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.. . : . . . ..... J� CITY OF DIAMOND BAR ' '� ' DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES/ �` 21660 E.Copley Drive Suito l90 (909)860-3195 Faa(909)861-3117 PRESS ���%^' . BUII.DING PERMIT APPLICATION .' ' � FIRMLY � JOBSITE � APPLICATION �� '� RMtT P/C � o ADDRESS �0 �i� � i ('V ��R r1 DATE NUMBER M c� ISSUE TYPE OCC APN LOT TRACT DATE CONST. ' GROUP p OWNER �� ' � " ADDRESS . u3� � ZONING SETBACKS � CITY �t c a�w�� ZIP TEL. FRONT RW ❑ ' APPLICANT TEL. REAR ❑ � SIpFJSIDE STREET RW ❑ - CONTRACTOR G o- .r o u SIDE ❑ � ADDRE S • � ` ` PROPOSED USE � CITY tiLl� ZIPG� ' TEL.(�2(u 3;1�� . , � ARCH/ENG/ � � DESIGNER NO.DWEL , NO. NO. ADDRESS UNITS STORIES�� �� BEDROOMS � CITY ZIP TEL. uNi `DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION ..Q OWNER•BUILDER DECL4RA710N SFR/ADD,'REM O p 1 NEREBY AFFlRM UNDER PENALTY OF PERAIRY THAT 1 AM E%EMCT fROA1 TNE�VNTMCTORS L4 Gdf9QB/Ce1p011 iL CENSEUWfORTHEFOILOWTIOPLIISON(SEG70.17.6BU51NE55AND7NOFE55qN5CO0EAN'lCIT'OR (n � U �ryWHIp�qFpU1qESAPERMRTOCONSTRUCT.ALTER�Pf10VE.DE►WL15H2ORREPA:RIINYSTRUC- W PatiolDeck � 7URE,ifWFi TO R9 ISSUANCE,M$O ItE9U1NE5 TME MPI�CAM FOR SUp1 fERMIT TO FILE A SIONED W 6TA7EMENT TI+AT HE OR SHE l5 LICENSEO MIRSUANT TO TME iROVISIONS OF THE CAHiMCTORS LI- S CENSEUW�pfAPTERY(CpAMENCINOVATH5ECT10N)WO�OFDINSION70FTHEBUSiNES5A4DPR0- � ooUSpa -� vFESSqNSCOOk70RiW�TMEOR5MEI5EXEMPTTMEREFROMAND7HE8A5ISFORiHEALLEGEOE%EMP- TION.AN'fVI0LAT70NOFSECT10N7W1.6BYANY/YDtICANiFORA7ERUIT5UB1ECi5THEAVPLICANTTO Re-Roof � ACMLPENALTYOFNOTMOR[T/1ANFrvEM1NOREDDOLLARS(fsoo�.}. � � J . OlA50WNEROFTHEPROVEiffY.ORG`/E�PLOYEESVnTMW�GE5A5THEIRSOIECOMPENSATqN, � CpmmBfCi�l W1LL DO T11E WORK AND TNE STRUCTUR£IS NOT MENOED OF OFFERED FOR SALE�SEC.N�4 BU56 J N !IE$g PND PIqFES510N5 COOE:TME CONTMCTORS LICENSE UW DOES NOTAPP�Y TO AN OWNER CF = . . . iROPEHiYNR10 BU0.D5 OR IIAPROVES iHEREON.MA WFIO DOES SUpI NOfiK HIMSEIF OFi HERSELF OR Q TOiOVOHwSORMERCMlEY�LOYEES,PROVIDEDhIA76UCH1AIPROVE4ENT5ARENOTNiENOEDOR m � OFFENEDFDRSALEIF./IDM�EVER711EBULDWOIXiMPfiOVEYEHfISSqDWITHINONEYEAROFW1APlE• TIOH,TNE OwNER�BUILDER Wrt1 NAVE 7HE BURDEN OF VROMN�T1uT HE OR SME DI�NOT BUItD OR MPROVE FOR iHE PURPOSE OF SALEF , W �I,1lSOWNEROFiMEVROPE�I:AMIX0.U51VELYCONTMCTINOWfTHL�CENSEDCONTMCTOqS � TO CONSTAUCTiHE VRQIECT(SEG 7Wa.&151NESS M1D GiqFES5lON5 CODL:THE CONTqACTORS 11� Velu9lidl A0.1.AREA � ' � � CENSEUWDOESNOTMPLYTDANON?1EROFAPROPERTYN'F10BUILDSOflMPROYESTMEREON,MID N71000NTRhCTSFORSU�fiR0.1ECiSWITHA00NTAACTOR151lICENSEDPUHSUM(TTOTMECONTMG pUANTITY �DESCRIPTIOY FEE � tas uccf+sE uw.y ' t� . 