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HomeMy WebLinkAbout15-1196k z W a 4 A JS F- 1111�1 )� r1^�Ilx�HAR, CITY OF DIAMOND BA DEPARTMENT OF COM1 ITY & DEVELOPMENT SERVICES 21910 Copley Drive, Diamond Bar, CA 91765 PRESS (909) 839-7020 Fax: (909) 961-3117 Budding Inspection Hotline (909) 839-7027 FIRMLY BUILDING PERMITAPPLICATION JOB SITE ADDRESS S 34 APN LOT TRACT OWNER p ADDRE / D 'r- 11 A f V z CITY Y 0 ZIP E APPLICANT O d.M Etta TE 4` CONTRACTOR EC'CY��a�w_�.....---- ADDRE 4 s1 t� CITY +'\ ZIP /'' TEL 909 " l 7 - / l! ARCH/ENG/DESIGNER ADDRESS CITY ZIP TEL 01ryNER•90tLOER MIARATKIN I herevr affirm under oenty al partuy that I am exempt ft= the Gass 9M a State U;eme taw fir the m4wnta3 imfcam blow by the chawarfda}. I hm placed rasa to the appYcehte hm{s� ISectloe 7111NA Rugtnm and ft~Am Cads Any"or tacitly that raWlim s ParmR W wtWOM anger, IRnpinira, damoUrik of repair, any dinchm prior 10 Us wwtience, ate& requkm the eppiloard tar the permit to it% a sipwd guilanteirt 1Mt the or sire $Ikwwd pwauant to the provtwaa at ft taarh4acmr's oft License, law 19 ComnW44-C wm Sec*n 7000 of DWItift 3 of to evisrseam mid Professions CM) or fiat to w %N is exempt from kcensuaa and ft bi sta for the aged exempc9rt Any vicigon of Sectior 70315 by any applicant for a pwrW subiacbr the to a old penalty of not mom than foe hundred do to a t3W U I, as owner of the property, or my empleyeas wit wages we thaera* wropema" , will do U ma of or C3 perldons of the work, and IN sibuehre w rd Hard or oft m9 lor &* 6ectbn 7044, Busiom end Frdesstatha Code The CaCaclotV Stale LKen 8 t,aw does trot 2pohr to sn owner of wwrty mo, thrat9h virIH or Pal eftd Wills or impmvna the property provided fhet the imprGreti "are not Whinged or dferad for am d however ate Widlag or enprovement is add wnhm one year of comoftit arse Drama -Builder will hew the burden of troomg that it was m burl or khhoroved for the purpome of s* ) t, as corner of the W%Wtx am o>uAaaiwety carhecUno with IlowKed Caftufors to construct the pnoJett fSKbm 7044, &Mina= and Prdeasiosm Coda The CamecOts' State Licanae taw does nix apply to an owns, of malady who, bukborknprovesthereon and whoop,at Ilorthe prooctwMaliterdedCmbactarpursuamtoftCor form Stab License Law I U I am exempt from licenaure under the Con waoir's Stets License law for the DtOaMng reasonlak By my sgnature below I ackrawsadge that except for my perminal redden In which r must have resided for at least an year prior to completion of the tnpronemeh,a rnaered by We permh I mnol bgadt' Sell a structure sat I stave bull as an ewrar-twlider if n has nal been owsshvieci In IN entirety by licensed contractors I undersUnd their a copy at"spplkabla law SW ..0 7D44 of the 8vakseas mc! Protesabra Coal Is ami able upon reo6w when ft application im submitted or at the follow" Web We W p*^ legrdo ca gr7mdlawrdml GATE SIGN LICENSED CONTRACT01I'8 DECLARATNIN I hereby afWm odor penaty of parAhty l hat t am 4cansed umM D;trrislons of Cnapier 9 foommenicing with Se dior 70M of Divtsiar, 3 of the Bvsinewa anted Waselbm Cade and my fta.w Is in t h force wed elect a leecct tJCENSE lic tees .f J/ I 1 _..