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J� CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES i� 21660 E.Copley Lkivc Suitc 190 ' (909)86Q3195 Fax(909)861-3117 PRESS h'�'�� BiJQ.DIIVG PERMTT APPLICATION FIRMLY } JOBSITE p APPLICATION PERMfT 1 ��/ _'Q,p/C o ADDRESS ��� C) �I lVL',� L�(P DATE NUMBER ����K � APN LOT 4� TRACT ��'-I(7 U ISSUE �_�1 O_(7 TYPE OCC DATE ��- � CONST. GROUP p OWNER • 1 � U. C . p AD�RESS • M ZONING SET8ACK5 �w CfTY_r��./1�� ZIP�Q�pTEL� • �f�J FRONT RW ❑ APPLJCANT TEL. SIDElSIDE STREET Ryy p � CONTRACTOR A I I S(�Dc�/L SIDE p o CrD�D�RES , � P � T������ pROPOSEDUSE � oAHCH/ENG/• � DESIGNER NO.DWEL. NO. NO. n. ADDRESS � CITY ZIP TEL UNITS STORIES EiEDROOMS � N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� . OWNER-BUILDER DECLARATION SFR/ADD/REM O p 1 HEREBV AFFiPo.I IMDER ifNALTY OF VEtWNY THAT 1�w E%EUPT FaOM iHE LOHiluCioRS u. GaragdCurpoR LlJ CENSELAwFOqiHEFOl10NnN6p[ASCN(SEC.7mt_SBUSWESSANDVROFE55lON5CO0E:M7YUiYOR (n U COUNTrNMIGIpEOUIRESAPEN.tRTOCONSTRUCT,ALTE0.MPROVE,DE�OLISM.OIiREPA1RANYSTRUP W patiaDeck � � TURE.PR10R TO RS ISSUANCE,AL50 REOUIRES TNE APPLICANT FOR SUCH PERMiT TO FILE A SiCNED W � STATE VEM TIAT HE OR SM[IS LICENSED 7URSUMlf TO T1E GROVISIONS OF THE CONTMCTORS L4 � S CENSEUW(G1APiERy(CpA1MENCNO WITM SECTIJN T000)OF OMS�ON J OF7HE BUSINESSMIJ PRO� POOUSPe T FESSIONSCDOEIa1T11ATHEOR5FIEISEXEMPTMEREFROMANDTHEBA5I5iORiHE/iLLEGEOE%FMP. C7 V TION,M7YVIOlA710NOF5ECTION7071.6BYAffVADPLICAfR�OFADERMITSUBJECTSTHEAPPUGWTTO Z Re-Roof �„_, A CIVII VENALTY OF NO'T I,IORE TUV!ilvE HJNDRED OOLURS I{so011: � OlIl501YNEROFTHEDROPERTY.OfiYVE4PLOYEESMATMwACES�STHEiRSOLEC04PENS�TION, COf11R1Bf�I3I - YALL DO TN[WORIC MID T11E STRUCTURE 1:NOT plTENDED OR O�FERCD FOl1 SALE(SEC.7ou,BUSI� � � NESS N1D PROFESSIOHS COOE:ME C�OHfMCiORS LICENS[UW DOES NOT APPLV TO JW OWNEH OF ? , PROPERTI MT1O BU4D3OR IIAPROVES MEREON,AND MMO DOES SUCFI WOqIS HI45ElF OH MEPSELF OR wTHROUOMNISOfiMERdNNEMGLOYEE5.if10VIDEDTHATSUCHMPROVEMENTSARENOTRiTENDEDOq m Q OFFEfimiOfi5PLE6.HOWEVERIHEBUIDINOORIUVROVEMENT1550(DWfTMNONEYEAROFCOMPIE� Z TIOH,T1E OMMER&11lDER WILL MAVE THE BUROEN OF Gfi0Yk10 7NAT HE Oq SME DIU NOT BULLD Oq � YPROVE FOH TTIE