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CITY OF DIAMOND BAR
qWDEPARTMENT OF COMMUNITY & , VELOPMENT SERVICES
218I0 Copley Drive, Diamond Bar, CA 91155 PRESS
(909) 839-1020 Fax: (909) 661-3111 Building Inspacebon hotline (909) 839.1027 FIRMLY
BUILDING PERMiTAPPLICATiON
JOS SITE ADDRESS at a 6 f` al J +L L Gc/ 1CJ2
N LOT TRACT
OWNER
ADDRESS 9
CITY _ZIP eZ6 TEL d /J? 11
APPLICANT q a�vn+- TELA/Z-4S * 93
CONTRACTOR f�1- Y �O^C'[�� Q t.+
ADDRESS -76 l-7- kee. yve.-�. , 1 Q* -s -L
CITY _(,r!L2r rgt_. li J ZIP %i+ '3 CCXTEL d/d 5 T � d { x
ARCH/ENG/DESIGNER �r "f L' -.y iy1 Pia--rl a.
ADDRESS 2 1 v�� �•
CITY �"T'nn G+ -Ar -K 21P c?S`GTTEL !O C Ida
OWMI-RULMDECLARATION
r hereby affirm under swaly at beauty thet I em Monp1 foam the Canha pi State Lrenx Law Bar me ansil
mdkaW Wm by mo dwAnWW 1 hero Need nest is Ow appleabt its* ISeeiim Tait R, &xMm, Md
ftkzbu Cay Any guy a mmtj Orel mWhu a Parti to 0=&cL Base, 6Wma dmmimq a Napa&• my
str tm,"M Me emmiMe, Wm MANNA rep endkaa fa Baa Mardi by ties a sfpW atft mli*in to or abs
isikm paeu ft ft 0ftC4tMazmrbSt*Ltm t (M$pt 91 COUME Pwtolsecim
of OMtm 3a ms kokm wee Pmkoftm 0401 Or 40 he or *in Is ammptfism Mmeum art the far
AM aaegede Any MOoa SeOm 70315 by any emonvirfor a period actual Me Roomette cA penalty
on not mpg Nin five hundred sport (I"
LI"vmk anon amywnptam Orl019* so
ISWW ansatian,pnsdo Robinson
to& TIM
ARa YRkR, ark tAe mretda"g adMwgd ofaka{Section 7044 BIItM4T ak Hawbt%
thMaemrs' Mem UanMtawwSuit yenen amendpMpartyM VaowaV, so appeal oasttMeOB
aimme a"it a r, mthat gwn�mMBmioQ maretw win
aaAaedtot.�e ttnN=theas MbeOf
st
impMmma,aws pum am mo)
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ma QmKK-N'tdw AM haw the bwdw�ofpmtNp math was net butlt
Or ImpMaed err ti PBIpMa t 8Nn }
(j I, an Owner 0 m property dm mipMSiYey cAntr'ecling with Ikenm CMntiMtre to unumuct the praied(Sacw
1644, Rushms and PtOMMOM Coda The OdrCmanB Sat UmaM Law dean not appy m Bn owner, property own
11CeLeto su impmraa maroon, aOo vdtdpAdlatm Ax NopiMm6wM adcanud Codrectrpersua'nt Ma Cuntrumis' Sam
1Ne Lmv)
U I an ®Brest tram ftI under theCenbacteo Sot Mcipme, Low for M, ealmangmMmaeli
By my,mttm bemwI ecknundgefoil ampt for mypawl ree mtc, in winch I moat have resided M at taw ore
yea Ado to Limpletlen a Lha ImpmMmenm covered by one pwmh) cMa4louy was a Nomura mel I the bulk as M
owner budder If it hap net bun oustmeed in aeouny by licensed =time I umancound We a easy of ba applkable
iw BwdIM 70" of the BBMnm art PMIM LQO Codd N aya'lable upon nounat when Chip appllmgon Is oubmined or,
tho Ulawng WMptte hl1{VwwwlegiNp raga/celew ntml
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LICERED CONTRACTOR'S DECLAMATION
I hereby ei4m under benamyof Perjury that i am IkeMed not pmkbrs of Climate 4 (can non, of wlnl Sualcn 7OD(O
, ONladon 3, the Ou,oMs and M m Ws Coda and my MMpe is In fullfoorm and a Net
LCENSECLASS 4 i 01C (ef 0i l T le S,
oA 01,01- WNRACTOR -
WORIB'SCOM JSATMN DECLARATION
I HEREBY AFFOM UNDER Pip" OF PEUM ONE OF THE MUMM DECARKrK S
