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i _ _ ,_. ._.�_____ . � CITY OF DIAMOND BAR �_ � � - � • �-- --�� --� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � �; , 21660 E.Copley Drive Suiu 190 ` ..� (909)860-3195 Fax(909)861-3117 PRESS ���'... .BLTQ.DING PERMIT APPLICATION - FIRMLY oAO�RESS � .G LI ys ; c�2.c(/iF.G ATE CATI NU BER ��� p/C c� . . . I SUE TYPE OCC � � APN T TRACT -- .. _ DATE CONST. - GROUP. ' p OWNER � ' �' - "" ADDRESS` 4 � ZONING SEBACKS • • y _ , � CITY ' ZIP � '�TEL FRONT RW p ; - APPLICANT TEL REAR. O SIDE/SIDESTREET RW - ❑ � ¢ SIDE _ p CONTRAC � ADDRES pROPOSED USE ' � � �. / �� CITY ZI�!' TEI.� ,.,,,. _ �„ iPi ARCH/ENG/ . � • . i � DESIGNER NO.DWEL,, 'S'•fS'„NO. � NO. 3 �. ADORESS UNITS " STORIES � �'%Z BEDROOM� � CITY 21P TEL. � DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION � . OWNER-BUILDER DECLARATION ' SFR/ADD/REM O I HEREHY AFGIRY WDEii CENALTY OF PERIURY THAT 1 AM E%EAIPT FiIOM THE CONTMCTORS LL G818p0/CB�pOR . CENSEUWFORiHEFdlUNMf1RFASONISEC.70.t1.68U51NE55A1mVROFE55bNSC00EANVCtiYOR (n 8U LVIMTYMIMICHREOURESAPERMITiOCONSTRUCT,lLLTER�PROVE.DEMOUSFI,ORREF�IRANYS7AUC- W Patto/Deck � � _ � �� NRE,iR�OR TO fT9 65UANCE.AL50 REOU�RES 1HE APPLMaWi FOR SUGI VER1.lIT TO illE A SIGNED W - - 8TATEMENi 7W�T ME OR SME IS LICFNSED PURSUMtT TO T7E PROVISICNS OF TNE tdNTMCTOR3 LF .� CEIISEUW(QUPTERI(WMMENCMOWITIISECTIONT000)OFDIVISIOtIIOFTHE8U51NE5511NDPRP � PooVSpa � � � � ; FESSqNS CODE)Ofi TFIAT HE ORSHE IS EXEAIPT TMEREFR�A1 M107NE BA515 FOR iHE ALLEGED EXEMP- TION.ANVVIOlAT10NOFSECT10N7W1.6BYANYMPLICANiiORAPERMITSUBJECTSTHEMPIIGNTTO Z Re�Roof �„_, �c�mvo�uL7raHor►aaenowrrveNumaEooauaspsoo�.7: . �. � Ol�avNEROFTHEPROPER7V,ORMVEYPIOVFE5W17NWACESASiHEIHSOLECOMPENSA710N, O Commerclai _ -� - � _ N7LL DO THE 1MDRK AND iHE STiAICTURE S NOT 61TENOm OR OFFERm FOR&LLE(SEC.70N,BU51- J N NE53 AND PROFESSIONS CODE:iNE CONTMCTORS L�CENSE LAW OOE9 NOTAPGLY TO AN OWNER OF ? � � , , ifqPEqTYNYiOBUlD50R�APROVESTNEREON,ANDYhfO00ES5Up7VNRKMiMSELFORNERSELFOR� m � THROUCYIMISORHEROVMEMVLOYEES.ifiOVIDEDTHATSUCNWPROVEMEMSARENOTMEN�EDOH . OFTERm FOH BALE�F.VbVlEVER1ME 9ULD�NU OR MPROVEMQR IS SOLD VATHM ONE YEAR OF OOAAPLE• - Z �TION,TME OWNE0.