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CITY OF DIAMOND BAR � • ' = '� � --�� � ' DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Copley Drive Suite 190 � � (909)86Q3195 Fax(909)8613117 PRESS ����'� BUILDING PERMITAPPLICATTON ' FIRMLY o DORESS 1 DATE'CATION�+�;�(�� � NUMBE�I�� x�C IO t � ISSUE TYPE OCC APN �_r LOT TRACT DATE CONST. GROUP p OWNER " ' "" ADDRES$ ZONING SEfBACKS �� CITY0IIA��/ ZIP �TEL� - - R�R RW � . APPLICANT TEL. SIDEJSIOE STREET RW ❑ � CONTRACTOR � SIDE ❑ o ADDRES$ �� _ _ PROPOSED US �" � o ARC NG/ . ZIP TEL� �/iJDlf�b� - � DESIGNER ADDRESS UNITS L STORIES�G��� MS � � CITY 21P TEL N DESCRIPTION S�.Fl: FACTOR PSF ADJ.AREANALUATION � . Q OWNER•BUIIDER OECLARATION . . ,. SFR/A�D/REM � � � - . O p 1 HEREBY AFFIiMI UNDER iEN�LiY OF iEiWRY TNA71 M1 E%EMP7 FR0�1 THE CONTMCTOR4 U• Gyf3ge/CdfpOR � W CENSELAWFCA7MEi0U.OwR10f1EA50N�SEG7W1.6BU5wE55ANDVROFESS�ON5CO0E:ANYCRYOR (n U COUHIYYMICHREOUIRES�VEflMRTOGONSTAULT,ALTER.M�IqYEDEMOLISH,ORflEPA1RMflSTRUG W Patiolpeck • . 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CL J , Q OIAMEXE47T11110ERSE0. B.fP.C.FORTMISREASON Q 3 ¢ 1 �-�" � ' -• �=' DAiE ONNER U � LICENSED CONTRACTORS DECUTAATION � W _. - J � INEqEBYAFFIRM{1HDEFGENALTYOFPEMRi'ITNATIAMl10EN5EDUNDERPROVIStlN50FCHAPTER Vr d �(ODWICNCIFIQKTTHSECTION)OOOJOFDMSION70FTHE0l1SINE5SAN�VflOFE55iON5CO0EAN0 Z MY�ICENSE IS N FLJl1 FORCEAND EfFECL m [� � � UCENSE CUSS _LIC.NO. J � J V OATE ` COMMCTO fjV� _ a W � WOFKERS'COMPENSATION DECLARATION ¢ = U � INEREOYAFFlNANNER7EWILTYOFiEFWRYONEOFTHEiOLLAwWGDECLAMTIONS: � � , � Z a � _IHIIVEMAWIILMAIMAPlACERTIFlGTEOFCONSEMTOSELFdNSUREFORYAqKERS' $ COMOQISATId1,ASiROY��EDBYSECT10NS7ooOFTHELA80ACOOE,FORIHEPERFORMANCE W Oi THE WORK FOR WHICH TMS VEiUAIT 19 ISSUEO. � G ��IHAVEMID WILLMA7MI➢1 WOFIKERS'Cq.�PENSATWN MSURANCF,AS REOUIREDBYSECTION /� 1�jJ l/ 4� 97DOOfiHEU80NCO0E.FORTHEGERFORWNCEOFiHEWOIUCFORWHICMiMISPEHMI715 D(�T n I �/ ✓• S� ISSUED.MYWONKERS'COMVENSATIONINSUR CECARRIERM'DPOUCYNUMB�RAHE: CONSTRUCTION f� � ��` � '� PUW REVIEW _�_+ � 1 n_ c+wwea � � � raicvuuuoca�4�.I � �" ELECTRIC �g �,D p �nss�crionr.EmHore[op.r�moFnertwxrsrnaa+n+ud�noaioas�s+mla+�,l PLUMBING C O r w z ICER71FVTUTNiHEFERFORAW�CEOF7MEWORKFORWXIqITNISPEWAI7665UE0.1 MECHANICAL �� 1+� � � (,'} SWSILNOTEMPLOYANYPER50N WANYMANNERSOAS70B[COMESUBIEC770iHE � N VIDRKERSC0I.�PENSATIONUYVSOFGWFORNII�ANOACREETNATIFISMOULDBECOra[ INSPECTIONFEE _ S SUBJEttTO7HEYlORKERS'COMPENSATIONPRONSiON50F5EC710N77oaOFTHEU80F � - G cao�,iswuifanHvnn�cauv�rvnn�n�osevr+o�nsnr�s-i i�� ISSUANCE �� p �,��Q_� �t—f SMIP '�� p DA?F:fy� APPLICANT.,__�v L -- ,.Wj � � ENERGY P/C WAANINO:FA0.URE TO SECURE WORKERS'Cp.�PENS�TqN COYEMGE IS UNUWFUL 11ND SHALL BE � SU&IECTANEUPLOYEHTOCRMiNALPENALTIESANOCMLFINESUPTOONEMUN�RED7MIX15AND ENERGYPERMIT - DOl1ARS If 1o0.aoa1.IN�DDRION TO TME COST OF COMPENSATqN,DAMAOES AS PROVIDED FOR IN � SECfKK117oeOFiHELA00flCODE.IHTEAEST,ANDATTORNEYSFEE4. RETENTIONFEE: a CONSTRUCTION LEIvDING AGENCY PRE-ALT FEE: . � IHERE9Y�FiIHYUNDEHPENAITYOFPERNNYTMATTMEREISACONSTRUCTIONLEN01NGhGENLY FOqTMEPERFORMANCEOF E ORNfORWMp1T1 vERMITISISSUEO(SEG]DY7,dV.G). . -� IENOERS NNAE -Q . . ' / / � lFNOER'S/➢OF7[S��/SU.f�.