HomeMy WebLinkAbout14-2253E
p�
U
O
z
I7
CITYOFDIAM( BAR
WDEPARTMENT OF COMMUNITY & VELOPMENT (VICES
21810 Copley Dnve, Diamond Bar, CA 91165 PRESS
(909) 839.1020 Fax: (909) 861.3111 Building tnspection Hotline (909) 839.102? FIRMLY
BUILDING PERMIT APPLICATION
JOB SITE ADDRESS?, ani .. bcGlf nt-ca k
................
APN LOT TRACT
OWNER 'MlAaM—"yt—;=**CA
ADDRESS
CITY ZIP TEL QLati 53110
APPLICANT TEL
CONTRACTOR�pc+c,f`
t.J`wJ
CITY g, ZIP �'{11 2 TEL �p- 5?.SA-11241A
ARCHYENGIDESIGNER
ADDRESS
CITY ZIP TEL
owum BOX=OECLApAIM
I Nax'ty, ammm spm Ovally' OF papmY mot I am samd ham Rw ca taft s 3184 Ucabe taw For thin TMONs)
kgnaba bm* by Re 1 taws dam0 twat roma appkaba damps 15 .1 7ROIA, eexlnew Md
Pvhsslmn Cods, Any¢NymapaT Omi regdms a pamh mcombWmL elle improv, Oemelh0, or epalFamy
atmPbm�p a MaiaWwRaa'aamawdr,s ba mmllGud mrU Parndtb Rbaalpvd Manowt "neaalW
b Rmmseb maclupe b iM pvhaiva d tlM CanMadab Stab llGwnse law tCNapbA f1) Carmlacmp "masection
d pttdsram 8 d An Ba011b9a W PriN Ir0 a and h0 same is eaempi ham I asnva aid iM Gpea br
� madNEeaem�pkpr My mwaand5edm M7m3t 54Cady yenY Bpp9tSttM ageing wmta[d tlW appma0baclay RmmY
d rolmmetivi My twmaddoaas (55b51
U i,exowtard mapropeRy amY em?lymes with wages as thdrsae mmpaWptbn, wildoUenalw U paOmS
Of Ox WOrk, ann the SIFXW b ad kWMW a 011aal b7 me ISxtm 7474 mahm mal Rulrabw Coo, Dw
Owwwwm' Stole Lkdae Law Odes nd apply to x awmw of pup" oft mmuph wrommea a pelmlmi effort, diNb
a mpaeame plapahy, pmpav mel the Impraw menbare aw moa ed w dwreo b saw h Iv.Wevr, tlu detlmp a
anpmaememt Is mtdroman ov aldmPmllm RWDYlllaf Imamr Wa mase BaaudhdpaWry gatowend �t
al impfaed fa m8 WrDaaa at we)
U Ir ex awls d [ha wupaty, im exdaalmly caatracenp mm 8mmfeFtbpttatomka am5buci Ow praMct(Satin
7044 Rmmexs XW FmimNa , Cote fie OwwWae Sate Li mme law dos nd apply it W mama d wpp" wm
bullde a Impoha mean, alp who comUxbfa ma poiesis wall a IkaiWm Cara xtaw pasaanm am Cxbxba' State
IYnW, taw)
U 1 am exempt Irma Rcemame UPW the cCebmrol'a SbN Umiwe law for The iollawsg teamlMsl
By mry rkasbim Flow, l adp"Itima. atim l3 mapawayaw Implimpa a who i mast Num mesad mr at asst me
year port b mmpNtlum d the Impmmmansm arva Oylaw pWmoi mom "Itty no abw§pa guts Iuoe bill as 0
arma-0uiler Hit has W wain aamatetl m am wapety by Warmad M&X*M i wOMW M awayed applaciable
bw What 7044 of Tire Owkimas and Pndessimne Cpde Is mwimbe man retwest who that applimfortor e014,011 a9
ma mmwipq Wmdb Mlphrwwi'rbmymm paYffidaw'Nmn
Srt01
UCUM CMTRA TOMIS DECLARATION
I amars ~ May of papyvat l am Wmto wSmr plow" of Cally, O tmmmaymi wall Seadm 7000}
d IXYi9bn3dme aaneaa8gd Cade aitlmN aaenaeamyAltacrhjsin nkat
LICENSE CUSS ^• g tR: NO �aMJ.W"C^
iH
-tY-IY corMwTGM --t-
1POI 'SCOWDEWTION DECLAMATION
UEREOYAMU MM FVai OF PERAMy ONE OF THE FOLLOWING DEQ&NDOM
_ imay aq ma mamam a Can e of CamMl m Sal bwm to Wwkm a Camgappil m, as pminW by
y Sedan 3700 nl me IaOor Coda, fpr Ow penampke0 me wok ko Which Ess "I isIssuad
ft Wo Ynai othuwnkiw CMINamWl is lune vmpNatltry SecOm 3700dtla lalgr Cede,b
PoppyMmrenssal ma wakta wNah this penal is Imued MyWaka§ CPmpnsatlm IreFmee CarwrarW
mkcy Maatcamt y,
CARRIER L I V4sall"H A+/E.,A+t"LL a7Er,�
POUCYNORA M IA.)iAl SagsgI_gvl'o
(Rts Mnft N@D NOT M DMiRE7ED F TIE PUMA S FOR ONE W& FD OOUAR5 D+IOW OR On
1tardy and bmepaRpeuae(d Rw walk tarty tldl thpa'maiS IRvd.l SFok np MWYwrypbmnFad mmrmmmb
baama PAW b RaIM
e Worker's OmVer Laws at Cafdaw Nei a" a" tad I At" banW Wilk
msond b M es
2 h
dAPP11UM7d1dRW tan Ima9lvamYWepwalaa.
