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__ ...__. CITY OF DIAMOND BAR t
DEPARTMENT OFCOr.WNITY&DEVELO HENT ✓ICES 1—
21810 Copley Drive, Diamond Har, CA 91765 PRESS
(909) 839.7020 Fox: (909) 861-3117 Building Inspection Hothue (909) 839-7027 FIRMLY
"w BUILDING PERMITAPPLICATION www.cityofdtamondbarcom bmldmg@Gliamondbarcagov,
JOB SITE ADDRESS sylvaodna
APN LOT TRACT
OWNER _ S anse
ADDRESS
CITY ZIP�TEL
APPLICANT['/_rS[�_f�ll.'t'C'A t'%TEL C
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DESIGNER
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DWW4UaDFR DECLARATION
I ", by again under penalty 0f parom Dat I am exempt from the Comadwa Sm Lkome Lew b IN ma&wgsl
VNIsMard aNw by M f#X"fMnL i Imre forted IMA to Me eppMMO IMmN1 PCft 70314, BUWam and
omkutm Dade Amy an a So" ora n4ldrs a pe tm wraWa, atom(mpraY•, domew, as raw. all
aNaatwa. PaaM (M NAlletae, elaragtas meaPTReaa stns petmitM RMe mYrud aMtenrsl out tw saw
u IIsmW pWaaaM oM PrdWIosofsrB CoxbacDx'a 5MM Lues•Lsk LCheRar� ComnlaNlrq MU Sac�n
7000 otOMamn Sal ou Baaneserb Cotle]prmatheaalWbaYan metrislgsunto lndbpdefor
fa aaMpa axmmp0vn AnYWdmtlon at Swan 703150y NYepalant Ida paMeuplapNMe ePP'ItEntm 0 dWl party
a M mote Mae RYa hPtMatloPare,3567I
of I,ea week,
any a needed wtft Mg forS Mee Mae 7044, tbn,wadd(ja aaURotors
a the Wok, aril Ma MassiveeLaw a , IMnad a <AMitl for deb iS WINS 7tl4d, B On and wadona Cade The
w hpmm MepSW tiwnsc Lewdregnothe IMmMan owsardpor ormi.ald,Mmdphl nor Sal a' by r,tval elOulat bars
Imunprovenma property,n"Sa pregod that Meimfion. Me Da&eMMm winralMeod M4 a0 dens ft MBbuddingdf
ImpNamea b soil within R,,ey�, a compleGdn, is DwaeM Seade!nell sYB Ina dean a pmWeg Ma'3 Year iid bulb
pr Improved mr4M pPWae a eels)
U k as avna of me PVP". Am awabety wm ctndwim nodded Commodore to werawaaore Rated Isecton
70" Bwnea":Nawls® Cuda Tile catacmn Smb Lkmm tars dad M SOME m an mnur of RRart7 who
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Loomew Law)
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Dole Sign
BY So aoaMa Sears I edkrowaedpP tat, eawd for mY PomM umdercem whkhf mat noes re added feat r84S dao
yea Pur m cowetm of the kr4aP+9meaaCOMING by GYa Permit i tEMd+ y as a araCPM iM I aye Mabegar
amwrvmaeer a N ha M baa cox mnla Is IM wordy by Iianwd I momma Mar a MMM' a ere
appikaao ani SedOn 7041 of to &him and Pemasmna Cade is mamba teat Mout wan ihs ORRMCaben is
aubmY,IBderaftfabkipwbq WebedB vdppr+Yr<a'legmtcae Adv/aamw had
LICENSED COERRAC70a'S DECLARATION
I hereby amen laaNr penoty or perjury Mal l am Mwww umNr Cones" of Ceaphof winsacmn 700]}
of Mhos 3 alum S ams s So ProNalpm Cow ell COM pwae N mull mrCe OIItl effect
U(XNSE CLASS UC NO
DATE CONTRACTOR (tXJR
WDRIER'S COMPENSATION DECLARATION
I HERE$Y AFRRM INNDIS PENALTY OF PERJURY ONE OF THE FOUTA"0 OR AAATIONS
_ I me vad we marmten a CBNhwM of Garan m Sof NMaa gar WoaBYM CanpeaabB, a prod00d By
,K Sadw 3700 of as tabor Cade, TOFMe paAPmaeeaMe walk for Allen IN%Rome Isbound
