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APPLICATION DATE �,.,� Pr/Cytt�1LP(1f?�—i
ISSUE DATE _ �!Jya—PERMITp YEC 1 T ' c7�t U7
TYPE CONST OCC GROUP
SLnpa of work Cee,,ge ' lex
N OWEL UNITS # STORIES If BEDROOMS
DESCRIPTION SO FT FACTOR PSF AOJ AREANALUATION
SFwnDaREM
GWaOaGarraort ''..
W PahofDeCk
_.....
2 Re -Roar '..
0 Gpm+morciel
mI
., V49AMIf on Aal Area
QUANTITY DESCRIPTION FEE
9
m
Oi(Q
E
CONSTRUCTION
PLAN REVIEW
ELECTRIC �`
PLUMBING 191 c 62.
MECHANICAL
INSPECTION FEE
ISSUANCE
SMTP
ENERGY P/C
ENERGY PERMIT
RETENTION FEE _.._ 2 W
PRE -ALT FEE
BASF
PLOT PIAN
ZONING CLEARANCE AA
TOTAL FEES 'M
COMMENTS
PAC PAID BY /' }j L,j VALIDATION y f
RECEIPT p �J.: s 1 Y� PAID By j( 1 "l Z.1..,,,,,_ VALIDATION L L
IiE
CITY OF DIAMOND BAR a
DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES
21810 Copley Drive, Diamond Bar, CA 91765 PRESS
(909) 839-7020 Fax' (909) 861-3117 Building Inspection Hotline (909) 839-7027
FIRMLY
WBUILDING PERMIT APPLICATION www.cityofdsamondbarcom budding@dismondbama.gov
SITE ADDRESSIYJOa l ?(05RL� VCA)} 0i.
APN LOT TRACT
OWNER,, I S
ADDRESS!) f1 Qi I�I Q _—
CITYaro r"ZIP, TEL .--
APPLICANT Andeu A5+'1'avaf2 TEs. "D
CONTRACTOR OD r rC5
ADDRESS - 0 Arra+..!v
CITY MOVIA1.)Air ZIP X TEL
ARCH/ENG/
DESIGNER
ADDRESS
CITY ZIP TEL
OWNDI amLOER OECLAMTMN
I Nnby, earns under pe inty of perjury mon I am eaefrmt from the Cmasion a Stam License Lew for the manila}
trdiraod D by the CNCYnbrY{e1, I hen MWO mat m the MaIllonpb romme l Wbo Tana, 91Wm W
ftksdoM 00,11,An oaf or camlry Mut nno ito a WrMI to wmtLL%aNr, M"no. dBrnenelL n repair, any
ebmb,», Pft W mor bandanna aria r" -h INe "=it he Mem ft 101Ce n OPW OWWMM Eur M or OR
?%pyof edpWWnrt&aBLd la am the WMsulh&mb Umasew (Ccernot pj Colmucama witl15ec9en
TOGOo7OMain&ultAa BufimacaNNOfO 0315 CWaj dobmf t asheNmemseNmIaeraaetbe nuneonly
pun Nle�tl axanpdon ArtyvbmdmotSaPm 7051 S by Say aPDikemfa a pprnetamlmoloOw �ikan[me Pico mlWry
moi ma81Nn nn hullaod aOlmn a�
UL mowaaa the property a myarrymymswith waste a Moir We WmpNaaMan will do U all of ofUmaBons
of ere watt, and the ebumps Is Inst hosound of apamd for eek peadmin 7044, 2tlwnn9 Ord Proleeekne Code The
Coa ppems' Soo Lampe Law Mona nen apply oar thaneroi property wN mragh MotyOPs' O( personal ltfcit bunds
a Imtranama pgnsrry provided thatiN Imp(mamenb a0 not Intamkd or armred ur lei It however, iN 6ul dllq a
Imprmamm laze "No "year of clupir on, the Uma' Builder will Nva the matlao a Pm++hN thatII was not UWt
or Improved mrthe prapml a ads)
U I, as owner of the Mimi am arclunbalY mbecWwg whh Ikawed Comparisons m Cpmpad ire loath (Section
7044. Blalmma ad =8 The Contreras' Stam Luau Law dome nor Imply o an Owner of pgperty, wen
Anka or Improves index, and who CFntmma for the pimlatn w,ar a Wale d Caannter PUMAS to the Cmrti BCkn' Stam
Ucoau Law)
(j Iarm sumpt ham Ilcereure realer me Coll es Sob Ulade low M me topsoil reasonle)
oes Sir
BY n sis`Wun inflow i ecknowntlpa that, melt ra my paasnll msiderce n which! must mu m nfial her a best door
your pour m¢ PIP Of Me hnprovarwno actaed Who porMpi cannot zalry, NO a nmmmre thin I Nva and I be do
owmar MAIN it it tm not been mannbumed Ina Wendy by licensed cmMMI i u. d that a copy of ori
eppllmme few Swoon 7044 of the BWIneBn and Code Is assai abps upon reQmat when the apphoaL'on is
submh W ora ins fMaainA Wab ane mbaWww "Into a gowcalaw, htlm
UCEWO CIINTBACMm S CECLARATIM
I""Oman under Waftyofpwtwy Moi sem lkeum omdW pabommays of Owner 9(commanding who Sayan 7000)
Mf OMe1a130(the Buten RMPIdOOMMO a'maryieemeaimmd"woonaot
LiCsNSFCtASS iILXNO 91
ESP 1
DATE Qts CONraccrmt 10 -Cy &rn
WDM"n COMPENSArM OECLARRnON
t KPOY AFRAN W40ER PENALTY OF PE WRY ONE OF THE FOLLOWING OE AaAn0N5
_ i Nva erd we mebaalm a Card= of Conmrat to Sat anion N Worker a as p cwhad by
SWim IM of Mw Lada Cpm, for fins pbrtamenpe of Mm work for MIM this perms to WPM
I len wn ffWMlh WMWS i'QMW=Bon Insomam al mgf9nd try$KUM3700 of Ne" Carlo for
fJ
the intonations of Mw wank mer+Mrkmthis mme a Ismail My WallawY Canpauam'I hWum0.A CwMr a17
Pdky Number are
UME0 G J eL !
