HomeMy WebLinkAbout15-1022CITY OF DIAMOND BAR
DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES
21810 Copley Drive, Diamond Bar, CA 91765 PRESS
„� (909) 839.7020 Fax: (909) 861-3117 Budd ng Inspectlean Hotline (909) 839.7027 FIRMLY
BUILDING PERMITAPPLICATION
JOB SITE ADDRESS Z��{O SarA��AtT_{�. rWild. 94
APN bb"507A,9?I 0T ......... TRACT
OWNER C+LAt
ADDRESS 1$'7"Lp 2+,ctibrl %{YR�K"
CITY i).rKwymA Zar ZIP oil TEL 9NDq S3�- 9tn3t7
APPLICANT �,tNlni a. [Alk.}Ylnt TEL 611b A'tf tt? r'i!.09
CONTRAOTOR L.A Splar CroJ�a
ADDRESS An 13' tt4LA 7Evl ilw 1 A,,#,vi
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CITY 11firt PAY'" ZIP *tI'AOLJy TEL SL1 C/ s. 00 -*-7'
ARCFVENWDESIGNER.. LZ2.3} YAR. i�I-tn t r0
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ADDRESS 7,51 o W IN,
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CITY turta0.Ces ZIP'l17SDrTEL 3LiT gLa"t LSWI
WRaA,60 DB DECLARATION
I hardy difum aaltp of penury Mat I am emmpt from the CuuMloots $bb Uwta Law W the mom"
InMtmd time My dp elKebwMe) I bare gam cert n are ao*abb mala rS UM 71101.6, against and
Plobubt Cotla AIy door a mgaNP sham me spa mdfor partly
ydo a wprmelf tlamol4M a rtsb, is
saucba6, pNaba Ra aPbn4e, efm repldres rip apWNeaN for fh0 parmRte Rba ai0ttl afabrnenl tlW Marty
MIM of DoNlramof nf to Barren
and
CaNeeelr'aaaM he or
Le Is muni ar Mature an w to
'700041DI OM3-- BWroaaantlft 7031lSyafflamaihaor the Nstmpt�orn Ocaia#a end the haM kr
at yon men aempdeH q'rf NIXaUanN SeNm 7IX+i Stry pyapwkam for a Penrat a�ectsapmpawaba4wa paplly
a nM gate apn mre hure3ecl tloAas RS001
the
4wnagime rwri, I n empbawt oath note
Metgaleownpeneaion,wdi mi.}x141aUode The
N the wok, are Cil s`v4Na M � Mended w hln� ar tb%re4imn 70dn, Budntt arM Pmte88bns Code The
C-0nbaGi/Me' Sap IJmna tawdaa notaDPN p an owaar a w4arywtm thmu4h a�by' or aaona Btbrt, bonds
IX xnwwms are wopaly pmNtlm Uat Cil Improvemelt are ratdadai or onelwd he ase it ttvear tip mlMing or
ermpana4mNaX yaarof[mTNeibn the OwnrAWpwwp bare are mrdenaf wtramp Optnwt not built
a Gnawed is the pummel sem}
}j t As oMTprof the pr4Rerraw eadua}rety, contract ng won Ikea Con racrom 10 taabg4t the project diedon
7D44 Na ma and PWtebx Cone The Cpitrmpre' Stat Urates Law ams nor apply i4 m owns Or proporty, Mil
Olnidaa Mnams theram and who cartepos fa the projects wm a Kann Contractor pup tto as Campootaw Sony
Liberty royal
U Ian eaanpd from Iwatum sec apContractorsS'twed Umrea tow for int bllowhil MamMll.
yet my s�tnrebelmei the
Marinette
by this
aalregtlmoo inely9.mut bared thatI obtaau
maerbrtocarpbibna a p' mveredlrymispamn lcan(� aeldanalt ea worinamUANtan
owner 6utder nas Bar uaamathdMAaenmme trr Tarter mon nequai wodadbe, OatampyU rip
law Bewm 7Ota Cil P.oaroee ab ProleseMt Code a avallade upon agVCAwirm d6 appOd:aMrn Is BUaN1I44IXa
the bLatngWeb as htOYwwwlephlb ce.gatmW Irmd
DME _.......... SIGN
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm, undp penalty of paNury that i an toward under psowabtof Cooper S lmarandre way Saban 70M
at Damon 1 A the Sm� and RuItaon Cada, Anal any Ocent m In tun Ant ands effect
ENSECiASB r -f0 C'I'iU LC NO Q-+riii~}
Tc o 204 CONTRACTOR Let so.14r
Iranian COMPOMATMN DLOANnOM
I HERMf AFFIRM UNDER PENALTY OF PERJURY ORE OF TBE 1`0116WOR DECLARATIONS
I Move and oto mMaaAt a CeNflca'a N Consent to Ser !Modus Mr Worker Campmate, an wadded by
Seci 3700 at da Labor Cade, for the pertaplan4e a lire wok Mwhlch Me gamt is diured
_..._ Irite bad " mention Workers Comaaamn Uwp , a required by Saaan Tmo of ail Leta Core
Me ped famnnan of to work be which Mb parent isassptl wyWrikarb Cone enaton, UpaeasCa Iff
P4iby NUmbeeae
y CARER ,T
5 �a, �%.e>1,TtreSa�,o�r S..srrokre_-w,...ut
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POLICY NUMBER -U,,j �— L'I —A.
