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CITY OF DIAMOND BAR
DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES
f 21810 Copley Dnve, Diamond Bar, CA 91765
{909} 839-7020 Fax: {909} 861.3117 Building Inspection Hotline {909} 839.7027
BUILDING PERMITAPPLICATION
JOB SITE ADOREES.�SaAS,�� *� mo �AYx�"...._7;
APN I8j,I j„Qj'$MSZOT TRACT
OWNER
ADDRESS 5"s'(j_(tYa.
CITY. .............. !�yD �� ZIP TEL
APPLICANT TEL
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CONTRACTOR =Ma7 !-7 CL1t.EX"S
ADDRESS u0 �.........Pcr,l.¢_A'kN- itl4lL C✓
CITY 6lIcs zlP cl rkalTEL(_1Cti)
ARCN1ENCa/DESIGNER
ADDRESS
CITY ZIP TEL
OWM-WILDER DECLWAMIN
I haMry boom under penalty M UereOy that I am exempt Man the CadrHCta's Stale Domse Law her the opeand)
W,r d below by the checkmaMe) I have Placed crest M the aporka oe dem(a) IS OUN MIA Bu*M No
Pmlexalaw Code Any aty or county that requrms a period to cmwauc4 ori f LMO gv dwmlMA, or, so *,, Any
shuchn, prior b Its hummed. aleA requires Na Apprised for tMperm010 Nle a 9lpw Wtheashe
Is ffMyuM frormswd to the pmpidone of par Contrazi stato Lk A Ichapholp gwub$edlmr
at 010e1Un 3 of the Mosiness, and Professions Coati"MAl he crahe w Axed hovn IkCaaa nwi sea Whom b
theamgmexampbon AnywmL n o3ecimn 70315 by mYappymdtaapem.taubtyCl5 ft arykag MSCWMnMy
of not move two fare hundred deliag (55m)
L)1, As owner at ties Moody or myemployees veno wales esf kadd eanpamalon,wMmLBEIofAsLf ONSM
of the work anti sew Oxide, b not illkrded or offered is saw Settled 7044 ad Cpm The
Wnfamous; Me PMP aKatawtlmsnt NWp mmmaa pmpatyded offisd 'a stbu
Im Imprrwanas Pmpagt ,welat Dart 0w*tm ft
are Orostres red
di oAaadrgsof uW%evat tlw My off
a
ltgmprawd far
epurpose oryeaammPemn pk Ormr-&u�r wOl>ave the to Ocd PoawA tImFBTras notEWt
a ImDrtlyetl Mr *w purpose m sae j
L}f Hepwga HidPngnatY, anpecaswe7 sipsLeases,
ss, La body; appy, to
M mane of pro dyvist
MA WaemeaAMesoito .an Os Cana Tiaefothe pro Siasell asataw con rat PFfb ancoma apmpa'ywlM
I iAw)
L)i amexamptteam matter the owuwwt Stir, Lice e, lav to in. talowina masaysy
9Ymy, sumaipmbwR' aMar, pcopt for byeissn readeacer. w9'ian i must rase rowdO la at ooaree
ycorprwr too Pip offs m'anpidrow"M by chs W.Li canmle9aey se aadswm that I ham mise as An
law Season
AM
A of ft fAma%iaaearUGt4d In Iwaan9lon, iIs moose,
o§Ne, upon
rrequest
I when Pop epRpatltcabcotlnfyasubmitted a At
bmdmad
Mwosbools3YAwsat le
IdphawkgMo Da g4m,'miaw Mml
GGN
LIMSED COMPACTOR'S DECLARATION
I after under panty a?Peo ry that l am located under pimise ne of Chapter 9 (commenoap w10i West 707)
of OMSMn 3 of My, approve and Famons Code, and my lmeme is in Ml fume andd2110ct �+`'"
I /}Lc NO �I,J "43
~`� _ CONTRACTOR As t:3Q01S " CIS-
104h
IS- .+—
WORNEa'SCOMPErLSAnONOECU nON
I NEREBYAFRRM UNDER PENALTY OF PERJURY ONE OFTNE FOLLOWING OECAA ODAR5
I have ale Wpl malnMin a Cetiuuala a Consent M Swf Insure for Waken Cmpenwppn " pro4Med hY
SeSan 3700 M Na tabor Ccae fx we Pet%amarxe a *wxvk to wnKn mapeima re Issuod,
_�*+ IhaveaM wiX mepTanWaaer's CpmmEnsaOm lnsurrma, asiaNked try 5ernm 37m 0f Tice twat Cale, fOt
iherce dihawakfiwhpi *per cemMklsued MYWakas Caipipmfaaatln C ratl
fHxdblumb Numbaem
CAJiAiEB f0
POLICYNCM�R u3S ��—�
{ SMC* IEDNDT ONE E'OhwtET@6TtEPEIPB(6FOR ONEt*MA1lObOat VLS¢t0U 9Aif.S$
ty hovtyOKr w
;yz
J aAgerig to gas ofai� maamy51mOA'g. I e rt orileae M eagaa WakerS w aWhs and Imlem ate W to Cmwn
Ina xaa d ttre rommemaam
damages m IXwimd fora sectran 37011 of Mw kba good, mtwed a a amawy s to
CONSTROCFM LENMNS AMICY
I a*. undir meaty at Nury, fear More Is a Canstinclm Leonard Agency Mr Me merhotmaca of the work to
els perm*is added (Sec Sea, nr CI
LENDER 8 NAME
...._-
LOWER%ADORESS.
