HomeMy WebLinkAbout17-02106
s
ii
s
0
CITY OF DIAMOND BAR r
DEPARTMENT OFCOMMUNITY&B VELOPMENT SERVICES
21810 Copley Drive, Diamond Bar, CA 41765 PRESS
(909)&A9.7020 Fax(909)661-3117 Budding Inspection Hotline (909) 839-7027 ��R���
BUILDING PERMIT APPLICATION Wayvcltyolldiamondbarcom building(@diamondbarta gov
JOB SITE ADDRESS%V'411 WA VA -Ukk W.s....tls7 ... _
APN LOT TRACT
OWNERy..SDO --
ADDRESS
APPLICANT TEL
CONTRACTOR Clwr3rr I iOk./L g �d �,.
ADDRESS
CITY ZIP TEL
ARCHIENG/
DESIGNER
ADDRESS
CITY ZIP TEL
OtHlMWLDERDECLARA=N
I hereby MOmF wd" MSO of M py that I tan eximt from Bw COMM'S SmM LIU= Lew IN me te=nts
WOW beW.v of the dWORur" I here pbad mart m th0 tWO Ma nM..% BashM WW
Odds' Ary Myer a j*y (epdrm a pts to cm*ck ow, WOW,$, dwotd4 0Many
abmunn War In de eW.a aim mwh4 ft zpo=d her, SOs 4 AS Ne a Signed Meeawd OM ads W All
A, I=md Teomrmt in De gas" mof me co -ha " State lCAM, tart pup* 0} CM=Chv am Section
M mvaan 3offte su*r Oros RMea{ere Dade? a IM so mane is WOW Omer Marc" am ba iasistm
amoured ewmptne Any *Man ofSCm70315by con, apomMfar a pmmhaminwathe o ma dye go"
Wad Orae Pan AveWrote downyne"
W1,0A of the ""fly,army wnmum as thenmb complmm,arm do UailofWLj Pont=
of the why, And the amvdae is no Womm d a DMirm for mm lavalm 7044 Business end Rdefame Code The
CoMl ctma State Lianm LOX mw rM apply to an Wtnad properly, POP, through wnWya La pmeunal offal,mM$
Or mannas dm Wm ay mwMd that the Improvements ere era humad or offered US saw II hawamr, the damb g Or
Woro nt ie sour wlhro and, a ser of cwnplemon, the Owner Bulmerwfo have the burden Or Posting now owes nd WILL
Of mprwad forme Purpose of eaN )
L) I, as owner of the property, am exduahely contreemng arm banmd Comm sore to coffered the preled (Sedbn
7044 Suaness and ProfmIws Coda The Cantmdom' State Leaned Le rices mol apply to an Imor d property who
bdlM9 or lmprcwSS ihermn, and who cmtredg laeha protons wlDlo lea dConDada pufmmlbmaCMileCmre'State
I LOW
tj l am exempt hen hcanaurp now the Comradore form maraacond)
Dam • �..�. 4� ygn _
8y my eptdmm D9owl WkmtAetlge mat exapi tar y ren ern wuchl must hate rmmwt Tadlmel ap
)empdmmompehas Ptb falmeraced, in tl .ewvwl mgdeyfM a anudmers: lea cmdMMr
GiWW a it Rico Amt corn a k-bifad em ns a $O by fiver ambxmm I " Oma daI a Emir d dm
appipSWe Drr Saomn TOd4 d Op and PrdaMimN tLde b avafiahm upon ttmudd when Atria apykaUm Is
submrnedmMuceiamwMgvren�Mh,amrY:w�rao® nmf
UCENSEO CONTRACTORS DECLARAt104t
I Seem him Omer of perlmy 11tH f Am Armul Order plmmam of chaDUr 9 fmnmetmmj whh Seeder TODD}
m DMam3dih8 $tad Cmm ata mtikmmdmila taco arO Wfeci
LICENSE CLASS UC NO
Exp DATE CONTRACTOR
00RXBSCOMPENSATiONCEM% Thal
I IELEOYAMF M UNDER FENet.TY OFRE/UURYONE OF TIE HALLOWND DECLARATIONS
I Aare and Oil MIAWn a CaNRmm Of Co fit to SAN WOUSS for M'dAerb CMVWWfm w Prondal by
