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CITX OF DIAMOND BAR EXP�RED � �� -- DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � . 2i�oE.c��eyn�;��s�c�i90 JUN 191001 PRESS (909)860-3195 Fax(909)861-3117 �`•�� BUII.DING PERMIT APPLICATTON F MLY 4 ADD ESS F / �� �`����� AP �� `� � O� NUMB R 'C � ISSUE O TYPE OCC APN LOT TRACT DATE CONST. GROUP g OWNER ADDRE ZONING SETBACKS � CITY ` ZIP �Y/�STEL. FAONT RW ❑ APPLICANT TEL. REAR ❑ � _ SIDE/SIDE STREET RW ❑ CONTRACT SIDE ❑ � ADDRES _ PROPOSED USE CITY ZIP TEL � ARCH/ENG/ DESIGNER NO.DWEL. NO. NO. ADDRESS UNfTS STaR1ES BEDROOMS �� CITY ZIP TEL DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OVYtJER-BUILDER DECLARATION SFWADDlREM O p I HEREBY AFFIRM U10ER CENILLiY OF PERNRY THAT 1 AM E%EMPT FiIOM TME CONiMC7DR5 lF GafBge✓Cefp011 W CEN3EUWFORiHEFOlLO'MMOREA..ONISEC.70.71.6BUSMESSANDPPOFFSSiON500DE:ANVCRYOF (n � OOI,MfT`/WLIIOIREOUIRESAPE{tl.IRTOCONSTiNCf,KTERaPROVE.0EY0U5M.ORREPNRANYSTRUG W PatidDedc 7URE VRIOR TO R915SUANCE N.50 f1EWIHE51TtE APPUGINT FOR SUCH PERAIIT TO FlLE A S��NED w .� E7AtEMEM THAT HE Ofi SHE S UCENSEO PUPSUAM TO iNE VHOY410N5 OF THE CONTNACfONB U- � CENSE UM'(CHMTEF Y(CM��MENCVJO WfTH SECTION 7D]0)OF DMSION]OF TME BUSINESSANO PRO� � POOUSDB iE53DN5 CoO�OH TUU HE OR SHE IS E%EMPT MEPEFROAI ANO TME 8.�515 FOIi THEILLEftED E%EA1P• TqN.ANYYI0LAT10NOF5EGTI0NMJ7.6BYANYMPUClNTFORAPERAIITSUBJECTSTMEAPPLIGWiTO Z Re-Rool � ACMLOENKTYOFNOTAqREi1UW FIVEHUNOREDD�lUA31f5no).k I � ❑4�R'�YNIEROi7HE7ROPEfm,OA�VEMPLOYEESNn7HWA0ESAS7/1EIR50lECOMPENSATION. 0 COflIrtIBfCl21 WLLL DO TME YIORK AND THE SiRUCTUNE IS NOT INTENDEO Oq OFFERED FOR SN.E(SEC.7a�,BU51� J NE59 Alq DROFESSIONS OOOE:T1E CONiRACTGI9 LICENSE UW DOES NOT AOPLV TO AN OwNER OF � PROPERTYVINOBU4DSORIMPROVESTHEREOH,/WOM�NOOOESSUOiNt%iKMIuSELFORNERSELFOi1 � � 7HROlXLIHISORNER01VNfMVIOYEES,VROY�DED7WITSUCMMPRpyEMENTSARENOTMENDmG1 � OFFEA�FOfi SALE IF,1101YEVER7'NEBUIDINOOR IM70.0VEMR7TIS SOIC NRf1iN ONE YEAR OF COMPL6 � �TION,THE OWNfR-BU6.DER�`nLL HAVE TNE BURDEN OF VROVNp THAT HE Oil SNE 0�NO7 BUILD OH IMPRDYE FOF TNE PUNPQSE OF SALE} �y„� ❑IA+OwNEROFTHEFROiERTV,AME%CLUSNELYCOMMCTINnW�iH4CENSEUGON7MCTOR9 ¢ Tp CONSTFiUCTT7E iFWECT(SEC.