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_ . . ._ , _ �: �� , . '�. `�, CITY OF DIAMOND BAR '�• ---�� -- DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES "� 21660 E.Coplcy Drive Sirite 190 �' � (909)860-3195 Faa(909)661-3117 . PRE�"/ .'�':. BUQ.DIIVG PERMIT APPLICATION FIRMLY � JOBSITE � /' � � r APPUCATION q ��y� PERMfT P/C o ADDRESS�7 AI�� R I.��Y ��Y, DATE t Z� W NUMBER J � � APN LOT TRACT , ISSUE , /� � �+/1� -TYPE OCC � OWNER _ {Clti)Jl ll, 4w� K t l"�- �•s-�,•,�,R.t„� DATE V V v CONST. GROUP "' ADDRESS � ZONING SETBACKS 0 w CITY ZIP TEL o —� —CG Z FRONT RW ❑ � APPUCANT TEL SI�SIDE STREEf RW ❑ � CONTRACTOR dv—i� ��1�57�2.�.t CT���J • SIDE ❑ q� ADDRESS , PROPOSED USE l O TC' _ S�L� � � CITY ZIP TEL.7��i-- �'" ' o � ARC N • DESIGI�Efi IvehT T-g_��=rj� 5�-�— .� ADDRESS � � NO.DWEL NO. NO. N CITY Vt�F ZIP�[ TEL.1!�� b'3�8�'1 UNRS STORIES BEDROOMS cn , DESCRIPTION SQ.Ff: FACTOR PSF ADJ.AREANALUATION Q ONMER•BUILDER DECLARATION SFRlADDlREM O p 1 NEflEBY AFFiM UNDER PENALTY OF PERMiY 7)IAT 1 AM E%EYPT FROA1 iHE CONTMCTO(15 l4 Gef8Q0/C81pOR - L1J CEHSEUWFONTHEiq10WM10REASONISEGTOJI.6BUSNE59ANDVROiF5SI0NSC00EINYCRYOR � (n Z COUNTY�R�ESA����p�IR�E T/E APVLICANT FORSUGI ERMI TTO FlL�SICSNED w Pelia/Deck �«� 6TATfYENT 7MAT HE Oq SHE IS UCENSED PUitSUANT TO THE FRONS�ONS OF THE COMRACTOR9 lF W CENBE UW(041pTEp 0(COMYENCINO N17H SECTIDN 7000)OF DMSION]OF THE BUSINESS AND Vq0- � PooVSpa iESSqNB OODE)OR THAT ME OR SME IS IXEMPT iMEREFpOM AND 7T1E&ISIS FOR 1HE i1LLE0E�E7fEMP• TION.l1NYVqLAT10NOFSECTION7071.68YAM/AGPlICA1fiFORAPEitlA1T5UB.lECiSTHEAPPIICANTTO Z q�q�� . �„_, A GYIL/ENALTY OF NOT AqRE iHM!FNE MINDHED DOILARS IS500).1: p �IASOMME110F7HEP1iOPERTY.OfiYYEMPIOVEESINTHWA�ESI�STHEIRSOlEC040ENSA71d1, (`,pmmOfGel . � � L 1MLL DO THE WORIC M1D TFIE STRUCTURE IS NOT IHTENOED OR OFFERED i0H SAIE(SEC 7aI,BUSL �J N NESSANDVROiESSIONSCOOF:TMECOMMCTORSLICEN5EUW00E3NOTMPLYTOANOWNEROF ? , PROPERTYYYIpBULDSORNJPiqVESTHEHEON,ANDWHO�OE95Up1N"OqKHIMSELFORHERSEIFOq � � iMROUGHHISORNEHOYMEMPLOYEES,VROVtDWTHATSUCIIMPROVEMEMSMENOTMENDE00q m �m�g����RTME BUlD1N00RIMPROVEMBITIS SpD WRNN ONE TFAfi OFCOMPLE- 'T10N,iHE OWNER-0URDER WILL FWVE THE BUimEN Of PROVINO THAT HE Oq SHE OD NOT BUILD OR `' NIPROVEFORTNEPURPOSEOFSALE� / CJ �L�ONiNER OF iXE OROPEHfY,AM EXCLIISNELY CONTRACTNO WIIN ItCENSED CONfAACTORS � TO CONSTRUCT TNE PHO.IECT{SEC.70u,BUSINESS MD iROFESSIONS COOE:THE CONTRACTORS LF Vatuation ADJ.AREA CEISE UW OOE9 NOT APPIY TOAN OHNER OF A PHOPERN WF10 BUIlD3 Oil M1Pf10VES THER[ON.AND � YNfOCONiMCTSiOR5Up10ROAECT9N1T1AWNTR/.CTOR(3)IICENSEDPURSUMlfTOT11EtOflTMG pUANTITY • DESCRIPTION � raas ucv+se uw.�. FEE � O I AY O(EMPT UNDER SEG B.