HomeMy WebLinkAbout14-4377DIVIOND liffil
CITY OF DIAMOND BAR
DEPARTMENT OF COMMUNITY& DEVELOPMENT IVICES
Z
21810 Copley Drive, Diamond Bar, CA 91765
(909)839-7020 Pax: (909)861-3117 Building Inspection Hotline (909) $39.7027
BUILDING PERMIT APPLICATION
308 SITE ADDRESS
APIN LOT TRACT
OWNER —, S IfG 4nro e-
ADDRESS. �'a"OZJZ.J rZI 9—j:j&
crTy h . AA&4—,-2 eg-ti Zip !9,
APPL16ANT TEL
CONTRACTOR r!) 'Waf, S L.' t' d
ADDRESS c ar (:.a L, a zp-j-. - -v u
CrTy 1) ALAZip —*-74d 'fi
- & 11EL 491* f*- Iv . — f She
ARCH/ENWDESIGNER V.
P00RESS
C e-4&#-WA&zIPf4;fUTEL
I Witm undervjmtty of perjury Mal I am mmiot from the Ca7tractor'3 SVte License Law tarthe feasorO)
.11. beirw by cnedunadq'i I taw ftrazEd nest to the ap0calte x"s) Pectbw 70M.5, Owlr= and
Mfezh Ca* Atry dry or a" 9W rNW= a perroft to consbtick alter, br4me, deffmftk or repair, arry
the -l'i", for "wPenni out hoof she
is Nwkw wwwd to the Pro stem, Law
a wftoft3of the
ft a~ to a dwo penatly
01 W nwe Man five hundred dialiats aw
(j I as owner al the prolbany or my employes with warms as their sole eampumakir4 wort do Lj anotor U Peru=
ol Ihn wort, and the sMxMm s r4 tntanderl or affered tor sale recbm Tau fk&neso and Protessions Code The
Cyr aacmra' 1I taw does nW a" h) an owar of VV" wtlix MroLgh pp ww olort. 0"
or rniveyes ft orowty, xv-%ed W Uric elpfovements are rot katentlocil or ottered for mia 0 h7mover the bwft or
ImprovernanI is " withan am year at compleW U% Owner Wktr will tme the lourzten of prDv4fg Ire ft was W ttim
rX &Qmvw tar am pnurpp o of sale
I as armor of 7* property, am mzhzW)y corttraciling wiffi IlcermDd (�qmrwlm to rim" ft wWW fSoOmn
7W Business and Pmfessms UxW The Comrxtm Slate License Law om not W* to an owner of lorowly wx
State
Lkerm Low
i.j I am atflm pt from hcensure under the Contractors Steds Licerm law for are 1011twing raaso'v)
By my &Vigune below I acimawledge M oupt to my WAMd restdaru In wWA I must hive resIdod for as law
yew " to com pioll oll the I mprDverneft covered by Mis "1,1 carnal " sell a fiblAturs M I have WM es an
owner-lbu Ide r f 4 tas norl been corMcfed In its el" by I censed =tW3m I uryJer-emtd that a CDPV at ft apowle
law Won 71144 of the Business and Professions Code Is mRable upon request when tN3 appkaton Is submmW or M
the IollawinD Web site lrttWwww ftND ca Qcv/caftw html
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LICENSED CORMICTI)FUS DECLARATION
I afflrm under xnaity of perjury that I am licensed under p"lorts al Chaper 9 lcommercIng w= Section 70M
of Divson 3 of the Business and Professions. Code, and my license Is in full tone and eflerk
LICENSE CLASS UC ND
CONIPAUOR
WORKER'S CO&VENSAMN OULARATION
i HEREBY AFFAMJNDER PDOLTY OF I'MURY ONE OF THE FO"NNG OEV.AMTIONS
I have and will mainialln a Certificate of Consent to Sall Insure for Worker a Compensa don as provided by
=-11OD of the Labor Code for Vre periorA of matOte work for which Ws pormit Is issued
mzinfamWAzs Compensation insurance, as recjt4iad by Sectran 3700 of IN Lana Cade, lor
Toe performance of the work for wWi 11ft pew Is issuW My WorVo S Compensaun lownenoe Canter &W
Policy Number am =�—A
URMEF. !�Z-1 -4 7T7L g A&
POLCYMMER
MC SECfiQti NEED NOT OE CONIPLIrfFzl VzTif PMXT IS FOR ONE to OM MUSS ($1(Q 00 tESq.
