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CITY OF DIAMOND BAR � / 7 jib
DEPARTMENT OF COMMUNITY-fi DEVAOPMENT SERVICES
21810 Copley Drive, Diamond Bar, CA 91765P � PRESS
(909) 839-7020 Fax: (909) 861.3117 Building Inspection Hotline (909) 83O ALFIRMLY
BUILDING PERMIT APPLICATION
B SITE ADDRESS 2-4011 1 I1' &dfiLeT
API_ LOT A_A�� jTRACT__
OWNER 4Ie.!_ _
ADDRESS ,ol1 _
CITY 2I TEL
APPLICANT L
AGONTRACT R , j ff..yy��--��
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CITY ZIP � .-714 � _1 trt(_
AR NG/DESIGNER
ADDREi&tS 1L—Al .�f
CITY.II_j!'Lti.�/1O 41iti1 ZI TEL !t� �J`as 1
OWNUKmoen
DECLARA13Oa
1 hergty afftrm under pally of May ever I m e of baa The Character a $bb Uceaa taw he Ne reatial
Indl etas New, Ct bra alwpkmziit(sl, I ham piasd hal No tie notaluaba NMN (Saotlon 70315, Budrwea and
N Nsions Cada An on Or can" Und snakes a WM to Clemovi4 alley ktMavau damalub. or repaly an
aaucdaa, Ptarto Ns kwma.abo mPiro ma aPWtstletYa aw Pamw tp Ok a gywdatatanmd
Manifestation
b 0arew PS$Mdm"aavbl" afM CPaaptP'a 5f8a LkelaaLaw(CNW* mcommucft iota swum
74atof OlHslpb 3 aSMabMnau and proYNBI m Cab/ P dei I'w a aha I9 eaemP fmm acnmaa bad the bob M
the aWatld Both
Mat humtralunnrdbdaofSedan 70315bV nYaPiamattbre Femat eubiecb G`w IGat[maCNa penety
m at tore man oi rrs 13500)
U1, a9war of dw propmea a mye Minas with wows thea soWaanpellesam, we mU a m a U PoHaR9
a dw wort, are Own
Low
a sm aAmded a owned to ore a limen 3094 Slmote aM Pmirseiora Code Trw
Spm WCatIIawned at the ftmanowneref meantime nomer,aie WiThdo or
ds
hrlm morowas die mid man
n�ONyour,
ban WiWUNtoO ore Ilad"WitdeY the Mrorn�i� It ey theas innN T
or WOW The sodarianareale) camPeiNn the Owner BUIIM.dwii have the Curtlen et proving ilatdwannnbUMt
aanryaed The the purymeat sale)
()1,a€Meet of the proton, em eventhehy conn" wit IIcmM; Comments, to Mmuct dw n east tawnm
7044, ebnMefi are ftlesalons Cab o Tire Covem e' Stale Oman Law does as appy to an awns of propafty wtw
bukffia Mk%ml5thefea and who canbxtemrawpgaa wit) aeamad G9adPpIIIBJantrothe CommdPa'GtaW
Lkeaae Lar)
U 18m exempt tram IWanaaN ones file Cmtrao�'s 3mUllnonxa law a# bin towewt+Ip rCa9an(eh
myaynaNmbe4wiaMna edge that, mu
a my peanld nascence In wNkaI osta rmmeatila aallotare
arpiadpompt= at Wecrosk Wincsvenwbybdapamd'm,motlaPaity aeNaatrucbaedwt nave bW0man
awtef butlderHdhaanarbeu�anMlciW In WenteetyM mnyadas lcmdamWrmiWta appy mbaepWdaa
low Seabn7 tWu am PiaeslornCo.�baraaaWe upon requeawhenddg asubmmed unat
the (oWwinp Wen bgant NtSNaww reprab pa gWiralaw Nrtw
DATE SIGN
UGMSED CONTRaCTNi'SOEIXARATION
i bna" WM wader pawdyolpw$ItymffiI am 0terwed ulgertxasslonrapcepmr 9lommmebg wm� Sacdon 7D00t
consul "the &lan9ai andPgWSnomCaro.. and myIkamace,Pr �hamru mel effect
JCENSE
Heil _Lt��1��
ORE CONOiA ---- TMNDEU Tmd-
U'11N�4' mfdxxS IYN3N DEpAnAn
(HEAEOYA!FRWUNCMM4N.TYOFMUIMW EOF FOLLOWING OECtAPAnM
_ I he" are VIN iron n a Caenkab of Coati m Sall -Insure tot Woaaa COMMMan as pmadetl oy
Boom 3700 of Ne Labor Cada It the palWm9ncaof the work M mx%Cls pamtff W Issued
I hawamiwe memWin local Oanpanwmn Naurem us Ra9md by SecW3MU oftW Labor Cade hX
taw eOle wakfa w9wth Nn Pemmgra9uPl My Wodrers Campan9aaonxauraruacanrera
Wiley IKrobtars
CARBEi
PRICY WRAM
THIN S ICfnN NOW NOT BE CUM OMIFTMEPBWdiIS FOR ONE. ffi OO DalMNNIOnt OR LFSg
I that in fie portmanne at the wontNrOVM=e
vmhthe lBund Ia�W'., rot0mPkyanp pn'fawy rlaluarao sera
MOMA,"SO m Eforn
Ain 91st wlahoadbec sent m Lae wakes
Can alWHOU elap0Pastas and eviloham Bi00 Met in elo, W the oast of Md spent Fondne lntemat and Marnayh 'idea
C@at tum LENDING AGENCY
Ih eleyet Under Maty ofwenrt Met drere es a ConeWNm Landing AMR for de Monerrom of the wort for
whnb this pumab Me* NNK 3097 (3, C)
LZINOEfl'SNAME
LENOM SAWrOS �.........._-
i wlbN that t hale read dal npiiww and able "the awe lidRmabOn la conoGt i same W campy wNh all day and
county unctuous and OW Pdaam eating fatten NormacNm+, eM WmnV uaMaim uprsaenWC+oa of thq pownty m
erupai the ahm"annu lompotyfalv) 61l
t`es
L�
BE DATE
APPLICATION DATEt �' I_'r%.a'� 111 INI P/Ck � x Mrs's .
