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' - . . - ----- _.. _L-- -------. --- -- .._.._.. . ---_-- ---- -- ____ .. ---�'�- CTfY OF DIAMOND BAR � � E, COMMUNITY DEVELOPMENT DEPARTMENT � ,�-.•C 2I660 E.Coplcy Drive Suite 190 (909)860.3195 Fax(9D9)861-3117 ' • ' PRESS '""� BUILDING PERMIT APPLICATION FI R M LY } 'JOBSITE +- ? A PLICATION l I^ PERMIT P/C ' o ADDRESS J DATE +^ �v`� NUMBER p � ISSUE TYPE OCC . � APN LOT T CT DATE CONST. GROUP p OWNER " ADDR � ZONING SETBACKS o j�^J�� . z CITY � _ ZIP<«�'1 TEL. FRONT pyy p � APPUCANT TEL REAR p �� SIDE/SIDE STREEf RW O CONTRACTO SIDE ' ' ❑ QCDDRESS zIP TEL PROPOSED USE .�/, ey — ! � � w ARCWENG/ z DESIGNER � - ' a ADDRESS NO.DWEL NO. � - � CITY • ZIP TEL. UNITS STORIES BEDROOMS � cn DESCFiIPTION � SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BCILDER DECLARATION . . SFRIADQ�REM O - , p I HEHEBY AFFIRM 11N0ER VENQN OF PERNRY THAT I AM EXEMPT FFOM THE CONTRACTORS L6 G3�eg0/COryDA ' '� W CENSEUWFORTHEfOLLOWINOREASON(SEQ70.71.5BUSMESSANDFROFESSIONSCO�E:ANVdTVOR (n - � U COUNTV1MMIp1REIX11RESAPERMITTOCONSiqUCT,ALTER,IMPROVE.DEAAOUSH,ORREPAIRANVSTRUC- W Patio/Deck � 7VnE,CRioR To lig 1SSUu+CE,ALSO RELIUIRES THE AovLICA.+1T FOR SUC11 PEWAIT TO FlLE A SIGNED W - � � STATEMENT TiATHE OR SHE IS IJCENSED PURSUANT TO THE PROVISIONS OF TME CONTRACTORS LI• � � CENSE UW(CHA7TER D(COMMENCINC WITH SEGTION 7000)OF p1Y15�ON 7 0F THE BU51NE55 ANO PR0• POOVSPa � � 'FESSpN5CO0E�OR71/RTMEORSHEISE%EMPTTMEREFROMANDTMEBASISFORTHEIILLE6EOE%EMP• , (� V T10N.ANYVIOUTIONOFSECTION70J1.68VANVAPPUCANTFORAVERMITSU&IECTSTHEAPPLICANT7b Z R0-R001 . • . 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' = OI�SOWNEFOFTHEGROPERTV,AME%CLUSIVELYCONTRACTWGWRNLICENSEDCONTMCTORS W Q TO CONSTRUCT Th/E PROJECT(SE0.70u.BUSINE55 AND PROFESSIONS CODE TME COMMCTORS LI• Vdltlatipl � ADJ.AREA , W CENSEUWDOESNOTAPPLYTOANONNEROFAPROPEflNWHOBURDSORIMPPOYESTMEREON.AND � KTIOCANTMCi5FOR5UqIDROJECTSN'IiHACONTAACTOR(5)LICENSEDPURSUANTTOTHECONTiUG �QUANTITY OESCRIPTION � �E - , , Y TORS UCENSE LAW.