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CITY OF DIAMOND BAR li f
DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES
21810 Copley Drive, Diamond Bar, CA 91765 PREM
(909) 839-7020 Fal (909) 861.3117 Budding Inspection Hotline (909) 839.7027 FIRMLY
BUILDING PERMIT APPLICATION
JOSSITEADDRESS TCS
APN LOT PACT
OWNER
ADDRESS _
CITY ZIP TEL We
APPLICANT TEL
CONTRACTOR _ �� of
ADDRES /U 'aa7
CITY ......'�^ e-/ ............ZIP W55 TEL "
ARCWENG/DESIGNER
ADDRESS
CITY ZIP TEL
VNINER-BUILDER DECLARATION
1 hereby down ung malty, of variety hat I w eaempt Dom Me CayAodofs Saa Taped Low M Me RaWM0
Id ic" bwdw by the chsoAma b, I lave pfd new to the applicable 1amd1 Alactom 70315, BrshnaA as
Roldaeloto Dade Any MRl a c"M diad regards a po and to aealotwt, MW Imormai, demo"O. a repok a7
Wkw aA pda a Na iaswne, alae Ma*" Be anfkam for Dag"MIT b to a wpNa abremeM Ihp he
Ndlanwd pa wthe pratee4d aIle contract" SM Lim LOW (cow to C&MMC gwllh See"
of O abbow 3 ofd o, BUYMd i arm Promabls Godg7 aMa he or wild 4 akapt (inn HcmNare ad the owasa to
the waged exemption Any mwatan of Secllon 70315 by my culdinst for a patina subjects the applica'A W abad penalty,
of not mins than Nra hunomd aware (55001
U l as ewers the properly a my semposes,wrdn Waited adthorsoe wmDosaton, well do U 0 of. U portpm
a ire wale, and tW abaal is rot intended a a0sred ox We (Sechds 7044, Sown® man Rek9.. bn, lade The
Conbgmm'Stateiltawdoes rutewmanownerpmpatywial tl dip: nor De If opgreasle a"
or
a ImPowatou pahtoneye Mal Meptind#in do,not mawendial a,wewoman
Dolenc�weer he d, barpnr
imDla>dnentsmm import one year M4pmpiMgn ire DMler-&hllder ail tflwtha burQBn dl pvAlp chat rt rrm retbiwt
almpttaifatw Pwpose M sera }
U I ae owns of ire property. sin eachadhay oamadOng war ikensed Conrad end in twatru a the project a5ecpar
7044, aupnms and Educational Coca the Wmrivi Said, tiimnnos taw date M may m an owtor of properay wrd
Wads aImproweMamn," and aft camacbTV" Paj"Wh 0gmnwd CW"MWm %"in cawacala limb
Tcenda taw)
U i any omni from Dominate under, de(5adnecto'a Sift Umnse iron Par do lalmwdp admitue
By mr, mpmmm beWw I acklmood a that. mttq Por my paleaW+ewderce in w#th i mel haw rgyepdday ori leapao
yew plM me ompNtop of the fmpmremaMa canonical by this part!nt i raapt olla9y, sell a Sbucare tha!I have bWfl ae an
owner-4U0da#dhm rot been cammumad i, Me day" try Mcur ead mnhedi4ro i x4drataml Met a copy I Mfie(g4irebk
taw Socpon 7044MMe au9nase and PmtwAeme Coca bevamble upon mido twood Ma appbam la amofte t sec
Mefdlpwag WP4 era htttMwwlahMa eapalmaw pYlN
DATE SIGN __-
LICENSEDCONIRASM'S DECLtRAnON
I Malay alarm undv para ty of Paiwy tet I w Xomva under mallebw of Chapter 9 denominative wan Secloon 7000)
of DiAlm 3 M Me Somwed, jaeNor�msavaa
ns Cle, and my fl rsw N
e MI bra and affect
UCENSEf�55 f7 05 _ . ND CCS Js 3 5_
i ` � 4=Wd114X'fiWM ON OECWNna!
I HERERYAcflRM UNDM PEWITY OPPOELITY TNF f-0LLOWnG DECLAIWTOt7S
I haw and war neMhm a Continue d Co sent to Sea Imure her widluers Conpmsatldl ter provided by
j .rte Taction 3700q Ma tahar Cale +a Ne patantenta Mlle wak lorrdrkn Ms permd b Isduetl
--lJ' Ihowand*Imwman WorWsCa nea0mi5uena ale requlrra by khan 3744 atMBLabar Coria tar
the peRamantaMMewnt to whohrpenntaomwat My Wortnrb Canpeneston Caneraan
policy N be
PWLY NUMBER
{BA WCWNaBD ANT BE(7l5ETE0 d THE FERM 6 FOR OWsarmem DOIIN61S1DW OR LFA
Ice(Irty Matintwpotanwm MMewek rorwt�fi
the pamaa ear alryMrsm to any member an ase
CAn�pg wa6Phdmtte Wakes eCamposaWn Laws
ape Mat Y i ahead becad, mbjwet taw NNrkob
S�Sl�dw370OM tarltm7hampMwN ar�piw%iors.
