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Home My WebLink About14-1217.4 WAe JOB SITE ADDRESS!!btb APN LOT _ TRACT............__ OWNER I'I CLC/t /�LLrtt�P-,� ADDRESS 3/3 11.r SCI'C (;f ✓,r CITY _•��' TEL APPLICANT AYa TEL^ 651�'�` CONTRACTOR CML 73yiCN"' 't•abA� lt�,rir ADDRESS CITY ZIP TEL ARCWENGIDESIGNER ADDRESS CITY ZIP TEL OWNER RUIIDER OEMAk4TM3 I hmeby air. waft, pwaft m DanM9 to I nm am from am 0"Afle a'a Sala Uemme Let Me in team l meeaLLb team b7 to chnnunarkK I hmye punt neat to me pence, +ketal [sedition 70315, fldross mm MNeasbna Caa' Any dR' a dawn Qw! aaWaa a Pem11t 67 CRWnw; ai@t, Immune. deme" a fo* $M P#Deldm, mat Calfs Mauaxa,alw eenfres esapmaae Re RatDmm<I to Me a so" emit we me ae wale a lamew#Dwsamlt OaUm DmRSlaaatUm CWMradOr'a Slab UwnaPtaa Pw'ffl C9matmeLaDIJm SDwbn 7E8RNOfriNma3mlM R�nlnesa arm Normal h9abeaemptbaBlNenwm enc ambsaEsar Of n monallrwiandekibfmnmNafm763i SUyaM epppemmara PatmtmAattramNWKm9bated pBneDy Of nut roma � (I handed dollam (55004 U1,0ainner of m0 we". ar mywintaw event magas w We wa wmpargman, will tk{J a dtFar (J nhkaw; of the walk and Om muterl, as hat Intent a than W We Manila 70" Manes srA Rdewanv Cada The Gaanaefma Mum Laalm tartans tat RAFIY a w wamrdpaVa4 nan), IN" e ieliMs wpm10101Ort kata w ImWaB the PhipmtY pmidw aI the hpramment are M Mateat a a#eree arm I Ise am bWmnR a wPmawnwlrs a9t+AtJnoreyaNmcampetlm me Ownm ME ere Ma bmdm at Prmaq Chu itwn npt Wtfl a bnlnmre4l ara19 ParPaw msaa) ?a I, B4*analtlmmapennamn Re Ca amide Oman Let, atoew a ha lm, apart y5d vehe 7099 &races net flPlaObV 0900 iYt Gmlam:aaB' Stave tNmme iron d0as rW apply ro w mare m PWmb AM bu,itlsaimprme9 merean m�wdmrnmatb Aq me pmbNewimdke&mnt Gwanclapu�vanl to Vre ConhacWa Sm10 tcaroetam} U I mneaemm Item lleynaue w�sme tbn#acam'e SIB lknnse aur Nr Dm faimrbrp rdama%i} Ry my Olwemm6#aw edtnpwto$aautace�ta my pelawa m8amtdamMNth1 mrnuclam#dM arabufteew t9N Pear mampaam m Rat ImprmsmmlR ramradby mm penes 1 cmnm kaatY � n amcWm mal mere b�aea mmabablerr(Ithmrmttmwmrafru40arrmeMOelyby Atcrmed armeGUas.imaieramdl wpyotem Ian Saim7819 me eesmai PN(05#ela Cada lOaamlMbla UpwraaueOtMm alis wtanb ateamm in Adnan sM ItCENNED KMARAI 1 amnn wNmPenaMaf PalwY Wtlmn tcenN6m� povEamnl Gan, aaq MM Salm irx10l q tavltan 30ihe 8asaieasmq Ralessmre Dna, mm mB PLBra9 b a 1W IAPB mffi BMaG I am LIG NO �.. CONTRACTOR WMMBI'S COMPOMUMi GEtL4 MytRN IHEPF.REAFFIRM UNDER PENALTY OF PgUURf ONE OF THE FOLL&N iKOAR8110NS _ I ape and MA meat in a GanURmb of Dante to Sag ante ear Waal, a CmAmlw een as patent by Saaw 37tlR PI am lean Gate ar me perldmanca a era mak fawRth DJs pemR ttEumt 1 nam mtl wnp nwunm WdMth (bmperlsetm mwmne9,as tawir0d bYSaman N7GDaFDmtffi Camea, la we pmfamwn9a Wiha wnktawheh iMpewd b awed Mt Wake OCnmlmwa0mamrmea Dmlmratl POKY fannba we 0400 MARY "No MOSC"NEED IRANRE WWLETOFM POW SFOR OW RaiOlDOOCAIARS1111001 OR LES% I al" Ilvatti epa"M of ma were V whwh Ma nal It lame! I steel M MOM W new, a a YR' heven mase mtfleli 0 O 0,141 ConPeasln Uva of CRmYa An awes an ltd ens At wMewtkm's CanPmma 5edm3709Nme ei#mabarnw taRt/ A.DPI,ICA117 �_ _ WARMNG. Fallen a seaBa Wotkere Owler®flm 00varen IS Unsterile and an water A Pdmkal mnN a ms Ml b a ap m JM Mntlred a Into l am ms Ri00A00, h dei m rot N de wince Baaw tmtwpe989 prmmfaa (dt atBM.aM1 9708 