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f� CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �-� - � � 21660 E.Copley Drivc Suite 190 - (909)860-3195 Fax(909)861-3117 ` PRE$$ '���'�� BUILDINGPERMITAPPLICATION FIRMLY � JOBSRE � APPLICATION PERMIT 7� P/C o ADDRESS �3�5 P��Oj11N0 �Q DATE ' NUMBER �� A � ISSUE (�"] TYPE OCC APN LOT TRACT DATE��'�"1 CONST. GROUP p OWNER C hl �2 � p ADDRESS ��,733a OC .F([. D_ �l.�D #�� ZONING SETBACKS w CITY ZAd.2 �/'PSTZIP Y.71•3o TEL ,�ffX� �O�'- ��S FRONT RW ❑ � APPUCANT ('A�`«(/.. TEL�(�(4YAd,f'SO REAR O � SIDElSIDE STAEET RW O CONTRACTOR� �!I!�%l(C/./ At%C 51DE ❑ � ADDRESS CITY (�j�=�(,��' ZIP �c,r TEL] . j'SO PROPOSEDUSE � ARCH/ENG/ • DESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. y DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OONMER-BUILDER DECLARATION SFR/ADO,'REM I HEREBY 11FFliW UNOEit PENAL7Y OF FERRJHY iHAi I AM E%E4VT FROIA THE CONTMCTORS l4 Garage/CarpoR 8 GENSEUWFOX7lIEFOILOYYNOREASONI5EG10]1.66USWESSANDPROFESSqNSWOE:ANYqTYOR (n � COUWiYNHId1RFOUWESAVEiWRTOCONSTRUCf,A1TERNPROVE,DEMOL15/IORREGAIRANYSTRUG W patia/Deck � TURE,PWOR TO RS 188UANCE.�LSO REWIRES THE 11DPLIC/Nf FOR SUC11 VERMIi TO LILE A SIGNEO w STATEMENT TW1T HE OR SHE B LICENSEU PURSUANi TO THE PROVISKKIS OF TXE CONTMCTORS l4 , � GENSEUW(CMAPiFRi(CUMMENCNON'ITHSECTION70W)OFDMSION70FTHEBUSINESSIW�PRO- u' PooVSpa FESSUNS CODE)OR TNAT ME OR SHE IS OlEMPTTIIEREFRpA AhU TNE BAS�S FOR iHE ALLEGED EXEYP- TqN.ANVVqLATI0NOf5ECT10N7071.68YANYAPVLIGWTfORAVERMI75U61ECT5THEMPUCAN7T0 Z Re-Roal �,,,� ACMLVENALTYOFNOTMOHETHANFNEHUWREDDOLURS(i500).k , � OI.�I.O�M�EROFTHEGROPERTY,MUVEMPL0YEE5WITHWAGESASiHEIHSOLFf�MGENSATION, ❑ (`,pmm0fCi81 � MALL DO h1E YIOi1K/JID THE S7RUCTURE IS NOT MENOED ON OFFERED FOR SALE(SEG 7ou,BUSI• J � NE55 AHO iAOFE55iON3 COOE:TNE CONiMCTORS LICENSE UW DOES NOTAPP�Y TO AN OWNER OF ? ►MVENiY Mllq BU0.D4 OR IMPiqVES THEREGl/WD Wf1000E9 SUCH MNflKHIMSEIF OR MERSELF OH [[ 7T1qpJOMwSORMEPOwNEMPL01'EES,VROVIDEDiMAiSUCMWVROVEMEMS/�AENOTMENDEDOR m � .OFFEREDWRSALEff.NOWEVER7MEBNDPIGOfiMPHOVYEMEMBSOIDMATNNONEYEINOFCONPIE• Z �TqN.THE ON?IER�BULDER YVILL HAYE TME BUHDEN OF FROVPq THAT NE OR SM[DID NOT BURD OR = WPROVEiOR1HEVURP06EOFSALEy W OLA40M'NEROFTHEDROPERTY,AMDCCLUSNELYCONTRACTlWWRMLICENSEDO�HIRACfOil4 � TO CONSTi41CT THE P110JECT(SfG 7os1,BUSINE55 AND PROFESSIONS CO�E TME CONiMCTOHS LI- VeluB11IN1 AQI.AREA (L CEHSEUWOOESNOTMPLYTO/JIOWNEROFA7ROPERTYWMOBULDSORnAPiqVESTMEREON.AND Z WHDOOHTMCTSFOHSUCHPHOJECTSwfMACAHTMCTOR(3)LICENSEDYURSUAMT07HECONTRAG pUANTITY DESCRIPTION FEE f— TOHS LICENSE UW.