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_�� CITY OF DIAMOND BAR � � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �� 21660 E.Copley Drive Suite 190 ' (909)860-3195 Fax(909)861-3117 PRESS '�". BiJII,DING PERMIT APPLICATION FIRMLY o AODRESS�I /I� /�Lr�T�QYJ� pF� DATE CATION � � NUMBER� �1� ISSUE TypE OCC -- APN LOT TRACT DATE CONST. GROUP � OWNER � ADDRESS �� �� L GV/�� Q 'T ' ZONING SETBACKS cirr W� N ZIP ��1 R�,. � . � . 3 y FRONT RW ❑ � APPLICANT�W� Sa 7E1�.�q S' � SIDFJSIDE STREET RW ❑ � CONTRACTOR W��o�1� MM►�JNi[(CCiaJ� SIDE � ADDRESS.�`��v� 11 ,"tn S'� 5 u i L � CITY�P1ANn 21P�]$��.qN�l• �3 � PROPOSED USE o ARCH/ENG/ � • � DESIGNER NO.DWEL NO. NO. AODRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. . N N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLAHATION SFRlADD/REM O p 1 HEREBY AFFlIW UHDER VENALTY OF PERIUM iHAT 1 AM E7lEAIP7 FROA1 T11E CONTRACTORS U. G8f8gB/CeryOrt lll C£NSEIAWFOR7HEFOl1GWIN6REASON(SECT0.71.6BUSiNE55ANDVROFESSIONSCODE:ANYCI7VOR . 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FROVERiY N11q BULAS Oq IMPRO'VES iHEREON,If0 WYp OOES SUp1 N'ORN HIMSEIF OR HERSELF Oq ¢ TNROU011H90RNEROYrtiEMPLOYEES,PROV10EDT1ATSUG/MPpOVEMENTSARENOTMENDEDOR m � OFFERmFOR3AlEW.HOWEVERTMEBU0.DPWOHM�PROVEMEMI550lDW1iHMONEYFAROFCDiA�LE• Z 'TIDN.TNE OwNER�eUIIDER W0.1 MI1vE TME BURDEN OF VROVu�lfl TNAT ME ON SHE DID NOT BUIID OR WMPf10VE FOq TME YURPOSE OF SALE} OlA50WNEROFiT1EPROVERi`/,MIIX0.USNELYGDHTMCT4MYATHLICENSEDCONTMCTOHS � TO CONSfRUCf THE PRWECT ISEG 7N�.BUSINESS AND VROFESSIONS CODE:THE COMRACT00.5 LI• VelueliOrl ADJ.AREA CENSE IAW DOE9 NOTAPPLY TO AN ONNER OFA VROPERTV N1p BURDS OR b1vROVE4 TF1ER[ON,AFD YIND CONfMCi3 Fd15UCJ1 CHOJECT3 W1711ACOIJTAACTOfi(S)LICENSED PURSUMITTOTHE CONTR/�G OUANTITY DESCRIPTIO.Y � foAsucascuw.�. FEE -- O IAA10(EMPT UNDER EEC. B./V.G fOR TMIS REASON Q ` �� 'Tk.O/��l 3 � - u' DATE OWNER U . � LICENSED CONTFiACTORS DECLAFATION W . •- 'i I ' " � I HEREBYAFF6iA/UNDER VENAITY Of VEM1qY THAT 1A11 UCENSED UN�[R PilOVI5pN9 0F CHAV7ER � • � �(COMMENdHOW1T115ECTqN7000)OFDMSqN70FTHE8U5tNE55ANDPROFE55iON5CO0E,AND Z • X MY UCENSE R N FULL FORCE AND EFFECT. � LLl �y A � �l10EtiSECl/yS . IIC.NO. ��` —1����_ � �j 2� � CONTMCTOR.IJ E�1�'�i�� tL`M N` a W � WORKERS'COMPENSATION�ECIARATION Q � IHEREBV1lFF6iAlUNDERGENALTYOFiEiWRYON[OFTHEFOLWWINODECLAFUTqNS. Z � � �IHAVEANDNnLLMANTAINACERTIFICATEOFWNSENTTOSELF-INSUREFORWORKE(i5' a