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_�� CITYOFDIAMONDBAR EXPIRED , DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES zi�oE.c�i�yn�;��s��i90 JUPa 191002 (909)860-3195 Fax(909)861-3117 PRESS '���� BUILDING PERMIT APPLICATION FIRMLY JOBSITE APPLICATION (l PERMfT �I I �R L�I_ P!C o ADDRESS � O q I� �f i n t / � DATE � ��v I NUMBER � V "1-1 Y3 � � ISSUE TYPE OCC APN�_ LOT TRACT DATE CONST. GROUP g OWNER f(� n c 4Jl1 ADDRESS O < S ri S ZONING SETBACKS � CITY��'t�n.n .�' 21P /76 TE �� O� 06 REAR RW D❑ APPLICANT OcK ml�:n TE .�Y a' '/� E � SIDE/SIDESTAEET RW O CONTRACTOR�aGK Yrr iA SIDE ❑ � ADDRESS cTT CI7Y�cr�� G/'o✓r ZIp� p' / TEL� S-/ a PROPOSEDUSE �+ ARCHlENG/ • DESIGNEFi NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � pESCRIPTION SQ.Ff: FACTOR PSF ADJ.AREANALUATION � Q OWNEH-BUILAER DECLARATION SFRlADDlREM � O • p 1 MEREBY AFFlfM1 UNDER PENALTY OF PERAIRY TUT IAA1 E%EMM FROII THE OOMTMC'fOHS L4 Ga�9���n .. W CENSEUWFOHTMEPOILOWNOREA3aN(SEG7WIABUSINESSMIDPROFESSIONSCODEANI'CRYOR (n � COU�lfYNHIdIREOtMESAGERYRTOCONSTRUCT,ALTER�1PFiOYE.DElAOUSH.ORREPAIRANYSTRUC� W patio/Dedc � TURE,PRqR TO RS ISSUMICE.AL50 REWIRES iHE MPLICANT FOH SUdI PE1iM1T TO FILE A SIGNED W ETA7EMENT TNAT HE OR SHE IS UCEN5E0 FURSUN(T TO 71iE FROVISIONS OF iME COHiMC70RS LF � CENSE UW(QUPTER Y(COMMENCIH(i VRiII SECTiON 7000)OF DMSqN�OF THE BUSINESS AND ORO- �- PooVSpa FESSpNS COpk�OR TFNt HE OR SHE IS EXEMPT TIEREFiiOM/ND ME BASIS FOR THE OLLECED E%EMP- TtlN.MlYVIOLATIONOFEECTIONTO]1.lBYANYAPPLICM1TiOHl1GEHA1iiSU&lECTSTMEMPl1GWTT0 Z Re-Roaf � ACML iENALTY OF NOT WHE THAN�NE MUNOPEO DOlUAS(750C).1� � O�ASOMMENOFTHEPROPERTY.ORMYEMPLOVEESNATFIWA6ESASiHEIR50LECOMPENSATqN, � �mmercfal - WILL DO iHE VYOPoC/JJD TME STRUCTURE IS NOT�NTENDEO OH OFFERED FOR SAIE(SEG 70Ia.BUSI• J NESS ANO PROFESSqNS COOE:THE COHTMCi00.4 LICENSE UW DOES NOT APP�V TO AN OWNER OF � PROPERTYY/I/OBUIlD90RMPipVESTMEREON.AN01N1000ESSUGiriONKHIMSEIFORHERSELFOR � 2 TNNOUGHHSORHEROYRIEIAPIOYEE3.DROVIOEDTHATSUQI�MPROYEMENTSMENOTNTENDEDOR m , � OFFEqEDiOREALEIF,MOWEVE0.iMfiBUM1DPl00F�MPRDVEMENT550lDWITMWONEYEAAOCLOMOLE. . � TION,iME OWNER�BUIIDEH WILL HAVE iME BURDEN OF►pOViN�THAT HE OR SHE DIO NOT BURD Oii ►1PNOVE iOR T11E PURPOSE OF SALE7. � OI,ABOMMEROF7}IEPROPEiffY.AMIXCLUSNELYCONTMCT4KiN'ITHIiCENSEDCd.TMCTOR3 � TO CONSTqUGT THE YRWECT(SEG 7wa,BUSINE54 AND PROFESSIONS COOE TME CONTMCTORS LI• VelU0tI0f1 AD�.AREA � CFNSEUWpDE3NOTAVDLYTOudOWNEROFAPRODERTYMIF10BI1ttDSORNIPROVESTNEF1E0f1MA WI�OCOMMCTSiORSUd1PqOJECTSMATHACONTMCTOR(5)LICENSEDVURSUMRiOTHECONTMG pUANTITY OESCRIPtION FEE � TORSUCENSELAWJ. O 1 AM EXEMVT UNDER SEC. B.i P.C.FOR TMIS REASON Q 3 � ¢ � DATE OWNER � � W LICENSED CONTF2ACTORS DECUIRATION W � INEREBYAFF6WUNDERPEN�LLTYOfPERNMTNAi1NAUCENSEDUNDERFHON510NSOFpUPTER V, . � �(WMMENCN(7 WITM SECTION 700a)OF DMSION J OF TNE BUSINE55 NID PROFESS�ONS CAOE.