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J� CITY OF DIAMOND BAR � '' - DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �J � . � 216b0 E.Copley Drive Suite 190 (909)860-3195 Faa(909)861-3117 PRES$ ' ''��^� BUII.DING PERMIT APPLICATION ' FIRMLY oy JOBSITE !L� l�2�'1 ���'�.�� ) n�JR'�L APPUCAT /� � PERMR �L;�Q'1 P/C ADDRESS `�� '�-� �� 1 DATE NUMBER_1,1W�_ * $ . ISSUE (� TYPE D A-,�'^ OCC APN � T CT • DATE CONST. 1"�'�"`�cJG' GROUP � OWNER S� " ADDRESS ZONING SETBACKS z CITY �� TEL _ FRONT RW ❑ g APPLICANT � TEL. SIDFJSIDE STREET RW 0 � CONTRACTO�l � ' SIDE ` ❑ � CITY ES , �,ZIP� TEL y PROPOSED U ���r ' �'�� Q�^ �� � � ARCH/ENG/ - DESIGNER NO.DWEL NO. NO. ADORESS UNITS STORIES ( BEDROOMS�._ � CITY ZIP TEL � DESCRIPTION Sa.FT. FACTOR PSF ADJ.AREANALUATION � � OWNER-BUILDER DECL.AFiAT10N SFRIADD/REM O ' p 1 HEREBY AFFVW UNDER PEWLLTV Of PERRIRY THAT I M7 EXEIAPT FROM TME CONiMCTORS U• Gdf0g0/CelpOrt W CENSEUWFORTHEFOLLOW�NCIREASON(9EC.T0.71.6BUSINESSMIOPROFESSqNSCODE:IINYGTYOR (n � COUN[TYrtpCHREOURESAiERMRTOWt15TRUCT,ALTERa7ROYEDEMOUSH.OFIREPNRANYSTRUC• W P8110/DBCk NRE,YR�OR TO ITS 65VANCE ALSO NEOU6tE5 THE APPLIGNT FOR SUp1 VERMIT TO FlLE 1161GNED w � 6TATFMINT TFUT HE OR SNE IS LICENSEO iURSWNi TO TF�E PROYISIONS OF TME CONTMCiORS U• � CENSEUW(OUVTERO�COMMENdNAW1THSECilON700%OFDMSION]OFTMEBUSINESSIWDPRP �- P��Pa iE8410N5 CODF�OR TIAT XE OR SHE IS EXEI.�PT THEREFi10M AND TNE&ISIS FOR THEAlLE6E�E%EMP• TqN.ANVVIOLATUNOFSECT10N7W1.68YINYAPVIICANTiOR11iEfUARSUBlECTSTHEA7PLICANTTO Z Re-Raof � A CIV4 PFNALTY OF NOT MORET4W FIVE MINDRED DOLURS qSuol.1: J � O�ASOW'iEHOFiHEPROPER7Y.ORMYEMPIOVEESMATHWAGE3A5THEIRSOLECOMOENSATION, O COrtIRIBfd81 N7LL DO iHE WOFY(,MA THE STRUCTURE IS HOT INTENOED OR OFFERED FOii SALE(SEG 70N.BU51• J HESSNA YROFESSIONS COOE:THE COHTfUCTORS LICENSE LAW OOES NOTMPLY TO AN OYMER OF � GNOPEpTVMh�OBUIDSOi1MVRDVESTHFAEON.INOWMO00E55UCHWORKNIMSEIFORHERSELFOR = Q 7HNOUGHMISORMEROWNfMPIOYEES,Di10ViDE�THAiSUCIIMPPOVEMENTSARENOTRRENDE00R m � ,OFFEREDWHS�LEIf,lqWEVERTMEBUtDPWORWPROVEYFNTtS50lOWRWNONEYEAROFCOMPLE• z T10H,T1E dN7�ER-BURDER VALL MAVE TME BURDEN OF PRONNO iHAT HE OR SHE DID NOT BUIID Oq = MPROVEFOfiiMEPURPO5EOF5ALE). ' W 04��1MMEROFi11EPROPERfY,M1EXCU/BIVELYCOHTMCiINdN7T1iLICEN3EDCONTMCTOR3 � TO CONSTAUCT THE PRQIECT(9EC.1W�.BUSINE54 AND PIiDFE5310N4 COOE:T1fE CONTMCTORS U• V81U311011 ADJ.AREA CEN3E UIW DOES NOTMPLY iOAN OYMER OF A PAOVERTY VAp BU4D5 OR W PpOVE9 TNEREON.AND MAqCOMMCT3FOiiSUCNDRO,IECTSVATHACONTMCTON�S�LICENSmVUHSl1ANTTOIHECONTMG pUA OESCRIPTION '� FEE � TORS UCENSE UW.). O IAM EJCEMPT UNOER SEG B.i V.0 FORTH�S REASON � � f•`- ' LL' DATE OWNER � � � UCENSED