L = Q C0IIPEHSA7qN,A9VMNDEDBY8ECT10NAaoOFTMEUIDOiiCODE,FORTHEPERFORMANCE U Q OFh1EMIORKFORriMIG171nSVERMIT6155UED. � � _I MAVE MID WILL WMAIN VVORICE0.S'COUPEN5A71ON P15U{UNCC,AS pEd1IRED BY SECTION Q 770oOFTMEIABORCODE,FORiHEPERFORNANCEOFiHEN�OitlCfOiiWHiCMTHISPEPoAtT15 � ISSUED.MYNt7RNE'R14'CpAVEN3AT10NWSUMNCECARRIERM�OVOIILYM1M8fqARE: CONSTRUCTION � CARRIER G rv�T ��7 L PUW REVIEW � GOLICYNUMBER W�rF� �"l �,0� ELECTRIC _ ""— 0 fI14"s[CI�a+NEIDNOTe£Od.sL.ETIDOFifEPEiy.RSRJRONeMM%iEo0cuAlup�m)ontFSs�. PLUMBING Z ICERIIFYTMATNTIEFERFOfi1AANGEOfTMEWORKFORMn11p1T715iER1AITI51S511ED,1 MECHANICAL (7 SMILLL NO7 EMPLOY ANY PERSON N ANY W W NER SO AS TO BECC#1E SUBJECT TO TME (p YAPo(ENS'COAIPENSATIONUVISOFG4IFORNItiANDACREETHATIFI5H0UlDBECDME INSPECTIONFEE -�' � Y �J S SUBJECTTOTHEVNRKERS'CWAFENSATqNPROVI5l0l1SOFSECTION77000FTHElABOR - COOE,I SFiALLr i^Oi{ilM17H CO►IPLY VlITH TNOSE GROVISIONS. ISSUANCE �-'"�~ _n �� SMIP �� p DATE:��Z��v D APPLICANT: - , � ENERGY P!C �� � � � WMMNO:FA4URE TO SECURE MOFINERS'OOAIPENSATION COVEMGE IS UNUN'FUL AND SHALL BE �y SU61ECfANEMPLOYERiOCRIMPIALVENALTIESANDLMLFWESUPTOONEYAINDHE�litlUSMMJ ENERGYPERMIT ���V ^'f ��Iftao.000�.W ADDITION TO 7ME COST OF CpAPENSATiON,OAUACES AS DROVIOED FOR iN � SECi1ONf7oeOFiH[UBOROOOE,INTEREST,ANDATTORNEY9FEE3. RETENTIONFEE: ..�T\��� • � OCONSTRUCTION LENDING AGENCY PRE•ALT FEE: ��i ��•'�^ � INEREBY1liFI1l1AUNDERVENAL7YOFGE0.R1fiYTHA7THEREISACONSTii'JCTIONIEN�w�A�ENCY yV• ' FOR iNE VERFORAIANCE OF THE WONN FOR Nn11p/THIS CERu1T IS ISSUED(SEG]OYI,CN.C.� � � LENDER'SNAME . � IENDER'SADDRE55 � ICERTIFYTUTIHAVEPEA�7MSAPGLIGTIONANDSTATETNATTIE�BOVEINLORYATIDNISCDRRECL TOTAL FEES ///������JJJ p_ IAUREETOCOUPLYNrtTNILL1CrtYANDGDUNI`/ORDiNANCE5ANO5TI.TEIAYVSRELATNaTOeULOINa � l � � CONSTRUCTION,ANOMEREBVMlRqRREREVRE5EN7ATIVESOFT/uSCOUlRVTOEMERUPOHTHE , � /IBOVE-MEMqNED PROPE0.TY FOR W SPECfqN PVRPOSES. COMMENTS � Ot� i . w� Sf'w�^1 ' a° wrm ww�vw — /J W 6 L � y WTE � RECPT.NO. PAID BY � VALIDATION WHITE—Oepartment Copy.YELLOW—Finenco Capy,PINK—�IUseasor Capy.GOLDENROD—File Copy,GREEN—ApplicanPs Copy , . -• ..- .. . ,.. , ., , . . . -� •�..r fi-. ��: .. , � • �• � . ., . . . , � , . . • .� .+•. , .. . .. -�-�� -" CITY OF DIAMOND BAR , • •�. •� • ��" ;` � ` .- . . ,'.:=1NSPECI"fON RECORD �; ... � -,; .. � �� •.• �'.. . ... -_- . • , .... -: ',•.� . .. ..'..