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CTfY OE DIAMOND BAR � COMMUNITY DEVELOPMENT DEPARTMENT ,,.;� . 21660 E.Copley Drive Suite 190 PRESS (909)860-3195 Fax(909)SG1-3117 "'""� BUILDING PERMTf APPLICATION FIRMLY 0 ADDRESS O� � � DATEICATION (f/if/Q� NUMB A if� � ISSUE TYPE OCC APN LOT CT DATE CONST. GROUP g OWNER � '*� , " ADDRESS ZONING SETBACKS CITY�•/c�,ti� 21P � "T FRONT RW ❑ APPLI NT � '{�L. REAR ❑ SIDE/SIDE STREET RW O m� CONTRACTOR J . SIpE ❑ g ADD SS +-w � CI� 71P EL. J PR�OSEDUSE �EPf/G � Ti�/�/rfC— � AR WENG/ —_Grif•IO O T'EG/./rrLr /T DESIGNER NO.DWEL. NO. NO. AD�FESS UNffS STORIES BEDROOMS � CITY ZIP TEL. y DESCRIPTION SQ.FT. FACTOR PSF ADJ.ARE/WALUATION � 04VNER•BI:ILDER DECLAHATION 5FR/ADDfqEM p 1 HEPEBV AFFIRM UJDEH PENAL7Y OF PE0.RIRV 7HAT I AM EKEAIPT FROM THE COHTRACTORS�I- G8�081C11p01[ � CEfi5EU1WFORTMEFOLLOWN(iRE�80N�9EC.70.1t.68USINES5MIDPROFE9310NSCODE:AN'ICf1YOR (n ` COUN7YNMICMNEWIRESAPEHAlI7TO00NSTRUCT,AITERUPROVE.DEAIOLISN.ORREP4RANY9TRUG W P�(ip7Dpd( 1URE.PR�i TO rt'3 133UANCE.AL90 REOUIR[S 7HE MPLICANi fOR 8VCN PERMIT TO qLE 11 liONED BTATEMENT TXA7 ME ON SHE L4 LICENSEO PURSUANr TO TME PHOVISIONS OF TME CONiRACTOH3 L4 � CEN6E UlW�MhP7ER 0(COMMENCWO WITM BECTION 700C�OF DIVISION f OF 7ME!US WE98 WO Pq0- � P�DUSpA FESSIONS OODE)OR TW1T ME OR SXE IS E%EMPTTNEREFROM M1U TNE M913 F'Op TNEKLEUED IXEMP• TIdu.ANYYlOU7qNOF8ECT10N7oaf.68�ANYAOPLIGWTFORAPERA11T8UB1ECT8TlIEAPPUCA1.7T0 Z �-qpp� � �CIVIL CENAL7Y OF/WT MORE THAN FNE MINDNED DOLlARS(t6aa).� O OIASOWNEHOFT1EPkOPERTY,ONMYEM7LOYEESWIiNWA0ESA97HEIRSOLECOMPEN5l1TqN, Q COrtImO�C191 Z M7LL 00 THE WORK AND THE 9TRUCTl1qE 16 fpT IMFNDED OR OFFERED FOR SALE(SEC.701�,BUSI- �J NESS AND IROFESSIONS COOE:THE CO4ITMCTDNS IICENSE LAW DOES NOT AVPIY TO AN OMMER OF ? 1 y ViqPERTYMM1lOBUILOSORYGR�YE3THEREOµANDYYI�000E59Ud1WORKHIMSELFOqFIEqSELFOq � THIIOUGHWSOi1HER01M�EMPIOYEES.PROVIDEDTNATBUCHIMPAOVEMENTBMENOTNTENDEDOR m � OFFEREDFOR6ALE.IF.MOWEVER7ME9UILD�NfiORIMPROVENENTIS&OIDWITNMONEYEAROFCpJPLE- Z TqN,rilE OWNERSUILDER WILL MAVE THE BUqDEN OF iROVINO tXAi HE OR!HE UIO NDT BVILD OR = MAPi10VE POR TNE PURP08F OF 5/LE1. W 04�DWHENOFTMEPibPENTY.AUEXCLUSNELYCONTfUCTNOVRfXLICENSFDCON7pAC70R3 ^ � N CONBTRUCT T1E PRO.IEC7(SEC.7u1,BUBME85 AND PROFE6610N6 CODE:TME CONTMCTOAS U� V61UiSI0n ADJ.ARFJ1 �NSE L�W DOES NOTAPPLY TOAN OWNER OFIIPROVERTYMrt10 BUMD9 OR MPROVE9 hIEREON.AND � NMOCOMMCTBFORSUCFIOqq1ECTeYV1iHACON7RACTOR(8)LICENSEDPURSUANTTOTHEOONfHAG OUANTRY DESCRIPTION �E � TORSl10ENSEIAW.