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Home My WebLink About17-8863i t� L z o ' CITY OFDIAMOND BAR C DEPARTMENT OF COMMUNTTY & DEVELOPMENT SERVICES 21610 Copley Drive, Diamond Bar, CA 91765 PRESS (909) 639-7020 Fax' (909) 661-3117 Budding Inspection Hotline (909) 639-7027 FIRMLY '�'� BUILDING PERMIT APPLICATION wwwcityofdmgCgdm iamoodbar.com budd3aondbarcagov JOB SITE ADDRESS 1 _IOC PE TF,.,C,cedOO10 APR" LOT_ TRACT OWNER •.,IijS b �� ADDRESS C t -Ct CFT Jisr ZIP TEL APPLICANT TEL CONTRACTOR —refrOADe $ ADDRESS t��fiDl r_ CITY a ZIP TEL ' ARCHtENG/ DESIGNER ADDRESS CITY ZIP TEL OMMa BBLDER MCLARATION I hereby alPm ander wash, 0 per" that I am exempt him the Cammctor's Sam Lterma tow for has reaeonlp Irufamed below by Ne cameNo lkLN, I haus placed seen To dor sppUcathe RNYO lSeetl o MIA Blalir8ee and P ions Com Any oft ar warty float Nuems a pamN to om WwL alcor, Improve, tmmoNsb, a mid!wry pu ectm,, Nor to In bsummam# , sae reMe Oplkant IN the foci to Me a signed sWUmeM east he ar atm toNcataad punt MIn Meoati aho of DNCmmemre$Wb Uwme Law(Chepbm 9) Commonft wOSectlnn me of ONION a of the BNNmeaand PmteWlgm Coral or Pei he or she N mamptPon licensure and me basis for gb&agar exempmn My Womhon 0168pmn 70315 by any applNam fore{wmltsubpcla the applicant loo NO pm n of nm Imre earn Me hundred dollars Son U I aw owmmof tMpeopern. army employees With Wageem their sola emPMUOM war do U all ofaU paLaM of the wink, antl the OrI Is art Intended m Pearon for We FrAMM 7049, Bumwss and PMesocons Cab Tar Cpntrarfam'Awa LaaMe aw apes nWappgtaan rdproperty who, thmugnemboyeee amunumal often, bulla or Improwa die pnpwry, podded that the Immoveoceme IN NO Immded or ousel m awe Is I Meow, the balding or Impmmmew.,smC*ft we year of completicn, Na Owes Suicer wIN have the Cuban off N N lost It no not Can or Impaired for to pulpooe of MID ) U 1, as awmr of the pmpNty, am exdueNely mmactng war Were# Cmtramore to mnebrax gra payed {Section 7044. Bua rsee and Profe,eyNw Cale fie Contra wro Seek Uumse taw me Oct. One to in ewer m pmparty who duW or unpoves owns, am; who wMe sfor the paRecowbh o3comm Ccmmdur persaws come Ccntmcmm'Sete Lamina taw) U l aw exmweafrom llcenema u Me Cm"mre garb Dporms nor Bar the l eaug ream") '.. Dara Ban_ By my a;mdve, bete' l acknowledge :N exceattor my permMl memnce In wNch l must hove mmdm for at Noes we '.. yearam to wnpia'don m the lmpmremmm mmerm by mo permit l panrmt cgely eel a sln+mum Nat l have haft in an owner balder It N has rot Man consmamed In IN #maty hY licensed contmcme I ucmWrAVb[ that a copy of gre applicable law, Random 7044 of OR Business at PIMmakwe Cork Is avaimme upon re when moa appiduslo,, la '.. aubmmd flet Nm Website tdlpAvwwlegfimce$aa/ceiav marl ', LICENSED CONTRACTORS DECLARATION I mraby amrm umlerpellalty, of peyary Nat l am Lassoed ummr XovWm of Dinner 0l commands; with SKUM 7DDD) m DD,mm 3 of the �Su`eimws NO PmeadpM Code, and mmyyyllcama�Is in hurt fame and elect UC04SE p,AESP" LIC No a /.