HomeMy WebLinkAbout05-0266T
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CITY OF DIAMOND BAR.-p�..J'f �r
"ARTMENT OF COMMUNITY & DEVELOPMENT SERVICES
21810 Copley Dnve, Diamond Bar, CA 91765
(909) $397020 Fax: (909) 861-3117 Budding Inspection Hodme (909) 839.7027
BUILDING PERMIT APPLICATION
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PRESS
FIRMLY
APPLICATION IIW�DAfJTE qqPION �+
ISSUE DATE �TFI/y� i PERMIT# -..lit - O'}9 f
TYPE CONST OCC GROUP
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JOB SrTE ADDRESS CIV
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APN LOT TRACT
OWNER
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APPLICANT
CONTRACTOR
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ARCH/ENG/DESIGNER
ADDRESS
Cwmmorciat
CITY DP TEL
W NEFt-BUILDER DECLARATION
I hilaw alMn ad& Wendy of poem Max I m exempt hon pay, pmhacim's State Laceme Law Nw &e nople a)
Indented Mow her Pa dncymalNN I roper pared part to thea Mandq PecU= 70315, Monsaae eyed
PnftMkM Cawh Any tlry a cmmy CRT Yuma a pearmN w mrmbl 4 often hnwom demollsh, or NW, aa,
norelan, oft M No 1WWdM . also rtg8p they"Puk inter the ManWt to an, a nand awwmmnt me M w ane
M tkeroed purseani to the PmwswM at Bra Banox w'e Stow mom Law (Cha%K s) C&nareaehry tells SMtm
M OM.tim 3 of tam BWinw aM PIUNNIwa Cotaj Of Met he w Sha a avedmt free aoenpne and the None ps
the allryud avampann A"vm4pon of Soluble 70313 by toy aXk Wfpr a parent OW' t Car toplo nt to aCrve we*
of Mai more Wn Map, W.WWWWIv r MGM
U 1, an owner M Me Papers N' MY employeea with w aaDoor ante "Mmum, why an Ll all of or U Porawle
at the work. BEd tea abactea a AM lMe w o0aed for sale 600on 7044 1heyea sat and IYMessdre, Code The
Calhadoa'State Weney Law deep Mal apply w m swan of property who, through apes¢®I NbM1bAlds
w hgrpies Oh proyarte onevNkd Mat to imlNova &e not radial or aHaall# sad, N latents tlh Willing
kneepon ent a old wwmwa yea olmmPkhm der Ifwna( Buhler my Rana 9a buNenwprma&78mB was Mat doll
wingnovadhrwopapomwsme)
U 1. n oWh& of tea Property. &n extlushety cmrtazCnB wlih RcenMad Cmtractore toswaeeut 8m prink&IS¢dkn
7M4 &twneas ted Proteaw&h Cada The Car4mWkrs' Stela Lparee taw tldm sol apply k m aero w PrWertY tem
N imwrmswereen advMfineac&tawoleW191wdia Y&efM6d Cb'Aaioa pulsuenitotlh CamaCYYs'Skw
I tom}
U I woompH Were, Chinese uMPf dire CmtracwYa Stale Naeem k efort a fdkwing roasonts)
0y my slyai&a hebwleclmmvle� wW esgit rat my peaonfJ resoexe etwNCni mIA have r®ked to aii�torre
yea Pn&wmmpiehm of dh ImiBwehnmamv&sdby tlos parmrt i tanner apmiy seyaawWhhm Buts have b:&ae&r
owner bJd¢' Nd hasnwbeencanmumeamia&I&eryap NcevhO mntaGHHS ImtifgawiM futamPyaf lse
law SaWilrn 71144w Pte Rwyowayantl Rwthodcaw Iaelaitable upm r&Ra¢wtann BBseppamWn NsubmmedwM
&C IdiDMng Wmalh MtpWww kende m Bwtakwhimi
SIGN _
LICENSED CONTRACTOR'S DECLARATION
I theaby a ftm Water rsidyadjglfarlury Who I em Iweroed slyer WMANOOW;ooff CC'h�a,'ikr 9,+{ckManp�1P MN Denton 7000
DINS M tea ftelywhis Code a� are kew q I
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vneyo rs COMPFRSAiiDN DECLARATION
I HEREBY AFFIRM UNDER PENkn O PERAIRY ONE OF THE FOLLOWING D01ARAIMNS
_.._ I have and an mauBan a CerGfhraa at Cmsea We Sett kmne for YhaWer a COWdyW W as pmNded by
Selson 370D a[ we Labor Cape or Ba ppafwmmee of Ba wpak b wh4h DOW p&mM N kv
_ I have Will will nNlll&n appears Compensation hq&pri BB "OlArad by Won 37DO of Me Loser Coda for
n M tie welit hswdnch al�q P/em-lid q lsSUM MYWpkEta ComlNlnbot ml haWarse Cem¢tmtl
