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HomeMy WebLinkAbout17-252935 EJ A N s 0 s z 'w CITY OF DIAMOND BAR T ( DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES Df 21810 Copley Drive, auaond Bar; CA 91765 PRESS > (909) 839-7020 Fax: (909) 861-3117 Building Inspection Hot (909) 839.7027 FIRMLY BUILDING PERMIT APPLICATION www.cloyolldlandondbarwm building@diaurondbaren gov Joe SITE ADDRESS —i �r J ' 9r)X1 APN LOT TRACT OWNER41 —ULA ADDR r i. CRY } IP TEL �J— APPLICANT TEL `fit $^ GONTRACTO AUTRES YOP C,R CITY P TEL G— ARCH"Ca' DESIGNER ADDRESS CITY—ZIP—TEL OWNER -BUILDER MCLANA7WN I meaty rt tie under parent, of pw}ary mat I am exempt Apra the Connector's State Lce'ae Law hN me resonate) nmrvted NM by the (AnedmmvAh I rare plaAd nor to the apple abls Rwye) (Sovere Me B, swmeu Me PM%Ubea CONY ANY city a BaadyaM mgkn a WWA m aMebet, eNa, ImPmye, dBmBNML a Mot any *who%, poor an its hrall a aplan ahs sDplm2m be mapmmftto Bar e Blow unwa Nth tw ache it"m dppeaarNm to psaw m ditcaaamra Stam Ud Law(Chepmr 0) commemonp wah Sedbn ?and otv mn S at the Buakreaaul P+mmfan Code) or that he probe bo inmamIlcelwua Coal bast, for to RORW MP9al MyVkbe dSWW701 5byaeeappoxam Mepeadteubpsbma eppilcMtmacAf pemTy, a rid rtMe iMnRve euwtlred ddiea SCSOJ UI, M ORsmrofma prgwrty, a ay MmmbymB wswumeb ago wmpomwbm WOOD U aOata Upwtlnm Of Bm weak Md No bbuclad, is MI ImOWeL' or posted for Cap (Soc!ion MU And INn essinm Cape Tim Lbmmcma'Smm tawtloM ad aPD9loanareierdpoperty waw mld�+ 'a paaareldiaLthoor '. err Impvreaihe Prapa7R' Pavmetl mat the ImypRmad4 as rid atantlad apfwed for elle h tgwerer memalaiq a '., or Impatient mremaltigeG6 Wmh at S Mf W COmp.'Bttr,.Om Q.mW &Ylder MN neon mf 6cudanp paving lle[ It wen m[ OYIt '... or mPraredfor the ptepoMdBob) U 1, an award at the tworely, am eaclusnely eanhxamg wet pow ead Conbacepae to Con inal"Perfect (Section 1 7044, Business and Pmmoripar Cade TM CpmTBdpa' Smm UwM sew Woo int apply to M awrer or property woo buldsor lmprovMlheran, valwnoconbactahrme paAclsedhahwnsed ContladUr perawmmas Cat: e{tOm' Sete Lkerwe Law ) U Iva oempt from Ilanaurs vine on Cm+trecmr's Spite Vessel, low for me following 1easoar 8} Dote av By my opeabas below I ackno0wh eSao, swept for my PoaOMI aBitlasia9 he when I must half ramped for At meet YM aware DMIOOM Of the IMPm n*m wveatl by Ova pmmR,l cella"*pal a someone mel i Imre table asM a -Wbla It It two Can own tansh W In RS eMFM by ltbl CMRamre I Und MtV4 tJMI a Copy Of frit apparaMe few Socti n 70" of the NWO= and Pmfeamnt Cab Is aVaeame Open mond et when We Abandoned is euonNprO a M m8 medwonp Web oho nCPrwe7wim0 re gov/tabor mml UCUMCCNTRMMR'S OECLARATWN I hereby &'Iain w%brporelq p Paljurylhai am 6cmoed user pmwaiana d CliBptn g (mmTmndng wlm SBagbn 7900} d Ohllabn 