CONTRACTORS DECIARATION -� � W �MEREBYhFf6BAUN0ERPEN�LTYOfGERNRVTMA7�AML�CFNSEDUNDERPROV1510N50FdUPTER Vr � •ICqAMENCNOWRXSECTqNT000)OFDMSION70FTMEBUSINESSANDPROfES5�ON5C00E,AND Z X W LICENSE IS W FULL FORCE EFiECT. ��� �� � m lL rp' � � LICENSE CU1SS v LIC.N0. � - � DATE � CONTRACTOii y � a W � WORKEHS'COMPENSATION DECLAHATIO 'I� � iHERCBY/FFlRMUNDERPEN�LL.TVOFVf0.1UqY0NEOFTFIEFOLLOWINO CLAM N Z � _IHAVEANOMALIMANTNNACERTIFIUTEDFCONSENTiOSE NSUftEFOR RI(ERS' � tDMPENSATqN.ASiROViDEOBVSECTION�7ooOFTHEU80R E.FORTHEPEAFORMANCE OFTHEWONCFORWHIGiTHI3FERMRISt55UED. � � � I NAVEAND VALLAWNiANNY7R10ER5'COMPENSA710N INSUiW�CE,I1S REWtqED BY SEG7qN O ]7ooOFTHEIABOqCOOE,FORiHE7ERfOfUAANCEOFTHEWOHKFORWHIGHIHISPERAIRIS r 3 ISSUFD.MY WONCER5�OIA_PENSATION IEtC;1RANCE M�ERAND POLICV NUAIBERARE: TRUCTION � CARR�ER F � P REVI� � VOLIC'/HUMBER "" IE � � (M1�SSEI.TWNEFDNOTBEfJx,p�E(EppF71EpES0.ffBiaqp�EHl.f�Of�mpcliAiS I P MBING Z ICERTIFYhUiNTHEiERFOfVAIfICEOFiHEWONKFORWMICMTN�SPERAIIT 655UE ,I �"��� (.�} SHALLNOT EMPLOYANY iER50N N ANY IAANNER 50 AS N BECOME SU&IE TO THE VJ WOfU(ERS'COMFENSATIONUN50FWJJFORNIA�DA6REEITUTIFIS BECOME NS IONFEE S Slh7JECT TO THE WORKE0.5'�OAIPENSATION PAOVISIONS OF SECTION�7 OF iHE LABOR � ppp��,��w��t����n� rwrtH sevnrnnsar+s. NCE 1 nnnrt � __�I/rJ,l.�1'(i vnn SMIP �LL / � W W1TE: APPLICANT. `'f�_''f— ENERGY P!C ��B��—�— � WARNINf3:FMURETOSEWRENqpNERS'CW.�DENSAiIONCOV EISl1IJlwWNL N�W.BE . 'Ti"1'17�1 �.. (—y SU0.)ECfANEMPLOVERTOdYA1�NhLPENALTESANDCMLFINESUP700NE/UNOREUTMOUSAtJD ENERGYPERMIT t�li 1 ���SAY:�C'('y OOLLARS(ttao,000),WADDRIOHTOTMEGOSTOFCOMPENSATIDN,ONAAGESASVROVIOEDiORIN f1;� � SECf10N970lOFTF1EUBORCOOE,INTEREST,IWDAT70RNEYSFEE3. RETEIVTIONFEE: pW„ CONSTRUCTION LENDING AGENCY PRE•ALT FEE: � IHEPEBYl�FFIRMUNOERPENKTVOFPERRIRYTHATTHEREISACONSTRUCTIONIENDINaAOENCY ' �Z- FOflTNEYERFORMANCEOF7NEWORKiORWM1G1TMiSVEfiMITISI55UE0(SEG70G7,CN.Q). � � , W � LENOERSWWE ' � LENDERSADDRES4 � ICERTIFYTIUTIIWYENEADTHISAPPLICJ1TqNANDSTATETHATT1E/iBOVEWFORMAT10NI5CARRECL TOTAL FEES G W 1 AfiREE TO COMPLY N1M ALL C(T`/AND CIXINTY ORDiW W CE511N0 STATE Uw5 REUTNO TO BUILDIN6 �"' CONS7RUCTION.ANDHEHEBYAUTHORIZEREPRESENT�ITIVESOFTMISCOUNTYTOEHTERUPONiME � � ZABOVE�4EMIONEDVROPERNFORINSPECTIONPURPOSES. COMMENTS _ �� ��� � 7—� m PEAMfTTEE (P Ifn � 4 , N � StONANREOF RIAITTEE DA7 ' � RECPT.NO. � PAID BY VALIDATION WHITE—Departmant Copy,YELLOW—Finance CapY.PINK—Assessa Copy,GOLOENROD--File Copy,GREEN—ApplicanYa Copy ..' . � w� .... . �. i ..M.� r•� •s�fl^s.!huc?•,��. , .t,oi`ri.. � nu%! ..?,�. - ,, d��� �K��tif .� t«-'ew�r...x�ci'i.id�, r�.�,.....�...,:�a..�y., ,�.. ..tf•..;.. .T.,.;. - . . , ��`.