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CITYOF DIAMOND BAR ' r �m�(q
DEPARTMENT OF COMMUNITY WDEYELOPMENTSERVICES �� L iiY
21810 Copley Drive, Diamond Bar, CA 91766 PRESS
(909) 839-7020 Fax, (909) 861-3117 Budding inspection Hotline (909) 839-7027 FIRMLY
BUILDING PERMITAPPIICATiON www.cityoldiamondbar com buddmgQdfamondbarce.gov,
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JOB SITE ADDRESS
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DESIGNER
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OWNER-"ILMR OEI%A IMM
I heleft sham under peNiN of Pmmn Na I am exempt A" Me CaWact"s Slate Ucanu Law Ad this maeearen
apealeC below by Ne chodwark(a) I head ObMso next to are appr,edrs brie (Seddon TOAs a. and
.!PwTm Code Any mfyor wha Om rdpmes a Damm to cattiest• arm, mom, IbmotM, or Few,, am
''... MNtoe,pdmte sa business, am,spew dq entities for ft tenet W fila a agnea assonant Nat N9atM
'.... reimmmeawumanmm me pmnwaMM9m(m*o*ee no Ideauelow{CAWW 9)CmnmerWnmgwm,Cwa9ar
7AAoof national A of etre Numn The; Corel or that he baa Is marsh tram breeders, mW the bass for
'ii the Wle9¢d exemption Any wolmlon M Second 70315 by any appiam free Meana satesaft thf arelltant to a own perawly
of not more Man Ant hi moned dollars 450
U L M Minister ofthey treasury, Air my rembaboyealsmth inses atheir sale owveuanaq *or do0 all alorUDxbans
of dW work, and the stre inn is not Mom or offered for sale (Secret 7044, and PrutauNna Code IN
Cenexe ms' Stal tksm Law does not apply roan Mere, M pop" who, thxagh amplowea' a affamal effort bulus
'.. or ImpMnu the pmpaty Wroded that the aryXMemMte, me eM Intended or offered Re Sale fi IWw6vm the MAJVq in
ornamental N sold wNwT a'a was at Mmonatkn the thew -Rudder wit he" tlm nVdmt of PmrmA tUel It was not hold
or improved for the puryaeaMsale T
U k a owner Mike prop", an menhmarly oamlximg with 9raeed fmtremore m undo My PlesM lFwafmn
7044, BusIM_ts and Phydiffers Cade The CORMWM' S= Uesua Law dead not apply to an MwtNr M PmRorN wtro
hmpowasmarean, aWwMCOn: ac6 kir NP po�aLta wdm fla�l9u CanhaGWr WrsuN%to 9e P.IXkamal9' SU19
Loom
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ttI—eremptfrom lir owedmline Cwoue is SmPo Lcaue ca, W MayMlowmg MR"*)
at red sTmatme her. I acknowledge MaL"coot err my peeled raaamCe At which i mum man rukkd IR- her iesm ore
year pig to camFcehM of the Improvements comms by this buret i CUM Isgaily, sotl a Fawkes thaU New, beat re, say
owmar tAdde, If n hu Mt been MnmtA'ssd in be Merely IW Irsnud coloodma I Manuel time a copy of me
appeald, Bna, SeCbon 7144 of the Ruzrese and Protesvmner Cade Is amWx upon MWW who to applicable N
suaatced IXatNa �lownrv, Web Blit hap'wwa da ggwlWaw nma
UCFN.SEU CONTRACTORS DECLARATION
Ihe" alum uMNr µtmRy M perfury, that I am aCaiud mal provisions a(Chleater 9 Aaveamng win Won MOM
M ObNWn 3 of are &" anes}}AONSWON Code, and my kwetaa A ILI Iace Ma flowt
C3b'l-7 9 `�
LKENSE CLASS ax IM NO
DATE t i.. � CONTRACTOR It e'f3
MAKER'S COMPENSATION DECLARATION
I tEIRM AFFIRM UNDER PENALTY OF FRIDAY ONE OF THE FOLLOOM OEQARATIDNS
