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HomeMy WebLinkAbout14-2348ULVIOND ILu: CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES 21810 Copley DEive, Diamond Bar, CA 91765 (909) 839.7020 Fax* (909) 861.3117 Building Inspection Hotline (909) 839.7027 BUILDING PERMIT APPLICATION JOB SITE ADDRESS APN LOT TRACT OWNER ADM S CITY r ZIP M TEL APPLICANT TEL 32"5--V-3 -'i5a2__ CONTRACT R _ .......... _ ADE dR71P V,. 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I dwldYNaloNe ONalnmueMNBwavlaMwMd)La pemNokdietl lahm rot Ey mYPelam @: anYmmlvf 80 alb iwmrc mibjeU m NaMakes Gm�L' amio And I mal bacane sulawltoNeanikes WPL iMse pmytipa APPLIG!Fallen b SMrcO M4aaraga is whmful ed "I subject an em plarl IF rnmlaw peMONs ed dei May up b an0 NI&O Ma mad doll= (SIDDD M M addlbee M me cast dare connowwan dmdgo5aspardGd Mrin axum 37tH dGd robe coda IMarnd,ed etMtney=fees CONSTWJCTION LENDING AGENCY I at&m once, pmNo d peduM w "We, Is a Canwatnl LeadroepwSq Mr me d Le w,N to wnv0 ahs pemadkadtl {Sa 3D97 DO C} I S NAME LENDER S ADDRESS. I mile* reap Ode eppwaidn am dem and LMabPla m(mnatlon MNanact ogBemweelYwMm blYaNd armneces antl amtIMn yMaonq m LVNmgaaeNAmm entl OfOOY mSOavke Iepeaettaaye=d alt muntyb =der=Yt, c...) � r E t ...- t.. ....... DA AE OFP EE DATE APPLICATION DAT P','���'�,, ISSUE DATE TYPE CONST . ! P k JJi` PEflMITg ae OCC GROUP ZONING SETBACKS FRONT REAR SLD E/ SIDE STREET SIDE RW ❑ 0 RW ❑ ❑ PROPOSED USE / A OWEL UNITS JrL ij sk I N STORIES A BEDROOMS DESCRIPTION SO FT FACTOR PSF ADJ AREANALUATION SFWADD/EM vy w PmbfLleck LL PooVSpa 7 2 Re -Roof 9 Caroms dei m Valu3lKxt Adl Area OL3APIDTY DESCRIPTION FEE 'K rr x CONSTRUCTION PLAN REVIEW ELECTRIC All PLUMBING MECHANICAL INSPECTION FEE ISSUANCE SMTP ENERGY P/C ENERGY PERMIT RETENTION FEE PRE -ALT FEE BSAF f .� TOTAL FEES COMMENTS RECEIPT a PAID ByVAUDATNJN WHITE—Depoetment Capy YELLOW—FM vuca Copy,PINK—Aese=Bar Copy GOLDENAM—Ede COW, GREEN— ApOICNAN Copy CITY OF DIAMOND BAR INSPECTION RECORD INSPECTION DATE INSPECTOR- INSPECTION DATE INSPECTO-R , 'i SETBAW LETTERTRACT AND LEDGER FOOTINGS FORMS SWITCH GEAR SLAB COMMERCIAL HOOD 'UG PLUMBING T -BAR UG ELECTRICAL ''... INTERCEPTER UFER GROUND HOT MOPtSHOWERPAN SEWER LATERAL SEPTICtCESSPOOL 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 FRAMING/VENTING 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 / GATEt ALARM LATH (PRE) FINAL POOL LATH E CFERIOR WALLS LATH INTERIOR WALL FOGTINGtSTEEL GAS TEST WALL STEEL f 9( ) 2X0( ) LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/ SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION RO FRAMINGPLANNNGAPPROVAL FINAL BUILDING ROUGH FIREAPPROVAL FINAL MECHANICAL ................ FINAL FIRE DEPARTMENT FINAL ELECTRICAL FINAL PLANNING FINAL PLUMBING FINAL ENGINEERING/ PW ITC of OCCUPANCY FINAL COMMUNITY SERVICES CERT of OCCUPANCY FINAL HEALTH DEPT. FINAL INDUSTRIAL WASTE COMMENTS f -v .acGr G CERTIFICATE 4F LIABILITY INSURANCE °"'�"M "Yrn �+'y 11/14 (2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER IMPORTANT If the certificate holder Is an ADDITIONAL INSURED, the policy(his) must be endorsed N SUBROGATION IS WAIVED, subject to the term8'SOtheondYtiDRS of tha_odlcy certain policies may require an endorsement A statement on this certificate does not cooter rights to the certlNcato holder in Ile° of such andorae�aVME Robert Harris Insurance Agene C.�? ,,, ,n 1711)619-#450 (f Nm It 14) btc. #0216736 'ae marvel1 i_eharria.com 3150'#-etoi—et:_A_Stlite 200 OREEIRVIRS)AFFORmX6coVERAGE NAxa Costa Mesa CA 92626 WWWRABartford INEREEO INsuReSsAartford Property & Casualty 4690 Via Solar Corp INSURER INSURER D 19175 Fernando Road ma ER 'Sun Valley CA 91352 INSURER F COVERAGES CERTIFICATE NUMBER I3-14 Master Liabilitv REVIRNTN NUMBER THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INTR OF INSURANCE ADDLJSUSRTYPE 0 NUMB U FF YEXP LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑ OCCUR 2SUAP2396 1/1/2013 11117014 EACHOCCURRENCE S 10000001 S 100000' ,INFO EXP M mEpenon S � 5000 I PERSONAL& ADV INJURY S 1000M00 GENERAL AGGREGATE S 2000000' GENLAGGREGATELmITAPPLIESPER Fj POLICY PROSIprft LOC PRODUCTS COMPIOPAGG S 2004 p0M S '... A AUTOMOBILE LIABILITY ANY AUTO pS � x AUTOSSCHED X MAALL UTOS AUI` 78BE1�P2396 II/l/2013 111/2014 COMBINED S EUMIT 1000000 } Y¢aREiY(Pe aWaeN} B(peRTYCAMAGE S^— � S UMBRELU I"OCCUR EXCESSUAB CIA MS'MADE EACH OCCURRENCE a AGGREGATE $ D D RETENTI S VpORRERS COUPSNSATION Alai EMPLOYERS'LIA ILI ANY PROPRIETORIPARTNERIEJ(ECUftVE� OFFICEWMEMSER EXCIUla M Nm II d-1" eeImr OMRIPTA OF OPERATXINa ONp. NIA 3736 7/172013/17/2014standmPy R VNC STATU- O R ELEACH ACCIDENT S 11000,000 EA EMPLOYEE S 1,000,000 EL OIBEASE POLICY LIMIT 3 1,000,000 IRTION OF OPERATIONS I LOCATIONS I VEHICLES (Aaach ACORD GOT. Adt"M M RNnaka SchNmM, amara apace la meWMQ CANCELLATION PROVISIONI 30 Day Notice/ Except 10 -Day Notice for Non -Payment of Preoium freddy6viasolarcorp. cam SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN *Evidence Of Insurance ACCORDANCE WITH THE POLICY PROVISIONS AUOWNZED REPRESENTATIVE --%- M ACORD 25 (2010105) 141950-2010 ACORD CORPORATION All rights reserve, INS025imim"m Th. Af r1Rn nem. onA ia.rrn ore rnnivfa.A muALa e f At non