I cffWy fti in im performance of ft work kr which this Dermai is issued ; sha not mon wry Mw ;i wry rnarmir so de Its
bemme sow to ft Worktr1a Dytoerstow w" of (*qz And agree Amfi"d becom atfort to fine
Corn of Sectw, M of the Leber 14 iy� Yh themPVVKM
APPUCW /7 "r ILA"--f
WARMn Fedluire t) gems WaWs Coml and she a4ed an empoyv 0 camhall
pefwtles end CMI fines to to me wrova bronam doors DO=. In aftzlon In all cost of TQ compensalm,
damages as provided for In sectm 37M of the labor code IM
CONSTMX1101OWDINGAMMY
i hm" aftm owei paui* of mrit" Vvt Uwe Is a CottrucLion toAkV AOM fix We polortrwKs of ifv rook tut
ft pamd Is haued IS*= 3097, Ov Q
LENDER S NAME
LERDEWS ADORM
I ceftf, W I mve read ft awicatm and state Met It* abm ftmiabon is mffw- I egreo to tomply vft as 0 am
ardow.ces and state ixorr, r0atrM ID WWV oemotictm and hereby &CoUe represoWm a this courtly to
PRESS
FIRMLY
APPLICATION DATE P/r,#
ISSUE DATE ,A
- 2/ 3 PERMff#
TYPE CONST OCC GROUP
ZONING SETBACKS
FRONT
REAR
SIDEISIDE STREET RW—
SIDE
CL—
0—
PROPOSED USE do I A a-
111-- ie
OWE L UNITS # S70FIlES A 6EOROOMS
DESCRIPTION
SO IFT
FACTOR PSF
ADJ AREAIVALUATION
SFRIVADOMEM
(aWo;iebr�
Re -Root
0—
cowrorciat
VxllLlatron a&-- Adj Area
OUANTFTY
DESCRIPTION
FEE
S
91
1
1
CONSTRUCTION
PLAN REVIEW
ELECTRIC
PLUMBING
MECHANICAL
INSPECTION FEE
ISSUANCE
Z=
SMIP
ENERGY P/C
ENERGY PERIVIrr
RETENTION FEE
PRE-ALT FEE
BSAF
TOTALFEES X 411* - S40
COMMENTS
EIJI� all
RECErr I -42ae-li— PAID 8'f VALIDATION
M
CITY OF DIAMOND BAR
INSPECTION RECORD
INSPECTION
SETBACK/LETIER
DATE
- r-
40TINGS FORMS
SLAB
g
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 WAIL
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
CERT. of OCCUPANCY
INSPECTION
TRACT AND LEDGER
DATE
INSPECTOR,
SWITCH GEAR
COMMERCIAL HOOD
T-BAR
INTERCEPTER
HOT MOP/SHOWERPAN
SEPTIC/CESSPOOL
HERS REPORT RECEIVED
DEMOLITION
ROOF DRAINS
ROUGH CONDUIT
POOUSPA
ROUGH PLUMBING
ROUGH ELECTRICAL
ROUGH MECHANICAL
GAS TEST
PRE GUNITE
POOL PRE DECK BONDING
P-TRAP
FENCE / GATE/ ALARM
FINAL POOL
WALLS
WALL FOOTING/STE L
WALL STEEL 1-( 2ND( ) LIFT
WALL BOND BEAM
WALL DRAIN/ 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
COMMENTS
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