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_ . . ... . . .__ . ,... _. _...._._.. --.. . �-- �. - CITY OF DIAMOND BAR ' • � COMMUNITY DEVELOPMENT DEPARTMENT ,,.e 2166o E.Copley Drive Suite 190 PRESS (909)860-3195 Fax(909)861•3117 ' "^' B UILDING PERMIT APPLICATION FI R M LY � JOBSITE �/I q_�J �'I�� P�J C,�V APPLICATION L 27j PERMR J(� Z iP/C o A�DRESS DATE NUMBER �/ If c� ISSUE TYPE OCC APN LOT�_ TRACT DATE CONST. GHOUP � OWNER Q�'i�/YI li�/f� i/�• � ADDRE S Lt/� � ZONING SETBACKS � CfTY ZIP TEL. ' �' FROFlT RW ❑ " APPLICANT '�.��� �✓�TI�� TEL. REAR ❑ � SIDFJSIDE STREET RW ❑ CONTRACTOR .0 �tn-^g� SIDE ❑ � ADDRESS / % •� CITY f{/�'/f- �'"�� ZIP nsr737 TEL Z ' PROPOSED USE o ARCWENG% , � OESIGNER NO.DWEL. NO. NO. ADDRESS LJNRS STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTION S0.F7. FACTOR PSF ADJ.AREANALUATION � OWNER-BI:ILDER DECLARATION SFRlADD/REM O p 1 HEREBY AFFIRM UNDER PEN1LLiV OF PEWURY iNAT I AM F%EUPf iRpA iNE CONTMCTORS LI- GefepdCe�pOfl . � � t � W CENSEUWFORTHEfIX10WNOf1EASON(SEG70.71.6BUSINESSANDFROFESSIONSCOOE:ANYpTYOR U COUNTNWN1p1PEpURESAPERMiTTOCONSTfiUCT,ALiE1tMPfqVE.pEMOl15H,0lIREVApANYSTRUG W PBIIO/DBLk •`.. '. �a : ' � TURE,PRIOR 70 RS ISSUANCE,ALSO REWIqES 1NE APPLIGNT FOH SUCH PERMIT TO FRE A SIGNED W ' � 1 ' � ST�TEVEM THAT ME OR SNE IS LICENSED FURSUINf TO iHE GROVI510N5 OF THE fbNTiUC7OR5 L4 � `� � CENSE UW(CXMTER Y�GOMMENCN�VAM SECTION 70DOI�DIVISqN 70f T11[BUSINESS AND PRD POOVSPB FESSIONS COOE)OR TUT NE OR SHE t5 E%EMPT THEPEFHOM M1U TME BASiS FOR TME ALLEGEU EXEYP� TqN.ANYV10lAT10NOFSECTIdJ70�1.6BYAN'/A77LICAMFORAPERYIT54B1ECTSTIE�P7LM�1NT70 Z Re-Roof F, ACMLPEN�LTYOFNOTMOiIETHANFNEMMOREDDOlUq51f�1.1: �. YAIL p0 iHE MIORK D THE�SiRUCNREMIS NOTLWTENO 0 OR OGFER DTFON SLLEE�S�EG. 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B.{V.C.iqi TMIS PEASON � U LL' OATE OwNER ^ Z �U � LICENSED CONTFtACTORS DECLARATION W � IHEREBYAFFIRYUNDEROfNKTYOFpE0.JURYTMAiIA/AIICENSEDUNDEFVROVISIONSOFCMADTFR (� SL. � OICb / I`� (L �(COYMENCNO N77H SECTIO/J 70001�DMSION 7 OF TME BUSINESS AN�VROFE5510N5 COOE.ANO Z " ` `X W LICEN I M FIAL FORCEAND EFFECL / m ,..•-- .� 0 � 7J��,� . � . � •��• �.