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- i . , �r�u�� _ __- - ` �� CITY OF DIAMOND BAR ' - i DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �c 21660 E.Copley Drive Suite 190 ' " (909)660-3195 Fax(909)861-3117 PRESS �. .�'��'. BUILDING I' RM[T APPLICATION . L �q � FIRMLY � JOBSITE a �� � s�� ,� ��' ��-��-�' ��-��g APPLICAT PERMR C o ADDRESS DATE__ NUMBE 1.,,_ � APN LOT RACT . ISSUE 7yPE p�C �� DATE CONST. GROUP p OWNER [/v/ I� o ADORES 7 � �/ ZONING SETBACKS � w FFIONT � CITY ZI TEL. "�7 REAR RW ' ❑ APPLICANT ' TEL. � � SIDE/SIDE STREEf RW ❑ CONTRACTOR '�I �l /� SIDE ADDRES �/ � CITY ZIP� EL - - PROPOSE��USE/ �C�:" �'X!�(' � w O O J (S �! o ARC cS� /��- C�<I ��,, DESIGNER� �'�� NO.DWEL. j� NO. .- .1�y NO. . N CnDRESS - Z�P� TEL. �TS � ��.lJ� `'''�STORIES ` BEDROOMS � �n DESCHIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION ; p� OWNER-BUILDER DECLAFATION SFR/ADDIREM ' O ' 8 1 HEREBY AFFlRM UNOER PENKTY OF PEiWRV THAT IMI E%EMPT FROM THE CANTAACTOqS L4 � G8f0Q0/C9fpOR � C�15EUwFOqTMEfOLLOWWOREA.ON(SEG70.t7.6BU5iNE53ANDPHOFE5510NSCODE:ANYd7YOR (n LOIMiYWH�LMREOUIRESAiERMRTOCON5TPAIGT,ALTEfLIMPROVE,OEMOUSM.Oi1REVNRMIYSTRUC- W patiolDeck IURE VRiDR 70 RS tSSU�viCE,/LSO REOUtRES TnE AaPUCNfi FOR Sl�R7 PEHAl1T TO FILE A SIGNED W � STATEMDfT TMAT NE Ofl SHE IS LICENSEO PURSUIWT TO THE FROVISIONS OF THE CONiMCTOqS U• � � CENSEUN�(QWTERY(COMMENdNOVrtTHSECT10N70a0]OFOMSqN70FTHEBU51NES5ANDPR0. POOVSp3 � fES510NS COOE)�N 1TUT NE OR SHE IS EXEIAPT THEREFRdA M1D THE BA515 FDiI iME ALLEOED EME4V• T10N.AHYVIOLATIDNOFSECTION70�1.68vANVAPOIICANTFONAVERu1TSUEUECTSTNEMPLIGNTTO Z Re-Rao1 O �„�, A CtVIL CENALTY OF NOT MOiiE T1AY iNE HUNDRED DOlLARS lf Soo)}. � - � O�A404N1EROFTHEPROPEHT'/.ORMVEMPLOYEESNATHWAC[SAiiMEIR50LECOMPENSATqN, Q �mmereial - W41 DO iHE WOPoC AND THE STRUCTUfiE IS NOT IMENDED OR OFFEREO Fdi SALE(SEG 7a�,BU56 J . � NESSIVID YRDFE4510N9 WOE:TY1E CONTMCTORS LIGENSE UwDOES NO7A7PLY TO lW OVmEROF � , iROPEHiY IMq BUM1D9 OR MVROYES TMEREON.MID Mrtq DOES SUCH WOflK MIMSELF OR HERSELF OR � � i/WDUGHFYSORHEH01NIF/AROYEES,VFqVIDED75UT5UCHIYVROVEMEHTSMENOTHTENDEDOR m OFFEAED FORSALE F,IqWEYER7NE BUlCMN00R�A WIOVEMENTIS SOLD WI?NIN ONE YFAR OFCOMPLE• z TION.THE GWNER�ULDER VALL HAVE TME BURDEN OF PROV?q THA711E ON SME DID NOT OUIID OH = YPRDVEFOqTNEiIlRPOSEOF$A�E). W O1.1401NNEROFiHEPROPERf1;AME%CLUSNEIYCONTRACTW4WITHLICENSEDCOMMCTORS � TO Cp�STRtlCT THE PROJECT(SEC foa,,BUSINCSS AND PROFESSIONS CODE:7H[CON7MC70q5 U- VdlUdlipl � AQI.AREA � � CENSE UW DOES NOTAPP�Y TO AN ONNEfl OF A PROPEflTY W1q BU0.D5 OR MPROVES THEREON,/J�ID � �cart�E 9WOR9UCHVROJECTSWRXACplTMCTOR(S�LICENSECPURSUAHTTOTMECONTMG ounrmtv DESCRIPTION FEE 0 O I AM EXEAIPT UNDER SEC.