HomeMy WebLinkAbout15-1852�.... CITY OF DIAMOND BAR
DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES
21810 Copley Drive, Diamond Bar, CA 91765 PRESS
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(909) 839-7020 Fax (909) 861-3117 Building Inspection Hotline (909) 839-7027 FIRMLY
BUILDING PERMIT APP ICAT10N
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JOB $1TE ADDRESS
After LOT TRACT
ADORE$$ 47433 S • rIC Gl12fp — S 7,
APPLICANT yy_ TEtL
CONTRACTOR �jj / � r `� &e
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CITY otCyK/4 ZlP ailf TEL
AROHIENG/DESIGNER
ADDRESS
CITY ZIP TEL
OWNFA-611lt[ 119C NATIN
I houOy *rr m urrkv tfaropty of per ilrt' scat I am ewrO from Me Contractors State L keraa Low for V s r easor"
holoated brow by to V� I ha,* Woad nerd to the appolcable derfiN (6edkrn 7MI.S, 00trim W4
Nvusahm Cab Airy ctt<' W colarty 00 ran e a putt to, rcrsalrrctt , drrnp64tA ar reply my
rhft fir, WWI* tfaf fxswx*� atsa requires IM for this parmtt to iab $WOW rittatenot tttet hs a efw
its OW4110d piE# "14 the "Isbu at ffw coob� State U MC Caw Plapha 6] wMi 5eeff41
MM of o r sba 3 et Tfte sauhrata oats Rye Owe] or ". #re or V* to eon from T txa and its basis htr
Mo eatemDiranl4ry S ian7Q3�5bCaar$iRtca CarapbmutsubjdttstheappthardioacMEpen�ty
of,ratmina than Lira hundred defers Ia500i
(.)# do(-) all of er li] portions
nr the We*, Ord Oro auucture le not Intended or af±ered for sad Iser!on 70K SAIIM wrd NOWWO CWQ The
CorhechoW Moor Lanso law door not apple to an owrierofmcem who Mmuott empktym' or porwol @Rat builds
Or itm� tit pnod ty, prwlded that the rraprwernerrls am riot Maded or offered for sale h howmmr the balding a
impmveraem is sold wain ore yaw of corroutlrm the Ormer 80dor will sieve to burden of proeoV toot It was riot budl
or i ntim d for the wipona of we)
i J I, as owner of the propsrtyi, am exdusleety mntracbng with fi ensed Contractors to carttruct the pm]eal (Section
7044, 8uainess and R*=ions Cade The Guroamrs' State Oconee law does not apply to an owner of teraporty who
builds Or Improves Maroon. and who contracts fa the pr*cta with a Hwnaod Conimtol pursuant to the Corthaadna State
License Law)
(j I arcs eitompt from peonoure under Me Cantraeter s State License law for the following mpndr Wo)
By my aignatire behsv': ecMmmodW that except for my persons) residence A which I must rave resided Lor et ?oreA doe
W p'tor to completion of the lmprp,RMfft cmerad try this pormff l cannot eep!ly 01 a structure that t have twist u an
owner bustler d it has net bear WaMCaid In ttg erertdyby licensed coinbecIffs I undsmo cod that a cagy of the aple=bte
law Section 7044 of Me kwm and Rigor tons Cade Is avallable upon, rowst wham ttds eppicow Istuboutted or at
Nea(db"W*sKeIdgl, " topic ca,Bm/q*whm
DATE
Ltd GCNtTyRACMIS DECLARATION
i hereby o tom use Deity, of pg*q %at I am Ocensad mnrder "Ikrra of Chaps 9 €rororre" wJh Seeban 700)
of DMOloa 3 Of the 150ow and Pmfs4a7pns coda and my Imense Is in fud face and eftftcl
iQMQASS , -2i� 0 fit: NB
Iia,TE * "t C""MMMCTOR
1tR RM'S CONrENSATION oECLAlLtWN
I HEREBY *RPM UMER pEWUY OF PER.,' R( ONE OFTHE fTJLT.OWtNG4 BECLAPATIONS
I revs and win maintain a Corblkft of Cbtrsera ta Sol Insure for Vk(W's Campensadw no pot ON by
Sodom 37DO of the tabor Cade forthe mb it errco of the work Ica- which this ourmi is Issued
�vs I have and wif martzin 'hart Ccr)pensatron insurarca as required by Section 3700 of tlho Labor Cade Fein
f the porhe+nanm dl to wank to which this perm$ le Issued My fti ort Cnmponsahon hrsurenoo Cwrler and
Policy Numbor we
CAAWER _'wit rsea
(R15SEC" WDNOT BEQOV EIEOIFTHEPEFWtSFORONEKNMLiBU!#lLiOIMORL1S5j
I certify that In the per ormuroe of lie work tar whkhftdo pmTd h h usd, I shag not employ,;" Pin In orrlrmannerso as to
betLme cubliect to the W arls Compensation Lan of Celfmrlla And agree Mao if I shau baoorne s ibuxi io the woroierb
Campetgabon provseor s g ltorhm 3700 of iota Later I shell b-&M tr compiv wb those L>
APPLICANT
WWRNNG .NoGure Lo secure YAarkar'e Cot>pensa0on a a ullawu and Oman subgt an a IGM to ulrniral
pwabiea and cwrt Tines up Lo are h:adred €futusand doitars 0100 WGS , in addtivt to the Cast of €ire raTmwd6on,
darnages as prarnded for in sat:Lbn 3709 of the Wor owe intOW ana ffbmqft gees
(IMM it{lft LENDRI # AM=
I hasty sflinn r wettly of ply hart 0%unt, is a Gpostruom Ling Age w for the porkermatu of itro wale for
Mock ft gotrrbt s issued (Sw 3097 Co C )
S NAME
LEf RSADDA s
I verdfy that I bava road this sppl;cow xW state that the above Wormri<Mw b tarred I agree fo co mpfy with all dty and
county udamgm and shto iawm relating i o audd n6 aans'uction, wd hereby authorize representalla%of dais county to
erne, moor. the ab" rienbawd pmpody iw Inspoction x pom
zz41►% _
PEBMIiliE1 NAME fywm
SIGtJ1iTllRE OF MWIT'la 0 r OATE
_.. G.: i i -1(! P/C
APPLICATION DATEL.
