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. _ .i---- --- - � --- .. ._..-�----�-�-- � CITY OF DIAMOND BAR � COMMUNITY DEVELOPMENT DEPARTMENT � .,,� . 21660 E.Copley Drive Suite 19D . PRESS (909)860-11951'ax(909)861•3117 " ^'M'� BUILDING PERMITAPPLICATION FIRMLY � JOBSITE. .� t APPLICATION (^ � PERMIT �� P/C o ADDRESS � � DATE vJ � NUMBER le � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP � OWNER � ZONING SETBACKS p ADDRESS .�$ .,„_ „ �7 , FRONT RW ❑ " Z CITY • ZIP TEL. � REAfl O g APPL CANT 7EL. SIDE/SIDE STREET RW O � CONTRACTOR SIDE ❑ � ADDfl S -PROPOSED USE � ^ C�� '� o ciTv zi �. + o ARCH/ENG/ ' i � .. � DESIGNER NO.DWEL ,��5 . . a ADDRESS UNITS � $ TORIES BEDROOMS � CITY ZIP TEL. • � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � _ OWNEF-BI:ILDER DECLARATION SFWADD/REM O _ p 1 HEAEBY AFFIRM UNDER PENALTY OF PEiUUHV THAT 111M EXEMPT FROA1 TNE COHTMCTORS L4 GarapelCerpon � W CENSEUWFOR7HEFd10WINOREASONISEG70.71.SBUSINE55/NOPROFESSIONSCOOE.ANTLITYOR (n � CGINTYMMICHNEWIRES�VERMiTTOCONSTRUCT,ILLTE(L WPR0IIE.DEA�OLISN,ORREPAIRi4fY5ifA/G W PitiQ/pgCk . TVRE,GFqR iOITS ISSUANCE.ALSO NEOU�NES iME AP7LILANT FOR SUQI YERMR TO FRE A SIGNED W , � E7A7EMENT TMAT NE OR SHE�UCENSED VURSUMI7 TO iME iROV1910N9 Of TME COHTPACT0115 L4 � CENSE Uw(CHA7iER Y(COMYENCNO WI7H SECTION T000)�DIV4510N]OF THE BUS�NE55 AND PR6 � POOUSpB � FESSqNSDDOE)ORi11AiHEOF5ME15E%EMPT7HEREFpOMANDTHE8A515FORTNfALLEGEDf%EMP• �J TION.ANYVIOLATiONOFSECTi0N7m�.6BYANYAPPLIGW�F01iAVERMiTSUBJEGTSTMEMPLIGWTiO Z Re-Rool C O0. � ACMLiENALTYOFNOTMONETUNFNEHUNDi1EDDOLUR41f5oo�.): � O�ASONMEROFTHEPRODERTY,ORYYEAIPLOYEESYATHW�CES�SiHEIRSOLELVM7EN5ATpN, 0 �mmareial YALlOO THE WORK.AND THE STRUCTVRE IS NOT IMENOEOOR OFFEA[0 FOR 61LLE�SEC.7a1,BUSb J NE55 ANO DiiOFE55�ON5 COOE:7XE CONTMCTORS LILENSE Uw WES NO7 AVPLI TO AN ONTIEH OF N PROPERTYNM1�OBV4D90RIMPqOVESTMEREON,ANDNMO00E55ULHWORNNIMSELFORHERSELFOA = � Q 7HROUGNHISOqNEFOWNElA7lOVEES.CROVI�EDiHATSUCMWPROYEMEN75�RENOTMENDEDOR m � W pFFEHE0iOR9KE�F,lIOWEYE0.IMEBULDINCORMPppVEMENTI550LDWfTWNONEYEMOFCOMPLE• ' � TION.ME WVNER�Bl1MER WILL HAVE 7HE BURDEN OF VROVNO 7HAi ME Oi15NE OD NOT BUIID OR Z IMPiqYEfORTHEGUHPO5EOF5ALER " W OI.ASOWNEROFiHEVROPEHiV,M1E7(QUSIVELYCONiMCTNOWRMUCEN5E000NiRACTqiS � TO COHSTRUCT 7HE PROJECT�SEC.7o�i.&15iNE55 AND PROFESSIONS COOE TME CON7MCTORS LI• _•V01Yet10f1 AQI.AREA W CENSEUWDDESNOTAVPLYTOANOVMEROFAVROPERTVWriOBULD50RIMPROVESTMEREON.AND � VnqCON7MCTSiORSUqiORWECTSM7TMACONTMCTOR(S�LICENSE�WJRSWWTTOiHECONiRAG pUAtJ'fITY DESCRIPTION F'EE -� � TOHS IICENSE UW). 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B.aV.GFOHTHI5REA50N U � ¢ ' � OAiE OWNER ~ � � - Z V __ • � �¢ LICENSED CONTFiACTORS DECLAAATION ' ' �j [L IHERCBYAFFIflMUNDERVEN�LTYOFiEfUUMTMATIAMLILENSEOUNDERVRONSqNSOFCHAPTER Vr � d 9(COAYAENLIN6 MrtiH SECTION 700D)OF DMSION]OFTHE B�ISINE44 AN�7pOFE55qN4 C00E,ANU Z X MY LICENSE R N ML FORGE�ND FFECT. m ' lL � 0 LICENSE CUSS � LIC.NO.