of Ino aba este gamest, and 8tamey'a mea, CMMUCTNIN AGMT I ai0rmruperpen#MW �IwY mat mem bafamtrucamrtsdbp A80rie1'ar Ure paiallwatmGra ammo dmnilds parmA Is lemmd ERa 80RT. CFa G} LENDER'S MIME LENUEN'SAODRIM da10F4 m5t1IMve mat InhapplNaUmlmutsaieamt at eaorolNmmaam mmaat law" n camplia wG e09aymm Mw maeat0 awn rhn" ro tas�q mYSaaWlr Ont nala#y au#aadtaAOwnbgNead DmwmNY m ill upon Omaba+e namaned PamaSY ate ampaian pnpmsea PEWaR'lEE len IMATOF E tlaTE CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES 21810 Copley Drive, Diamond Dar, CA 91765 (909)839.7020 Fax (909) 861.3117 Building Inspection Hotline (909) 839.7027 BUILDING PERMIT APPLICATION APPLICATION DATE I ' �+11'�' P/C#� � /C ISSUE DATE 1491. !1�"PERMIT# a +.6 k�-- 1 A_7 TYPE CONST OCC GROUP ZONING SETBACKS FRONT RW ❑ REAR ❑ SIDE/SIDE STREET RW ❑ SIDE ❑ PROPOSED US 090) N OWEL UNITS # STORIES # BEDROOMS DESCRIPTION SO FT FACTOR PSF ADJ AREANALUATION ................................. SFNADMiEM owagwcww E3 PaUmMack PooVSpa _ Ra A.W Conanmolaf Vaivaton Ad Area lad ST OUANTDY DESCRIPTION FEE �, L�is10t JJ ti/ S CONSTRUCT10N '4' vim PLAN REVIEW ELECTRIC PLUMBING Q 15 Coat - MECHANICAL INSPECTION FEE ISSUANCE "ii:f 'M• SMTP 5C1 ENERGY PIC ENERGY PERMIT RETENTION FEE b^1 . t3t1 PRE -ALT FEE BSAF TOTAL FEES"'I COMMENTS. RECEIPT p _2_ - PAID DY sal VALIDATION _ WHITE —Depan,,., CoM YELLOW —Finhoe Copy PINK — Aawssor Copy GOLDENROD—File CAW GREEN —Appbc.,,rs Copy +9Xl%* CITY OF DIAMOND BAR INSPECTION RECORD lN§Pt&T,lON DATE INSPECT OR IN I SPECT AT uINSPECTOR SETRACKILETTER IYii TRACT AND LEDGER FOOTINGS FORMS SWITCH GEAR SLAB COMMERCIAL HOOD iUG PLUMBING T -BAA iUG ELECTRICAL INTERCEPTER UFER GROUND HOT MOPISHOWERPAN SEWER LATERAL SEPTICICESSPOOL MAIN WATER LINE ................................ HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ',�. ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT SHEAR WAILS EXTERIOR POOUSPA SHEAR WALLS INTERIOR ROUGH PLUMBING FRAMINGNENTING ROUGH ELECTRICAL ROUGH MECHANICAL ROUGH MECHANICAL ROUGH ELECTRICAL W( ) C ( It GAS TEST ROUGH PLUMBING PRE GUNGE INSULATION WALL POOL PRE DECK BONDING ''.INSULATION CEILI P -TRAP DRYWALL FENCE t GATE ALARM LATH (PRE) FINAL POOL LATH EXTERIOR WALLS LATH INTERIOR WALL FOOTINGlSTEEL GAS TEST WALL STEEL IST( ) 2X0( ) UFT SCRATCH COAT WALL. BONG BEAM ELECTRIC METER RELEASE WALL DRAIN/ SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION RO FRAMINGPIANNINGAPPROVAL - FINAL BUILDING ROUGH FIRE APPROVAL FINAL MECHANICAL FINAL FIRE DEPARTMENT FINAL ELECTRICAL FINAL PLANNING FINAL PLUMBING FINAL ENGINEERING/ PW TC of OCCUPANCY FINAL COMMUNITY SERVICES CERL of OCCUPANCY FINAL HEALTH DEPT. FINAL INDUSTRIAL WASTE COMMENTS j0c4n tewA:aJn3 CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT State of California Countyof Olunjc "O_ M On O (�� before me, s [ Vl,j P I _`el i IVI -w Y (Here Insert name and title of the personally appeared f m ((A N o 1 One, � n e, who proved to me on the basis of satisfactory evidence to be the personXwhose nam*I subscribed to the within instrument and acknowledged to me thatol w—eexecuted the same m r t ortzed capaclty(Kand that by er Ignaturq&on the Instrument the person fk„pl the entity upon behalf of which the pe oni5yz2ted, executed the Instrument I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph Is true and correct WITNESS my hand aq official seal \SqinftJ'm of Notary Fublic (Notary Seal) MALINI PATEL Commission No. 1038W ■ IgTApY,rt, r. ALWON" t� ORANOB COUMV L...