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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 &GN 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 ATf!2e