��i-' , ., ` � CITY OF DIAMOND BAR .,: ,_ , �- , , ' -� , -: - �;���INSP�CTION RECORD� " = ._w . � � . _ . ; �� �;� .��:��'�>�'_��° '�._ � � � J���,���`..��a 6 � ��,� .� �E-�' �.��1� .. .� - - :���:� SET BACK ... �' ;; � . , , i.; t�• ` FLOOR JOIST, r { ,. � �. � .: , �FTGS/FORMS/STEEL -;�' ' ;- • t �, r, ''�-, FHA REQMTS ' � , � � 'ELECTRIC GROUND�' •_- '� �� ` �. • : ; UNDER FLOOR DUCT '� '` ' -• • � -- - � ' -• GR�UND PLUMBING � - UNDER FLQOR Cdi�IDUIT ' , ' ;' " _ " � `�' +SLAB GRADE ---- �' - --- � ; FIREPLACE FOUNDATION� i�*,.�� �, ��. .• ��-�„ � i� I "," ;TEMP POWER- - - --- FIREPLA�CE BOND BEAM -- ..' = . .= �' — . ...'= ' I � � •WATER SERVICE - -- - - - - MID HT.BOND BEAM �' . ; � fROOF.SHEATHING � � '`• Z,� d(� � '•�'� � ' - 8 Fi'. BONDBEAM'� �- � -• •• - � _-_ - ;FRAMItJGNENTILIATION '• - =�•. ,- � � ' '�� -; '';' FINAL'�OND BEAM� - � - � � � � � �ROOF COVER "�. � � � PRE-GRADING — " - ' ; ; . ;ROl1GN HEATING - - - � BENCHING • •, , -, ; !ROUGH ELECTRIC- ' - - `- ''' �- _' ' ROUGH GRAD�NG - - - - -- --- -� :- .ROUGH PLUMBING- = - - - - - -- ' FINISH GRADING ! : SHOWER/TUB TEST - POOL'ELECTRIC . E�'T. LATH!SIDiNG � -- - - POOL FENCING. IWALL iNSULATION - - - -�,- �. ,-- • - POOL FINAL 'CEIL�NG INSULATION � - 1 OFF SITE IMPS. = IDRYWALLNA(L1NG -� " - DEDICATIONS , ' ' _ -- - `: '.•., � FINAL ENG. , SEWER . � � ::: ISEPTICTANK ' ,!, LANDSCAPEIIRRIG. � : SEEP_P1T1L.L: ' _ � � . _ �� ;' ' ON SITE IMPS. ; i GAS�IR TEST_', FINAL ZaNING , :. FINRL CONST. � _ ____.� (. gj� . FIRE DEPT.F1NAL ! FINAL HEATING __ _ __ _ HEALTH DFPT. FINAL - -- -- - � � ;FltJAL ELECTRIC - -- -- DEV. FEES PAID -- - - ;hIPlAI:PLUMBING --- - - - - - - - - - - Ef�ERGY - , ' � ---------- - . . ----- - - •'rr�;'c��,�, ,� ���� � � �� , , - :�.�::�� :..:��::: _..__�.�_ ----..... - - • -- - • - - - •�,i� , . , � r.`.� . . _ .. � :cor,nMEN-rs _ -- -- - - ,, - ! ,, � � ��,;-; -: - - � - � i � ; • _��.• � -�- -- - -- . . _ _ ... . _ - - ' ---t ' , � i - - --- -- - - - - -- � - -� --- - - . . _. ., � � . . � - i i 1' �� \ ' � ' , ' .,,''. � — _ � '� ' ' , � - . , ; - • .� _� �_ . ' �.; �i- �„ � .r � - _ ,, .__ . . � ,� _- - - � � � i .� - , .. - � - - � ,„ r.,•.f. ..�� , •. , .-. .A J ♦ -� ; • "I����;� ;. r. ,� � � . �- •- • �.:�`�;�Cj:,r.>>,: _ , ; � . • - - - - , • ,�'_ . . ' .; .,, ��,��, � SEPTIC TANtC SIZ�� i!,';t�;.. .:;_ --. . � , . . , , ''rr!�_, �'�!j. � ;SEEP PIT/U SIZE - , --- .- _-__-� ' - r-.-.--, - . , , i .';-` : !�ti.��� �- - _ - - - - . � �: '. .. *� + - , ��x � - — . - . . � -- . _ -'-r`�, ;'. .y --- _ - _ . i - ����." * �1�i _. : . _. .; �i � � -- - - - - - - - - . 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