�Os�.BUSINE53 M'0 PROFESSIONS CODE:THE CONTRACTORS U• V3111a110� ADJ.AqEA 4�� CENSEUWDOESNOTAVVLVTOANOVRIENOFAGROVEflT'/WNOBULD50RWPFpVE$h1EREON.AND Z YRIOCOHTMCTSFOqSUCMGA0.JECT5M�7HACONTMCTOR(SI��CENSEDPUflSUNRTOTH[COFlTMG QUANTITY DESCRIPTION FEE fvyp� IONSUCENSEUW.). � O I MA EXEMPTUNOER SEC. B.a P.G FORTHIS RE�4SON � U � �2i" DATE ONNER V . o LtCENSED CONTRACTORS D[CV�FiAT10N —� � w INEHEBYAFFIRMUNOERPEIUITY�FOEIWRVTMA7�AAILICENSEDUNDERFROVISIONSOFpUV7FR V. � �(C044ENC7qNATNSECf10NZ 00�OFUIVISION]OFiNEBU5WE55N10PROFE5510N5`C0DE,rIC1 Z O u L��SE�FULL F99 _CCA1D�FECT. LIC.NO. � " " � J „� V L/71�0 � �'j oxrE cornrucroa � � a W � WORKEFS'COMPENSATION DECLARATION 4 N IHERIDVAFFIiWIM�ERPEN.LLiYOFPEfWRYONEOFTHEFOIIOW�NCOFCURATICNS: V N Q O ��WIVEINOWILLMAINTAMACERT�FICATEOFCONSE�.'TTOSELFaNSUREFORWORKEFLS' 2 � CdIPENSAiqN,�S PROVOE�BY SEGiION]TDOOFTHE VBOF G�OE.FOR THE PER�OflMANCE W OyME N9fL(FORYMIGI i/!IS VEAMIT IS ISSUEO. G � '�HAVEAND WILLIMMNN WORKERS'COMPENSATION INSUWWCE,AS REWIRED B�SECTION Q 770DOF1/1ELA80i1CODE,FORMEPERWtWINCEOFTHCWOR1fFONVn1ICHi11I5VERM�715 ISSUED.1.lYVYORNE ' OEN�TION SUMNGE RI RANO MIMBERME CONSTRUCTION ' � 1, -� -���� PLAN REVIEW � POLICYNUMBER fJ,�ly.r �.� ELECTRIC 0 (IH65CGTIONFEIDNOTBEff�1.RETFDOFIIEPEPoATBiL(SOn�EHl1lLttim0�11M51Sim�OqLEss1 PLUMBING ' Z I CERTIN 7HAT MJ THE OERFORIAANCE OF THE WOfLC fOR W/11p/TNIS PEFM?IS ISSUED,I MECHANICAL (J SMALLNOTEMPLOYANYiER50NNANYYANNER50A5TOBECO�.�[SUBJECTTOiHE �j WORKE SCOM NSATqNUWSOFC�I�FORNI.tANOAGREETHATIFIS�tlLl.�BECOME INSPECTtONFEE S SUBJf TO NqNKERS'COAIPENS VHO`ASIONSOFSECTK1NJ7000FTHE A ISSUANCE �—�7� � ` E oan�witHca.+�.rvn� t vnowsar+s. 1,� ./�--�TT-f* p � 4.._. � p DATE: � � APPIICANT: . , � ENEFGY P!C � WAlWING:FA0.URE TO SECURE M9fiKERS 001.�PENSATqN COYEMCE IS UNLAwFUL.