WARNING Felber b salaam Walk" Cam cgempa b d. env alai wbod an eromyer m atmbd
pandaea old dw Fum up b as mapped RYawmai dams G IW OOR a amdion to"past d ma mmpMRa1LT
RaRRpex vprmdtled form sa'Ben 3708 d MW IaRv mtle alrmam,apatmmaye4oes
CONSTRUCTION IENODIG AGENCY
I dRrm aper ppmiiP at III Oat mere la a Cxsmlfiv LBmbgApmtt IN as dway .aw la
witch ItispamRla ImueOtSec 3097 CY C I
LENDERS NAME
LENDEMSAD01ES5
I W hxmelead mK awykaway and Btaa aW aro abam whamapaw W DEQ i epee b amply Mm Ydlj ad
alamaw9:a and sbw taws rdaklgmauRdmB apiwlspy Wmalm dmWmudym
amarrgm mAffimt madi0red pm0erti to PlaPoxes
EE
MiE
APPLICATION DATE %A t 14- P1Cp
ISSUE DATE t 1 � 11A'1' PERMTTp Pft 114 - Q; k
TYPE CONST DOC GROUP
5011
ZONING SETBACKS
FRONT RV ❑
REAR ❑
SIDEISIDE STREET RW EL
SIDE CIT
PROPOSED USE
M DWEL UNITS IF STORIES IF BEDROOMS
DESCRIPTION SO FT FACTOR PSF ADJ AREA/VALUATION
SFFVADDIREM
G&ROWCa i .
W
POW06pk
Z
Rt Rad
S
cpma„am,al
VALWI yt Adi Area
OUANTRY DESCRIPTION FEE
a
f
CONSTRUCTION
PLAN REVIEW
ELECTRIC
PLUMBING 'Sag
as
MECHANICAL
INSPECTION FEE
ISSUANCES
SMTP
ENERGY P/C
ENERGY PERMIT
RETENTION FEE .i
PRE -ALT FEE
FfJ
BSAF
TOTAL FEES �t 1n-
COMMENTS
A1•i
RECEIPTO 1�, r3O PMDBY _1S i:.a`B VALIDATION
x CWYGOU )D — Pot, Copy, GREEN —AppilcmV, Cary
i4i�.'Ld rN DATE INti3ECTORl7
l
SETBACKI LETTER
IINSPECTION DATE WSPECTORilil
TRACT AND LEDGER
FOOTINGS FORMS
SWITCH GEAR
_
SLAB
COMMERCIAL HOOD
UG PLUMBING Z
T -BAR
UG ELECTRICAL
INTERCEPTER
UFER GROUND
HOT MOPISHOWERPAN
SEWER LATERAL
SEPTICIGESSPOOL
MAIN WATER LINE
HERS REPORT RECEIVED
SEWER CLEANOUT
DEMOLITION
ROOF SHEATHING
ROOF DRAINS
! FLOOR SHEATHING
ROUGH CONDUIT
SHEAR WALLS EXTERIOR
PDOUSPA
'SHEAR WALLS INTERIOR
..........
ROUGH PLUMBING
FRAMINGNENTING
HOUGH ELECTRICAL
ROUGH MECHANICAL
IROUGH MECHANICAL
ROUGH ELECTRICAL W( ) C ()
GAS TEST
ROUGH PLUMBING
PRE GUNRE
INSULATION WALL
POOL PRE DECK BONDING
'.. INSULATION CEILING
P -TRAP''
ORYWALL
FENCE I GATE! ALARM
LATH (PRE)
FINAL POOL
LATH EXTERIOR
WALLS
LATH INTERIOR
WALL FOOTINGISTEEL
GAS TEST
WALL STEEL 1-( ) 2N°( ) UFT
SCRATCH COAT
WALL BOND BEAM
ELECTRIC METER RELEASE
WALL DRAIN! SEAL
GAS METER RELEASE
WALL FINAL
SPECIAL INSPECTION
NO FRAMING PLANN INGAPPROIAL
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
CERT. of OCCUPANCY
FINAL HEALTH DEPT
FINAL INDUSTRIAL WASTE
r4relaggiTm