HomeMy WebLinkAbout14-3863 (3)CITY OF DIAMOND BAR ,
DEPARTMENT OF COMMUNITY 8G DEVELOPMENT SERVICES
21810 Copley DiNve, Diamond Bar, CA 91765 PRESS
(909) 839-7020 Fax (909) 861.3117 Budding Inspection Hothne (909) 839.7027 FIRMLY
PERMIT APPLICATION
JOB SITE ADDRESSAPIN LOT ................._
_,7� TRACT_..
OWNER C b waI.�'
ADDRESSe1.1Va/1rG.(t1P'�1n
CITY L TEL
APPLICANTe&,A-� TEL SIS
CONTRACTOR Pka_ `NP
ADDREESS;�0a3,�q�s .S'il' °4iri,F� FJ'fr'a ,�.-� �/
CITYID _r�r ZIP '1=1kEL'?O f "'0561--3��
ARCH/ENG/DE�g(7GNER'�_L%Q' .�2 �_�
ADDRESS / o Se ChiA
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CITY IP TEL'Z0f-3.;'
OMEN -BUILDER BECLARATNM
I sandy affent under peoa'ty at journal, baa I am exempt Inn the Cauoadw's State Utenss taw for fie reunionist
i draded b8dw by the tppeXfA8Hp8} I have pbwtl pert to the und!kabia ihmis) [Section 7031 S. MaNu and
Code Any city w cdN(ly that teAWrea a Rental to cwmk=L fir, In trnall olpenibn, w Npfa r, any
structure, pow Is N5198panC9, also to Ine, 9w nuilleant for the pwnesto tAe "tared detewnl teat he w art
is eterered Fra,eal or our wodBbim ofthe Santorini Sloth Lh a ow Law (pAnpthr 9) consummating .4& Sinctin,
'MSO of Bivolon 3 or rw Bwire Port fandoeeiane Bal or that here she is erampt form brands and dW bad to
the alit ttemptan Any VulatronM Senior 70315 W any appuaant for a porn subram the eppdc4db a ant penalty
of normae tlan tree enndmd dolam ISM
U 1, as dinner of the property, or my suspendas with wapes as their ease mpwtwaiw,l, wall do U all at or Uportiom
of the work, and the stntNm Is not attended a atfared Tw we (Shadow, 7044 Duodenal a±d Proftsours Cons ,tet
CanbazbxsSteffi Unseen sin Does not aPPYNan owner of aNPmPwho Grown; Personal ada't 6@ild$
w Imomsdn the Pat" drowsed that are inapinvernind, Wer no Prepared at odaad fa tab If however the dosing or
unproveral is mL aware one year of c WIRNIzn net Owner-Bmk'er mll have the anon areinuo;tat it was net built
w (mprpvetl is the paha d sale 1
U L m owmr m the prapertg are @atluaweh Offu acting with boosted ConbdX%o s m condition the wdM+t t5echon
7044 Business and Pmfastdm Cade The CantratWrs' Swath Lkenai Law tlwe nm story ad an owner of Property who
snide Imprwasdistann wal or.vanI(a415 to to oroadde with a b'Anahtl Contractor Persona le ate D4Phacria' $we
arni nowt
U I pm erewpttrdm Icnie ss wrier the C@Mrealona Stath tnem@law Par the Following reamrysy
9y mf slAneture beWW I atkgwed9adlai swept br mywmaG rpaOE� In whkh I moot have rested ire ai least nm
}carpnaN tdonpl0tlon N ore u'>ptuverpoke covered b/ NIB PwmAd GWxat la�ib sail a aWC.pe N.^.! time Kith w M
nwithcturn 7Ifahathe 86sinssi orb wtllpty bya oldleuwoaaafoia 1anda'sfantl thalamPY[Qdioap�itahle
lSw, EaCWn 77-04 of NB 9s8m883 end Piaf88a4p8 Catle B avaiadb Upmi rapire9i W118p the apPikahm E8NNnRter)dt al
NP kh4MA4D6 WBp 81ie ht¢JwwwleaaYo W amk8bW hd01
DATE 5GN
.........
