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� -- -- -- -- --._ _ . . . . _...._ ----�� -- CTI'Y OF DIAMOND BAR' . ' �. � � COh4MUN[TY DEVELOPMENT DEPARThTENT % � �:,.� 21660 E.Copley Drive Suite 190 . (909)860-3195 Faz(909)86l•3I17 ' � PRESS '"'' BUILDING PERMITAPPLICATION FIRMLY ' � JOBSITE . /� 1i APPLICATION 'l.'LL��1 PERMIT D IC o ADDRESS Z-S Z�Z Fl0.t� K�►.o I I �D r� NUMBER� DATE_ � � ISSUE TYPE OCC APN LOT 32 TRACT '�J�SS' DATE CONST. GROUP • p OWNER � o ADDRESS 3�5� TO�'�"0.M�.�. T�I�/ ZONING SETBACKS z CITY Tbv'✓�A VI CQ ZIP�Q3 TEL,1�-S'f0 399�0 . FRONT RW O � APPLICANT TEL. REAR ❑ ¢� SIDE/SIDE STREEf RW ❑ CONTRACTOR �(..L� EI2�fiY'(G SIDE - ' ❑ � ADDRESS /023 �1 Sc_,ofi� - o CIN�t� 17�w1 qyS ZIP � Z TEL St9��l SS PROPOSED USE - o ARCH/ENG/ • z DESIGNER ' w NO.DWEL. NO. Np, � ADDRESS � CITY ZIP TEL UNITS - STORIES BEDROOMS � cn DESCRIPTION SQ.Ff. � FACTOR PSF ADJ.AREANALUATION � _OWNER•BCILDER DECLAAATION - SFR/ADDIREM O . p I HEFEBY AFFIRM UNDER PENALTY OF PERJURY iHAT I AM EXEAIPT FROM THE CONTRACTORS LI• � G0rtlg0/CeryOR W CENSEUWFORTHEFOLLOWINGREASONISEC.7071.SBUSINESSANDPRCFESSIONSCOOE:ANVCITVOR . (n ' � U CWNTYWHId/REIX11qE5A7ERMITTOCONSTRUCT,ALTE0.h.�PPOYE,OEMOUSH,ORREPAIqIWYSTRUC- W patio/peck Z TURE.DRIOR TO RS ISSUANCE,AL50 REdJIRES THE APFL�CMlT FOR SUCH PERAIiT TO FILE A SIGNED � � STATEFAENf THAT HE OR SNE IS LICENSED PURSUANT TO THE PROYISIONS OF THE C0IJTMCTOR3 L4 � � GENSE UW�CHAPTER i(COMMENCING WITH SECTION 70D0)OF DINSqN l OF THE BUSIN[55 Ml'J Cfl0• POOUSPa - � fE55iON5CODE�ORTNATMEOR5ME15EX[MPTTNEHEFROMANDTMEBASISFOFliMEALLEGEOE%EMP• (r] V TION.ANYYqLATqNOFSECTION7031.68VANYAPPLICANTFORADERAl1T5UA.;ECiSTHEAPPLICANTTO Z Re•Roa1 . � � A CINL VENI�LTYOF NOT MOfiE THAN FIVE NUNDRED DOLLARS(5500).�� � � ❑I.ASOWNEROFiHEPROPEFiY.ORMYEMPLOYEESWITHWACESASTHE1R50LECOMVENSATqN, O Commercial � 1MLL 00 THE WORK,M1D THE STRUCTUqE IS NOi INTENDED OR OFFERED FOR 6ALE(SEC.7ou,BUS�- � J � NESS AND PROFESSIONS COOE:iHE CONTRACTORS LICENSE UW DOES NOTAPPIY TO AN OWNER OF ? 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CC IHEREBYAFFIRMUNDERPENAL7YOFPf0.NRYTNATIAIALICENSEDUNDERFROVISKKJSOFGiAPTER V. . � , p., 9(COMMENCING WITH SECTpN 7000)OF DMSiON 70F THE BUSINESS�f!'J PflOFE5510N5 CODE./U�D Z - - X MYLICENSEISMFULLFORCEANOEFFECT. � m L1J / � � LICENSE CU1SS C—�'��.