HomeMy WebLinkAbout15-0236 (2) CITY OF DIAMOND BAR �
DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �
� 218I0 Copley Dnve,D�amond Baq CA 9I765 PRESS
ya (909)839-7020 Fex:(909)861-3117 Building Inspectlon Hotline(909)839J027 0 2 0 6 �FIRMLY
'�' � BUILDING PERMIT APPLICATION
APPLICATION Q4TE P/Cp
s JOB SITE ADDRESS �h
i ISSUE DATE ��d'�/ ^'f/�� PERMITp I�� O��C
z APN LOT TRACT d
�
� OWNER ��O J daG NPECONST OCCGROUP
y �
ADDRESS \�l'O ��'4�L1�i � ZONING SEfBACKS
� CITY ��4+w+�' (5�.� ZIP Y �'16YTEL FROM RW ❑ i
i APPLICANT Ml W_. rI�I( a L^- TEL �'�'�L m- 7 REAR ❑ I
� i
" SO IA.t� J.�� SIDE/SIDE STREEf RW ❑
= CONTqqCTO�R /C� rC ��� SIDE ❑ I
� ADDR(�$)$ »� S� G 1 /'p O A'K J p �Y. 1'I�� �C.�I
� CIN I/�c ZIP /�S�TEL l�� PO�+ y'T) l PROPOSEDUSE r - � �
0 <L.,nc��L �i� VQ�r �
= ARCH/ENG/DESIGNER
y
z ADDRESS
= q DWEL UNITS N STORIES q BEDROOMS
� CIT' ZIP TEL ,
OwN9�BULLOEA OECWunOx DESCRIPTION SO Ff FACTOR PSF A�J AFEANALUATION
s I�are aMim unEer nN N p( ( SFWADDITiEM
= tri pe ry pe�ury tnat I am e�em Imm Ne CanVectofe Stam uceiue law la Ne masan s) I
� Intllwtatl Oalow b/Na cnadmark�s�,I nare OlaceE nan m tAe epplicabla Hemp)�Ssllm A319,Binine�antl Gerege/Cerpwt
" Raka4wo CaCa !ury cllr or cawly Inat repulrp e permit b eomwcl,almr,ImP�re.�anM,ar repelr,vry
yetru.T�re,pNa b Ib luwrca,elw reyuho qa�WIIUM la En Oa�mtl b Ple e 4pro0 embmenl tNt M a Ne r� Petlo/Deck I
i lelkareatlpunmMbl�apmWalwootEnCo�NacbfaStotoUcenblarpTepbrB�Canmezlnpwltli5ectlm w
� 11100M01rISIm7a11MBu4reuenEPralmlanaCaOa]orthathearshelsexemµlmmllcensureentlihebasisbr LL PoolSpe ii
_ MealleB�eKemptlmMyvloletlonNSectlan70315b/anyeppllrantkrapeimitsuble�Neappll[anitoedvllpenalty Z R�Rom
W II01 RIOIB fA9fl IIVB h011ERE GOII9R.(�SW) � ��""7 I
� Ul,eeawnerNNepmpaM/ormyemplayeaewlthwepwnvNelrwlernnpen5atlon,w1110oUallalarUDoNane � Commamiel I
� ol Ne work,antl t�e shudure Is nN InbnGeG ar Nleretl lar sale(SacOm]049 Budnase enG Pmkssians CaEe l�e m
iCantracmre'SmmllcenselewAoesnatepPlyroenowneralpropeM��Nrouphemploy�ea'wpersonalellM,butl6s
i w Impm+as Ne pmpeM/,proWGeG tl�at the Impmremems are nN IntanEaO or olhreG kr sale R Aowevaq roa bullOing or
� imprwemaM is ealG wiNin me year ol mmplellon,Ne Owner BmlGer wlll have Me buNen N prwing Mat it waz nat bmlt
� w ImpmreE lor tl�e purpwe N sale�
'� (]I,ee ownar ol Ne pmpert/,em e¢luelreiy m�NeNnp wtth Ilunwtl Cantrecbre ro mneWCH�e pm�an�Sa1bn
� ]OC4 Busin�entl Rolevlone futle The Cantrecmre'Sm�llceirea lew Ao�nN eppty in en mmer al propeM� Valuatlon � Atl� Area
ire
� bu116salmprw�NneanenAxUamnVazlsbrNeqol���ellceamACantrectarpursuamrotl�efmbacmre'Stam pUANTIN DESCRIPTION FEE
Y Litenve lew� �
� U�em m�emV�Iwn Ilconsure un0ar Na Co�Nac�Yc Sb�llwnsa Imv brNe IdlmAnp res9oMe4 �
3 �z Bym�apiuWrebelawlazknoMeEpeMal,e�ceptlamypereauiregEe�innn¢nlmustnereres�0etlfamlmslme w
� fearo�ammmpeoonoltlelmpmrememamvweGtrimlepem�rcicennatrepa�rywlla�ucwretlatlherebultlssen �
- amer-buAEerllrtlasnalEeenm¢Vi�ElnlbmNrerybYlkeneetlmnVectaelwEaspiWMataoopyNNeeppl�Ele
� IawSstbi7MeWNeBualimweMNW�Imumtleberdiladeuponrepue9xUanMbepplkatlonlssubmMNa�
� NeldlanMN'eEdmht�MxwlWiMoraBw'/alawlNnl i i
= OATE $IGN � I
— ucw�o wxrxacron�s o�,vwnnox �
-� I�dt d@m uMer n N 6
y b/ pealq pe�uryNallemllceme0un00rOm141areNGia0�er91��ntl�pwll�SaYbn1000) I