�.�`{ �11� W �CERT�FYTMAT�MAVENFA[71HKADPUCATIONMIDSTATEnUTTME�80VENFpRY�TqNI50DRRECT. TOTAL FEES , � IAGREETOCp.�PLYWITHKLCT'ANDG0�INTYONDINANLESANDSTATEUwSREUTHOTOBULDINO GONSTRUCTqN,MIDNEREBYAUT/qNZERECRESENTATNE50FTWSCOUNNTOENTERIIPDNTHE . , � S� AOOVEd1ENiqNEO GRDVERTYFOR WSPECTION PUR :S. ( COMMC-NTS ' � , � J . � �� � > > � ¢ PEHMIT�EE EIVWHTI � (. ` � � __- ' 1 ; � � �• • - �:/,� �-]a� - _ � �J ' � SIO lI�HE PERYITIEE , � DA�E ��J"�J � , •_ � RECPT.NO. PAID BY �-�"'�� VALIDATI WHITE—DooaAmeM Copy.YELLOW—Finance Copy.PINK—Assessa Copy.GOLDENROD--File Copy,GREEN—ApplicanPs Copy _� ' .� � . � ...... - . � ( • .�, n� ..t' ��.. .t: ... ♦ .... . . «t.�. . " . /' .. . .,n . il�.. . � . �.. . • ••. . .� •.. .+ .4r. ...r. .. � CITY OF DIAMOND BAR ,: : �.;� , - - �� � +. . ... ' . - . `'. � ` '�� INSPECTION�RECORD�:. �: • , : _ ,. . .. . __.% ., - � . , � . � i + • - • � � • - SETBACK _�\ � ,. ' .��:_ ' (� j . . . FLOORJOIST � ,. , �,, �. � �',� , •��� . � : , . FTGS/FORMS/STEEL : FHA REQMTS �� - � • - ,- - - ELECTRIC GROUND - - _ 'UNDER FLOOR DUCT � ..,�,. . . .�.,,, ; - ; . „ _.• GROUND PLUMBING ' "�` UNDER FLOOR CO�IDUIT',�,,: ���� : :�,:� ;' :•\', \ SLAB GRADE - � - - � � FIREPLACE FOUNDA710N �'-' ►'. ' —.•- � �-'•����'.1���''• - TEMP POWER - — '• - � � FIREPLACE BOND BEAM.- ' WATER SERVICE- - - - � -� � - MID HT.BOND�BEAM .' '• =.�-•• �, -- :.�`•. : '•`.: _: •ROOF SHEATHING '�•• � � w - /' _ � ''� 8 FT..BOND BEAM ,'.� � � ���•;..� ;. ��'� � � �FRAMINGNENTILIATION � ��, . c.. .� . - '._�'�.�• � • .FINAL BOND BEAM ' � ' ' _; :� .ROOFCOV�R�''- �, �� � � � '�+ ' PRE-GRADING � ' � ROUGH H ATING- - �- - -- - - BENCHING - - � ROUGH ELECTRIC -�. - � - - -- � - ROUGH GRADING ' ROUGH PLUMBING � '"'_'` - " - � FINISH GRADING SHOWERrTUB TEST - - - - POOL ELECTRlC � EXL LATH/SIDING - POOL FENCING ' • WALL INSULATION : • � � POOL FINAL . � CEILING INSULA710N OFF SITE IMPS. � DRYWALL NAILING . DEDICATIONS � . SEWER FINAL ENG. • SEPTIC TANK _ _ __ � LANDSCAPE/IRRIG. � . SEEP PIT/L.L. ,- , . - • - '�� '•, ON SITE IMPS. • ' GAS AIR TEST � FINAL ZONING • � FINAL CONST. IRE OEPT. FINAL FINAL HEATING - - - HEALTH DEPT. FINAL , . • � FINAL ELECTRIC � - ' 'DEV. FEES PAID � � ' ' FINAL PLUMBING ENERGY � , �F. • •� 1 _ _ � . .�., , _ .,.._ ...•.._ . �. . . .. . - - - _ .. COMMENTS - ' � � � " _ • � , . ` �` .�. ' ; . _ , . ' , , � . . � ' - _. . ; ,. � ; _ ,, \,�,`_ \. , . _ ._. . +, _ • �' . . . i , . . � . , ; • • � � ,c:• � . . , •�_..._ . - ' , SEPTIC TANK SIZE - � • • SEEP PIT/U SIZE , . -. 1 _ � � ' :- - �'� - - � � � . . �•; , _ . ;. ,,,� . .�__�;. �',°, . . . . _. • �,�•. . ,� , • 11 _ _. ,, . ; '. .. : . - I . . . _ . ' i .� r �,` � . ir � . � :✓ _ �' , C� ' ;= , ��' �� O'�0`i'• �',��'° c7 _ �� _