{P.G FOR MIS PEASON � '..`.•'"._.. - � U LL DATE OWNER � � W LICENSED COtJTRACTORS OECLARATION � � w 1MEREBYAFFVWUNDERiENALTYOFOERIURYTHATIAA1lICENSEDUN�ERPFiOVISqNSOFCHAPTER V. �(CdWENCN6 WIiM SECTqN 7DOD)OF DMSION�OFTHE BUSINE55 AND PROFESSIONS COOE,AND � MY LICENSE 6 IN F11LL FORCE I1D EFFECT. — - , � uc�cuss .� � ��c.No. O��-� � .-_ �..� DATE � �'—�,f �L�� _ CONTRACTOR yH J WORKERS'COMPENSATION DECLAiUT10N � IXE BYIIFFIRMUNDERiEWLLTYOFiER1URY0NEOFTHEiOLLOWINODE TIDN: U � �Cd/PENSATION.�TiqVIDEDBVS CTION77o�oOFTITO�S�EL�FaNSE,FOiITHEF RFOMIANC w . Of iT1E WORN FOR VA7N�1 TMIS VERMIT IS ISSUED. � _I NAVE MO N1LL I.WMAdI WOPo(ER9'COAIVENSA710N INSURANCE,A � IRED BY SECTION � J700 OF iHE tABOR CODE,FOR TME pERPoMIMICE OF 1HE WORK FOR Yh11C/1 THIS PERMR IS . O � ISSUm.WNOPoCEAS'COMPENSATqNINSURANCECARRIERANDVOLICYNUMeERME: CONSTRUCTION > cu+wEa PLAN REVIEW � � P0.1C'/MJMBER ELECTRIC (MssECIICN1E�wTBE00A�'tEiEDOF7IEFERAisFORONE111ddiEDDOUAiLS(Stao)aRlE55) PLUMBING Z8 ICERTIFVTHATNTHEPERFORMANCEDFiHEWORKFOf1WMpiTMISPERMITISI55UED,1 MECHANICAL � SHAILNOTEIAPLOYANYVER50NWANYMANNENSOASTO6ECDAlESl1 T0T11E N NORKERSCOMPENSATqNUW50FCAlIFdWItiANOAGgEETNATIFI BECOAIE INSPECTIONFEE S SUBJECTTOTHEYVORKERSCOMPENSATIONPROVI OFSE OFTHEU�BOR � cooe.is�uuroannnn�coraa�rwrtr siona: iSSUANCE O /� W DATE:��APPLICANE ./�/ � �SMIP �1�T�,�o . . � �C�— � WARNIN(i:FM.URETO5EWf7ENORKERS'CdA0EN5ATIONCOVERA6EI5UhUwFUI,MDSFIALLBE ENEFiGYP/C � SUBJECTIWEMPLOYERTOCRIMINALPEWILTIESANDCMLFNE5UP700NEWMDREDIHOUSAND ENEfiGYPERMIT CITY OF OOlUR3p10a,OCOJ,NACiqTIONTO7HECQ570FCOMPEN5�TI0N,0AMAaE5A5PROVIDEDFORIN 77�T/�. - f��� ¢ 6ECTIDN7l0lOFTHEUIBORCOOE,NTEREST,ANDATfOiWE'ISFEE3. ' R��7�ONFEE: $UIJ Dll•V J OCON5TRUCTION LENDING AGENCY PRE-ALT FEE: � I NEREBYAFFlPoAUNDER VENALTY OF CEiLM1JRY iNA7THEFE IS A CONSTRUCTION IENON(i AGENCY - � Z FOR iNE VERFORMANCE OF THE WORN FOR WMId17H15 7ERMIT IS ISSUEO�SEC.�Oi7,pV.CJ. ll] � tEN0EfY5 NAME ' . �. . � � LENDER'SADDRESS � W IA�REETOCOIdT'7LYWITH/LLLCIiYANPDCOUN7YORDINANCE5AND3TA�TEUW5REUTATIN0IT0�4DIN0 TOTAL FEES ���Y� . d • � ODNSTRUCTION.ANOHEREBYAUTIIORRERECRESENTATNESOFTHISCOUNTY70ENTERUVONiHE � � ' 5� �sovEUErrtar�EorravEAnconwsvEcraNwnrosEs. COMMENTS ' � ` °° ve iTfEE NAIA arrt� � � d o'� N 81GNATUREOFVERANTfE �p TE . � ' RECPT.NO. - PAID BY VALIDATION WHITE—DepeRment Copy.YELLOW—Finenca Copy,PINK—Asseasor Copy,GO EN O le Copy,GREEN—App wanCs Copy ..l.V'�r�`� .. .',f ti.. .. .1" . . .. . . -�' . .1v� ir.t•; ..�•.� 1 . .. f. �•:••Y j� •'Y�' , . ' �^ . � � � ,i"4L.l..w�. ..{i r � ..,;.+� ` ��• CITY OF DIAMOND BAR „ . ..,.,, ,,_ i �� ,�. , !. • .._ � � � . .� .� '��.INSPECTION�RECORD ' : , _ .. , : . ., .,_. . .. _ � . , °�'.