W11P0.5E OF SALEI � �y,� ❑4ti40M�NEROF7HEPRDPEFT'/,A)IEXCLUSNELYCOMMCTINOWITHLICENSEDCDMRACTORS (t TO LONSTRUCf iNG GROJECT(SEG 70u,BVSiNES5/WD PROfE55iON5 OODE�,THE CONiMCTORS LI� V0IU2tlOf1 AQI.AREA L1J CENSEUWDOE9NOTM7LVTOANONT�EROFAPROPENiYW/10BUILDSORIMPROVE5T1[REON.AN� � Yrt�DOONTRACTSFORSUCHiRQ1ECTSYY1n1ACONTRACTOR(5)IICENSEDPURSUANTTOMECOHTRAG QUANTITY DESCRIPTION FEE � TOHSLICENSEUw} � �IAA1 E%EIAGTUNDER SEG B.t P.C.FOq THiS REASON Q 3 �' LL ¢ OATE OWNER U � t10ENSED CONTRACTORS DECLAAATION W OC IMEHCBYAFFlMIUNDERVENALTYOFPERNRYTNATIAMLICENSE�UND[RPRONSIONSOFCF1AVTER � p. /(COMMENCINON7THSECTIDN7oDolOFOMSqN70FTNEBU51NE55AN�VROFFSSqNSC00E.AND Z X W UCENSE 6 N Ml FORCE ANO EFFECL , m L1J In � � UG'l�N SE CUSS � LIC.N0. �+' �U � V RfE� �� COMMCTOR d W � WORKERS'COMPENSATION DECLARATION a r., N IMEREBV�FFIMIUNDERPENALTVOFOERIVMONEOFTHEFOLLOVnNOD[ttAMTqNS: Z � �1 �, O � _IHAVEANDWILLU�NTNNACEHTIFIGTEDFCONSEMiOSElFdNSUREFOAWOPKERS' S /'y� �a�., CIIYPENSATqN.ASVqCN�CDBYSECT70Nf7ooOFT11ElABORCOOE,FONTHECER�ORUANCE U � � ` •�� L-C�t. Q OFTIIEM/ORICFORMMIGfTHU^PEiiMiTISI55UED. � _� � �IHAVE/W�1YI:LMAIH7ANY/ORKER+^CqAPEN5A7qNINSUfUNCE,ASREQNRF.DBYSECTION � . Q ]7000FTHElABORCO0E,f0liTH[GERFORMANCEOFTHEWORNiOHNR1ItlI7NI50EfUA1T15 � 65UED.MV WOR EfiS�2COMppVENS�nATq��N..I��N,,SU�,RANCE CA�R1RICR M,l�V7OLIC�Y NUTAOER ML: CONST{�IUCT�ON > CAHHIER���( _ I�I/t��vl_�I PLANREVIEY� � POLICYNUADER ��IC�jr � ��(�g ELECTRIC . —jtU�.� o (n�s[criaarrtmrme[ca.s�Fr[naMaw.rtswna+[�uaa[neaunsR+omrn«ssy PLUMo,NG w Z ICEATIFYTIUTNTHEPEAF011MANCEOFTHEWOHNFORWHICMTHISPERMiTI5155UED,1 MECHANICAL (7 S�WI.NOTEMPLOYIv+YVERSQVNuivM�wNER50 TOBECOMGSVa�ECiTOTnE (n WORKERS'COIAPENSATIONUWSOFCAlIFO . DA REE7H' ISMt]UIOBECOM[ INSPECTIONFE[ � y _ SIAIECiTOTNEWORKERS'COIAFENSA' D VIS ' � OFiH[UOOR `Y �ID.Er.1^51U� LL(�FOi1hN11MCOlAPIY nn+os '(/�/(/l��.� ISSUANCE rv � ���ct, p DATE:��� APPLICA . ' � O" SMIP � ���,�'�}'(!�' � WMN�IM:FAILUR[TOSECURLVIONCERSCOMPENS �IONCAV[RAG ISUNUWRA.ANDSIULLBE� ENERGYP/C �� '�� � SUBJECTANEUPLOVERTOCR1YmALVENIITIESANDCMLFINESUPTOONEIIUNDREDTMOUSAN� � J� OOLIARS(t100,0o0),WADDITIONTOTH[COSTOFCOMPENSATION.