• B.t P.C.FOR THIS REASON U . - 3 �:•�=- • --.. � -•-- � � . , ' u" DATE OriNER U F LICENSED CONTRACTORS DECtARAT10N W � IHEREBV�iFGiYUNOERFEWLLTYOFVERIURYTMATIMIUCENSEDUNDF.HVROVISqNSOFCNACTER � p., i�COMAIENCHaN7iN5ECTqN70o0)OFOMSION70FTHEBUSINESSANOPROFESSiON5t00E.AN� Z � MY LICENSE IS N FU.I F CE AN E / � o � �� ��iY � F LICENSE LLA55 LIC.NO. � �j DA� '/ ' G C -4�¢ a � WORKERS'COMP , N DECJInFiAT ON �� a � IHEiiEBYAifJPUUN�ERVEWLLTYOf0E0.A1RYONEOF1HEFd10YViN00ECURATION��� Z � 6 a � �YEM101viLLMAtMAa1ACERTIFlCATEOFCON5EMN5ELHN5UREFORNVRKERS' OOMVENSA710N,AS GROYOED BY SEC710N 77000F iHE UBOR CODE,FOR THE VERFORMANCE W Q �E WORK FOR WHld1 TNI4 VERMIT�S ISSUED. � �NAVEMAWILLI.WMA WO ERS'COAICENSATIdiM fWlC[,ASREOUIREDBY9ECTqN Q 970oOFTHEIAeOfi E,F ITXEVE�POi�1ANCEOF 1EWOHKFORWHICfITHISVERMIiI � _ ISSUED.MY�11(E .:� ENSATqRJN�S�E C CR ANC POLICY NUMBERAHE:\� . CONSTFIUCTION Z � CARRIER %' � � � PLAN REVIEW ��7 3 � voucrr+uuoEa �� ELECTHIC p _��D�I ' R p' (����Km�����T���������R+�I�lFSSt PLUM6ING �SSL� Z 1 CERTIFYTHAT NTME PERfORAIANCE OF RK FOH WHICH THIS VERMiT IS ISSUED.1 MECHANICAL C7 511ALLNOTEMPLOYAN'/VERSONMANY MPfERSOiISTOBECOMESU&IECTTOTME � WOR1cER5CdACEN5AT10NUw50FCAll NI�AN�AGFEETMn cI5H0ULOBE ME INSPECTIONFEE S SU0.IECTTOTHEWO ER5CCbtPENS SIONSOFS i . 770oOF OR cooE,�s c nvm� THo E CHO�nS�ONS ISSUANCE O /���� `� `p DATEJ AP rrt: SMIP ��... ( � � WARMN(7:FM.UR[TOSEWNE NNER4LOIAPENSAT COVERA�EISUNLAWFULANDSHALLBE ENERGYPlC �y SUBJECTFNEMPLOYERTOCIL N.LLPENALTIESANCCMLFNESUPTOCNEMUNOREDTIOVSANO ENERCaYPERMIT DOLLMS If tao.000),W ADDI770N TO 7ME GOST OF COMPENSATION,DAMAGES AS PROVIDED FOR W /� ¢ BECTpNiIoeOFTf�EIABai000E.NTEREST,Iw�ATtORNEr5FEE5. RETENTIONFEE' -�l� '1 C� OCONSTRUCTION LENDING AGENCY PRE•ALT FEE: —�� TJ . . � IHEREBVAFflRMUHOERPENK7YOFPERM1/FiY7MATTHERESACONSTA'JCiIONIENOWOACCNCY T� � � FORTIEPERFORAIANCEOFTHEWOl1KFORWHIGIlHISGEPIAITI5155UE�(SEC.�oY7,CIV.G} �vsiYy. ' � LE'IDENSWwE -i'"��i!\G � lFN0E1t'SADDPE55 � TOTAL FEES f$. g D � W I CERTIFY THAT I HAYE RE�D TNIS APF ICA71d�AND STATE iHAT 1HE hBOVE INiOFLAATqN IS CORRECT. � I AGRF:TD C01dPLY WRH ALL GTY ANq Oil� CES M!D STATE UwS flEUTNO i0 BUqDINO , 1 � CONSTNUCTION, EREBYAUTYqRR NLPRESE TIVEiOFTWSCOUNTV'iOTMTERUPONTME � ov eanFa+ws ¢crar� /Es. � / � COMMENTS 9 � � j�., cL c_.��� � O° v wwe�varn� . (n �UNA �TTEE oDAT � — � � RECP�� PAID BY VALIDATION WHITE-0opertrnent Copy,YELLOW�inanceCopy,PINK—AsaeasorCopy,GOLDENROD—File Copy,GREEN—ApplicanCs Copy - � . .. . � . . . � .. !� , i�. .• � i�.. ..J a, n• �.i. � . .. 