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_ _ . _ _. _ ..._... ..- ---• . .. __ _. . _- ' --._. :: ..—.�. _ . CITY OF DIAMOND BAR � � ' � .� : ' -— DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � . � , 2i6so�.c��oYnr;��s�c�i90 PRESS • (409)860-3195 Faz(909)861-3117 • `�M'+. . B ING PERMIT APPLICATION S � � FIRMLY � ADOR SS v��oa C`' -- v DATE CATION � '1 Q'�h, NUMB R ' �" �/C v�-I `� � I V V � issuE- �. . --- _ •^ ,, nrPe �U--•,. occ APN LOT TRACT � DATE CONST. GROUP g OWNER � ZONING__-SETBACKS�. �, � � • I-. p ADDRESS � � � , r` W CITY F ZI TE C� FRONT`''---= � RW ❑ �� 7�� y � APPLICANT TEL � SID SIDE STREET� I `I RW ❑ � CONTRACTOR SIDE ❑ ADDRESS PROPOSED USE Pu RCH/ENG/ ZI TEL - � DESIGNER S � -r�G' NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZI��TEL��L� y DESCRIPTION SO.FT. ACTOR PSF ADJ.AR LUATION 6 OWNER-BUILDER DECLAAATION SFR/ADD/REM O Q 1 HEREBY AFGIRM UNDER VENA�N OF VEiWRY THAT I AA1 f%EMPT iROM THE CONTMCTORS L4 Gd�B90�CeryOR O �1J CEHSEUWFONiT1Ei0.LOWP/OREASON(SEC.7W1.6BVSINESS�NDVROFESSIONSCOOE:ANYCT'OR (n � COIARYN4AOiRE0UWE8APEP/ARTOCONSiAUCi.ALTER�PpOVE.DE110115M.ONREPAIRANY9TAl1G W PatlolDeck 7URE YRIOR TO R9 ISSUANCE,/L50 NEW WES T/7E APPLICNR FOR SUqi PERMIT TO FILE A SIGNEp W _ ` _ � ' .� STATFJAENT 7HAT ME�SNE IS LICENSED M1RSUIWT TO THE PROVLSIDNS OF 7HE CONiMCTOfiS ll• _ ;,F � � � GENSEUW(QUPTER�(COAIMENCWON7TNSECT10NT000)OFDMSqN�OFiHEBUSINESSMlDPRO- u" P��Pa FESSqNS CODE)OR iMAT HE di SHE IS IXEMPT7MEREFROM M10 THE BASIS FOR iNE ALLEOEO IXEMV- ,, TqN,ANYVI0LA7qNOFSECT10N7W1.6BYNIY�PFl1CANTfOHAVERMITSUOlECT57HEAPPLICANT70 z Re-Root � r ACML VENAITY OF NOT LqRE iNAN FIVE MJNOHED DOLIARS(isool.k . - _ ' � 04��WNE0.0FTIIEPROPERTY,ORMYEMttOYEE3MATHWA0E4A5TNEIR50LEG04PENSATION, � �mmercial � . WILL DO THE NOFL(ANO 7NE STAUCTURE i5 NOT INTENOED OF OfFEREO FOR SAIE(SEC 7oH,WSF J = NESS ANO VHOFE5910NS COOE THE CONTiUCTOR3 LICENSE UW DOE3 HOT APPLY TO AN OWNER OF = . _ £�: �''"' O ifqPEfffY YAq BUlD4 OR YPiqVES iHEREON,AND MMO DOES SIX:H VNDf1K HIMSELF OR MERSELFOR (C T10qU6NXSORHEROWNEIIVLOYEES,VROVDE�THATSUtl11MPqOVEMEHTSMENOTMITEN�EDOR m S U 41 pFFEqFDFOqg/LEIF,IpV/EVEit7HEBU4DPlOORMPROVEMENTISSOIDWfTHNONEYEAitOFCOMPLE Z ^ TION,TME OWNER�BUILDER YALL HAVE iME BUf10EN OF PHOVNQ TW�T XE Ofl SME DD NOT BUIID OR • O � MdPRDVE FOR il1E PUIL"OSE OF 9ALE} (� � w OlA90WNEHOFTMEiROVERiY.NAIXCUJSNELYCOMMCTINOVrtTMIJCEN3EDCOHTMCTOi13 � MCONSTRUCTTNEVNO.