HomeMy WebLinkAbout15-1525Nil RA111
CITY OF DIAMOND BAR
DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES
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21810 Copley Drive, Diamond Bar, CA 91765
(909) 839.7020 Fax: (909) 861.31I7 Budding Inspection Htittme (909) 839-7027
BUH.DING PERMIT APPLICATION
JOB SITE ADDRESS
APN LOTTRACT
OWNER
AK�DITE � �
CITY ZIP "(_ r
APPLICANT TEL
CONTRACTOR AI I C h A Chi iA 0 4,
ACJDRES
CITY /I404t,reb rk ZIP qA_ ,�„r&TEL
ARCHIENGIVEStGNER
ADDRESS
CITY ZIP TEL
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I booty firm under penalty of perry than I am emrnpt Imm ft %armXWa Stars Lk®a» Law for "ic rsaaants)
Irecaw rw by the Chadtma rio f have plated next in the aiiiivicabls "s] (SWOM 70M % 11husIness and
Arm Cade Any city or wimly, thiat requires a parinhi M ice, artier Improve, dertetlah, or reor, am
use, priar W ft lasuamx, also raWras ttm applicant ftir ft pamdt to Ale a atgned otolefnanha or pie
4 fteinsW pursuant to the provisions Other CatraetWeStrataI.toenwLow 1CMptuB)Commis rgwt&Serum
70M of iihdeisna aof the Business amd Pratawaires Coda] or that he or Pe fs exempt from Ildensure and tie psis for
tFis,altgad exemptionAny vlolationofFectWrr703315tryairyappflsrdtars pen ftsu�ects the appliewtboa Wlpart9ty
of not rmxa than five hutdrsd dollars ()
Ul asownst#ihs portiGormyempFayseswithwadsstheireelscort eattan,wiltdo(�eiiof poke
al the work, soot re st ucturs Is nut fnler ded or d%m fix sale (Secoan 7044, &Arass and Pmteeslorrs Code The
Contractors' Stair§ Dist Law does not a oy to an aww of property who thmwh empiayssa` or personal effort, builds
or improves ft properly provided tat the {m w+nemrnts are na moded or oftored tas ule If however, the bulAtng of
improvement Is said v a ors you of completion, the Owner -Banter will have 1hd Wrdess or pntrtng giat d was not bu4
WImpmvedfor the pewso0saleI
L i 1, as awner of ft tecoeft eat mrduslrety contrac rag *0 Ikenssd C nbactore to oxishr act tfua prNect (Section
7044 Business and Prationkm Cab The ContracUs Stain Licem taw doer not aWy to w mirm or property who
ilsorimprovesifar ut 40vftoonvaebforfiepmoctsWdh alceirsedlvftPu�Stale
License Law)
I) I Am exempt Imm tcansin wx* We Qntractor's Stale Lkensa taw for the tonoMnp reaso*),
By my ailInirium bataw I adknowtoo thm, fr=W for my persnrup residence in which I must have reOW to at dw6t one
year prior ra rxtettL 004 of the Ile &hawed by He pemyt I cannot Willy salt a structure brat t have txalt as an 1
ow m bon aft it hu nut been con. uclsd in f vrilf ty by Ilcensad matmcbns I unitmWA that tepy at Me d it e
law Section 7044 of Ills Business and ftfarJoris fade Is avalloble upon r gMstwhon thIsappllcatton issubmhed are.