LeGault CONTRACTOR'S DECLARATION —
Ileento,sell uplar canary of wdury that I on larded, radar Prwmlans 0 Crestar 9 Heartrending with Saturn RW}
atR.swn 3atag Business aid Prataasbre Coo weer my Radius embel fort¢ and satins
LICENSE CASS 1.7 LPC NO
DATE CONtRantr R
WORWRIS MMPLWATMN DECLNW INN
I HEREBY AFFIRM UNDER PENAIY OF PERJURY ONE OF THE FDUCMNG OECIARATONS
1 hero ane we minuend a CeNflota or OOna@nt Is Sanna@m you We*" Componsadan... as provided by
Samoan 3700 Of ine Labor Cotle, For die petmrrerxe of tho wok for whish tins stank is alawal
I have and nor mmrkaln Workers compensation u,wuaxe ati rewired by Semasn 3700 of her Lada Cade for
the wrNomarce pNa Werk fin which Nla pwmki#baud MyWaNw§ CnmwoWm im moo Curler and
Pi NrNser a yy-^--
CARRIER a""1 -t w'T ao
POUCYNUMSER
(THIS SECnON NEEDNOT tE O'xWITED I THE PerG4R N f Wt ONE MMRED REQ OOUARS IST DCf OR LESstt
I oreiihal In the wdutmaaredthevAiaforxhicn one waue N issues land new"d aw Pemw in anPmaererm dead
twaoaw wibect N dmWbrka'a taws Ilhnta W IN: 9di dlaotl ow:nxm"J'a"7d dreWater$
Can tows on3M0Ader sish yfB IPUIIy WILh aanIBP PIaA91up4
DAF _. API''d FIT //
WAAMNG Nauru N secure Workers etbp aaerey In unbWtd,, W dei wriest an employ.1 crkarned
wlrzbes wtl i:Nr Aran used one hYdree dewax raGads LIDO 0001 in adMm N the mot of the condensation
amaaw#a@ pmwtld for In wooden 3708 older hbm code Inhered, aIM st ridulat
CDUSMM7iM7 LENDING AGTWCY
I dereby ARnln ander porabp or Mary dial them is a Caretrutenn Air n0 AgencyTa did P&NmanGe of the wet v
which true wsmd's wood (SBD 3097, Cw C)
LENDER'SNAME ` ` +' 1
LENDER SADDRESS
Lunty Net hove arab "a w nden and sbte ing Na ruc a uymmaene ly Cw2t i aAtpdtd twrdYinn all clry y to
cwnry:admanads end Stats bins mhhng N building mnshu�mi er,tl hereby aNhonxe mp25anhdaae d the county N
9rrwu .ire ahavx-rrentlo Ground" wandec9mi pu,Posea
..........
=f�ME�f
EOFPEIiMRrEE ............. t1ATE
APPLICATION DATE ^ /y n
ISSUE DATE t +'ti' �` F'G1 i.I _-
TYPE CONST .......�
Pi le
PERI
OCG GROUP
ZONING SETBACKS
FROM
REAR
SIDE/SIDE STREET
SIDE
RW ❑
❑
—RW—M—,,,—
W❑_SIDE ❑
PROPOSED USE 512e
it DWEL UNITS to STORIES
u^A-,nfkopP1" 400/`
_ a BEDROOMS
DESCRIPTION SO FT FACTOR PSF ADJ AREANALUATION
SFRhADD/RSM
Garaganowpol
t�Wwirt
P0ovSps
*�
Re-Paot
9
03
CommercPM
'...
m
Vaelvatim
Atli Arca
QUANTITY DESCRIPTION FEE
l
1
CONSTRUCTION
PLAN REVIEW
-
ELECTRIC
_.
PLUMBING
MECHANICAL
INSPECTION FEE
ISSUANCE
SMTP
....
