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Home My WebLink About18-1239t a qz F red 0 i v s ¢ 0 O 0 Z a y w 0 U O z i so r w (i 0 z 6 CITY OF DIA IND BAR DEPART ENT OF COMMUNITY & 0 V LOPMENT SERVICES 21810 Copley Drive, Diamond Bar, CA 91765 PRESS ,,� (909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027 FIRMLY ^s'� BUILDING PERMIT APPLICATION www.cityofdiamondbarcom bqilding@daamondbama.gov JOB SITE ADDRESS /0 Va 1- APN LOT TRACT �q-k- Z OWNER ADDRESS CITU � TEL APPLICANT jLLk - p✓ TEL CONTRACTOR}� ADD '-tJ S � Cf, ZIP M TEL ARCH/ENG/ DESIGNER ADDRESS CITY ZIP TEL OWNE4MLDm DECLARATION I hereby affirm under penalty at penury that I an exempt from Me CmlmMr's Stab Ucen4e Law for Me ressonle) Wlaled below by to tlucYmarMp) I leve Placed red to ee app4able Name) ISecdon 710.5, BrsW® and P besides Coir Any city ar county, Nat regmra a permit he mubuc%alter, wproys. dnulrn, ar repair, any Manna, prw be Be Issuance, she requires Na applicant for Ore permit he fila a aped eWbmmtiM M or W b Gtermdpmmmantb sires prorshs mba Cmbwb aStab Ua Lmpmpbr S)Cmanagnib Smme101 701X1 al OMan 3 m sire Bmmebla9s and Mutant=Cada) or that he or Me Is eampt from Dominus, and the oasts for the alleged mmpbbn My vlolaUm of Seckin 70315 by my applkard for a permit whom Imre applicant M a chil penalty at M move tlan Pore hanred duras MR U I, mower of Me property, mmy employees vnN noes m Narcore compensation will co U all of orU podlons of Me w dK and the structure a M Inter" or offered fa sale (section 7044 Bmlress and Professional Cede TIM Cbnbscna Gbh Umme tan does rut supply M n carer of property, who through employees or panoral effort, Wllm or Improves Me propend, Provided that the Improvements m not Intended or offered for sale If however Me bulldhp or Improvement Is said wIMM me year of mnplodm, the (Mier Balder will have the serdw at spring tlw It was M bold a trimmed for the wpm of We ) U I, m owner of Ne properly, am mclmwely contracting wit Ikamed Cantretiae to construct the project (Sacbm 7044 BmsYress and Profession Cade Tia Contactors Slay license Ian does M apply e an owes of properly who buddsIXlmpM'esthermn anwMeala forthoprojec9Mthallu6ed Cw"MpumuaMMtheCaIIRL'am'SMte Uceres Law) L 11 em eempr bre nmmlae under the Contractors Sbm Mmes law dame following radical By my A oWe below I wAnoMedge Oat, except for my Iwrssner residence b Mich I must have resided M at least me year prior to completion 01 Me Improvements Covered by Me permit I cnM legely Sell a ebucture Mal I have Wilt as an coverer, Wilder II it has M beam corrected In Its widely by Ik1wSod carlbata9 I ndendnd Ma a copy of pre npbmde law, Section 7044 of the Buwress and Profession Cede a srellaMe upon request wren Na application Is submitted or at the following Web alto Impv wIeglntp ca gov/Waw html UCENSED CON7MCMR'S OECIARAHON I hereby affirm under penalty of padury Met I an licensed under provision of Chapter g (commencing wNh Saban 7000) of ONmm 3 of Ne n��apnd Professions Code my h%tains, a o f tom a effect u ' " T LICNO r+ GATE COf4fRACTORit tv WORKER'S COMPENSATION BECIAMnON I HEREBY AFFIRM UNDER PENALTY OF PEARnY ONEOF THE FOLLOWING OEQARATIONS 1 he" and will maintain a Certificate of Consent M Sall -Insure for Workare Compensation m provided by /Sacbm 37W of Ne Labor Code M Ne pMamwrte of the reek for which mo pwnd is awed I have and will munaln Workers Comper atlw Insurance, as required by $ellen 3700 of the labor Code for the Performance of work laviflich(hapwNYe Issued My lreumrva Carrieran PoULY NUMBER (R6SECIION NEED NOT HE WMREIED F THE ($1001 LESlb I cemty Oat M dna palemwcewtlewwk 1or�ea parer a MbMtlI shall M empoyary mom b ary rraslama to b Ne Wwere fmgaea ov fagbma M�a I bemre spat b the yNEars al5amn 3700ov o a I frit forts (�, lora DA APR1fANT WARNING FWlme M Scum Wdkaie Com rmmrbn Ceamge a nlewlul 0nd Hall wblecl en Bmplayer to Comlrel penagm and cMI Brea up M me hundred Mouvend dollar LEI00000) In aodgon M Me Cot of the mnpemalbn damages as Prmlded M In Won 3708 of tin abs code Interest and atlmle)'s film CONSTRUCTION LENDING AGENCY I hereby mom under paalty, al peppy IM More Is a Construction Le erg Agary fa are mldmance of ee wove M which this permit Is Load (Ser 3087, Or C) LENDER S NAME LENDER S ADDRESS I catty May I have read this npliwtlan and sand Mat Me above Information is correct I agree to comply with all dr, and county, adMacm will thea few reaMg M bulWng mmtru[bum and hereby nPnlm reprmnaOves of the county, to ams upwmon AA'abore M ve mentioned the s salon purposes L. PERMITTEE IIFMIpRI 1 C�l�Lj_,/C7�L� SIGNATURE OF PEAWTIV` DAIE APPLICATION DATE ISSUE DATE TYPE CONST PIC# PERMIT# OCC GROUP Scope of Work If DWEL UNITS O # STORIES # BEDROOMS DESCRIPTION SO FIF FACTOR PSF ADJ AREAVALUATION SFR/ADDA7EM Gamga/Carport Ow PabavDeck w LL Pool/Spa ZRePRcuf 9 Commemlal D m A101, 9P 01 V0 uetlan Adz Area QUANTITY DESCRIPTION FEE a�a E -i ca 2 f i' f CONSTRUCTION PLAN REVIEW A Z ELECTRIC PLUMBING MECHANICAL INSPECTION FEE ISSUANCE e SMIP ENERGY PIC ILId ENERGY PERMIT RETENTION FEE PRE -ALT FEE G0 BASF %. O J PLOT PLAN ZONING CLEARANCE TOTAL FEES COMMENTS 213,77 PIC PAID BY RECEIPT a PAID BV VALUATION VALIDATI pY. WHITE —Depatmwt Copy YELLOW —Rri Coley —Assessor Coley CITY OF DIAMOND BAR INSPECTION RECORD INSPECTION DATE INSPECTOR 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'', POOLISPA ''. 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 / GATE/ ALARM LATH (PRE) FINAL POOL LATH EXTERIOR WALLS LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL IS'( )2w( ) LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/ SEAL GAS METER RELEASE WALL FINAL' SPECIAL INSPECTION RO RVAANG PLANNING APPROVAL FINAL BUILDING ROUGH FIRE APPROVAL FINAL MECHANICAL — -----, FINAL FIRE DEPARTMENT FINAL ELECTRICAL FINAL PLANNING FINAL PLUMBING FINAL ENGINEERING/ PW— :,TC ofOCCUPANCY FINAL ODMMUNTTY SERVICES ''.... CERT. of OCCUPANCY FINAL HEALTH DEPT FINAL INDUSTRIAL WASTE COMMENTS