HomeMy WebLinkAbout15-1223CiTY OF DiAMOND BAR
DEPARTMENT OF COMMUNIITY & DEVELOPMENT SERVICES
21818 Copley Drive, Diamond Bar, CA 91765 PRESS
` ��,� (909) 839.7020 Fax: (944) 861-3117 Building Inspection Hotline (909) 839-7027 FIRMLY
�'� BUILDtNGPERMITAPPLICATION
LI')l
JOB SITE ADDRESS fi
I { S tJ t`� �.} (-/tLla_sl �'7^
APN LOT.. TRACT
OWNER A rNaW4.......—A— SPA T*010"k
ADDRESS 31'1 501 61l Lor
CITY ZIP G1,1165'_ TEL
APPLICANT TEL
CONTRACTOR L11SL 4Naicg PiL,,Mi3i"fA
ADDRESS 4 L L
yi�
CITY CJu',I�v`itTT1A ZIP�TEL 626^355 x33`1
ARCH/ENGtDESIGNER
ADDRESS
SFFWOOePEM
CITY ZIP TEL
OWNER -W LLOEt DEMARATIN1
1 hereby, strain under petty a perjury Ind 1 m Mmes from de Ccofractw"c SW LkoaW Law W are noider(ej
lancated below by Me aiwxnmdRq i hank PNrBt rmxf as ma wpkahe NmiNH pulsed 70316, foundidend era
P. ons Dodo Any cli a cohndy int re6uNa a permit to ea twk 9W depend, dwaable, a reeds, Wry
ebu hoe, beer N Ra NaWasse, alsonawfl m are"Plkwrl fer ft pwwa w fife a ended stoamd IDM we or Saw
is leerwed peauard to ire aowwaa w the Contractors Sbffi Bcehee is* piredwer BS who BSDm
M011 al Obblon 3 d Ras emimas Wd PretWalaas Cabl a tat be at we IS thenad hen kernewo and the Iasis#
the Sens( uwraton Aft Mission of Eloped 70315 byaRdial tar a Meet wbweta the abacandffieCNN Moody
at not,Yem item I" hundha l bonuses 101500)
U 1, as awlsr a the pwrty.a my war wandPAWS* mmpCnerous, veld da{} ad oforu moreover
of #4 work are IDs sfmcnre Is not demand a aIIered ter Ne NOW TPN Oubstria arra Peorwimw Cote The
Cwhinactuns 9faor tkenm taw axis Wtoady m an mnaOf MISaftl wap mhogb", Mn W Dr wlwael eEat Wilde
Sir improka de drapery prowled one #s knpmweaenis are ad IM.atded Of offered far sae It turnover, Me buadioq a
unPrewmenp a add wimm are }`� Aaunptewsi tin Oemw 0vydeh seal nave tw burmna wawlp shat n w®ra buns
« Aa awwm�w�l
U L ea menet as Ore pnxirN are aadmtWvc nbaetlnA with D[eebtl Owshciola MmrslNet the prodat 15eceon
70N 8uamw sib Ptcaeda•.a Cada Ttk Cm!m a' S1ffi Ixame Lex apes mit aPPN m an awns al prepafty wino
baa«impmww ".anon and who rmostaby'..e pmfect4 w;ms Ikeiw� DmhaAUrpumJeRs mine Codraaon' Stem
Lkmhw Laws
U i em exempitrwn kiwoure under the Caiheemfb Stes Unh as sew lorthe btlowito mworo);
By nysgraWratebw l ackadedge that except for my penuld residence In wNeh l must tam handed fix at Wool
yes p lv m wmplabe , of the impovemen6wwerad by mle pahmlt I cannot leAaRY wit a Pardon -id I hart bAnwen
dhw mad In as amlmtyI, liwneed mon 1 phase copy of the wpl.Cbde
law Santion 704
taw Sactlon7Wa of do war this
Prweaslons Cade Isemtlabm upm mWner sennet mle eppkCdtennswbmlXndaa:
o Burin spa and regard
eg
pinne59and
tlw #RxtlhP Wap sem hthMsww legirtb ®tor/alawhpnl
DATE SIGN
LICENSM CONTRADTMt'6 DECLARAiWN
I hereby Mellon, under Sunny of penury, (hail bas learned over array R or Depen P,canmenpnp wan Ssedm 70M
of Dhdsen 3 of the Bupness bad ProAxsuk rs Code day are Raise b a tub hrcemd 51W
tKENSE C A uc �� � ��
.......... oro
DATE S 'L- \T s:DttiRALTOR t�}V.ic s..tj,(w..—.
