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HomeMy WebLinkAbout17-89860 9 c5 0 moo' t an 6 ' CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES 21810 Copley Drive, Diamond Bar, CA 91765 PRESS i (909)839-7020 Fax -(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY 'e1e' � BUILDING PERMIT APPLICATION www,cityofdaamondbarcom budding@dismoadbama.gov JOB SITE ADDRESS ... -Z,-3 w W U (e APN T TRACT OWNER E ADDR SS I Z CITY CANT J}aaQZtP «rTE1 It. S' APPLICANT AAIY �{IAfld&"tn1R�.(AM.i OONTRACT R tr ADDRESS CITY I I ZIP C'TEL ARCHIERI DESIGNER ADDRESS CITY ZIP TEL OWt MA MLAFB DECLARATION I tanner emms under pmNty of Whary that I flan deamni hon One CArtlmCteYe 51819 Umme taw M the reewo(r) odkamd beft by Ona meckMRdNa I hen PMm0 nem to me Wokable Itemed IS ft Tkt1S, &plan and '... 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LURMCLASS LICHO GATE �� CON RACit� a 1[l y ,� f WOHMI COMPOWnU DEUARAnM I HEREBYAFFRM UNDER PEWLLTY OF PERAURY ONE OF THE FOLLOWING DECURATDNS _ I have am MI wWomn a CWCOmte of Consent ro Sen anon To Wok, a CampmoMn, a§ paodoad IT &mSnn 3700 «dw tabor Cade, in me parf9marka «ma Inds br Mach mapermtt a Well I haveaMxCi mmmaln Wwbrca Clmanmlontlnmroml m reodtadby WW 7700 of Me LAIN Cam, tin di0 Pe#Pmpma etmewPm79r xtumda8pemdL I4 o"Wa My WC+t®rBrAmpeNmlm martflllCe Cametud Ppiky &,' era �y _ �T+ p s� CARRIER 1, iYRNF_'Xftdr.r $-"}{aK-eSAL POLICY NINDER '_ tiMS t&EDtaTOE OOMRETEO FhEiFiWdllS FpapNE NMaC1&D CO,.1N6 SIM MUM scatty that In asPedomorc8«Na wo*forwhim mal,einea%aJm,! mai not W ployerypsew oemmmnN mMlot berAOe aUyaG[ n aw Minor's Darp,tsncan tars «iJlbmW AM" DO C taere abrkara CmpBn¢8:9n ProMsbm"3Epon 3700 tome Labs Mie, i elip taKhwMmll"h/xdh dAea Pra,ffiOrW APPUCANT WARNING Falun In secure Wakero Om ponmCm m eras a ulw#M we shall mnlad an waknew W cnmoal panm5m and C:YI none up be an hodnnd Innow t m0era 51 W,OOOI, ro adddm %the onto of the maroamatbn, damaamas Move and Win eecem 3108 A Hon ow coon, Intennan, and amarai of ee COWFWJD= LENDING AGENCY I Penney affirm under Nnadr at Injury mm Were is a Cmartedbn LesOm Apency for the performance of the *wk Por wmmths perms Ie drmtl (Sm 3097,0v CI UNOER S NAME _..... IENOER S ADDRESS I Moody that l have rsso Rae apppaamn and et8lo dot me aeUa inMmebor Is cone« IV" In cmor Me an city and ard9wdoes ere sem owe n,a;np o buidin mlotnx nt VA hmay oldhord NpraWnm 41In" nun"to new poor to amve meMkmm Props br oeFactor purposes =aa�r Nu�fAA1 P P RMITrEE OWE (PRINT) sOmA,,U%M FRwTTEE .•••OA l APPLICATION DATE ISSUE DATE TYPE CONST _ PJC#f PERMIT# T KI -5qI o OCC GROUP Scope of Work Y[�'J( # DWEL UNITS � *4>AIC # STORIES { �. 4 Aelr �Pki4'i # BEDROOMS DESCRIPTION SO FT FACTOR PSP AEU AREANALUATION SFR7ADDtAEM OereparCaport Patk.Dmk tboVaPa ................ = Re Rapt GammaUai Vahmffoar Adl Area QUANTITY DESCRIPTION FEE � k ee CONSTRUCTION PLAN REVIEW ELECTRIC PLUMBING e? MECHANICAL INSPECTION FEE ISSUANCE SNIP ENERGY P/C ENERGY PERMIT RETENTION FEE PRE -ALT FEE eo BASF PLOT PLAN ZONING CLEARANCE TOTAL FEES COMMENTS JQ y PJG PAID BY RECEIPT* , 5733 PAID SY 'LA9gs' VALIDATION VAUCATIDN WHITE —Deparboant Copy YELLOW—Finance Copy,—Aeaemu Copy 0 1 � q 0 6 A EVm:j:u*j Lelligoviappi il IIIANSPECTION, DATE I.NSIII PECTOR INSPECTION DATE ',INSPECTdR, SETBACK/ LETTER THACT AND LEDGER FOOTINGS FORMS SWITCH GEAR SLAB COMMERCIAL HOOD JUG PLUMBING T -BAR UG ELECTRICAL !INTERCEPTER LIFER GROUND HOT MOP/SHOWERPAN ............. SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION HOOF SHEATHING HOOF DRAINS FLOOR SHEATHING BOUGH CONDUIT SHEAR WALLS EXTERIOR POWSPA SHEAR WALLS INTERIOR ROUGH PLUMBING FRAMINGNENTING ROUGH ELECTRICAL ROUGH MECHANICAL ROUGH MECHANICAL i ROUGH ELECTRICAL W( ) CGAS TEST :ROUGH PLUMBING INSULATION WALLPOOL . ............... INSULATION CEILING 45) —W- PRE GUNITE . . ............. PRE DECK BONDING P -TRAP DRYWALL FENCE/GATE/ALARM LATH (PRE) FINAL POOL LATH EXTERIOR WALLS LATH INTERIOR WALL FOOTINGISTEEL GAS TEST WALL STEEL 19( ) 2N0( 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 FINAL MECHANICAL BOUGH FIRE APPROVAL FINAL FIRE OEPARTMO(T FINAL ELECTRICAL FINAL PLANNING FINAL PLUMBING FINAL ENGINEERING/ PIN T C of OCCUPANCY FINAL COMMUNITY SERVICES CERT. of OMPMW FINAL HEALTH DEPT. FINAL INDUSTRIAL WASTE COMMENTS