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Home My WebLink About14-0957v N a M i a N DI. 1111,�D IILUC CITY OF DIAMOND BAR DEPART [T OF C( NUNITY & VELOPMENT (VICES 21810 Copley Drive, Diamond Bar, CA 91765 (909) 839-7020 Fax' (909) 861.3117 Building Inspection Hotline (909) 839-7027 BUILDING PERMIT APPLICATION JOB SITE ADDRESS .2 -IS I St QUA of 'r" &-i r U 14 APN LOT TRACT OWNER RW ❑ ❑ RW ❑ ❑ ADORE CITY C1 OLZIP TE APPLICANT TEL CONTRACTOR ADDRESS stv- CITY map" N±KIP al'+I TEL ULiO L%S ARCH/ENG/DESIGNER ADDRESS GmapmCarlawt CITY ZIP TEL OWf1ER-BUMIR DECLARATION I baebe affirm under penally OR peau" flat I am serial from the Conbacti Slate Ucenese Law lar he ==(a) below by the darymay9l I len platted fired to to sppkade demed rection 7011A Bralrmess ane Rpbabm Code, Air/ city m county flat regales a #Trait be mmbut, alter, tprwa, demolhR or repair, any strucmie, pule to its Wasom 4 else rgWree the applicant M to permit be file a signed statement mal M Or Na h Ikmraed puruedto Ile provisions of Ile ConfleMfa Stab Mneme Lae (CMptn 9) Canlmelmlg with Section by Oldslg 3 of to Bmintem and Prdesdea Code) or Mal M Or Ne a exempt from mamas and the Mab N he alleged exemphg Any eetehan OR Section 70315 by any appgmrdb a coral subleca the ooplkamb ac1hil penalty of net more than Ree hundred dollars (M) U Lm oener of me popeM or my empbyem Yeah wages uNelr also wmpmaatlo4 WR do UN of Of Updama OR me were, and me strumlm is net Intended or uttered for sorb (Section 7011, Business ad Roftes oes Code The DYIMpmrs' Stria Uce4se Lew does net apply he an owner OR prop" who, mmugh empbyma' m Minimal most bJlds or Mppem the property, pewded 00 the hnfewamm Yea not btmtled or emred for ®14 if anwewf, the WtlWng or temperament is Not enttln one year of mnpmtlm he Owner -Builder wan Mea he burden OR poring mat it was net butyl or Impmed for Me purpose at Rte) UI, As owner of Ow Property, em exclus"conlrffiMng with summit Contraction be residua l Ba project(SecDon 7091 Seemed and nofesWa Code The CamraM ' Stab Remains Law does ml apply to N owner of pronely wM err Immerse martin, and win contracts lar he projects with a licensed Contractor pursuant to the fertmcters' Sato I law) L) I sum hemp hum Ikmime ensure Ow Dmtracafs Stam Uma¢ law M me Idmwmg mamn(a7 By my sap@hm below I atApwaidge mal ucept M my personal research In which I mal Mee resume for at least we year Ruth hecp *p of the hmwmrem nested by his mnau to adlegany NO a smrbet mat t hip hall m an Wiltrrgth neteemmmbuledmIbenbelyby Ikcoem=bubm lundersandNalacopyof Neapolcoble few Sector, 7099 of Na Business and Rofesma Come Is ammable upon realest when Nis application is euenlBed a at to segment wale spm leginm ague/mlaw Mnl SIGN LICENSED CONTRACTOR'S DECLARATION 1 hereby drone oder penally of Wary tat I are licensed user pumeaem of CMpla 9 (canntereaq wine Seam 7ODDt OR MYsmn 3 Of the Moral and Professions Code and my home is m fall forte and effect u 2 Ursxa CLASS 0 C5 S U 0 CONTRACTOR altirwk WORKER'S CON ONDECIA1NnON I HEREBY AFRRIA UNDER PENALTY OF PERIUIN ONE OF WE FOLLOWING DEa"TIONS I hoe and woe maintain a Gamble of Consent to SON here Im Wdaer's Coneenstron a9 premed by mit ed Seems n 3700 of the Later rade for me Darkrooms, of Ne work Ins which this eb me I Mee pe m1 maintain Wait" OD pMWW trauarce, simulations by Seam 3700 of he tabu Cede lar th performance, of the work to, which his Panama is Issued MY WOrIun a Compensation Insurance Carer and Policy Number are �.