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15-1518
114 CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES 21810 Copley Dinve, Diamond Bar, CA 91765 -7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027 (909)839 BUILDING PERMIT APPLICATION JOB SITE ADDRESS A35*1+5 T'Adominif) be APN LOT TRACT OWINER C0 ADDRESS Alq4-1— CFrYr.&A�rAv-,, &(-DMZIP '1ATq19TEL .2 APPLICANT Ke,ii Mopiee� TEL616.2--n— CONTRACTOR ADDRESS CITY ZIP — TEL ARCH/ENCvDESIGNER ADDRESS CITY ZIP —TEL OWNER-KaDER DECLARATION I livabyahirmunder penalty of Perjury that lxn exempt tram the Stifif Llienu Law for to rNawj$l oj�rorl below by Ifto 0ecki I have Placid next to the appt0able Itairl (Sbirdan M1 5, Howninforl and Priallesiolonis Coda Any city at courtly that requires a permit to deristrunlit, alter, Ingenava, deal 10, or repair, airy stunuichu to, prior to ft tsiuonce, also requires Die npIfficard for ft ferailt to If I# a olUtl Intent, still that the or 00 Is licensed purawrit. to #in wthdalons of am Cmdr actors Stein Lloorm Law (Cho unfair 9) Comirreencing With Section, 7000 (A D firloon 3 of to 6 in and Rvilesior [am Goo] a r fill re or shi N r: Xem pt ham Ircor W'o art ire basis for Any vibrational Sel 7031 L) I, as chwarr at ft atonality, or my amptoyees il wallea as their sole will do L) allot ort_) corillons at tria wank, and " iftilic4arn 's nett aria rA of"i ke safe *ettion *2044 &,vorz and preftmom (�w Pro, Contwirri State =isa Law does rint aii to an owrar of P,olhi who th-ouli obriplo"ti powal ~. Ndui or rrfoto�vs me prowily, provided that Me artairnmeors am no' jolleraind or offerfic Ira li It tkw4w Me nu Iviat; of im�rimem is too W Ill one fear of mrififirtivin tia (hainer Sislaef wH tave the Durbi of p*t*vg VW it ww nor Nor at eftnrtbed toe the puvosio of sak , i j 1, as a%= of the prailieft am wl coartrachng with licersed Curimactars W commutt the project lSei 73" ties nvw ar.J Pmfe,�.Wra Coca The C�ontr-dcicl State Ucense Law owl; net dribly to v owner al. Xviffertl b.wiiiitx UW-Wes and Stale ul t-aw I D I am exeniftfrom licurfoura urdlor ft CVnbactcfee State License law for the following reawrils) .......... By my signal." 001aw I ackinawledge that except tr my parsom residence in which; must have mideci at law 008 year prior to, =rIcledon of the I-nMennurrb covered by t1i permat.1 cannot "i Sol a struch-firs thatf have bulk so ") owner hullder if it t.as not been constricted in its entirety by licensed contractors I understand that a copy d the appilcable law Section '044 to the Bunknivard! Rofessionii Code is amiable upon request when this application Is submitted or at the Mini Web -Ata htVwvm legirito C3 guy/caaw html DATE SIGN LICENSED CONTRACTOR'S MCLARAWN 1 hereby affirm under p4orafty of ovi Mt I am Owsoc! under iffavisionsof Chapta, 9 (commencing wft Section Rkkl! Of Dfillifion 3 V the Burnitelsif sill I.Trii ns i and my 11corlso Is in firl force and effect LJCENSE am LJC NO ONE COWPKIFOR WaRKER'S COMPENSATION DECLAUTION HEREBY AFRRIM UNDER PeAlTY OF KNIIM'ONE OF THE FOLLOW I have add wi I we rilain a Genii or, Gorisaft to Sell Invull for W*rloi by Section SIM Of the Leiser C060, for the Pimbiffair.2-11 Of me WDrk'Df Wl' Zh ths coral ssJed I bevy and V-11 r`la;nl MkIll"i S CGIT'Densailp trwraol as flooluntild by Settol 21,00 of !hot Latior Code, Ifor ft porlsona%* of the work nor which thin permit s issued My wamc-t Umperii��i kisuraircie C4iricr and podstylitumbar file CAMBER . ................ — ------- --------- POLO NUMBER — - ---------------- Me SKTON NENZ NOT BE WOLIFIED F-Tif PEFW .5 " Of& ANDRED PUiAi WOL) OPl d%) I wrally VO In the parlamrance of the *" for %frich this perl a issurid, I shal: not oT" any:*nabn n my nvnm ae 3o to bawnw subject to the ftlioi Gorriciensaten Uws of Wforl And agree Ira[ it I alcuid be:ol "itect, 0 the WoF46, Ocirnpersindart proveorm at Section 3700 at the Labor Code, I sral brillwift mol Win thou lfro)ri Oar _ APPUW WAFNING Fetus, to wore ftlkeria Ceraporwhon timings is unawfih and ulloll subject W employer to adminuld penalhoo bra civil finris tV o Dnn fondrod drouliourd dolars ($100,000) in addition to Me cast of the compensation damaTs as provided V irl, saictilon 3708 of ho labor code interest and aftDmoys fees CONSTRUCTION LENDING AGENCY I hilrobyariffn under ponfuhrof polury Mat ffism [so Corshctlen -ancling Agency 1xion per"ance of to work for wirvit thle perril is Issued (Sec XV Ov C I LENDER S NAME LENOER'SABORESS . ............. I conly that heve, rod this floplicaboin and state that the ahm killarmalhish is coal I agree to cornifly wdh all city 7j county ardirlori are gat laws r0allng to ii hill consiroclim ard hereby aunti ofiftle ccionrly to vl',er ti'me tft &I'i raerillf)nedf Property fen ristlectan plpoi LIVIA & /4211 ' OF PE - ;TTEE DATA 90uE r'7iip PRESS FIRMLY APPLICATION DATE 6126 // ,F Pic# ISSUE DATE e-3�-lr -PERMIT# 4405-- /S—/? TYPE CONST 7M OCC GROUP ZONING SETBACKS FRONT RW— Q REAR Ell SIDEYSIDE STREET RW . ............. —0 SIDE Q PROPOSED USE AA1044 ............ 'ilvm 0'.4 ww 40 # DWEL UNITS # STORIES J # BEDROOMS DESCRIPTION SO FT FACTOR PSF AOJ AREAAMLILI SrIVADDIREM Garage/Cni 0 W Patiol LU LL Pool/Spa �-:0 C<1mmoircial Valuation 60-0 0 ' Adl Ate r fl:_' QI[JAN-171TY DESCRI"ON FEE cil CONSTRUCTION PLAN REVAEw ELECTRIC PLUMBING MECHANICAL INSPECTION FEE ISSUANCE SMIP ENERGY P/C .II ENERGY PERMIT RETENTION FEE PRE-ALT FEE BSAF ........... TOTAL FEES I.j ZA 3 16 COMMENTS RECEIPT * ©71,0 j6 R-D BY VALIDATION Ali MOTE — Vep4tent Copy, YELLOW — Fhv=e Copy. F114K — Asmilisor Copv COLDENROD — File Copy GREEIN — Applicant's Copy SETBACKILETtER FOOTINGS FORMS SLAB UG PLUMBING UG ELECTRICAL LIFER GROUND_ SEWER LATERAL MAIN WATER LINE SEWER CLEANOUT ROOF SHEATHING FLOOR SHEATHING SHEAR WALLS EXTERIOR SHEAR WALLS INTERIOR FRAMINGP/ENTING ROUGH MECHANICAL ROUGH ELECTRICAL VU C 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 ELEGMICAL FINAL PLUMBING TC of OCCUPANCY CEFrT. of OCCUPANCY ----------- COMMENTS CITY OF DiA46NO'BAR INSPECTION RECORD TRACTAND* LEDGER SWITCH GEM COMMERCIAL HOOD T-BAR INTERCEPTER HOT MOKSHOWERPAN SEPTIC/CESSPOOL HERS REPORT RECEIVED DEMOLITION ROOF ORAINS ROUGH CONDUIT POOL/SPA ROUGH PLUMBING ROUGH ELECTRICAL ROUGH MECHANICAL GAS TEST PRE GUNrTE POOL PRE DECK BONDING P-TRAP FENCE / GATE ALARM FINAL POOL WALLS WALL FOOTING/STEEL ;WALL STEEL 19`( )2-( )LIFT WALL BOND BEAM WALL DRAW SEAL WALL FINAL RO FRAMING RANNINGNMOVAL ROUGH FIRE APPROVAL FINAL FIRE DEPARTMENT FINAL PLANNING FINAL ENGINEERING/ PW FINAL COMMUNITY SERVICES FINAL HEALTH DEPT FINAL INDUSTRIAL WASTE