&MDER WILL HIWE TME BUPDEN OF iROVNO iHAT HE OR SHE DID NOT BUILO OR. _ _ . _ e . = IYPFi�VE FOR hIE PUHP0.SE OF SALE} � � 04h40�N�EHOFiHEVROPEiti1;AMEXCLUSNELYCONTRACTINOWRHIICENSmCONTMCTORS . . ... . . . ' . .. ..._... TO CONSiM1CT TNE PF10.lEGT(SEG foN.BUSINE33 AND PROFESSIONS CODE:THE CONTMCTORS U- V81UflS10f1 Q - ADJ.AREA CENSEUWDOESNOTIWVLYTOANOWHEROFAiROPERTYW/O8U0.DSORIMPROVESTMEREON,M7D . NRpCOHTRACTSfOR5UG1VPo0.1ECT51YliHACONTMCfOR(5)LICENSEDGURSUl1NTTOTNECONTMG qUANTITY �DESCFiIPTION FEE . � TORSl10ENSEUWJ. . . . _ . � , _ _ , . _. . . . _ OIAAIIXEYFTUHDERSEG B.lO.C.FORTMISFEASON� ,� U .f 3 ,y, . » � --.. .. ,,. -� t �=' DATE OVRIER � � �"' � W � LICENSED CONTRACTORS DECLARATION W � IHEFEOVAFFliWUNDERPEWLLT/OFPEFWRYTW�iIAMLICEN5E0UN0ERVRON510NSOFCHAVTER � , . . � � �fO01.MENCWU YA7H SECTqN 7000)OF OMSION]OF THE BUSINESS/U:D PROFES510NS COOE,AND . Z GtYIJCENSE IS N ML FONCEANO EFFECL m � o ���E�,S -3 ��.�. � �7 J v o�re' - " coHra�croa' ' a w - � WORKERS'COMPENSATION DECLARATION a . � N IHEREBY/FFUWIM�ERDENILTVOFOEMlRYONEOFTHEFOLLDN1NfiDECLAW1710NS: � � U �-- �- � �� � � ln Q � _IHAVEANDIMLLIAMITAINACERTtFlCATEOFCONSENTiOSELFJNSUREFORWORKERS' _ OOIJPENSATION,ASVHOVDEDBYSECTION7NOOFTHELA80RCOOE,FORTNEVERFORMANCE W OFTNE WORK FOR WHK]1TXI3 VERMR LS ISSUm. � � �I INVE AND MALL MARiTAIN Y✓OFVCERS'COMPElISATION INSURANCE,�5 REOUIREG BY SECTqN Q Q J7000FiHE COOE,FORIHEPEHFOfUTANCEOFTHE FlKFORWNK7ITIISVERMRIS � lSSUm.MY 7ENSAT I MNCECARN ANDPOLICYNUMBERARE: _ CONSTFiUCTION ���� � � ��qqiEq PLAN REVIEW � � ... POLICY NUMBER� �Z ELECTRIC .. . 0 �rf+sSEcnor�r�IDhrnBEpphq.¢�ppFnEpEw.ir6wnar+Etiuu�IDoatu�sgioo�oa�ss} PLUMBING � Z ICERTIFYhUTNTNEVERFORAIINCEOFTHEWORKFORYMICHTH15VFRMrtISISSUED,1 �� MECHANICAL ' - � (7 SFIALLNOiEMPLOYANYiER50NNAN'IMANNERSOAST08ECOME6UBJECTTOTHE � � WORKERSGOMPENSATIONlAW50FGAt1FORNIAAN0A4REEiFUT615FfOUDBECOME INSPECTIONFEE "� � � SUBJECTTOTHEWORKEfiS'LOMPENSA710NPRWISIONSOFSECTIONS7WOF711ELABOR � � ��-- � � � � - � � COOE I SHALL FORhMATH COMMY N1iH T105E PROVISIONS. ISSUANCE � SMIP p OATE: - APPLICANT: - ..� _ . . - . , � WAAN�N4iARURETOSECUflEWOPo(ERSCOMPENSATIONCOVERAGEISUNUWFU4ANOSWILLBE ENERGYP/C ��9� � S1161ECTANEMPLOVEHTOCWMINALFENALTIESANDCMLFNE5UPi00NEHUNDREDT}IOUSIWD ENERGYP T " -' " DOlUR4(f/00.o00),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS VROVIDED FOR W / t � ¢ SECTIDN770EOFTNELABORCOOE,N(EREST,lVKIATTORNEY'SFEES. ' RETENTIO � ��'ll'lL'.':r.