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� � ' . . / �� _ CITY OF DIAMOND BAR � �- • DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES :. � , 21660 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861-3117 . PRESS �^'' BLJII.DING PERMIT APPLICATION ; , . : FIRMLY' '� JOBSITE �,( C /�) ��/ ) 'n/l � ADDRESS- /3 S`� L O• W fiN�c��--I/ZJ�D(i� � �ATE CAT10 �`vV NUMB R �S� N/C g _ ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER " I/a D !9� p ADDRESS �� � �/l L � ZONING SETBACKS "' .CfTY'. r �� �Ip' �/7L;JTEL s � . � FRONT RW O � APPLICANT [�'7LU�//`s"f2_ TEL ' �/ r r R�R O � SIDE/SIDE STREET FiW O CONTRACTOR �� � e�372— . SIDE p � AD�RESS CfTY ZIP TEL PROPASED USE 5���'2—" �ipt'�G �.C�C.:c� �aa L� i� ,+�--i �C +i'� �' ARCFUENG/ ,� L7 DESIGNER NO.DWEL . .NO. ; . NO. = CfDTD�RESS Z�P TEL UNITS STORIES BEDROOMS � �n DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFFVA�D/REM O � p 1 NEREBY AFFROI UNOER PENALiY OF PERIURY TUT I AA1 EXEMPT FROM TNE CONTMCiOfiS LL Geflp61C8ry0A �{! CEHSEUWFORTHEfOLIOWNOREA50N(SEG7071.68USINESSAIA7HOFESSIONSCODE:ANYCITYOR (n C� COIMTYN4WIRE0UIHESAiERMR7OCON3Titt1Cf.ALfER�IPHOVE�EAlOLISH,OFiIiEG�IRAN1'StRUG W patb/Dedc � 7URE.VR1DR TO RS 63UANCE,ALSO REOUIRES THE APPLIGUff FOR SUCH VERW T TO FILE A SlfiNfp W � ETAIFMENT THAT HE Oli 6HE IS LICENSEO VLM35UANT TO TNE VROVISIONS OF TNE COfRRACTORS L4 CENSE UW(GUIFTER 0(COMUENCINO VATI SECTION 100D)OF DIVISION 7 OF TME BUS W E53 ANO PRO� LL' POOVSP3 � FESSIONS COOE)ON 1FUT HE OR 3NE IS DCEMPT iHEREFFqM MO T11E BASIS FON THEALLEOED EXEMP- TqN.ANYVIOLATqNOFSECTIONTOJ1.68YANYAGPLMXfiFOq11PERMITSU&lECTST/IEAPRICANTiO Z qe.qpp� � �Z � A CIVIL iENAL7Y OF NOT MORE TMAN FNE MINDHED DOLLARS(i5001.k � . I .� p 04�90WNEqOFTHEViqPERTV,ORYYEMPLOYEESWIiNWWESASMEIRSOLECOAIPENSATION. ❑ (`,pmmB�ClFtl . . -. - ,� MALL DO THE WORK A!D THE STRUCTURE 6 NOT IHTENDED Wi OFFERED FOR SALE(SEG 7ou.BUSI• J � 1/E53 ANO iROiE5910N3 COOE 7NE COMRACTORS LICENSE UW DOES NOT APPIY TO AN OWNER OF ? , OfqVf1T'Wlq BURD9 OR►IPROVEB THEREpJ,AND W110 DOES EUCl1 NK)RK HII.ISELF OR HERSELF OR Q TIROUGHHSORHEROYMfMPIAYEES,VROVDEDTHATBUGIMPROVEMEM9MENOTIMEIOWOR m � ,OFFERmPoR3ALEF,HOVtEVER7ME8ULDWO0i11MPROVEMENTISSOLDWITWNONEYEAROFCOMPLE � 'TION.T/IE OWNER�UILDER YALL INVE T/1E BURDEN OF YAOMNO T/NT/1E OR 8HE OU NOT BUttD OR � Y7fqVE FOqTHE