HomeMy WebLinkAbout16-2203CITY OF DIA OND BAR
DEPART ENTOFCO MUNITY&DEVELOPMENT SERVICES
21810 Copley Drove, Diamond Bar, CA 91763 PRESS
r., (409) 839-7020 Fax -(909)861-3117 Budding Inspection Hotline (909) 839-7027 FIRMLY
BUILDING PERMIT APPLICATION www.cityofdm
daondbarcorn buddmg@Cdiamondbarca.gov
JOB SITE ADDRESS
APN _L..� ........ LOT TRACT
OWNER !v*
G,'Y!sr C-
CITYw7o` ZI>��TEL.<-rfI- (IF�
APPLICANT X71 arses, %,M� TEL .%1—a'(,41/-i0&S
CONTRACTOR lL
ADDRESS 4717-#7—ID I •
CITY ZIP TEL
ARCH/ENQ1
DESIGNER
ADDRESS
CITY ZIP TEL
OWNER BUILDER DECEABATM
I alpha under penalty of parJwy, Stat I NO exempt from ON cmmada's saw Wraw taw IN has reams{s)
Malcolm maw by the chetlwassio i I bM nVed No to the wakado "to) [SootNw =A Bine wen
ftfesafpm Cuba Any sty Or omaty NW team a Bodian CWWuO, ON, anprcve, OWWA q a repshr any
pride as spool ee, and a*ram Dm apple x nt Ire Ifo MM4ED ft a shaped StOWMWA OW he, ; She
a aanaad pursed No am pa+aam of go COW 's Stats immaa LOW(Olapb at Commwncna earth Seumn
of Baardf3of fNa&wn Was Coast or Deal he a WO is =M Mom Nmmaemd the more for
No aftlaf tonomAny wpabaed See* 703, Mbyaq eppewllfor 8xml FAjNbF loo mo mttoamepw^
dnorn Uw Ti kmareddolmaaIM
UIa9,eMiBrdtla Dapetiy,amq mt{NOYeeaeaM athaamlemmpaamdn eamdoUMl olarUpptwra
of the work and the sham is not amended a Mated fa sale (Seam 76N Di2ixeea am Ndmsems Code The
Caraadas Stan Lams¢ LBW M res applyloan o of propertywte tlamigh ' or Maroaal offal, bunds
T ammwsthe paydty for eland Bae the Mpmwmmls as mA lm M or main bar sort It 4mweva me bulbgnaa
Improvement Is add wham ben Year of marroomll, the Deana 8Mlda WE he* the hvrgAd Weft Net 11 was Out burg
or Imprmed lot the purpose of Rae I
U I, as owner at the propmy, m ax4ltanely mnbaNna wry, hemmed Comradoa to m+a6uct the prealod (SNUM
70" BudMes 80 FYd MWM Carlo The Caaacaa' STaM Atones taw dons out apply to 0 owxNv1 propmty was
a hnptmmthermn aafwfd fertllepr[{mmwiNPaXRmdCaoema purmanimiNCaamdre'$N19
I Lai
U tan emmA ftan bmaua eNerfMCpnoea0fa Sam Immo swim aha 1orwMnp IaesoP(sf
Ogg Stan
By my soman+$ below taWlmaedae oaf, ou=kt my pmearal raWd m wBm r mat hero raod0d fad image
mt Gras wcm eft of the INPMMOM mvaed by Na permuLf Mrsd wlg*wl a Mmdute that IN" auRaap
butedar N A AN ad ams mnOMM N Ms $Malay by licensed cm uktas I aderewnd that a cry of Nur
aommeoB Lew, Seld m 7844 of the BuNnm new Ptdadans Cane w arolubw No, meueM when that ImpkaMm Is
eat Mefd*,Mg Web $ae humaww mpima M gadeaww from
DCENSM CONTFACMR'S DECLARATION
I affirm under WaKy of pmoun Abed 10 Based amt WDVW m be Dormer 0 examoveing wM Septim Food)
OF Division 3dge&Wl ud PRfafemnaCode BN myI�k¢fa�ebin IN
Day
a6'EC
t 8- LI UC NO (.1 L
ay DATCLASS t
E}P DAE �iO/�fY CO11WU;fOP uwtC�-
-
WVPM S COMM NUT*N DECLARATION
I I*RM AFFIRM UNDER FENALTtOF PEMRY ONE OF THE FOLLOWNG e.ECtAABDNS
1 have, and NO appears a Car"= of Cmmm in Sell eaeea IN Worker's Compoomm a M Wiled by