�ECT(SEG7WI.BUSINESSANOOROFESSIONSCODE:TMEQONTRACTORSLI- V8�U8tiOf1 ADJ.AREA CENSE UW DOES NOiMPLY TO AN ONNER OF A PHOPERTY W110 BUILDS OR W PpOVE3 THEREON,MD Z� W/q[OHiRACTSFOASUCHORO,JECTSN1iHACONTMCTOR151LICE1i5EDVURSUANTTOTHECONTMG p�q�Ty DESCRIPTION FEE � TOFiSUCENSEUW.�. �J p 1 AM EXEAIPT UHOER SE0. B.�O.C.FOq TMIS REASON q 3 � 2 � ,f. u"' pATE OWNER !— W : _ _,. � J . UCENSED CONTRACTORS DECLAHAT�ON � � � 4 w - OC I NEREBYAFFIRM UNUER VEW�LTYOF VE0.IURYTHAT IAM IICENSED UNDER PAOVI5qN40F CHMtER Ur .-�,-L� � �(COWdENCNOWRMSECT10N7000)OFDMSION�OFTHEBl151NES5�NDPROFE5510N5C00E.IWU Z Vr�7� X W UGENSE IS N FULL FORCE I�i0 FFFECT. Lll / 4 � 0 LICENSECUSS IIC.NO ~ ' J J �j DATE ' �CONTMCTOfl j TZ�LL� a {7� � WORKERS'COMPENSATION OECLARATION a � IHEREB AFFIFiMUNDERYENKTYOFPEfUURYON[OFTHEFOLLO'MNODECUlMTI0N3: U �� Q � � IIUVEANUWILLUIUHTAMACEHrIFlGTEOFCON5ENT1050.HN5UREFOfiWORKERS' S J COMPEN9ATION,AS PHOVDED BY SECTION�70o Of THE UBOFi COOE,i0i1THE PERFORAIANCE U � OFiHE WDfiK FOR WHICHTNIS PERMITIS ISSUED. � '� 0 I IUVE/ND VALL LWMAIN W�ORKER4'COIdPENSATqN INSUMNCE,A9 RE WIRED BY SECTION QQ 77ooOFTMELABOi1CO0E,fORTHEVERfORAIANCEOFTMEWORKFOAWHICHTNISPEfWITIS = ISSUFD.W KEitS'R01APE�{SATION WSURAN CAARIERAND70LtCY BERARE: CONSTAUCTION > uwaER G .�- PLAN REVIEW C� �y��Ja�er Nuusea ,(���� ELECTRIC 0 �`�`/�rr����cFnEpepRrsr+rpqoreN.ec�000tu�Riaqon�ss} PLUMBING _ - R M W � ICERTIiY7HATNTMEVECfORMANCEOFTMEWOPo(FORWWCMTHISVERMiTISI55UE0,1 MECHANICAL w � SMALL NOT EMPLOY ANY PEASON N ANY MANNER SO AS TO BECD4IE SUfl]ECT TO THE � YIORNERSCpAPEN5A7qNUWSOFCALIFORNIAANO/�EETHATIFISHOULDBECOME INSPECTIONFEE 1 5 SUBJFCTTOTHEWORKEi15'CLAADENSA710NVPOYISIONSOFSECTION77000FTHElMOR ISSUANCE OO O � GODE,ISHN1FORfMMTHCOMPlYM7TH EPRO�NS��ONS. � � �3�—d/APPLtGANT: �lll/1i SMIP � .. . f �] DA7E: . WARNIN(i:FIULURETOSEWREWORKER5COMPENSATpNCOVENA0E15UNUwFUL.ANDSNALLBE ENERGYP/C �y 6U&lECTANEMPLOYERTOCRIMINALCENALTIESANDCMLFWESUPTOdJEMJNDREDTMWSIU�ID ENERGYPERMIT � p0UAR5(i1oo,00a7,IN ADOITION TO iME COST OF COMPEN3ATqN.DAMAOES AS PRONOEO FOR IN a6ECTION�70eOFTHEU180RCO0E.NTEREST,ANDATTORNEY'SFEES. RETENTIONFEE: ��•� 0. CONSTAUCTION LENDING AGENCY PRE-ALT FEE: � IHEREBYhFflPoAUNOERVCNKTYOFPERIURYTUiTHEREISACONSTRUCT10NtENDINOAfiENCV � FOfiTMEPERFOPMANCEOF/T�HEWORKFON 7171,4FERMIiIS55UED�5EC.Joa7.dV.G1. � . � LENDEiC3 W1ME /�/ON� ����� � � lENOER'SADDRESS , !