�. r� O I IlA E%EMPi UNOER BEG B.L P.C.FOq TW 5 REALON � / ��� ���GT��� �� . ��` ����LLL � pATE OWNER � Q � LICENSED CONTRACTORS DECLARATION � I HEREBY/iFFIRM UAIDER PENALTY OF PE0.NJRY THAT IAIA IICENSED UNDER PROVISIONS OF CHAPTER � ,�-E���� �. r ���G' �y �(COMYENCpJO N'IiN SECTqN 70ao)OF DMSION J OF TFIE oU31NE]9 MID►HOFF931ON5 CODE.AND � X W LICENSE IS 01 FULL FORCEAND FFFEC7 r � SEEP�e•cE i'�'� Z3. '�° � LICENSECLA • ' '� LIC.NO. �^ � ,,,I � ' �j UATE CONTRACTOR i� T a �•�• ••- _ �-3�� � � WORKERS'COMPENSATION DECLARATION � 1 NEqEBY 11FFNW UI�pEH PENALTY OF VEfWNY ONE OFTFIE PpI.LO1MNO DECLAqI�T10NS: +! � ` y v � . � ^IWIVEMIDWILLMAIMAINACER7IFICA7EOFCONSENfTOBEIF•INSUNEFORWORKERS' OOIAPENSATION,ABPROVIDEOBY9EC71ONaTo00FTHElAB011COCE,FORTHEPERPORMANCE W Q OFTFIE WORK FOR WNICM TTIIS PENMI713IBSUED. . � � �Fyj __I NAVE AND WILL MAWTAIN WORKEHS'OOIAPENSi1TqN INSURANCE,AS REWV{ED BV aECTtlN Q l700 OF�I1E 4ABOR CODE,PDA TH6 PERFORMANCE OF THE WORK FOH WHICH T118 PERMtl718 195UED.MYMIOflKERS COMPENSATION IN9UNANCE CARRIER AN�PGLICV M1M8ER ARE: CONSTRUCTION � uRn1ER PLAN REVIEW Z IOLICY NUMBER ELECTFIIC Q /� 0 fn�saFcnoN��NuieEm.�tFr�ocn�nepert�saoaa�ia.ranmCouMSR+m)d+�ess4 PLUM8ING �] [J Z ICERiIFYTMATWTHEPERfOqMANCEOFTHEM/ORKFOR1NnGIlHWPEIiM� I6ISSUE0,1 MECHANICAL fM/LLNGTEMPLOYANYiER50NINANYMANNER80AS�0lECOMESUBJfi TOTME y WORICERSCOMVENSATqNLAW5OFGLIFppN1A,ANDAfiREETNATtFI OBECOYE INSPECTIONFEE � 3VBJECTTOTHENlOflKERS'COMPENSIRIONPROVISIOI�,SOFS TqN ao ftHE1J1BOA " 000e, amnnrM coe�ar xnni nnse r ans ISSUANCE • . p O�T¢: AP . � � '� G-'V SMIP � WAlWING: LIAi T09ECUHENIORKENS'CddVENSATIONO�YERACiEISUNIAWFU,AN���BE ENERGYP/C �y tV&IECTANEMM.OYERTOCRIAtINALPENALTIESMOCMLFWESUP70ONEHUNDNEDTVOUSANO �ERGYPERMIT � DOLLNiSIf1aD,000),NADDITIpJTOTMECOSTOFLOMPENSATqN,DM1AGE9ASPROV10E�FORIH 7 a ,..1 lECTiONT70lOFTHEMBORCODE,INTEREST,ANDATiOHNEMSFEES. RETENTIONFEE: LWyyL�� � CONSTRUCTION I,ENDING AGENCY PRE-ALT FEE: 1 MEREBYAFfUiM UJDEN�ENALT'OF PEM/11Y TIAT THE11E IB A CONSTRl1CT10N IENpINO A(lENCY � POR THE/ERRDRMANCE OF 7HE WOIiK FOR WIi1CF171113 PERAIIT IS 165UED(BEC.