- ------ �� P•at�ewlowr,aaon �-_ ADDITIONAL OPTIONAL INFORMATION DESCRIPTION OF THE ATTACHED DOCUMENT d oil fftP Q�L n —'� (Title o description of attached document) A-4 ti f, u ` -fo �� (Tule or description of attached doctiment continued) Number of Pages I Document Date (Additional information) CAPACITY CLAIMED BY THE SIGNER Individual (s) Corporate Officer (Title) Pariner(s) Attonney-in-Fact Trustee(s) Other 2009 Version CAPA v 12 10 07 800-873 5 www NotaryClasses cam INSTRUCTIONS FOR COMPLETING THIS FORM Any acknowledgment completed ,, California muci contain verhlagc eracdy ay appears above In the notary section or a separate acknowledgment firm muv he properly cample/ed and attached to that document The only erceplion ry If a document is to he recorded outside of California In ouch Instances any altermmlie acknowledgment verbiage as may be printed oro such a document %a long ai the verbiage does not require the notary to do something that Is Illegal fir it nonan In California (I a certifying the authorized capaury of /he vigner) Please check the document carefully for proper notarial wording and allach Ihrr form Ifrequired State and County Information must be the State and County where the document signer(s) personally appeared before the notary public for acknowledgment Date of nomnzation must be the date that the signer(s) personally appeared which must also be the same date the acknowledgment is completed The notary public must print his or her name as it appears within his or her commission followed by a comma and then your title (notary public) Print the name(s) of document signer(s) who personally appear at the time of notarization Indicate the correct singular or plural forms by crossing off incorrect forms (i e he/she/they is /ere ) or circling the correct forms Failure to correctly indicate this information may lead to rejection of document recording The notary seal impression must be clear and photographically reproducible Impression must not cover text or lines If seal impression smudges, re -seal if a sufficient area permits, otherwise complete a different acknowledgment form Signature of the notary public must match the signature on file with the office of the county clerk Additional information is not required but could help to ensure this acknowledgment is not misused or attached to a different document Indicate title or type of attached document, number of pages and date Indicate the capacity claimed by the signer If the claimed capacity is a corporate officer indicate the title (i a CEO, CFO, Secretary) Securely attach this document to the signed document January 22, 2014 To Whom It May Concern I, M Carol Nance, give authonzation for my son, Mark Sayles, to repair the leak in the main waterlme at 313 Del Sol Lane in Diamond Bar. The access for this repair will be made through the wall and not the concrete slab Upon completion of this repair, he will patch and paint the drywalI that was damaged to access the pipes involved. Upon completion of the repair of the main waterline, the insurance company will be contacted to complete all other necessary repairs initially assessed in