Iceady that Ihaap mm eta KNIUm ed and Sate Mal pro areae ado mama Is correct I agree M mmpi/ wnh 0 tory aN
amnity adhom and state laws urged to bwMeq construction, and hereby begrime represenbnuea M Mos counlyM
ons u pwaemA" 0peamOy for lnspaclron pu
fE •MC' ?It r ! J Z�S! ! J T
i
19MI DATE AF
PRESS
FIRMLY
APPLICATUDN DA447......................
Al
ISSUE DATE
TYPE CONST
PfC4 ,,/
-
PERMIT# a• I4 " 17Z.
OCC GROUP .............
ZONING SETBACKS
FRONT
E/SIDE STREET
E] SIDE
RW 0____SIDUF1 EL
RV'1 ❑
G
PROPOSED USE LIZ
If DWEL UNITS STOPIES .. #BEDROOMS
DESCRIPTION SO FT........
FACTOR PSF ADJ AREA/VALUABON
SFRIAGEIREM
Gwagwcwp-
PeigrDwk
...- ...---
POHpssw
0W0}}
Z
Ra FToof
j
ComurieOs3Ai
tp
Valuation 090
Ad Area
QUANTITY
DESCRIPTION FEE
1 IFr
z. L a
s
W
til
CONSTRUCTION
PLAN REVIEW
ELECTRIC
PLUMBING
....................
..............
MECHANICAL
INSPECTION FEE
ISSUANCE
SMIP
.....
ENERGY PIC
ENERGY PERMIT
RETENTION FEE
PRE -ALT FEE ........
BSAF
........... G
TOTAL FEES
COMMENTS
w CSC,
"3, '"'"^�
RECEIPT # PAID RY VAUDATUN
WHITE YELLOW — Facoace Copy PINK—Away a n Copy, GOLDENROD—FdaCopy GREEN—AppOcant's Copy
CITY OF DIAMOND BAR
INSPECTION RECORD
I��l�II�I� ��9 � It
IIIIIII�
• �
•
! � '.. � ! • '
I
SETBACK/LETTER
TRACT AND LEDGER
FOOTINGS FORMS
SWITCH GEAR
COMMERCIAL HOOD
SLAB
UG PLUMBING
T -BAR
,......
UG ELECTRICAL
INTERCEPTER
LIFER GROUND
HOT MOPISHOWERPAN
SEWER LATERAL
SEPTICICESSPOOL
MAIN WATERLINE
HERS REPORT RECENEO
SEWER CLEANOUT
DEMOLITION
ROOF SHEATHING
ROOF DRAINS
ROUGH CONDUIT
FLOOR SHEATHING
SHEAR WALLS EXTERIOR
POOUSPA
SHEAR WALLS INTERIOR
ROUGH PLUMBING ��
FRAMiNGA ENTtNG
ROUGH ELECTRICAL _...............
ROUGH MECHANICAL
i ROUGH MECHANICAL
ROUGH ELECTRICAL W( I C I i
GAS TEST
ROUGH PLUMBING
PRE GUNITE
INSULATION WALL
POOL PRE DECK BONDING
'..INSULATION CEILING
,....__, P -TRAP
'DRYWALL
�� FENCE IGATEtALARM
LATH (PRE)
FINAL POOL
LATH E%TERIOR
WALLS
LATH INTERIOR
WALL FOOTING/STEEL
WALL STEEL TO( 12"°( ) UFT
GAS TEST
SCRATCH COAT
WALL BOND BEAM
ELECTRIC METER RELEASE
WALL DRAIN/ SEAL
GAS METER RELEASE
WALL FINAL
SPECIAL INSPECTION
RO FRAtANGPLANNINGAPMAL
FINAL BUILDING
ROUGH FIRE APPROVAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
FINAL ELECTRICAL
FINAL PLANNING
FINAL PLUMBING
FINAL ENGINEERING/ PW
TC &OCCUPANCY
FINAL COMMUNITY SERVICES
CERT, of OCCUPANCY
FINAL HEALTH DEPT.,
-11. LIA&TE
COMMENTS