I ham am AN; maintain a Cattoft of T~ It SLD tome fm Moral CompwaoW M or and by
Sedtn 37M or Ore Labor we, Mr to pwfwm m in me Ann or worch ion penal o tMbh
shave Bad Ydi modal Wmkw a CanpeM kwumnce ac(MA ed by Sectio 37M of to Coce to
the ,Cmwuk mrmich Nie pw� smuad Ny Wmka'n Gan utimiMuMncECu*aq
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CARRIER s C cs,- C -N �- �,-
{iii SFCIIGN tFID tAt � 45tR1Et[D r 7FE INRhNT 0 FOR t&E t♦LYA)F1D tTC1I.lA0.4 {516M di tES�
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tee ares Ypfkbwiikh4AST9MdrahSUBd "ftt wnp'ol becoaunln0tyneorerWMt
Cacane xaRECtb MB AWksYe iAweM agree matBialitM uecaro uMs[m ma WUVats
Com
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WAANNG AmuM to seaBe ~I am mve p is wtww w and 00 Opium an amplew to vivair al
fami and chic firm top m ORB In and NOlmnd Naha ORAD OPDI in aMon m Ow cost of the FAm SOS
damspM M smarted ire In Mctim 37060 Me labor aodt, Intent and Sknnn'a fees
CONSTRICTION LENDING AGEIGY
i,ffiMy almm Loser Density of Min ury them them is a Caamxdpl Land as Agency for lu par umalim, ore wok for
this What n Issued (SM 3047 Qv C)
LENDER S NAME
IENDERSADORMS
I mMy, Met I here Mad NMS ap6aaebm Rod atom Chet the abai.nlo= tTn is money I agree to mmsy with M my and
oNmances and onto lam renting to building Cmanamdn antl hereby Guth ti maeMl'MtlYM or the ninny to
anter upon me ammlmentimad property, I r Ines cur, purposes
PEAMITHE NAME(PRINII
SIGNATURE OF PERMfREE DATE V
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APPLICATIONO�. TE if vxI+!+}z}+++ "4r- P/Cfe Lr- La
ISSUE DATE �LL PERMi / A tl ` JO �'I'
TYPE CONST OCC GROUP
ZONING SETBACKS
FRONT RW ❑
REAR rT
SID"IDE STREET RW ❑
SIDE ❑
PROPOSEDUSE> ,A3_•Z. V 'K'
4
# DWEL UNITS #STORIES # BEDROOMS
DESCRIPTION SO FT FACTOR PSE AD,1 AREANALUATION
SFR+ADOWNEM
emaDa+Caepat i
cy
PafAa#3ack
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LM,n,•muud
m
Vabjamc Adj Area
QUANTITY DESCRIPTION FEE
aT
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m
aE
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0ONSTRUCT10ir
PLAN REVIEW,
ELECTRIC
PLUMBING
MECHANICAL
INSPECTION FEE
ISSUANCE
SMTP j9 t%
ENERGY PIC
ENERGY PERMIT
RETENTION FEE 'Ilii
PRE -ALT FEE
BSAF it Ort
TOTAL FEE ). f wil ({ i
COMMENTS
-%r % 7
RECEIPT PAID BY .— VAI.IDAnON
WHITE— Degamorr M Copy, YELLOW — Fina axi Copy, PINK—Asenemr Copy GOLDENROD —Flle Copy GREEN —Apps icanto Copy
CITY OF DIAMOND BAR
INSPECTION RECORD
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
POOL/SPA
SHEAR WALLS INTERIOR
ROUGH PLUMBING
FRAMINGNENTING
ROUGH ELECTRICAL
ROUGH MECHANICAL
ROUGH MECHANICAL
ROUGH ELECTRICAL W( )C( I
GAS TEST
ROUGH PLUMBING
PRE GUNITE
INSULATION WALL
POOL PRE DECK BONDING
INSULATION CEILING
P -TRAP
DRYWALL
FENCE / GATE/ ALARM
LATH (PRE)
RNAL POOL
LATH EXTERIOR
WALLS
LATH INTERIOR
WALL FDOTING/STEEL
GAS TEST
WALL STEEL lv( ) 2ND( ) 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 of OCCUPANCY
FINAL COMMUNITY SERVICES
CERT. of OCCUPANCY
FINAL HEALTH DEPT.
FINAL INDUSTRIAL WASTE
COMMENTS
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