HomeMy WebLinkAbout17-17753 CITY OF DIAMOND BAR .
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� Y '� ., "'�'� 21510 Copley Drive,Diamond Bar,CA 91765 PRESS
���� (909)539-7020 Fax: (909)861-3ll7 Building Inspecflou Hotline(909)539-7027
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'-'�'=`� BUILDINGPERMITAPPLICATION www.cityoFdiamondbar.com building@diamondbarca.gov FIRMLY
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� applicable law,SecGon]044 ol tM1e Businees entl Pmteselone Cotle Is evellable upon�epuest when ihls eppllcetlon Is
o submlttetloretthafollowingWebsite�.http/www.leglnfo.cs-gov/calaw.M1tmL �
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m a��Ivlslon 3 of tha Business antl Pm�eselons Lbae.end my Itcense isin full fo e entl eflwt. �
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o � 1 CONSTRUCTION:
a exa.onTe: y 1�� f'S� coNTw,cro�i�
p WdRKEH'SCOMPENSATIONOECLARAiION p�N REVIEW:
� IHEPEBYAFFlRMUN�EFPENALiVOFPEFJIIFY0NE0FTHEFOLLOWING�ECNRAT10N5'. ELECTRIC,
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I heva entl wlll meinteln e Cetlfflcete of Consent ta Self-Insure�ar Worker's Compense�lon,es pmvltletl by PLUMBING: �OS. F��[S
Q Sectlon3]OOoflheLaoorCotle,fa�tltepedo�manceoftheworkforwhichthispermitislssuetl.
> MECHANICAL:
p �IhaveantlwillmaintainWorker'sCompensationln5u2nce,asrequiretlby5ection3]OOo(�heLaba�Code.for
Q iM1epetlarmanceoflneworkforwnicMnisOermitisissuetl.MyWorker'sCompensatlonlnsuranceCarrierantl INSPECTIONFEE:
Pollcy Number ar¢: �
� j"i�!%s [� 'Y_i t- i;_c issunNce 4� 7,4 $�i14411b�9
CARRIEF
�^ POLICY NUMBEF ��� -tF-� C' �Y 'Z 7 ��� ll� SMIP'.
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F QHISSECiIONNEE�NOTBECOMPLEfE01FTHEPEAMITISFOFONEHUN�flE��OL�R5S1000flLE5S�. ENERGVP/C:
p IceM1ltythatinthepedotmanoeaHhewoMforwhlchthieperml�Islaeuetl.Is�allwtemployanypersonlnanyme�nerso�W ENERGV PERMIT:
p become aubjectto the Worker's Compeneatlon Lews o�CeliYornia.Antl ag2e tlte�if I shoultl become eub�ect�o IM1a Wo�kefs
� CampensationprovisionsofSec�ion3]OOo�fhalaborCotle,Ifiall�orlhwAhcomplywiththosepmvisions. RETEMIONFEE: �s • O��n
S oATe APPUCANT�. PREALT FEE
� WAFNING:FaiWre to secure WOBer's Compensabon coverage Is unlawlul.antl shall subject an emploVerto criminal gqSF:
w PenaBies and ctv➢rtnes up to one M1untlretl tM1oueantl tlollere(5100,0OO�.In etldltlon to the mst oftlte com0ensetlon.
p tlamages as provitletl for in sectlon 3]OB of the labor catle,imerest,antl attorney's fees, PLOT PLAN:
d CONSTpUCTION LEN�ING AGENCY ZONING CLEARANCE
w I hereby aMirm untl=r penalty ot perlury ihat there is a ConsfmcCion Lentling Agency�ar�M1e pertarmance of the work for
s whlch thls pertnitle leauetl[Sec.30W,Clv.CJ.
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� LEN�EN'SNPMP.
� LENOER'SAooRE55: TOTAL FEES 3(o�. $c6
a icerirythatihavereatltnisapP�icationantlstateinattheaboveiniormationiscorrecClagreetocomplywAM1allcityana
z counTyortllnancesentlstetelewsreletingtabulltlingconslmctton,enOM1erebyautM1oriierepresenta�ivesafthlacountyto COMMENTS:
p enterupontheabove-men�ionetlproperty(orinspectionpurposes.