�. , � ❑IAA1 EXEAIPT IINDER SEC. B,i pQ FOR THIS REASON 4 � - V , ' Z DATE OYVNER " - V � . . . O W � ._ LICENSED CONTRACTORS DECLARATION w IHEREBYAFFIRIAUNDERDENALTYOFDERJURYTHATIMILICENSEOUNDERDROVISIONSOFC/UOTER V, ; d 9(COMMENCINQ YVITH SECTION 7000)OF DM510N]OFTXE BUSINESS AND PROFESSIONS COD[,AlA Z - - - ' X MYLICENSEISWFULLFORCEANDEFFECT. m , LLI , 0 UCENSE CUSS G � UC.NO. � � � V DATE' --- - - �CONTMCTOR a W � WORKERS'COMPENSATION DECLARATION a � IHEREBYAFFIRMUNDERVENALTYOFPE0.IUMONEOF7HEFOLLOWINGDECLARATIONS: Z . � � �IVWVEANDWILLM�VN7AINACERTIflCATEOFCONSENTMSELF•INSUREFORN9RKER5' _ � COMPENSRTION,ASPROVIDEDBYSECTION77000FTMElA80qCODE,FOfiTHEVERFORMANGE �U . Q OF THE WORK FOR WHICH iHIS VERMITI51S5UED. _ _ � w _IFWVEANDWILLMAiNTAINWORICERS'C0IAPENSATIONINSUMNCE,ASNEWIREDBYSECTqN n � Q �7oUOFTMEUBORCOOE,FORTH PERFORMANCEOFTHEWORKWRWHICHTHISPEHMITIS I ✓/� J ISSUED.AIY R' IONINSU IERANDPOLICY UMBERA{lE: CONSTRUCTION y� j GARIER Pv�aev�Ew I Z oo��crNurneFa - . ELECTFiIC . _ . — - - - - Q ��. 0 (iWS5ECIICNNEmN0TBE00MPlF1EDOF11fPERlMTBPoIiONEFl1�DRED041AflSIttO%ORLESS} PLUMBING . . Z ICERTIiVTHAiNTHEPERFORMPNCEOFTHEWOPKFORVrtiIp/THISPEPMITI51S5UED,1 MECHANICAL (7 SHALLNO7 EMPLOYANY PERSON IN ANY Ml�4NEN SOAS TO BECOME SUBJECTTO TME (n YJORKERS'LOMPENSATIQV UWS OF CALIFORNIA,AN�AGREE TMAT IF I SMOULD BECOME INSPECTION FEE � � � ' --- S SUB.IECTTOTHEWORKEFtS'COMPENSA BI OVISIONSOFSECTIO 00 ME LODE.ISHALLFOR7HWITNCOMPLYW os oaovisarrs.�- ISSUANCE .�. ., ��: :�`� p DATEI� APPLICA . SMIP • + � ` � � W � WARNIN6:FAILURE TO SEIXIRE WOHKERS'COMPENSATION CAVERAGE IS UNLAWFUL,M1D SHALLBE � - ENERGY P/C � S1161EC7ANElAPLOYERTOCRRAINALDENALTIE5AI.DCMLFWESUPTOONEHUNDREDT110U5�ND ENERGYPERMIT DdURS(f 100,000),IN ADDITION iOTHE fAST Of COMPENSATqN,DMIACES AS FROVIDED FOR IN � a SECTION3708OFTHElA80RCODE,INTEREST,A�DATfDRNEY'SFEES. - A�ENTIONFEE: � � � � o ' CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � � 1HEREBVAFFIRMUNDERFENALTYOFPERIURVhUTTHEREISACONSTFUCTIONLENDWGACENCY �� � FOR TNE PER�ORMANCE OF THE WORK FOR WHlpl THIS PEFMIT IS ISSUED(SER 9097,CIV.CJ. Z . _ _ . . . . _ . W � IENDERS NAME / F-� IENDER'SAODRESS � � � TOTAL FEES ` � ICERTIFYTHATIHRYEREADTHIS�FPLICATIONANDSTATETHIITTNEABOVEPlFORMATIONISppRqECT. � w IAGREETOCOMPIYWITMALLGTYANDCOUNTYOHDiNANCESANDSTATEUWSHEUTPJGT08UILDING - ""- ' � ` ' � CONSTRUCTION,ANDHEREBVAU1YqRREREPRESENUTIVE50FTHIStOUNT'TOENTERUPOHTHE � ��`` '/��/� _ � ZABOVE�IAEMbNED CROPEHTV FOR INSPECTION DURPOSES. _ ,. COMMENTS �� i �� ' � r � MITT MIE IPRINT) � -/�' r / 26 � . SIGNATURE OF PERMITTEE DATE + � RECPT.NO. PAID BY VALIDATI - �WHITE—Depertment Copy,YELIOW—Finance Copy,PINK—AssessaCopy,GOLDENROD—File Copy,GREEN—Applicanfs Copy� - . _ . . . . . . . ....... . . � . . . .. ' , . . 