}�� G ER I\\Yt POLICY NRIBEA (MSEMM NEED NOTBE WkiETED Fl1E RB FbA ONE II9IWD DOLARRICSIMOR lFSsf ImldyOdnheperlanaanedvewoa bwlaN mbemRbbared namrolempoy nary pamnnmrymaana comm amre Ribjecl m he Wokub mlepaeetlan laws d Cmduma Mtl gree met n 19h4m Ocmma spat m he Wakma Canperm Semm 1700dtlw Nat lwNwlN mrgly mw VelpmdLan WMNN0 lure a Worker# Cam coverspa Is glawdul snd Nall created an employer to crimen emNe9 and cit film up to ale landed maaend miars (f1m,000J, he mother, to Ve cost of to commercial damaBom Vmided fa a amilpn 3708 d to amu rob mlarest and enpne/a lees CONSTRUCTION LENDING AGENCY I hereby dem under Formlly of peauy hal tlne is a Combuclbn Leading Agmuy, for the performance OR 1M work N Mart Mas permit Is bled (Sec 3097, Cl, GI LENDER S NAME LENDER SADDRESS I NdlhavarmdMappldahmmd Nlletlalmeabm MWmmtnamneci lapune bmnpNmhaA city ad amnan=a sate we matlng m Wilding construction, and hereby authorize represenateee of rob county to anar upon the toned Propend faiiiampoctoo purposes PERMITTEE NAME NN IWO SIGNATURE OF PERMMU U V DATE PRESS FIRMLY APPLICATION DATE tI 14 I %At- ISSUE DATE IA- I /4 TYPE CONST P/C# `— PERMIT# M I'Or 9 5: - OCC GROUP ZONING SETBACKS FRONT SIDE/SIDE STREET L-1 REAR SIDE RW ❑ ❑ RW ❑ ❑ PROPOSED USE # DWEL UNITS # STORIES # BEDROOMS DESCRIPTION SO FT FACTOR PSF ADJ AREANALUAIFION SFWADD/REM GmapmCarlawt W Pedeck /D Itui Pool (7 2 Re -Roof 9 Cammerdd m Valuation Acil Area QUANTITY DESCRIPTION FEE u 2 Rmiss FIA H d Y1 rp c r CONSTRUCTION PLAN REVIEW ELECTRIC PLUMBING MECHANICAL INSPECTION FEE ISSUANCE INC QX SMIP ENERGY P/C ENERGY PERMIT RETENTION FEE PRE -ALT FEE 'A-- can BSAF TOTAL FEES COMMENTS q Q , le RECEIPT# %T1q4 PAID BY VALIDATION ~� WHITE— Department Copy YELLOW—Finance Copy — As9e99or Copy GOU b—File Copy GREEN —Appgkanl's Copy • • . INSPECTION DATE • •t ; • INSPECT1614,DATE.' ',SETRACK/LETTER TRACTAND LEDGER FOOTINGS FORMS SWITCH GEAR SLAB COMMERCIAL HOOD UG, PLUMBING T•BAR UG ELECTRICAL JINTERCEPTER UFER GROUND HOT MOPISHOWERPAN SEWER LATERAL '.' SEPTIC/CESSPOOL MAIN WATER UNE '.. HERS REPORT REGENED SEWER CLEANOUT DEMOLITION — ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING I ROUGH CONDUIT SHEAR WALLS EXTERIOR POOLISPA SHEAR WALLS INTERIOR ROUGH PLUMBING FMMININENTING ROUGH ELECTRICAL ROUGH MEC HAM CAL ROUGH MECHANICAL ROUGH ELECTRICAL W( ) C () GAS TEST ROUGH PLUMBING -__...__._.. PRE GUNRE INSULATION WALL POOL PRE DECK BONDING ''.INSULATION CEILING P -TRAP '.DRYWALL FENCE/ GATHALARM LATH (PRE) FINAL POOL LATH EXTERIOR WALLS LATH INTERIOR WALL FOOTINGISTEEL GAS TEST ,.,� �. �••++a WALL STEEL lv( ) 2N°( ) LIFT SCRATCH COAT t" J WALL BOND BEAM'' ELECTRIC METER RELEASE WALL DRAW! SEAL GAS METER RELEASE r - WALL FINAL SPECIAL INSPECTION 7' " •~ - RD FRAMING PLANNNGAPPROYAL ' FINAL BUILDING ROUGH FIRE APPROVAL FINAL MECHANICAL FINAL FIRE DEPARTMENT' FINAL ELECTRICAL FINAL PLANNING FINAL PLUMBING ............................... FINAL ENGIHEERINGI PW TC of OCCUPANCY FINAL COMMUNITY SERVICES CERT, of OCCUPANCY FINAL HEALTH DEPT FINAL INDUSTRIAL WASTE COMMENTS