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_�� CITY OF DIAMOND BAR �,r� � DEPARTMENT OF COMMUIVITY&DEYELOPMENT SERVICES r r� > 21660 E.Copley Drive Suite 190 `•� , (909)86Q3195 Fax(909)861-3117 PRESS ��'�.� BUII.DING PERNIIT APPLICATION FIRM�.Y Q ADDRESS `S�� �YC7'L� �-'��./ �PPUCATION PERMIT '� .`�„ P/C �_O��'1 a DATE NUMBER I�l � t 1 �, ISSUE /} ' TYPE, � pCC APN LOT T A T DATE oL�� �� CONST. GROUP � OWNER � ADDRESS � ZaNING SETBACKS CITY_ I TEL. FRONT RW ❑ APPiICANT 7E�_ REAR ❑ � SIOE/SIDE STREET RW ❑ CONTRACTOR Z SIDE ❑ ¢ ADDRESS � CITY 21P TEL. PROPOSED USE e'W S� � ARCFUENG! f�wn�p n n�� DESIGNER r7'"t)b�'�� ADDRES NO.DWEL. NO. NO. � CITY Z�p �� ��y-� UNITS STORIES BEDROOMS u� � DESCRIPTION SQ.Ff: FACTOR PSF ADJ.AREANALUATION Q OYVNER-BUILOER DECLARATION 5FR/ADDIREM 2,3 O 1 MEHEBY AFqpY UJDEii PENALiY OF PE0.IURY THAT I AM EXELIPT FRdI T/E CONTIUCIORS L6� � G8f8g9/011pQl CEI�SEIAWFORTHEFOLLOWINaREA&ON(SEC.7o37.6BU81NESSNlDPqOFES510N5CO0E:ANYCINOF (n COUNT'WHlpl qEOUINESAPERMffTO CONS7ilUCf.KTER�MVROVE.DEMOLISH,OX REMIHANY S7AUG � R1qE,MdqR TO R8 ISSUANCE.AL80 REG11RE9 7HE APPLICANf F�R SUCH VERAIIT TO FlL6 A SIONEO� � w � Z Z BTATEMEM TI4R HE OR SHE IS LJCENSED PURSUANT TO THE oFiOVIS�ON3 OF TNE CONTMCTORS U- CQiSE LAN'(CHAPTER Y(COMMENCNO WI7H BECi10N 7000)OF DMSION 7 OF iME 6US1NE53 MIO PRO� �' POOVS�18 ' iESSqNSOODk�OpT1U7HEORSHEISEXEMPT7NEREFROMANDTFIEBASISFOFTHEALlFOEDEYEMP•� (� TION.NiYV10LATIDNOF6EC'TION7W7.6BYANYAPPLICMRFOfiAPEflMIT6U9JECT5hiEAPPIICMlT70 z pg•Rpp� ' � lICML►EW1LT'OFNOTMORETUNFNEMUNOPED�OltARS(i500�.g 01.�80WNEROFTHEPHOPERTV,ORMYEMPIOVEESWI7HYVAfiE9A3THEIR30LEC04CENSATION, O COn11116fCi81 YALL 00 TIE WGY(Ah�THE BTRl1CiURE IS NOT INTENOE�OR OFFERED FOR SALE{BEC.TOu,BUSI� ,,,,I y NE53 AND PROFE9SION9 OODE:iHE CONTMCTOR9 UCENSE lAri DOES NO7 MPIY TO AN OYYNER OF . iRDGF��M106lADSOR�A0f10VE9THEREON,ANDWIqDOESBUCHWORKMIMSELFORNERSELFOR +� C �� CL TNHOUGHM90RHERONMB�IWAYEES.GROVIDEDTI1A75UCNMPROVEMEMSARENO7MENDEDOH m � OFFEpEDFOfl8ALE1F.NOMIEYERTME6UILA1N00RMPROVENFJJ7155OLDNAT/11NqJEYFAROi001AP1E� � TqN,TME OWNENiUILDER MALL NAVE TNE BUROEN OF VpONNO iHAT NE OR SH6 OIO NDT&J7lA OP MPqOVE FOA THE rURPOSE OF SALE1. � O4A40NMEROFTHEPROPEHf1:AMEXCLUSNELYCONTRl1CTINUNRTliLICENSEDODNfMCTORS TO OONSTRUCTTIE PRO.IEC718EC.7os1,BUSINESS MA PROFESSIONS