�oY7,GfV.C.). LEWER'S IWAE � LENDEH'9�DDRE54 � ICERTIFYTHA711/�VERE/DTHISAPPLICATIONAND97ATETHAT7HEABOVEWFORMAilONISCOHRECT. TOTAL FEES � ! I IIfiREE TO WMPI.YIA7TN AU,CRY AN�COIMTY ORDWANCES AND BTATE LAWS NELATWO TO BULLOINO � ODNSTRUCTION,µDMEREBYAU74pqIZE RESEMATIVEBOFTiISWWl7YTOEMERUPONTNF /� � . AlGNE�MENiIONECFROPER7YPoNINS, Ci PURPOSES. COMMENTS «/ �L!-�y' A IDi/tL � s /l�-71�./L.�• w r�_ } D. _ QP E NAiAE(V Nt)' _—__ _ -� c—T----ra N ' ♦� y E Oi ERM E �T � RECPT.NO PAIp BY VALIpATiON � WHITE—Depaitmsnt Copy.YELLOW—Flnenca Copy,PINK—Asaosw�Copy.QOLDENROP-Fllq Cop1r.GREEN—AppticanY�Copy ., . _ _ _ __ .. ., .. ....- , , ... . . .,,,,. ,- , ... . ,,.,...,,.�, ., . , . , .. . .. . , . .. , . 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' . -, ' I -- -- --- --- �---------•------ - - --- •---------- ---------- -- ---.._--- -- --- -------- SLAB GRADE � ' I FIRFPLACE FDUNDATIO ' ------- � �- --- --� --------...._ ____.. .... _—._.__ - ----- � --�.�.... -- 1-- .- -;---- �-- ----_.._.......,-- -,--- ----=---._... _ _ TEMP POWER (IREF'LACE 80NLZBEAM� � � - ' ' � : - -�----- -�:-�---�------------ . -----�------- ---_ i_____ - ---.. WATER SE VICF � " . `' • � MID HT,'6�DND BEAM � �„ �• _ _ ' _��_� �~ _�—i._�i�.+� 'Y--"_�.--•..;_a_Sl r l`"_ "____". ...."____--___._ —_ � ��. ROOF SHEATHiNG 1 � ' 8 F-C. H�3N1� BEAM �. --- ------.._.......---� ---�--.. . _ _. . _ - -- - - - -- ... - - .___._.. _ .__---�-_. .. . _ FRAMINGNENTILIATION � F!Pda.l, RnND BFAh1 i I �----�--- ----- ----- � -- . ..- - --- �--------- , � ROOF COVER t-pR- - ---- ...----- ._...__.. _.. �� . .__...---•- -- �- --�'GRADING � , � • . �_._—_------------ -�----- ------- --- ----- - - -----•-------- -�--- . -_�_ ---. __ ., ROUGH HEATING � ' t B�NCIiINC� - - --- -+-- ----._._._..I___ ........_.. .- -- - � __---._._._...----�--- -- -- ---- ------....._ ..- -----•--- -•-� - - - ROUGH ELECTRIC - � f�CUc�H GRADING --�----------- ----.. . . .. ...__ _.., --�--......_..;_� - --- - -----------..__ . . .. . � 1..._ ..._... ..._ .._L. ._ . . . ....-_ � ._ _. _ ROUGH PLUMBING ' � ` FINiSH:;RADING �• -------�-----�- `�-�--`!�-'---�-..'..-� -- �- - --- --�-.... �-�-----------�----�-�-�-- --�---------�-- ---...._______.._......._.._.. .._ SHOWER/TUB TEST � ' PODL.El_EC�T HiC � ---------- ----------------• ----....------- --.--- -�- j- - • -----------------._._._._._- ------- -- -- � EXT.LATH,'SIDING � ' . ; , F'UDL. 