PURPOSE OF EALE} �� � OIASOMMEROFTNEiROVERIY,AAlE7(CLUSNFLVCONiMCTN�WfT11lICENSED00NTMCTORS TO CONSTRUCTTHE PAQIECT(SEC.7W1.BUSINE59 AND VROFE9310N3 CODE TNE CONTMC70R41F VelUetlOR ��1 n� ~�'� ADJ,AREA CENSE lAW DOFS NOT APPlYTO AN OVINER OF A PItOPERT`/YNq BUIDS OR IYPROVES TMEREON.MD 1N/qCOMRACT9FOAEUCHVPO.IECTSWIIMACONTMCfOR(9)UCENSEDMIRSVMrtTOTF1ECOH�RAG pUANTITY OESCRIPTION FEE � 10R5 UCEN6E UW.N . . OIAMIXEAIPTUNDERSEG B.iV.C.fORiNI5REA50N a 3 � LL o�� � owr�Ea � � W LICENSED CONTRACTORS DEC TION -r � , w � I MEREBYAFFlRAI UNOER VENALTY OF iEfUURY 1YUT IM1lIGENSED UNDER PROVISIONS OF pUPTER V. i�COMAENCINOMATTI5EGT10N10o0JOFDM510N70FTHE8U5iNESSANOPROFES510N5CODE,MID Z W UCFNSE IS N FULL FONCE ANO EFFECi. � m � LICENSE CU55 LIC.NO. . ��.. j . D�iE corrrw��cron - �' a w = WORKERS'COMPENSATION OECLARATION � � IHEREBYhGFlRA1l1NDERVENALTYOF0E0.AlRYONEOF7HEFOLLOWPM0ECIARATIONS Z � _IHAVE/NDWILLMANTNNACERTIfICATEOFCONSEMTOBEIF•WSUREFORWO(iKERS Q CQIPENSATqN,A9 PROVIDE�BY 8EC710N 7700 OF 7NE LABOR CODE.FOR iNE PENFORMANCE � OF iHE MIDRK FOR WHICII TA4 PERYR 191SSUED. � � _IHAVE/NDWILLMA!(TAWWORKER4COMPENSATqNINSUilANCE,/lSRE0U1RE0BVSECTION ���� �� J7000FTTIEUBOROOOE,FORTHEVERFORMANCEOFTHEWOfIKFONWHICHTHISPENA1T15 G � ISSUED,WVYORI(ERSCOYPENSAt10NW5URANCECMR1ER/�NDVOIICYMIIABENME: CONSTRUCTION D � �� � eu+w� PLAN REVIEW .7,r�, � PaiCvnuaeER ELECTRIC vcu��OiJI! Q (nassecroHr�raTeead.s�Ermovnev[warcra�a+Eruo�moat.vs�s,00)ca�ss} PLUMBING �-��.' ��-^-L^ .�Z' a717►iviC7i��U Z ICERTIFY7MATNiV1EPERFORMANCEDfTHEWONKFORWF/1CMiM15VERMITLSLSSUE0,1 MECHANICA� i Ci7 5�411NOTEMttOYINVVEiiSdJINANYMUNERSOASTOBECpAESUBJECTTOTNE 1 f JC ' � NOFKERS'COMPENS�TIONIAWSOFCAI.IWRNIA,ANDA0HEE7HATIFISNOIXOeECOME INSPECTIONFEE S 6UBJECTTO7HEN'Oi1KER5CdAPENSAtqNPROVISiONSOFSECi1DN77o00F7HElABOR COOE,I SHML FORl11vAM COMPIY WITH hqSE iROY1510NS. �SSUANCE � O p OATE: - AVPLICANE � SM�P . . . � ENERGY P/C WAqNING:FAILURE TO SECURE WO(iICERS'COMPENSATION COVEMGE IS UNLAWFUL,AND SVIAIL BE �y BUBJECiANEMPIAYERTOCRIMPULPEN/LTESANDCMIFWESUPTOONEHUNDREDiFKK13AN0 ENERGYPERMIT DOIlARS(i1G0,00D),N ADDRION TO THE COST OF COMPENSATION,DAMAOES Il5 PROVDE�FOR IN J BECfIDN�7010FTHELABORC00E,NTEREST,ANDATTOiWEYSFEE3. � RETENTIONFEE: � � CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � IHEREBYAiiIRMUHDER7ENALT/DFYERIIAiYTMATTMEREISACONSTRUCTIONLENOYlQAOENCY � � � FOR iME PERFOWAlW CE OF TME VKMN FOR WMlpl TNS FERA/li IS ISSUED(SEG 7017,CN.C.