OODE:TNE CON7NACTOA4 U� V8111811d7 ADJ.AREA CENSE LAYI OOES NOTAPPLV TOAN OM7iER OF IIPROFERTY YYF10 BULDS OR IMPROVES TMEREON,ANO WIIDOONfRACTSFORSUd1GNOJEC75WITHACONTMCfOR(S)LICENSEDPURSUANTTO7HEODNTRAG QUANTITY DESCRIPTION FEE � IOR.,UCEHSEUWJ. ❑I AY EX91PT UNDEH SEC. B.i P.C.FOR THIS REASON � � V , , u� F�.. OATE OWNER V � � J f�s( LICENSED CANTRACTORS DECLARATION W fZ INEHEBYAFFlRMUiDERPENALTYOFPE1WFiYl'IMTIAMLICENSEOUNOERPROVISIONSOFCHAP7ER - � � Y(OOMYENCMxi N7TM BECTION 7a0o)OF OMSION 3 OF THE&15MES5 AND opOFE5510N5 CODE,AND Z �V W t10ENSE IS N FtRL WHCE 1A EFFECT. �f' m � LfCENSE CLA53 LIC.NO. ` ��l � DA7E CONTRACTOfi a WORKERS'COMPENSATION DECURATiON � � IMEREBYAFFlRA1UtNJERPENALIYOFPERIU(iYONEOFTHEFOLLOWINGpECLAMTIONS: Z Ll _IIi�VE/NDWILLMIIIN7NNACEHfIFICATEDFO0N3ENT70SELHNSUNEFORYfORNERS' _ �i COIAPENSATION,AS PRONDED BV BECTON slo0 OF TME IABOR COCE,FOR THE VERFORMIINCE �U Q OFT/iE WORK FOR WHIp17F118 PERMIi18155VE0. � Q �1 HME AND WILL FUIRfTNN WORKERS'Gd�fPENSATION INSURANCE,A5 flEWiRED BY SECTION 97o00FTHE4ABOHO�OE,FORTHEPEHi'ORAIANCEOFTHEWORKFORWHICNTHISVERMITIS �[�L�'� /1 � ISSUED.MYY/V��� 5'COMPENS INSUMNCECAPRIEHANDPOLICYNUMBERARE: CONSTRUCTION � � v7 V � f�7 CARRIER l �� � PLAN REVIEW � aoucYNUNeER � .s„_�y ELECTRIC ���dO t// �y 0 (ilissEcrqNNEIDNDTBEWhRETIDaFT1EPEw�f�SPaiGVEM1H7RE�001AMSR��1�RLfSS? PLUMBINO O vV W � 1 CERTIFV TFNT N hIE PEflFORAAANCE OF THE YlORK FpR WMICM THIS PERNIT IS ISSUE�.I MECHANICAL SHALL NOT EMGLOY ANY PERSON W ANV MANNER 50 AS TO BECAME SUBJECT T07HE ii" Vj WOpNERS'COMPEN9ATqNLAW80FCAL�FORNIA,ANDAOREETU7IFISHOIlLU6ECOME INSPECTIONFEE SUBJEGf TOTHE NIORKER5 WIdPENSATION►H0IIISIONSOF SECTqN J70 F THE LABOR - Q .i sHui arHvnn�caaxv w�rH TH e PAov p� ISSUANCE DA7E� APPLiCAM: $MIP O Wl1N71N0:FAILURE SECURE WDNKEFS'COMPENSATION GOVERM3E IS UNIAYVFUL,ANU SMAL�BE ENERGY P/C �l �y� � BUB.IECfANFMPLAYERTOCRMIWALDENlLLTIESANDCIVIlGWESUPTOONEHUNDREDhqU3AN0 �ryERGYPERMITC F Dl 1 �s X .f, DOLUfl9(�100,000�,INADDITIONTOTNECO3TOFCOMPEN5AT10N,DMIAOESASPROVIDEDFORIN �T�+ V � SECTIDN]7oeOFh1ELABOROWE,IN7ERE5T.ANDAT70HNEY'SFEES. RETENTIONFEE:BZ DLA�v� O CONSTAUCTION LENDING AGENCY pqE-AlT FEE: � �C i XEqE9�AFFIRM UlqEfl PEMILLTY OF PE0.JURY IYNiTHERE IS A CONSTRUC710N LENDIN��BENCY � � FOH THE PERFORMANCE OF TXE WORK PDR NM1II H TNIS PERMIT IS ISSUEU(SEC.