µD X W LICENSE IS N FLtI FORCE MIO EFFECT. m t T �� O � uc�sEeuss G 36 t�c.ao.�0777 S � F- � � a�rE 6—�6—a00/ corrrnacrora /�O�-K a � WORKERS'COMPENSATION DECLARATION ¢ � U � INEREBYKflRMUA'DERiENALTYOFGERNMONEOFTHEFOIIOWiNODfCLAMT10N5: y Z 4 � _IHAVEANDN7LLMAINTAINACERT�FICATfOFCONSENTTOSELFaNSUREF00.WOPo(ER5 2 � � COIIDENSATION.ASPRDYDEDBYSECTION770oOFTNEU90RCO0E.FORTMEPENFORUANCE W �F iHE WdiK FOH WNICH iHl.4 PERNiT IS ISSUEO. � d / ✓ IMAVE�wOW1LLMATTAMWORNERSCdaPENSATqNINSUMNCE,A5RE0UiRE0BYSECf10N Q �7000FTHEl/BOROODE.fOR7MEPERFORMANCE�TMEWONKFOHYMId7THI5iERMI715 ISSUEO.WWONCE^ASCOI.IPENSATIONINSUMNCELMRIERAKDVOLICYMIYDERME: CONSTRUCTION � GRqIER ,o�H 4 J�f PLAN REVIEW � P«���EA 11 w c �S/7 3�ya S E�cTR�c � �nassccronne;�noreeoor.s�rmoFn�v�.�rswr�a+E�unr+moxu�u6+ro)oa� PLUMBING y�•SD Z I GERTIFYT/AT NTHE PERFOPMANCE Of THE YVORK FOR WHICH THiS PERMR I5155VED,l MECHANICAL C� SHALLNOTEIdPLOYANYPERSONNANTMANHER50�5TOBEC06�E5UBJEGiTO7NE ��7 � WORI(ERSOOMPENSATqNUW50FCALIFORNUIIiMIAGHEETUTIF151101�tDBECOME INSPECT�ONFEE � . 1 MI S SU&IEGTTOTHEVlJHKERS'COMPENSAi�ONPRONSbN50FSECT 91oaOFiMEUBOR �SSUANCE O COOE,I SHALLFORiHWIM CqAPIY YATH SE FRDi���1� 0 .( �� [ SMIP ' p DATEV���OI APPIICANT: r"^" �., � ENERGY P/C WARMNO:FALURE TO SEGURE VNRKERS'COMPENSATION COVERAGE IS UNUWFUL AND SHALI BE �y EVBJECTANEMPLOVERTOCH9AINALOENALTIESMIDCMLiMESUPTOONEINNDFEUiMOUWlD EN[RGYPERMIT r ,r DOLLAF'S(ttoo,000),N A�DRION TO iHE COST Of COMPENSATpN,OINACES AS VROVIDED FOH W ¢ SECf10N�70lOFTHEU00HCOOE.MTEREST,MID�TiOFiNfiYSFEES � • �.►�.��•�-�-��- REfEMION FEE: =-----— d CONSTRUCTION LENDING AGENCY PRE-ALT FEE � IMEREBVAFFIRMUNDERPENALTYOiPEiWRYTHATTHEREISACONSTRUCTIONIEND�Na11GENCY Z GOR h1E VERiORAVfIC£Of THE WOPK FON M�MIRI THIS PENAiT IS ISSUED(SEC.]097,GY.G�. W � IENDEfI'S NAME � LENDEN'SADORE55 r- wICERTIFYTHATIHAVEREADTM�SMPL�CATIONM�DSTATEiW�TTMEABOVEMlFOH1AATpNISCORRECT. TOTAL FEES • , � IACREETOCdAPLYWITHALLCITVANDCOUNTYORDIN/NCESANDSTATEUMSREUTPIOTOBU�LDiNO . CONSTRUC710N.AND HEPEBV AUi/10RRE REPRESFNT�TNES OF TH�S COIRlTY TO EMER UPON TME /1 � / � ABOVE�MEMpNED VNOVERTY FOR INSPEGTION KlRPOSES. COMMENTS f ^C r1 G!� �J✓T t/�T� �CT� � T i� /�Oc� m OERAAjT[EE NAME lP T� . N f.�„�� 6`a�d I � �IGNA7UREOFP ITTEE OATE � RECPL NO. _PAID BY � _VALIDATION WNITE—Department Copy,YELLOW—Fnenoe Copy,PINK—Assessor Copy,GOLDENRO ile Copy,GREEN—Apd��e�+t's Copy . ' .. . . .. . . . . .. , � . . ,. ,. .