} , � � LENDER'SNAIAE . . � . . � IENDER'SAD�RE35 � i�oaEE"io��rWITHMITMCRYMID�WUfTYORDIWWCESAND8T�UWSR�EUTW(iTOBULDEINO TOTAL FEES(((''''''��� ��_ /� . `^ CONSTpUCT ,ANDHEREBYAUf110RREREPRESENTAT ESOi7111SC0UNTYTOENTERUPONTHE �� �I w/U , ' • Y ABOVE-Y EOVROVERTYFO SPECTIDN S. (U COMMENTS�' � , �����,� w . � m Nuae tPw n�n ' . c�i� �" ��� f����/'�vv �0 � (n SKINATUREOFYEPAI D�iE � � � RECPT.NO. _._ - PAID BY � ' VAt 1[]ATAN ' NMITE—Depa�ment Copy.YELLOW—Fhence Gopy,PINK—Assessar Copy,GOLDENROD—Flle Copy,GREEN�IlppicsnCs Copy . •,F,. , , _. it' .... l+�YS.. .. ...?':,-}T.;,��..•y+� - '�•. , ... �,.,."_Yr.�;-�� ,.�r•�:. � . � ,. .vr�' �. . ����� ., . . r"'�it•.�., �, ,���:�-,v,:F' .v.. . � . !r s'a�i�r'��.,�.. r �1i CITY OF DIAMOND,BAR � - ,`1 � �- . -.�. ;�i ._ .�.:�, '�.� ,��rr. ��i;INSPECTION:RECORD ����..... , _ .�.� _ . ;,, -- . .. , , , . _ � -.. o �_.,,�p ,, ,.:. :�� a ��, 'o', .{��.'�� ���,►.,,,�'�'�!`�°�,.�.'�.._.;: .. ;SET BACK o,t�} \ j ��•, , '�,'' �, !•;: - FLOOR JOIST.�•� ,- �., ' - _ � ,� � ':� ;FTGS/FORMS/STEEL"_ � .� _.' . . . _.. _ : .. FHA REC3MTS � _ :_�_ . - - -- --� - -- . _ . __.. _ _ � - _. __ --� ;._' �ELECTRIC GROUND - - - - , , , _. . - -.-- - - _ __ UNDER FLOOR DUCT __ . ,� � ----_ _. _ ;�; ._� _ . _ '��.' i . !GROUND PLUMBING - .: -. UNDER FLOOR CONDUIT�. 4� �` ' `'� � � ' ' " ' . �`= ; . ' `... . � � , !SLAB GRADE - -_ ._ �'; - -- --- - . _ . ;� ,. ,, FIREP,LACE,FOUNDATION�� _ ,,:., � , �,-.� :,�,,<�,, � ; ; � - � FIREPLACE BOND BEAM ' , -- . ITEMP POWER__ ._ _ .- ,., - � . . .. .. .. , _ .,. , , ; , iWATER SERVICE----_ -- _ _ _ - MID HT. B�ND BEAM . '' '� -•� •. • .,,. .�., ,�,, :�: I �. IROOF SHEATHING ��'�•. . .Z�(;�� :`'''�,-�- ��� .� 8 FT:80ND BEAM --_ _-- ____ _ - --- _; ,� .,_ � -- IFRAMIt�GNENTILiATION " � `. . � . ., . � 'fiNAL BOND BEAM . � . ' - ---- --��,: :�;,,- , � ` �ROOF COVER ,:,, p�L.-o a.L�' � PRE-GRADING --.. _ __- - ___ _...__ -- - ------ . ..-''_.. . � � IROUGH HEATING" —_- - . � . _ - - ' BENCHING - __.. _- ; _ _ __ _- r, :� ' - ! . iROUGH'ELECTRIC----�-- ::'� ':' ' .' �' c ,, ROUGH GRADING - - -- _ _- - --- _- - --._ __. - -� IROUGH PLUNlBING--�-- - -- - ` FINISH GRADING � � � ISHOWERFi'UB TEST- ' -- - -�-- ----- _ _____ _ _ - POOL ELECTRIC. . , , ,.., .;:; � , , . .... . , IEXT.LATH/SIDING- , -�--- __ -_-- --- - - .