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CTTX OF DIAMOND BAR COMMUNTfY DEVELOPMENT DEPARTMENT 216G0 E.Copley Drive Suite 190 PRESS � (909j 860-3195 Fax(909)861-3117 '""', BUILDINC}PERMITAPPLICATION FIRMLY oAD�RD 'ESS �3 �'33 P�0$�l[T �4 /1�� �{ OATE CA170N NUMBER � Q K� � ISSUE TYPE OCC APN T TRACT DATE CONST. GROUP � OWNER � � V Z ADDRESS OS •C r - ZONING SETBACKS � CITY � I 5 'TEL.3__i�� FRONT RW ❑ APPLICANT i '1'EL,�S-I e REAR ❑ � SIDFJSIDE STREET RW ❑ CONTRACTOR O SIpE p ¢ ADDRESS A _ � CITY . e ZI J�5►! TEL PROPOSED USE � ARCH/ENG/ OESIONER NO.DWEL. NO. Np. AODRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BI:ILDER DECLARATION SFRlADOJi�EM O p 1 HEREBY AFFlqFA 11HDER PEWIL7Y OF rERR1RV THAT I MA E7IEMVT FitOM ME GOMMCTOHS U� Qs���� _yl CENSELAWfORTHEFOLLdYVIN(SREASON�SEG70.91.6BU8WESSANOPIiOFES310N5CODE:ANYC�TYOR (n 5� CaN1YWMICMNfOUIpE4APERAIITTOCONSTRUCT,ALTER,qdPHOVE,OEMOUSN,OFREVIJRANYlTRUC- W PgtIO/Dbd( Z TUIiE,►A17R TD RB 185UMICE.ALEO 11EOU�NE9 TNE APVLICMlT FOR SUC11 PERMR TO fILE A SIONED �l'� STAiEYENT TUY ME OR 8HE IS L�CENSED PUHSl1AM TO TNE PROYISIONS OF TNE WNTqACTdiS LF � � CENSE 1AW(CHAPTER i(OOYMENGNG WtiM BECTION i0o0)OF pN810N 7 OF TiF BUSINE58 M1D PRO• � .POO�SW FESSIDNSl:OOq OF{TUT ME 01i SF�E IS EXEMVT7HEREFROM M1O TFIE p0.S1&WR TNE AIJ.EOEU E%EMP SYDN.MIY1flODUlONOFSECTION70.9t.6BYANVAPPLICINTFORAPERMITSUBJECT8T/1EMPLICANTTO z Rg-Rpp� � A CML PENALTY OF NOT MORE TNAN FIVE Hl1NDRED DOLlAR3{i5ao�.�: O ❑lASOWNEROFT11E0RO0ER7Y.OR�lYE11GLOYEESWITMWA0E9A3TMEINSOLECDMPENSATION. O �ommarclsl Z NALL DD TFE WORI(M1D TNE BTRUCTURE 1S NOT WiENDEO OR OFFERED Fdi BALE(SEC.7aI,BUBI� J NE35 ANO PFiOFE551ON5 COOE:TI1E CONTMGTORS L�CENSE LAW DO[5 NOT APPLY M AN OWNER OF = � PROFFAfYNh10BU0.D50RM1VROVE3TNER[ON,ANDMMODOESSUdIWORKNtl.1RELfOqXERSELFOq � TMROUON HIS OR HER OYNV EMPLOYEES,PROYIDED TH�T SUC11 WPROYEMENTS ME M'DT NITENDEOOR m OFFERED FORSALE.i,110WEVER i11E BULDM/GOfl MPROVEMENTIO SqDN7iHIN ONEYEAR OFOqAq,E• iION.7ME ONMER�BUIIDEN WILL II�VG THE lURDEM OF PqOVWO TNA7 ME OR sY1E DID NOT BUMA OR = NIGROVE FOR TIE W RPOSE OF 6ALE} W OI.A60MMEAOFTMEiHOPEIiTY.AME%ClUSNELYCONTMCTIN01MIT1iL10ENSFDCONTRACTORS � TG CON.,TRUCT THE PRWECT I6EC.7o14,BUbINE88 M1D PROFESSIqJB CODE:IHE OOIfTHACTOR8l1� V�IU�t1011 ADJ.AREA � CEMSEIAWDOE9NOTMPLY70ANONrt1EHOFAPROPERTYriFpBUILDBORMtPROVESIMENEON.AND wracowra�crscoAsua�v�crsMnn+�muriucron�s�ucoas�wasu�wrTon�eooertwic QUANTITY DESCRIPTION FEE � TORS LICENSE UW.j. 0 ❑I AM E7�MPT UNDER BEC. B.f P.C.FOR TNIC REASpJ U 3 �ATE ONMEN � 4 LICENSED CONTRACTORS OECIARATION W OC 1 HEREBY AFFIRIA UNDEH PE W�LTY OF PEFUURV TIIA71 AM LICENSEO UNDER PROVI6qNS OF CMAPTER �+ � /(C061MENCINO WITX SEC710N 700u�OF OMSqN S OF 7NE BUSINESS ANO PROFESSpN3 OOOE.MID � ' G O � 7 NY LICENSE 6 W FULL FORCE AND EFFECL � � ��N��u,u �3� �.