HomeMy WebLinkAbout18-1848F
v
N
v
G,
�`_-.. _ CITY OF DIA IND BAR
DEPARTMENT OF COMMUNITY & VELOPMENT RVICES
21810 Copley Dnve, Diamond Bar, CA 91765
- v , (909) 839.7020 Faa (909) 861-3117 Budding Inspection Hotline (909) 839-7027
"�� BUILDING PERMIT APPLICATION w'ww.cityofdtamondbarcom budding@diamondbarcagov
JOB SrTEADDRESB237 az JDeC_0JZ4H 7243
AFINOT TRACT
OWNER _
ADDRESS17(
CITY EL �9}�/�- �'y- ✓�-
APPLICANT TELPIP
CONTRACTOR
ADDRE
ZIP ..I.7Kk.
ARCH/ENG/
DESIGNER
ADDRESS
CITY ZIP TEL
OWNER HWLOER OF.OtA ooll
I Neal em mayor pewtf of Poultry met I em emmon hen Na CorWmmYe Slab U abow taw # to r o(S)
Indicated below by the dmparrair t, I have Placed no to dU apptlmbN',bm(a) [Satlon Ab i3, auNnen eel
Pmaabm CW Any dttormro4mreqWm a Nmwffl vt, aft. Mpmvs, der rgah'mry
aRucsxe, Prbr m Ib bfuam, abm reads la apptmat bream pm a oD mm a WOna epfematt m mm and
m Monad Purmmnt to MR afrofmlmaWora SmmLbemo taw tChePWO) wbSedlbe
TRa of o*m m S of IM OWmea ad ApM4om Carol wt m m w sw N axmmpi from tlt'6r�rB and CM aW ler '..
ma eampibn AnymossJonotSecdon7031 Sby any RpPHcmdbrapmmA mRecb me BPPlkemmeaNm Penalty
W notmoue man i"YB Mndretl Wiwaj55val
U TaowmrWmapmPmly, ony rrepaameUe,caro a[)WlofwL}pPNmM j
9t' The wadi, and Da eteClllra Is le not hostages a Words for Odle (SbctGPCn ?Q4$. RaNnea and Promealalif DPtlF The '
Onteac e'Sam Umsyma Lor made not apply 1: an ancestor PropeRy who maul emPm)ea w personal efforl btWa
orlmploveeeN propmtp Provided teat the and nm mbmed or ametl be sale# nPww9r, the MI a
hom%remem m Ono w#hm dna your of competlon, tN tMmr III will have the bu'tla m amling math was not am
wlmprovUtltw the PaPrAe w aN)
L) I a awTmr of the property, em axmuWey owtuLing WHm ecanba Cordracmro b carmen LT the project (Semon
7044 Ralnea and mmessom Code The Canmcla9Som Lmenw Lew tlae not aprp.�l�y.am'rwene moor W property wind
pl
buidswePla"a BMvdm conbam form) wa"wmf m^.—..Cmtm mim Gmtwwe' Stam
Umoae Lew)
{} Iron aamri bond Ikenaae agar #a Carltrasmr'e Seam Lmmaemr mrlfm maov#Ia reawn(s}
ow apn
Oymt'oiplUmrebWoty ackreImmumemtattepiard by hemmneleaamWa"* nideal lowrdaUbrm Milan
a0
yatpmrmmmIt her of the Impmiemomise I no oyrob by gcimydmeant cbmmreit tincture thImombuttean
owner lar o R ft not ban Obsrga a ea emeey i ecaad tOo usso i OM v M that a may of OIs
OPpecang r W Secy 7O44 W pU mabo mat Pr to be ga Cods N ardil a PPo rogtRm wean MIS ngakaan a
Obtaining or Wpm meowlnp Wa site htlphwmv NOiMo ce �Wmmw nlml
UCFASED CONTRACTOR'S DECLARATION
I ready amrN vnearpaWyofown" met I am bm:and under PmdslmU of Phil (mmmmncbq wAA SeCDon 70001
w UINLon891/my7E� a�f}}dPMeaslo fade mW mgikmUeUmMI^l�'orteaMeMet
UGENSE CLAS-'�10 ?41 7v� f�✓ . _ _ _ 1 __
EAP DAFE '4'7-aiKt CONTRACTOR " Li
WORKER'S COMPEIISATM MCLMYWN
I HERRY aF UNDER PENALTY OF PAJURY CITE OF THE FOLLOAIND OCtARll
I have and wltl manam a (IemAmta of Coroem to 50 maum for Wcnara Gampensabw, a Xvftd by
SaCbn 5700 W tlta Labor Cada to tea Pmrommnm roma weak ror Mash ma 4armd la Ir9wq
I Dviii memmin ra Cwnpelaafem meamme tie r6Pulra 01SSCon 3790th me Labw CeCe tw
hoo Deft work trwhmiapxA ie lawn My WwkBta{mnW6aWlm Inwmno CenbraM
Willum0w me ,/I
CA9fiIER
POUCy MAWR
(IHS SWIM NEED NOT BE COMPLETFDIFMEPONT 6FOR 04 HUNDRFO WARS MOD OR KEW
9ireatrrurai Wal 0thBePrWttUl%Ia Oampmm*nUmaa4 dmye CPemUnmaaba �AMuaa�pro}m�Mad
e�I-m+eh,n+o�m! abrecnas Aided 0it* WaoI
: ^ APPU '
syllibel Folin to aCmre WPnpdo Oanpeaetbn CPVIs Unm w a.'1C WWI bub at N emOW m cameral
PU&M mW dol Anda UP b aro b)dmd Mohamed allmf RI OD DOM In Goill m the cast W tea
durapaa Pmnda ler In moment =at IN blew rode, hall and attwmya too
CONSiAUCaIgt LENOtN CY '.