� ol DMslon 3 N Ma Budn�aM Prolaebre COEa en0 my Ilcona a hIn NII brte aM eflal
n LICENSE S C 3 a uC N� / �� �� O �
� DATE� WMPRCfOP �
� WOBI�A'SCO noxocannnnox �
y IHEAEBYNRflMIINDEAPEWdTYOFPFRIIIIf/ONEDFTMEFOLLOWINGDECWN710N5 ��� �
� I Irare aM wlll malnqln a CSNfld�n ol Cans�rt b Satt Insure Ior WorX¢r B Canpens2tlon av pNVIEeE by CONSTRUCTION
SaNm3]OONIAalaOafutlabrtl�apa�MnanceNtlreworklaxnlc�NlspaimnlsWuaJ p�,qNREVIEW
�a �I�ere entl MII malmalnWUFor'e Campan9etlon Ireurence av repulred Ey Sec9an 3100 N tlre ltGarfntle fa ELECTRIC I
� MepaMrmanwWroBwarklawhlc�tl�IBDeimtlls�nuaJMyV.bMerbCampenvtlonlnsu2ncefarMranG
ad PoIIryNumAararv L / PLUMBING
� GqpIEP (� �f' ���"� '� MECNANICAL
i
� POUCYNUMBEA _Gt/c�4 S�J I INSPECTION FEE
n (IHISSECIIONNEfONOfBEQ7MRFiFDIfhIEP9iMRI5FOPDlEHIINIXi�DDl1N6($10J�ORlFffi)
ISSUANCE .��J°•f�I
� ImMytliatinNapo�mwmaolbawak/awhlc�Mbpa ISlssueUlsANlnotemplq�enypersoninenymanntrsomm L� I
� bam�na subl�m Iha Nbikere Canpensatlon laws M la Mtl epreg�that M I shwlA bsome sub�ect b Ne NbM1eR SMIP /• �J
� Canpe tlon bnsNSeNan3l00NMelaY� lahalll �ir,omprywitnttwmD�'�Slws ENERGVP/C
y DATE 7 I APPl1CAM � ENERGV PERMIT
� WM ING frell re m aecure Workare eanan carereBe le unlawlul ene NWI suel��e^employer in ctlminal RETENTION FEE .1.0o II
y peneMm anE cMl Anag up m ana�unE tAous2n0 Oollare($100 000) In eEdMan m tAe mel of tl�e compensatlan
i Oemapesaa0���7�Insactbn370Ba1NelabormGaln�aresl,anOeqwnOyeiaes PRE-ALTFEE I
�
y fANSTHUCTI0N18�01NGOf8NCY BSAF �� �
y I hereb/alPim unEer penalry N pe�ury N�Mare Is e Canshuctlan lenGlnp Apenry/a Me pertarmenu N tl�a xvrk lor
s wAiGiMupennOulauaJ�5ec70WGvC1 I
3 IENDEA 5 NA�1E
I
� lfNDdiSADDHE55
i Iwmrymal�nawrcaamuapollmnonenOam�amatmaaeovelmwmatlmismrrxLlepmmwmpryw�ma�latyam TOTALFEES ]a`'. F'Y I
-° munrywtllrencwatlsmtalana�elatlrqmOmltllnpconawcvonan0neretrieNM1=erepiwerietrreaalMumuMyb COMMENTS J JQ I
� enhruponlheaDwamanhwwUOmGMyMimOettlonpurpwm
�
�
a i
Q PFAMITIEENA�IE�N1) !
n /7
i SIGNANRE OF PERMIf1EE Oq1E RECEIPT N��_y� PND BV��q � VALIDATION i
WHRE-DeparirnBnt Capy,YELLAW-Flnence Copy PINK-Asvessw Copy GOLDENROD-File Capy,GREEN-Appkant s Capy
CITY OF DIAMOND BAR
INSPECTION RECORD
e � • o - • e � • -
SETBACIU LETIER TRACTAND LEDGER
FDOTINGS FORMS SWITCH GEAR
SLAB COMMERCIAL HOOD
UG PLUMBING T-8AR
UG ELECTRICAL INTERCEPTER
UFER GROUND HOT MOP/SHOWERPAN
SEWER LATERAL SEPTIC/CESSPOOL
MAIN WATER LINE HEflS REPORT RECEIVED
SEWER CLFANOUT DEMDLITION
ROOF SHEATHING � a i /L� ROOF DRAINS
FLOOR SHEATHING ROUGH CON�UIT
SHFAR WALLS EXTERIOR POOL/SPA
SHEARWALLS INTERIOR ROUGH PWM8ING
FRAMINGNENTING ROUGH ELECTRICAL
ROUGH MECHANICAL ROUGH MECHANICAL
NOUGH ELECTRICAL W( )C( 1 GAS TEST
ROUGH PLUMBING PRE GUNITE
INSULATION WALL POOL PRE DECK 80NDING
INSULATION CEILING P-TRAP
DRYWALL FENCE/GATF1 AIARM
LATH(PRE) FINAL RQ4L
LATH EXTERIOR WALLS
LATH INTERIOR WALL FOOTING/STEEL
GAS TEST WALL STEEL tn( )2N0� )LIFT
SCRATCH COAT WALL BOND BEAM
ELECTRIC MEfER RELEASE WALL DRAIW SFAL
GAS METER RELEASE WALL FINAL
SPECIAL WSPECTION RO FRAM6VGPLAIdMNGPPPROVAL
FiNAL BUILOINfi ROUGH FIREAPPHOVAL
FINAL MECHANICAL FINAL FIflE DEPAflTMENT
FINAL ELECfHICAL FINAL PLANNING
FINAL PLUMBING FINAL ENGINEENING/PW
T C of OCCUPANCY FINAL COMMUNITY SEHVICES
CEIR.ot OCCUPANCY FINAL HEALTH DEPT.
FINAL INOUSTflIAL WASTE
COMMENTS
