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__ - - , � `� � . , _ �. , CITY OF DIAMOND BAR o.� � DEPARTMENT OF COMMUNI'CY&DEVELOPME1�iT SERVICES 21825 Copiey Drive,Diamoud Bar,CA 91765 . , � (909)839-7020 Fu(909)861-3117 Building InspecUon IioUine(909)839-7027 � PRES$ ����� BUILDING PERMIT APPLICATTON .' � FIRMLY :;- , N JOBSITE�S� ��1'1�LL�WD11� 1I�� � DRr' DATECATION Qj � � NUMBE� VY�'1_ .�� o ADDRES� � ISSUE j✓� TYPE OCC APN LOT TRACT DATE. ?/ � ✓ CONST. (iROUP � OWNER p ZONINO SETBACKS 'p ADDRESS ZIP TEL. FRONT RW ❑ � C� REAR p -. APPLICANT TE� SIDFJSIDE STREEf RW O. � CONTRACTOR SIDE O . ADD SS PROPOSEDUS �� � Cfly �. ZIP EL w ARC G/ ' � DESIGNER NO.DWEL. NO. NO. ADDRESS UNRS STORIES BEDROOMS � CITY ZIP TEL. `n DESCRIPTION SQ.FT. FAC70R PSF ADJ.ARENVALUATION'' � . ¢ , OWNER-BUILDER DECLARATION gpp/qpp/qEM ' O . � p I HEREBV AFFlRM.UNDER PENAL7Y OF PERNRV iHAT 1 AM E7�MP7 FiIOM TNE CONfFiACldiB L4 t3arp��/(•e�p� . . . . W CENSEUWFORiNEfOLION'MOREFlSONISEC.7o31.lBUBR1EBBAWPROFE98�ON8CODEANYCRYOR (n � � COUHTYVh11CHRE0U�RESAPB�rtTOCON4TAt1CT.ALTEH.MPilONE0E1�Ot161LORREFMiANY8if1UG� ,W PBtb/DBCk � . . . . . NHE,PRqFi t0 tTH 136UANCE,AL90 REOUIREB THE APFIICAM FUR 3UP1 FFAM�T TO FlLE A 810NE0 . � 97A7EMENf THAT HE OR 9HE 19 LICENSED R/R911ANT TO iHE PRONSIDNe OF TM6 CON�NACTOHB lF . .. ,. . . � CENS6 UW(CHAVTEP i(COMMENCP/O WI'T1/BECf10N 70oo)OF DMlION]OF 7HE BIAME9�AND PRb ^ ..P�� 'FEggpNg OOpE�Op 1lUT HE OR�1E IS E%EAIPT THEREFFiOY hM7 TME 8�9ro FOR THE ALLEOED EXEMP- TpN.ANY VIOLATION OF BECTION 7W 1.6 BV ANV APPLK'.ANT FOR A PER61R BUBJECTe TNE MPLICANT 70 � Z A6-ROOf. F A CNR GENAl7V OF NOT MORE iHAH FIVE MINORED OOUARe(�eoo1•Y. . � . . �. O4ASOWNEROFiHEPROPERTV,ORMYEMPIOVEE9WITH)VAliE9A8T(HflBOIECOMP6�9ATKIN. � � (`.MIITBfdBI' . VALL DO?HE M70F�C N!D TNE STRIK.TURE R4 NOT IME77DEU OP OfFERED FOR 6ALE(eEC.70a�1.BU64 ...I NE89 ANO Pf10FE9810NS COOE:�THE CONTMCTOR.9 lICE/qE UW DOEB NOT hGR.V TO Ml OWNER OF j . , ' � VROPER7YWFpBU0.D70RMPi10VE97HEREON.ANDWHODOESSW1�YOftK/�Y1SElFORHER86FOR m � TT1pOlXW M9 Oh HER O�M1 EMPLOYEEB.CROVIDED 71NT EUCH IAIVROVE4BdT9ARE NOT RhENDED ON . _ 0 OFFEAEDfOF8ILEIF.MOM�YERiHEBUILptWOAWPROVEMB7T1960lDWRHNONEYFMCfWMPLE•� . . , .Z TIDN.7HE Oh�NERAUILDER WILL HAVE THE BURDEN OF FfiOVWO iHAT NE OR 8ME DID!q(BUM OR . � IMVNOVE FOR iHE VURPOSE