� J V DATE '� � CONTMCTOR ' a W [�1 � � WORKERS'COMPENSATION DECLARATION x��� � � U✓ V N INEREBYAFFIN4UNOERiEN/�LTYOFVERIURYONEOFTNEiOLLCNiNGDECUMT10N5: ' N 4 � _IH�YEANDN'ILLMNNTAPIACERTIFIGTEOFCONSENTTOSElfiNSUREFORWOfiKERS' _ WYPENSATqN.A4GROViDEDBYSECT10N�7ooOFT1ELABO�IC00E,FORiHEPERFON.UIHCE w Of THE WORN iOR WHiCH TMIS VERUti IS ISSl1ED. .� G W �IH�VEANDW�LLMAINTAWWON(ERS'CMIPENSATqNINSURANCE,A4RE0Ui0.EDBV3ECTION Q 7700 0F THE LA90R COOE,FOR iHE VERFOflMANLE OF THE WORM,fOR WMIGI TMIS PERMR�S Z � ISSUED.MYNVRKERS'COYPENSATqNINSURANCECARRIERANDPOLICYNUYBERME: CONSTRUCTION J j WRfUER PLAN REVIEW Z DOLICYNUMBER ELECTRIC 6 Q (fFi55ECipI+t�EIDWo7B[OOMtEimOFTEPEriMr6fCa0rEruailEDDau0.SRiW)dltFssl PLUAABING Z ICERTIFYTHATWiHEPENFORMANCEOFiHENK)RKfORWHiptTMISPEflYITLSISSUED,I MECHANICAL (,'} SWLLLNOTEMOLOYANYPERSONNANV1A�wNERSOA5TO8ELOMESUBJECTTOTHE _ �. N WORKERSCOI�IPENSATqNLAW50FCK�FOiWI.�MIDAGREETMATIFISHOlAGBECOAIE INSPECTIONFEE � SUBJECTTOTMEWORKERS'COMPENSATiONPROVIS�ON50FSECTIO ]70oOFTHEU80R � �j* � � � scooE,� coatHwrrHcanvirvnn�t sEyao ia . ISSUANCE _��„��-- -- -- — � � SMIP � p DATE:��:�� AGPLICAMi. W ENEAGY P/C WARNINO:FIULURETOS CVREN'ORKER5COM7 N511TqNCOVEMCEISUNUN'FUL,N�D&MLLBE ��►� /� �� �y SUBIECT�NE47LOVENiOCRtAARLU.PENAL71E5ANOCNILFINESUPTOOVEM/NONEDTFIOUSAND ENERGYPEFlMIT �Illf_l{_M �.7 DOlLWS(t�00,000�,IN�ODITION 70 THE COS70F CO�APENSATqN,DAMAOES AS PAOVOED FOR IN —Q�T«�—T J SECTIONl70lOFTXEUBdiCODE,NTERE5T,AIAATTOPNEY5FEE3. RETENTIONFEE: � a CONSTRUCTION LENDING AGENCY • PRE-A�T FEE: O - Q I MEREBY AfF1A1A UNDEF iENALTY OF PERIURV THATiNERE 15 A CONSTRUCTION LENOIN�AGENCY � iORiMEPERFORIIANCEOFiHEWORKWRWMQ/TM15PERMITI5155UE0(SEC,70G1,pV.G�. . � ... � LFNDERSNAIAE � IENDERSlIDDRE55 � WICERTIFYiMAT11uVEREADTMSAFiL1CATqNANDSTATETMATiNEA80VENFORMATIONISWHREtt TOTAL FEES , � ' � I�GREETOCOAIPLYWITHILLLCR'/ANDCOUNTYOFO�NINGES�NOSTATEUWSREUTWGTOBUiDINO GONS7RUGTION.MID MEREB7 AUTNOW 2E REPRESENTIITNES OF TMIS GOlM7Y TO ENTER UPON THE Z ABOVEaAENTIONEDCROPERTYiOqINSVECTIONCUFPO5E5. (� COMMENTS � =,;��-�. �1clKer�.,__:.. - -- -�� �-�� _ - _ . . m � ��G�E�A�a,�`''� � � �n'�-�l� � U O E i EE .� D�TE ' ( � , . ' . • �� • '• .,=-..=- -_ RECPi.N PA1D BY VALIDATIO . . WHITE—Department C.opy.YELLOW—FNanca Capy.PINK—Asseaaor Copy.G NROD—File Copy,aREEN—AppllcenPs Capy . . . " . . � � �°'' . • ' . . � ' . 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FHA REQMTS .... -- _ i .. , _. . _r::,;. . � - ELECTRIC GROUND - ' >UNDER FLOOR DUCT • �� � • - � ; ;�' GROUND PLUh4BING "� �. � ' UNDER'�1:00R�CUP�IDUIT - ` ' `'��' ' SLABGRADE - --- . �. - . , FIREPLACEFOUNDATION.-.