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* CITY OF DIA DND BAR i
DEPARTMENT OF COMMUNITY& DEVELOPMENT SERVICES
'` 21810 Copley Drive, Diamond Bar, CA 91765 d ( +/+lj� PRES`„�t,
.,., (909) 839-7020 Fax (909) 861-3117 Building Inspection Hotline (904) 839 i�i�v
'wee BUILDING PERMIT APPLICATION www.cityofdiamondbarcom bull 1iv
JOB SITE ADDRESS _
APN — LOT. TRACT
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OWNER 1s yJ.,
ADDRESS Der, JYatt+ZTt1
CITY Br�S-+r�__ZIP 4/ 7� 1'EL N
APPLICANT f 7L �1.��g,L TEL
CONTRACTOR
ADDRESS f G
CITY M i. e f -e `Teri ZIP -S" TEL 1,5A 17'115A
ARCHIENG/
DESIGNER
ADDRESS
CITY ZIP TEL
OMIX-MMDER DWLAMTMN
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WOW WMY ay Me de tonsue) 1 Mal naMd W M its apllxade INNO) ISealal 70319, Bos and
Ramaoro Cade Any alp by archly MottWim a pamX M omatmek after, haamra, demoleh, or mpsr, any
aNiBWN, past to It nalmnw,amW
Mtm raOt MB ORNlet Ne panlll to Ob a afgned aMMaent Mat he M -h-
e
lle Ilmaed Ma l to MB Marato of the OwlywhirN Spite Loweuse (C"m al Ca ing with Swft
7000 of artka 3 of MB ke and not UkM CoMl or Met he a Mal a mems hon Mtt1aB BM the best lot
Ur MkyeoexempUpi A y *Wan otSedtm 703f $ M egapptltaa laa permit eubl¢aV drcepP�mmadvOpemlry
d ea ma0lon aro yflmdrea dWea($SUq
Uk as owner dthe pmperty,ormy employeal wagce mmdrpOMGnmpaeatlon, wRl ao(jella/prU pensee
of the ass. end the anNLebre b not ImendW Of olfaea hr Bale (SBCOM 70" Swanms are Rahad m, Cast The
Coehraaare' SlaneLicense New aces ON appy to an awns of aapBM who Mhuryh emisaMtm' a aerosol evet bums
or so mma the weporty, plaWea Mettle nowboh11Mtt Bra net Inlwason a as aed ter sae U hpwtn+ she wMnga
imprmament Is why wish ON, year of omplollon Me Owwa Bu'IdN Mal ow err aedoi of ansng Mat 11 was not body
a Impmrea for the purpose of she)
U I, as Mer of the property Mn eadUMOry onNnngwlM iiconma Cannanore Is wianua the poi a NWIM
7044 B MMIS end Rdes.UNa Coos To CmkadMM Santa t.bava LM sem ret as* a No aver at Popes wan
buldI MMO mmtlNtean all Mrtmumbia UBPgtlCNwdhaBorod Canamda p¢swnttat Canbaaos'Stane
Lim= Law)
U l an menet tote leehaun under the CCmditKO's State Mw felt that manors
Date SO
Bymy Bi mm Mat. l aekramBdpo to e¢ cm ser my Iowa In which l trace ma madely,0 Meet ow
yea sky to ceroi dMa w w by this Penn l oonier ospordea a shudpm Ow inane add a9 an
Pater X it NO not Mat cmBhaeo in it 0040 by Nompol awmass i undast0 Dan a copy of the
stakablO bre Sedb o 7044 of the ace Code M n Mason won May appWaUon t
suMeU�aat me Weoaim htlP'rrmhMphdno Md
LICOM
C4NTPACTORSOECL4PArION '....
i aMmr under �nMrydpapBythdiBn yponseoaMM pmNNaedCeryfergjwmmercky Mth SeNm 7CC0} .'',.
d mwYm 3dihe elm Code �ed+myylltRrt4a46 gfffinhR face and anl0ct '..