�' LI C LIC.NO. �}y �,.! V DATE � CONTMC7di �rF �IS/i✓ a W � WOFiKERS'COMPENSATION DECUIRATION � � IHEREBYllFi1RMUN0ERPENAITYOFiERIURVONEOFTHEFOUOWWODECUMiION� ��� Z . � �INAVE/WDWILLMAMTAINACERTIFIGTEOFCONSENTiOSELFaNSUREfOR1WRKERS' S LOMPENSATqN.ASPiqVIDE08Y6ECTONi7GOOFTMEVBORCOOE,FONiMEPfRFORMMiCE w OF THE WORK FOq WHIp1 iHlS PEN.UT e5153UED. ' � O � �IXAVEANDINLLIMJMARlWONI(EAS'[OMPENSA7qNINSURANCE,A5RE0UiREDBVSECTqN �4 ]700 OF iHE IABOR COOE.FOH THE VERfORYANCE OF THE WORN iON WHIOI iH13 fERYR IS � 65UER W N4MKEF5'COYPENSATION INSURANLE GRRIER MD DCIICY M/MBEH ME: CONSTRUCT�ON � unaEa PLAN REVIEW � COLICYNWBER E�ECTRIC -•� � (fH55ECfICNNEmFqiBEOowIEtIDOCTIEPEAwisfOaOFEFImtDOCt1AR5(f+m10R1E551 PLUMBING Z ICEq7iFYTHATHTHEPERFORMANCEOFiMEWUiKiORWMi01TMISVERMITISI53UE0,1 MECHANICAL (} SNALLNOTEMPLOVANYPERSONNANYMANNEHSOASTOBECOAIESUBJFCTTOTME N NYIRNERS'CO4VENSATIDNLAN50FCALIFpqN1/�ANOAGREETNATIFISN04LOBECOYE INSPECTIONFEE ' S SUBJEGTTO7M[WORKERS'COMVEN5A710NPR0'AS ECTION OOOFTIIEUBOR oo�f,is�wi.aoaTHxnn�cornv�rwm�tH n s. ISSUANCE i � � WtTE:�`Z� AVVI SMIP � G — � ' ENERGY P/C WAPNINQfAIWHETOSECURENONNERS' P �T 11 R EISUNUWFUL.IINDSWILLBE `���/�_��qv� � SUBIECT�l1EMPLOYENfOCRMWALGEN TIES OCMLFINESU TOONEMUNDREDi/qUSMW ENERGYPERMIT � Q / 44 DOlURS(ltoo.0ao).W 11DDITION TO THE COST OG COAIPENSATION,DANACES AS PNOVIDED FOR IN �� SECfIONl70lOFTNEIIBORWUE,�NTERE4T,ANDATfORNEY'YfEES. RETENTIONFEE: d CONSTRUCTION LENDING AGENCY PRE•ALT FEE: O � � 111EREBVAfiuiMUNOERPENALTYOFPEPJUM7/1A7hIENEISACONSTRUCT10NLENDwOAGfNCY FOR 7ME 7ERFORMINCE OF 1NE YYDHK fOR NTUp1 TNiS YERMIT IS ISSUED(SE4 7oY'7.GV.GI. , � .. . . � LENDEH'SNAME � lEHOER'SADORE55 � ICERTIFYT/UTINAYEpEADT1115A7Pl�CATIONANDSTATE7MATTHEABOVENiO1WATqNISC017AECT. TOTAL FEES \ ' w IAGREETOCOMVLYWfiHIItLGRYM'DCOl/NTYORONANCES/J+DST�TEUWSRELATwOTOBNtAING �' CONSiRUC'f10H.ANDHER[BYk7IF10RIZEREPRESEMATNE50Fi145COUNiYiOENTFRUI'ONiHE � IIBOVE�YEMqNED VR00ERTY GOR WSPECTqN VURDO5E3. COMMENTS � — .�/� 1//� o'`� I� _ m PERA,NTT " . - - � � Z� r � 10NA OF ITf DATE — RECPT.N . PAID Blf� VALIDATION . . .WNITE—Department Copy.YELLOW—Finance Copy,PINK—Assessor Copy,GOLDEN�b Co�y,GREEN—Appllr.ant'a Capy ' . "4'�hy'..�j�ytei�:N�.T41pN�w! .,, r r:r• qs4i�- A�'?'. ,.R- ':r.. :+..+ . ��;�:.. . :,r�. ,i , ;�^•.5�'' �'; . ,i.. ��...