HomeMy WebLinkAbout18-33621IlI.1,:�I!):t l) Ei1i
CITY OF DIAMOND BAR
DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES
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21810 COptey Drive, Diamond Bar, CA 9176E PRESS
(909) 839-7020 Fax. (909) 961-3117 Building Inspection Hotline (909) M7027 FIRMLY
BUILDINGPERMiTAPPLICATION wrrtvefftyotdfamondbarcam buddinlWilamondbarcagov
JOB SITE ADDRESS ,• cadw
APN LIST TRACT
OWNER
ADDRESS � 1
CITY ZIP TE:L�
APPLICANT TEL
CONTRACTOR
ADDR
CITY ZIP
ARCR/ENC,/
DESIGNER
ADDRESS
CITY ZIP -TEL
0141IFA-MMER ISft tARAnmr
I hasty Bf rib antler parKRY V ooepity fftat t am exempt fWm the Concacmfe Sofa Literate Law tr the rigs W
LidtmtW bebw CY me chseknrak(s), f *0 eJXad next fa the applimt:Io "W MWl (Section 703t5' brain and
INVemima Coda Am7"of cw * tkat re *ft a osrmtt to cwAlrmt a m, br pmm demo a, at repsk , mil'
otuctae, ow b b hlsaxeaca, start m4tdrsa caa apkart far Vw pemrit to f&.6F d s tal=Ird ffnt In or 00
Is tlta- , - rl puwr4 to fhe prowbioaa of ffm CvnIs* eo Slate 11carm taw CD%grt r E} Comma "wM SactIm
7WD of OMsirn 3 of fhe Bw*i es and Rotrraawm Cale) or that to a sm fe emmpt from iirefatae Lid "basb Ipr
I" WSW mmom My vlowim of rwwn 7031j trf my IIWIG= for a 04ro sublacm the applimot to x don ver ey
of not mwe dw Ore hundred dolla(s,";
L) k a owner of the PTO", OF MY 1mPluY006 whit vvabas ® maim Bob cmnAamsarri, will do U dl of Or ( j fiOMM
of me wwark, we Ihs asnacatra is no IMitclded or offurtO, for We *ecaoa 7W Barslnesa wO PratmOotn Cade The
Comb ors' Srab I.isBtcse Law dear not %silly b W oomBr of pmp" wle, mr J0 emcbgeee or pemorml effort biuWA
a Wtar w me pmwTy voMsd cwl the Invmovwwft are Mot ink or tar sale a Nww4o the b uNha OF
Im pro"Mo et Is sold vMm orb year of compbtion. t'na Owner Ukror wll have me bu den cf pnrnp that R wn not bwR
or Irn d ktr the pinaasa of seta 1
as of the sty am raCkraK" caMb�scfln9 wb katsed Contractors fo consbuct fha pmjeai {Section
7 and Fmfestom C,Ma The Contracive' Slats Ltwoa taw does fat ap* to an wom of Arot sr who
fm6t von awma "oft contracts fin ma Pvom wAh a kr ad CaebacV ptmwt to An cmbm inns' Stab
I am axmmpt he Ik^annav onft Om ContrecW% S'tafa Licotns law tr the foaoWnq reawnj3l
!Bata 51pn.
9Y Mry babar l scsateaAadpo t� atazpt for mT porsonal nssGsnu in which I Host lane rsakfad kyr at last oIx
imam prior k compm906 of the ftram seam powsm Ov Una Pam, cumat le;* No a &vmns cut I Hare as an
avatar-Wdet R R ho nat basil Wrasbottad In Its O*vty by Icr sd Ibnhazmm I andmsm that a tapy of ins
3 appkable law Section 7044 of t€'m Bu!'Am wO PMBssnr s Code fB srAbNo con request when 4" apC>]cffW to
suhm n d or at the fokvrin Web 9% htpt,°rvww 1toInfn ca Ito%'ta%-m Atmi
fJG13W COW11=10R'S DEMARATION
1 iursGy aMrm ondpr peraifty of pbfiny t7tat i am R urft p+7mi tort3 of Otow 9 (iammeackq wHfi Seetroa 7000)
of D�sem 3 of and Pcttma" Cddo arartso- o �€€4 Uzi.
GATE CtP CANTFtACTOR
WORM'S C019MMA:TION DEWMTWN
tkh I M PEMTY OF P91.1[btY{WE OF THE FOLLOWWO DEf3APATM
two and w0 mdntaln a C40cato of On€ sod tSelr4w m for Worsts Coin tersedan as Provided by
n TM of me Latter Code for pre oertor meoce o1 Iha work tr w ileum cft 1w s is wutd
andw rrukMmin Wor7ty'a{roerrpensadon hau�nce asrwukdby5eetibn37D0of Lhs Labor Code tw
tlta perfa n�TVGa M tIM vvarlt Aa wHCr VA3 parMlh b Lasaed My Work is Cam as Wm gtr"ce Car*raB d
poky No en
CARW R
PfiIJLY Ni#tibER
SECNMM TIC 4P7SF fl aMiAIRS tMORLEM.
