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CITY OF DIAMOND BAR
DEPARTMENT OFCOMMUNITY&DEVRUOPMENT 1VICES
21810 Copley DnYe, Diamond Bar, CA 91765 PRESS
r (909) 839-7020 Fax (909) 861-3117 Building Inspection Hotline (909) 839.7027 FIRMLY
�P' BUILDING PERMITAPPLICATION
JON LOT}SITE ADDRESS 1 TRACT2,19 C04 al . an
OWNERh
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APPLI ANT TEL
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ARCH/ENG/DESIGNER
ADDRESS
CITY ZIP TEL
OECLARATWR
I hereby afh'.rm under (angry of pmury that I pm women frau the Conbumpg State Uganda Law for the reopn s)
molested assume by the elaGmaitsl, I have pnGnd int by the applicable da dal L ICON Nita, Bmhrna am
PrWaWaa Cowls Any city a catady shad feWlmt a pawdf to oaabuct, alta, Nlprova tlaagihh a mp*. an
ablaga, Pyla to its LWuarro. also regmm Em a~ Ta eW MrmN q file a mpmd etxMrmd that he by do
is lowered pemaem IS Nor Po de l of tie Combustion, Rea Upgrade, Low Popular 91 Caanelleing will Basten
m eMFlal3 a fMGreaaes and Proleaelaa Cada? ard� he were n awemR tmm ieemum erM thre bash to
Residua d assmpticn Any AoMmol Section 70305 wayrrAppokwor for a lxmptsublasda vpkamto ctrliPerolty
o not maw than N9 herdretl doom R'`aal
(i Told ownwat Np proadyarmy employees with walla§ ass thardow panpamadon, will dolt all of wU portana
at the wok, and the, windows is our Intended or offered for was Woodan 7644 6Yelness and PmkWm. Coq Tae
Caaxbs Sieg Lkenas taw tion apPdybanovreroPdaPartYwM thwwd9n anPlaiuda Wpmeona~bulled
'.. aoaproAn Ne PaPeaY pmetled Irapa lmpmmmeme aye W' waParaifor Wa aemye+ar. did bpMng err
'. Impaoment th adtl wghm ore Ymrom�aRen Ne Owner fioMa velli head IDs W rtlen of pravinp that twaaaat but'
''.,. aimptmred fa the Purymeatani
Lis L ass emdaY m they modeft em mseatday commadnp when tftmd Cmbwkn In dumb ct the Impact Ciaoot
7644, Address amt Prulesaons Coda TIM taebadem' Sola theories law don cot appN to al oMIN U aa" who
buIds wImprove: bamon anti who canuaa Nr me, prge=wdh a Nc9new Comraft named to the Demanded; Sbta
Learn Lew)
li U l she exempt aan Recourse under INS CaaawgY4Rated Upeefa law forOa toawfrg raadM(er
BY my SIPnatua bad i wournmledpe that except to my Personnel m Ideon in whish i most Imre rated for at least pro
you pdwto mrrgAo6unof No imprpyamentscovered IN this bell cannot legally Sole figuiddene that l have built by an
''.... awrer butidad 0 M albeas m5bucted in a elderly by ecamovel ema8 l aaxm+aedthao ogryof the appllcal
law Bamwn TOO of #4 auahtu alM Profession Cape nay upon request when this ap*AWm UaIDmeml as
j the bllpwinp WabaRa hOWWww'agS!fPta Aav/Waw cml
Burp
SON
UC06 0 CONTRACtd156ECLARATION
I hadby em drum penalty by Iasury that i an licensed ung mwnbrm o C1gPher 9 (rnmllencNg with $soon 71ATT)
OF 061yan 3 of the BWnnaa Sol
+ mCode and my hionsea In hit errs and epayi
LICENSE nlSS 3 DC NO
lM ver w C GGR
�iJ .Sy�PFMSATI6N OFGAp4T7#!