WDNI®CS COWBOATmN OLGIANATIM
Y AFH RM MMA FDATY OF PLTWRY ONE OF Tiff FMLOWWG DECIA I
I haws am Sea maakdan a CedOke9 of Conant to 5ed4mum IV Welka6 Connotation as pmrdm by
Senate 37M B Ere Lora Cada far My #naxs M sire wore bar which des Peine b eww3
Ii sea will nRMwnlYarygr§ CamP� boarwra a husband ny Seth 37M of our Lazar Gds or
the nartambaarcath&work # widat trnpsma Iebwai daY Vm+lt«'e ComDwiaalun MAUmaR CPIsNrsd
Ppky Nlli!$piare jj
(.Annie
wbucewasbi .- Sr7'Lotaq(%Mtt Wt-COot
{itiB�T,R1ON tJEEDHTf DE WAHiiFOFTNEP@DyT6PoR OSEH0.9PID OOl1A/i5¢t0(p CAff.5sry
IONaydwtm matertwmsMawmtl work#Whxatmbpanrd bbakd I#mN n01mp1oy srypsem Narymmler semis
bearne mace Workers C«mahwtlai tswaa CNdomla Mtl agree that d I sand became aublect m int Wmkar§
Campe �T � MSdetim 3T00MT�tl�w1��(«� Cara talvJlrommltn corn wen mesa ravbene
PN P
DATE AFFUGM l y-"" 1w015 Ann �+- '.
...............—
ViNIISWS EaINre m owe sYpkws Cmdefceatlan oWemge b unbwNl and shat 6begept an ampmaer to almeai '...
pmOft and rind Maas up m we hundred bWsad Millard (Slop, ODD) In aadkbh to the Pad of the ttmpmwbm ''....
Mundane as pmwded for in coupon 3708 of the lata a s, inlwav, end anomeA sea '..
GMTRWMN LELDall AGENCY
I henry NOW under Me," of an*" the. there is a Consthu ew un irq Agency # the pafarmatee of the wank #
whim the ended Is taued (San 3087 Ce C)
LENDER S #AEE
LENDER S ADDRESS
f Conty ma?; he" mad me aPdbaean ad sate tret me ap«'e hmamwbai is wnea I agree in corda.y wpm els pry and
w ah, amnornoaand enb Iowa mating m belong anourtOxOm, and every au"prka mPamniayww of ndsseamy m
order upon me earls® mor w plapahy#nwKbm Pmpamb
PJ1t� V:)I�)4E ,1u'—'
SIGtiARRE D&l;§BMRiTE LATE
APPLICATION DATE
ISSUE DATE
TYPE CONST
}' ;z7- Or T P/C#
iA Lel I S PERMIT#
OCC GROUP
1
ZONING SETBACKS
FRONT_... RW
REAR
SIDElSIDE STREET RW
SIDE
1
❑
❑ 1
❑
PROPOSEDUZ
#DWEL UNITS
it STORIES #BEDROOMS
DESCRIPTION
SO FF FACTOR PSF ADJ AREANALUATION '
SFFWOOePEM
'
GWWWCarpat
..........................
Pal hDook
LL
Potvspa
Z
Rp-F pf
_J
(;C(fYtl&CI81
m
�
I
Valuation
Ap/ Arae
QUANTITY
DESCRIPTION
EEE
i
i
z
So
i
i
�
1
CONSTRUCTION
PLAN REVIEW
I
ELECTRIC
PLUMBING
p
17flr Fi 1
MECHANICAL
INSPECTION FEE
ISSUANCE
I
SMTP
ENERGY RC
1
ENERGY PERMIT
RETENTION FEE
PRE -ALT FEE
Old ,
BSAF
TOTAL FEES
COMMENTS
Doc" or
RECEIPTO 413
PNDBY VAUDATION_CF
WHITE-- Department Copy YELLOW — Finance Copy, PINK—Awaador Copy, GOLDENROD— RIB Copy, GREEN —Applicant's Copy
CITY OF DIAMOND BAR
INSPECTION RECORD
FOOTINGS FORMS SWITCH GEAR _iI
CD
SLAB MMERCIAL HOOD
UG PLUMBING T -BAR I
MAIN WATER LINE j HERS REPORT RECEIVED
SEWER CLEANOUT DEMOLITION
ROOF SHEATHING ROOF DRAINS
FRAMINGAIENTING _
ROUGH MECHANICAL _
ROUGH ELECTRICAL W( ) C { 1
ROUGH PLUMBING
INSULATION WALL
INSULATION CEILING
DRYWALL
LATH (PR _
LATH EXTERIOR
LATH INTERIOR
GAS TEST
SCRATCH COAT
ELECTRIC METER RELEASE
GAS METER RELEASE
SPECIAL INSPECTION
FINAL BUILDING
FINAL MECHANICAL
FINAL ELECTRICAL
FINAL. PLUMBING
TC of OCCUPANCY
CERT, of OCCDPARCY
COMMENTS A10 C41r(2
ROUGH ELECTRICAL
ROUGH MECHANICAL
GAS TEST
PRE GUNITE
POOL PRE DECK 130HOOG
P -TRAP
FENCE I GATE/ ALARM
FINAL POOL
WALLS
WALL FOOTING/STEEL
WALL STEEL 1 � ( ) 2HQ( 1 LIFT
WALL BOND BEAM
WALL DRAIN/ SEAL
WALL FINAL
RO FRAMING PLANMNGAPPROVAI
ROUGH FIRE APPROVAL
FINAL FIRE DEPARTMENT
FINAL PLANNING
FINAL ENGINEERING/ PIN
FINAL COMMUNITY SERVICES
FINAL HEALTH DEPT
FIN L 1 DUSTRIAL WASTE