�. � �'j wtrs eS1�6�9? conirn,wroR �' W � YVORKERS'COMPENSATION DECIARATION � � 1 NEREBY AFFRII IINDEH PEIVALTY OF VERNIRV ONE Of THE FOLLOWIWG DECL1lM710N5: � � _INAVEMIDW4IYAINTANACERTIFICATEOFCONBENfTOeFLFaNSUREPOR4YOfiKEfIS' � COMPENSATION.ASPROVDEDBYSECTION770oOFiHEUBORCOOE.WHMEPERFOiWM10E W O OF TME Wd1K FOR WHICII IMIS VEiUBT I6ISSUED. � Q �1 NAYE M1�NIILL MAIN7AN WORKER6'COMPENSATION IN6U11ANCE AS REdlNIED BV aECTdI i700 OF THE LIiBOR CODE�R 7HE VFR�OHMANCE OF iHE WOFlK iOHNM11ICH 7NI5 PEfWR IB � 14S11E�.WYVQRKEq$:COMPENSA�INSl1RA/�ICECMi71ERANOPOLICYNINBERME CONSTRlJCT1ON j CMPIEN L'�i0/0�� 4'�!e PLAN REYIEW � POLICYMIMBER n G�.�i j �1/a_ e�c�c � �n�ssEct�niE�woTeeoo�f�oFnEVFlearsaoAa�raraa�ooat�nsMaoDon�s4 UM91NG � I CEi1TIFY iHAT W ME VERFORIAMICE OF THE WOi1K FOR 1NHICH TMS VEFMIR IS ISSUED,I MECHANICAL C�3' BFULL.L NOT EM7LOY ANY PERSON N ANY AIANJER 90 AS TO BECOME SUBJECT TO TNE y WORICFRS'CpdPENSATIONLAWSOFCALIFOqNN.MIDAOHEETNAiIfISIpULpBECOME INSPECTIONFEE S EUBIECT TO TNE YFONKERS'COYPENSATION PilOVI510NS OF lECTpN 1700 0F TNE IABOA , j � 000�,i swu.� mtnnni couv�r Nnn+nase hs�s. �SSUANCE J� O �j � Da7E: 6/a��� APPLICANT �/. SMIP WMNINQ F,LLURE TO SECURE Yp11KER5'COYPENSATIDN COVERAOE 13 UNLAWFlR,ANO BNALLBE ENERGY P/C /�y �y lUB7ECTAHEMPIOYEHTOCRMWALPENKTIE9MI�CIVILflNESUPTOONENUNOREDMOUSANO ENERGYPERMIT �III � � ��i/ � DOLUN51f10D.ODD4NAUpTqNTOTF1EC06TOFWMPEN3ATpN,DANA(iESA7PROV10EDFq11N �-��T� T � BECTION Y7M OF tME IABOR OODE.N7EREBT,MA AT70M1EM'8 FEES. qE7ENTION FEE: CONSTRUCTION LENDING AGENCY ppE-ALT FEE 1 NEPEBY AFFIRM UNDER PENALTV OF PERJUIIV TiUT T}/ERE 16�CONSTf1UCTION IEN�WO MiENCV fON 711E PERFORMANCE OF 7l1E WOHN POR WNICH TN6 PERMR 16�65UED(SEC.8ov7,C�K 4R b � IENDER'8 NaYE � tENDER'SADPRESS � ICER71FYhUT1lLWEIIEA071itSAPPLICATqNM1DiTATETMAT7FEA80VENFOfWATqN18CORRECL T07AL FEES a-'3� �J� IAtiREE f0 OOIIPLY WIiN ALL G7Y ANO COUWTY ORDIW W CES ANO STA7E LAWS NELAlM16 f0 WlO�NU � CON6TRUCTION,ANDHEREBYAUTT/ONZEREPRESEN7A?MESOFT1119COVNTY70ENTERUPONTHE ABOVFddEfJr10NE0 VIqVERTY FOp INSPECTION PUflPOSEs. COMMENTS � 7= NO��C y P��Ef4d.'7/1 !S/i10�� � EpNA7UWEOFPENMIITEE i ... � � . �T ,. qECPT.NO. PAIDBY YALIDATIO NMITE—Departmenl Copy.YELLOW--Finenca Copy.PINK—,Aesessw Copy,GOLDENROD—fik Copy,CiREEN—ApqkxnYs Copy . ., . ,��:,. ��' r�.:'1�'���:�,���'Y8,y a::�Y9� e�[: :''1" . _ . �kr�S,.�.�� �J i ^ ` . - - .