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CITY OF DIAM( BAR
4wDEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES
21814 Copley Drive, Diamond Bar, CA 91765 ca PRESS
(909) 839.7024 Fax: (909) 861-3117 Building Inspection Hottine (909) 839.7027 er FIRMLY
BUILDING PERMIT APPLICATION
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ARCH/ENGID IGNER
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OWWE BUMOER DECLARATION
I mostly affirm war penalty of Wary Bat I am emnRN Imm 0w Conoamre State Josme Lew for the means)
Moty[W below by dm Clmcbyri#) I have IyaMd Mm Re em SBIftbM pame) FAMM MD 4 Mahn OW
prostheses Carle Any telly a Som ty that Fequlme a teems to mtmWLm%She, Irmro», detyUfy, or raak, any
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DATE SON
LICENSED CONTRACTOR%DECUMTION
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LICENSE t1C 0
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WWW'S COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PF.NAU r OF PERJURY ONE OF THE FOLLOWING DECLARATIONS
I neve and will nswlmn a Carmpab of Consent to Sas maum tar Harker), Compendia. ae pinrlded by
Sernm 3700 of Lha baba Cade Ia the pafam ax of the work to whmA role pemK Is seemed
have end who menyn VAI Compensation m almmm a moftsl by Reform 370D of the labor Code fa
the ft herany of the wak pr whmh my pend of papal My Aoaer aCompensation Insurance Carder am
poky Kum' "bars
PaLicEN MBER .ALA
OiRi SE49EIN MflD tEl RE CONPIEI®F ll# PHB01 M F00. p,E MAUTIB3 COUAMS Rt 0q CA IES
I Mary, estntheyrpmsnMmrmvµpprwwkAmm pwmlp Lw m1phad Me mom mypasarm anynwmerroam
beMme MOW of me Wake),Cw4my ft Las m Cantata Aft yam that d 1 smvm Worse IOWMW parwo"I'"
CCmPffl7" ' mSoPme VO0m dm Lure Cob I Army Aaw"rh aanph' Arm hope, gwlalvm
OATf APPLICANT
WNIKING From, Ia Secure Workers Cornmemaden avows, s untawtui, and Out xAset a anspeoper to canha
pwslbes Am CM Pores up 0 ore ho+amo ft word doWs 0100MM In Wdm or she ma of bra MmpmmaCm
damapaa pmvlaW for on msmen 3708 of ✓roe woe, MOW and mM 1Ims
GOWMI CTM LEiOW AGENCY
I hereby Mom antler pea$ of peim'that eve is a Conant om Ummy AVM pt the yRfromme of the Wak TO
which ms permit Is gaped (Sro 3W CA C)
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stem the maria mm"W on"
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PEANUTREMAkets RINil
WAMRE OF PERMITREE .... DATE T�
APPLICATION DATE
n j' tp PICN
ISSUE DATE Ji} 142M fy PERMITA 1 y r -If
TYPE CONST OCC GROUP
ZONING SETBACKS
FROM' RW- ❑
REAR ❑
SIDE/SIDE STREET _..... _-RW-CL--
RW❑SIDE
SIDE
PROPOSED USE
B DWEL UNITS A STORIES N BEDROOMS
DESCRIPTION SO FT FACTOR PSF A0.! AREANALUAUON
SFFVADDJREM l
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QUANTITY DESCRIPTK3N I FEE I
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CONSTRUCTION
PLAN REVIEW
ELECTRIC.F'
PLUMBING
MECHANICAL,
INSPECTION FEE I
ISSUANCE r -T?
EMIR
ENERGY PIC
ENERGY PERMIT
RETENTION FEE
PRE -ALT FEE
BSAF
i
TOTAL FEES
COMMENTS
@qr4 9 PR !tl TG2Y !fid 1rA1 r"Yi l
RECBPT A ." V ` P PAID BY — VADDATION
WHITE — Depwroant Copy, YELLOW — RMerca Copy PINK —A ememor Copy GOLDENROD — File Copy GREEN —Applicant a Copy
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CITY OF DIAMOND BAR
INSPECTION RECORD
INSPECTION DATE INSPECTOR
SETBACK/ LETTER
INSPECTION DATE INSPECTOR,
TRACT AND LEDGER
FOOTINGS FORMS
SWITCH GEAR
SLAB
COMMERCIAL HOOD
UG PLUMBING
T -BAR
UO ELECTRICAL
INTERCEPTER
LIFER 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
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 / GATE/ ALARM
LATH (PRE)
FINAL POOL
LATH EXTERIOR
WALLS
LATH INTERIOR
WALL FOOTING/STEEL
GAS TEST
WALL STEEL 1-( ) 2N0( ) LIFT
SCRATCH COAT
WALL BOND BEAM
ELECTRIC METER RELEASE I 2
WALL DRAIN/ SEAL
GAS METER RELEASE
WALL FINAL
SPECIAL INSPECTION
R0, FRAMING PLANNINGAPPROVAL
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.
FlNAL INDUSTRIAL WASTE
COMMENTS �I p