ISSUE DATE�t t'aS 1 G, PERMiTN 'P'R \ l—��r�(a
}
TYPE CONST f2 OCC GROUP i
ZONING SETBACKS
FRONT RW ❑
REAR ❑
SIDEISIDE STREET —Ri ❑
SIDE ❑
PROPOSED USE
N DWEL UNITS N STORIESN BEDROOMS
DESCRIPTION SO FT FACTOR PSF AO} AREANALUATION
SFR/ADDIRE1M '
...........
Garage/Corpora
..._
Penti/Deck
Poo'spa
�LL
,L
Ra -Rani
6
Cowanamlel
�
l
VeluaUpn 1 Area
QUANTITY DESCRIPTION FEE
Vo
I
E
f
CONSTRUCTION
PLAN REVIEW al'JS 40
ELECTRIC
PLUMBING
MECHANICAL
INSPECTION FEE
ISSUANCE I
SMIP 1w.aS
ENERGY PIC
ENERGY PERMIT
RETENTION FEE ami j. C_31c+
PRE -ALT FEE
BSAF
TOTAL FEES a"1 , IN '=it— A::iii ;?3
COMMENTS
plc o12k'Ta'�3'�- I�� 6•,n
a
RECE7PTw� PAID aY + ��7Le VALIDATION i
WRITE—Department Cg YELLOW—Finance Cgay PINK— Aetlesaor Copy GOLDENROD — File Copy GREEN —Apdirsnia Copy
CITY OF DIAMOND BAR
INSPECV-ON RECORD
(1338 -JAW
COMMENTS
171
SETRAGKi LETTER
D LE
TRACT AN DOER
FOOTINGS vR
SWITCH GEAR
TON GEAR
AS
SLAB
LHOOD
COMMERCIALHOOD
7
US PLUMBING
T -BAR
T -BAR
US ELECTRICAL
INTERCEPTER
INTERCEPTER
1 ER D
3FER GROUND
OT M., HOW�FIPA.
HOT MOMHOWERPAN
:
SEWER LATERAL.
EN,
SPELIL
SEPTICICESSPOOL
ERTCC
MAIN WATER LINE
HERS REPORT RECEIVED
SEWER CLEANOUT
DEMOLITION
ROOF SHEATHING
ROOF DRAINS
FLOOR SHEATHING
ROUGH CONDUIT
SHEAR W EXTERIOR
PGOUSPA
SHEAR WALLS INTERIOR
HOUGH PLUMBING
FRAMINGVENTING
ROUGH ELECTRICAL
ROUGH MEONANICAL
ROUGH MECHANICAL
R0UGH ELECTRICAL W( ) C ( )
OAS TEST
ROUGH PLUMBING
PRE GUNITE
POOL PRE DECK BONDING
INSULATION WALL
INSULATION CEILING
P -TRAP
P
DRYWALL
FENCE [GATVALARM
LATH (PRE)
FINAL POOL
'LATH EXTERIOR
WALLS
LATH INTERIOR
WALL FOOTINGISTEEl-
WALL STEEL 1 1 LIFT
GAS TEST
SCRATCH COAT
WALL BOND BEAM
ELECTRIC METER RELEASE
WALL DRLAII NI SEAL
GAS METER RELEASE
WALL FINAL
SPECIAL INSPECTION
DO FRAMING PLANNUAPPRUVAL
FINAL BUILDING
ROUGH FIRE APPROVAL
FINAL FIRE DEPARTMENT
FINAL MECHANICAL
FINAL ELECTRICAL
FINAL PLANNING
FINAL ENGINEERING/
FINAL PLUMBING
TO of OCCUPANCY
FINAL COMMUNITY SERVICES
CERT, of PANCY
Tim HEAL" DEPT
......... . -
FINAL INDUSTRIAL WASTE
COMMENTS
171