The URL can be used to link to this page

Home My WebLink About18-21874. !., CITY OF DIAMOND BAR , DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES 21810 Copley Drive, Diamond Bar, CA 91765 PRESS ,.� (909) 839-7020 Fox (909) 861-3117 Building Inspection Notlme (909) 83'9-7027 FIRMLY 1'aiO• BUILDING PERMIT APPLICATION W cityofd7amondbareom ir building@dmondbarcagov JOB SITE ADDRESS APN LOT TRACT OWNER Q ADDRESS CITY WIP 2?Z? STEL Y-51 -547 APPLICANT TEL CONTRACTOR p ADDRESS �ps7- P!lpSJ.YL%y.i RO CITY Drw,wa��d Q//ZIP IZUTEL 9e9•.2�`1--7732- ARCH/ENG/ DESIGNER ADDRESS CITY ZIP TEL OWNFR�UM DECIAMTIDN I hereby affirm War pemlry at penury tial I em exampt trim IM Commoner, Slab License law M Ire manure) utllmlad belay, By me meclmerds) I haro Plateal Abad to Ile makable Rea) rat 7071A Audience real Fred Amt Cafe Any city or Greenly Uel mal. a permN b rad e%Biber, Imams, tlerrrmlop. per metre, am/ amr¢bne, prior W HBbmmlm, MoMunm the oppUmnl M Thee Dmmk W flb a Mgmd reabmmd that M prefer IBOmnsa puraanl la the pry immcoma Corens Stela Lianalaw(Chalett) CmnmorcHpwhin Becalm M of Dmdm d of The Buamaa and PMaebm Cafe) or that Mor she; exempt idem Iboaum mal the has; for theau pul mempan Am vbblbn Dl SWIDT 7N150y"appiMMV a MMIsalOca lM appumnlba clw DoRBy m m Ilmm men Are Nlnalad dDPam R:DDI Ll I, u sorer ohne Dreamy. ormy empbyem wThO,vepas u mdrsole mnmasndtlm, wet mU Ig ohm UpoNone of the work end the Tthrane ; ma Inmga or offered M we (Section 7011 Radom pial Prmadord Code The COMm,m's' Bele Umme law pees ml a Ire IB mmmerm Dreamy dM, mrm,gi for Mei nu amGrweflet, pallor m ImpR1u the sold ancerly pmbtlm Orel me lmtes, McDbmer are not In10MBd te offered b Ire cafe II Ing IM, the a not b or ll ImDRIBmmf Is Meal Main one year of mnrplalbn, Ua OwTer-Builder will have the burden DI prminOlrel II wba RI bulli or Impmvad lar me Duryme of cob) U L u ownmaf me pmpemy em eactusMely connecting with Ikased Consensus to coeuuct the pelma (Section 7D14 BmMm sora PNAeceoa fade Ire Catrahs' Sm; Umua lax mu not eODry m a comer m Drconry wire buldsor Imgmesmerem and wMcomhacm MIM prole *MalUmr naaM arapmmthe Contractors' Slab Uncross taw) U I em exempt from Ilmaure under me Contraci Slate Umae law M the following handsome) Dale Sl OR By my months. beta I emlawbtlge IMI, except M my personal resMenm In worth I must have resided M at least me yere poor to omnpean of me Immodmend assured by INB perms I cannot bpDy and a enulme Met I rem baTh sen p -WI f IN D has Rt berm mMRdetl In I; comely by Emmed rnLatlms. I uncertainty Orel a copy at IM afttlmbb law SedM 7011 of the Burma rem I'mluslBrs Cocke ; amMbe Ian hameat when Urs spectrum; whuutlad m at Me dbvMg Web site mryhror Iegdmam gm/mow fund UCENSED CONTUCTOR'S DECLARATION I hereby affirm under DaRIt, or penury that I am licensed under Drm;Ion. DI LeDbr 9 (commbrOw MIh Section 7000) of Duration 3 DI W Blslnow and Professions Code and my�Wfame Is In IYII Mm andeOed LICENSE CLASS Citi LIC ND 11 2-6/0 MTEW 6 -To -IR CONTRACTOR .iOt P-10rr, WMM'S COMPENSATION DECLARATION REBY M UNDER PENALTY OF PEA.URY ONE OF THE FOLLOWING DECLARATIONS hate and Oil Rebmann a CarlOcam at Cosen1 b Sell blur. for Wodero Cmrmncalbn as prmtoeo by Saco n 3700 of be labor Cab, for IN performance of the worm M worm the permit; Mud I love era wN merman Worker BfmpemallDn Insurance, as reabaee by SedM 37M of the labor Code M N abm09 the worm for *T" Ime a Roy mb fey Worker. Cmemdatbn tmmmon Canyon and MkT Number are CJardER POM NUMBER FM SECRON NEED NOT BE COMRETED F Tiff PERM' IS FOR ONE HUNDRED WLIARS Oil OR LF I mdlyMet In Oe performance mThevarm hWlam itis pe n'I;;aed Ismail not empbryam, pecon ban, nBmeram b beano alENct to IM Waaler; Canhermme Lars of Callkmn AM eget that 9I Maxtor Mone misted b Ire Workers prmEbcdSedbn7lad mR hew m MmDme PmAoad MTE -� ��P��i�c WARMNO FBINm m mote Warmers Cdnpermllm mlerape ; orNrMul aR s ablest nn employer b vlmn d penalties and clad fires up b mo hundred Thousand dopers ulDO ail In mddlMn b me cast of IR omnmnsatbn, Amapa as invited for In Tucson 3708 of pro moor code, Imerem and anorRr a fees CONSTRUCTNNLENOflIDAGFNCY I hereby amus IYder, perefly of perjury met mom; 0 Caabuam Unaing Agency M Me partonarra at me warm me wmFN Thea meth; Issud (See 3097, Car C) LENDERS NAME IENDER'SADDRM I mthly that I Nye read m; application shut slam that the o0me Information; torted I agree to comply wllh all ON BR county ordnance and seem laws ne;Ilng b bullcing mraVuclbn and Macy sultanas bpmsentetives of this county to enter upon The ebwenteruan Then mend mostly Mlnspectbn GurDauM lapeclbnpurposes. ,<— __ SIGNAN P PFAMIR DATE APPLICATION DATE ISSUE DATE TYPE CONSTpp PCN PERMITN OCC GROUP Scope of Work Z -Ca; PY N DWEL UNITS rl De AOel5e—_�aJ! J! N STORIES L cS N BEDROOMS DESCRIPTION SO FT FACTOR PSF ADJ AREAIVALUATION SFR/ADDMEM Garage7Daremrt w PahNDea w LL Pod/Spn ZRe -Roof Commerclel co Valuaat/ofr Ani Area QUANTITY DESCRIPTION FEE a�a F.i U 45 X"znes 4S li CONSTRUCTION PLAN REVIEW ELECTRIC PLUMBING ^-•�� iA MECHANICAL INSPECTION FEE ISSUANCE SMIP ENERGY P/C ENERGY PERMIT RMNT10N FEE PRE -ALT FEE BASF PLOT PLAN ZONING CLEARANCE TOTAL FEES COMMENTS 431-1310,., P/C RECBPTs DBYVALIDATION PAID BY VAUDATION WHITE—Department Cap, YELLOW—Rroma Capt' PINK—Assessor Corry CITY OF DIAMOND BAR INSPECTION RECORD COMMENTS