I WJUYARRW UMER Pf.Ni PERAW ONE OFTNE FCUOWNG CEGAWTOB
_ I toys, and but mamas a Until at Cement do Bell his" IN Woad a Canpensaaon er Pn+Adad by
'.�r:�9ar 3700 m the labor Cade V the pagrrrance of the work toxiheh Na aril tla Seoul_ r/_ I here and will memWn Worer a WnPaualson ksutaao as mprdmd by so 37M W Ne Labs Cada for
me Wttm u my me wok to which was parrot as added Ary Warburg reedaRe Caner and
Policy NQM
CANER i4fr-CO' nisfaft to'
POLICY
(Rd55EC(IpN IE TN EilWr ENJN 1dx,lA'SdSTWORLM
I aatfytha In N9altame:W ciaawaa enrich ups pambnsau00 Ishal'.'M emplaanY Xmon 4l amyimmwr®aza
appal sdbkct to as wMate taws m W= And Rom eat II I small alypy;lpsa q Cor is
QnpyaWga�p%ja/�'�' VW$5e'Z%ddsloai fomwwth'±tr QaaVrAe'
WAMM ball W aenee Wakax CienPa irSi Consul to L064,491had a to cith nay
pefa4ea dei Lot finds up to ww huaimad tlrouend dollars (SINI ODD) In addition ad the oat of lea
dembobai provided W in MOM 3708a the ebw code, Intal, eMaUww.y'le N@8
CONSTRUCTION LENDING AGENCY
I hereby atfsm under variety of Da'lu y that Num N a Conffiucbun Loading Agency far Na perttxmance of the wale for
whah thu aemm g pyned 5a 30B7,CN C)
LENDER S NaNE ..
LENDER S ADORPSB
I parody Pat Ibe" few boa SPEA atmen and playmust tha abow, Imonratlm is Wooden i soma to poppy with ell CRY and
=myamaanpm aW a a a owas mbalg to budding%RCUtan and Nobody weradae Mm at the Moody to
emaumumeb to Ipwallpr Wtmsss
PFAM E �r yaE'Ar'•'d�
BTGIkNflE CF pER. ..
-DATE
APPLICATIONDATE 04 3ci fi �„....... ...... P/Ca _......_
ISSUE DATE Bd0 � PERMIT# P117 -IS —96S'
TYPE CONST_.. OCC GROUP
R
I61S'
ZONING SETBACKS
FROM
REAR
SIDE/SIDE STREET
SIDE SIDE
RW
RW
❑
❑
L -1 -
❑
PROPOSED USE
0 DWEL UNITS 0 STORIES
A BEDROOMS
r
DESCRIPTION SO FT FACTOR PSF
ADJ AREANALUATION
SFR/ADDPotE'M
Gera w/capal
N PalptDaCk
,
XW Pod Spa
zip-
., Cnmmardai
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t
vtluatwtt Adl
Area .........__
I
QUANTITY DESCRIPTION
FEE
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Sir
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CONSTRUCTION
PLAN REVIEW
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ELECTRIC
PLUMBING
MECHANICAL
INSPECTION FEE
ISSUANCES..
S'3'
SMTP
ENERGY PIC
ENERGY PERMIT
RETENTION FEE
PRE -ALT FEE
'
�..
BSAF
TOTAL FEES
COMMENTS
T I .
{{dL ��pp
RE' 0—Z—Uyj.� PAID BY 2„
VALIDATION—g.L
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WHITE— Doparlment Cly YELLOW — Fmenoe Copy PUNK — Agyasda Copy GOLDENROD— Fite Copy, GREEN —Applicant's Copy
CITY OF DIAMOND BAR
INSPECTION.RECORD
mutgagioldmmmums •
SETBACK/ LETTER
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TRACT AND LEDGER
FOOTINGS FORMS
SWITCH GEAR
SLAB
COMMERCIAL HOOD
UG. PLUMBING
T -BAR
UG ELECTRICAL
INTERCEPTER
UFERGROUND
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
FRAMINGNENTING
ROUGH ELECTRICAL
ROUGH MECHANICAL
ROUGH MECHANICAL
ROUGH ELECTRICAL W( ) C (
GAS TEST
ROUGH PLUMBING / /Jr
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 1-( ) 2ND( ) LIFT
SCRATCH COAT
WALL BOND BEAM
ELECTRIC METER RELEASE
WALL DRAIN/ SEAL
GAS METER RELEASE
WALL FINAL
SPECIAL INSPECTION
R0, FRAMING PLANNING APPROVAL
FINAL BUILDING
ROUGH FIRE APPROVAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
FINAL ELECTRICAL
FINAL PLANNING
FINAL PLUMBING
FINAL ENGINEERING/ PW
TC of OCCUPANCY
FINAL COMMUNITY SERVICES
CERT. of OCCUPANCY
FINAL HEALTH DEPT
FINAL INDUSTRIAL WASTE
COMMENTS