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Home My WebLink About17-12107CITY OF DIAMOND BAR DEPARTMENT OFCOMMUNITY &DEVELOPMENT SE /ICES 21810 Copley Drove, Diamond Bar, CA 91763 PRESS (909) 839-7020 Fax. (909) 861-3117 Building Inspection Hotline ("9)939-7027 FIRMLY °�"e` BUILDING PERMITAPPLICATION wwwcttyofdiamoodbarcom buddmgQ,7dfamondbarea.gov JOB SITE ADDRESS t 9 PIC# W tZl ~i OCC GROUP t APN xOT TRACT OWNER L ADDRESS T CITYZIP TEL APPLICANT CONTRACTOR AODRES SFFVADExaEM CITY ZIP TEL ARCti/ENGy DESIGNER IRsmgoJCarporf PmhnyOeak PooUSpa ADORESS CITY ZIP TEL OWKM-BUUEa DECLARATION I mmby Arm under penalty of peju y ^int 1 em exempt from the Conlmmer'e Sl Ikenso Lew for the reasons) Me" below by foe hhhekmsk(s). I here placed red to the app0mble Immo) (Sacha MIA, BV*M reef "wham Code, Any ANY or caurby Mut repdrm a permit Is comma!, ambo, Improve, demel a repair, area emlctum, prior to Ire hewn", AND redglreB Me applicant hr to pamnll an file a signed aahmhnt am he or All h Ikmmsdpumuenttot*pmWmoftMCo.bm to Shin Uncus Low (Chapter SLOwnmsalnp MRA Sought All Olvalonclaf the ou-meand P.uNWum Coxal or Mel Nor" Reexamine from IkAfaure coq me prosl0r the Alleged exemption Any violation of Section 7015 by areapplltamfor 0 Nall sultula MeapWiant toe oNll paroiry, Of not more man Ma hundred MOM (0533) UI, ea owner at meproperty, III my empleyens, l waaft As Mair We compmaaibn wa ds U rI of a U parmw of 048 work and m0 sagahm Is ,net marded or offered M the Seal 7044 axannew and ProlaWwa Code fila wM INOIeed intsplayrm+wmerm, w Impairs' property, AuteuilM Irate tarum IT hpemaialabut,bdha aimpmaar Mepldwith,n we sae thdwMm, thy MMonga Cot meimawemmwn �Imryofta orprwahmm Is �tl wlMlo we year comp.'etlOn, fa Owner 0g1'<et wa mire¢ b;atla at posting that It was no blab Ye to a 6r,p,pvsd bu me p�rpoearere ) ULa, Owna'OfOre preNwty, emonknhalyambmiklwmI woumm to cantata t* VOW Doesen 7344, ¢imam and Pbaesabn, Cade Tice Comhe m' SA:R Jcerlm Law does rot apply to An owner at ptcpety who mAr,aimprowo dw n, arm wincommersforef,propaawith abanned Cantraft punwhintmthe COWUaWM'StO Uceom Lawj U l em amftal main IMamae undo We Camecta's Stam Lkame law W Do kftwkq mamma 00 fees, QUANTITY By mf signature botw i aozm woe newt, saw As my pamnei taadrme in which I must have instant an at has ate Want ptsrPconsu tmme IRW"g na¢lysed byf3d3pstrd[I ceanm weaA'so arnagae trotICine o�kmm Owmr-ala08r t it ha rc4 bast ca'sbt M 1n 05 afGr4y t} Immtnd cddracfoB I unfempandy Codi a cqg of to apa ial law, Seabn 7494 of Ma ItAmas em Code A station, upon tearer whan this Application is a a Mw fml vA mwebsda tifAAmwiepkdoro govtcataw mrd LMM WNiRAC MR'S DECtAR MM I hereby atom mrgr penalty of pa$a #W I am MCenxed ora ptmAaOns AT Gopher a{mmmmrre wire Section 70001 M Ct.Wai3Mta and Pmleaaipns !brio mod my aFmpeehtri tett and atom. !CENSE Z> tK NQ _ DATE WNtRACrOF !i'✓1 MORkER'S COMPENSATION DECLARATION I HEREBY AFFIRM ANDER PpNl OF PEAAIRY ONE OF TIE FOLLOMNG DECLARATMMS _ I `cow AM win roomful a Cetti"cae of Caaxrt m Bast have for Wonsa a Compensation, a, pmadsa by Samn 3700 rte Labor