SecOm SAW d We Lea Cam for the Paton drip mak lir much This permit b stare
1bareerdwama)nWWMWSCOMW® lnmmmo by Ieibrad by Seem 3700 of moleba Code by
Da pertOlmaWadlM cork bwhmn Orta pemM bL6ued My Masers Cmnpematlminmratce Camermd
Policy Number ae
CAwnRt
POUC( NUMBER
(RIS SECTION MFDNOT N COMPLETEDFTFE R&Rg
DOLLARS O/lES'.T
1 DOM tha W Pe PertmOana dOewmk W*Mtn i�MtplmiM9000 m me Wows C m"mom of Cubapm m may Wurkies
dSaOm 370bd
PPLICANT
WAWUNG E6 Wa 26 M gaii aro ripe m9fed an empbIw m mim09
penePp en cosi m m rip {Stem ODb} Olmap(xi m Ue est d Ahs mmpgmMNn
damages asaaXaad fa W amdm37� d me mbmaxM mtarad afd eff*M S Lasa
CQMPMXMMU30MAGOiCY
I Memamar pofaDy of wdum Oat Seem is a rarsome a Lw4N Agency fm fee pdfananpe of an wmk Lor
w#dm ddspami[aimuBtl exec 3007 Ch C)
LENDER S NASE
LDMFA'SIOIDRESS
I rwim(y flat I nave toed fhb epNtmom and auto mos ft goad IMam Con Is affect I away m coldly w8h 91 Law and
county memances and stab tan MUno to building coambu0lm and boarby aummm repmeemzmee of We county m
abrapm the $bac hammer In" fa Impmdmn wows
flhl .may
1ll
G fl DA
APPLICATtONDATE (Ian 11'a" P/Gt
ISSUE DATE _ 11 7 11"'1 PERMTTt PSa 1�i a CS
TYPE CONST OCC GROUP
Scope of Work
t DWEL UNITS g STORIES
A BEDROOMS
DESCRIPTION SO FT FACTOR PSF
ADJ AREA/VALUATION
SFFVADD/REM
CAN005lCamcat
(!?
iii
P01pR5eck
.................._
PrwVSlm
2
R.4W
C:anmaum
3
m
Yasheattedt
ALI Area
QUANTITY DESCRIPTION
FEE
to
avo
as
we
CONSTRUCTION
PLAN RENEW
ELECTRIC
+--;a 9 3ie
PLUMBING
MECHANICAL
INSPECTION FEE
ISSUANCE
Slade • 1
SMIP
ENERGY PIC
ENERGY PERMIT
RETENTION FEE
PRE -ALT FEE
Mt03
BASF
PLOT PLAN
ZONING CLEARANCE
TOTAL FEES
COMMENTS
SIR 4"q
P/C PAID BY VALIDATION
RECEIPTS�..%F�PAID BY C"''y\ VALIDATION_
CITY OF DIAMOND BAR
INSPECTION gECORD
INSPECTION DATE
INSPECTOR
VV AT
INSPECTION
INSPECTOR
SETBACHtLETTER
TRACT AND LEDGER
FOOTINGS FORMS
SWITCH GEAR
SLAG
COMMERCIAL HOOD
UG PLUMBING
T BAR
UG ELECTRICAL
...................
INTERCEPTER
LIFER GROUND
''.. HOT MOP/SHOWERPAN
SEWER LATERAL
SEPTIC/CESSPOOL
I MAIN WATER LINE _ _
SEWER CLEANDUT
HERS REPORT RECEIVED
�'�, DEMOLITION
ROOF SHEATHING
ROOF DRAINS
FLOOR SHEATHING
ROUGH CONDUIT
SHEAR WALLS EXTERIOR
POOUSPA
!. SHEAR WALLS INTERIOR'',
ROUGH PLUMBING
FRAMINGNENTING
ROUGH ELECTRICAL
'ROUGH MECHANICAL
ROUGH MECHANICAL
ROUGH ELECTRICAL W( )C( )
GAS TEST
ROUGH PLUMBING
PRE GUNITE
INSULATION WALLPOOL
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 I"( )2w ) LIFT
SCRATCH COAT
WALL BOND BEAM
ELECTRIC METER RELEASE
WALL GRAIN/ SEAL
GAS METER RELEASE
WALL FINAL
SPECIAL INSPECTION
RD FRAMING PLANNING APPROVAL
FINAL BUILDING
FINAL MECHANICAL
ROUGH FIRE APPROVAL
FINAL FIRE DEPARTMENT'
FINAL ELECTRICAL
_
FINAL PLANNING
; FINAL PLUMBING
:FINAL ENGINEERING/ PW
T C of OCCUPANCY
FINAL COMMUNITY SERVICES
CERT. of DCCOPANCYflNAL
HEALTH DEPT
FINAL INDUSTRIAL WASTE
COMMENTS