�^ LIC.NO. Z L�Z � . V DATE��(�(�CONTRAC70R� C. ( �- d . , W � � / . � WOFKERS'COMPENSATION DECUIRATION � � �,n3 t � � IHEREBYAFiIRMUNDERPENALTVOFPE0.NRVONEOFTHEiOLLOwINGCECURA � Z . � _IHAVEAN�WILLMAINTAINACERTIFICJITEOFCONSEMTOSELFaNSUREFORWORKERS' _ . � COAIPENSA7qN,A5PNOVIDE�BYSECTION77000FTMEU�BORCODE,FORTHEPERFORMNJCE U Q �OFTHE WORK FOR VA11CM THIS PERA/lT IS ISSUED. � � �INAVEANOWILLMAIN7A;NWORKERS'COMPENSATqNINSURANCE.A5RE0UIREDBYSECi�ON Q 97000FTNEU80RCOOE.FOflTHEPERFOfiMANCEOFTHEWORI(FORWMICHTHISPERMITIS = ISSUED.MY WOHNE�A�$'jLO ENSATIO�(yJtJSUHANCjGRF�ERAND POLICYNUAIOERARE: CONSTRUCTION - j CARA�ER_�_Iw� { lh1�d FLA IEW Z POLICYNUTA�ER �.�I-���� O13�� • � LECTRI . '" . ._ I '" d p � (nssEcnorrr�IDr+7re[mr.stErmoFnfvEw.+rtswaa¢�a�[DOatn�s�x�ao1 PLUMBING Z ICERTIFY7HATINTHEPERFORMANCEOFiHEWORKFORwHICHTHiSGEN.�I715155UED,1 MECHANICAL C7 SHAILNOTEMPLOYANYPEASONPIANYMANNER50�4TOBECOMESUDJECTTOTME �/J WORKERS'COMPENSATqN�/1WSOFCALIFORNIaANDAGREE7M11TIFI5MOULOBECOME INSPECTIONFEE " SU&IEG7 TO TNE WORKERS'COMPENS�TION VROVISIONS OF SEC7IDN 37000F THE UBOR S COOE.ISHALLFORTHWITMCOMPLYWITHTHOSEPROVISIONS. ISSUANCE �l � _ e p OATE: APPLICAM: SMIP J WARNING:FAILURETOSECUREWORKERS'COMPENSATqNLOVERACEISUNUWFULANDSHALLBE� ENERGYP/C � ������7 SUBJECTAN EMPLOYEF TO CiUM WAL PENALTIES ANJ CM�F W ES UP TO ONE FNNDRED TIIOUSAMJ L LL DOLLARS(5100.0OO�.MADOIl70NTOTNECOSTOFCOYPENSATION,DAMAGESASVNOVIpEDFORIN ENERGYPERMIT � secnoN��oeocn�eueoAcooE,rrreAEsr,uio�rroaraersvcEs. ' RETENTIONFEE: oCONSTF7UCTION LENO�NG AGENCY pRE-ALT FEE: - � � IHEREBYAFFI(iMUNDERPENALNOFPERIURYTHATTHER[ISACONSTRUCTIONLENDWOACENCY ' � ' FOR THE PEHFORMANCE OF THE WORK FORN'HICH THIS PERM1715155UED(SEC.�097,pV.C.). Z . . . . . � . . _ w zti �Er+oEaswxnE � H IENDER'S�V7DNE55 - � � � � �� �� ' � TOTAL FEES S � ICER7IFYTMATIMAVEREADTXISAFPLICATqNANDSTATEiIUiTNEABOYCWFOM1ATqNISGORRCCT. � w IAGREETOCOAAVLYWIrHALLCRYANDCOUNTYORDINANCESANOST�TEUWSREUTINGTOBUIL�ING � � ' � l d . V. CONSTRUCTION,ANDMER[BYAUTHORREREPRESENTATIVESOFTHISCOUNTVTOENTERUPONTME - Z ABOVE�MENTIONEO CROPERTY FOR INSOECTION