HomeMy WebLinkAbout17-1065CITY OF DIAMOND BAR
DEPARTMENT OF COMMUNITY & DEVELOPMENT SF VICES
`* 21910 Copley Drive, Diamond Bar, CA 91765 PRESS
�� , (909) 839-7020 Fax -(909)861-3117 Building Inspection Hotline (909) 539-7027 FIRMLY
,'e BUILDING PERMIT APPLICATION www.cityofdiamondbar.com building(.&diamondbarca,gov
JOB SITE ADDRESS df r _ _It
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APPLICA EL
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CITY DP%l
ARCHtENG/
DESIGNER
ADDRESS
CITY ZIP TEL
OWNER BUUER DECLARATION
I P'm super poorly of sortury that I an shares man the CAINEdab SAW Incense Law for the reaoRa}
IMpaIM mkow by the dietlmwdtle), I cavo Pomo Mad to to applicable II neo ($soman 76115, auswlSs wad
Profeewpm Code Awl City a county that ressim a Pwmn to omtWet that. # m, ibdslwh, or roped, aa,
susses, Poor to da rsararce, at" "Imas she applambi M tae permd to Sao a stared solenmrt that he or aw
Is liY dturW8nt1'i. ft pmwsiom of the Conbaeoe•a Sots, GCBrwe LAW (Chapter 9) Coewroneang with Saco,
70M of [Impose 30 to ala and PmfB56Unt Gam) a Wet he m she N exempt from Eceiaum and the basis for
the alleged exemption Any ViOMW of Seeman 70315 by my APVLmI tore pemnd&Ibjeas ser apoluant o a doll parody,
of not more than five haxaed dooms LSSM
UI An, Avner of the pond", army employees web weees As9Mv sae campen6abhn, WAY do 0 sit of anti parsons
M the Who, ands the nuutime N net Intended or offered fa ante (Sec0m 7044, 6lulass4 and protective Cuts The
CmltraaorV Sets LlCOnse Law does Waspy to an owner of proper who Wol wOuim on pareaccalafnn boos
amsmme5 CN pM)only pra+sed the the mTaoywlanla ars ad mantled or doted for sate D howeau the Wddhq a
Aryxprertnenl a0 atltl va1Nn ale yaetoteanpstlm
the Owner Buatlaws hatetls burden d prahN twi somas irA. Wofl
xamprovM tame PaPose MsaN y
{yr, ovmer of iha property, am eadusably Vanishing wdh bcenam7 contractors Is consWd the wofecl(Salm
76W Business and P'ofealo s Code The Cmtratom' State License Law dais not apply b an owner d Audi who
nano ar mhoWes tureen, and Me commer,far One reeds who a flumsed Contractor ews ant to the CabAch Som
Llcenae Law 1
U l am exempt Push asenaura under theCAmmdyr's Stals License low for the mosorga)
Data Sign
Rymymmpsfomblow Iaummu ogemat ercepltmmypersoal Rowena In which! most hom readed for alieastcre
year prior to mmpNsm of is bnprovamana mono by the pamat) caMld Iegelloull A$hUdum that I have Lioness
bonds, h h has nd ham constructed in es adsry by Ilceraud comectxa I insists" tet a copy d the
taw Sachen 7044 of We Bushms, and Plu'assurs CMA N whallabot upon ma+zM when this himpicticw b
auNnmetlaori Ne foLowNg Wen rte httaMxwiNnEmgvotoo hhni
UCERSED CONTRACTOR'S DECLANA71ON
I mereby am" under paehy, At maeury, that I am nCenced antler provisoes of Chapter 0 phimmenum vmh Seaman 7000)
ar WNSCm 3dthe qu&nese and 8£MB andmyi'cegs MMPK lace end aBaa.