� , . , .. . - _. . . � , . , •+. :.�_ �y�; a��.`'I`.'� � . , a3;.q` .... .. �' `� �` � crrv oF �iAr►�or�� a�R�:: � �_:��� ; . _ : .,_ ... . \ '; : . .,:. . .. ��.. i_� . : " '� j . IRSPEC i IOt�! RECORD � ';� `'= �' 1:... . . ��; . , �.; .. , . :; • . 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FIREPLACEFOUNDATION .----- - - ----- --- . --.. .----- ,----. : _ ..__ ... --•- - --�-- ��= FIREPLACE'BOFJD BEAM _.. •.' , •_ �".,�;::,:,.,•-,� � _TEMP-POWER:.----- --- .�_----- -- _ ..__.- WATERSERVICE ----- � ---- � - ----- -- - - `�'"`- ' MID HT,'BDND BEAP.1 - : . _... - - - •-- , . � ' � i ROOF SHEATHING- '- � ----�- --� - - 8 Fi'.BOND BEAM • - ="�'• � ! FRAMINGNENTILIATION _ ' � ' ' `FiNAL BOND BEAM -"�---- "-- - �"--- - �� -"�- " ' ,.. ; :. -- - - ---..-_.-. . .: . PRE•GRADING :., - ' �,. + ':. AOOF.COVER---- --- - ------- - - �---. .. . ._. . ��-. _.... � .. .. _...._ _. .. - - _. _..._ . . ..._.. ROUGH HEATING -; -- -= '` - � - ` -"=� - • QENCHING ' `' � - ROUGH ELECTRtC -. - - --- --- -- - - �- - pOUGH GRADING ! • _ , . , , , ROUGH PI:UtY161NG-, - _Q,y��1-_ �-�� - -FIrJiSH GRADING �� . ' , • .. . SHOWERlT'UE3 TEST i'- - -- - ---- -� . --- ---- - : F'OOL ELECTRIC' : - . � � ' „ , . EXT."LATH/SIDING --;---- ---- - ------ -- i-----�-- , .-� POOL FECJCING . � �, ..� I ,: WALL INSULATION 1 � POOL FINAL� � � - - •� � ' __ CEIUNG INSULATION OFF SITE�D�IF'S. - , i : , DRYWALL NAILING � DEDICATlO?dS - • � - t ; SEWER- - --- � ;.-�- - •--- - -- FINAL EhJG. . . ,_. . . ' : � � __ --- '... . �.,: '. .SEPSIC TANY_. :_..:_..::_- -- ,'- -..-_ .- � .- . ::---. : - LANDSCAPEIIRRIG. .. .-, , _;: SEEP_PIT/LL:._.' --.-.--.---- .-- - -_.----. ---- -- -.'_. _':.:_. ON SITE IMPS. : ' �- GASAIR�TEST.:.-- -----�- - --�------- �- -- - --- . . ... .._._.... . FI�JAL' ZONING..., ; ., _... - .. ... , � ,,, FINAL CONST:-�--- . ___._.__.._ .. .. -------: -- --.--. . -FIRE DEPT. FINAL . - - I - -�lNALHEATING --------- ---- ----- --.._ _ -- --' ------- HcALTH DEPT.FIfJAL ., - -- �- - --- --- -.._.. - -- -- , , ..;. . . , �.• � 'FINAL ELECTRIC -�-,- : -- � ��� -- -� �- " -�""' �DEV. FEES PAID .• , . ., ..- _ , . . -�=---�--f FINACPLUMBING- � � ENERGY �= = •� • •- � ? :! y�Z�- - �� . 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