(MSECDON tamNOTBEDDWt TEDFT)EPTfM a FAROREH ffM DMLAFS MIOP DRIES}
name amid!
My as ur por, ono Love
of pa�naimIee t rofaryudeebpamu uaN+wnrermtb
Dearne onrnmpapeoaaraw370aafaliawaa CaMama Artla0'tshatdit bondemembaabrip Wayarb
Canpentd4n pto✓abraa Sectlm 3TOCdtha lata Cane i aril tamwth mmpiyw!?.ihpw Pvralap
DATE—APPLICANT�
WARMNG Failure to more Motor a C4Rwmmft coverma a NN3wM mtl ehad euW an ermander b gbnaa
amour wre pro Free up It one hundred Monopoly Dome STOO G00} in aabdwr la the mil of Me can malot,
damages As orreadool for in mean We of the abs card, meso, and aturadO tar
C MMDINGABNBY
I hereby earl ands panty of penury trial Maio A a Cmstructbn Leading Agency For Doe arianwyw of Be walk for
what Mus pamd Is rmddA (Sec 3097, Cor C)
LOWER'S NAME
LENDER'S ADDRESS
I cou" Mel l tare rand One; smortbn rig stab Matas more biwrttia Is correct I agree to mm lywlh Ane our and
lwnty a0naa'taa stmMmm g bmatlmg cawtNchen," herebyathorlae ateopeaD+tafhb mW7ft
pope am to abam for ndbacm proPmear
�VI L Oil et
90"
i1--c}s�ia5__IPIllNI} i�� L!
OFPERMMEE DATE
APPLICATION DATE_ O� Qy / —P/c# 15'-1OZZ
ISSUE DATE 6 f 11 � 1 4= PERMITA __ P'R. \5- 1cb �-9.-
TYPE CONST OCG GROUP
ZONING SETBACKS
FRONT
REAR
SIDEISIDE STREET
SIDE
RW C}
r
RW G
PROPOSED USE 7 w%Vtish U ICMJ
2.Z Ma1)JIeS. b7+ Ani [.•oftiw�iLv
Z; JG,Krtu.r'
a OWEL UNITS AT STORIES
7 koiNy,11alAM, iL'
T I Srb Ns 7
AT BEDROOMS '
DESCRIPTION SD FT FACTOR PSF
ADJ AREANAWATION
SFRrAD"EM
GarageiCaryat
W
Paido/Oeck
LL
Paci
ZRe
-Roof
�
P
�
CorranerclHl
m
I
i
Valuation % Atli Area
QUANTITY DESCRIPTION
FEE j
1 5, bcloi \
t `S
Wu
Gr
[9
I
zI
zi
I
CONSTRUCTION
PLAN REVIEW Rid
ELECTRIC
\'♦ 4 I.o r^.
PLUMBING
MECHANICAL'
INSPECTION FEE
ISSUANCE
"T1 14
SMTP..
ENERGY PIC
ENERGY PERMIT
RETENTION FEE
PRE -ALT FEE
o
BSAF
I
TOTAL FEES 4R-1
COMMENTS
'T
RECEIPTd yen—[.,;F_�CS PAID BY
VAUDATION1
WHITE—Depsranenl Copy YELLOW—Finance Copy PINK—Aseoeva Copy —Flm Copy GREEN—APPI"A's Copy
CITY OF DIAMOND BAR
INSPECTION RECORD
INSPECTION DATE INSPECTOR
SETBACK/ LETTER
DATE-,, INSPECTOR.
TRACT AND LEDGER
_
FOOTINGS FORMS
SWITCH GEAR
SLAB
COMMERCIAL HOOD
UG PLUMBING
T -BAR
UG ELECTRICAL
INTERCEPTER
UFER 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
POOL/SPA
SHEAR WALLS INTERIOR
ROUGH PLUMBING
FRAMINGIVENTING
ROUGH ELECTRICAL
ROUGH MECHANICAL
ROUGH MECHANICAL
ROUGH ELECTRICAL W( ) C (1
GAS TEST
ROUGH PLUMBING
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( 1 LIFT
SCRATCH COAT
WALL 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 FIRE DEPARTMENT
FINAL ELECTRICAL
FINAL PLANNING
FINAL PLUMBING
FINAL ENGINEERING/ PW
T C of OCCUPANCY
FINAL COMMUNITY SERVICES
CERT. of OCCUPANCY
FINAL HEALTH DEPT
FINAL INDUSTRIAL WASTE
COMMENTS