S
CAAT
WARNWG Fefure m aecuts 110par'a fqm is unawNl, and Vail su�ct sp memoir to pdmba
peneims end C'wi hese up a opt land, nasand delp old 0001, hr amhtlnn b aro cat by to wmpgnsi'm,
manages ac adWdedharm mean 3706 Male labor cane allocated and Marmy a hew
CON EMI' ON LENOW AGENCY
I henr4y aloin odor noun d pa¢ty Det bear a a Conancbm Laterite Ability for me amarmaos at the wo'k for
which told p onl Is MOW (Sac 3D97 Cw C)
LENDERS4AJ&_
LENDER SAOORESS
I minty tat l haw nand dus BpPkatep app Via Mat Me ebwe inmrmatlan is mtrat I apse m comply wIM ill dry azld
asaM item awamaemp maeam9msbcNon teal hasty auinose anMMa dModya
order upon
the
thee ab arepedy_M lnspamm.concedesr
Gill_--t/S'a"!_ H± ..t f ✓a -i C y
S ERMtITEE DATE
APPLICATION DATE �51\Ra X\'S PJC#
ISSUE DATE I \ "Fb \ PERMIT# fb`XZZ \S— i \ ey10
TYPE CONST OCC GROUP
ZONING SETBACKS
[—] FRONT FfitN 11REAOEISR
BIIDE STREET —Rant—Et—
W❑SIDE _ ❑
SIDE
PROPOSED USE '
# DWEL UNITS # STORIES # BEDROOMS
DESCRIPTION SO FT FACTOR PSP ADJ AREA/VALUATION '
SFFVADD/REM '
Gere9a'Cetpat �
W
W
Pado/Deck
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PMVSpe
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Ro-Ran!
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Valuattdn Ad] Area j
QUANTITY DESCRIPTION FEE a
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CONSTRUCTION
PLAN REVIEW
ELECTRIC
PLUMBING y
MECHANICAL
INSPECTION FEE
ISSUANCE
SMIP
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ENERGY PIC
ENERGY PERMIT I
RETENTION FEE ani C)o
PRE -ALT FEEn
BSAF - ... .....�
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TOTAL FEES zl+,_„t} i It
COMMENTS
I
RECEIPTp— _Mk—FYNDBY—VALIDATION ^-may_!
WRITE— Depa,trnatt Copy YELLOW—FetalCa Capt PINK— Assessor Capp. GOLDENROD— FUe Copy. GREEN — Apymrart'a Copy
CITY OF •
INSPECTION t !
i
MIgoNt , t'
SETBAW LETTER
FOOTINGS FORMS
i Z `
TRACT AND LEDGER
SWITCHGEAR
COMMERCIAL HOOD . .... , ......
SLAB -�
UG PLUMBING
T -EAR
UG ELECTRICAL
INTERCEPTER
OVER GROUND
HOT MOPISHOWERPAN
SEWER LATERAL
SEPTICICESSPOOL............. �--
v.
MAIN WATER LINE
HERS REPORT RECEIVED ....
SEWER CLEANOUT
DEMOLITION
RODE SHEATHING
ROOF 6RAENS
FLOOR SHEATHING
ROUGH CONDUIT
SHEAR WALLS EXTERIOR
PDOLJSPA
SHEAR WALLS INTERIOR
ROUGH PLUMBING
FRAMING>VENTING
ROUGH ELECTRICAL
ROUGH MECHANICAL
ROUGH MECHANICAL
ROUGH ELECTRICAL W( I C i I
LASTEST
HOUGH PLUMBING i f `} i
PRE GUNITE
POOL PRE DECK BONDING
INSULATION WALL
INSULATION CEILING
P -TRAP
DRYWALL
FENCE 1 GATEI ALARM
LATH (PRE)
FINAL POOL
LATH EXTERIOR
WALLS
LATH INTERIOR
WALL FOOTING STEEL
GAS TEST
WALL STEEL 1 P( jr( I UFT
SCRATCH COAT
WALL BOND BEAM
ELECTRIC METER RELEASE
WALL DRAIN/ SEAL
GAS METER RELEASE
WALL FINAL
RO FRAMWGPLANNINGAPPROWL
SPECIAL INSPECTION
FINALBUILDING I
ROUGH FIRE APPROVAL
FINAL FIRE DEPARTMENT
FINAL MECHANICAL
...., .....��
fINALELECRiICAL '
FINAL PLANNING
FINAL ENGINEERING/ PW
FINAL PLHMBLNG
TC at OCCUPANCY
FINAL COMMUNITY SERYICES
cmn. ucftl 8 nVNT
CERT. of OMPANCY j
FINAL INDUSTRIAL WASTE _
COMMENTS