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HomeMy WebLinkAbout15-0077MP FI 5 •~� CITY OF DIAM( BAR DEPART IT OF COMMUNITY & DEVELOPMENT SERVICES 21810 Copley Dnve, Diamond Bar, CA 91765 PRMS (909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline t909 $39-7027 FIRMLY BUILDING PERMIT APPLICATION JOB SITE ADDRESS 37 UIR6 D 4"lO U APN LOT TRACT t)1NIsIER ADDRESS 15� €If 10, CITY ZIP_ �4W APPLICANT 1 i l _1 [ S TEL t7 0 C% CONTRACTOR _... ` A ADDRESS n }� �j CITY ,,g /'"1 f•""«�,••. ZIP cR Z7V'7 TEL _)f' �41-Ta o � 1_ ARCH/ENi:VDESiGNEA ADDRESS CITY ZIP TEL 0"ER-11Wg.t>aRIIEC ARRI'llm i hereby affirm w4or t ?y of parptry plat I am aampt item Ina t7anflinitcta`s state Ucerw Low fair the mpasortle3 brad== below by the tfAnkma loi, I have placed neat ID de Vplkabta Itern(a) tmdoni MM 5, Bui lne4a and I MI-11luea Gory An diy er *am the reMAM a PKM to aarsbuct, a for, Im m*l dies, for rwpalr, my auect % prhx to Ills Iasrttnoa, a o "Iles the appllaard tar ft perntll to file a slow sutionsoii fi at ha fir atw thikreadpu[sintill €Nte pwAs1pae, otthe Caoiraober'sSiaieLh rseLaw10wipter9)OwirivinilingwoSection I=d MIon S of the Mislainfle and Whit is a fiefs) or that he ur an is exempt from Ilcar m and the hash for the aw eaamomMyvhtalfOn19swomr70315byanyawl kw for m€emitarbliamthe applantWatir#POW* of root ma a then firs Mmdred dolata (SM i t t, W mnr of the proportyl or my ampleepoes whir wages as Mau m* wripens0m, wul de U fd of rxtw.t pON" of the 1t,att, wad the structure Is W noodsif or offered for gala (Season 7044, Bow om end Rolsoum Coda Tie Cnn4'acidra' Store License Law does not apply m an owner of property who, fllwough employm' a personal ¢fiat Wigs or Improvas Thor prWrty Provided that the ftrommenh are nat Wended or r#fored tat We If however, the Wk OR J or rtprvnrua Is add wain aria yvr of complohon Me fawner Braider *1 have tits burden of pomiing me€ It wee tip hirdt or hiprwad far the Ix+TXW at two I LI 1, as awmar of ifs Marty, am eaduoW with Ilalnsed Comma to tang" the propect Pom 7044 k ¢rim and: P:afass ons coda The 'State kkense taw does iv al W an ownef of pt"M wbo eulldsorat rv+esthwrwonand who cartaMnor Megr rrlfhaticensedCanVaattxlunwanttothe Contr¢clnra`9w$ License taw l U I am aftmottnm anenslrre under the Gadrartes Mile Ulaeme Ian for ftw buckhoptill mzswxsl By my signature below I w Aro¢v W* mat, moot for my porwro residence in Mich I outfit bm ruided for at leant boor your prior to manootion of no Imps wriarda arvured by tire PwMi camgt legatty sell a structure that I have, bull man owrr—builder ifdbps WbwoyalnjMIrtIts "ftlyty opened w,'e=rl funtiwrshm�dratwctt nCiiimwPPllcabla law Section 7D 4tof the Siojt hos ad Prafopelona Code Is scut upon request when this appkebm is suamtded or at r3ht tddpwhtg WYb cote htatrwww eta ga,rlc#rlaw fibre DATE StGtl LICE SM CONTRAGTON'S PEMAMON I twebY affirm under mnaty of pajin thed I am IItensod under prevtvim of Owec II (oanrenciag well Section 7' X): of Qlv w 3 or the Business mid 11Mfoaskins Code and my Ticeriaa b to fail€ fume and orlect HAS$ C_ 3 ..........�......—.. LIC ND .