I Nrhol Sam under amity W be matmense, Ca Milt Agablum let#R Performance of om wattW
wmch:tie Permo Ul6aad i$m D YC7 ',,.
LENDER'S NAME
LENOEWS ADDRESS
I most mW l hays rassy Oda WypmmNdA end Wena on ma abortrab cmmn f ROME m MnWwtm ail dry and
cant' wtlindnaa and seta MW elating in bulldog co mr,mL' mW eby authorize mpealmdm of L v county b
mdwapon me ehdra-nrN19oner7 pmPmymr insyec0a�P/mp�a±e',v
PE�
$"TINE 9F TEE... IE� ^
rJ
PRESS
FIRMLY
APPLICATION DATE1
ISSUE DATE -�r
7YPECONST
7•i -1 1 l a P/C# `y'y.%— II A� f A
t _PERMIT# VR. i $ '12--
OCCOROUP
Scapa of Work
# DWEL UNITS
# STORIES
# BEDROCRMS
DESCRtPTiON $O FT FACTOR PSE
ADJ AREANALUATION
SFRvAD67FiEM
Gmege7Cwpaf
...............
'
W Patla+Deck
'
ZFail ....
',..
�j CanmerUal
Vatvatton
Adl Area
QUANTITY
DESCRIPTION
FEE
w
M
CONSTRUCTION
PLAN REVIEW
�.
ELECTRIC
PLUMBING T
MECHANICAL
INSPECTION FEE
ISSUANCE*.3
Y
SMTP
ENERGY P!G
ENERGY PERMIT
RETENTION FEEable
PRE_ALT FEE
BASF
PLOT PLAN
ZONING CLEARANCE-'}
TOTAL FEES
COMMENTS
lr r .1p4
P!C _
RECEIPT _;7
08
DaY
PAID BY "ti liy_=
VADDAMON _
VALIDA 1N _
WHITE —Department Copy YELLOW — Fwwwo r Copy, PINK—Aeeaecr Copy
CITY OF DIAMOND BAR
INSPECTION RECORD
INSPECTIONi n i
INSPECTION
m
PELT ISI
INSPECTOR
SETBACK/ LETTER
TRACT AND LEDGER
FOOTINGS FORMS
SWITCH GEAR
SLAB
COMMERCIAL HOOD
,UO PLUMBING
UG ELECTRICAL
T -BAR
INTERCEPTER
LIFER 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
POOLISPA
SHEAR WALLS INTERIOR
ROUGH PLUMBING
FRAMING/VENTING
ROUGH ELECTRICAL
ROUGH MECHANICAL
ROUGH MECHANICAL
ROUGH ELECTRICAL W( ) C ()
GAS TEST
ROUGH PLUMBING
PRE GUNRTE
INSULATION WALL
!POOL PRE DECK BONDING
INSULATION CEILING
P -TRAP
DRYWALL
FENCE I GATE/ ALARM
LATH (PRE)
FINAL POOL
_
LATH EXTERIOR
WALLS
LATH INTERIOR
WALL FOOTINGtSTEEL
GAS TEST
i WALL STEEL Tr( )2ND( ) LIFT
SCRATCH COAT
WALL BOND BEAM
ELECTRIC METER RELEASE
WALL DRAIN/ SEAL
GAS METER RELEASE
''.. WALL FINAL
SPECIAL INSPECTION
RO FRAMING PLANNING APPRONAL
FINAL BUILDING
ROUGH FIRE APPROVAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
FINAL ELECTRICAL 7.12 • I R
FINAL PLANNING
+
FINAL PLUMBING
FINAL ENGINEERING/ PW
T C of OCCUPANCY
FINAL COMMUNITY SERVICES
CERT. of OCCUPANCY
FINAL HEALTH DEPT.
FINAL INDUSTRIAL WASTE
COMMENTS