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_ : _. ._ .�._ _..._. . .__. .. _._ . . - CITY OF DIAMOND BAR � � COMMUNITY DEVELOPMENT DEPARTMENT ,..� 21660 E Copley Drive Suite!90 (909)860-3195 Fax(909)861-3117 • PRES.S ~""'� BUILDING PERMIT APPLICATION FI R M LY 4 D RI SS � r V 1�4 � APPUCATIOM� j-�,;r� PERMIT D�P/C �Q G o DATE_ �'�l NUMBER # TYPE OCC � APN LOT TRACT DATE CONST. GROUP. � OWNER � ADDR S ' A ZONING SETBACKS � CITY 21P TEL:�� 0 FRONT RW ❑ APPLICANT TE�•' SIDFJSIDESTREET RW O ' � CONTRACTOR SIDE p o CIDTMDRESS- Z1P � E� _ PROPOSED USE o ARCFUENG/ - b � DESIGNER � N0.DWEL. NO. • NO. , a ADDRESS cn UNITS STORIES BEDROOMS � CITY ZIP TEL. N DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION p� OWNER-BL'ILDER DECLARATION ' p SFWADD/REM I HEHEBY AGFIRM UNOER PENALTV OF PERIURV TNAT I AA1 EICEMPT FRqA TME CONfMCTORS L4 ' - � , � - � - W CENSEUWFq17MEFOLLON'IN(iqEA50N(SEC.70.71.68USINESSMIDPROFESSIONSCODEANYCITYOR � Garafla�Carport � �. . _ - _ � � COIXITYNTiIp1REWIRESAGERMITTOCONSTRUCT,ALTERIAI7ROVE.DEMOL15H.diRE�A�pMfYSTqUp W P81��k . TURE PRIOR TO RS ISSUANLE AL50 REOl11RE9 THE ADPLICAM FOR SUCH VERA/R i0 CILE A SiGNEO W � 6TATEMEtlT THA?HE OR SHE 1S UCENSEO OURSUANT TO THE PROVISiONS OF T11E CON7MCTORS LI• � CENSE UW(d1APTER C�COMMENCMG WITH SECTqN)000)OF DMSION]OF THE BUSINESS IWD PRO- V' .POOVS� � '� . FESSIDNSCOD�ORTHATHEORSNEtSD(EMPTTHEHEFROMANDTMEBASISfORTMEALLEGEDE%EMP• (� TqN.11NYVIOLATIONOF5EGT10N70]7.6BYANYAVPLICANTiOR�PERMITSU&JECTSiXEAPPIICANTTp Z qg.Rpp} ACMLPEWLLTYOFNOTMOqETMANFIVEXUNDREDDOl1ARS�f500�.h � � ' ' �0 OIASOVMEROFTHEVROVERiY,ORMYEM7LOYEESWITHWAGESASTHE�N50LECOYPENSATION, � 0 CWI�rt1B�Clel � Z WILL DO TNE WORK ANO THE STRUCTURE LS NOT IMENOED OR OFFEREO FOR SALE(SEC.)Ou,BUSF J � � NESS AH�DROFESSIONS COOE:THE COHTMCT013S UCENSE UW DOES NOTAPPLY TO AN OYMER OF ? . PPOPERTYWIqBUILDSORIMPROVESTHEREON.ANDWHO00ES5UCHWORKHIMSELFORHER$ELFOq � � �-CL TMROUWINISORHENOVMEMVLOVEES.VROYlOEDTHAT5UG/WPROVEMEMSAAENOTINTENpE00q. m p OFFEREDiOR5KE1F./10N'EVER7HE8UlOWGORIMPHOVEMENTIS50lDWITMNONEYEAROFC0AIPLE-. - � , �-,`�•. . � �� - •Z T10N.7HE OWNER�UILDER NnLLlI�VE 7ME BURDEN OF PROVINO TMAT NE OR SHE�ID NOT BURD OR .WIMPROVE FOfi THE VURPOSE OF SALE1. OI�OWNEHOFMEVROPERTI/,AME%CLUSNEIYCON7RACTIN6WITHLICENSFACONTMCT00.S � TO CONSTRUCT TNE VRQIECT(SEC.7a�,BUSINESS AND VROFESSIONS COOE:TNE CONTMC70R5 U- V81Ue1fOf1 � ADJ.AREA � CENSE UW DOES NOiMPLY TO AN ON'NEH OF A PROPERN NTfO BUILDS OR MPqOyE3 THEREON,AND � MM1qWNfMCTSFOR5UCH7F�JECT9WITIACONTMCTOR(S)LICENSEDPURSUMITTOTMECONTMG QUANTITY DESCRIP'TION � .I TORS UCENSE tAW.). FEE . . 0 •�IAAIEXEMPTUNDERSEC. B.iP.GfORTHISREA50N � � V � DATE OWNER F- �Q LICENSED CONTRACTORS ECLARATION W � CL I HEREBYAFFlRIA UNDER PENALTY OF PE0.tt1RY THAT I AM LICENSEO UNOER PPANSIONS OF CMAPTER � � . p., f(COY1AENdNO VATH SECTION 7000)OF DM510N]OFTHE BUSINESS AHO VROFESSIONS CODE,AlA Z ` � �L 1AV IICENSE IS N iULL FORCE ANO EFFECT. m � LICENSE CUISS UC.NO. � _ • V DATE COMMCTOR - - d � ' . .. �w '" --_ 7 ' WORKERS'COMPENSATION DECLAAAT�ON � Q � IHEHEBYAFFlRMUNDEHGENALTYOFVEfWRYONEOFTHEFOUAWINCiDECLAMTIONS: Z . � � _IWWEANDWIlLMA1NTAINACERTIFlCATEOFCONSENTTOSElHNSUREFORNCRKERS' QS COMOENSATqH,ASiqOVIpEDBYSECTION77000FTHElABORCODE,FORMEVERFOfU1ANCE CJ Q OFTHEWORKFORNMICHTHISVERMITISISSUED. � � � _I WIVEAND NnLL WINT,UN WORKERSCOMPENSATqN INSUMNCE,AS REOVIRFD BY SECTION � J7000FTXEL�BORCODEfOqTMEPERFORMANCEOFiHEWORKiORYlHICHTHISPERAIITIS J ISSUED.MYNqHKERSCOMPENSATIONINSURANCECMRIERANOPOIICYNUMBERME: CONSTRUCTION j c+wruER PLAN REVIEW 0 VOLIGYMIA�BER . . . . . . .. . . . . . � • ��.. ELECTRIC o (nuSEanrr��no7eEoo�.�ErmofnFVEaMiswna+EHunPIDootilu�s(timlORlEu1 PLUMBING w Z ICERTIiY7HATNTHEGERFORI.I:WCEOFTHEWORKFORWH1d1THISVFiWITI5155UED,l MECNANICAL C7 SWLLLNOTEMPIOVMf(PERSONINANVMu�1NEHSOASTOBECOMESUBJECTTOTHE p7 WORNE0.5'COMVENSATqNLAwSOFCALIFORNI/�ANDAGREETUTIFISNMADBECOME INSPECTIONFEE -- SUBJEC7 TO TME MlORKERS'COMPENSA710N PROMSqNS OF SECTON�70a OF TME UBOR � O cooe.is�wLFoarm�nrHcanr�rwininasEnRrnnsaNs. ISSUANCE _ -�� p OATE: APPLICAN7.� SMIP � ENERGY P/C . WARMNa FARUHE TO SECURE MpFKEflS'COMPENSATION COVERA6E IS UNUWFUL,AND SHALLBE . � SUBJECTANEMPLOYERTOCRIMINALPENALTIESANDCMLFWESUPTOONEMUNDRE�THOl15AND ENERGYPERMIT ' OOLLA0.5(Stoo.000�Ml ADOITqN TO T11E CO51 OF COMVENSATqN,DMMGES AS VROVIDEO FOR W J SECTION]7oe0�MEV80RO0DE.INTEREST,ANDA7TORNEY'SFEES. ¢ RETENTION FEE: - -C�'7—�� � CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � IHEREBYAFFIRAIUNOERVEN�LTVOFPE0.JURVTMATTMEREISACONSTRUCTIONIENDINCACENCY - � idi TME GERFORMANCE OF ME WORK PoR MT11G1 i1115 GERIAR IS iSSUED�SEG 7007,CN.G�. � � IENDER'S NAAIE C IENDEN'S/DDRESS � w ICERTIFYTHATIHAVEREADiNISMMICAT10NM1DSTA7ETNATTHEABOVEWFOR/1ATqNISCOMECT. TOTAL FEES , , p_ IAGREETOCOM7U'WRHALLCRI'ANOLOIAJfYORDPIANGESIWOS7ATEUYSREUTINQTOBV4AIN0 - � � � � COHSTRUCfION,AN�HEREBYAIlTqR11EREGRESENTAiNE50FTWSCOUNTVTOEMERUPONiHE /1BOVEJAEHTIONEO ViqVERTY FOR W SPECTION PllRPOSES.' COMMENTS s �3 � • .L�� � � PE E�PRtNT� - � � � � l ���� ' �..'V] S OFPE EE . � � OATE � � • � - ' RECPT.N PA�D BY VALIDA710N WHITE—Uepartmant Copy,YELLOW—Finance Copy,PINK sae �(���-v•,GOLDENROD-.-File pyr'�GRE kanCaGopy ��/� /� . . . .. .. .. � . . . . .. .. 1.�'�A1�Y1 R,�..w �A.CQw1'L3.t�IY07vunt�.l4_ IY).41��� .OYu�N�'t�d� � .. . . w:C.'^�•I'�1�. ' :�.�. ,j �n�4� �rtyv h.r.r ,c: '�•�' ,�k. 71f T•'� ^� 7-u .r L ;�.0 ,S.�S ++.f +..y✓� '�T`s...�1 a .)rri,l:�r��••s..� ' - . .'.. . , ,,,;���.;.?,.,'r�e�'. „�.;... .s C{'�''r S�'q,..a�� .,�:J'`w�.�. �i�.;5: � , . . `;i. ."F,; �f• ..''�'��� . •' �\ \ � , . _ � . I � \. CITY_O.F.DIAMOND BAR - ` `� ; ' � __- .-:�' 1. '�` � INSPCCTIOPt! RECORD , ', ` � . .�' . . � 1 i � . . , ,. , . � _ k`_;I����fi�..i����l�� � 'l���d�� � 1 �^�.f,.��J'��7'�.w-r 1�F �'�I����l��` .i.;�_ S�'.�v��� iu11��•L��ir';�,C,'�r.,'�'�q� , ...._..1,...... _1_' ,__�'.:.�_�_ L _. I- .....{:_. •_.._:_, � � -_.r....� -� _..:c.�r.<-�--- �ET BACK; ,�- - - _„ ,.T �_. .. . ._. . -FLOOR•Jbf,ST- - -.u�� _. `.__.. �.-- . ---'--.— --- .; . FTGS/FORMS/STEEL • , . _ - --__ __ __ FHA REQMTS -�:, : ._ , ,- : , : ,,�: -- ,; ..��. � ::! �� :-_.. ,.; I ... ELECTRIC GROUND ` -� :' � UNDER FLOOR DUCT � � � , ' � - . ' GROUN�PLUD�IBING " ' -�-� - - - �-. � UNDER FLOOR COMDUIT `'�- � •' � -- _.. .1.�.. , , SLAB GRADE- -- .---_�`-' - ----- - ` � �r."_ ' FIREPWC�-FOUNDATION_ . _ ��.:. . __._,._;. ,. . �_---- - - � . TEMP POWER= _=-= --- . _ =_- _:_.--- FIREPLACE BOND BEAM . . : :_ .. . . _ _. �. - „ �. � V7ATER,SERVICE -- :-i �- r r-.� I= - ': ; MID HT.BDND BEAM i -_= - - - - _ � ; ROOF SHEATHING ,� � � 1 � � � ' 8 FT.BOND BEAM " � � • � FRAMINGNENTILIATION - -fi`7_ � ' FINAL BOND BEAM � - --� - -- - _ �� - -�- . �-; ,:� I �', - -- - ROOF COVER---.