•..._.. C� �' TE CN7RAC R 1 'S C0h1 IHEREBY AFFIRM LWDERPENALTYOFt'f.R.nMONE tFTHE FOLI.L"1306CLARAMM I have am will mainta7rl a of 0o f to UK Insure for Woikwa Compensation. as provided by Section 311W d the Lobar coda for the porlarrtance, of the wwk for whk h tt*s pelmet Lv issued l have aw wu ma:dtain woftrs Can ov a om ftwince. as required by Section 37M of the Labor Goda for ftce Vwbroce al the work for whO this pa" Is Issued My IYbri4Fri Companaboa InananCa C"ar sad CA Number are q Ci+BP�v T ' EJt X P€€LaYNU48EA _- LIMSTCIMOMNOT AECONE1.f:MrPTHEPOW1;WONEIfLrNtO {Stta0WI1N% I cM Me In ft pBrIormince cdtteworkfor whvchthspiondki:i oo,Ishollnotemployany1onsm[nany r'annarmasto berme saw to the V*00's conwoabw laws of CQftmbL And Woo fist d I sfeild becalm PJW tr dtw worka'9 C;empensabDri peaveDworSeciam37CtioftheLeberCock,I aW b1mithwn*with 6,amPravdas QAtE APPi ZW WON" Failure a3 6eraaa Wortso . o"nuticn covefaga Is ot+rwitr# and dWI oublect an »InpbW m CrhhW partafties brat civil fines up w" Iaaat see thou.wM da0am IVO OW In asktt€rn m tl,e met of the camporm.,ori diuWas as pmvtded fort sectkus 37M W the tabu^ coda, Barret and atuiriety s task OCUMUMON LENOMAMMY I hereby afflnr€ under penally of pe*ry That than is a Construction Leung sgonq for tho performance of its work for w4t�ch this penret Is issued {Sort W97 in G ) LEWER S kAME. i,ENnlEff SAtIORESS I cerbty fled I have need this appicmtlon wd sty €hat the above Infaftnaboo IS Carmf:L f agree to comply wM al cy and county ordrusem and sm'a Paws Watxq to bfrng comiVractlarr and hereby a dipr{xil Ngreser fives of this cax1y to enter upon memiored ¢rape or i=bnpurpmll PEAn� Dal! APPLICATION DATE {"` " '" Cr j P/C# ISSUE DATE 1� ZIL aL h 5 PERMIT# PR %S —' Cb '"t- r TYPE CONST UCC GROUP------------ ZONING SETBACKS FRONT RW 0 REAR C7 SIDEiSIDE STREET }iYY SIDE 17 PROPOSED USE 4-4 ' 4Ci d DWEL UNITS # STORIES # BEDROOMS DESCRIPTION SO FT FACTOR PSF ADJ AREAfVALUATION SFFVADDIREM GsrsgalC,arport tit t,u PotlaPDoek = ' � Pia I Z F3y-F;pgt CenranercW r Yaluaikr0Q0 Ad] Area ------- j QUANTITY 015SCRIPT40N FEE I IF 1_� 1 II �i 7E 9, CONSTRUCTIi}i+[ li 1 PLAN REVIEW r 3 ELECTRIC S.7 51z, PLUMBING MECHANICAL INSPECTION FEE ._.. ISSUANCE `71 1- SMIP $C.► ENERGY PIC ENERGY PERMIT RETENTION FEE A. - PRE-ALT FEE BSRF Q� i pp TOTAL FEES ti! �J-� COMMENTS ) I 111 FtECWT s " : _ w� PAID BY VALIDATION WWTE — Dep tmom C*y YELLOW — Finance Copy PINK — Assessor Copy, 00.II NROD — File, Ropy, iAEIEN -- Apptk=Vs Copy CITY OF DIAMOND BAR INSPECTION RECORD "SETBACKJLETTER FCIOTINGS FORMS SLAB CMIMERCIAL HOOD UG PLUMBING T-BAR U6 ELECTRICAL INTERCEPTER LIFER GROUND HOT MOPISHOWE;R€'AN SEWER LATERAL SEPTIMESSPOOL MAIN WATER LINE HERS REPORT RECENED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT SHEAR WALLS EXTERIOR PD©LISPA SHEAR WALLS INTERIOR ROUGH PLUMBING FRAMiNGNENTING ROUGH ELECTRICAL ROUGH I ECIiARIICAL ROUGH MECHANICAL ROUGH ELECTRICAL W( ) 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 POO LATH EXTERIOR _ WALLS WALL FOOTINGISTEE'L LATH INTERIOR GAS TEST WALL STEEL Is'( ) 2"°( ) LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/ SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION RO FRWMPMMGAPPR" FINAL BUILDING ROUGH FIRE APPROVAL FCNAL MECHANICAL FILIAL FIRE OEPAIRTMENT FINAL ELECTRICAL FINAL PLANNING FINAL PLUMBING FINAL ENGINMRING1 PIN T C of OCCUPANCY i FINAL COMMUNITY SERVICES CM 0 OCC PANCY FINAL HEALTH DEPT FINAL INDUSTRIAL WASTE COMMENTS