pokpro y Nuchoa
CtEwAmDer
POLICY mMO9t IC74A"" i
CfHpiNEDN0I�CGVTEiFD FTtE PEAatEURa CELE IXAlAR451hXp ORiBS}
I avidylat ktap&Mmareymlmewvk Iorw&Ntldslanm is®red, Ishetl mtettyMampors'n n my marviamasw
bemnle sMt&i w ter Wsiwrk OxhmpMPdm Lass d CalMiva-#Id ayes ihm B I stnwf Occa*a slpw.l w Bre Waaefs
C3anp&avbww (&"w37DOof U�e-'t';lffior Caide lshNifY�1atsaltl pMgtl waBl4VRPipwalpq
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WARM n Dore w stews WoWn s Compowt e, W roffir is anow u Will shill wmfeaf m ampkyw to mmhwl
pules We dal ftp an w pare headed Imusand deihrs ($100 Dead In Whom to ft Wal of ea epmpeneow
damages 0 newded for an warthen 370601 the hbor code whereat We aWmey a teas
CONSTRt MN LECONG AGENCY
I atbn antl&p& "04 pft"Mat doe Is a Combrucim tsong Agency lar the oma at th wok for
w hyaad; Army M Meant (Sec 3097 CN C y
LENMSkq&
.... .....—
tEtNIBYSADORESS _............. ...........__
1 readily deal I here read Wa apWkaBm Will Wale ■m pre amve intwmebm is matt[ I agree w wady won OW and
siftedepas antl SUM laws wwhtnD to bride; W&gbuehm, and roraby nutmrPe rewesenw;Nea of Biu Wendy to
WWI sperm am &rota mandoned pmpedyw, awned” purposes
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- .-
SIGNATUREUF E DATE
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PRESS
FIRMLY
APPLICATION IIW�DAfJTE qqPION �+
ISSUE DATE �TFI/y� i PERMIT# -..lit - O'}9 f
TYPE CONST OCC GROUP
ZONING SETBACKS
FRONT RW ❑
REAR ❑
SIDEISIDE STREET RW ❑
SIDE L7
PROPOSED USE
To DWEL UNITS le STORIES a BEDROOMS
DESCRIPTION SQ FT FACTOR PSF ADJ AREANALUATION
SFWADQ'REM
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Paabartleak
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Ra -Roof
Cwmmorciat
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Valuation Ad} Area
QUANTITY DESCRIPTION FEE
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CONSTRUCTION
PIAN REVIEW
ELECTRIC
PLUMBING Ii( �+—
MECHANICAL ...
INSPECTION FEE
ISSUANCE
SMTP
ENERGY PIC ......... .........�
ENERGY PERMIT y�q,
RETENTION FEE
_ v
PRE -ALT FEE
..._....
BSAF
......
TOTAL FEES47
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COMMENTS
RECEIPT B PAID EV,- 1,1— VALIpAT10Ft
WHITE—Department Copy,YELLOW — Finance Copy. — Assessor Copy GOT 3—Fay, Cory GREEN —APOWarris Copy
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SETBACK/LETTER
: Il�il ! , uu!lu INSPECTOR IIII�II
SII
�TRACT D LEDGER
Fg071NGS FORMS
SWITCH GEAR
SLAR
lCOMMERCIALHOOD
UG PLUMBING
T -BAR
UG ELECTRICAL
INTERCEPTER
LIFER GROUND
HOT MOP/SHOWERPAN
SEWER LATERAL
''. SEPTIUCESSPOOL
:MAIN WATER UNE
''.
HERS REPORT RECEIVED
SEWER CLEANOUT
DEMOLITION
ROOF SHEATHING
ROOF DRAINS
FLOOR SHEATHING
ROUGH CONDOR
SHEAR WAILS EXTERIOR
POOUSPA
SHEAR WALLS INTERIOR
ROUGH PLUMBING
FRAMINGIVENTING
ROUGH ELECTRICAL
ROUGH MECHANICAL
ROUGH MECHANICAL
ROUGH ELECTRICAL W( } C I }
GAS TEST
HOUGH PLUMBING
PRE GUNITE '
INSULATION WALL
POOL PRE DECK BONDING
INSULATION CEILING
....................
P -TRAP
DRYWALL
FENCE t GATEt ALARM
LATH (PRE)
FINAL POOL
LATH EXTERIOR
WALLS
LATH INTERIOR
WALT. FOOTING/STEEL
GAS TEST
WALL STEEL 1-( ) 2-( ) LIFT
SCRATCH COAT
WALL BDND BEAM
ELECTRIC METER RELEASE
WALL DRAIN! SEAL
GAS METER RELEASE
WALL FINAL
SPECIAL INSPECTION
RD AWENGPtANNINGAPPROVAL
FINAL BUILDING
ROUGH FIRE APPROVAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
FINAL ELECTRICAL
FINAL PLANNING
FINAL PLUMBING%
—.�._................
FINAL ENGINEERING! PW
TG of OCCUPANCY
_
FINAL COMMUNITY SERVICES
CERT. of OCCUPANCY
FINAL HEALTH DEPT
FINAL INDUSTRIAL WASTE
COMMENTS