oo1} . � �A40V.MEROFTHEPPOCERTY,OHMVE4PLOVEESNnTHWAG[SASiMEInSOtECOM�ENSATION, 0 CpmmofCl31 . - 1MLL TME riOWC.JWO i1�E STRlR7NeE IS NO7 R1TEH�ED OH OFiEPEO FOR SALE(SEG 7oa,BUSi- J � NE55 NiD PROFF3510N5 CODE TNE CONTMCT00.S I�CEKiE UW DOES NOT ACFLY TO AN OWNCR OF = n n 1 � VROPERI7WHOBU4DSORMIVROKSTMEREON.ANDMAIODOE55UCHWOANNIMSELiONHERSELFpR .i�l N - ('L TFAIOUOMHISORNEROWNEUPIOYEES.PilOVIDE�hUTSUCMMnqOVE�EM.SARENOTMEIIDEDOR m •� �, OFFEREDfORSILLEIF,IIOA'EVER7ME9ULOWOOflWPROYFMEMI550lDWITM!NONEtEANOFWMPLE• TqN,TXE OWNER�gUUDER Y/,LL/NVE TNE 6UR:EN OF PHOVINO MnT ME OA SME Ci�N�i BUItD OR Z R�PpOVE FOqTNE PUR➢OSE OF SALE� D�L w 04�OWNEItOFTryEpppPEfiTY,N1EXClUSIVEIYCONTMCTNOYAlHLICEYSEOCONTMCTOR3 LL CNOSElIAWDOC3NNOTAPPLYTOANOWNEROFIAiflOPEFTY1MiOBU6D50qD14F„iqVE5N1M REON.ANO �'aluation • J ADJ.AREA � WMOOONiqACT4FOR8UCMPROJECTSwfTH�CONTMCTOP(5)UCEN5CDR1n5UANT70TNECONTiUC � pUANTITY DESCRIPTION FEE � TOfi5l10EN5ElAW.). , J � ❑IAMEXEYPTUlDCRSEC. B.�P.C.FORTNISREASON Q 1 � DAiE � � OWNEfi, � •`' W � LICENSED CONTFiNCTORS DECLARATION W � ' � � IHERCDYAiFIfWUNDEppEWLLNOFPERIURYTMATIF/JUCENSEDUMJEAPROViS10NSOFCNMTER V. � •�C0IAMENCNO WRH SECTqI�i 7000�OF OM510N�OF TM`BUS:MESS AhO GROFE55iON5 CQCE,M.D X IdYUCEN$EISNFULLFCRCEANOEFFECT. � �,,I� *. � �a� � r . � UCENSE CLASS L!C.NO. J ""^�/` � pp� CONTMCTOR a � � � � WOfiKERS'COMPENSATION OECLAFATICN d (Y U Y u I`,J � IHEREB'fAFFIMIUNDEROF.NALTYOFiE0.tt1RYONF:OF7HEFOLLOM�NCDEGM�T10N5. U r � 2 �..1� .1'.�!l 1 R/11�r aT7 Y _., .�` � ��INAVEANDVALL►UMiTA1NACEFTIFIUTEOFCONSEhTTOSELFaNSUREFJRN9fiNEHS' 2 '��U(Lnl���: �?•'i\C:'r�--•_ Cp�VEN9AT10N,A5PR0`/I�EDBYSECTIOHJ�OOOFTNEUDOALODE,FOi1THEPEHFOIiMANCE U �� Of T/1[WORK FOR VR1iQ1 TN19 PERMIT IS ISSVED. w . '• [7 ` d �_I NAVE ANDYALLMAClTAW WORKERS QOM7ENSATqH INSURANCE.�5 HcWiRED BV SECTIDN 77o0OFiMELABONCODE,FORTHEVERFOfUAANCEOFh1[WORNFORWNIC/I7HISPENMRIS � ISSVED.4YNORI(ERS'CON�ENSATqNINSURANCEC�RRI[RAVDPOIICYNUAI�EHAFE: CONSTfjUCTION / •� �' � GqqtF.R PLAN REYIEW � paicr nuMOEn ELECTRtC � _ ' „ . � (Mss[crloqu[Eow'rBEOU.�\FtIDOFil[F[�`.viSwnaSH1�PL�Dcu/�'isR+aMONtFw? PLUMDING Z ICER111Y7NATPITNEVEfliORMAf:CEOFTHEW�fiKFOANT11R1THISPERMITI5155UED,1 MECHANICAL (,�' :IULLlqT EMFWYAW PERAN W M7Y MMMER SOAS TO BECOME SUBJEC7 TO THE N MIORRERS'CAIAPENS�TIpNUW50FGALIfOPNiA�NOAGREETMATIF15110U1�BECO�dE INSPECTIONFEE S SU0.:EGTTO TNE WORKEaS'C0IAPENS�TqN VilONSqNS OF SECTION]70o OF iNE UBOR • cooC�s�uuFonn�v�rNcoua�vwin�nasEvaansar�s. ISSUANCE •� �+ � S1AIP � ^ � p DATE: APPLICAM: . �W WMNINO.FARURETOSEWREWORKEPS'COn�PENSAlIONCOVEMGEISUNUWFUl.M7D51M1lBE ENERGYP/C � / SV&IECTANE�PIOYERTOCp�iNALPENILTIES�NDCMLF�NESUPTOONENUNOHED1MIX15AH0 ENERGYPERMIT DOlLA0.S(f��.