-,�.. - , �e . ... . •... .a . . „,e. , ,��,,. . ., � ,. -..,,,,a t . .... . �. . , �. , ,.:.�.-c���.: � . �. , . ... , � .. .... .. , � ' � ':..:r.•: . _;.y.,-•- -. t'.�,:,..... - . . ._ . . : .: �v . . . - . . . ..:�s . � . �.} ...._......, ..� �! '' " CITY OF Dl�fu'fOF►�D BAR ;, -`, , y . � INSPECTIOPC RECORD � �. . . ' ' , � � -� � c � _ s - _ ,�,,: r . ► � � A, �,;�. i �..... -- SET BACK : � FLOOR JOiST � .. - FTGS/FORMS/STEEL i FHF�REQMTS ---+ ------- , _ ELECTRtC GROUND _ ( UNDER FL�OR DU�T�- .� . , .• ;•, ; . :- �•' . GROUND PLUMBING i UNDER f�LOOR�C(��IDUIT ` ',- ��' -- SLAB GRADE � ! FIFiEPLAC�FOUNDA710N ' � ' ; : -;--- ---- ---- TEMP POWER ��' FIREPLACE BOND BEAM • WA7ER SERVlCE - _ ___ � MID HT. BOND BEAM '� � ' , ROOF SHEATHING __�__ f3 Ff_BOND BEAM I . FRAMINGNENTILIATION ____ __ FINAL._BQND BEAM I � Fi00FCOVER PRE-GRADING '- I _. ROUGH HcATIf�1G _ �! � BENCHING _`_� �� ROUGH ELECTRIC �� _ __ __ ,i i RQUGH GRADING ROUGFi PLUMBlNG �r � j � FIN►SH GRADING SNOWERIfUB TEST � _ _ PpOL ELECTRiC � � EXT.LATH/51DING � POOL FECJCIN^v- . i^ � + � WALL INSULATION __ _ _ _� _ _ POOL FINAL , � ; CEILING INSULATION � dFF SITE fMPS. � • DRYWALL NAILING � DEDICATIONS � __�,_ � -�-�� SEWER � , -------- --- , FINAL ENG---+� SEPTIG TANK � i . i i LANDSCAPE/IRRIG. �� • —1 —}------- � SEEP PlTJL.L. � __ ! UN SITE IMPS. � ' i GAS AIR TEST�. ,�- � --- -- ; FINAL��NING---._...-------I----------.-_- _ � FINAL CONST. � _i - �. • FIRE DEPT. FINAL I ' —i ; FINAL HEATING _ � ; � HEALTH DEPT. �INAL -i-� � � FINAL E�EGTRIC �(,_y I , DEV. FEES PAID � � � � -----s�-!-- ----- ------,`�-----;__ -- ---=-� ; FINAL PLUMBING � I � E_NFRGY �- • ; �---�-----------l---------------... --------- � � -- --- --- ; ; ; i -; .-.----------- ,-- --------------- , �. �.; � , . �- � -- ---------�----------------------�--= � •,.�:,.. . _ _ ' - '--- ----- — 4 . • � • . - � COIUiMENTS _ ---- - -- ( i — -- ---- ...---- -------- ---��—��--- ( � . ' � . . — ---- --------. , --------_. - ----�--------- ----- , --- -------------- , , ; --- ---------—--------�--- -- ----------T;i_.------;�J„_i _ - _�i -- __�....- •---------•-�--•��- ---------- --- • l. ' ___—_—_'—^—__'_'_____'—'—__".�_ -. . .... r � .a:: ' � � . � �.. . . n�. . l � ... . . '_�_ T_' t..�..�_�—__'__—__---__—_--._____--._.. ._ '_.._. _—_�_ , �'_._��_ . '__. ____.__..�_.���. .�__._ _ ��P� �' El s�:3 --- ___.______---- — ------- . .. — --- -- -- —�----------------- SEPTIC TANK SIZE __. ..__ - - - i SEEP PIT/U SIZE — ------- -- - � � -------------------...--------------- � ' �:; J..:----- -- . ��+�- - -- - � `` "; ' .���'.'/!�. .. ��r�� � �>�" ' . ..:. -. _. 7 /