__ _ _- POOI FENGING , , , " _ �•: !WALL-INSULATION ---;--�--- ----- -_ . _,_. . _..__. _ _POOL FINAL ; . ., � . ,� . �CEItiNG�INSULATION' - '- _ ___ __ -- ' � __.__ OFF SITE IMPS. ; � : . , � IDRYVJACL NAILING -' -- ------ - -- -- - - - DEDICATIONS. .. � �SEWER---- __ _ _ - _ _ - _ FINAL;ENG. ,: ; : _ . .. ._ I iSEPTIC TANK LANDSCAPE/IRR1G. i :SEEPPLT/LL_ --_. .. __ _'- ' ,- '- . �, , ON 51TE IMPS. . . , , _ , i . �GAS AIR TEST ; FINAL ZONI�lG ' ' ' ' � . - -.--- - ;FINAL CONST !- - -- _i _- _ _ __ _. FIRE DEPT. FINAL <� � FINAL HEATING _----. ._.------ -. -- -- _ HEALTH,DEPT;FINAL' ,, .,; - � -- ,. . . . : . . ,. . . . .. FINAL ELECTRIC---- - -. -� - - - - -- � �-DEV.FEES-PAID- . ' '; . . _. . FI�lALPLUMBING----� -- - _ i _ ___ _ _ ENERGY . '.� .. .,.,_.. � ____. . _ -- -- - -- ----- - - _ __ _ . � : . , , _ , -- _.. .,. , - - ., _ _-- - - - - __ _ . .. . . ., : �-�;�s� a Q;: � ,;. . _-__.� , :,, E... �. , � . . ..: � � . ., �... r , .��� ��+... - . aem.aJ.d.-:x...rewr� .......:.' ' �. .:.,_'. .- F _ . _ . .. '. '_' �.� ' � ...' . ._ _ . ... ._ ....'__" .__—•—'__"'__"___ . ........ ..... . �. ___' _..�. ' .-._ ' . . . ... . . . ...: .... . .. COMMENTS -- - -_ - - _- ---___ _. .. ___ : ; . � ' I . ___ __--- - -- --- ._- ._ __.__ -- _ _ _ _ _ , . _ , - I ,, � ' }� 'r:� • . , �,.. --_ -, � � .. ,. .. . ; .. ._ _ , . . ' �. , , ' _ - ' .�� � , ., � -% , , . , . . . � �-� �' - _ - ---- - -- _ _ - _ . � _ � _ _ _ _._ . _ � _, . — ___ _ . , . }. _ _- SEPTIC TANK SIZE ,,.. . . . . _ � , � ;... „ � . , — - - _ , , .. , , , �„ „ �_, ,� SEEP PIT/U SIZE ------- ., . . , . . . �.,; ` -,: -- - __ ' - ,.;;� ;�...-�-�.-�-,—j -- __- --— -- - . _. � , - „. .� � . � _ . .-: �;� � _ ; _.... _ _. - - -- ' .. : c ,., ; � .. _ __ , t'F; . _._ _. _ _ ���' �`ai� ' °�'' : __ -- _ _. ,Z ,� i i f� �.�� �l _ 1 . _ . _ '_ .'__. -- ..__. � __. . . �T�t �- 1 �,�1e { i 7 . Y�t J � � � �1��'��" ` V r' � 1 >y,f� .4 . _. . _. � . _ . � ._ . . .,. .... . , � � \ . r J� . ' . .` . •� ♦ . . , , , ��' ' .. ':` ,.. _. . _ .. . _._ .. . . . _ .. . __ _ ' . . ��,\ �`\_ . . ... . . ... . ._ ..•11 . �+ ��. �. : _ .. � . � , 1 �y, � \ .. �� � �� � .�.�����,�t, ^ :.� � 1.�.. . -_"_. `: -.� 'l-7 __ .._. .\ . .... �. _. . .. .� _ � � ' \, "_.��. `� 7�.1 ��..�.nr+... .�ral:.o y . ,