tKBD`;ErlASS-jRM =� LIC to �J._.[ �
DATE CONTRACTOR. 1 % P -_CIA N �
WORKEWS CMMiNSA7MM" M MN
I HIMEWAFFSiM UNDER PENALTY OF PINI ONE OF THE FIXIOYWNG DEl3JRARONS
_ I cult ad ON irwi(ah a Cap1thim B of (.seam to Not Wt9 Na Wakob CMWfWbm, a PRAMed by
Socko 3700 of the tete Chat Now TO pnlaneMa of NO wtft for whips dee pemlit b bora
.� IteNdo mnMolthehnwmmk twwWchthaa WMIt Niead MayeWdaulmlleISCWpennaNml mmMnoCaCpwandPoky Number &re
CARMER
POUCY NUMBER
(TNIS SECTION WED NOT BE COMPLETED IF THE PERMIT GFN ONE MWMtO VOLUME 31M UNLESS)
Pett Me peAaaawamdth8 wokiawNm Mapamdtaxatl,INNp nlaemaoyaWpaeotMary maaereoMtp
�bepYnO &Oleo NO Me Waa9's Cdipmalen tare of CaWinia And WW M N I9=0 bony Mad bar walwas
ealwaedlmamaa,ad Seu'ron 900d dNtaha CdiB too taMMMmassfwMtham pmttm
—APPLICANT
WARNING Fenum m secure Works, 5 CAmpormUm manse Is udBxi il, ad Mal eW*O in ennother m awns et
Notable all cAg Anes up M aw Mmtlmtl themam Nalas ISTOO on in atman to ere Got of the maymnschm
adaia�9 m poaYAM7 hlrtacar1370B d Malabar maB utast, asaedanBy'abl4
COMMLCTWX LHMNiMAMW
I haeoy thin Out panel, at popery Mat there is a Ct comms, LwAV saw" to the patametos at the was 4a
whim this potent Is away ISM 3087 Cw C)
LENDER'S NAME
I SADMESS
t arOtyMaiore rP�lNa adders Dsd me arMm ro�rBa legrBeM@lq+ip wtnh an dry ane
optMatBaMdaN Mwe mhu3M�mnasacUpn ad UBmdy MrtRaderapraxenmtNmdma Ganes to
Bda uDOn ma cm�nce�nGmhad poapeAy fa bG°pxtloa GaiesBB
FTRAgT1EENNd€.
S,N'ATAOF JOITU DATE ....-
APPLICATION — DATE 91 >�% �! $ tt�� ��j/qj,1u�, _
rr�� f��j
tbbuE DATE ._ZPERMITt Y? Rt 40 ". .OF
TYPE CONST —. OCC GROUP
Scope of Work
t DWEL UNITS is STORIES t BEDROOMS
:DESCRIPTION
SO FT FACTOR PSF ADJ AREANALUATION
SFWADOVREM
GaragarCerMt
PatlofDock
LL
PoOtspe
2
Re Roof
�
Cammerumi
M
Yatuattoa Adz Area
OUANTITY DESCRIPTION FEE
ca
z_
i
CONSTRU011ON
PLAN REVIEW
ELECTRIC S 59 - 8W
PLUMBING
MECHANICAL A its
INSPECTION FEE
ISSUANCE
SMTP
ENERGY PIC
ENERGY PERMIT
RETENTION FEE .64 _QD
PRE -ALT FEE
BASF
PLOT PLAN
ZONING CLEARANCE
Q
TOTAL FEES f) Q * �. y
COMMENTS
P/C PAID BY VALIDATION
RECEIPT O PAID BY IJP VALIDATION 7V
WHITE—Department Copy YEU.OVV - Finaroe COPY, PINK—Assessor Copy
CITY OF DIAMOND BAR
INSPECTION RECORD
SETBACKlLETTER • 9
',TRACT AND LE
FOOTINGS FORMS
''.. SWITCH CEPA
STAB
COMMERCIAL HOOD
I UG PLUMBING_
'... T -BAR
_
1 UG ELECTRICAL
! INTERCEPTER
LIFER GROUND
''..HOT MOPtSHOWERPAN
SEWER LATERAL
!SEPTICICESSPOOL
MAIN WATER LINE
HERS REPORT RECEIVED
SEWER CLEANOUT
DEMOLITION
ROOF SHEATHINGROOF
DBA NS
FLOOR SHEATHING
ROUGH CONDUIT
_ -
SHEAR WALLS EXTERIOR
POOUSPA
SHEAR WALES INTERIOR
ROUGH PLUMBING
FRAMINGNENTING
ROUGH ELECTRICAL
ROUGH MECHANICAL
ROUGH MECHANICAL
ROUGH ELECTRICAL W( TC( )
GAS TEST
_
ROUGH PLUMBING _
PRE GUNITE
''.. INSULATION WALL
POOL PRE DECK BONDING
INSULATION CEILING
P-TRAP
L DRYWALL
''..... FENCE l GATE/ ALARM
LATH (PRE)
''.., FINAL POOL --
''',
LATH EXTERIOR --------
WALLS
LATH INTERIOR
WALL FOOTINGISTEEL
GAS TEST
', WALL STEEL Is'( ) 2-( j LIFT
SCRATCH COAT
WALL BOND BEAM
ELECTRIC METER RELEASE
''. GAS METER RELEASE
WALL DRAIN! SEAL
WALL FINAL
SPECIALINSPECTION
RO FRAMING PLANNING APPROVAL
FINAL BUILDING
ROUGH FIRE APPROVAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
'.. FINAL ELECTRICAL
FINAL PLANNING
'... FINAL PLUMBING
_
FINAL ENGINEERING( PW
T C of OCCUPANCY
FINAL COMMUNITY SERVICES
CERT. of OCCUPANCY
—
FINAL HEALTH DEPT.
COMMENTS
FINAL INDUSTRIAL WASTE,,