��_,.A� e��,�.'�� .�! ' L • ' .��� • � t � , .�� �„3�►r.������6��,�t � �� ..., _��.. SET BACK ; '• ,`. ` ;- � � � I �� . . FLOOR JOIST ��� . . - • .' "' - ; ,...; � .l.___ ;FrGS/FORMSISTEEL �D � / , , FHA REQMTS_-_;: �- " ` �' - ' - ��� - � ` - _ -- - -• -- - - . �ELECTRICGROUND._ . _ .. : _ _' '..� ' ! �-� � UNDER FLOOR DUCT- , •' ' --- - - -• � iGROUND PLUMBING UNDER FLOOR CO�IDUIT' � - - "� ' - ' " " i = 'SLA6GRADE - - - ' FIREPL'ACE FOUNDA710N � � -�i ; '' tTEMP POWER- - - --, - - - . _ . FIREPLACE BOND BEAM� - -- ' � ' ` :.� iWATER SERVICE - -- - -- - ' MlD�HT.BOND BEAM � � • • � � �.. �iR00F SHEATHING, . �= � � • ' 8 FT.BOND BEAM -- ` '- ` • ' - _ _ _ . . _ _' ; �FRAMING/VENTILIATION ---- -- -- -- - FINAL�BOND BEAM - ,•. ; . ` {ROOF COVER � . PRE•GRADING - ' --_ -- - • ' - ' .' = � _ _ . , -- __ _ "_ ., . �ROtJGH HEATINC � BENCHING-': r:,� • s ,: :-� �_ ». - - !ROUGH ELECTFiIC_ ' _ ":� - . ': _ _'� ._' '_"_ _ ' ' ' ROUGN GRADING- __ _ �.. .__. _ _ --- ----- -' �ROUGH PLUMBING '- - - - - �---- --- ' - FINISH GRADING :. fSNOWERITUB TEST : - ---.- __�_ '- .- : - =--: POOL'ELECTRIC � `EXi:LATH/SIDING - - - - �- . '_-._ . _ POOL FE(VCING ;WALL thJSULATiON ,- --- ---- -- - _ . _ POOL'FINAL ; � . ' iCEIUNG WSULATION -- -- - - - �FF SITE IMPS. , _, � iDRYWALCNAILING - - '��- " bEDICATIONS -- - _ .. , 15EWER FINAL ENG. � !SEPTIC TANK � � :J�i-' LANDSCAPE/IRRIG. ' SEEP_PIT/LL. .-= '. _ .--. ON SITE IMPS. �GASAIRTEST ' � FINAL20NING ' ` FINAL CONST._; . _ __�a-. FIRE DEPT. FINAL • , �F1NAL HEATING___._._. _ _ .._.__ HEALTH DEPT. FINAI. , FINAL ELECTRIC - -- - -- - - --- . ._ _ DEV. FEES PAID _.. _. . ---------- - - -� r-: f�IMAt PLUMBING - __ __. _.--- . __ _. , ENERGY `— , _ __. _- -- ---- - - - _ ,J 11��•oa "_ "_ —".. "' _"'"_' "_ _ _ ' ' i' 1 1�M��.1�.+"iF C ISa _._... . � f -- - - - _, - _ . _ -••--. ^ � � _�.� . . . � --- __ . ', _.. _ . __...---- � . :connr�nErvTs - � ..-� . , . . , , � . . , , . , , , .; -� . . , ---- - --- - ----- _ _-- - . . , ; _ , _ � � , �� ; .. ' ,i . ,���'. i • � •- - -. . _ . . - . � . � _ , .. ._ � . i --- - _ _ ' - - � . . .' "_ - . ._. _�1�•k��R . , . . . , � , . . ' ' " _ 1 { i � � _l. �' . . . . - ' "�,.\I� ' � I �.'% . . . ' . �:�t�i: .( ' �i;� . , � f - - • _ ., --- :7r�. �r�,�,,,, `_--.-� ' " i , ..', " •; jSEPTIC TANK Si��y�ii ;•r;-:�:_ ,.1��: i,.:; '� I i ; j ;: �SEEP PiT/U SIZE � . ' „ . � - - _ i - � . - -- - - �r� a �)��� _ _ _ i i ; _, � _ �.. . „ ,'. , , . I� , •., , �, : , _ . _ _ � - •:.��= _ .. , � y��� i #. ���+'1 � ., 1-; • . ..'. � , - - -- - , __ ._. _ _._ . i�� ` � I ��' * -� _ _ _ . . ,. . � .. _ `. � . � � - -- _ . _ . ' ..:i. � ; .. ; . �a ; ;�' :� _. :) '�; ; .. .\. , - � -- �i ��r� !