�Di7,CIV.GJ. 1_ � /� � n V/ � LENDENS NM1E !� �� 1 C LENDER'SIIDDRE55 + � ICER71FY7NATIMAVEREADiHISMPIKATIONANDSTATETINTTIEABOVENFORMATpNISO�RflEC1. TOTALFGES �3�� �� �+�����kJ �y I AGREE TO CON7LY WITN ALL CRY MI�COUNTY ORDINlW CES ANO STATE UWS NELATING TO BULLOING � CONSTRVCTION,ANDHEHEBYMRHORIZEIiEPqESENTATIYESOFTHISCOUNTYTOENTERUPONTNE IIBOYE•MENfqNED PROPERTV FOR INSPECT Acoses. COMMENTS � PEIiNRTEE NAME( I � � � � � SKiN11NREOFP I E OA � ' � RECPT.NO• PAID 6Y ti VAI.iDAl10N VYMITE--Depertment Copy,YELLOW--fhence Gopy.PINK—Aaaessa Capy,GOLDENROD—Fie Capp,GREEN—AppllcenCs Gofry GITY OF DIAMOND BAR , , ' It�SPECTION RECORD ' � � , . � . . � � , . i. . SET BACK . FL�OR JC}IST � ;t .'. ',,l i :�l 1� ::: ' ;.I` .�� ;, FTGS/FORMS/STEEL L[•�3 � FHA REC2MTS . ,!, ,;,, •; ,, E�ECTRIC GROUNd ' UNDER FtOOFI�� CT:� 3 ;.:,rj +,-, � ' � . p �4... .� GROUND P�UMBING UNDER FLOOE#rdONDU1T: .°:i�' ���;, ��� .� • � -. .�°�.=. > SlA6 GRADE FIREPLAC�.FOU`'ND�ATI�N • -• . TEMP ROWER ' FIREPLAC� OrJ BEAM � � -1 �"E - ' ' .'��`�`t WATER SERVI - MID HT. B�ND BEAM� � " � � ROOF SHEATF{I1�G��' ' ' �+ � `+' 8 FC BOND BEAM FRAMINGNEN7ILIATION ?•��C•� FINAL BOND BEAM • •�r.� .. � R�OF COVER PRE-GRADINC�.'i'' ` ROUGH HEATING BENCFII,N�'' ' L.' :, i' ''-�: ' ] -y.=''• ROUGH ELECTRIC - ,:�.� ; ROUGH GRADING ROUGH PLUMBING ` �;�,� FINiSH GRADING SHOWER/TUB TEST t•V POOL ELECTRIC EXT.LATH/SIDING i � POOL FENCING WALL INSULATION POOL FINAL CElUNG INSULATION �l� OFF SITE IMPS. 4RYWALL NAILING -;� ►� .��r.,`, � DEDICATIONS SEWER � � FINAL ENG. SEPTIC TANK , ,. �� LANDSCAPE/IRRIG. � SEEP PIT/L.L. - " y� � ; QN SI7E IMPS. �— i GAS AIR TEST FINAL ZONING FlNA�CONST. � FIRE DEPT. FINAL F1NA�HEATlNG I � � HEALTH DEPT. FINAL ; F1NAC ELECTF�IC 1 � � DEV. FEES PAID FINAL PLUMBING I ENERGY ^-i�— i ' ; �. —� �`� _ � • �' _—`____I_:—__ �� .. ._ __ ; , _=,-- � • � . C06VIMENTS , •, ; - ; ,� . , \ r r �'.. f � ! ! r...! �:1' ;3,,+ �. {i,4 J ,T._._{..-.-- _ �` •�, - t �•'1 � c-� -. j � � � '; i'�..,� �•:.�" � � r� � t 1��. .. ^ �� 1 c F �—•= — . 1 3 �.,�. ... t F . l 1 i t _ 1 ) � ..� , �, . i . - • SEP7iC�TANK SIZE _ � � SEER PIT/U SIZE _ � —�- ---- ��Ily�i '; �i i ����, , I� V�i � �. i! � - � ► y — . i�.... � ` -- S j `..� .1 �' . . � . � . ` . • � � . t � . . � „y �.. � ---._ � —'.�. v." . � � l . _i".. _ , •