----- �f .� MTRACTOR S?-e%see Girjr- L_ ci"— WORKER`6 CONPF#SATION DECLARATION I HEREBYAFFRM UNDER PENALTY CF PERAI?Y CNE OF THE FOLLDMG OECLARATKI!IS 1 bare and wds meirdein a Cmilfiwte or Corwd to Salt Om for Woftl Compori aeon, as pm*Aded by Section 37M of the labor Cade for the Pxformanw 0I4to work to wt;Ch Ito Wmit is +slued I here and will mwalrhtdn Wo*b`a Compenwbon YnC.rara, ee mitred by Section 3700 d cw l sbor Code for to petiwrmance of the watt for which lire Wmh is issued fay Wo keM Compprenon lose since Catner and Polley Number are CARFIER POLICY NUMBER MAS SEM NU ROT BE COMFLEIFD IF THE PSW IS FOR ONE 1# "M MIAR; 010 OR tom" 7 I osrtly Oat ki the padartnance, at fha work for which atb pamnk a issued, I sdhad not employ any parson in wry manner so es to Ih, r etsblact te14Wonfja x Cornponsatbn lavr d (�e(orrJa agree that 0I d Won re mu*O to the Work&A cam 5ecbon 370pof Cate f BIBII Ixvraxxfl DATEAPPLICAP f - WARNING eassrra Wmket'B Camparimaaon Coverage is iaaawfilel W Ethda "act 0 employer tocriminal pdnardes 8+4 cMi doss up to ate hundred thoumd dollars (PO000Q in Mditn f» to tact of the comperh Wo. dam spits as prerided ra in eaetirn 37� of One tabor coda, kgaresl and aWr Wy a hies CONSTRIMM LENOW AGENCY I hereby W" under penally of penjury that awry is a Carstruction Listing Apwsy for that prrhsrmarim at the wwk for *ik h ass genial S issued Ow =7 CN C ) tF�s uv�E tER`S slim I certify tat I rave fs fhb Lid abbe that the move' . b correct I a to Y with air city and a rty ontimm W4 ataa laws retathq to bwrnp stru a^d hereby authorize tip. d this corny in wZIA, iM ahme pnhterty ptrpoaem ln 6�t $ E t SIG+iATU1 PEiMITfEE DATE APPLICATION DATE P/C# �y ISSUE DATE ,/-V+1 1� PERMtTtk Pl �� ' � � 1 t PE CONST OCC GROUP ZONING SETBACKS FRONT RW..................... REAR ❑ SIDEISIDE STREET RW C% SIDE Cl PROPOSED USr" _- _ - CAai 9 DWEL UNITS 9 STORIES ill BEDROOMS DESCRIPTION SO FT FACTOR PSF ADJ AREVVALUATION SMADDtREM j GarzgVCerpart th w PatiotDeck I U- powspa 1 3 i Aa-Roof 0 J 7 iprnRyerCjel m Valuailon Adi Area QUANTITY DESCRIPTION FEE aL I i CONSTRUCTION 6 TV PLAN REVIEW I ELECTRIC PLUMBING MECHANtCAL INSPECTION FEE ISSUANCE SMIP a ENERGY P/C ENERGY PERMIT p RETENTION FEE LfttO"Q PRE-ALT FEE BSAF l TOTALFEES COMMENTS RECEIPT w - ---� MD BY VALIDATION WHITE — Department Copy YELLOW — Finanoe Copy, — r Copy, GOLDENROD — File Copy GREEN — Applicant a Copy SETBACK/LETTER FOOTINGS FORMS SLAB UG.IPLUMBING UG ELECTRICAL UFER GROUND SEWER LATERAL MAIN WATER LINE SEWER CLEANOUT ROOF SHEATHING FLOOR SHEATHING SHEAR WALLS EXTERIOR SHEAR WALLS INTERIOR FRAMING/VENTING ROUGH MECHANICAL ROUGH ELECTRICAL W( 1 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 CERT, al OCCUPANCY COMMENTS CITY OF DIAM �R INSPECTION RE IUD TRACT AND LEDGER SWITCH GEAR COMMERCIAL HOOD T-BAR INTERCEPTER HOT MOP/SHOWERPAN SEPTIC/CESSPOOL HERS REPORT RECEIVED DEMOLITION ROOF DRAINS ROUGH CDNOUIT POOL/SPA ROUGH PLUMBING ROUGH ELECTRICAL ROUGH MECHANICAL GAS TEST PRE GUNITE POOL PRE DECK BONDING P-TRAP FENCE / GATE/ALARM FINAL POOL WALLS WALL FOOTING/STEEL WALL STEEL IST( ) 2"0( ) 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