OF 8ALE1. . `L O 4�OWNER OF iHE PROOERi`I.AA1 E%QU9NELV C011TMCTINO YNTM LIC@18 W OOHIMCTORS . o� m oonsraucr te+e vnwecr�sec.7a�.eusn+ess u+o vnocEasroxs co�n�ca+rw�croas u- Valuetion ADJ.AREA i_1J CElSEUWDOE9NOIAVPLYTOANOWNEROFAPROCERTYMM1iOBUM90AilAPI10VE8THEREON.AND S vwacartrucreva+sua�vAaecrawm��carra�cro�ue)u�+s�PURsu�vrrron�eca�rrw�c OUAtJTITY DE3CRtPT10N FEE . � 70R3UCENSEUWJ.� J . . . ,. � O I AM E%EIAPT UN�EH BEC. B.l P.C.FOR T1114 AEA90N Q . � U ' , 4' DATE ' OWNER . . � � � . . � ; .. LICENSED CONTRACTORS DECLARATION W � � I HEREBV AFFIinA UNUER PENALTV Of PE0.NRY T11AT IMI UCEN9E0lA10ER PROVISqN80F GIAPSER � � . . � . . . p� y(CpL�AIENCNO MRTM SECTION 70001 OF DMS�ON J OF THE BUS�NE38 ANO PROFE9310N9 COOE,AND Z X. MYLICEN9E19WNLLFORCEANDEFFECT. . . . m � llJ � - � 110ENSE CV1SS LIC.NO. � �� � � � � � . . ~ DATE CONTMCTOR., . . - ��� � ' � WORKERS'COMPENSATION DECLARATION � , � � , " ' � . , U � 1 MEREBY AFFIRM UNDER VENALT'�UF PERNHY�NE OFTHE FOILOWIN�DEMMT�ONS:_. ! . � . . � _IHAVEANDW�Ll1AAINTAMACERfIFICATEOFCONSENTTOBELF-INSUREFORWOPoCERB' . ' . . COhIPEN3ATION.A9 CROVI�ED BY BECTION l700 OF THE UBOiI CODE.FON THE PEHi�PoAANCE � � OF TNE N'OpK FOq WHICN TM�9 PEPMIT 19 138UE0. : � . 0 . � Q �1 HAVE AfA WILL MARRAW WOPo(ER9'C01.iPEN3ATION R78URANCE.A9 PEd1171ED BY 9ECTION ]700 0F TFtE LABOR O00E.W�I TME VERFORAIMlCE OF tHE WORK FOR WHICH iHiB PER/fi7 i8 � ��'�S` ' o rsweo.�,rv s•cor.�v r�iHsu E iea u+o rnn�e a u�: CONSTRUCTION ne � CAARIEP � � ' PLAN REVIEW � � ' � roucr r�uween ELECTRIC , B (IM96ECTIWIE�NDTU£QxPLEf�pFTEpEIAffBiaqqrEµll7i�ppLL,VL9R1�Uqoql�6F PLUMBINO � Z 1 CERTIFY TUT R7 THE VERFORMANCE OF THE WORK FON WHIQ1 THIS PEiMT�S/SSUED.1 MECHANiCAL . . (� gFIALL NOT EIJVIOV ANV PERSON Dl ANY 4�M�NER 90 A9 70 BECOME N18JECI TO iHE � . � WORKERS'COMPENSATION UW9 OF CAL�FORNIA IUq AOREE iHAT IF I 9/qUID BECOME� �NSPECTfON FEE StRJECT TO TNE NbNNER4'COMPENSATION PROVISqNe OF sECTla1 J7oo OF iHE LABOR ISSUANCE � � . O ' OODE.I SIULL f-0HTVIIMTH COMPIY 7��p�� P� / _ .. � p� •� S� D APRIGWT��/I� .�• �vy . �I�C SMIP p a . . � . . 7 " . . . WMNM4 FAILURE TO SECURE WOfiKER3'COMPENSATION COVEHM7E l9 UNLAMIRIL.AND 8NALL BE ENEROY P/C, � sua.�cr�w t�v�orfA 7o cRnawu?Er+u.nEs um cm��s�v To oroe rnn�oneo iNousN+n .ENEROY PERMIT� � pOLLA{t9(f 10a,000l.M/�D�ITION TO THE COST OF COMPEN9A�IOH.ONMfiE9 AS PHOVI�ED FOR M� . . � J' SECT1fN1]70!OF T1E UBOR COOB.