0 pIM1EXEYPTUNDERSEC. B.LP.C.FDRTXISREASON Q Q1'hU�+(_' w��� ( e 3 � � � e�;i ..� �T� Or� Z DATE ,_�'ER W �� 'r��'� . J/ V � 1 • � F LJCENSEO CONTRACTORS DECLAAATION � � �j ' S a S ^ � IMEREBYAFFliWUNDERPENAITYOFPEfWfiY7HAT1AA1lICENSEDUNDERPROVISqNSOFCMAPTER Vr � 0. 9(COMMfNdN�WiT}i SECTION 7ooU1 OF DMSION 70F iME BUS�NFSS MD PROFESSIONS COOE,M1D Z X MYUCENSE6NFULLFORCEANDEFFEGL O 0 UCENSE CLASS�,j��L1C.NO. •��`��� j �-'j o�� '�7 d�o c �l t corrrrucron n S—� a w ,I1 � WORKERS'COMPENSATION DECLARATION rr�r , N INEREBVAFflRMUNDERPENALTYOFPERNRVONEOFTHEfOLLOWINOD[CUMTIONS: � � ��� � � � � � �IHnVE/NOWILLWIMTAMACERTIFIGTEOFCONSEMTOSELF-INSUREFORY/OR�� S CpAVENSIRpN,ASPROVIpEDBY5ECT10N]7o00FTNELrBORC00E,fORTHEPE ORMANCE W OF THE WORK FOR WHICH T1IS PERMIT IS ISSUED. � Q 4 �I INVE AND VALL MARlTNN WORNERS'COI.�PFNSATqN R15UMNCE,AS REOUIRED BY SECTiON 97oaOF7HEUBOFCOOE.fIXi7HEPERFOHAIANCEOFTh'EWOPXFORWMp1TMI5PERMITIS 0 ISSUED.MYIWAKERS'COMpENSA WSUMNCF �iERANDPOUCYM,�lBERARE: CONSTRUCTION � � GRRIER 1 �� ��� 1 I ,,� � PLAN REYIEW � ra�'ra"'oER �' � ELECTRIC � (11isSfL'i�Or+HEmNJTeEWµlEfIDOFT[GE SPoAONE141a11EDDCt1AiiSR+oOfORIESS? PLUMBING Z 1 CERTIFY T11AT W iHE iERFORIAANCE OF 7HE :wc coAwHia�tws PEAuir a issuEo,�� MECHANICAL C'J SMALLNOTEMPLOYANYPER50NRIANYMMd! i50A5TOBE LSUBJECTTOTHE . � WORKEHSCd.�vENSATIDNUW50FCALIfOR 4�NDAGRE TIFISIIOULDBECOAIE INSPECTIONFEE � rl =II�I S SV&1ERTOTHEWORKERSCOrAVEN4ATqNP OYIS S C7 77000FTMElABOR � � J CAOE,I SWLLL FOa�n�caaa�rwm�T e PR SUANCC' , 0 p DATE:Z Z P < <APPLICANT: SMIP , -�,I E-L L L., 1 J N � ENERGY P!C WNWING:FML�E TO SECURE NqR)CERS COM TION COVEAAGE IS UMAwFUL ANO SH�LL BE � 6UBJ[CTANEMPLOVERTOCWYINALPEWILTIE CMLFIN[SUPTOONFMIN�REDTMOUSMID ENERGYPEFI ' DOLURS(fI00,00a),NADOITIONTOTMECOST FCOMPENSATION,D�IMAGESASiROVIDEDFORIN �rT.��7'�T-R9rA ¢ 6ECTIONIfOlOFTNELdBOHCOOE.NTEREST,M10ATTORNEY5FEE5. 1 1 Vl-1/1t11�'1 RETENiION �t�-c�,� a. CONSTRUCTIONLENDINGAGENCY PRE-ALTFEE. �''Lil�v h1�L�f��� O .� IHEREHYAFFliU.IIMDERPENALTYOFPEM1RVTHATTHEREISACONSTRUCTIONLENDPIOAGENCY � Z FOR THE PEHFORM�HCE OF iHE WORK FOR WNICM TM�S CEi1MiT IS ISSUED(SEC.]Ov7,CN.C.� W � IElIDERS NAA1E _ -.. . . . � � LEIAEH'SADORE55 w ICERTIFNTMTIHA .RFIDTHISAOVLICATIONMIOSTATE7HATTHEAUOVENFORlAAT1ONISCDHf1ER TOTAL FEES � ^ . IAGREETOCOAAPL N7THALLCRYANDCOUNTYORDNANCESANDSTATEUWSNEU7INOTOBUItDiNO (` �D CON$7PUG�qN, HEREBYAUTHORIZEPEPRESENfATNESDFiMISGOIMiYTOENTERUPONiHE . � /19py6.MENiION GFq7ERTYFORMSOE OUR J- COMMENTS � � ?.r � � ' �� Yl /� G h ... ' � iER1ARTEE N e�vw � p . �N i � y Sqn�N �E i E � ' � � OATE � _ ., . RECPT.N0. PAID BY AUDATION WHITE—Depanmant Copy,YELLOW—Fhence Copy,PINK—Asaesaor Copy.GOLDENROD—File Copy,GREEN—l1p icanYs Copy � � ,... , ... ;,. . . . . . :.. ,. . .: .. . ,_ . , . . , . . . . . , .,..,,., ;...... ...: ,, -,. .