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� CITY OF DIAMOND BAR EXPIRED • ' � COMMUNTfY DEVELOPMF.NT DEPARTMENT 2I660 E.Copley Drive 5uitc 190 (909)860-3195 Fax(909)861-311T N0� � � ?OOO PRESS ,"""'� BUILDING PERMITAPPLICATION FIRMLY y JOBSITE b��, ��/�� � � � ��f3�o P/C >- .�� APPLICATION PEFiM1T o ADDRESS �' ,(''-�'� DATE NUMBE f M � � APN LOT TRACT D TEE CONST. GROUP � OWNER �' ��" 8 ADDRESS �. ��� �Cfl'/L ZONING SETBACKS CITY ZIP TEL FRONT qyy p APPUCANT . � C-: � TEL� R�R RW p SIDE/SIDE STREET Q CONTRACTOR_��� C , '��r� , SIDE p A��RESS � CITY ZIP TEL. PROPOSED U�� X - � ` � o ARCWENG/ ' L DESIGNER �e � �` � ADDRESS NO.DWEL. N�. � C�TY ZIP TEL. UNITS STORIES B DROOMS � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER•BI;ILDER DECLARATION SFR/ADD/REM O p 1 MEREBY i1FFIRM UNDER PENILLTY OF iERA1RY 7HAT I AM EXEMPf FqOM iNE WMMCTORS lF G0n9�8�� � CENSEUWFOR7HEFOLLpNINaREASON(SEG7091.6BUSINESSANDPROFE93pNSCODE:ANYCITYOR (J) OOUNTYNMICNREOUIRESAVERMITTOCONSTRUGT,ALTEN,IMPROVE,DEMOLI9i.ORREPNiRANYSTRl1G W PBIIp/DBCk TURE.VRIOR TO ITS 159U1WCE.AL50 NEd11RE5 7NE APPLICANT FOfi Sl1CH iERYIT TO FILE A pONED W � &TATEMEM TUT NE OR 8HE IS LICENSED PUN5UANT TO TME PNOVISIONS OF TME OONYMCTOqS LI- � CENSE lAW(CHAPTER 0(COYMENCINO N7TF1 BECTION 7000)OF DIVISION 7 OF 1HE BU61NE33 MID PRO- POOVSpi FESSIDNS CODE)OR iFIAT HE OH SHE 18 IXEMPT TMEREFHOM AND THE BA515 FOA THE llLLEOED E%EMP• (� TION.ANYVKKATIONOFSECTION70�1.6BYANYAPPLICANTFOfiAPERMITBUBJECT87MEMiLICANTTO Z qe.paoi � A dVl�PENPLTY OF hqT MOHE THMI FIVE Hl1NDRE0 DOLURS(i50DIJ: � ❑I,ASON7VEROFTHEPROPERTY,ORMYEMPLOYEESNIfTHWAfiESASTNEIRSOLE�DMP�NSATIDN, O COrtIT6�G181 WIIL�O THE WOPo(,AND THE STRUCTURE 16 NOT INTEN�EO OR OFFERED FOR SALE(SEC.7Cu,BUSb J NESS AND PFqFESS10N5 COOE:TNE CONTRACTORS LICENSE LAW DOE3 NOT�VPIV TO IN pWNfF OF � �(,� � GpO7ERTYW1iOBUKD30Rl►1VqOVEST/EREON,ANONMODOESSUGiMIOpKHIMSELFORMEqSELFpq S J. CL TMii0U6HMISORNEROWNiMP�OVEE9.PROVIDEOhNTlUCHIMPROVEYEM6ARENOiMENOE�Oq m � OFFEREDFORBKE.IF,HONfEVERTME0UIL01NGORIMPROVEMENTISSOIDWITHINONEYEAROFCOMPL& Z TION,THE OWNER�BUILDER N'ILL HAVE T1E WRDEN OF PROVINO TMAT ME OR 6HE DID NOT BUILD Oq � NAPIIOVE FOR THE PUHPOSE OF SALE�. .; ����- ❑4�4OM�1ER OF TNE YROPERTY,AM E%CLUSIYELYCONTRACTINO WITH LICENSEO DONTMCTOR9 ¢ i0 CONS7RUCT TNE PROJEC7(SEC.70M BUSINE55 AND iROFE5310N3 CODE:THE CONTHAC'TOqS lJ• VBIllotlOn ADJ.AREA UJ CENSE LAW DOES NOTMPLY i0 AN OWNER OFAPROPEN7Y WHO BUILD&OR IMVROVES TIIEREON.�IW w � WFiOCONTRACTSFORSUpIPR0.1ECT5141THACONTRACTOR�5�LICENSE�PURSUANfTOTME00NTWG QUANTITY DESCRIPTiON Tons uceNse uw.�. FEE � ❑IMIEXEYPTUNDER6EC. B.