IlCEtlSECaLT�C LE N0 a(/ '
D5 DATE. 1. 1 .rGfj
1' MPENSATION DEMARATi61
I FEgEBYPFFhW INOER PENALTY OF UP ME OF TIE FOLLOWING DECLABAT ONS
1 here And wed maintain a Corsican is Consent o Seh Wgule fa Wabs's Canpensstiun a prm4 d by
Swim 3700 All the Lebon Cao, ser Us pafarmanm of the wakbxwladsthN pond Is issued
InereaMwiI masdwn worse l's Communion,. In.. by Sachet, 3700 of the Labor Cada to
the pstimanced the wok imwhthims palms V issued My WdNa's iriNNnsehon mwmla:s Cemer wid
Peery N�xnbwere .+'
CMNEA
POLICY NOISRA
(INS SpC1KNd t#B} MTE£CMVLETWIF fMgRWEFMWHUNVBDftLW$100 CAUSS)
Iewbi,gathNe peltartodimtlthawa9etawmldl Uus panels IdneN rolemploymypemmk+ay maawtspmto
t augeaomo Wlayax's Carywtlm lawsd sorsa Arm agree ibM if lsnoao oacome tithe Wayofa
fbnper'sffiorn pmwiolad GeNIXa3TGOdihB tabafaoa 19aaq (athwdhcarpywlth duseW'asaaa
DATE APPLICANT
'NAPKNG Felbrre o sd Wye Wakes$ Comals nsalbn mvemga is adewoi red shall Subsea an moomor As ober al
wastes and tell Pons up is Am hSrNM thousand dollars IE10OODDj m monItlm m the chat at Am aanpenSaiov,
orages aepmnldmiim In aecam 37Ced NaVeba epos Internet ms aharwi'soes
CMWRMTM LENDING AGENCY
1 afire wader panamyof petro' that nae s a Construction Landeag Agency for the performatee of the we* W
wren oa�nmds sSUM (Sec
3097'(0 C)
LENDERS NAME
I S ADDRESS
I tori l tare And %a"Honflo Am Stas ms Uw above iformarkm is caned l agree to comply with di dty and
ordiromas "Oft laxw cooing to buxoag cci46odl9n and hereby RJtC MMprewntHONODf ttls Coatyo
enter upon Ne ilei mwaaaM property fa Ins, Pl f✓hsap
PERINITEE .5 ri1"......17
SIG NA EOF PEgM11TEE DATE
APPLICATION DATE
ISSUEDATE 5,111
TYPE CONST.......__--
d .............jPlCC# t}�
PERMtT# U`Fa# —Stn(0S�'^
OCC GROUP
scope W Waf9 !•}64
# DWEL UNITS
# STORIES
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# BEDROOAi6
'.. DESCRIPTION SO FT
FACTOR PSF
ADJ AREANALUATION
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valuation
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Area
FQUANTITYT
DESCRIPTION
FEE
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3
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CONSTRUCTION
PLAN REVIEW
.......
ELECTRIC
PLUMBING
C7
MECHANICAL
INSPECTION FEE
ISSUANCE
............
SMTP
ENERGY P/C
ENERGY PERMIT
RETENTION FEE
PRE -ALT FEE
BASF
PLOT PLAN
ZONING CLEARANCE
TOTAL FEES
COMMENTS
j,
71 -77
t
Pic��ss PAID BY _
RECEIPTS i^_ PAID BY I�..'�.�T
VALIDATION �y
= VAUDATIDN— $�"e __
WHITE — Department Copy YELLOW -- Finape Copy, PINK—Ana ehAir Copy
! ! + 11
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1 INSPECTIONI!�
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111111
INSPECTOR! DATE
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I III
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SETBACK( LETTER
TRACT AND LEDGER
FDOTINGS FORMS
SWITCH GEAR
SLAB
COMMERCIAL HOOD
UG PLUMBING
T -BAR
UG ELECTRICAL
UFER GROUND
SEWER LATERAL
INTERCEPTER
1, HOT MOP/SHOWERPAN .....................
SEPTIG/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
4 PRE GUNITE r
INSULATION WALL
'POOL PRE DECK BONDING
INSULATION CEILING
P -TRAP
DRYWALL
FENCE / GATE/ ALARM
''. LATH (PRE)
FINAL POOL''
LATH EXTERIOR
WALLS
1, LATH INTERIOR
WALL FOOTINGISTEEL '
GAS TEST
WALL STEEL 1$1( 12-( LIFT
SCRATCH COAT
....................
WALL BOND BEAM
ELECTRIC METER RELEASE
WALL GRAIN/ SEAL
GAS METER RELEASE
WALL FINAL
SPECIALINSPECTION
RO FFIAMINGPLANMNGAFPROVAL
FINAL BUILDING
ROUGH FIRE APPROVAL
FINAL MECHANICAL
_
FINAL FIRE DEPARTMENT
!.. FINAL ELECTRICAL
FINAL PLANNING
FINAL PLUMBING
_
FINAL ENGINEERIN61 PIN
T C of OCCUPANCY
FINAL COMMUNITY SERVICES
CERT- of OCCUPANCY
FINAL HEALTH DEPT
------- FINAL INDUSTRIAL WASTE -....''.