Cohn,, far the psfomenm of the YoR for which So All a awed _ I have and we mamem Wotan a Campanian Xrchnaxa, as roared try Seaolr 370004th Leba Coca, hr tin, perhmeaa ML'S woo tar witch nth p,nmR a awed My Wenufe Cargametm kngtefae Carer see Polley Number Me CANADA Al NLUM Intel SECTION NEED MIT OF MOOM THE PERMIT IS FOR ONE IIMOED DO'JRLR SIOD OR LESS) IcaayTAT In amoa'lommae rine yak Tor Mani MIA pI16Issued, I shad nod amil any person In MY mentor an m to became =Jomm OR Workers COrytsnat'an Lava Of Caroni And apron took it I should become subject in iron waro re C4memnatmU Waal a Soctm 3700 of to Intel Cade, I Bonn famyAm comply With Mona prh,Idarn DATE APPo3CANT WARNING Trigger to mire Worker's Cumpetmtlm bowmen is matter, and real subject r'1 employer to rnmor extent and civil Dina up to not hundred thousand Dennis (1100,000) In a ream An the cost M Me coastal damages as pull for In amtlon 3700 of me labor code Inirmf and Attorney a fees COkSTRUCIWN LEMING AGENCY I hereby aMm under pmfty 04 perjury riot mom W e ConOwOm Lending Against for Me performance of Ma wan lot wluomumberm'tl9lmued(Sac X07 CN C} UMEW'S NAME. LENDER'SAOORESS I retry met I to" two mw aR wimgir ash met me abmei* mabl Istenatt I Bpm¢ moonpMwitltel CM'yaW county adhms and oar laws mail to GoTtIre comtucal and no"aaupd7e repremmatma atm ready h will mad mamenad pgedeRy 107 hap Onpummes PERMITTEE NAMyE 11? Clef 7 lflfY 7 DATE r e APPLICATION DATE¢ �O ISSUE DATE @—'"-'TjPERMIT# TYPE CONST t 9 PIC# W tZl ~i OCC GROUP Scop¢ 47 Work t} 4 DWEL UNITS /L / agu+— � w # STORIES /tyn nrif.��dtF,�gckY,— # BEDROOMS DESCRIPTION SO FT FACTOR PSF ADJ AREA/VALUATION SFFVADExaEM Wm % IRsmgoJCarporf PmhnyOeak PooUSpa ZAe _M Aoof Commercial YahaeHoae Atli Area QUANTITY DESCRIPTION FEE CONSTRUCTION PLAN REVIEW ELECTRIC PLUMBING MECHANICAL INSPECTION FEE ISSUANCE SMTP ENERGY P/C ENERGY PERMIT RETENTION FEE PRE -ALT FEE BASF PLOT PLAN ZONING CLEARANCE TOTAL FEES COMMENTS PNC r�/� �q PAID BY RECEIPT oeGJ%T£ PAN) BY V tL'�J VALIDATION r- VALIDATION CITY OF DIAMOND BAR INSPECTION RECORD INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR SETBACK/ LETTER TRACT AND LEDGER FOOTINGS FORMS SWITCH GEAR SLAB COMMERCIAL HOOD UG PLUMBING T -BAR UG ELECTRICAL INTERCEPTER UFER GROUND HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT SHEAR WALLS EXTERIOR '" ' POOUSPA SHEAR WALLS INTERIOR ROUGH PLUMBING FRAMINGNENTING ROUGH ELECTRICAL ROUGH MECHANICAL i ROUGH MECHANICAL ROUGH ELECTRICAL W( ) C () GAS TEST ROUGH PLUMBING PRE GUNITE INSULATION WALL POOL PRE DECK BONDING INSULATION CEILING P -TRAP DRYWALL FENCE/GATE/ALARM LATH (PRE) FINAL POOL LATH EXTERIOR WALLS LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL IST( ) 2N0( I LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/ SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION RO FRAMING PLANNING APPROVAL FINAL BUILDING ROUGH FIRE APPROVAL FINAL MECHANICAL FINAL FIRE DEPARTMENT FINAL ELECTRICAL FINAL PLANNING FINAL PLUMBING FINAL ENGINEERING/ PW T C of OCCUPANCY FINAL COMMUNITY SERVICES CERT. of OCCUPANCY FINAL HEALTH DEPT. FINAL INDUSTRIAL WASTE COMMENTS