ENERGY PIC
ENERGY PERMIT
RETENTION FEE
PPE -ALT FEE
SSAF
TOTAL FEES
COMMENTS
J j
RECEIPTC_E �J~� PAID BY
VALIDATION
WHITE— Department Copy, YELLOW — Finance Capy PINK— Aseeee art Copy, GOLDENROD—File Copy, GREEN—Appn®nt's Copy
CITY OF DIAMOND
INSPECTION• '
INSPECTION DATE ��JNSPECTOR
SETBACK/ LETTER
INSPEtTION DATE
TRACT AND LEDGER
FOOTINGS FORMS_—_
SWITCH GEAR'
SLAB
COMMERCIAL HOOD
UG PLUMBING
UG ELECTRICAL
T -BAR
INTERCEPTER
OPER GROUND
HOT MDP/SHOWERPAN
SEWER LATERAL
MAIN WATER LINE
SEPTIC/CESSPOOL ...................
HERS REPORT RECEIVED
SEWER CLEANOUT
DEMOLLTION
ROOF SHEATHING
ROOF ORAINS
FLOOR SHEATHING ',';
ROUGH CONDUIT
SHEAR WALLS EXTERIOR
P00USPA
SHEAR WALLS INTERIOR
ROUGH PLUMBING
FRAMINGIVENTING
ROUGH ELECTRICAL
ROUGH MECHANICAL
ROUGH MECHANICAL
ROUGH ELECTRICAL W( I C (]
GAS TEST
ROUGH PLUMBING
PRE GUNITE
INSULATION WALL
POOL PRE DECK BONDING
INSULATION CEILING
P -TRAP
DRYWALL
FENCE I GATE/ ALARM
LATH (PRE)
FINAL POOL
LATH EXTERIOR
WALLS
LATH INTERIOR
GAS TEST
WALL FOOTINGISTEEL
WALL STEEL 1-( ) 2R0( ) LIFT
SCRATCH COAT
WALL BOND BEAM --
ELECTRIC METER RELEASE
WALL GRAIN/ SEAL
GAS METER RELEASE
WALL FINAL
SPECIAL INSPECTIDN
RO FRAMING PLANNING APPROVAL
FINAL BUILDING
ROUGH FIRE APPROVAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
FINAL ELECTRICAL
FINAL PLANNING
FINAL PLUMBING
FINAL ENGINEERING/ PIN
TG of OCCUPANCY '..
FINAL COMMUNITY SERVICES
CERT. of OCCUPANCY
FINAL HEALTH DEPT.
FINAL INDUSTRIAL WASTE i
` e" ll _ iT
SOILS AND GEOLOGY GROUP
Sods Engineering • Engineering Geology
17231 EAST RAILROAD STREET, SUITE 200, CITY OF INDUSTRY, CA 91748
TELEPHONE (626) 964-2314
FAX(626)965-3802
NOTICE OF FOOTING EXCAVATION INSPECTION
JOB LOCATION L2.,YlqO
JOB NO 1 M-,0
OWNER OR CONTRACTOR
OWNER'S ADDRESS
DATE FOOTINGS INSPECTED // — /7
TOTAL NUMBER OF FOOTINGS OR CAISSONS
DESCRIPTION OF FOOTINGS OR CAISSONS COVERED BY THIS NOTICE
1 i dyZ✓✓ UXS4 ✓ate ,t h/H1i Jq /47JftCA �
��7///�� I ✓r�'r /7 UL� 4 HL! -a 4 A,&-
PRIOR
2
PRIOR TO PLACING CONCRETE ANY LOOSE SOILS SHOULD BE REMOVED FROM THE EXCAVATIONS
The undersigned has inspected the footings and/or caisson excavations listed above on the reference prorper"same were excavated in accordance with our recommendations in the preliminary foundation report and thANK C
codeame A y 6✓ D LLMAI`
GEOTECHNICAL
No GE805
,Exp 6.30.15