=1.';\i� . a CONSTRUCTIONLENDINGAGENCY PRE•ALT�U����`'�" 4���� ' �-�' •� t � IHEREBYAFFIRMUNDENPEN�ITYOFOERNRYTWRTMEREISACONSTRUCTIONLENDwOAGENCY � � - � ' FOqTHEFER�ORM.WCEOFiHEWORKFORWHIpITHISPENAiTISI55UED(SEG70Y7,dV.C.F , . � . � LENDER'SNAME - - � � � � , � IENDERSADORE55 � icERnrrnuriw�vea�nnas�rvucnna+umsr�rEtw�Tn+E�ver+rorw�nor+iscoaaEcr. TOTAL FEES � � IAGf1EETOLpAPL�WITHALLCfTYlwDCOUHTMOROWUNCESANDSTATEUWSRELA7WOT08UttDIN6 , � � CONSTRUCTION,ANOMEREBYAUf1qRIZER NESE IVESOFiHISCOIA(TYTOEHTEflUPONTHE . . . . . . . . � � 1BOVEJAEMqHEDPROPERT'/FORINSPE E5. COMMENTS O � _j ... . _. . , . m FEq1AITTEENwE(VWNn ' - � . d . _ _ . . . _ . . . . . . � . (A 8qMA7UREOFPERM1TfEE OAiE . � _ RECPT.N0. PAIO BY V,WDATION - �WHITE—Department Copy,YELLOW—Finance Cap�/,PINK—A�sessa Copy,GOLDENROD—File Copy,GREEN—�lpplicant's Copy- : �-'... �.....ry .v'�r...�.ti.•��.�� w.... . ...... . ...n i�..� . . �1.' � v . 1[• �. . . . ,�• .. . . , . .. . ,... �. •.�. •r�:.: .• � ..r .w�.i. .��. ... . ' ' . . � - I � f . .. . . . . ' . . I. .. . � . . CITY OF DIAMOND�BAR ,,;,;,,,;,;,;;_, _ � �' � '��� " �INSPECTION�RECORD " -� - ' ._ , . , .. . . . , . . _ -�., ; . �::�. .. . . ci;r., - ,- , E- � � � • ' • � � • ' SET BACK , ., , --• • . � .' '� t - � . I ; F.LOOR JOI$T;: • �..,�t. . - , ., � . _ , . . i : . � .:�.Y� FHk�RE . . ,_. ; . . . .� FrGS/FORMS/STEEL QMTS- _. ----- - - - --_ -- -----_---- ' . , ELECTRIC GROUND�- -__�' " _ " --__- -__ �" - UNDER FLOOR DUCT �- ' " " � GROUNDPLUMBING ''� � �_ ' UNDER.FLOORCO�IDUIT''- ' � -::.�,- ,�` ' �-� _ � SCAB GRADE -- --- .. ---- - ------ - ,,; .-: '' FIREPL'ACE FOUNDATION '-- -- - �• -._ t�. •.:..__ .. ':r;; TEMP POWER- - _, , ------- _-- _ �_.�.-, : �,•_,:i ; i FIREPLACE BOND BEAM_- -------- - --- --- -_�.:_ „ - -- __ _ _...._ MID HT.BOND BE . . � - -- -- - - • • . . :��� � �:••, , � -WATERSERVIGE-�==_= --. --- ••---- - -- •-----.. _- AM---'_�. .. - ._•- - I ; ROOF-SFfEAT.H{NG�`- �. J[=b-`{B'� 3�' - 8 FT.�$OND'BEAM : ,���'�,. .; .- .. _ .