POUCY NmKR I G 000
MOSSECnIXe NEED NOT BE CVAREIWFTit FEW IS FOR DRE HA'20DOM SIOO OR UBS)
)maty tlatas a»Detlomcyrr®aMlowakmrwirM9iFAa1W aknda mel MemPbtanYpamal lateral ewulerWel to
ht®me aNbGfmtNWAYBr80JI3700::0swLAvq Cody;$ aAndasrmdm X Isrwt#i dlMnw aOAttmile WOmrare
CarmmNkrlplatrbaaSaam 3700a ma lobar Coda Iae5/mawXMlaomPN withram Pm'kkru
OAIE APPUDVIT
WABNMG Fannie b incur Workw I Companion WVnmpe b +Rbl,pd too Wal subiaet of "no er m MmpW
omWhs eon IMI fines up mom hundred thousand mom IE100 Oso In addtao an me cont of the n.
da�mpmu9rcYued errin eecmn 37�Cd iN 4ha Coos, IMarea aldemmyeern
CONMucYION LENOINO AGENCY
I mereEY MM u1Nbr Per+BM of perjury that Nam (a a Cnwlluetion Damns Agency W fila mHlam3ue of the warp err
wnkh one MW is imux I$o; 3067 CN C)
LENOEA'S NAME
LENOER'SADOW
cahfy Net Ihave hand OXsappikaun IM nate that Ce above hfta Om In coati freemMmpry rail WI oilyeW
pro ma Mee ams as?aIwolmd, tohaulmson Damon, std lsre0yaohafze repmlem0tivaaWoia�nry fns
)mer upon tNapoue memaed ptrty for Inspection purpome
51% pisRps07EE DATE /
WHITE— Daparmhoe: Eppy YELLOW — RaiMir Copy,-Aseeaeor COPY
INSPECTION DATE -INSPECTOR
INSPECTION
DATE
INSPECTOR
SETBACK/ LETTER
TRACT AND LEDGER
FOOTINGS FORMS
SLAB
SWITCH GEAR
COMMERCIAL HOOD
UG PLUMBING
T-BAR
UG ELECTRICAL
INTERCEPTER
LIFER GROUND
SEWER LATERAL
HOT MOP/SHOWERPAN
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
FRAMINGKNONG
ROUGH ELECTRICAL
ROUGH MECHANICAL
ROUGH ELECTRICAL W( )C(
ROUGH MECHANICAL
GAS TEST
ROUGH PLUMBING L -1
INSULATION WALL
PRE GUNITE
POOL PRE DECK BONDING
INSULATION CEILING
P-TRAP
DRYWALL
FENCE I GATE/ ALARM
LATH (PRE)
FINAL POOL
LATH EXTERIOR
WALLS
LATH INTERIOR
WALL FOOIINGISTEEL
GAS TEST
WALL STEEL lsT( ) 2ND( ) LIFT
SCRATCH COAT
WALL BOND BEAM
ELECTRIC METER RELEASE
WALL DRAW/ SEAL
GAS METER RELEASE
WALL FINAL
SPECIAL INSPECTION
FINAL BUILDING
RD FRAMINGRANNINGAPPROVAL
ROUGH FIRE APPROVAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
FINAL ELECTRICAL
FINAL PLUMBING
FINAL PLANNING
FINAL ENGINEERING/ PW
TO of OCCUPANCY
FINAL COMMUNITY SERVICES
CENT, of OMPANCY
FINAL HEALTH DEPT
FINAL INDUSTRIAL WASTE
COMMENTS