3 d go &ttiMie(M'�tl mble69lana 4Ltle, aidjQ%mJ tYxx la In N�X/IacO[,yaM aMaGt LICENSE CLASS_C2UC NO Is low! DATE CONTRACTOR fA&A=CI C41,1 WORIE11%COMrOMTMN DECLAAAtION I K.FBBY AFFIRM NNDEA 094ALTYOF PERJURY ONE OF THE FOLLOWING DECLARAPONS vin Iwn memmm a Comacem d Cmpd to Sett mina tar Want'$ Commandeer, M pmrleea by SWIn 3700pma LaborCooe, Mme pamrmancp of Om YMk Fax Michmis pang allsMndf _Itow no .11 modem Wakar'4 Compensom imumMs, ae rowned'3/ Sonlon 3708C1%a Lo WCob, la ma PorbnswaepmawPtkMwhmh fob Mrmnbtmod My 8CAmpe Ilomince Cflrwer Mtl PaagrNullaraa CAraffi O POLICY MIMBER (IFIS 5EGIpt4 NEW NOT SEWACCUIEOIF THE Few GFW ONE Nh'nal BCULARs BUD ORLESSS I mtey. !Ines Pwbxm 01"wool st"wmcn MP"M ouw. I"I wtamptay a7 Moon 0 ul mwwm0 bta:m eAp' db me WGva'9l'kmpaiaelmn lawaaf Ceyra!YB MC apM?el N I pw� baMw autyay m tlw wkaia9 Comlmrrselbn pme',SmsaiSa9gn 370q dine taaor Caw, I sloe hxlmMm wmpllr w!m Niwe Paraaw OATE APPJCANT WARNING Fedurs In Count Worker a Compensation towasge h unlawful and OAR smpleIX M employer to odmIna.' av a lete and CIA''. Mea up It and huaamd mateurd prepare rgtDD 000). In feel on m me Can of the aompenMpxs, a6ma➢ae M armit M in except, 3708af the labor pope, mteaa, No elan ry a hen CONSTRUCTION LOMNB ASENCT I horns, same under PerwllY of paRnry, Uma mare Is a CWwnwffin LwdM Agency Mme MndmMoe of mo work la wMhthbp R 11 Issued(W 30971 Lm C) LENDER S NAME LENDER S ADDRESS I carM,Rot l tovetMd One NPNrds, and star mat the Agree Rdamatlan hcerin.l agree mcumaYwhe AS Can rowdy all Rem lawaradrgmbUlmr6wnenucgon BalwareoyaNrplMreDmaBnYelMBpmNwwtym Enter Lev / Cw sine medmned RRor71a pp@wB9 K T / __ PMITTE'-Na#ffoNTI SIGNATURE CTP EE --- DATE'~� — — P/CCR .ems APPLICATION DATEppi2 ISSUE DATE A/ PERMITIV 'F1\ t f 52q� L4 TYPE CONST OCC GROUP'. f r SCOps Cf WCrk A J i' 1 _ p DWEL UNITS p STORIES p BEDROOMS DESCRIPTION SO FT FACTOR PSF ADJ AREA/VALUATION sFwaoaREM GWMP rwpw PBUa/DBck ' ii PaoUSpa ••••• Z Pt Ffoat 9 conm,waml VoWallolr AdJ Wee QUANTITY DESCFIIPT0N FEE 3 CONSTRUCTION PLAN REVIEW ELECTRIC PLUMBING MECHANICAL INSPECTION FEE ISSUANCE SMTP ENERGY PIC ENERGY PERMIT RETENTION FEE PRE -ALT FEE BASF PLOT PLAN ZONING CLEARANCE TOTAL FEES 343 cAd COMMENTS P/C w= PAID BY 'DATION RECEIPT N,.,E. - PMD BY VALIDATACIN WHITE —Dep&UtMn[COPY YELLOW —FTnena¢Croy. —Aeaeeew CApl CITY OF DIAMOND BAR INSPECTION RECORD INSPECTION•- INSPECTION DATE INSPECTOR 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 FRAMINGIVENTING ROUGH ELECTRICAL ROUGH MECHANICAL ROUGH MECHANICAL ROUGH ELECTRICAL W( ) C () GAS TEST ROUGH PLUMBING vo 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 GAS TEST WALL STEEL IST( )2 NO( ) LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL GRAIN/ 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