�1►.k�-�K��f��C[7►k ... . .�:��� _ il�����.��.o�pt�� 'fi`��d�:�n��►��_`��� . :1��-����;:���1 SET BACY.... ,. . -\— �,; . . I � .�•. �� 1;�- - FLOOR JOIST ��. �1 � �� i. - f. I � � ��� � ' . ` � � �S � •; — . , . _... FTGS/FORt,AS/STEEL _ .' FHA REQMTS •--- - - --- - � - - � - --- ` � ELECTRiC.GR0UN0_ - �:'. ".. _ _ - - --- UNDER FLOOR DUCT - - GROUND PLUMBING - ' � UNDER FLOOR COf�IDUIT �- • � - . , i ;' SC,48 GRADE" - ' � - -�-� "- --- - � .� FIREPLACE FOUNDATION -� • � ,;. , ��_,. --- - '��., t ' TEMP POWER ---- .:•'' -- -- -- -- . '. , . ; � FIREPLACE�BOND BEQM _ _. . ' . . ; ��. VVF,TER SERVICE-�- --- -=_. - -: -: � -_--- .. - ' MID HT.BOND BEAM ' ,'. .� ` , �_ , .. , � ; ROOF SHEATHING �- -- - - -- _. �. - '8 FT.�OND BEAM i.�., � - ;;�;,�. ; � FRAMINGNENTILIATION � FINAL BOND BEAM • ROOF COVER�'. � PRE-GRADING � � - - , ; • -ROUGH HEATIPlG—� - -- _. . _ .-- . .--- . . ...._ BENCHING --- . � ' . _ ; • : RO;JGH ELECTRIC - - -' -' '--- � - � -� ' ROUGH GRADING " ROUGN PLUAdB1NG -' � -- --' "- - � . FINISH GRADING , , • SHOWER(TUBTEST - �---- �- -�� . POOL ELECTRlC ' EXT.LATH/SIDING ; �- � � �- "� � POOL FENCING ' � " � ' WALL INSULATION POOL FINAL ' CEILING INSULATION � � OFF SITE IMPS. • DRYWALL NAILING � DEDICATIOCJS ' - : SEWER___ _ _._._.; _ . FINALENG. ' � .SEP_TIC TANK........ .. . ... _.. __ _. . :_... .. .. LANDS�APE/IRRIG. � SEEP P!TlL:i.: ;:-::_.___:_-_ -.' . .. . .. _.- _ �. . ON SITE IMPS. . . . ., ., , ,- GAS AIR T�ST;- — - ,- .. : -_ , FINAL ZONING . . -FINAL-CONST.. ..- _._ ._ _.._ .. ,. . �.. .: , " FIRE,DEPT. FI�IAL - - . , FiNAt FIEATING -� ��- � -� HEALTH DEPT. FINAL • - ' FIPdAL ELECTRIC ��_"�y- {� DEV.FEES PAID - - : FINAL PLUMBING ENERGY � • � _ -��:���C C')Gi4-____ __ •�, " -- ..::a..,...�. • � . .. , _ . ---- - --. . _ ..._ _ .. . ._ ._ , . . COMMENTS - ----- - - ' � �" -- ---- - - - - - -- -- -- � -- -- - • , ; ,. -- - -- - --. -- - -. ... _.._. _._ . . ..--- � , . ..�.-- • - - ' ' � ,' ' .. - - -._. _ .. _ . , , ., � • � c __ _ ; I . - SEPTIC TANK SIZE � ' . � � � , � _ SEEP FIT%U SIZE _ . -• - ------------, I I .'��... - ; , _ _ . . . � � - ,`���• . • ,i . ,. , .'. • ' . .. . , . �� • i , � , � - - - - . .. ... .._. _.. ... . . ... . � . i � I • � --- - �- - i - -- - . . . . . _ ., . � " • . . _ . . ' �- ' _ . . — - - - • - �� - - �I � , � ,� ` . ._ � --• �- - - t�ii � .___�.__�� �- -, , - - - ,�;;: �. : ,.;_ �j: �.; . .. - --. ._._. � ;