OURPOSES. COMMENTS � � � .J a 4✓1�5 �- I � � m PEH�AIT7EE rAE(PNNT� .... . . . .. . . . Q � N ' �' � ________��6%� . � SiGt��UFj�OFPERMITfEE OATE — � �/ RECPT.NO. PAID DY VALIDATION - �- � WHITE—Department Copy.VELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GF�EEN—Appllcant's Copy . . . . . , ,. -.,.,... .. ..._.. ...�. ..�..-...-�.. .. . , -� .......,Y.- ... ^-1..�..r.•..t' ..::�t. .,..�..:hi�!�n, ..�w':...r�.�.u'.. .�;1..rY'i4':••^ ..._. .�1�. • .. �� .• , „ f ' r�f;�, . ' ��. CITY.OF,DIAMOND BAR : . ' �. , � � � . � , , . - , INSPECTION RECORD � . � � � � - • • � ' � ' SET BACK . ' FLOOR JOIST,..__ ,.. ,__,. FTGS/FORMS/STEEL � FHA REQMTSi � � � ' � � ,.���, �,- - � ELECTRIC GROUND UNDER FLOOF3�DUGT . _; ; : ,•--r'�-;'1- ��`.'•�=:~� ' GROUND PLUMBING � � UNDER�LOOR'�O�1D�11T ��� --�1' � • '?�'i- ' f:� 1`' " SLAB GRADE ' ' FIREPLACE FOUNDATION - _ ' TEMP POWER - L Z � FIREPLACE BOND BEAM�i, '.` �'i..� . '�;.� L' " WATER SERVICE - MID HT.�BQNQ BEAM' t j -� i� . .. •� ,�,, .��,�. :- . ROOF SHEATHING 8 FT.BOND BEAM FRAMINGNENTILIATION FINAL BOND BEAM - • ROOF COVER - - - -- PRE-GRADING � ROUGH HEATING - BENCHING ' ROUGH ELECTRIC ' --- � ROUGH GRADING -� ' ROUGH PLUMBING " FINISH GRADING � SHOWEHITUB TEST - - � POOL'ELECTRIC � ' � EXT.LATH/SIDING � POOL FENCING WALL INSULATION POOL FINAL • • � � - CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING ' DEDICATIONS � � SEWER . . ._ _ . . . .... FINAL ENG. . SEPTIC TANK LANDSCAPE/1RRIG. SEEP PIT/L.L. .. -, - . .. ON SITE IMPS. ! - GAS AIR TEST >-��'' � �'�-'��� , � r•"•� r FINAL ZONING ' FINAL CONST. - ---� - �- -- FIRE DEPT.FINAL FINAL HEATING - - =� HEALTH DEPT.-.FINAL -- - FINAL ELECTRIC - I,3 - DEV. FEES PAID , FINAL PLUMBING " ENERGY • - —=,-'�- � `1' � �" --- � - _ _ __ - • • �,�-= _\ -� - -- - - - _. : . , COMMENTS � ' ' _ _- - - - -. - . , .. , . . . . . 'J _ _ ' . . . �.�f.1'J'_, �.�'r�l^�� , ' . _ '_ ' . , . . . � -- � T•�1�� 1 � '";"�..'.� • .. . • �M�sl[C'"�. N . . � � ' � . � . t . -,1'1; n .'+' . . . .. _ . . . . � . .. .. v_ •.. I � . . . . SEPTIC TANK SIZE � � SEEP PIT/U SIZE . � ? =�r,l ca• ;`-1 , _� ,; ;�!:�_ � � ..� , , . '�\c:.��5.1 �>�!.?���.��.'. T.; 5.,:�„�`. ' � , . ... . �� � . . , .