�).N ODOITION TO THE COST OF COMPENSATqN,DMUGES AS PROYiDED fOR IH � SCCTpN 77000F 1ME UIBOR COOE,NTEfl'cST,hND�iTORNEYS FEES. RETENTION FEE: d CONSTRUCTION LEN�ING AGENCY PRE•ALT FEE: � IHEREBVAFFIRAIUNOFROENILTVOFPEMIRVIFUTTHERFISACANSTRUCTIONLENDINCACENCY a- FORTHEiEA�NMANCFOF711E'NORKFORWHiG1THi5FERM�71SI55UED(SEC.7oYl,CIV.C.�. � � LEI�ERS NAME i �s LENDEq'SADONESS w ICERTIFYTHATIINYEREADTH�SAPPLICATIONANDSTATE7W�TTMEABOVEINFONAATIOf115CORRECL TOTAL FEES� ' � IACRCETOCOMPL��TH/�LLCITV/NDCaMYOR�INANCESMIDST�TEUINSREUTNGTO&14DiN0 n CONST{LL1CilON,M1DXEREOYAUfFqR4CREPRESENT�TIYE50F7HI5COVNTYTOENTERUPONhiE ��I\y'� �.i ��L�� S� ABOVE-MENTIONEDP{qPERTYF9 R�`SPCC7�DNPVNPOSES. COMMENT$ fr J � rl2�LG�in(U -z n - P c M �v�urrt� u��, _�¢�G_ � / � N 51G' �VREOFPEfiM�TTEE O��E � RCCPT.NO. _ _PND BY VALIOATION WHITE-0epeRment Copy,YELLOW—Finenee Copy,PINK—Assessa Copy,GO ENR Ae Copy,GRE N plicant's Copy - �. � CITY OF DIAMOND BAR '� ` ., �".�. INSPECTIOt� RECORG - . ; ; ��_.�_ �'j���j�1:e7C12.)�! �D�'\!F'= �li��-�;-a=(�`'���'�� �;j`�'i���,c;p►�'.a►�R• • �Ia',��'�rc .r.�` �:l�r'���r.'c�)=.1 Y. ...__:�..�.._w_......,..._�._. .r: - ,.�_..,.�......_._�_..._.._r,.��_. .._.__..__ •__.__-....._...._..._,,..__....._.. __.`.......,,..� ,._1•__�... ...... .. �� � ...._ .._ :. '- . �..._.._. �_......_.� . ' - ' ._.._ �.,__:. - .... _.�..' . :•' .,... �SEr BACY. • , � '� FLOOR JOIST -._ I I • _FTGS/FORPYIS/STEEL �: .I/ Zj�-`1'-�� _ FHA R��'.1TS �:-- ------- ;ELECTRIC GROUND. . - � UtiDER FLOOR DUCT- . I- ;CaROUND PLUt.4BING I � UNDEfi FLOOR CO';�UIT . � �'—"_: , __._ - ---�-------._._... . .. SLAE3 GRADE - - FIREPLACE FOUiJDATIOPJ ' �_. . ; --�--- - --- - TEP.7P P01h'ER FIRFPLACE BOPJD BE�P�" VJATEP,SERVIC� � � ��71D HT.�OND BEAPy1 � ' • • �ROOF SHEF�THI�JG'--. 9_-S_''��_ I 1 � F FT.BOND BEAP�" � � `FRAP�IIPJGNENTILIATION��Z6/� � FINAL BOND BEAP�1 ' '•.ROOF COVf_R � PRc-GRADING `RO.JGH H�ATIfJG BENCHRJG ' 'f30UGH ELECTRIC . ��Z-II=CO � F�OUGH GRADING ! - -i . _ 'ROL':ili PLUNIBING ; FINISH GRADING 'SHOvVFn!TUB TEST POOL ELECTRIC ��Xi. LAih�+iSIDING �(-(b"vl , OOL FEPJCING � � • I:°lfi.LL l!JSUL�ITION - - ��' ` POOL FINAL i � C�I�ii•J�:� I��::ULATIOfd +�� OFF SITE I;tqPS. � � .DRYL'lALL N!',ILING ( t..�Z_c� DEqICATiONS � +5�1";cR FINAL'E��u. • I�StP i��.TANK � Lf1NDSCAPE/IRRIG. � I � �Ec�.?�TrLL. ' ON SITE Iti1P5. � _ i� � •.?:,ti:,i'iiGST � FINALZDNING ' � �;Fi�_.�=�_;;OPJST. " ..1�-�,�, ;_� � FIRE DE�T. FIP�/',L � 1;:-.:_ti�ATING _ � `. � � , •' � N�ALTH DEPT. FINl�L . _. • � ; . l�� . - �.: :._:_:_ELECTRIC .�,--d L' I ° - =_ �� DEV. FFES PAID ��_��I�� — � '`:..PLUh1BiNG � , ENEFiGY I I '--- ; 5_«''�.=r_r�. �._�-�v � - �T --�---;---- _ - --, _�......_.�,..T_�.Y�- _.:_ -:- --,. ,,,- ;�.�.�._ � :: �,- � � • -- -- ---�-=�._.._�:.:.:--_ :'�C�,��IMENTS .. , . SEPTIC iANK S{ZE . - ------ �SEEP PIT/U SIZE — ------ _.......�__._�.�`�.__-._---�- - --- ; .i'�� _. .. , _ -- --'— ii . —^ -- � - 1 '�' ` 1 --t . -.--_----- „ . , . .