�']aj i DO DATE _ CCtiiwFin A _✓M.e.rt ' {�8 E}rLM wMKM'SCO WENSATION� DEC i I RMSENAFFRM UNDER PENALTY OF PERJURY ONE OF TLE FOLLOWNG D00WlAT I rove and W IX manaln a Gommta d Cement to Sal Inwm for Worker's Camcenici as PWom by SI 3700 of the Labor Cada, fm Nn p rFormencem the wale for "Id, this permit is Iswm _ I mwe amf ML Remain Won<Bre Cn±wartAttion!nAadnce, an required by Sonsw 3700 of the Labor Catlin for Pa POLICY Numadi+>Manm m iha Mak IorwNch MN pmmtt Ia 1MLm My Wartier a GrCensa0ml itro:mnce CardeY era rram s a WRIER 'At t POLICY NJMBER (1X13 SECTION NEED NUT BE COMPLETED IF THE FORA.'S FDR ONE RNNOREO DOUAN5 TO GA LESS) I wrJO'CtA In the penomance of der mi mich Ila permit is 13wpd,I std me empNy my parent In ary, sa4wrc mm becaTre DOW to the woresr's CanpNas m LSYw of Dominate AM epee Oat r i awed circus caged he the wwah oty,D� Secgcn3700oftm LaxwOod/e��/ya11 tornailh twb flaw, poWslom 1i7E _�C.0 r,,[APPUCA'iT WARN IG FAR" to Memo WoMer a Cpmparcef ou Damage a unlemw, antl shad "led an a aII to anma I peneibes am dol Owe W to one hundred Lmu % dD me (0100 0001, In add ON m the coal of Pe campenedow, 1 damegas ea movbad to h Doctor 37DB of the elm Godo, waren, and attorney aleas CONSTRMMN LENDING AGENCY I hereby affirm ulcerpmatf of salary mat them Is a Oform nam Leming Agency for the ftman:e of Na work for IND farm t is leased Soc 3097, ON CI LENDER SNAME ._ .. LENDERS ADDRESS �. ! gamy Ref',. have read thlegplft n am mate that the mase mforr itm is wRdlagwtocs-V wlL+eii dMam pulmo Gee and elate aura Memig he bLmag Mossuctlon, w'd MrmyaW ROI mpresencom" of lots to enter span the ahwem mtl prcDedy fai w!O_np.u.rp,.a.eam �{� ! PEW OT -^.tea SIGNATUIL OF MTTEE GATE APPLICATION DATE 7�3 % IS ISSUE DATE MR/137 __PERMIT# TYPE CONST I , P/C# PM —_4390 f`91_+_880 GROUP .K y..t'yt+es,. 1O�CO { p Scope of Work -& S ' i _ 1'1 K If. Z 40cI a Dili is DWEL UNITS IF STORIES It REDROOMS... DESCRIPTION SO FT FACTOR PSF ADJ AREAIVALUATION $FR/ADDARE4a Oaaga/Carpori Petlp'Oack tui pwvspe .... .... Z fla-fla4t _ Canmemem VaHrBtiOn AdI Area QUANTITY DESCRIPTION FEE DOi �I CONSTRUCTION PLAN REVIEW _ ELECTRIC PLUMBING 2�jL) Tie MECHANICAL INSPECTION FEE ISSUANCES SMTP ENERGY P/C ENERGY PERMIT RETENTION FEE PRE -ALT FEE 2 00 BASF PLOT PLAN ZONING CLEARANCE TOTAL FEES COMMENTS 1 q 2.52 �a�gr fl C£IPTI, 35j :11 PAID PAID BY • 't rw.l.,)J VALIDATION ....__{� WHITE — Department Copy YELLOW — Fhenca Dopa, PINK—AAeeeaw Copy I CITY OF DIAMOND PAR INSPECTION RECORD INSPECTION,•- INSPECTION DATE 'ANSPECTOR 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 PDDUSPA SHEAR WALLS INTERIOR ROUGH PLUMBING FRAMINGIVENTING ROUGH ELECTRICAL ROUGH MECHANICAL -- ROUGH MECHANICAL ROUGH ELECTRICAL W( )T( ) 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 $AS TEST WALL STEEL 1"T( ) 2N°( ) 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