tutu taiktrwk,g cite tsttplwwwr lapirio ca rAoviralaw hhnf
GATE SIGN
EICFNM CONTRACTOR'S BECLARAIVS
I hereby amp 1,00 pom" of perjury mot'- am kaereed under smis one of C-ha*f S OrnmixVirl with $eedpn 70R
of tllvulm 3 tl die Susie= and lrmfnablurss focio ad my t ea 3s Ir full tomeead
LiGEW CUSS {_. t� f u���(�� 4t
t%MTRACTOq A&1W i L#,sJi
1r M ER'S COMPEWATM DECLARATION
f fIEiE81' AFFIRM UNDER PENAUY Of PUUURY ONE OF THE Ff}llMING DEa.ARg110N$
t have oast will rramw a #sahhuite of Consent to sex-htm tot woftr's Cam e"saboit as Wooded by
Sacf n 3700 of the Labor Q& V the pedorntsme of work mr which m4 pamft Is Issued
I harm and will maintain Yforfmr &Ori pensauou Imarince.asrogrinei by Serum 37M of ft Labor Cote, for
Me Wrf01mar00 of 914 wok fad rag POM14 is issuer: C!y i3 r'u 0arnpatrxada+ Ins Carskr and
Priey Number are
C34AFSE11 =
i SECT IIGEDNQf £XikFLEiH#iF tRf, 6FQRONE K MLARW0ORLiss5
i ur* UM In pe t nrenco of the work for *%d this perml Is Issued I shalletemplay aft pmw In any mornorm as Ys
become sub.e tD Cta seaukp a Cornpanadon Lava M Caftniia. And agree mat P I Mmrd ttK*m aurNact bt Ito Worker's
Compiv,mba, Mvfs6es d WtIon 3M of ths LabxCWQ 1 ft$ fodhwb omply rvitit Mpse OvAsiona
DATE APPLFCAAY
WARNING Fatiure to secure N$rl aw3 Compensation crn€cW is Lnlsadul and shaft silblect an arrplayw la criminal
pernaPties and c% rtm up bs ores hu tdmd thousarid dorm 6100 BBB) in addr'Jon to Me cost d the rutrrrparoadon
damages m provZod fiat In action 3A of tho Laty code interest and attanay's tees
WNSTRUCnlNLENDING AGENCY
t tareDy Mm under pe tatty of MIXY that there to a CWrs.ud m Leading Ap y lay the perfarmarco of Me warts for
vArich, this permit b Issued (Sac Stilt? CIt C )
Liss FA S NAII&
L.t t`S Ai DRM
I certify t3tat t have rW this application aW ciats Chad t% above k4orr.isban is oanaL I agree W comply with ati city and '
cou my oat saucer aunt stets laws rtdatIng to turkiftn curvitrueLon, and hereby auti&W mprosentallm of W2 county to
enter Wo Me aous mentioned pixerty tun Mort D urouses
Ald
PEROTTEE � /
-
SfGNA AE HATEtP
HRMLY
APPLICATION DATE (01 (1 PICA '
1aSt lE DATE i� �3 1 PERMfT# I S— I S A s E
TYPE CONST OCC GROUP �
ZONING SETSACKS
FRONT
REAR Q
SIDE/SIDE STREET RW (U_ ,. ,, j
PROPOSED U
r DWEL UNITS r STORIES a BEDROOMS
DIESCRIP ION
SO IFT
FACTOR PSF
ADJ AREA+VALUAT(ON
$FFVAE)DIREM
flaraBa�a�.+oti
i
Ijj
U.
Poold'spa
_
I1e if
Cramtrarfalnl
ValLtalip Aii Area
QUANTITY
DESCRIPTIt t
FEE
i
sa
CONSTRUCTION
PLAN REVIEW
ELECTRIC �f [l
PLUM8fNG [
MECHANICAL.
INSPECTION FEr-
ISSUANCE
SMIP
ENERGY PX
3 ENERGY PERMIT
RETENTION FEE
PRE-ALT FEE i
BSAF
(
TOTAL FEES wy 'fit st
COMMENTS CCT7
1
RECEIPT q PAID BY 3 VAL II AnoN
WHITE — D rrreft Copy. YELLOW —Finance CoW PINK — AsaeamyCFpy GOLDENROD --- Fwa Owy GREEN —Applicant s Ct3py
CITY DIAMOND
F�E
INSCTIQN
BAR
RECORD
TRACT AND LEDGER
-
SETBACK/ LETTER
FOOTINGS FORMS
SWITCH GEAR
7
SLAB
COMMERCIAL HOOD
UG PLUMBING
T-BAR
UG ELECTRICAL
INTERCEPTER
UFER GROUND
HOT MOWSHOWERPAN
SEWER LATERAL
SEPTICICESSPOOL
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
FRAMINGNENTiNG
ROUGH ELECTRICAL
ROUGH MECHANICAL
ROUGH MECHANICAL
HOUGH ELECTRICAL W( ) C (]
GAS TEST
ROUGH PLUMBING
PRE GUNITE
INSULATION WALL
POOL PRE DECK BONDING
INSULATION CEILING
P-TRAP
DRYWALL
FENCE / GATE/ ALARM
LATH (PRE)
FINAL POOL
LATH EXTERIOR
WALLS
LATH INTERIOR
WALL FDOTINGISTEEL
GAS TEST
WALL STEEL 1-( ) 2N0( ) LIFT
SCRATCH COAT
WALL BOND BEAM
ELECTRIC METER RELEASE
WALL DRAIN/ SEAL
GAS METER RELEASE
WALL FINAL
SPECIAL INSPECTION
RO FRAMING MANNING APPROVAL
FINAL BUILDING
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I
ROUGH FIRE APPROVAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
FINAL ELECTRICAL
FINAL PLANNING
rINAL PLUMBING
FINAL ENGINEERING/ PW
TC, of OCCUPANCY
FINAL COMMUNITY SERVICES
CERT. of OCCUPANCY
FINAL HEALTH DEPT
COMMENTS
FINAL INDUSTRIAL WASTE