�i.C.FOqTWBREASOIJ U .7 � � s`6 PA,••trL . / • � �ifi}+�t-if +��RCwT � �=' onre owNen Z U � LICENSED CONTRACTORS DECIJ�RATION W � � , IXEREBYAFfli11dUNDERPENN.TYOFPERIURYTHATIAMIICENSEDUNDEAVRDYISIONSOFCHAV7Eq � � �. 0. •(COIAMENCINO N11TH SECTION 7000)OF ON�510N!OF ME BUSINES. ROF 910N$GOOE,M1D Z X MY LICENSE IS IN FULL FOHCE N1D EFFECT.. � � � LLI � UCENSE CL�SS �-' LIC.NO. � � V DATE CON7MCTOR i � W , � WORKERS'COMPENSATION DECLAHATON � N I HEREBYAFFIRM WDER PENALiYOF PERIURY DNE OFTHE FOLLOYVINO DEQ.AMTIDN3: V N Z � �I XAVE AND VYILL MAINTANI A CERTIFICATE Of CONSENT iO SELF�NSUNE FOR VYORNERS' ¢ COMPEN9ATqN,ASPROVIpEDBVSEG710N71ooOFTHEUBORCOOE.FORiXEPERWRMANCE � Q OF iT1E WORK FOqNT11CFIT115 PERMIT IS ISSUED. _I NAYE ANO WILL MAWTAMI WORKERS'COAIPENSATqN INSURANCE,A9 REWIRED BV SECTqN Q s7oo OF THE L►BOR CODE,FOH THE iERFOHMANCE OF iME WORK PoR WHICH 7H19 iERWT IS �� ..�'• J 183UEQ NY WOIiKERS'COMPENSATION INSUiWICE CARRIEA/J/D POLICY NUMBER ARE: CONSTRUCTION j CIIRFIEN PLAN REViEW � . . 0 ►O�ICYNUMBER. ' ... ......... . � . . . Z� ELECTRIC �► � fMsaEcroNr��rareEmaa�oFnfrere,►r�sr+or+a�+E�aeioaEnoawasd+�lor+�I PLUMBING � 8, / Z �CERTIFY TNAT IN TME PERFORM4NCE OF TNE WORK FOR WHIW THIS PERMIT IS ISSUED.1 MECHANICAL C7 6HALl NOT EMPLOY ANY PE1iSON IN ANY MANNER 60 AS TO BECOME BU&IECT TO THE Vj WORKERS'COYPENSATIONLAWSOFCALIFOHNtR,ANOAOREETMATIF15Fi0ULDBECOME INSPECTIDNFEE 6UB1EC7iOTF1EWORNERS'COAIPENSATIONPROVISIONSOFSFCilON37ooOFhIEIABON � S---F Q CODE,IS FOqTHWIiHCOMPLYWITHTqSEPROVI510N5. ISSUANCE � �� � �a7E:_--J�����APrucnPtT. SMIP w l, WARNiNO:F114.URETOBECUqEMIORKERS'COMPENSATIONCOVERACiE16l1NUwFlA,Mlp6HA1,LBF ENERGYP/C �I'f�` 8UBJECTANEMPLOVERTOCRIMINALPENALTIESANDCIVILFWESUPTOONEHUNOREDTHOUgANp -��t"T r COLWi3(S10u.0a0�,N1ADpIT10NTOTHECOSTOFCOMPENBAiqN,DAA1�0E5A5iROVIDEOFORIN ENERCiYPERMIT � 6ECTIDNJ70lOFTI1EU80RCOOE.W7EREST,ANDA7TORNEY'9FEE3. RETENTIONFEE: OCONSTRUCTION LENDING AGENCY ppE•ALT FEE: � I HEREBV AFFIRM UNOER PENKTV OF PEi�IURY THAT THERE 19 A CONSTRUCTION LE{ipINO AOENCY FOH 7HE PER�ORMANCE OF THE NfORK PDR WF11CN THg PERMIT IS 165UE0(SEC.Mv/,CIV.C.). � � LENDER'SNAME � IENDER'SADDHESS . � ICERTIFYTHATIMAYEREADTIq$/�pPI,ICATqyµDSTAiETYIAiTHE�BOVEINFOW�AATqNIbCORRECT. TOTAL FEES G��� �Jr I AOREE TO GOMPLY WfTFI ALL CITV�IVO OOUN7Y ORDINANCES NI�eTAiE UM/S REl�1TINO TO BU0.DING COPIS7RUCTION,ANp 11ERE6Y AUi}IONIZE HEPRESENTl�TIVES OF TNIS COUNTY TO ENTE�UPON iME ABOVE�AIEHTIONED PAOPERTV FOR INSPECTION PUFPOSES. COMMENTS r-j � �)1� � 1 !