Gm1o1370Dor the Labor SAN, fa the p6aplmapne of ore walk for which Nw pemdt Nismm
I Law ad wig maintain WatuA's Cmpenoedm Insnarre as rarespen by SnOW 3700 of the tabor Com For
ANpertamanm d the work be vddoh logs pepNi is Issued My s ccmmwUm lnsumma Ceuwr AN
CARRIER
'a NR
(IFISSECBOINEED NOT BE COMREIF.DF TWPE iSFOR M RWFtEDOn.LNS 31OD OR LES%
bet1readyNamprop dawwentMwrom of aWwsiNad,Fpith N, 1 moulspryporalNefq W IN haled
Comwsugarivai Waka'soa 3701 or
Lava loft. I*W. lw epi NNk Adams NxAb aM4mlaIno Wdaa'8
C4wpensapan pov5a®dSeeilm3TOPa1 No Lehor Coon, lam 1atNwN romplywlN Ntae po.MlgN
DATE APPLNANT
WARMNG Failure to marc$ WMm 9 COMPV Rom thaddranne Is Vdr W, and NO subject an employer 10 aiminel
NAA and than flora W On m, Mmdmd Nbuemd daaa (3/00 M h edabm an Un cent of the O"raWn,
dams aoaWdW rot a amen 37OBd ore Nbal dada otaed, Nilo axpmYe fora
COISTNUCINFN LENDNOADM"
ihw*y edam order penalty of peony Nn Nee Is a Cooh m taeNp APM or the Deteamanw or NO IN
wokh Odapernd aimaed (Sea 3097, Gtr C {
LENWASNME-
LENOBTSAD04E55
ceNtyNm i revs NODes MGs relating
ehsaw Neale $Daae mlanlatlon accred 1 orate$ d mmDIY rdN oapltyad
adneaaaaN spite taws relatlnaiO MUftmormuction alt ebq autl�tds tEpreeembine9 ofthw aambps
enter ups NO�Wa ti�ametl prop faampecdm papr�a
GEE NAME —�
SS MTW OF PUWUrFF DATE I
APPLICATION DATE 11-01 + P,,, PCS, ib - a Z
ISSUEDATE 9�.1-�-�ib PFnmrr# M \t,-
TYPE CONST k� ( i It OCC GROUP
Scope of Work
✓w
D DWEL UNITS
r-t-1!2.Sa''r`a-1 is,
4rro'M. oti? 4vk'�
N STORIES 07-_ N BEDROOMS
DESCRIPTION $O FT
FACTOR PSF ADJ AREANALUATION
SFRYACC IREM
Gmagoca "
w
PalaVpa:k
to
LL
poott$pw
................
Z
Re Roof
9
cemmmarmaal
Q3
Q3
YNNAY8MOAp
An o Adl Arm
QUANTITY
DESCRIPTION FEE
S:
CONSTRUCTION
PLAN REVIEW
ELECTRIC
�" ll -7f
PLUMBING
MECHANICAL
INSPECTION FEE
ISSUANCE
i A. ".?y4
SMTP
ENERGY PIC
ENERGY PERMIT
RETENTION FEE
PRE -ALT FEE
CK:b
BASF
i Casco
PLOT PLAN
ZONING CLEARANCE
TOTAL FEES q
COMMENTS
6 sem,... +�
PTC gk%%\ SS BY'�t�4)A-�T vA40ATIOH a+yy�
RECEIPT 0'5i 4 S3 PAID BY _Y 1 �E}T4�A}1 VALIDATION ION
UN
INSPECTION DATE
INSPECTOR INSPECTION DATE
INSPECTOR
SETBACK/ LETTER
TRAGT ANO (EDGER
''. FOOTINGS FORMS
5WRGH GEAR
SLAB
COMMERCIAL HOOD
''. UG PLUMBING
T -BAR
UG ELECTRICAL
!INTERCEPTER
LIFER GROUND
HOT MOPISHOWERPAN
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
'..FRAMINGNENTING --
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 lGATE/ ALARM
LATH {PRE)
FINAL POOL
LATH EXTERIOR
''. WALLS
LATH INTERIOR
WALL FOOTINGISTEEL
GAS TEST
WALL STEEL f F( ) 2"0 LIFT
SCRATCH COAT
WALL BOND BEAM''
ELECTRIC METER RELEASE
WALL DRAIN/ SEAL
:GAS METER RELEASE
WALL FINAL
SPECIAL INSPECTION
RO FPAMINGKMINGAPPROVA
FINAL BUILOING
ROUGH FIRE APPROVAL "
FINAL MECHANICAL
_ _
FINAL FIRE DEPARTMENT
FINAL ELECTRICAL
FINAL PLANNING
FINAL PLUMBING
_
FINAL ENGINEERING/ PW
T G of OCCUPANCY
FINAL COMMUNITY SERVICES
CERT, of OCCUPANCY
FINAL HEALTH DEPT.
COMMENTS
FINAL INDUSTRIAL WASTE'