HomeMy WebLinkAbout15-1196.w
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WIN_�. -
, rid BAR,
CITY OF DIAMOND BA
DEPARTMENT OF COMr ITY & DEVELOPMENT SERVICES
21910 Copley Drive, Diamond Bar, CA 91765 PRESS
(om) 839.7020 Fax: (M) 861-3I17 Building Ixtspe"lon Hotline (909) M-7027 FIRMLY
BUILDING FERIMITAPPLICATI0N
JOEI SITE ADDRESS
APN iQT TRACT
OWNER Illet1
ADDRE / 0 A r
CITY C 1146L j�l 0 zip F
APPLICANT a ASPI TE
CONTRACTOR#" t
ADDRE w+
CITY n ZIP '9 TEL l09 S9
ARCH/ENG/DESIGNER
ADDRESS
CITY ZIP TEL
OWNER•BtIB.DEB DECLARATION
I Wavi gmrrr vider porno j eI Wn that I am eampt halt the Commv a Site wema taw for the rzwrvAj
Indicated! blow Iry tho mewiark{st, I tram pixod next to tiro apF bmp� r wtlan 7=4, Rminaer and
prolloselom sods Any catE or cmdy mist MWIrmir a Perm b rUC14 astx Ire9raw, dornotteh, OF am
etrucib , 3u w lG its. 4wanCe. aleo Muir red fhe awiCerii. Tornio parmR io tYhl a u off rMtrt tit rx ale
is lwwwed p %Wit b the pry of the Ida uft-to a t I wilt Swtkm
?M at Olidrfim S at to $3eG>e8 and Prollastilarm Code) or tW he or aiN is emnilit htNrt ImmWe staff ft haws tnr
the 8 ied exernioW MyMedan of Section 70315 Dy any applicaMfor ap tcit3iacclitha a~ biold panafty
of not moro thm 154a hundred dubm 5W
U1, as, owner ofOne pImftorrmyemplayeeswtlhAmon es€hak e Wnimmadmi,wr1doUa ofartjportle s
41 Its work efi i tine Oucstra w sal Intended or offered for sailo (Section 7044, Su i eH we Rolessim Cetta the
OmMm6rs' Stab License taw not zp* to an owner d >XMM who, Wou" erroupe6 or Ae,Dnel attar# Wide
or imGmm ins piepwry pfovtdisd that the im"arnartts are net rrtsrriliDd or offered! for We X however the building or
rprownwt is sold within was year of camptetion Its Daman -Bulkier will hasp t!e lumen of wmM IM it was rd Will
or krgwwi d W Its purpose a1 sale)
L} 1, as awn ar of the prePvt]6 am exclusively wnbnCting with Homed Cantrwliom to mratnrct the woJect (Sectwn
7W4, Miminese and Pruft0ons Code The ConbacloW Stars 1.1come taw dom nd &D* to an owner o1 properly who
11eYtsor impmestherem and who conmetaforThe pmyi%wMalicensedcontractor pursuam4otheCsrrdrxtm State
tkcnae taw I
Lt I am owempt from Iktepsure under me tbmIractar s Stets License law for the toltaMng reamn(#
By Iny otgnapup babow I acknowledge that inept for my poraanal residence h wMidh r must haw resided kr at least tam
year pnor to wmpfatkkn m the hriprmarnerds cowered try thls permit I ranrrol kigalty %d a Wuckue ttrat I Prays built as an
owner bulkter it it Iran not bean Wm5tnxWd In Ith caUsty by licensed corrtract ors I understand dial a copy of She applicable
i.9w Seoacfn 7D44 of ft B,*mw end Professions Cam tt oval:ahte upon redil:m whom hS Application'a sobmMad or at
tine RAVNN Welt We Mtgfwww legtrrtrr ca fuvfratawmml
GATE SIGN
LICENSED CONTRACTOR'S DEMARATION
I hey affirm;rulw Pfir iy of parAry that I am deanead un* P rielons of chaper 8fmmm wrlg wrlh Section 70M
Of CHvIShY."r 3 Of eta 04r and Par9834M Code and my Wert s In f!A forrccee arid anal
Lmm _ =_� tic tdi 7 _
LourRAiToR
WORKERS COMPENEATRTMI DECLARATION
I tiffiMAFFft ONDS PENN3'Y OP PMAIRY CNE OF THE MLLMING OECLARAT914S
1 have and w1h mein s certificate of Car and to S of inm for worker's Comporisa on, as pmvideni by
SoMm 37M of the tabor Code 1w the perft manse o1 the wtuk fir"Vw 119 suet
1 hova and wib rUntar Waizea Compensation !mmne, as #Wired by S,ecdon 3100 of cm tenor Code far
trm petonmance of the work for which Um wmh is issued My ►Yo kars Componsstinn Insixam carnar and
Polar Number we
CAFiRER
PQUCY 1tfl1MBER
.................