1 .Y _�'": •� � :.l' . 1 . . .i �. ' .. � � i�.. ., . . � . .. ... �� � 1 CITY �F DIAMOND BAR.; :� :. . ;,., '.�• ; : .. ``` 'INSPECTION RECORD�..` .� . . . � � � _ . ;' ,' •- � �:;1 ._ , .. _ \. . � •��c e e � e - • � � • • - SEI`•BACK '�= -•--- ._. _ .,. �.`. ��� .� FLOORJOtST�., � � � � '� '�. � �r-. FTGS/FORMS/STEEL , ='��•" FHA REQMTS � - - - - � - - � � ELECTRIC GROUND � - - - _.'.=';,� . � � . � -.` _ - UNDER FLOOR DUCT -� -;:, • � '�,� - ' - - ' , . � � GROUND PLUMBING � " � UNDER FLOOR CU�IDUIT� • -� •.. -` " '• � ' ' � ' ... . , . SLAB GRADE � �-- � -� �-� � � - - � � FIREPLACE�FOUNDATION' � ' ' � i,: .\�. � .. • TEMP POWER -� • - -- ' ' FIREPLACE BQND BEAM -_ ' '� ' ' _' ' __ _ . • • WATER SERVICE . - -- • � �• � � - -MID HT.BOND BEAM� �• �� `. ' ' � -• � ROOF SHEATIiING �. , Ja��� .' �i _ o. 8 F,T.��BOND BEAM , - - � ,", :.: , .- FRAMINGNENTIUATION � � FINAL BOND BEAM`•. �• �, . . � , • , . .,� -• ROOFCOVER. ' IE=�G� _�" PRE-GRADING • � - ; � - -• - - R�UGH HEATING - -- - - - - - BENCHING�'• �,`,, .._.�.- �,�. , _ �, ,:,.�.,:.. • . ROUGH ELECTRIC -. - t - - ROUGH GRADING , - ROUGH PLUMBING � - " " " �- FINISH GRADING . - � ' • SHOWEFUTUBTEST - - - - - - POOL ELECTRIC • • . EXT.LATH/SIDING � POOL FENCING � WALL INSULATION �`,\ `_: . POOL FINAL � CEILING INSULATION OFF SITE IMPS. ' .- DRYWALL NAILING DEDICATIONS � ' SEWER ._. FINALENG.• • � SEPTIC TANK . ._ ... _ ^ 'r';,�� ._. LANDSCAPE/IRRIG. ' .. SEEP PIT/l..L. -.. - . - .. -.._. '' -` . _ . ON SITE IMPS. . . , GAS AIR TEST•• - - --- �- - � - - FINAL ZONING • . • .- FINALCONST. --- -- /��_(�t �Oc�*G�' � FIRE DEPT. FINAL - FINAL HEATWG- - - � - � -- - HEALTH DEPT. FINAL � _: FINAL ELECTRIC � � - � � DEV.FEES PAID -- , , � , FINAL PLUMBING ENERGY • � � - � � (.,c ,. • � ' ' •C �8 � . - ._ , � --- — ---. . -- -- . .. , � - -� , _ , . . _-.�, COMMENTS �--- - � �/,:. '�. . .__.. .. - --�-- � -- � - � - - - � ; . ' , i . , , , . _ � .' _� . . . ' . .. . .. ` , .. . ,.`\ ' � . . . . _ _ ` '.\ ' . . . �. �� , � � � t\ , ' ' • , i ;` -i�� }:., , , � .� ` `..' ' � _. . , �:� �� . _ � _. . _ _ .. , , . -. . _ _ � . i .. . _... . , . , � � ,� { 1 . --. - - -- � . . . ' ; . : �� ' ' :.t.� • � � , i . - , . , SEPTIC TANK SIZE..: ` �:.�: ,_.•���r-;� , , ' . ' ' SEEP PIT/U SiZE "''�1�, :l:�;: .l(�� - . ' I . . _ , . . , .: ; � ' � i - :,� , ., . , . . lli1�)ty.� i ; �,2�;y�A�V,ICI.liti� - � I _ : . � ' ; .. . � - ,r� �i - .. . _.. . . . , . . : _.. � : . . .. � � ! _ , � � �, � _. � � � '.��> ' �. ,• - , ' ' , . . i : . --._ . � j \�,'��. \ _ ` .. , " ,. ... � - ;�.� . � � . ` �- _ _ ; .. - - � ��: ., . . • . ._.._ 1