�NTEREST,MID ATfORNEV9 FEEe. "� RETENTION FEE:� . � CONSTFiUCTION LENDINp AGENCY P{/(qyE-ALT�FEE:/� � IHEREBYAFFiRNUNDERPENI�iYOFDENURY�NA7tHERE1SACONS1itUCT10MtEliDW(7AOENCY �/r]�.P'J��� � nZ- FOR iHE P£RFORMANCE OF THE WORN FUR WMdf TIrt3 FERMR 19193VED(SEC.wa7.CN.C.1. . - . . W � LENDER'S NAME � LENDER'9 ADDREBS � . � � . � 1 CERTIFY iHAT 1 HAVE AEAD TNIS 1�pPUCATION AND BTATE TMT THE ABOVE INFOR1AA710N 19 C�RECL T07AL FEES .� . ; 3 g�� . . w I AaREE TO COMRV INTH�L1.Crtv u+D odinnr oRDMMlcfie/wO e(�7E lnrYe FtElJ�i1Ki ro eUlonq '" (� � CONSTf1ULTION,AND HEREBV AIRHORIZE REPRE9EHTATNEH OF TM9 COIMTY TO EMTEN UPON iNE �, . . . . � S� ABOVE.YE D PROOERTV FOH INS ECT GURPOSES. . � . � � COMMENT$ ' � ' . . � . � :�,-���r . _ , m P E E(PRl � Q /' . Cn Q� �.,.(J '• v1 � . . ' . � .BNiNA7URE OF PERMITTEE � . �DATE . . � , RECPT.NO. PAID BY VALIDA � WHITE--�epertment Copy.YELL01N—Finence Copy,PINK--Aeseaba Copy�CiOLUENROD--FIIa COqy.OREEN'-APDI��s�AP'Y C;i`�°� �� ��d�f1laf�i�l� G�,�t .—, "�' � 9�1:���d::�lC3Yrl �36�CC��� � ,�.A�,,3. , ,�; _ .z :4 _ Q �,'� ,.➢ �e5��- n (� •� �+1'ji��"r > � _ � � 'Q ".e � SET BACK rL0URJ01ST --�------ .__---- --- � ----- FTGS/FORN15/STEEL � ` ` ` FHA REQiv1T5 ----I--------- _--_--------------- ----- --- FLFCTRIC GROUN� --}�— " i�UNDER FLUOR DUCT ~ GROUt�1D PLUMBING ! Ir uNDER FLOQR COhdDUIT ' SLAB uRaDE � I fIREPLACE FOU(�IGATION �� — TEMP PObVER �_ _ �FIREPLACE BOi�ID BEAM _ WATER SERVIrE � ,N1ID HT.BOfJD SEAM ROOF SHEATHING � �8 FT.BOND BEAM FRAf��ING/VENTILATIO�I - �FIPJAL BOND BEAM _ _ ___ ROOF COVER � i TI PRE-GRADING _ __ _. ROUGH HEATING �` � BENCHING ROUGH ELECTRIC I I ROUGI-I GRADING ROUGH PLUMBING �FINISH GRA.DING SHOWER/TUBTEST POOL ELECTRIC EXT.LATH/SIDING I ��j �POOL FENCING b�!ALL INSULATION POOL FINAL � CEILI�dG INSULATION OFF SITE IMPS. � DRYVVALL NAIUNG i DEDICATIONS __ SEI�/ER � � FINAL ENG. _ � SEP1lCTANK` LANDSCAPE/IRRIG. SEEP PIT/L.L. 0�J SITE IMPS. GAS AIRTEST FINAL ZONING � FINAL CONST. �� FIRE DEPT.FINAL FINAL HEATING HEALTH DEPl'.FINAL FINAL ELECTRIC j DEV.FEES PAID FINAL PLUMBING ' EMERGY FINAL PLANING ___ __ FINAL ENGINEERI�JG � � � ' m .o COMMENTS � o-� ?�I 't�v I l 3 � . — -- SEPTICTANKSIZE SEEP PIT/U SIZE , : � � � --. — - . _ �,.r°~ ' ;� ' �