�� . . . . CITY OF DIAMOND BAR • :�: ;;-�;:;; ' . . . � INSPECTION�RECORD ' � ' '.':=:' .: . . . . . , , ';. 6 a o � • - e � � � - SET BACK • . . _. 1 - .FLOOR.JOIST S r: ,�'i C i - �. �;��. (' '�� : I� ' ' _ FTGS/FORMS/STEEL -� "' FHA REQMTS� - - - - - � ELECTRIC GROUND -:. _ ":� _ : UNDER FLOOR DUCT , ,,, � � , .. , .. GROUND PLUMBING � � UNDER FLOOR CUf�IDUIT! . ,< � ,_ ; .�� �� �- SLAB GRADE � - � -: FIREPLACE FOUNDATI�N �•"�' ' '`' "'' ' � TEMP POWER " - � �- �' '�� FIREPLACE BOND BEAM r , ,. __.. ' ' _ . .. , . WATER SERVICE . --- -- . - �MID HT..BONQ'B�Atvl'� '` ':� '� !"�`""`1�' ��� , ,, ' ROOF SHEATHING ��-�4�-h� ��� — ' 8 FT:�OND±BEAM � `,- ���,' , , � � ; ,i�,��'�� t • ;� • , FRAMING/VENTILIATION � FINAL BOND BEAM ROOF COVER � � PRE-GRADING • . ROUGH HEATING � -. - - �- BENCHING ' ' � ROUGH ELECTRIC� � - - RDUGH GRADING � FIOUGH PLUMBING , � --: . FINISH GRADING . . � • ' SHOWEWTUBTEST - -� - - � � POOLELECTRIC EXT.LATH/SIDING . �POOL FENCING � ' •'� WALL INSULATION �, 5",E'-. . POOL FINAL • CEILING INSULATION � OFF SITE IMPS. ,. : DRYWALL NAILING � DEDICATIONS , SEWER FINAL ENG. • ,. � SEPTICTANK. _- . .. . - .. . ._ LANDSCAPE/IRRIG. � , .. SEEP PIT/L.L: _= = . ..- _ = . c.--' � - _ ON SITE IMPS. •" : . GASAIRTEST,---� �} -.. •, - - ,-. FINALZONING ' ' . , .. ., . . FINAL CONST:- ( �.; ' ' ' • .- -�.�;:- FIRE DEPT.FINAL FINAL HEATING �' _ �. ' , , .-,-. � , . ti ^ - HEALTH DEPT.FINAL �..;.,•_ FINAL ELECTRIC _�.,- �� "-,.� •;; --. ' j ,.�� . ' - - DEV.FEES PAID - - _ FINAL PLUMBING � ` �. _ �__ ENERGY �_.� � � � _ -- �• �.� � ..� s • - i "J ' - : . � COMMENTS.. � ` . - - .� _-- � ,: �;: :,=.`t`.. , '' , _ _ ` _ ' .:.-__ ._ :.: -- -. _ . . .. _ . _.. _ _ . . . ... H�..., . , . . _ _. . I ' : i . � ` .' ") ' ' � � , _. ; , - � � i� �J } ��. — � . . . . _ . . . � � 1 - . \ _ .. . _. 3 � . ,� � ...._ � � . ^7�.�s�f. � , . i . . , . �� � . � .. . . . ' � � .� .__.__�._._�_.. \ � �� �` � � .•�. �� - . . �_ �� � . ' • �, t _ L „ '� I\ , . SEPTiC TANK SIZE '�r��y��'�.: '::`�i " :.� ':��l::' i , � ' ' SEEP_PIT/U SIZE �`- °r'�r'. . ... .......... , . . , . - .�. i .. . ' � - - - - - . - - _. .... , � �,1�. -. _ • . -,1 � " ' � M � f �>; ., —� � _ . . � . , _ . ' - � , . , ', .� ! ,.. . ; � -- .... � �� _ . . .,,� _ t , , _ '� . . . . v �. . � - , •� - �� .�', o.,�.�� �?7 � , ;1 � i, . � i .`