�ND SM.LLL BE �'y SV&IECTANEMPLOYEPTOCH9APULVENALTIESANDCMLFlNE5U7TOONEHUNDREDhqU3AND ENERGYPERM ��, DOLUFiS(f 1 W,0001 IH ADDITK7N TO THE CAST OF COMPENS�TqN,DAIA�CES AS PNOVIDED FOR IN � ¢ SEC7%1ND7oeOFTMELA80fiCO0E,�EREST,ANDA7fORNLY'SFEFS. q�ENT10NFE : �' d CONSTRUCT�ON IENDINQ AGENCY PRE•ALT FEE: BY• I � O —'-- � INEREBYAFFIRMUNDEHFENILTYOFFEiUURYTHATTHERE15ACd15TPUCT�ONLFNDINCACENCY . dZ iOq TN[PERFOPMMICE OF TNE WONK FOR WHICH MIS VERMIT IS ISSUEO(SEG 7aY�.C1Y.G�. � W � IEFIDERS NM1E . C IENCER3ADORE55 C . ' WICERTIFYTHATINANEREADTHISAFPLICATqNM1DSTATETW�TT1fAB0'�EINFORIAAT�d115CORqFCi TOTAL rEES - ` d IAGPEETON/APLYWITMNICRVAN�CIXIN1YOfIDP1ANC AHDSTATEUWSREUnNOTOBV1lAiN0 � 'h CONSTRUCiION.MlOHEREBVAUfNOfUZ REVRESENTAT OFTHISCOUNiYTOENTEHUPONTHE i� . � ABOVE�AIEMIONEDPROPERTYiOHINSP C710NCURV05� CpMMENTS r . O �/� I _ �- .'. m vEau E(PRINT) ¢ � � sqw�ru ov vtwemEE � . RECPT.NO. PAID BY ' VALIDATION � WHITE—Department Copy.YELLOW--Finance Copy.PINK—AssessorCopy.GOLDENROD—Filo Copy,GREEN—ApplicanPa Capy �, I - — — � � � . '4 . . . ,. . - , ,• 'f +�2• , r. . . ..4 • �,�. ..��[' .... � ,�.� _, � � -�- , .r -. ... ��.. ,.. n . ,. , . . . . � . � CITY OF DIAMOMD BAR . , . , . , It�'SPECTION RECOPD � :� ; " _ . .. , . � ,,.��,.�.� ry. _ ..�. � � �`.✓?�'��.��F�-�.:.i��' �� .. � ._, �..�. 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' FIREPL:ACE BOND BEAP,A . . - _ ,•""� , , - -- 'WATER SERVICE - __ MID HL BOND BEAM_' . _ '� ' . , , ; �ROOF SHEATHIPJG 8 Fi'.BOND BEAM . . � - � - ! � ;FRAh11NG.NENTIUATiON FINAL'BOND BEAM ' ' : ` ;ROOF COVF_R PRE-GRADING - ' ?ROUGH HEATING BENCHING • • , i ; iROUGH ELECTRIC_ '._. _ : .: ' ROUGH GRADING _ _ _ ___ ;ROUGH PLUMBING-- - -- -- - ---- ----- - FINISH GRADING ' : ;SF'OWER�i'UBTEST .: .� - -.-__.__._�_._._____ POOL'ELECTRIC � � iE?T.LATH/S1DWG- POOL FENCING I ' W��LL lNSULATION- � - POOL FINAL � Cc1LING INSUI:ATION - - �FF SITE IMPS. � ` ; - ;DRYWALL NAILIPJG - - DEDICATIONS ' ; = ;SEWcR _ FINAL ENG. - , � , �;"r.PTIC T/1NK LANDSCAPE/IRRIG. :�EEP PITIL.L. _ ON 51TE IMPS. � ��AS AIR 7EST FINAL ZONIP�G - _.__ - --- i=1NAL CONST. ' _ _ _ _ _ . ._. FIRE DEPT. FINAL FlP�l�.L HEkT1NG - ___ �. HEALTH DEPT. FINAL � ` _._ :��i�Al.CLECTRIG-- _ _ DEV. 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