��) Q ICERTIFYTUTIHIIVEREADiHISMPLICATIONMIOSTATETHATTMEABOVEIN�ORA1AT10NISCOHHECT. TOTAL FEES ,. . �, ;�� p���� � IAOREET�CAAIPLYN7THKLCfTtlNdDCWNTYORDW�NCESANO5TA7EUWSHEUTMJOTOBURDIN6 ' CONSTRUCTION.ANDMEREBVAUTHORI2EREPRESEMATiVE50FT145COUN7YTOENTEflUPONTHE - ,.. S� ABOVE�MFMIONED OROOERT'FOR I ECTqN PUHCOSES COMMENTS � � � � � � Q PERMITTE NAME(PRI� 1 u> � .Js� =L —d�• � 8q OF PERMITTE DAiE ' � RECPT.NO. PAID BY VALIDATION WHITE—Dapartmant Copy.YELLOW—Finenoe Copy,PINK—Assessor Copy,GOLDENROD—File Copy.GREEN—ApplicanCs Copy �,,- . �"• .. �v., ._�+-. • . , . . . - . . -.a. -- � ,-i- -;r.. , ,, ., . •1 . ..•,� :•.., ... � . . • r._``` CITY OF DIAMOND.B�iR i _,�`�.� r.�:i.U�.�.+,,°f.I:I"it_1`:"l:_l -. �,� _t'_ \ �'�:��;.. . ,�r^.t�II�SPECTIOI�iRECORD r . , ' -,4;;= 'I'Y;: ;ii]A4�� ,�,�i ..;..+_ �� � ` �}?f. ��._ .t7';.'r�� .J.:�f.;i_ 1=' . -�- "I >,,: . c. -� 1 =��x. '.�������' :10 `�� ��.►��- . �o :;�,,-;,J���� .l�.[���',;_ f;.>,.��� ;�`� ;���,��'. ' � jSETBl�CK, ;a : ; r�� .��� � -� ��. �FLOOR.lOIST -- .�= � �,,� ��` t.-�L `�- - , �:s..�, I FTGS/FORMSJSTEEL-�'-' � (j ': -- - --"=` --- ' Nf�REQ TS .�, '_' `` �', � � `--- � • - - ---- - - ---- . , '._ . .. iELECTRIC GROUND___ ,,,�c[..: '• _ _._... ___._._ �UNDER FLOOfi DUCT• `: ' '�•� , �, -� _�? ,-, � "� -- -- - .. - --- - - _ __ .. iGROUND PLUMBWG ' ' -(� .��'•. . UNDER;FLOOR.COf�I UIT��--:."� ��� - �.:�=',..,'' ' .,, � `; I SLAB GRADE ---- — '';^ �i. _i :�''� FIREF'LACE�FOUNDATION i�\ .._,',; . . '..�.�;'_.�-,�.' .��.���-.� �-_ _. .. .�. � � - -- - --- - :,�; ,_ :,r, --- ;TEMPPOWER�----�-��s� - --, �-i�; • FIREP,LACEBONDBEAM' I �'- WATER SERVICE -------- -- -. - - -MID HT. BOND BEAM --� , , ;_ � r� ����r.;rr��;,:� ;- 'ROOF SHEQTHING .'I � , ; +i c�::� .�8 FT.BOND BEAM--- -_:,-�-=� -1 J\-�\`�_ t �,__-----; � _, .,, I _ _ . _- . ,; I !FRAMINGNENTILIATION ---- - - - - - ---- FINAL BOND BEAM -. .�-, . .- . �- - ��. I ;; __ ' __ _ _ . „ ___._�_� '� J '��' �1'�:.\��,; ROOF COVF_R �i: I ';•' PRE-GRAC)ING. • ,.;, ; '.-_` � ,, , I.ROt1GH liEA71NG'_---- - - - �:_. . _ --- - -- ,- BENC ING r,-•, , ;;�_;�� •,. -�i�, -. .