I have and Am mission Wakore Compensarm InmmmM, ra eaPaatl by Sstun 3700 alas tabor Mbtle, for
Na pBnOmerlp0atlm wR 4a wake Mb paPRbiaad NtYWaKO(e Cq^IPBnSafla lnBUraw Canaad
Nisy CAMWER mar all
POtm NUMBER y.26 2
MISS WCDONN FTte PERMrf6gas ONE RXMEDCOLLINS $100 ONLFIA
I Do" thatinfid mdommnce ofthe are is war, sea panne IS Noun, I aid tedam" any perms In ammamwwmm
awmd wroth to fa seoars Ca+ea®torn iaw of CaaomM Fy'NLapreO fN &pullOmTtl eua
.. �n37OOMMe'.aba C�.lo4,li dust Amid"
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WANK r FMpeb m says Wella • CanpeBedOn mome, N wowed, as oaf second an worse/Br to ode ms
peMas sof do MMS up N One hundred Mousmm dAm 4100,000) In O MMM m Ma was of the mmpedaeean
damaged a PaYmro for in Sales 3705 of Ma Isar caCA mori and a mey's Na
CONSTRUCTION LEIOINA AGENCY
I hereby affirm under "Years of FaMay Mat Mere Is a Coatructdn LwMirg Agony to Me pelTPmenam of Ore wok for
each this Won M aiva(Soe 3097 Car C)
LENDER S NAME
LENDER S ADDRESS
I wmryMal l have rad MIS Apaicacn" drainer the Mora No matin Is pared I egrae m oompeyvah a sty ad
axrdy d'tlMMCa era cyte uwe rem^np m bupdnp roM1AM�dkn and noe0p erroAM MpremnuGmsa Udawumr m
aatupmtMe 8bme memlPradPBpmtyb Yapadbn WrWaeM
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SGNATtNiE DF MITTE ��
-- IICAIyTON I��!-,, i
ISSUE DATEjNi - l(` urilf:i.
TYPE CONST GOO GROUP
Scoide of Work * ' • r'i'C•1'
P/ f�
DWEL UNITS #STORIESBEDROOMS-
I
M,.i..TVTm Stir
CONSTRUCTION
PLAN REVIEW
l
1 ELECTRIC
PLUMBING
I MECHANICAL
INSPECTION FEE
ISSUANCE
SMIP
V
ENERGY PIC
ENERGY PERMIT
RETENTION
PRE -ALT FEE
• e
a
TOTAL FEES
I��■vl
COMMENTS
,.
VALIDATIONP/C PAID By RECEIPr #A PAID BY
J
WHITE—CepaArree Copy YELLOW—Foams Copy PINK— rcopy
CITY OF DIAMOND BAR
INSPECTION RECORD
INSPECTION DATE
INSPECTOR
INSPECTION
Douu
ATE
INSPECTOR
SETBACK/LETTER
TRACT AND LEDGER
FOOTINGS FORMS
SWITCH GEAR
SLAB
COMMERCIAL HOOD
US PLUMBING
T -BAR
US ELECTRICAL
LIFER GROUND
SEWER LATERAL
INTERCEPTER
......
HOT MOP/SHOWERPAN
SEPTIC/CESSPOOL
MAIN WATER LINE
HERS REPORT RECEIVED
SEWER CLEANOUT
DEMOLITION
ROOF SHEATHING
ROOF DRAINS
FLOOR SHEATHING
ROUGH CONDUIT
SHEAR WALLS EXTERIOR
POOLISPA
SHEAR WALLS INTERIOR
ROUGH PLUMBING
FRAMtNGNENTlNG
ROUGH ELECTRICAL
ROUGH MECHANICAL
ROUGH ELECTRICAL W( =)C
ROUGH MECHANICAL
GAS T E ST
ROUGH PLUMBING
INSULATION WALL
INSULATION CEIUNO
PRE GUNrrE
POOL PRE DECK BONDING
P -TRAP
DRYWALL
FENCE / GATE/ ALARM
LATH (PRE)
FINAL POOL
LATH D(TERIOMUIOR
LATH INTERIOR Ot
GAS TEST ITQ f�
SCRATCH COAT lonq bmlu"
WALLS
WALL FOOTINGISTEEL
i WALL STEEL IST( )2w( )LIFT
WALL BOND BEAM
ELECTRIC METER RELEASE4 ;4 a iomw
WALL GRAIN/ SEAL
GAS METER RELEASE
WALL FINAL
SPECIAL INSPECTION
FINAL BUILDING
RO FRAMING PLANNING APPROVAL
ROUGH FIRE APPROVAL
FINAL MECHANICAL
FINAL ELECTRICAL
FINAL FIRE DEPARTMENT
FINAL PLANNING
FINAL PLUMBING
FINAL ENGINEERING/ PW
IT C of OCCUPANCY
FINAL COMMUNITY SERVICES
KWL of OMPANCY
FINAL HEALTH DEPT.
FINAL INDUSTRIAL WASTE
COMMENTS