� � � . �. �, _ .f . , . . . .. ..,. . .. .� . . . . . i � . . ' '. ., .. . . CITY OF DIAMOND,BAR . _ ,. . � . . , � . . , ; ,: 1t�lSPECTION:REC�RD � -: :. = - ' , , , , . , . ��" )'��j h� . ��,. �._ ( [��.y��r r ( �+ + C .,.._ Iv�`����}�. 1'.�Ft'�'�►,�„!,n ��:��J.�.CI.I�'`�1�,`�`j=�k'o • ..I�S�.��'}���I�yJ� .���`��� ,__,i�!`[��a�^��f�'�4"r�,��.� ' ;,"r- a.�.�.-r+a,.� .....s.x..,.�'-'.,�...._..�........_.. ,_.�..�.,.�_ ,. 'SET BACK � r` � � : � - 7 , � FL�OR JOISj.: - ' - . . � . ; , ,. , ., , ,. , . . - ------�-- ,i' iFTGS/FORMS/S7EEL- _ _ __ ._ . FHA REQMTS-�_ � � . ° ;ELECTRIC GROUND. _ � = _. _. __ _ UNDER FLOOR DUCT - ' � -' - ' :GROUND PLUMBING UNDER FLOOR COP,IDUIT"-"... � � � ' � � ` iSLABGRADE - ��� - -. _ _ _ _ . FIREPL?1,CE�F'OUNDATION c •;�.,� � .. , . ; . iTEMPPOWER ---- . - - ,. � FIREPLACEBONDBEAM' . , ` . . . . , - ;WATER SERVICE -- _ ___---- . . _ MiD HT.BOND BEAM , •'.�. �. '�,, . '., . , iR00F SHEATHING - 8 FT. BOND BEAM . •�, ' � �FRAMINGNENTILIATION -- - FINAL�BOND BEAM -• � '^ �ROOF COVF_R �� F'RE-GRADING - - - - 'ROUGH HEATING BENCHING ROUGH ELECTRIC _. '. ' ' � _ - ROUGH GRADING - - _ __ !ROUGH PLUMBING -- - - - FINISH GRADING _' iSHOWER/TUBTEST _ _ _.._ ..._._POOL'ELECTRIC _ _ , - . iEXT:LATH/SIDING -- --- � - POOL FENCING � ? WALL tNSULATION-- - - - - POOL FINAL � CEiLtPdG tIJSULATION , �FF SITE IMPS. � ; yDRYWAtCP�AiLING - DEDICATIONS � SEWER ___ _ FINAL ENG. . !SEPTIC TANh LAN�SCAPE/iRRIG. ' iSEEPPlT/LL. ON SITE IMPS. - 'GAS AIR TEST FlNAL ZONING iFiNF�L.CDPJST. ! _ _ ____ __ _ FIRE GE�T. FINAL _ ;Fl^!AL HEkTiNG . . _ . _ . tiEALTH dEPT. FINAL � � �-- ?�iN�L ELECTRIC- - i- DEV. FEES PAID - � �!^9;^.L PLUFASI�G _ _ _ ENERGY L � - „ _. __... _ . � , . _; , +- _ :� - - � � � -..�.,-.a...-^.-.r,.,....�„�.----- -- __ _ _ . . �_.. � � _ �•� ��,L`�- 1.+C�9f' , � I' � . , y�.--,. ...�.� ' . � � ___.__ . ._ _ _. . . . . _. . _.ry.:e!,L .y,...... � .. , � . . . :- � .. _' _. . .._ _ . _. _ .._ ; . � �COM,NiENTS , . i- - -- , , , - -- _ __ _ -- _ _ _ __ _ . � - -- _ _ _ _. .. __ _ ; : -- --____ i _._ _ -- i , , _ , . • . ; ... ,. _ . . � --- ; --- ,--- - - . , . _ �_ , --- .__- - _.__ _ . .. .. . . , . .. _ � . . . � � . ,� r... . — , _ -. .. - -- � i � SEPTIC TANK SIZE . . ' , ? _ -- +SEEP PIT/U SIZE � � -- ' -- --- '— _. ,,,_.,__� _ �. :�� ��� �j , ; - - � ,:;���,�. , . - ::�; . .-. _ , - : _ _ _ �_--_ . � � �r+ _.� f --�L. �� ,...�,�, ; �- , . ____.�_ , � , ,� - -. .. � . _ , : , � _ . , ,( .� ; � , ' 1 C, .` , _ . ._ .�..._._�..__.�' ..� �.�.� ,i , . ` -