- . , .:- - � . , - �- - ;��� , ,., ,.. . , , ... , � . -� , , � ir��;-,_: � ,•; <.- ! �,.,,,��. ... �ROUGH GRADING , _ . , . , ,,. ;. , _ I AOUGH:ELECTRIC- -' - ---- -- -(-�----- - - - . -' - - - --- --- --� �ROk1GH�-PLUMBING- i--.- :-:.:.:., -'•, .i -�� �'�=----' '-' FINISHGRADING _ � ISHOV'JER'ITUB T�ST--i - . _l ..;_,�_� _I �_--• ���•� ' -- :....' - POO�ELECTRIC , . -. , :� . .� . ._�., � , .. . . : , „ , "„ , �� .. . .,• :. ,._:.�.:.,�• �-EXT:LF+TFi/SlDING --I-- (�'?-( .Gi ;- � -' ----- -- -POOLIFEf�CWG" .. . .. �WAL�-INSUtATiON -j — -� " - — � U FINAL� �� F ` . . . :..�:, : '_ �:;+ ; ;" !CEICIPdG iNSULATION "- �t � - � -'-- - -�- OFF SITE IMPS. ' , .., .' . � .'" ` ; � �DRl'�ti'ALL�N.4ILIPJG- i---; ��- � � -- --� - =DEDICATIONS _ " � ,. ; , �SEVVER ,;=�^ • �- -�—. , __ +- i , 7� :FINA �ENG. � � , , . . . . , � - -- --_ � I �SEPTIC TANK';' ;� r ' . _ •;., `, ,':LANDSCAPE/IRRIG. ' �' '. ' '";. j ': �SEE?P1T/L.L.'.- - ---1. .. .._. �.�- • i ','.,'.. � :J_�(.� , ONISITEIMPS. , , . ,, i : G�S�,1�TEST-.------ - ._,, _ , � � '� I � FINAL'ZONIPJG . , ,•, , �. � 'Fi;JALCONST. ;��.`•.'�`�' �e� ,� . ;;�� �; IFiE bEPT. FINAL �. �,;,. . ---- -- - - -- - FJ�1ALr1EATING.---- ' ---1 �','�'' �.-` ' --- -- �' • HEfiLTH DEPT F(NAL - ----- f�1:V�,t•ELECTRIG--------- I,. �'� ,._ . � , ----; ���. FEES PAID---;;------- --------- ------- ------ `. ___.._ _.. _...._ . ..._ _ ._.,. . ;•r.r:��4L�~P,�61181PlG--- -. 2! ''L�..� �- . ,;� ENER�GY . . _ �---z-- , • . . �---•- ,'�.. �.--- - - '- - - _ . . : . ._ -'- � . . :;' � � �'� � I i.ui: `�--- ---- -- ---— --- - - I �_ _ _... _ . .�__'.._ 'a. ,- :(�'`�'rt�y•ld `r"��i7�i `yJ���`.'•;�-c.�,.�J,�.�, . , '._11 - 'i:.43:+�'wv»�ritia.._+r:�, ,Y `�.—__�� _� •' __'�_ _— ' �.� � _^._. � ; . ___ I f Z`,:���j�\ ��'�\�:�.` . �l', ..l ,-•. �_ '. �\'_ , , - � ' s ---- . , � .. - - - �-- - � ' ti.�1liMEi�TS ^� c- � . , � ; _ -. . . ._ _ . � , , '1 .�: `� -, , ..,.- ` ,`;�;) • ' ' . , ,.,.. , „� . . ,,��, �, ,� ,. , ,- .. . ...., �- , , . ' ,�: - � �. --- . , ,, --- - . -� --- ---------- {; � . � . —__.'. f.�. _ -'_' '_—..�—.. __ _ - ;.._ . . ._ .._[-.� _ _.. ' i •. .- � � _ , ' ; , , i ..�, , . , . -i , t � _ � /_, ' I i i , . . . , , .. .. � .,�� . .. , ... 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