--- - -- -- - �. . � � � - -- • - - -•• -- --- ---- - ---� - TEh1P POVUER -=- - : -= - ... _ - FIREPLACE BOND BEAM - • - -� ='-- � - - - . . '�:'�' :- ; ' _. . _ . WATER SERVICE:. ._,__ � _. _. .'.:' �. . - = �., P�11D aT.�80N�BEAh4 �-,'- - •-, ......- • -• -:•... •` � . — -. - ROOF.SHEATHING� -•:-� �o�f��c ` _ ` �� e Fr.BOND BEAnn � ' �''� �'' f , FRAMINGNENTiLIATION �'�''.�� �'' � 'FINAL BOND BEAM - � ' - -- - . � _.. � - - - - - ROOF COVER- - - ,-- - • PRE-GRADING � ` � � . . _ i , :, , . .. .. . ,__. ROUGH HEATING - -- ' -- -- � � BENCHING � i `- � ROt1GH ELECTRiC- - -- -' --�- --- - � � � ROUGH GRADING , , „.. . . � ROUGH PLUMBING �-" ' ---- �' - �'- ' � FINISH GAADING . .. . � � . f :' SHOWER/TUB TEST - - --�- � � ��- - - -- P�OL ELECTRIC ' • '� '� EXT.LATH/SIDING __ -- -� -- - � - ---_� .�. � _POOL FENCING . . � : . ; WALL INSULATION ; POOL FINAL• � ' � : CEILING INSULATION � • OFF SITE IPAPS. � � DRYWALL NAILING ' � ' dEDICATI�NS � � ; � � SEWER � � FINAL ENG.. . ' ' � .SEP_TIC TANK= _ ' ' - - ' "-`� ` : .LANDSCAPElIRRIG. . •' SEEP P1T1L.L. :- -._ .-- - -- ------ - --- �-- '--- . ON SITE iMPS. • � � ' GAS AIR TEST -- -- -. ._.._. . _.. ._.... .. - -�- -- - FtRE D PT.I F NAL-, _ . _._ :. �,� , -FINAL CONST. ;- --. �y��� _' � -- - -- . - -- FilVAL-HEATING --- �- - � -! � - H�ALTH DEPT. FINAL ;- , . FINAL ELECTRIC.-. _. . ---- - - - - ------� . _ DEV. FEES PAID � , , : : . - --- --....__. . FINAL PLUMBING- -- - - � - E�dERGY •' • .' . . ! � . . . _ . .'. . _ -- . . , ��,'A�,;���,�, ti��; _ . . . . . , � _. ....... ._. . . ... .. . .__ . . . ._ . . , --- � . ' j � � ,.. -- -- ------- - -- � �--- --- - -� .. � COMMENTS . ._. ., .� •,; .. .. , :- ,�. . .. , . � - .._ . _ . . . ----- --- --�----- ---------- - -- - --; -.._ .._ . . . . , . , .. , ( f - --- -- ----�--- - -- ----- -- --... .. --- -� - ---- -- - � „ . � � , i � � . . , . . ; , � � ---- - - - , � i - . , - - - _ . , - - -- --� --- --- - ---- - ., i - - -- , . . � � � . _ ....--- -.._ . . . . _ . . .-- - .. ' � � ` • � �- " . i . . '. . _ _ _... :� �.1,-�`� -- . i ; .,. . :. ' ;: � _ .. � _ ` � i I _ : '_, --. .�- ' ' ' -�,-• -} - - I -.... - - ---���i i� il �;�i!. ,. , i ' , �. . ,.. . ; .; SEPTIC TANK 51ZE - - . - - . . . -- - - -- , _ �-- - --� -.._.. _ .:. .. .:.... .....�:.: _. .__ . SEEP PIT/U SIZE... __ . .. ..--- - . ; _. . . , . . . . .. _ . ._.__ . ... - - — — , I ; . . . ' ,. . „ ,-,. � i ,_� � i . _. . ,.. �-- - • ►�t i.. - - -- .._. . . . i - .. _ . • � ; � . � _ ' i - ;r. �. i �-: -• ....._. . _-.:: - - -- --- - - - - -_ ; . :�� � . . . , � ,,`��� ,- �� . . �.. ..- _. ._.. .. _ . .,, � ' ; � i ' .- - -• --- - . . ._.. __.. ... .. .. . . ._....��' ,�Z f.S � -- ���� l Sn//�i+1-�i')fj's . ' . . . . .... . _ � � - . . . - - - - � _ - - - - - - - -- .� , � �. �,� .p� - �-� . � _. _,. � -� :�.�� -.- - -:- - - _ - -=;--_ --.= - - -- �- _� �