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Home My WebLink About12089 �� C1TY OF DIAMOND BAR � ' DEPARTMENT OF COMMUNITY 8c DEVELOPMENT SERVICES �� 21660 E.Copley Drive Suite 190 �� ' (909)960-3195 Fax(909)861-3117 PRESS � ' �'�'� • BU�.DING PERMIT APPLICATTON FIRMLY oN JOBSITE .2 d Z� �. I��/'�_r�,j�,_ DATEICATION g �� NUMBEFI� #� ADDRESS d �/ �l/ `�� $ _ ISSUE TYPE ' OCC • APN LOT TRA T �I DATE CONST. GROUP p OWNER �C_C�y�1, �-��, p ADDRFys$_��5 t�_TDI^!'Ow1CQ. `R��l • ' ZONING SETBACKS � CITY ZIP�',�Q��;TEL. S�� R�R RW ❑❑ APPLI ANT TEL. SIDE/SIDESTREET ` RW O � CONTRACTOR G � �SIDE � ❑ ADDRE S ' � CfTY 21P�� TEL 22L�94l"7 - PROPOSED USE Q ARCH/ENG/ • DESIGNER NO.OWEL N0. NO. ADDFiESS UNITS STORIES BEDROOMS � CIN ZIP TEL N rn . �ESCflIPTION S�.F7" FACTaR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLAHATION _ SFR/ADD/REM O _ e1 HEREBY AFFGi�I UNDER PENAITY OF PEiWRY THAT 1 AA1 E%EMPT FH01.1 T1E COHfMCTOiiS l4 Ganpa/Carport . 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W OIASONNEROFTIEYROVERf�;MAEXCLU5IYELTCONTMCTNOWITHLICE�EDCONiRACTORS� (= TO CONSTpUCT TME PROJECT(SEG 7oN,WSIHE55 AND Pi10FESSWNS COOE:7NE COHiMC70R411- V81U8fi0f� ADJ.AREA � W LENSEUWDOESNO'TAPPLtTO�IJOVMEROFIIVROPENiYNR10611M1D90R�dPROVE9iHEREON.MD f w�+ocarrrn�crsraasua+vaa�crsmnuoonrn�cror�s��keNs�ruasuurtrot�+ecanr�� pUANTITY DESCRIPTION FEE � TINiS LICENSF UW.F O I AM EXEMVT UNOER SEC. B.t P.0 FOR iN15 REASON a U LL � � � DATE OWHEH U , ' � UCENSED CONTRACTORS DECLARATION � � , � w IMEREBYAFFYWUNDEFPEIUL7YOFiER1URYTFIATIMILICENSEDUNDERPROVI5iON90FCHAP7ER � , S ��COM4ENCW]Nrtf115ECT10N7000)OFDMS�ON70FTHCBUSINE556NDVROFESSqNSCODE,AND z iL W UCENSE IS N F1M1.L fORGE MD EFFELT. m � LICENSE S d �O LIC.NO. Z ��.. � V DATE (� " . COMRACTOA ��<' d W � WORKERS'CAMPENSATION DECLARl�TION a � IHCREBVAFFINf1UlAERVENALTYOFVERAIRYONEOFTXEfOLLDWINGOECIAfUTIONS: Z ' � �IHAVEMAWILCMAINTANACERTIFlG.TEOFCOHSEMTOSELF-INSUREFORNOAHERS' a _ � CdIPQlS�TqN,A9VROVIDEDBY5ECT10Nl700OFTHELAFfORCOOE.FORTHEPERFOR/UNCE W Q . /OFTMEWOFiKFORYMIG1TM19VERGITISI55UED. � � � V IHAYEANDM7LLMA1MAP1WOf1KER5COM7QlSA710NINSURANCE,ASREOU�REDBYSECTIDN ' � 770oOFTMEUBORO00EfOftTHEVERFOiWM'CEOFTNEWORKFORVrt9p1TMI5PERM1T15 ISSUED.MYWORKE COA1 HSATWIWSUiLWCECM iERMlDPOIICYHUM�ENME: CONSTRUCTION � CMRIER � K�d P EW � POLICYM1MBfR_�/ L� o �ssccr�rtto�+orecoo►s�reooFneven.�rsraaor�r�w+moaw�sa,�ion�ss> PLUMBINa y ICERTIFYTu7HTH[VERFM+AIMICEOFTIIEWORKFORWHICHTMISVERMiTISIS5UE0,1 MECHANICAL (7 SM�ILNOTEMPLOYMlYiER50NNANYMANNEHSOASTOBECOMESU&IECTTO7tlE � MORKERS'COMPENSATiONLAW50FCALIFOPNthANDAC1iEETMATIFISMOULDBEODME INSPECT�ONFEE � /.� , S ' 5�6.1ECTTOTHEW0f1KER5'CpdPENSATqNPFONS10N50F5ECTqN17000FTHELAEfOR ' ' ' � COOE,I SNALL FWiTN'MTH COMPtV WIM TIqSE PROVISIONS. ISSUANCE � .SMIP. p DA7F: APPLICAM: � � ENERGY P/C WMNINO:fM.URE TO SECURE M�OHKERS'COAIPENSATqN COVERAGE IS UMAWFl1L.MIO SHALL BE ' � SUBJ[CiANEMPLOYER70CWNINALiENALTES/�NDCMLFWESUPTOONEMUNDREDTMOUSAND ENERGYPERMIT � ' DOLIMS ptao,000),N ADDITONT0711E COSTOFC9AIPENSATION,DM��.CESASVROVIOEO FOfi W � SECTION770lOFiHElA80flODDE.NTEREST,ANDATfOFNEY5FEE5. RETENTIONFEE: nw.. CONSTAUCTION LENDING AGENCY pHE-ALT FEE: �� E' �I'' • ' O � IMER[BVAiF11WUNDERVENAL7YOfPERA1RYTHAiTHEIiEISACONSiRUCT10NLENDiHaAOENCY ' ' z FOA TME PERFOpA1ANCE OF THE WORK FOR NMlpl TMIS DERIAIT IS ISSUEO(SEG�007.dV.GI. W � LENDEItS NAME � LENDEH'SADDRE55 a ICERT1FYiXATINAVEREADT115APPUCATqNIWDSTATETUTTIEABOVENFOMUT10NI5COiWECT. TOTAL FEES � - `J � W IA(iREETOCOIAPLIWITMALlG7YANOCOUNiYORDPIANCESl1ND5Tl1TEUWSRElATN070BVIlDN10 ' � CdJSTRVCTION,MDHEREBVAUIYIOKREREPHESEMATNE50FiMISCOlN7YTOENTERUPON7HE . S� �BOVEdAEM10NEDVROVERTI'FOi11N5PECf10NYURPO5E5. COMMENTS 9 ^ .WtR. L 1 0 - - . 4 DERu1TTE E(7RiNT) � � y 510 PE F YENM�TTEE Wt S RECPT.NO. � PAID BY VAL10AT10N ~ WHITE—Depertrnent Copy.YELLOW—Finence Copy,PINK—/lssessa Capy.GOLDENROD—Ff�e Coay,GREEN—Appiicanl's Copy � � . � . , . ... � . , .. . . .�., � .. ., , .,........... .-,� �r.. .�r..-i. .... . , �� .r• r .. • . , .. -- , � � � .�>-�.� . ..r -�, .�.. . ...- . � CITY OF DIAMOND BAR.;.,1.; ., �, ;;-. `�. . .:. .. INSPECTION�RECORD�.�� . . ' . � . . ,,... _ .. �, ... . . �.'. . ' ;-:.. - ... . ; ., , . e � � � - � � � � - SET BACK �� . , . FLOOR JOIST•,-':�.�•-, 1 �.�.`i r.' �� '�='_ _�,=- ` _ . ; : . FTGS/FORMS/STEEL _ ', 'FHAREQMTS�, _,..,-�:. - - -- - -- - - - --� _ . _ � � - --� • • � . ELECTRIC GROUND - -- '" '- - �-- -- - UNDER,F�ODR DUCT,.:; •-. �, , , �--� , - GROUNDPLUMBING � �� UNDERFLOORGONDUIT_�>> �•, ' -�- '= ' _ . . _ SLAB GRADE --- . -- - : FIREPLACE�FOUNDATION`; �� . i ` ' .. •� ':�-�'.=j�: � � � - TEMP POWER- - -- ` � ' FIREPLACE 60ND BEAM. .. .�-: -�- 11 � - . _. ..._ . . - --- - ..: ,-- � WATER SERVICE_=--= - - � - - == - - --�� - = 'M1D HT.BOND BEAM � � � ;' ��•= ._• __ . • • ' ROOF SHEATHING - - -- � .:� � � 8 FT.BO D BEAM< �'• - : t ��i':" '�.'� ��`:.�i�-c. . , � . FRAMINGNENTILIATION FINAL BOND BEAM ROOF COVER �'.'; - PRE-GRADING - - - - "-- -- - - - ' ROUGH HEATING - --- - - - - - BENCHING � - - - . • � ! -AOUGH ELECTRIC -� � - � -- ROUGH GRADING - - ROUGH PLUMBING - - �" - -� - -- � - " - FINISH GRADING . SHOWERRUB TEST' -- - - - - POOL ELECTRIC '.. . - • EXT.LATH/SIDING � � - POOL FENCING WALL INSULA710N � • POOL FINAL ' . . CEILING INSULA710N • OFF SITE IMPS. � - DRYWALL NAILING OEDICATIONS ' SEWER ' FINAL ENG. , --� -- .. . -SEPTIC 7ANK_.._. _: . . _ _ . __ . LANDSCAPEIIRRIG. � � : -SEEP PIT/L.L. _ :. - : - ___ . ON SITE IMPS. . . • ' GAS AIR TEST-- - - - - - = FINAL ZONING . � FINALCONST. - ; �- �- -- - .-;-_ - , FIRE'DEPT.FINAL - ' i � FINAL HEATING "- ' ' '- ' -`'" � ' � HEALTH DEPT.FINAL . ,. ; - --- • FINAC ELECTRIC " • - - - DEV. FEES PAID - - - "- " - "" , -, : FINAL PLUMBING ENERGY • � � • . �. �.a1 � , i -��; i �: . , _ � _�. , . _ -� - , . > >• , � -- - - ._. ._ _... . . .. ._ _ _ . _.. _. ._ __._._. .. COMMENTS-. _ _ _.. ... . . . � ; • � ---�- -- _ ._ . . . . .. .. _ . � ., , � . . �- --� - .. . � � , �• � .. . � � ., +, =;.. ' • _� _ — � , . , . SEPTIC TANK SIZE - - � � ' - � ' � SEEP PITlU_SIZE ' , , � • , , � � � .. �----- i , . . ._..._..........__.._ . . _ � � �. � � _... _ _ . . . _s ,,��T J . _,_., ' ' ' . . , .. - , . _. . I _ .. . ._. _._. ; � - , - ' - . . . � , .. •- , . ,,,, , , . . .. . _ � 1 1 � . -- _ � _ . .. . . L� � � S!'�. • . i . . � +- . , . � ` j�- - - . � . '••, t .