5.� ' . si..l,l.wi./.:','1�� :�:.\',�'..; .A�� . .;.1: .h'• . .... . • .{. ' ' � ' � � ' . . . ^:J,. . . . , . • .r4:.a ,� .. CITY OF DIAMOND BAR�„ � . , ;�.�� � , ,� � 1NSPECTION RECORD �° '. � , � � � � , , . ... . . � . , �. . . ,� �.. . . • � � s • • � � e - SET BACK •. � � - FLOOR JOIST- - - -- - ' . FTGS/FORMS/STEEL FHA REQMTS �- ' ELECTRIC GROUND UNDER.F.LOOR,DUCT :.._,. ,. -. �� �'- . GROUND PLUMBING � -- � UNDER FLOOR Cd�IDUIT -_ _. ,• ' _ � - , , SLAB GRADE - - - FIREPLACE FOUNDATION ' ' •TEMP POWER ='. . � - - '• - - ' FIREPLACE BOND BEAM =� . -'� ' ' ,' -• ' '� . . ��}- 1NA�EF�SERVICE=.-- �- � ' ' � - � -• ' - � MID HT.BOND BEAM' ' .; - � �� " �ROOF_SHEATHING� -v��' � � g� - 8 Fl:BOND BEAM � FRAMINGNENTIUATION . FINAL BOND BEAM - -- . - . ROOF COV�R--- -- 2 $ , -. � PRE-GRADING ' ROUGH HEATING - � - ' - ' - BENCHING , � = � AOUGH ELECTRIC ; - - - � ' - '- � ROUGH.GRADING � ROUCH PLUMBING - - - � - FINISH GRADING ' ' SHOWER/TUBTEST�'-� - � - , POOLELECTRIC EXT.LATH/SIDING ,;., ' - ' POOL FENCING ' � ' WALL INSULATION ' POOL FINAL � - CEIUNG INSULATION OFF SITE IMPS. � DRYWALL NAILING � DEDICA710NS' ' ' SEWER --- ---- - - . . -_ -., _ . -�_._ . FINAL ENG. , SEPTIC TANK_. __ _. _ _ �J .. LANDSCAPE/IRRIG. � SEEP PIT/L.L._' -- - - ' -- _ ON SITE IMPS. GAS AIR TEST ' FINAL ZONING � , FINAL CONST. - - z f� - - FIRE DEPT.FINAL � „ FINAL HEATING-- - - -- "" - - - HEALTH DEPT.FINAL - FINAL ELECTRIC - - ' DEV.FEES PAID . , . . . . FINAL PLUMBING - � ENERGY . , �_ � . �_ ; , - - - -, -- - � � _. , .� . _ . , � . � . - - - - - -- - - - - - , . COMMENTS -- ' .' -- - - — — - - - --- - - , ; ,. • � , ' _ i .- - � ti � - — - - - , ,. _ , _ , _ ._ ._..._.._ - � .. _._> - .. . -� . — �f ,i .ti. . . - -- - - - � � '� ; . . . ` -- , .. \ , ., ; , .... �. ..�j'N �"� � . . �,. •.� ' — — -. . . �. . , ♦ \ c ; :, � � �. .. ��. � �, �. `,_ , \ I i � � —� � . _ . � , - -- - - . ' .: I % ......, .. • . � SEPTIC TANK SIZE . � ; . -_.. _ . _ ..- - ._. SEEP PIT/U SIZ� � � - — - _.__ ,: . • � , , . , . ; ; ' _ ._ - i . - , _ . . ; � _ ---- , , � � � i' � `; � � , � ,�. , � ; . . . � , �=, � . ` , . .- . , � �> _l , \ . ` , � . � . � �:' . i' .