�AMAGESASPROVlDEOFORN ENERGYPEFMI7 '`Q ��w� � SECT10N�1oeOF7NELABORCOOE,INiEREST,ANDATfORNEY'SCEES. RETENTIONFEE: ` l�`•�y OCONSTRUCTION IENDING AGENCY PRE•ALT FEE: �G��V� cL IHEREBYAGFlMdIM�ERVENILTYOFPERrt:MTHAT7XERE6ACON5TRUCT10NlENOINC�GENCY l.�C ��� 4Z• fOR iNE DERfORMANCE OF TME MIOw(iOR VM1CH iNIS iEiUAl715155UED(SEG]oa],CIY.G�. � , W ��._ .� IENDER'S NANE C - s � LENDER'SADORE55 �� TOTAL FEES //��..�� 1 CfRT1FY TMAT IHAVE HEA�THIS APPLICATION ANO STATE TUTTNE ABOVE NFORIAATION IS CORHECL �_ � �/�O. � IACRE'TOCCMPLVWITMAL�GTYAIACOUNTYOHDINANCESAND6TAiElAWSREUTINOTOBVIDING L�� � Cd�STRUCTION,AHDMEREeYAlIf1q1U2EREPRCSEMATNE50FTMISCOUNNTOENTERUPONTHE . �WYE�MEMIONED 7ROPEFtt FOR INSPEC710N YUIIPOSES. COMM[NTS 9 . _ m vew�m Hue� � - � y� � SIQHATUR[OF " E DAT � R[CPT.NO. PAID BY VALIDATION WHITE—DeDartrnentCopy.YELLOW—FinenceCopy,PINK—�AsmasaCopy,GOLDENHOU�ibCopy.GREEIJ—ApplicanCsCopy � -� � CtTY OF DIAMOND BAR � � . . , ., � � �`�' � �'� �INSPECTION RECORD�� - • � � � � • • ' • � � • ' SET BACK . ; j FLOOR JOIST , � .,- : .' . . ' FTGS/FORMS/STEEL ~ ��!":. . : t . I_. FHA REQMTS� •. ELECTR�C GROUND � � UNDER FLflOR DUCT `` �� GROUND PLUMBING UNDER FLQQR COMDUIT�;. � : ".:��•; ,.., ":.• ,; , SLAB GRADE � FIREP�AGE'FOUNDATION-�' ` � - � •`� � : = TEMP POWER ' FIREPLACE BOND BEAM WATER SERVICE - � MID HT.BOND qEAM . -- • - • � RdOF SHEATHING - 8 FT. BpN�:BEAM, ,� ' � -~ ��.•:��- � � FRAMWGNENTILIATION FINAL BOND BEAM ROOF COVER " PRE-GRADING • ROUGH HEATING -(o•� 4\ BENCHING � ROUGH ELECTRIC - � ROUGH GRADING ROUGH PLUbABiNG .� - - FINISH GRADING SHOWER/TU0 TEST POOL ELECTRIC ' EXT.LATHlSIDING POOL FENCING WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING DEDICATIONS SEWER FINAL ENG. SEPTIC TANK _ LAN�SCAPE/IRRIG. SEEP PIT/L.L, - UN SITE IPAPS. GAS AIR TEST - FINAL ZONING FINAL C�NST. FIRE DEPT. FINAL FINAL HEATING ((�`��(� HEALTH DEPT. FINAL FINAL ELECTRIC - DEV.FEES PAID FINAL PLUMBING ENERGY l�;�� �s l�(flF'; _ . ;�._tr.._.a r,:�. _ � - - � .._- ._� .._ ... COMMENTS - � ' ' � � • . . . , . • _ __ ...., . -:�,_ - , � . � . � : . :; , _ 1 ' S / � ' • � 1 1 . " • �_' � � �'�� ' l • �. -�.\ .... ' . ' � .:1 1'./ . � 1 1 . . .._. . � . ' �. SEPTIC TANK SIZE ' SEEP PIT/U SIZE r, '_., � i ,1 � < : � �� .� , , :�� �, ;i _