} � O I AA1 El(EMPT UNOER SEG B.{F.C.FOR THIS REASON U ' ' � � ' DATE ONT�ER V .. � , � LICENSED COrlTRACTORS D[CLARATION � � W IHEREBYAFFIMIUNOERPENALTYOFPENUMTMATIMIUCENSEDUNDERVROVISIONSOFCWIPTEH � � •(C011A1ENCNON7i1/5ECT1ON7o0010FDMS10N]OFIHEBUSiNESSANDVROFE55tON5LODE,AND Z V� WLIGEHSEISNFULLFORCEIWDEFiECT, m � ��... UCENSE CUSS � � LJC.NO. � � J' � t� DATE � CONTMCTOH ��A.���1.. y� �'{.. n. SI �`�vA� • � WORKERS'COMPENSATON DECLAFiHT10Y 1i,� „/7� � r�� Flec I C.lI�l, � IHEREBYAFFliM1UNDERPENAITYOFiERNHYONEOFTHEfOLLAWINODECUM7qN5: ('V �, a 0 G _I/UVEANDVALLYANTNNACERi1FICATEOFCONSENTiOSELF-INSUREfORMIORKEiiS' S Z COYPENSATqN.ASiROYDEDBVSEGTION77ooOFTNEWORCOOE,fORTNEPEHFORMANCE U QOFT/1EWOfi1CFORYMICNTHISPERM1T6t55UED. � I/UYEAND VALL►WMAN WORKERS'COMPENSATION INSURANCf.�S REWIFED BV SECTqN Q 770oOFTMEI/�BOiiCOOE,FORTH[GERFORMANCEOFiHEWORKFORYMICHTHISPERMRIS ISSVED.YYWOfU(ERS'CO4PENSATIDNINSURANCECARH�ERANDPOLICYNUMOERARE: CONSTRUCTION � GRPoER �7'u.l iat � PLAN REVIEW � � POUCYHUMBER ' ELECTRIC � � (trassecrora�mr�areea�s�ErIDOFncrewRr�swr+a+er�,ron[ooautisR��ai�rssf PLUMBiNG Z ICEqTtFYTwRNTHEVERFOiWANCEOF7HEWOfUfFORYMICHTHiSiEFU1IT6155UE�.1 MECHANICA � (7 SHALLNOT EUPLOVMIY FERSON N ANY MANNFF SOAS TO BECA�E SUfl1ECT TOlM[ �/j WOPo(ERS'COAAPENSATIONUMISOfCALIFOPNiA�NOFGREETUTIFISHOULDBE00AlE INS TIONFEE SUBJEGT TO TFIE WOFiKERS'COMPENSATqN CPOVISiONS OF SECiION 170o OF TH[UeOR _�l coo�.�sr+K�voamm�rnwr�v�rmn� ernovisar+s. SSUANC � ���A ' pDATE:�� AVPLICAM:_��ti SMIP � � � ENERGY P/C �� � WAiWINU:FA4URETOSECUREWOPXER5GOM7ENSATIONCOVEAA6E1 UNUWFUI.ANDSFULLBE t�♦ � SUBJECfANEMPLOYERTOCRIMCIFLYEW�LTIESANOCMIFINESUPTOONENUNDREDTMOUS�ND ENERGYPERMIT <'1 )1 DOLLMS(t100.000I.N ADDITIpN TO THE COSi OF COMPENSA710N,DM��GES AS PROVIDED FOR IN � SECiiON]7oeOFTNELABOpCO0E.N7EPE5T,ANDATfORNEY5FEE5. � RETENTIONFEE: d CONSTRUCTION LENDINO AGENCY PRE-ALT FEE: O � IHEREBYAFFlRMUNOERPENAITYOFCERJURYTHATTHEREISACONSTRUGTIONLFNOMaIWENCY Z FOH iNE PERFORAIANCE OF ME WORK FOR WNICH THIS VENAIT IS ISSUED(SEG�OY7,qV.G). W � LENOER'SNAME C IENDER'SADORE55 � i�caEEio�►ia vvm�i`��iwo�T1ONrm�v+N+e sTiu+�"osr��Bu ws°nEunr�,aTOCOeuI�inEO+o TOTAL FEES � CONSTRUCTION,ANDNEREBYAURIORIZEPEPRESEMATNESOFMISCOUNTYMEMERUPONTHE � S�. ABOVE�A1EHipNEDiROGERiYFORINSPECTqHGVRPOSES COMMENTS � _ ���W (�/� �'. m pERMITTEE EryW y / �� . � N 81GNATUREOFPERM DATE ^t' � RECPT.NO. PAID BY VALIDATION WHITE—Depenment Copy,YELLOW—Fnence Copy.PINK—llssetsor Capy,GOLDENROD—File Copy.GREEN—Applicanfa Capy „ . .: . . .._,.. � .........,_..,...._. . . , „ , . . �, . .. . . r• . .. •�.