HomeMy WebLinkAbout15-0819ICI III 1'D IFAR
CITY OF DIAMOND BAR
DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES
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21910 Copley Drive, Diamond Bar, CA 9176
(909) 839.7020 Fax. (909) 861-3117 Building inspection Iodine (909) 839-702
BUILDING PENT APPLICATION
JOB SITE ADDRESS aC3 SC] �tu1
APN LOT TRACT
OWNER
ADt: RE.°s.s oiZp X ti 1 6 O L PEW Zrti Y% -f
CITY +} ca1I1 A tom.+^ ZIP TEL
APPLICANT" /" IX 4 *i rX e..A o" TEL
CONTRACTOR"
ADDRESS
CITY ZIP TEL 7
ARCH/EN(` DESIGNER
AWRE58 L - v � r ✓e
CITY q!M .L 21P /d TEL ' . .
OVnMI,BWUIER MM1.111AMM
I hereby affirm under penalty, of perpnry Thai I am e>tana "M Ina CAtcOarWo State Lkense Tarr for ow reasan(s)
Indwisa below by the chaftarW I have placed rvid is, ev 900table rAM(a) (Sedfae ?0M.% Buidir ss aim
Prellossions Coda Any any or tooeary Thal requires, a pandl b o:m*t4 aftm improve, darranak or majF any
at}r cture, prior to for Issuance, also nugiufm the appllcarit for the ponott to Ills a signed stalomaird &A he or sm
Is, itmnad pnrseant to the pruvialkens of tie Gonbee Ws Sate terra tarn (fd€apbr B) Comma" *fth SK43 n
78M at DMsIon, 3 of the gwdnesis u4 Prefer Code] or Me: K or she a exampi frrim 10ram and Tim basis far
tin e3sgat Arry" rkdaW aI 586boo 7W 5 by any applicW 1oreowar I sub the appMan nitll a Will penally
01 net mom alas, Ma hundred Hallam tt
U i a9 awrsar to ea peperty, dr my empleypaB wtm *agrs as thetreale will do U ail er orlii mbo€€s
oT the west, and tfw sbuctum is not Wendmd rr c0lered rcu tole (SWAn IOU Business and Iz+xrrasalata DO Tina
Curtrtuttts Sala Law who ihrau h an€p�sypea' qr personal afrort, t l
or Imprpres "w plwlddd Irat the impworritnta are not Inended or adored for seia N arxavmr, plug buldlrsg r�
�mpnuvarerd is apld wlllhn one yeaz df ddmplatian ttfe 0WFW SoIldar will have dna to njal $ N prorltld tfiit R was W. t M
or Improved for the wpm of sale1
(j I as ewer of ttm prop ortt am "cluallrety continctinIg With licensed CAlnfrecb7rs to color€ w t€ro protect (Section
7044 Ru6inon wee Chia TIDE Con4'achn SUM Losrnre Law dues not appty to an owner or property who
brdidsorimpromUvrocin, and wncGanOwtsWthapro*bW&akaeeedCo scforptrsuambsTineGo€rffiamre'Sa6e
Lkadse Law)
t) I am mrampt from #Cent erg try ContraCtors $We Loose taw for thotallowing msaa€€(a)
8y my Signature bdeW t an thaf oxW far my persarw m In wide € I must have ra: w ter ei least one
Year t to cempleUan N dM Im earered hY duLa peema C Cry fir �Il a atrucnus that I iscve peiR as, an ,
otrdter-ta€ILIe€ d fthas not been conWAxWin As errs" by lucmnse l earitratbra I ro rsFand that a aopyor appkcaWe
iaw Secton 70"af the Business and Rulasekrra Code issnitlabte upon M 9twlwn thla applubDri lawbr€ d orat
thefW&nWQYkbdte Mtp4rwr Iegr€h€tavjcaawMml
DATE SILT
LICENSED CC N#TMTDRS OECLAIIATIDN
I hereby afbem sash parody of perjury Me I am kmvd under prnrlslonsot Chapter S tunmencing wit, iactian 7M%
of Ohnsion 3 of itls BWWM and Prolasm =f ode, end mq lease is In tall IOU alai i
CENSE CLMLr ND I
ATE CONTRACT04
1Fff KM'S COMPiMTtM DECLARATION
I HMY AFRRM LWOEA P+ENACY OF PERJURY ONE OF THE FOLLOWING 090"'1'101115
I have and"Mkituhr i COVIC to of CMW fa &K Imiure far Worrar1a Coin as proNded by