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FFES PAIU '; � .... -�-� --;. -.-`...------- �----- I -.....--- - - ------�--�----.......__.._-------- - -�--....._._ __.---.___..__.__.._..- --- FINAL•.P�.I�MBING ;���. -' _ ' !- . -------, ` ---'. ...... `� ------ -- -- - - � - ------ } --- ----.._..-- - . . t��v � , . -� , ,. , . ;F . � - :.� ; _. • :i7 -------�--- ---------- - + ----.._. __ _ . _ ._.. _ _ - - --- --- — -r.---------------� - __. ._.. � , .. , � r .„„,,. . , . . .. . . ' , _ ; � . . J i � ,, .. � ¢ � 1, q3u- . �..�_..�----- ._. , ,.,. , . � -. . .. . COM�,AENTS �'" "`',•'S� E��a/� -- � .;. . � -E: 1 — --- ----- - --- -- -------�------- ---- -- .-_ - _ - G��!-�----f?-,�'Q-G�G✓A-T_FiL!� __OK-__�Wrn�� G��= - tJA/vE_ ._FhN,D �,4_T�:--- �/vc _ -Y-..-... . .. ......... - -------�---- . ; ; , ca.�Nc��CT_ _i,�SO-----y/�.��_?.._.... .��_..�.._ . �__...—_ ----___.....---- ------ ----�----- --- -----�-�� • ' �--.......... . . ..... .... ...-------- ----..._ ._... _. ... . . - -. .._.. .. k :: � ----------�----� -- --- -------------_------� ---------------------�-------� -�-- ------- ---- ------- -----•--.._._...------------... . ............ . - - - �-- ---------.. ...---- �--- -- - -- -- �---------.__.... -- f{._F.. �+ �. � . . . , . ' � • 4 �{ � � �,;:� ! . �`arri Y' � � . . ... . ... _ .. _ . . . ..__. ._.._.... . '_._ .. ._.__.._...._-___ _.. _ _ ....:. i_ a "__._ , . .. , ` . _ . ... ..__.... � _ . . _ _ry,-. , ..;_�, ..... . � � . 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'_-'--`---------•-'--�'--'----._"-------_'-.--: SFPTIC TANK SIZE _--- -.---- . � SEEP PIl'/U SiZE .__._—...------- - -- .. ..._ ._ - -- - - -� - - _a _ � .. . . ...... ._ , ----- --- - - - - -.. _. � - -- __ , . . ... . ... ...� ---------------== - -- -- ---------.----..------------------- " -- �-- - � . _ ._ -- - - I I-- "— - - - ` � � �� . .. .,�. _ � g� _ �;.�---. ----__._---------- --..._._ -- -- - . � _ /o� . . . � f�, . : . � ... � � � _� . , , , . . . . . . � _ _...._.. _---- -- - - - --- --� �. -------- -----...---- ----. ......_.. � _ • . -/✓l�j Lb� <I^� _ . .. - ��n� � ��^1 �i _ i _ ��;�-1�;�- - �� -----'�`�--`-�� -��-� - . � --- --- - ----- . _ . r. ... .,.._�__.____. __..________�_._.__..----.___._ __.�..-- ..._..___--.__..__...__ .._ ��... _.... . ._ . .._ ..._.. �. . .