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Q PEFMITTEENAME�PFINn � (� P/Q PAI�BV: VALIDATION:
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x SIGNAT'JFEOFPEAMITfEE �ATE
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W HITE—Departmenl Gopy,VELLOW—Finance Copy,PINK—Assessor Copy
CITY OF DIAMOND BAR
Comr��uuiry and DcvcLopment Scrviccs Dcpartmcnt
I � I"`I i ' 21810 E. Copley Drive• Diamond Baz,CA 91765
�� ��'��=i '"� Building Inspection Request Hotline
�" �`. ��``�,,(909) 839-7027
vw� '
BuiLding � PLanning Engineering
(909)839-7020 �,�I09) 839-7030 � (909)839-7040
CO�I�RE�T�ON NOTICE
PERMlTNO. / �' n—��DATE: � ZL �7 TIME: �( �� �n�.
CONTRACTOR/
OWNER BUILDER
ADDRESS(Project S�rP1 /S77 � �'�T�'�e � ''
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(�PLEASE CONTACT THE UNDERSIGNED
� ❑ PLEASE MAKE CORRECTIONS AND CALL POR REINSPECTION
I_,j REINSPECTION FEE REQUIRED
:,]PLEASE MAKE C04,RRECTIONS AND P OCEED WITN WORK
INSPECTOR: � a ✓ �i ��-�"eS
(pnn[name)
SIGNATURE OF INSPECTOR:� �–
i�- '�_
CITY C?F DIAM4ND BAR
INSPECTICIN RECORD
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n m i i n mm
: � • • � , . � � • • � � II � � �
SETDACKILETTER TRACTAN�LEDGER
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FOOTINGS FORMS ' SWITCH GEAR
SLAB COMMERCIAL NQ00
U6 pLUMBWG '��� T-BAR
UG EtEC7RICAL INTERCEPTER
UFER 6ROUND ' ' NOT MOPlSHOWERPAN
SE4VEfl tATEWtL �'���. SEPTIGCESSPOQL
Mf�IN WATEft I.INE ''���.. NERS ftEPORT REt�IVEQ �''���
SEWEB CLEANQIlI '. DEMOL�TIQN
�OOF SHEATHINO i R40F QRAINS
FL4QR SHEkTHIN6 i ft4UfH CQNOt1IT
i SNFAR WA{.LS Fa(TERtOR POOUSPk
�SHEAR WAL�S(NTERIQR RQU�,H P�UMBING
FFAMINGNENTtN6 fi4UGH ELECTRIGAC
ROU�H h9ECHANICAL � Rt}UGH PAECHANIGAL '
ROU6H EIEGTftIGAL W �G( 6AS TEST
ROt1GH PLUMBlNG PRE Gt7NITE
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INSUUiTION WN1 'i POOL PRE DECK BON�lNG
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tNSUU4T16N{;EILIN� P-TRAP
__,_..... ......._
DRYWALL ''�.,FENGE 1 CdY7E1 ALARM ''�.
LATH(PREj ���'�.PINAL PQOL ��'.
LATH EXTERIOR WALLS
LATH INTERIOR �'�WALL FOOTINf,fSTEEL
GAS TEST ' 'WALL STEEL 1si �pxc� ���
SCP.ATCH COAT �� ��WALL 00ND BFAM
���@LECTft1C METER RELEASE ��� ��'�, �'�WALL ORAIN/SEAL
�. ......._ ,,,,.__ .... ............
''�.GAS METER RELFASE ' WALL PINAL
........ ......................... .............._ .... ................
�''��.SPEC1dl INSPECTION RQ F1k4MF1G Pt{YSVNG APPHdUP1
FINAL BLIfLdiN6 RUUGH FIRE APPR6VAL
FINAL MECHANIGAL FINAL FlHE DEPARTMENT
__....... --
FINAL E4ECTRICAL FlNAL PIANNING
...................._
FINAL PtUMBIW6 fINAI.ENGINEEREN6/PW
_�.-,,,,,,,,,,,,,,,,,_ ,. --
T G ot OCGUPANCY FlNAI GOMMUHITY SfRVIGE5 i
CERT.nf OCCUPANCY FINAL HEALTH DEPT
IHAt I#lDUSTRIAt WASTE
COMMENTS �f'J` � �fi