this claim Signature of M. Carol Nance _U -% Date CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT State of California County of (SCG rLs� C r'� ls On #e3 as 1% before me, Insert personally appeared who proved to me on the basis of satisfactory evidence to be the perso'sls hose nam s r subscribed to the within instrument and qacknowledged to me thaCG2f#l' to xecute the same in ei authorized capacity es and that b}(h akZNignaturid&n the instrument the persoyo or the entity upon behalf of which the persor {es acted, executed the instrument I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct WITNESS my hand a .o t seal � Conitiftelon No. 2000 +eanw+rReutarAwatoa qqq� /}) �/ entrittEcatiNiY (Notary Seat) Cemn Ei�iwsAtidgr t4v 2tiT Si� r ubliP t� ADDITIONAL OPTIONAL INFORMATION DESCRIPTION OF THE ATTACHED DOCUMENT bn c W14(w tfe n (Title or description of attached document) �2ct 4f— (Title or des peon of attached document continued) , Number of Pages 1 Document Date (Additional information) CAPACITY CLAIMED BY THE SIGNER Individual (s) Corporate Officer (title) Panner(s) Attorney -m -Fact Trustee(s) Other 2008 Version CAPA vl21007800.873.9885 www NotaryClassescom INSTRUCTIONS FOR COMPLETING THIS FORM Any acknowledgment completed in California must tmumn verbiage ecoctly ui appears above to the notary section or a separate acknowledgment form must he properly completed and attached to that document The only escepnon is if a document is to he recorded outside of California In such mstancer. any alternative acknowledgment verbiage or may he printed on ruch a document so long ar tire verbiage does not require the notary to do something that it illegal for a naraty in California /i a certifying the authorized capacity of the signer) please check the document carefully for proper nomnal wording and attach thn form ifregmred State and County information must be the State and County where the document signer(s) personally appeared before the notary public for acknowledgment Date of notarizanon must be the date that the signer(s) personally appeared which must also be the same date the acknowledgment is completed The notary public must print his or her name as it appears within his or her commission followed by a comma and then your title (notary public) Print the names) of document signer(s) who personally appear m the time of notarization Indicate the correct singular or plural forms by crossing off incorrect forms p e iwlshehFrey; is law ) or circling the correct forms Failure to correctly indicate this information may lead to rejection of document recording The notary seat impression main be clear and photographically reproducible Impression must not cover rent or lines If seal impression smudges, reseal if a sufficient area permits, otherwise complete a dit%rent acknowledgment form Signature of the notary public most match the signature on file with the office of the county clerk Additional information is not required but could help to ensure this acknowledgment is not misused or attached to a different document Indicate title or type of attached document. number alleges and date Indicate the capacity claimed by the signer If the claimed capacity is a corporate affect, indicate the title it e CEO CFO Secretary) Securely attach this document to the signed document