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Home My WebLink About16-0816mNL��DarD HAR CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY&DEVEL( ENT SERVICES 21810 Copley Dnve, Diamond Bar, CA 91765 PRESS (909) 839-7020 Fax (909) 861.3117 Budding Inspection Hotline (909) 839-7027 FIRMLY BUILDING PERMIT APPLICATION JOB SITE ADDRESS n s ECO Wk APN L T TRACT OWNER ADD d�� CfTY PIP L APPLIC EL CONTRACTOR ADDRESS IAYOM CITYZIP TEL ARCH/ENG/DESIGN R ADDRESS CITY ZIP TEL OWNER-BNIDEA OECINNn EN I On undo Mmaly N Poleay OMI I am mlml from the Conlmcmr If State Llreme Law for the rc®(s) indicted bebw by the checommal I have placed next to the applMele pmW [Section 70315, Bmiam and Rolealoro Code My ah or camnh Nal re9Nres a permit to comiruck alter, Impmva, demolish, or repair, any prim to Its Issimmu, also reOWrea tib applaud for the pe tb file a signed sMM lOral Mashe b lbaMed mpsuam to tib pmdabav of tie Composites Sbb llama lab(CMpbr 9) r gatlth Sadbn of Olvbim 7 of Bb Bnsimsa eM Fatfeadme Code) Ox Met M a Ns b e=Pt hop I1 rand the ease for the alleged exempbm Any vblalbnol Sector 70315 by my replaced for a yemA ublecb the appeal to a Cog center d rot more Olen Pm hurt@ed mars 15500) U 1, as owner of Me propend or my employees with wages as Nab We mmpametM, will do U all ole U pophes of the work and Ne dmame is no Intended of oflerod for ala (Secton 7W Be&= and Professional Code The CanExsn StaleLimnos Law dao not apply N an oma N property who,th gh employees or PersmN efbn bullet or bmsoes the meaty, m anon rim Me Mesoamerican are ml Intended or edged for We M IMwmmi Oe E Wdiry or Mlam bandw Oayeaacompletim Mb Owrer Bue Wlhave Mbbuten Npm*VMMIlwasortbAl of Improved for the purpose of Polls) U I, as owner of the propend, am exclusively constricting with Ilcemsd Contractors to construct the project (Section 7061 easiness and Rolesdms Coda m me Coadaa' Shite Manse Law does not apply N wna an aof mop" wro almaxitermn ardwtommMISfor the P1101" were lsPmen CuaamrWp t to Mb CMW&IMW Sam LIAa®tor+) U I am map[ from 0amme under the Conseclofs Stale Uame law for Na following basaMs) By my elmdub below I aNaowledge tel except lm my armee residence In which I mud Mine melded for at least mo Year preor m completion N the Impmoemma coerad by thio parej weed legally a0 a Psucars Nal l hove Mgt as an few Sectiomr NN saMbem�pbmbdblbrs Code Is abbe, moment misapplication thatarapyN Meepllasb bw Sailor Nov N , hto Biomass and tD mgDpM Cade b erases upon maPm51 arm MdvepDllaMn ls subnMatl eel are idNinp9 Wee ells ht�Nmo kglnb mgt/ahwhMl SIGN LICENSED CONTRACTOR'S DECLARATION I affirm under Penalty of perjury Net l am tensed more prwNom of OMplst 9(wnmening mlh Section 7000) of Division 3 of Me Base= and ProlesSde Cade and my fceme is in AS Ma and eNMcl. LICENSE CLASS NO CO ORM'S WORI<Ea'SC NON N I HEREBY AFFIRM LI NDER PIENALTY OF PFAlllif/ ONE OF THE FOLLDMG DECLARATIONS I lave and will maintain a CatiBab of Caemt to Seti-0mde b WOM1WS ON Pe mwork m PfOv by Section 3700 of Ow labor Code fathe plsfammm N the wok N wtkh Mm Wort b booed I have and will maMan Wbhsrb Camanszton Imurame, as relrrquiruAAeevAd by Sector 3700 N the Labor Coda, for tie padarmameNWwak rwhph ibsMIA Is 1!!Uell Mvfhcxlor� ll „•� mtrwmme tarda and Mky Nu are � . fA1W81 POUCYMIMBER (ITIS SECTION WED NOT BE COh1RFFDp IE RUM DMIARS(S1Wj OR LESS) Iwny VMtth Me pakmcura NOM cook bwLare of pemtllb LAnda Ids a and I shisieirypaembeih mmrer mmN �e suhod a Me di Conpmallm laws N CoIIImda And epee VMI N I doll bwmb subjeN b ole Wayeb Cumga®Iles pwhLON5770DN 0eIZaCam IdMpkprnOlmryy wdh0®pp%ha APRICNR WARNING Failure to Yooe Wakels Compensator, coverage is uNawfN and shan subject an employer to onmhel paWVes and cMI Mm UP to we humored tMmand delay ($100 000), N addem to Na cost N Me comamNbn, damages as provided for In section 3708 N the boor title, Merest will adamey's fee CONMRM10N LEKDMG AGENCY I On urtla Dandly N Palmy IMI go. Is a Construction Labbg Agency ler tie pMomame N the work Per wMr1i Ws Permit Is b9uen (Ser 3097 M C) I S NAME LENDFR'SADDRESS 1 cuNy Nal I have read fly application and dale that Me above information is conal d agree to comply wIN 7Nh ad mush add wm0 ova m3alm NbAdmgwutucenabhaebyaronDerepeenbtlrm N Nh canhN n e more an d pond b Impmdxm Purposes PFAMWAEIPPo Ta4 4 "PNNMMIWDATE APPLICATION ISSUE DATE��J 6 TYPE CONST P PERMIT71 P OCC GROUP ZONING SETBACKS EIFRONT SIDE/SIDE STREET RW 71REAR ❑ RW 13SIDE ❑ PROPOSED USE q DWEL UNITS 0 STORIES q BEDROOMS DESCRIPTION SO FT FACTOR PSF ADJ AREA/VALUATION SFWADD/REM Gmage/Carpost w Patio/Deck u PooVSpa Z_ Ria -Roof 9 01 Commercial m Valuatlo Adl Area QUANTITY DESCRIPTION FEE a G u _z J gz O CONSTRUCTION PLAN REVIEW lid. yN ELECTRIC PLUMBING MECHANICAL INSPECTION FEE ISSUANCE • 6 y SMIP iA ENERGY P/C ENERGY PERMIT RETENTION FEE PRE -ALT FEE yQfl BSAF /•� TOTAL FEES COMMENTS .I J RECEIPT 0 as y9 q PAID By VALIDATION WHITE—Department Copy, YELLOW —Force Copy, — Assessor Copy, GOU J—File Copy,—Appllcard§Copy CITY OF DIIAMO"ND BAR INSPECTION RECORD INSPECTIONDATE 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 SEPTICICESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT SHEAR WALLS EXTERIOR POOL/SPA SHEAR WALLS INTERIOR ROUGH PLUMBING FRAMINGNENTING ROUGH ELECTRICAL ROUGH MECHANICAL 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 1sT( 12 NO( ) 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 TC otOCCUPANCY FINAL COMMUNITY SERVICES CERT. of OCCUPANCY FINAL HEALTH DEPT. FINAL INDUSTRIAL WASTE COMMENTS 03/29/2016 16:24 6583915268 22/29/2016 09.33 5629477112 alro V, � t PAGE 03103 PAGE 01/01