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CITY OF DIAMOND BAR
DEPARTMENT OF COMMUNITY&DEV LOPMENTSERVICES
21810 Copley Drive, Diamond Bar, CA 91763 PRESS
(909) 839-7020 Fax: (909) 961-3117 Building Inspection Hotline (909) 839-7027 FIRMLY
BUILDING PERMIT APPLICATION www.cityofilismondbarcom buddmg@dtamoodbarce.gov
JOB SITE ADDRESS _tG.*�'S, Y'fi.H I+ �Y� •V i!
APN LOT TRACT
OWNER I
ADDRESS 6J iStEU ttlttu9.4
CITY DiANIOAd 19Ot ZIP TEL AA-215—Sgif.
APPLICANT'P TEL
CONTRACTOR Afittyltt kiwi Ll %na(TH,cnoyi.
ADDRESS
Cary TEL 634-?IS`df
ARCHtE�--
DESIGNER CDp
ADDRESS
CITY ZiP TEL 7`I+"
ER DEum7loN
I Hereby Lamm order press of parry met I Me mmnds man Om Contracture San, Lkemis Lmr In me Ipn"o
h9cam0 was, by me dmdmmd(el. 1 ame eased newt m the applwble demle (Ceclor TWA Bus mer and
Is Is Nam Cede AM per a W" mel rerW H pmaei is cambmt atm, kimme, te% a min, my
structure, pda is em ftmn amt rulards Ia6 Bfmllaail(a Ves perinN Is file Is slimed emmrapa VIM he or tlm
m kwmadMMO(dWft M*Ino of me CaOUWWLSun Ulermi4w(Chepswis Crosswords Wdh Seamen
7006 of mymmm 3 of YM and Russians Cc" or ifmt he acme IN exempt two lkaeae ad the bum (or
meamenexempmon Ary of Won 70315 by any appikpd for a permit euywm Disappeatr beldsipenaly
of nus mrsi man nya bumosd do= $$$Do)
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LICENSED CONTRAMWS DECLARATION
I Vay affirm order pmmy of Malay mill l sm meneed arm insane of Crater *0 Swim 700M
of Rfsbn 3 of my Guar sme fmmmM m Cem, and my bcaan Is in NII faca end effect
LIGNSECLASS g ucND 954(163
OATS CONTRACTOR V(n{¢ rat al GdnST11A{atl:in
(4 3OWib WORM'S FDMPENMTION DECLARATION
I HUM AMRM IVDER PENAL TYOf T+RUDY ONE OF THE FMOWNG DECLAAA71ONS
I tae am We mmmm H IN oxmd m $alt Wo M worwo com ensedon as ptmNmd by
Semm3700 al me Lapp Com to dm perMmm�mp imwak mFwlvtei VN permNemmed
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_ tlm PaHamwmealM watS mrwtwa pee FRYmIamNNa MPWapma COmparmtlanewrpmOCmeeram
Jimmy Mob" me
ER
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(OSSWGROa FEED NOT BE 1>76R1FIE7FIRE PERMIT IS FOR OIERAN)Dm10AS (5100) OR OS%
I may met m ITS pmtpm of the work his wNCh em pc NLaw, I ahao M Mmmy as permn many mennp or min
sursM Is dm Wpkae CAmpenaMbn Las of COMIo And minae that if l daAd Names augM to me Wonmts
Company,of00 mm
Smdm 3700cams py wth muse pw%mne
1 i 1+S APPLIDINT .�
WAAMNG Fampe n ey,wa WmKm a CAmpelmttai b mmwlul em eleil wbkct aL empby0r m crlminnl
penptles and CMI Imes W by me MBldmd Desire doUB {11000991 In amldm m U CCBf of me compensyron.
essmudi apmmmfor in cwkat 3708 d the Iabx mm mmesm eel mmrney'L time
(-0N3UK*MNLUOKACBLCY
I pmmy almin mater pelmty of pw$ry Vet mere Is A C0 mmcam Lowass; ANP M me We amap of Hm waitW
dam permd m L�mtl{Sec 3037 mr C I
LENDERS WBE ...
LENDERS ADDRESS
I maty rani name reed does Wmmm mrd Dam an the Mass olianWimn m mbept I new to aanpiy ads a0 my mal
mNam am slam awn Miami to wmTy mMnCDat MNL haps wxrue wisomyro Rat His mmlym
OAK Wal thea m MLbmw PM" he bzwmll PWPM
ft -h A a -h (GA yeAmstf of AdAsrrow (SCtETTI)
SIGIATLI EOF PSOPTEE DATE
APPLICATION DAT/E, / }�. Ifr^ [+
ISSUE DATE �eF46 k*t PERM1Tu i' dL If ' -L
TYPE CONST OCC GROUP
Scope of Work
►�EY�-7
M DWEL UNITS
'_ r49c17
0 STORIES p BEDROOMS
DESCRIPTION SO FT
FACTOR PSF ADJ AREAIVALUAT10N
SFRIADELREM
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Ad( Area
OUANTITY
DESCRIPTION FEE
4,4
CONSTRUCTION
PLAN REVIEW
ELECTRIC
PLUMBING
MECHANICAL
INSPECTION FEE
ISSUANCE
SMIP
ENERGY P/C
ENERGY PERMIT
RETENTION FEE
PRE -ALT FEE
SASF
PLOT PLAN
ZONING CLEARANCE
TOTAL FEES
COMMENTS
�L y�
f•,1
P/C PAID BY VAUDATON
RECEIPT a.ik 04--- PAID BY irf _ VAUDATiCJ
WHITE —DepeNimnt Copy. YELLOW— Floras Copy, PINK —Aneapear Copy
CITY OF DIU MOND BAR
INSPECTION RECORD
INSPECTION••
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
POOL/SPA
SHEAR WALLS INTERIOR
ROUGH PLUMBING
FRAMING/VENTING
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 1ST( ) 2ND( ) LIFT
SCRATCH COAT
WALL BOND BEAM
ELECTRIC METER RELEASE
WALL DRAIN/ SEAL
GAS METER RELEASE
WALL FINAL
SPECIAL INSPECTION
RO FRAMING PLANNING APPROVAL
FINAL BUILDING
ROUGH FIRE APPROVAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
FINAL ELECTRICAL
FINAL PLANNING
FINAL PLUMBING
FINAL ENGINEERING/ PW
T C of OCCUPANCY
FINAL COMMUNITY SERVICES
CERT. of OCCUPANCY
FINAL HEALTH DEPT
FINAL INDUSTRIAL WASTE
COMM
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