- ' �,; � _, ' � FRAMING/!JENTIL'1ATIQN ��� ; FINAL BOND BEAM `• • �` `' ( - - . ., _ ._, . _. _- -_ _---.. . _ -- _ . ROOF GOVER.' `: �' I I ��-� PRE-GRADWG -,� ;;�, i ' : ROUGH HEATING --_. .. --- - -- - -- .._.... __.._ BENCHING._ . __ - . � - - �.:, . --. _ -- - ;..� : . R�UGH ELECTRIC- �--= " ROUGH GRADING :;, ... , , � , . , , i '_ -ROUGH PLUMBfNG �- - ' --- -- �"- �- - -i-�:-" -- -FINISH GRADING -SHOWER/TUB TEST� -- --. _. -- - -- -; ---- . . P,OOL ELECTRIC . . ', ... ; - � EXT.LATH/SIDING-- - -- -_ _.. ._ ..... - ,. POOL FENCING '._ . . . '�: ' . . 1 ' WALL INSULATION � � POOL FINAL ' .': ' ' -` ;�,. .� ' i ., CEILING INSULATION ' �. : OFF SITE IMPS.' °. ` DRYWALL NAILING � OEDICATIONS ; ~ ; � SEWER--------- - -. ' --- FINALENG. .� �� - -- - - -- _SEP.TIC TANK_ .__ _ _.-_ � ,. .. LANDSCAPE/IRRIG. . ' � SEEP PITlL.L. T--- ...-_, - - -. - _.- - _. :. _ ON SITE IMPS.-: .. . � , , .. , r GAS AIR T�ST -----._ . .-- _. _-- -- '- - --- FINAL ZONING � > � ` : -FINAL:CONST. _-- -- -_ 1�G��� _ _. _ FIRE DEPL FINAL' -- - _ . ' FINAL HEATtNG --- -- -. _ - ---- - .._. .------- _ _ HEALTH DEPT, FINAL _ _..._ -- � : FINACELECTRIC -- - - --- __. - -. .__ ,- �--- - DEV. FEES PAID - - ---- _ _ _, , . � FINAL PLUMBING ENERGY • � � � I _� t . ,� - ,� � s � __,_ � i - --------- --.!._ _ - --- -- - --- -- --- .�_. ._-- - ;_ , � . . - ._ _ ,.. - - - ti , _, , COMMENTS - - - - - ' - � � . „.. � , - , � _. ' - -- _ �_. ; , . . . . , . , - _ _ . ___. _ .___. � - - - - -- -- _-- - -.. .... . i ' , --- • --- - - - --. -- - -. _ .. ..--- � � � � ; . - '} _. �` : � - ., . . • , ,;; • . .. , . , , , � � . , . . - - - . . . ; . ; _ \ _ � � ; , ; � , � ,,.; :� . . -- __ _._ -- . . .. r -. - - '���:�>� . . . . i � . ;, .., , � , , . � .. . _� =- _ ._ _ , . � � � , , � . , �. . . _ - - - �u��i t� �, il��� ,. � � � _ _, , , SEPTICTANKSIZE .:� ;. ... ,;;� : ,.;r:l:)Y'{•!� ,, ; � � , . . . ::�' ,.; � ;� ; �. _ � _ _ -- SEEP PITN SIZE ' �" ` ' ` , . , - — .�• .., _ . .:�-� � � , . �� � - — _ __ ' i ; . ., , ,.. - j ._ _.. - - : � ; . - -- - ,_ . ; � - - . . __.� � . ... _, ,�,, i I .. . ;` ; -- - - -• _ . ! � . _ , , . . . , _ _ ._ _ ._ . , _ � , ' : ,. _ - -- __ - " �- • - � __ __. _ — i ..��� �� � , „ � _, ' ` _ _ 'i ` __ . __ , � . . .. .._.. . \� . . _ j ' . , r; ',`,� I • � �.