(IM45 SECrgtl MH NOT BE COMM IFTIIE PERMBTIS FOR OW WJDREA DU ARS 0100 OR t E M
I Candy that In the pedomorse of the work for which fhty perrmk m aged, I ti,I riot employ any pease## in ml owner eb as to
b&&M $100 1 to 14 VtV te$ UMDW=bm tavr of latlunda ✓> we Brat N IOiquld usumm ta*0 to the wail im
fznt ^ �sakan a�opnf coda, r aX�f p,�ra,s
DATE l� APPurAxr
YWSFu;N to wwm weasr's tompensabon o mmW * wUwrm and shy "act an empbe w to crimkal
penattim and chill Ones up to am humid thomrid dollars W0000% In addition b) the colt of the tempsmasgan,
tlffirtag� as prflr9dad for eecUrn S7� of ens Lthor soda, rder�t and atmmey s Im
CMiB1MM LENDING AGENCY
i hereby ahhm undo pertly at p ry that imam ie it Ctormitu on Lam¢ Amory for the parkrinaricrof ttm work for
,mac ft mmt fa ftw ox 9 7 aw C )
L ER'S"W
LONDER'SADDRESS
I orifti. l ire fm €lt muciam and abbe that the om leforration Is www l am to wavilt WIM ap dy amt
oxM ardiwim am state bm m4fhsg t11 b#A 1N Cocoucam sV hereby a<rttaotm represent6m 0 this tmmty io
anhii upd tlto abovf pit arty Pu'Reaes
1TTEE
r
iG-',ATIJRE Of PERMITEE DATE
APPLICATION DATE P/C# 1
ISSUE DATE � .,......... �...._ PERmrr# Pit
PE CONST OCC GROUP
ZONING SETBACKS
FRONT Rw— 0-
REAR
SIOf tSDDE STREET RW Ct
SIDE 0
PROPOSED USE d
# DWEL UNITS # ST0RIES # BEDROOMS
DESCRIPTION
$Q FT
FACTOR PSF
ADU AREA/VALUATION I
SFRIADDIREM
CurAwcerport
CO
Pat&tlDeck
I
LU
PooVSpa
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Ae-Ro&
II
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7
CarrvrtercioM
ID
Valuation AdJ Area
QUANTITY
DESCRIPTION
FEE
�WW
I�
I
CONSTRUCTION
I
PI,,QN REVIEW
_
ELECTRIC
PLUMBING
MECHANICAL
INSPECTION FEE
ISSUANCE
SMIP
ENERGY P/C
ENERGY PERMIT
RETENTION FEE
PRE-ALT FEE
BSAF
TOTAL FEES xoC'nt Iv.
COMArtrtENTS
jI
I
RECEIPT a -V . PAID BY _f� �# i � VALIDATION
WHITE — Department Copy YELLOW — Finance Copy, — r Copy, GOLDENROD --• File Copy GREEN — Applicant a Copy
$Ff BACX1 LETTER
FOOTING$ FORMS
&LAB
UGAI MBING
UG ELECTRICAL
UFER GROUND
SBVER LATERAL
MAIN WATER LINE
SEWER CLEANOUT
ROOF SHEATHING
FLOOR SHEATHING
SHEAR WALLS EXTERIOR
SHEARWALLS INTERIOR
FRAIVANG/VENTING
ROUGH MECHANICAL
BOUGH ELECTRICAL W( } C ( 1
ROUGH PLUMBING
INSULATION WALL
INSULATION CEILING
DRYWALL
LATH (PRE]
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
cm al DCCIIPANCY
COMMENTS
CITY OF DIAM �R
INSPECTION RE RD
a
TRACT AND LEDGER
SWITCH GEAR
COMMERCIAL HOOD
T BAR
INTERCEPTER
HOT MOPISHOWERPAN
SEPTICICESSPOOL
HERS REPORT RECEIVED
DEMOLITION
ROOF DRAINS
ROUGH CONDUIT
POOLlSPA
ROUGH PLUMBING
ROUGH ELECTRICAL
ROUGH MECHANICAL
GAS TEST
PRE GUNITE
POOL PRE DECK BONDING
P-TRAP
FENCE 1 GATEIALARM
FINAL POOL
WALLS
WALL FOOTING/STEEL
WALL STEEL 1 ST( ) 2NO( ) LIFT
WALL BOND BEAM
WALL DRAINI SEAL
WALL FINAL
RO FRAMING PLANNING APPROVAL
ROUGH FIRE APPROVAL
FINAL FIRE DEPARTMENT
FINAL PLANNING
FINAL ENGINEERING/ PW
FINAL COMMUNITY SERVICES
FINAL HEALTH DEPT
FINAL INDUSTRIAL WASTE
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