- -�_-: -_. `----- - - - -� PRE-GRADING �-� _ _ ���. -- . ,--�: � ROUGH HEATING - :. __ .�r ��.='__ _ . ... _ _ � _ �� BENCHING ... • ,. , ; , ! "= flOUGH ELECTRIC ;-- .y y -' - -� - ROUGH GRADING ' '� --- 7 . . . . . . , .,,. . , .. ROl1GH PLUMBING , - ----- - --- - ; , FINISH GRADING ; ' , � . . . , SHOWERlrUB TEST �--- -- - -- POOL ELECTRIC • 1 ' EXT.-LATH/SIDING- : __ - -- ---- -- -; PODL FENCING � � . , . , , WALL INSULATION , � POOC FINAL � - : � CEILING INSULATION OFF SITE IMPS.' - :. ' ; _: _. DRYWALL NAIUNG /,B 97 i DEDICATIONS ` . , SEWER__ ___ ____ ., !�., _,_. FINAL ENG. - SEP_TIC TANK� --- ^_ __' '- -- . --' .�-�-'- ��- '-- LANDSCAPE/IRRIG. . � , � SEEP_PIT/LL_' _... ' '" ON SITE IMPS. - -- - - - � GAS AIR-TEST; . . - - -- -- FINAL ZONING ; ' � _ ` ti, FINAL CONST.-.------- �-�7�� - � FIRE DEPL.F�NAL�, . � . .� �� -• ' , .- � � FiNACEtECTR C----_ ,� `I�. . - - � ---- DEVLFEES PAID INAL .. `,' : . ..I ' : �-� -_ '_ _- -i :�. ;._,.-- . . . . FINAL PLUMBING � t„'L`64''`;�:�� � ENERGY ' -� L ' _ ' - -.iP�`� � C - r � � ' t� �h"'_c1��o,c r_` � , , ., . . , _ -. � , ; -' - . . . _.. . . . --- _ ._ --- -- --- -_ _. .._._ _- -- --- � . - - - , , • COMMENTS - - ` ., , , ,, , ,.,, , ; - - � _ , _ . - � ---- - ._-- - - -- _ __ _ __ _ , , . � '\ S \ , , , . _ . ' _ - - �.. -� � , --- -. �1 ;���, �`� ' j � ' • ,_ _ - - ,'� ._ . .. - - - . ; - - _. _ _ _ . , � . - -- —- ---- � j , , , _ , . . , ,, --- --- --- - _ __ _ .__ __ _ .. , � --- -- - - � . _ ._ ��;''� C'. -- I . � _ , _..V'`. �` ` . _ . _ , . . . -- _--. .. _ . � � t�,, . _ , _ � - - —1, �.� 1 . � � .._ , . � — , ` . �- ,� _ , , _ .. _. , ,. , . - - - � -- ---- -- . .._ __ __ , . . , _ , SEPTIC TANK 51ZE .. - - - - ----- --- . _ . � ----- ------- - ----- _.. --- - -- - SEEP PIT/U SIZE - _ _ ._. .. _ _ � � � . � ,;, , � ' --- --- - - ---- -- - --- I j I ' :'. - , ' i - ,,,� ---- ' t� ��`�, . - - -. _, - ! I i -- _ - -. - ; '. - , �� �� ` .., ., , ; _ __--- - - - - - --- - - - - _ - � -I „tl � .J�� , � , � . �'�y� - -.. _ _ _ I� � ; ; ,' , I : i . , �_. , , . ,, � - . I � � , . , , . „ _ --- -- _. .- - - - .. . -- . . . . i -- _ � - - - • - � . , _; - � � •1_� �'.:s� _. . _ �;-. { - __ _ ' � , f 1\�.; : . - � _ - I" ;,' lSd� c -. -.:,.. 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