��,•s-� G" �! . m PEiiYITTEE N/JAE a � cn �, �+ ,. � aqW1TUREOF►ERMITfEE / ' p�TE 'r�L �r'"� RECPT.NO. ,PND BY f K' VAIJDATION .. WHITE—Department Copy,YELLOW—Finence Copy,PINK—Aasassor Copy,QOLDENROD--Fila Copy,GREEN—J�ppqeanYa Copy � . , CITY,OF DII�MOND BAR � _ . , . - I��lSPECTICrIV RECCIRD � . E � � • � - E i � • i ' SET BACK . � FLOOR J015T � — — �---�----- - ----�-------------...-----.....-- — FTGS/FORMS/STEEL � FHA REQMTS ELECTRIC GROUND � UNDER FLOOR DUCT • . :� GROUND PLUMBING ! UNDER FL,OOR CU�IDUIT y � � SLAB GRADE -- i--------�----z---- .: . . . � FIREPLAL�E FOUNDATION TEMP POWER FIREPLACE BOND BEAM ' � -- ' WATER SERVICE ' ` - ���� -�_i MID HT. BQND BEAM _ ; ROOF SHEATHiNG�• • `�. � ' � '• � 8 FT. BOND BEAM ' ' FRAMINGNENTILIATION' ^ I �INAt_ BOND BEAM -- --- ----}�--•-- I -- ROOF COVER _ _ PRE-GRADtNG _ _ ROUGFI HEATIiVG SENCHING __.__ ROUGH ELECTRIC I ROUGH GRADING __.��� .--- ROUGH PLUMBING _ � FINISH GRADING I SHOWER/TUB TEST _� __ ; _POOL ELECTRIC .i" _ • EXT.LATH/SIDING I _____ ; •': POOL FENCING ___ WALL INSULATION I ; ; POOL FINAL ____ __ CEILING INSULATION � ' OFF SITE IMPS. ______ ______ ' DRYWALL NAILING ____� DEDICATIONS _____� SEWER � _ , , �': •� ''a', ; FINAL ENG. ----- -- SEP71C TANK --� �`� I LANDSCAPE/IRRIG. — —� -- - ---- -- SEFP PITIL.L. ' : ! ON SITE Ih9P5. , ! ^�-�-----T------�--------------._..--- ----------- -- GAS�5IRT�ST `. .'•�'• , "� � �;:,`� .. ` '' i FINAL70NING ---- � ' .----- ---- -�--r-'----,—..-,r,�--�---� —I — — FINAL�ONST. � i FIRE DEPT. FINAL � � ; »----------------- : FINAL HEATING � ' HEALTH OEPT. FINAL , ; -- — -- --- ---------- -�-----_ -------..__._._....--- ---...------------...-------- ------ ,�FINA�, �L�l;TRIC , � `_ �:., �•. : ' ; DEV. FEES PAID � i ' T_.___ -- --. —T.---------...-------:-;-------- -------....__ .�_.�-- ----- FINAL PLUMBING � ` ENERGY ' , _..__...-------- -------� ----..-- — --------+_--------._...—...................- ------._._.__...-------------._.—._.._...__..—.__._ , _. _. _ , T ------ ----..........._......_...----- , _ . ....... ... .. .. . --------._......__.._..---- — � • . , i COMM ENTS - ----- _.._.----------.---- - -- -------------.....- -------. --_.------_._.------ --------_----- . � , ,. . . . , . . . , ----�-- ^.. - -----------.---- ... .,,; . ,. ..y ... , . . .{ ., . . . ._ _ - -_ .------ --------- --- ------ �---------- ---- ------------ -- ---- -- _.._._ _.__ � � � ' ` --- — --- - � � � � \a — � ---- - — SEPTIC TANK SIZE _.__ SEEP PITIU SIZE -- -- -----------------..._.�---._. —_.__...............--- ----- —� _ ---= ��'=-��j:� %� ��� _ :� .. . . . ��- ,.; --����-� , . . . , . _ .., . . �. ,.::: , . _ . . �, . . _ � � � ^ _ - -�� _ _ _. .. . ...__._ , __ __�..__n______.