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CITY OF DIAMOND BAR - " -i DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � ,,,C 21660 E.Copley Drive 5uite 190 , (909)860-3195 Fax(909)861-3117 PRESS ''�O. � • BUILDII�IG PERMIT APPLICATION _ FIRMLY y JOBSITE ZII O �n / yy� APPLICA7ION- --/�""� ��I PERMfT P� � ADDRESS 7 J !�-IV�`�c.. �TL DATE `� � "" NUMBER � � APN LOT TMCT �SSUE /��j TYPE OCC Q ` DATE J CONST. GROUP p OWNER p ADDRESS Zb �'j � ZONING SETBACKS �u' C�TY ZIP � '( - FRONT Ryy � APPUCANT L�i _ REAR 0 � ��� SIDEJSIDESTFEET pyy p CONTAACTOA � SIDE � ADDFiESS � C� ZIP 9�7d L TEL90 PROPOSED USE � ARCH/E ^ DESIGNER NO.DWEL. NO. NO. ADDRESS UNRS STORIES BEDROOMS N CITY ZIP TEL. N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANAIUATION p� OWNER•BUILDER DECLARATION p SFWADD/REM e 1 NEREB�AFFYW UNDER PEtU17Y OF PERIURY THAT 1 MI EXE4PT FHOnA1 TNE CONiMCTOfiS L4 Garaga/CarpoR , CEHSLUWiONTHEFOII�.ViNaREA5p1�5EC.7aJ1.68J5WE55ANOPROFES5qN5000E.ANYCITYOR (n � COUHTYNR/ICMNCOURES�PEWAITTOCONSTRUCT,/LLTER��pwE.OEMOI!SH.OqREPNRANYSTRUC• � patio/Deck . 111NE.ViM011 TO ITS 65U►NCE.11L50 REOUIRES 7HE APPLICANT FOR SUp/VERMiT TO FlLE A SiGNCO � STATEMENT 71UT NE ON SNE t5 LICENSED MJ0.5I1MLT TO THE VROVISIONS OF THC CONTMCTORS U� CENSE LAW(C1uPTER o(COAIIAENCWO WITN SEC710N 7mo)Oc pryI51oN f Of iHE BUSINESSAND PRa u" POOVSp.I fES' 13COO�OqTMATHEORSMEI3E%EUPTMFFEFNOMANOTHEBA5i5FORiHE�LIEGEDEIlEMP• (� T1011.ANYVIOIATqNOF3EGTIONTO]1.6BYANYAPVLIGNTFO�IAPERMRbU&IECfSTHE1IVFLIGVITTO Z {�8-R00( � ACN�LiENALT/OFNOT4ONE71W/FIVEMINDREDDIXIAR5It5oa1.1: O ❑1�40M'MEqOF7HEPROPFRiI;OnYTE�PLOYEESWMWAGES�ISTTfEIRSOtECOMPENSATiGJ, � �pmmercial _ � YVILL DO THE NK%i1C,AND THE STii1CTURE IS NOT IMEI�ACD OR OFFERED FOfl SN.E(SEC.7oN,BU51• J N NESS AN�GqOFE55lON3 COOE THF CONTMCTORS LICENSE UW DOES NOT APPLV TO IW OMmEH OF ? FROVEiRY 1Np BUIlDS ON INDpp1/ES iHEREON,MIO Yrlp pOES SUq1 Mt7FiK NIYSEIf OH XE0.5ELf pq "'� C� THROUGHNIqpqHEROWNEVPLOVEES,iROVDEDTHATSUCJ111APpqVEMENTSAqEHOTMENDEDOR � � OFFEAmFOqSAL[IF,110M�EVERII�EBUlDiN40RWVPOVEUEHT65pLp1Mi)eNON[YEIAOFpprARE� Z 'TION.TME OWHERBUILDER MAIL 1UHE iHE BUNOEN OF PROVINp THAT NE OR SN[DIO NOT BUILD Oft = MPFiOVE FOq iHE PURPOSE OF S1�LE} W ❑�IISONNEqOF1HEVROCERT%MIE7(CtU51VELY0QNTqAC7lqYrt1HL�CENSEDCAHiMCTOqS [2 TO OOIJSTRUCT T}f[VRWECt(SEG 7M�,BUSINCSS IWO Pf10fE5510N5 CODE:TME COtlTRACTORS U� VBIUBIIOf1 A0.1.AREA I13 �NSEUWDOESNOTMp�'/7pINpWNEROFAGflOOERTYM'Iq9UILD50RIMPRp�'EgTMEREON.ANO � �CD�17TM uSFIXiSUCMDp61ECT9 WITHACONiMCfqt(S�LfCENSEDGURSUANTTOTHECONiMG Q(Jp(�'�Ty DESCflIPT1ON FEE Q �IAM IXEu0TUN0ER 9EC. B.t P.0 FOq TNIS pEA50N a ;� f 3 � � DATE OwNER h- � U � , , LICENSED CONTRACTORS DECLARATION W � IHERCBYAFFIRYUN�ERiENKTYOfpE1WRYhU7/lJdLiCENSEOUNDENVROVt5�ON50FCHAPTER V. . S �(GOMMENCINOYAiMSECTIpyTa00)OFOM510N�OFTHEBUSINESSANDPROFESSiONSWDE,IIND Z X 1fYUC£NSEISNFULLFORCEANDEFFECT. m �u � LICENSE CU55 IIC,NO. �34 4 � , �j DATE � � CONTFiACTOR � d W � WOHKEFS'COMPENSATION DECLhHATION a IHERFBY�i'FI{iYUNOERPENAI7YOFPEFWpY0NE0fTMEfOLLAWINGOEQAM7qNS; V � Z � �I HAVE AMJ M^CL MA]MAH A C£HTSflU7E OF CONSEM T6 S£lF-fNS:lRG FOq NCY1xFRS' _ � GOMpEHSATION,lSPRDViDE0BY5ECilON�laoOFTF�ELADpRCOpE,FORTNEPER�ORMANCE �U OF 711E WDqK FOR WHld1 THIS VEIWIT IS ISSUED. � � �I HAVE AND YYLL MAIMAW YNORKEHS'C01.IPENSATION INSURANCE.AS NCOUREp BV SFCTIDN '� J7Q0 OF T1/E UtDOR COpE,fOq T11E DERFORMANCE OF 7HE WORK FOR NMN?f TNIS FERM7IS ISSUED.4YKCIRKEHS' PENA.gAT SUfUNCECARRIEHANDPOl1CYNUMBEflMC CONSTRUCTION � CMNER �•tJ^ I�S lLu� O PIAN REVIEW .. � ����Ep- �' 7 ELECTRIC p fnass[crbr+raIDwtecm.��moF�vewatsraaa+E�artx+mmwas6+�la+�ss? PLUlAE3,NG � .` Z ICERTIfYTHATNTMEVERFORMMICEOFT}/EIMDRKiORWMICN7H15PER1AITIS65UE0.1 MECHANICAL C7 5/uLLNOTEMVLOVANVVFR50NWulVYANNERSOASTOBFLDu[StAJECTTDTHE � WOfU(ERSCOMPENSATqHUW50FCALIFC67N1AIW0AGREETMATIFISNdAOBCCOME INSPECTIONFEE ^ S SUBJEGTTO TME WON(ER5 Cd��[NSATqN PRpN510Nu OF SECTION�10o OF iNE U90fl I U coo¢,i snui FonTNv�n�torar�r v.nn�rrasE vnovuwr+s. ISSUANCE �T�� `� 1 '�- o ��:3 Z3-oo xPa�� sM�P —,��t6F-B��f1ND�AR W � WMNINO:FALURETOSECUREWORKERS'COMC[NSATqNC01IEMCEISUNUwTUL,ANOSH�LLBE ENERGYP/C wwfTCA�'.1�V � SUBhCTANEMPLOYERiOCRIMPULiENA�TIE3MJDCM�FINE5VF700NE1NNDREDTMW5M10 ENERGYPERMIT ���J��� OOLLAAS(f 100.000),!1 AppIT10N TO iHE COST OF LOMPENSATqN,ON.tAGES AS OROVIOEO FOfl M � 6ECTiON]lOeOFiHEUBORWDE.NTER[ST.ANDATTORNEYSFEES � ¢ RETENTION FEE: � CONSTRUCTION LENDING AGENCY PqE-A�T FEE: � IHEREBYAFFIRI.IUNDEHPENALTYOFVFFLIURYiNAiTMEREtSACON5TN1CTiONIFNDW6AG[NCY ' FOR THE PERFORMANCE OFTME WORK FOq VMIGH TMIS YERYIT IS ISSUED�SEG�oD],pV.C.). � � IENDER'S NAA1E � LENOER'SbORE55 � W ICEHTFVTMATINAYEREADTMSAVPLICATqNM'DSTAT(TUTT7E/�OVEMFOR1AATqHISCORRCCT. TOTAL FEES 1 f � IAGREETOCOIAP�YN7TMAl1CRYANDLDIMiYORDINANCE5AND5TATEUWSREUTRqTO&11LDW0 � CONSTRUCTICN,MIDNERE6VAUTI/DRIZEREPRESENTATNESOiTWSCOUN7YTOEMERUPON7NE ADOVE-MEHTqNEG PROPERTY FOR INSPEMqN PURPOSES. COMMENTS � a�� f��lf{- I,�liS�" s�' C�,N_ _ ¢ F 17TEEY�VdE(V ) � �3-�b �� N E 1 DATE � RECPT.NO. PAID BY VALIDATION , WFi1TE-Oepartmenl COpy,TELLOW-flnente Copy,PINK�F,�ses�aCopy,GOLDENROD-File Copy,GAEEN-/lppl�eanCs Copy . . ,.. .. .. . .... .. . ... .. .