HomeMy WebLinkAbout16-0560111A,110 T1) 1 AR"Q
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CITY OF DIAMOND BAR r PMLM
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DEPARTMENT OF COMMUNITY & I:EVELOPMENT SERVICES
21810 Copley Drive, Diamond Bar, CA 91765 PRESS
(909) 839-7020 Fax: (909) 861,3117 Budding inspechon Hotline (909) 839-7027 FIRMLY
BUILDING PERMIT APPLICATION www.cityofdiamondbar.com budding@diamondbarca.gor
JOB SITE ADDRESS
APNLOT TRACT/
OWNER
A
CITY P TE
APPLICANT TEL
CONTRACTOR
AODR
CITY ZIP TE
ARCHtENGt
DESIGNER
ADDRESS
CITY ZIP TEL
OWN014k%DEN DECLAMATION
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LIUMSEO CONIMACTOM'S OEGL IICN
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1 NE1ENAFFIRM UNDER PENALTY DF PE ULATUNEOF THE FOLLOMNE DEMARATIOW
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aepisswNDwntharymaewaam
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Ws m 3700 aih&labs Cade,iain MBhalOttanJpNNI
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ODNSTRUCTION LENOW AGENCY
I Dakar aiNm water Werth at WPq Oat Dare 6 e ConsINCllan UrOfto Aa wcy M the pepbrmanDe W ds work for
W!" MIS Oras Is Neese (SOC 3097, Of C)
LFIA7CR'SMAK
tRIVERSADCAESS
1 Cater ttmt I tate rad iris aepbcalot ed Sate trill the above Imamdmn aarrat I sera& to GtPfnAYwiith as CAN am
Cwmry oms+aicsawd stab awe refaappa tatmtcdon me hwkywk"Orria repmenaOma at this CaaRym
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PERNINTEFNAKIPiWLTI / ", __u.+""",•. j�
SIGNATIIXa OFPEfflu iEE 'lM1E
APPLICATION DAgTEf yJ PiCif
ISSUE DATE c? PERMIT# &... teJ.Sft(J
TYPE CONST r"f�/j{J/ / "`+ OCG GROUP 010S
Scope of Work
#DWEL UNITS
#STORIES#BEDROOMS
DESCRIPTION SO FT
FACTOR PSE ADJ AREWALUATION
9PWAD07REM
Oerege/Capwt
lu
Pslwtpeck
...................................
LLRry
POOVspe
(ry
Z
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9
Commerolw
5
m
YatueNaTrr
Adz Arse
QUANTITY
DESCRIPTION FEE
u
i
at
(41(A res
af
w
GONSTRUCRON
PLAN REV EW
ELECTRIC
PLUMBING
7r3%...
_.....
MECHANICAL.
.........
INSPECTION FEE
ISSUANCE
SMTP
ENERGY PIC
ENERGY PERMIT
RETENTION FEE
PRE -ALT FEE
BASF
PLOT PLAN
ZONING CLEARANCE
TOTAL FEES
COMMENTS
of6. Apr
Pir PMOBY � VALIDATION
y
RECEIPTS �l0 PAIDEIY " .�L!(� VALIDATION
WHITE —Deiaaawd Copy, YELLOW —Flp eCopy, PINK— AssereacrOop,
INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR
U Inman
��
'UG PLUMBING
T -BAR
UG ELECTRICAL
_
INTERCEPTER
LIFER GROUND
HOT MOP/SHOWERPAN---
SEWER LATERAL
SEPTICICESSPOOL
MAIN WATER LME
HERS REPORT RECEIVED
SEWER CLEANOUT
DEMOLITION
ROOF SHEATHING
ROOF DRAINS
FLOOR SHEATHING'.
ROUGH CONDUIT
'',
SHEAR WALLS EXTERIOR
'T POOLISPA
SHEAR WALLS INTERIOR
''�. ROUGH PLUMBING
FRAMINWNTING
ROUGH ELECTRICAL
ROUGH MECHANICAL
ROUGH MECHANICAL
ROUGH ELECTRICAL W C { }
''.. GAS TEST
ROUGH PLUMBING 3 1,6
!. PRE GUNITE
INSULATION WALL
POOL PRE DECK BONDING
INSULATION CEILING
P•TRAP
DRYWALL
FENCE / GATE/ALARM
LATH (PRE)1
IFINALPOOL.
LATH EXTERIOR
WALLS
LATH INTERIOR
WALL FOOTING/STEEL
GAS TEST
WALL STEEL 1-( } 2-( } LIFT
SCRATCH COAT
WALT. 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 ELECTRICALFINAL
FINAL FIRE DEPARTMENT
PLANNING
FINAL PLUMBING _
FINAL ENGINEERING/ PW
...........MBI...........
J I. T C of OCCUPANCY
''�. FINAL COMMUNITY SERVICES
CERT. of OCCUPANCY
FINAL HEALTH DEPT
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COMMENTS 1Att S J'^tia,Kl ,� Gd
tr.azaaaz 1111 vara o..ar saapr v.r urea pv. a.a
allow the inspector inside the house.)
INSTALLATION CERTIFICATION !! 11 � r
17 f
For the property located at I 1 f IX Z t A i.0 �i , I hereby certify that the required
smoke alarms artd carbon m oxide alarms have been ins, talled as listed above
I� Ponnt
f i
11 Date
to project (please check one)
x Agent for Owner o Licensed Contractor ci Agent for Licensed Contractor
If "Licensed Contractof or "Agent for Licensed Contractor" is checked, please complete the following
Contractor Contractor's State License Number