HomeMy WebLinkAbout15-2270CITY OF DIAMOND BAR
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21810 Copley Drive, Diamond Bar, CA 91765
(909) 839-7020 Fox. (909) 861 3117 Building Inspection hotline (909) 839-7427
f�BUILDING PERMIT APPLICATION w
JOB SITE ADDRESS 91r 7 r
' APN LOT TRACT _
OWNER
ADDS
CITY ZIP EL
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APPUrAI1°[" L
CONTRACTfR /171
ADDRESS
CITY" 2IP TEL
ARChdENCst
DESIGNER
ADDRESS
CITY ZIP TEL
OWM BiRtDERDLUARATt1N
I t T amnr a+dar per;M d Lit mat I am a Inn tre Conw rdar's Sm L me Law for the reaearfsj
!Wk b*m by the cthscio a) i how pfar� r*xl to 1WTO) Moctfssr nM.% end
protankm ti'dd9 my ofty or no iMubw a p�ermo ,1 , � & repaid. �
I FV1arhm prw to rta im ance. tBfgiBm Ala dpplK'.arti tar parr[ to R[a a 1i 11 of arttettt M 11a er 6ha
4s# ad trsa'wMko the pvua mrmat ft tarEreM 8 Stft LiLiadB isa � 8) Cmnr rNA Swam
i af Dlvom 3 at Ora e and Pr m Coal N mm he or a�rarnpt from Ikxetsm and 9m baW for
? tro VOW axorttplkxr Any AD:.Mon of SwUon, MI 5 by aoy appkedrt for a wmt �'t the appl.km to a dot penalty
of * nn hoer lumdred donsre ISS"
01,asowerafftprop",orMemple i rTagesasftfWe #iDdotjanoforU0 'd
at the wwK ao to ftucaue Is no4 kda€riafl at offered for Sala (&aC ion 7044, and Ntrfrs wts Code The
1 Cerdr aclenir t kwss Lsw does mi � th ao, of p€ppelty Ott, thr gh ror $qW or pamml OW, bvw,ks
a or (mpnn itre Wnp ty: provided mat the mVmvwr** w Intended or oft d fro If hox ever the butbIN or
g Impinwwrort xdihh one yrar of omp fire Dwor Dukdo WK have tra Wren d MxN that A was riol DO
1 w IorrpnmW tar prrperrs of mle I
(L.) I, as Owner of"tom, ern axctucrvsty we kenaed om#80a Z twetruf Via pmod Pechm
MO RushM arid Notaw�arrst Coda The Contractors' LJ Law dog not > f to an omer of property vtp
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Lj I Am exempt fame >t C WOCWa S bourse Wei fog the 101mri® feasm
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BY my agDstwu below 1 e� atal 1tr hny p� s kt woish I must d�1'a resided � aT t®61 one
year Oft 10 compleOM of N comed try Chia pixtftt;.f d X01. M y sell a sMzkn JIM 1 r auk as an
° ow€wr WkW If It tree nat bw t� m R3 entrety by wrt me4ra I underiAW trot a M m me
' law :action 70M of the and Prdesskm Cry 4s wagffils t on request wtw tds Is
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y mkoWed or at dt Idbwm Web eta MW&Yww k Uft ca WWci lsry htrtf
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1 faNdry � undef penalty of 1 eqM fiat I am kcaiead under provs'ions at On* 9 (commencIng wb Section 70MI
� sI i 3 atom b�Prhssia€>r& Hcelt$s is to arid efLBCt.