I have and we mantan a Camkm M Cunum m Ski bursa err W,Nka's COMWENn u "Well by
Section 3700 of the Labor Code kr Ns perlmmalc, or Ma Nair Weinrich NN perms Is ise au
o0MeanlahCC for
Ince eM ell manmin Wake's Cmryuuabdn llaumnce astegWrees
Comp"
gra pertmmMu mNe work Nrvlmh oda pard[N lsa%o My Works's DompaNationatarrafa 0anaaW
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CARRIER at
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Mil$a' TXNNHD NOTM CDWLETEDFDf PYW IS FOROBEMD UMUMmOIOOr OL LESS)
ft a tl Perna N LAnmd, leads not adeba e7paaM a aro mune"sob
NawM uwlaws
o the lWa[aai
of
rearm prWmdln ON Wmfr'e CorrtearmtlM laws of strata tlmtdisoad aa�ane sa>N.i fa MN 4wnka%
corpus
CanpacgNorr at3700 Mmabat" 4WwR axdMimmmPNwdh Mx�Rra�orf
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MATE APPUCNNT
WARMNG Falme, to seems War vy's Cambonutl Fonemse, 19 offildul read shall suokai M reelat a W oh nm
"Ma and col Fares as to of Ixmdmd homes del am (MIND 090), In addition to the Som of thea SomRenaabM,
Marmsers as, atoned for in addition 3708 M the labor doom NrNtam iso turn, a has
CdNSMW"ONT31O Abe=
I loosely sort under peuiN of Pepayy, Mei iota N a Com robed twang Agency lu Me l anamMu of fie lark an
whkh Mad pats re=ad v'ac 3097 DTI C)
LUUM S NAME
LENOR S ADDRESS
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eta UPM OW ahpve teretes ProPmN �' lNpa6lkn Ptxna4es
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SdOWTmE�� DATE
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ISSUE DATE t)/ � PERMIT#
TYPE CONST { OCC GROUP
Scope of Work
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RETENTION FEE
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BASF
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FIX _ PAID BY ��) )�` f/ VAUDATION
RECBPIT0 PAID BYF9--w�--VALIDATION
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CITY OF DIAMOND BAR
t33S9.JAWR INSPECCION-RECORD
I II INSPECTION FATE
INSPECTOR INSPECTION 11 INSPECTOR
SETBACK( LETTER
TRACT AND LEDGER
FOOTINGS FORMS
SWITCH GEAR
SLAB
COMMERCIAL HOOD
UG PLUMBING
T -BAR
!,UG ELECTRICAL
INTERCEPTER
LIFER GROUND
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HOT MOP/SHOWERPAN
SEWER LATERAL
.......... SEPTIMESSPOOL
MAN WATER UNE
HERS REPORT RECEIVED
SEWER CLEANOUT
DEMOLITION
ROOF SHEATHING
ROOF DRAINS
FLOOR SHEATHING
ROUGH CONDUIT
SHEAR WALLS EXTERIOR
POOLISPA
SHEAR WALLS INTERIOR
ROUGH PLUMBING
FRAMINGNENTING
ROUGH ELECTRICAL
ROUGH MECHANICAL
ROUGH MECHANICAL
ROUGH ELECTRICAL W C I
GAS TEST
ROUGH PLUMBING le Al 4r 141A
PRE GUNITE
INSULATION WALL U
POOL PRE DECK BONDING
INSULATION CEILING
P•TRAP
DRYWALL '..
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LATH (PRE),
FINAL POOL
LATH EXTERIOR
WALLS
LATH INTERIOR
WALL FOOTING/STEEL
GAS TEST
WALL STEEL 1'T( 12N3( ) 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 U121161
FINAL ENGINEERING/ PW
T C of OCCUPANCY
FINAL COMMUNITY SERVICES
CERT. of OCCUPANCY
FINAL HEALTH DEPT
COMMENTS A-)tt
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