TErI
ISSUE DATE 4! `�" 4rPERMIT#
TYPE CONST @tI�LG_ OCC GROUP I
ZONING SETBACKS
FRONT
REAR
SIDE/SIDE STREET
SIDE
Rw CI
C1
RW C
C
PROPOSED USE
A DWEL UNITS # STORES # BEDROOMS
DESCRIPTION
SQ Fr
FACTOR PSF
ADD AREAiNALUATION
SFNADWREM
Garegivr-port
Ili
Puft0eck
i
Re -Roo(
lazAl
Corrrrerclai
I
ca
I
Valuation
Ad] Area
QUANTITY
DESCRIPTION
FEE
ui
r
I
m
i
0
-----------------
CONSTRUCTION
PLAN REVIEW
ELECTRIC
.'ryi�
PLUMBING
MECHANICAL
INSPECTION FEE
ISSUANCE
1
SMIP
ENERGY P/C
ENERGY PERMIT
FI TENTION FEE
P'RE ALT FEE
3
BSAF
I
I
TOTALFEES
COMMENTS
'
I
RECEIPTA.. AJ FIY PALD BY' ✓ J.? VALIDATION
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WMIT — Deportmord Co" YELLOW — Rnance Copy. PINK— Asae*w Copy, GOLDENROD— File Cotay, GREEN — Appfican!'s Copy
CITY OF DIAMOND BAR
INSPECTION RECORD
INSPECTION DATE INSPECTOR, INSPECTION
SETBACK/ LETTER TRACT AND LEDGER
FOOTINGS FORMS
SWITCH GEAR
SLAB
COMMERCIAL HOOD
1IG PLUMBING
T-f3AR
..........................
UG ELECTRICAL
INTERClwMA
t3FER GROUND
HOT MOP/SHOWERPAN
SEWER LATERAL
SEPTIC/CESSPOOL
MAIN WATER LINE
HERS REPORT RECEIVED
SEWER CLEANOUT
DEMOLITION
ROOF SHEATHING
ROOF BRAINS
FLOOR SHEATHING
;: ROUGH CONDUIT
SHEAR WALLS EXTERIOR
POOL/SPA
SHEAR WALLS INTERIOR
i ROUGH PLUMBING
FRAMINGlVENT
ROUGH ELECTRICAL
ROUGH MECt#W
_
ROUGH MECHANICAL
ROUGH ELECTRI
[ CAS TEST
ROUGH PLUMBI ' . Fi,
PRE GUNITI_
INSULATION WALL e
*
POOL PRE DECK BONGING
INSULATION CEILING
P-TRAP
DRYWALL
FENCE / GATV ALARM
LATH (PRE)
FINAL POOL
LATH EXTERIOR
WALLS
LATH INTERIOR
WALL FOOTING/STEEL
GAS TEST
WALL STEEL 19 ) 2"P( ) LIFT
SCRATCH COAT
WALL BOND BEAM
ELECTRIC METER RELEASE
WALL DRAIN/ SEAL
GAS METER RELEASE
WALL FINAL
SPECIAL INSPECTION
-•'"
%
RO FRAMING PLEWMNGAPPROVAL
FINAL BUILDING RDUGH FIRE APPROVAL
FINAL MECHANICAL FINAL FIRE DEPARTMENT
FINAL ELECTRICAL FINAL PLANNING
FINAL PLUMBING FINAL ENGINEERING/ PW
TC of OCCUPANCY t 1NAL COMMUNITY SE:RMES
CER Of OtxtIPAl1CY FINAL HEALTH DEPT..
FINAL INDUSTRIAL WASTE
COMMENTS