Section 37W of the Labor Cob, far die periarrigena 4 fhe work for wtuca dnla lea mh h
t here end wHI €r animl VftWg Coia7ansadon Ineu ante as regdrred by Sedf€an 31M of the Labor Code, far
the pe€rurmarce of OV WCA forwncte ttde permg sslasuw My rockers Cam panaatlun l"war Co", and
Pnrduy Nrmber
iAPRR _
PlxICY NUMBER
01% SWIION NEM NOY BEMWLEMFTHEP€fWISFOROEttA ifMIIiILLAfi5(SIMtillI. I
I celery dz a dv orbWWO of the work la wddch die perffuto awed I Steal rili�tlt any peen br aley mwlrta so ea d
Damns agree Blot 9I sho€ xI bom n aub(act el day Mlufatk
Com of Sordw 37C0 of c I oWl rl: th comply w s ftw pre Wz%
DATE +1` APPLi Anti I Lie fir►
WARNING Falure V s aum Worlu" GAlmpensake, comago is unlawful and wail sutdect an empbyer b Criminal
panatt as and aidl Im w to one hu€ximd ttal =W dollors t110D WO), In addrbo€n to €hf cad of the compeireaW,
ftroges as ptuvided Au at macbm 370d of Via labor coda f lunst and sltnmeo fees
COMMIICTION LENDING AGENCY
i ieroW affirm. under ponaiiy at per]ury diet there Is a Cmftp tm Lending Agency for the per ymanco of the work for
whirA ft permit is Issued (Sae 3097 Cfv C )
I
1E31 S NA1111T
i EINt7EFI SADO111 55
I ciarlify ttat I tuve rod this appllcaven and pals W the above biprrnuft W turned I agree to comply wdh ail dry and
County a tnencesa€rd stain laws rapliinp to oudMg aonatruoden and he" raaho€;ra representativestho cwmyto
e d*a u the -mortl led property inspection purpomea
K, e r
PERM;�
Fra
, fta�� -4 _�_r
PRESS
FIRMLY
APPLICATION QA'E'E i(j i P/CA
ISSUE DATE 3aye, PERMIT# 1 S —
TYPE CONST OCC GROUP
ZONING SETBACKS
FRONT RW E
REAR ❑
SIDEdSIDESTREET RW ❑
SIDE ❑ _ l
PROPOSED US " I
en
!,
# QWEL UNITS N STORIES N BEDROOMS_----...
DESCRIPTION
S4 FT
FACTOR PSF
ADJ AREA/VALtIATION
�lAL1D1REM
GarerAtrfC+NP>R€r9
Ps,€ksli5eck
U.
Poovs a
Ae-I"it
i Corr,rtlaes€ial
W1
lrAltllal:lA
Adff Area
QUANTITY
DESCRIPTION
FEE
el
I
c�
I
I
r
�I
2
I
1
CONSTRUCTION '_ �►' i
PLAN REVIEW
ELECTRIC i. Vc.,
PLUMBING
MECHANICAL,
INSPECTION FEE
ISSUANCE 1 A36—
I
,
SMIP
ENERGY P/0
_--
ENERGY PERMIT ^+�
RETENTION FEE a t�rCE Cars
PRE-ALT FEE
BSAF _csu
i
{
TOTAL GyIes
COMMENTS
RECEIPT. PAJD BY VAUTiAT*NN
WHITE— Depwftmt Copy, YELLOW — Firssrx a Copy PWK — AsaeewCopy, GOLDENROD — f'pa Ct sy OWN ^-- Appka€I s 0om
SETBACK/LETTER
FOOTINGS FORMS
SLAB
UG PLUMBING
UG ELECTRICAL
UFER GROUND
SEWER LATERAL.
MAIN WATER LINE
SEWER CLEANOUT -
ROOF SHEATHING
FLOOR SHEATHING
SHEAR WALLS EXTERIOR
SHEAR WALLS INTERIOR
FRAMINGNENTING
ROUGH MECHANICAL
ROUGH ELECTRICAL W( ) C { )
ROUGH PLUMBING
INSULATION WALL
INSULATION CHUNG
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
T C of OCCUPANCY
CEKE of OCCUPANCY
COMMENTS
CITY OF DIAMOND BAR
INSPECTION RECORD
ENE- -
TRACT AND LEDGER
SWITCH GEAR
COMMERCIAL HOOD
T-BAR
INTERCEPTER
HOT MONSHOWERPAN
SEPTIC/CESSPOOL
HERS REPORT RECEIVED
DEMOLITION
ROOF DRAINS
ROUGH CONDUIT
POOUSPA
ROUGH PLUMBING
ROUGH ELECTRICAL
ROUGH MECHANICAL
GAS TEST
PRE GUNITE
POOL PRE DECK BOWNG
P-TRAP
FENCE / GATE/ ALARM
FINAL POOL
WALLS
WALL FOOTING/STEEL
WALL STEEL. 15T( ) 29 ) LIFT
WALL BOND BEAM
WALL DRAIN/ SEAL
WALL FINAL
RO FRAMNG PLANNINGAPPROVAL
ROUGH FIRE APPROVAL
FINAL FIRE DEPARTMENT
FINAL PLANNING
FINAL ENGINEERING/ PW
FINAL COMMUNTH SERVICES
FINAL HEALTH DEPT
FINAL INDUSTRIAL WASTE