�. . .. . , ,..,.. , . , . . . , , .. .. , ,. . ... . . .. , .. . .. , . - . . .... , , . . .. . CITY OF DIA�►hOR�D BAR• � • . � '- � ' �` �INSPECTIO��! REC�RD �� ' � . . . . � I►`l:7�R��f:i'.Ie,]►!. ��)tti�= 'I�f-�����f�'�1���'1.►�-�'���.f.:�C oS����_`�I'=:� I�.E-7���:'i'o1:� . , _. :._......___�__.;..._.___.`�- --._.__ ___.�_._--_- -.-----_ ..- -- _ _ . . SETBACK , � � . : � ••,'..' .FLOORJOIST�.�� , • � �---- -- -- - --�-- � _ . �- -„� FTGS/FORti1S!STEEL • � • - , - � ` FHA REQP,1TS - - ' , ELECTf�IC GROUND - - - • � " UNDER FLOOR DUCT , j_. ,,_, ' • GROUND PLUPJIBING UNDER FtQ�J O;��h�JLT ", + '�S ' ? �'�~�� �1 `-� �'�"��:��'r�1 C .-,,�-� -�--• SLAB GRADE � -— - � - FIREPLl�'�'r'�'7IA�CA1'iC��fkJ j�=� �J , _�� :'• t-'.1�:+J U7�y TEPAP POWcR � - -� � � FIREPLA�����AI.1���� [� � ' ,�-'--, ` _,. 1�l�ATER SERVICE - -- . - MID HT. BOMJ�B��P�.��:`��`;'�'� �± ,�_���T� � '��. t �..•.� ROOFSHEATHING . 8 FL B.`,�'`i�')1���"� •c�; .`�, � � �:r�.tc��-1 ' ; FRAP,�INGNENTILIATION FINAL BOND BEAh1 ' ROOF COVER ., � PRE-GRADING . ROUGH HEATING - . ---- -- � , - BENCHING _ . f�OUGH ELECTRiC �� �- ROUGH GRADING ROUGH PLUM8ING " - - � � FINISH GRADING SHOWER/TUB TEST - � POOL ELECTRIC � EXT.LATH/SIDING � POOL FENCING � \NALL INSULATI�N POOL F(NAL ` ' _ CEILING INSULATION OFF SITE IA�1PS. DRl'b'VALL NAILING DEDICATIO�dS � SEVJER � FINAL ENG. � SEPTIC TAPdK _ _ . . .. LANDSCAPE/IRRIG. SEEP PIT/L.L. - . _ �N SITE IMPS. � � GAS AIR_'T,E$T• - � • ��- - , FINAL ZONING FIhAf.CONST. � � • - • FIRE DEPT. FINAL � FINAL HEATtPJG � HEALTH DEPT. FINAL • _ ,� FINA�ELECTRIC �� _C]p' DEV, FEES PAID FINAL PLUMBING EPdERGY I r�. ��r r.�r :�r±c��`1]�.: I Z� _. __..__. ..-j'��-�,t::��- . ----�----1���.-�::�---t COPJ��4�ENTS . � , �•, •,rz � ,. . - . .� 1 -,O`:��~':, :,�.:�!�..� , . ..'��-.' - � . . � s:�^ � -- � -' .. , , _ .. . .. ... ;��, , _ �• •• .� _�%-i,:-='-�. _. .. '' .,�'' `r,;r: -. - SEPTIC TF,NK SIZE SEEP PIT/U SIZE � � _--___ 'I►`J ' --� .;. • _ ' � , . ���� • I�, -- - � : � -1 . �,,-. - - - - ��-�.��."�'!�.=�.. � 1�`,1`i�u��-- . � _. .. , . . .. � , , , ;k � ; ., �-�: � • � ., ,