I rxt* fMlN pis PW.VMWWdih1 vs7rk tr WIth#de pwr.'A ion tISINd. I td notWVkyf e7Y i>W" In SM FriMW aPmm
" . e VAIma In an Wphat'a ownpamsau Lawn at Linda. And am put ti I tow ba07an SAW b fie wwker's
' femnof Sam 37C0ddotalwCode, Idid bdavtlw*With emVim.
tsaTE_ NRJC+WT
WARM Fallum to emcors WwWs CcmpensaBon ouvaMe is unrawfui arm shah au4X en empeyer to Ofti l
peftAes and tM flnee up m one hcr&w trrwabnd *Aare (SIX OW, Jfl a tfun to the cost of pta comperstJon
dam"m as provided for fn sectlon 3708 0 Uts lib oft, IntDnm and Bttranaya tees
UMSrMXn0H LERDOM AaMT
I sentry afhrn urttler pr ttY at Fe€Ir++T' titers b a Canstr-gWo IsMdtnp AWQ for do perta of0ts »uric fa
WdcJi taq pennit IS Mued y8 3CLI7 Clr CJ
t.FWIR.3 NAME
L Ali PMi AfiOKU
I ctr* UM I have mW ft appltWnn arm strta Ihai N aWwo kitm tlm is coma I i}p&s b dimply rink sa sky am
caum tffAM "mo stela lawn rek" s) Iw�g mmtrucd^ and hareft mlmort:e repreworom Of ibis =f* t
ewer um the a mm mandone iti% pkrposaa.
TINf}FPf3Ci01ria DATf
PLI TnN DATE
SUE GATE
j TYPE CONST
PERWr#
P/cs
WIG
OCC GROUP
$clops of Work
N DWELL UNITS
# STORIES
i
A BEOROOMS
DESCRIPTION
SO FT
FACTOR PSF
ADJ AREANALUATION
iMADDIREM
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Pasitar0adc
Pool,°Spn
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Ya(a attaa
Adj Area
4UANTIfY
DESCRIPTION
FEE
t�y
A7
tL'
CONSTRUCTION
PLAN REVIEW
ELECTRIC
PLUMBING
MECHANICAL
INSPECTION FEE
ISSUANCE
SMIP
a
ENERGY P/C
ENERGY PERMIT
RETENTION FEE
PRE-ALT FEE
BASF
PLOT PLAN
ZONING CI,EAE'"CE
TOTAL FirEs
COMMENTS
,
M ; �f3Y
PEGEIPT
PNO BV
VAALIDAIikt ,�j���
/WDATIONS�
WMrE—Deparwwrn Copy YELLOW —RrKma Cory, PINK —A33emoa Gaily
CITY OF DIAMOND BAR
INSPECTION RECORD
INS'PECTION",
SETBACKI LETTER
-DATE--.-
INSPECTOR-
INSPECTION
; TRACT AND LEDGER
bATE
INSPECTOR
FOOTINGS FORMS
SWTTCH GEAR
SLAB
COMMERCIAL HOOD
UG PLUMBING
T-BAR
UG ELECTRICAL
WTERCEPTER
LIFER GROUNO
HOT MOP/SHOWERPAN
SEWER LATERAL
SEPTMESSPOOL
MAIN WATER LINE
HERS REPORT RECEIVED
SEWER CLEANOUT
DEMOLITION
ROOF SHEATHING
ROOF DRAINS
FLOOR SHEATHING
ROUGH CONDUIT
SHEAR WALLS EXTERIOR
POOLISPA
SHEAR WALLS INTERIOR
ROUGH PLUMBING
FRAMINGNENTFNG
ROUGH ELECTRICAL
ROUGH MECHAMM
ROUGH MECHANICAL
ROUGH ELECTRICAL W( ) C {
GAS TEST
ROUGH PLUMBING
PRE GUNITE
INSULATION WALL
POOL PRE DECK BONDING
INSULATION CEILING
P-TRAP
ORYWIL.L
FENCE I GATE/ ALARM
LATH (PRE)
FINAL POOL
LATH EXTERIOR
WALLS
LATH INTERIOR
WALL FOOTING/STEEL
GAS TEST
WALLSTEEL VT{ 2 LIFT
SCRATCH COAT
WALL BOND BEAR
ELECTRIC METER RELEASE
WALL DRAIN/ SEAL
'GAS METER RELEASE
WALL FINAL
SPECIALINSPECTION
RD FIVMNGRAW" APPRWAL
FINAL BUILDING
ROUGH FIRE APPROVAL
FINAL MECHANICAL
FgCAL FIRE DEPARTMENT
FINAL ELECTRICAL
FINAL PLANNING
FINAL PLUMBING ..
a
FINAL ENGINEERING/ PW
' T C of OCCUPANCY
FINAL 00MMWirrY SERVICES
CFJIT. d OCCUPANCY
FINAL HEALTH DIW.
COMMENTS
FINAL INDUSTRIAL WASTE