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4Y(1NnISP ISAMON DECLARATIMi
[ HEREBY PFNALTY OF PFA."Y { i F Tit F�13LOWWG DIF 104
I � ark[ wR matrfto a Cent A rd r&maot m Inward for W~s afion, as prevlded by
Sateen VW d tt Labor Cade, for die perfcunmmo d the work Iv > c+ dos po i d f
I have wet w n:axkaht WarNer'a Camper broa m as ragtdrad (it wbw 370D of era LoW Cede for
p the ,novas d the Wk ra whim Rift a� ks woo workgr°t 0A wn� ea€ree f�rrfer Sw
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S fmly0*hVeperf offtwork forwhiMtnapwmdiq a tshadn;tw phyampar mmartyff soEsto
5 $4%1 to o worker's Orton Lowe of Cro trda. Arid Wee and d f at add bomme affect to ma WoUre
d =00 d fie Labor CmW I air oorr�fy�a p10vwoni
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i earl II tit up to one hun&ed t'toAsand Milan; iS100OM h widen to n oost d the
p� for in scaon 3M of ftra Saar verso to mut and rrm s tow
CONS11010M L13MING A ICY
I hemby ofarm umw tsar of p"ry txee h a C atlziatlw LarMing Wy for IM porim me of Hie work for
which INN permit is I ll ISeC 3097, Ov C )
LI3PM S NAfe�_
LERDER'S AWFUS
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f artKfy that I Rave rat Mpircafton and state roar tNe ai a tnformatIon Is corwL t to cr m* with efl city and
Ord � m twlksnp arM hereby dui wOo of m county to
altar /� far araan
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f TIWREE NAME (P}Iptt
GINA _ OATt
ww.cityoftaniondbar.com
build ing@ia dtamotadbareta gov
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APPLICATION DATE
ISSItE DATE --Y:,'. PERiv11T# _�
TYPE CONST 6./ , &j
P/C#
� A
OCC GROUP
Scope of Work
O DWEL UNrrS # STORIES
4 BEDROOMS
DESCRIPTION
SO FT
FACTOR PSF
ADJ AREA1VALUAMN
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41JANTITY DESCRIPTION
FEE
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CONSTRUCTION
PLAN REVIEW
ELECTRIC
PLUMBINC4
MECHANICAL
07
INSPECTION FEE
ISSUANCE
SMIP
ENERGY P/C -
ENERGY PERMIT
RET'EN'nQN FEE
PRE-ALT FEE
led
BASF
PLOT PLAN
ZONING CLEARANCE
T;;i'tALL FEW
COMMENTS
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P/C PAID BY VAUDAT1CIN
AEC£iP'f a dY it l J . PAID BY V/,� I � VALJDA71ON Z"jr—c'.
Yr H17F-- Dopartrmnt Copy YELLOW Fi nance may, PLINK --» Assas, w Copy
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rECTION
DATE
r
INSPECTOR
INSPECTION
TRACT AND LEDGER
INSPECTOR
-------------------
SETBAM LETTER
11 FOOTINGS FORMS
SWITCH GEAR
SLAB
CDMMERCIAL HOOD
UG PLUMBING
T-BAR
UG ELECTRICAL
INTERCEPTER
UFER GROUND
HOT MOPISHOWERPAN
SEWER LATERAL
SEPTIC/CESSPOOL
MAIN WATER LINE
HERS REPORT RECEIVED
SEWER CLEANOUT
DEMOLITION
ROOF SHEATHING
ROOF DRAINS
FLOOR SHEATHING
ROUGH CONDUIT
SHEAR WALLS EXTERIOR
POOLISPA
SHEAR WALLS INTERIOR
ROUGH PLUMBING
FRAMING/VENTING
ROUGH ELECTRICAL
ROUGH MECHARICAL
ROUGH MECHANICAL
ROUGH ELECTRICAL W C { }
tiAS TEST
ROUGH PLUMBING
= PRE f INiCE
INSULATION WALL
POOL PIKE DECK BONDING
INSULATION CEILING
P-TRAP
DRYWALL
FENCE C GAT E/ ALARM
LATH (PRE)
FINAL POOL
LATH EXTERIOR
WALLS
LATH_ INTERIOR
WALL FOOTING/STEEL
GAS TEST
WALL STEEL I sr( ) { ) LIFT
SCRATCH COAT
WALL BOND KAM
ELECTRIC METER RELEASE
WALL DRAIN/ SEAL
WALL FINAL
GAS METER RELEASE
SPECIAL INSPECTION
RO FRAMII+IGPLANNING APPROVAL
FINAL BUILDING
ROUGH FIRE APPROVAL
FINAL FIRE DEPARTMENT
FINAL MECHANICAL.
FINAL ELECTRICAL
FINAL PLANNING
FINAL ENGINEERING,/ PW
FINAL PLUMBING
T C € f OCCUIPAINCY
FINAL COMMUNITY SER%RCES
ART. of ocwmmy
AUL HEART!/ DEFT
FINAi. INI#lISTITIAL WASTE
COMMENTS