•e .•.Jy - _��..•� � . _..�v: . - — ,... . ,�..u�:. ..�'t+.;�... .. .. . •r'r .'Y. . . .. .:r�:•.v• � . . . CITY OF DIAfU�OND,BAR . . . �` � -- Ir�lSPECTION�RECORD �, ... : ' . � � �,�. � , „ - : : . - !�v�-�-a��}��,�.�l��'. `�r]-���-�A�.�.�J!,}� l.����Aly�A���`.P� ���/.���_ , ,.1�1��1�'^'1',.ej[`M�"1_i! ..�, .-.,..--.-...^. .-.„........ ��.,_ .r........... �........., -..�....�� .,«....-�,..-_..�...._� . �:w�...,...__ 'SET BACK�.. � � i FLOOR JOIST _ � , ,µ _ , -. . , � . . ,, . . FTGS!FOR".'S/STEEL - ` ' .. I . FHA REQMTS - ' ELECTRIC GROUND . ._ _. .• . . . : / . ”; UNDER FLOOR DUCT- ' - - - GROUND PLUM6ING - • UNDER FLOOR COMDUIT, , , :' � ' ' SLABGRADE --- - �• — - ' FIREPLAGE.F,OUNDATION • '. ' ' ` 'TEMP POVJER -- • FIREPLACEBOPdD BEAM � � � WATER SERVICE - � ti11D HT. BOND BEAP�1 � . � • . • � ; : ROOF SHEATHIPdG - 8 FL BOND BEAM ' • -� ,FRAP�!INGNENTILIATION - FINAL BOND BEAM �` � ` � �- � �-� ROOF COV�R ' ' PRE-GRADING ' � � � 'ROUGH HEATIN� - BENCHING � `.ROUGH ELECTFiIC. : _ ' : ".. ; _..�_. _.. . I`ROUGH GRADING , - . - -- _ . .- ,ROUGH PLUMBING- � - - -- -- FINISH GRADIPJG ; SHOb"JER.rfUB TEST ' - - - - - � POOL ELECTRIC • � ; �- EXT.Lf1TH,lSIDING -- - - • - POOL FENCING . V'.ALL INSULATION- � � � - - POOL FINAL CEiLIPlG iNSULF�TiOi� OFF SITE IMPS. � - ;DRYVV!'aL.L�(�,'filLlidG - _ _ - - " DEDICATIONS � • ' - �SE�"JER FINAL'ENG. •SEPTICTANY. LANDSCAPE/IRRlG. ' , � 'SEEP PITIL.L. _ � • ON SITE If41PS. � GAS AIR TES7' - FINAL ZONING : :FI��AL CONST._: " � FIRE DEPT.FINAL . , FiP.F,L HEATING ....... _, ��'C�. .HEALTH DEPT. FINAL � --- J �.. — -- r•iiJAL ELECTRIC.. _.... � . _ - DEV. FEES PAID - — ; . f=1h:l;L PLU!JIBING -- � - E�dERGY � _ , ..: � .• , .4 - � _ � _ _ _ . . . .. , -•�r*------ '�' _„��e: f�rri�..• . � i . ��.. •.. _ � .�{'�*-.�.::�. �rirur�'�..c.Z:�t':�;...�.. ' i �� . : . ..�. �G7i,�MENTS. - `.. - . .. : �;11.� %�l.I,; _..-::-.- .. ,. , , � . . .. ��� �� � . _ . ' ' - - - '� • - I ���i .. � , . " .� .. .� ; .�y'.t i ' ,i `r�. ; �, �; . .. . . . .. i .`:� . � _ _ _. • � . _... � , .�: � � — � __ .... �- .J ;. IJ . . " i SEPTIC TANK SIZE - � �"� � � ' - SEEP PIT/U SIZE ' - -- -- �__..�. ... ;jv+ .�-� . . .' �.' . ' , � - I '� � . � . . . ! ; , 1Ir� _ . ... . _ _ . .._, --- — . � . ; .: . ._. : .. _ . ; � . -. . . . .. . . • . ,� `, . . � �.. , . . �..:,._..._..._..._..�.�_.....,_....,.......', " , � ' � � ' � ' ' '. : �. , i � - �i � I