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I,i I I 1 �! DEPARTMENT OF COMMCJNITY 8i DEVELOPMENT SERVICFS ' _
'- i ' 21810 Copley Drive,Diamond Bar,CA 91765 • PR�SiS
k N� ,, (9ti9)$39-7d20 Fax:(909)Sb1-3117 Building Inspection Hotline(9b9)839-7027 : ��RMLY
, � "$a"'. : B[JILDING PERMIT APPLICATIOIY
' �= APPLICATI4N DATE: d. ^'� r���� P/C�1 �.�"` /� t�
�, � 306 SITE AQDRESS � � �"�'� - ' ���„ ��)s
ISSUE DATE:��2�PERMITq
z APN �QT TRACT ' "
o TYPE CON5T. OCC GROUP:
o OWNER_f"'�'�.� Y^.'QS �G.d�
u' z r-{� a-+11'R/��.+�..� �.../�'�►Kt E'
N ADDRESS �- ZQNING SETBACKS
-' GiTY.j�t/�-w^+:��.•'�a pSAtL ZIP'����T.•'FEL. FRONT RW Ll
�- APPLICAN7'�#'�'!�.✓-3�e '�ot�ir►�--W TEL.Q's/-31'?-•"32�9 REAR ' ❑
o ., , SIDE/SIDE STREET RW ❑
a CCINTRACT{3R � �U� � � �� StDE ❑
o aofl �ss 350 . A se4�+c. +�D ' �-
� � /� PROPQSED USE �' S'�G��'������`�,�a.�+T,�4t��
o ca-rr 4��,c�C'w�_t� 7D� TEL.T� � �t4— .�z.,�..-r.c►-7—�tz._ %
o ARCH/ENG/DESIGNER
o ADDRESS #DWEl.UNFfS #STORIES #BEQROOMS '
z CITY ZIP TEL.
m mvum-eunoEN aECtbnAitoN DE8CRIPTION SQ.FT. FAGTOR PSF ADJ_AREANAIUATiON
a SFR/ADD/REM
¢ !heretry anrm under percatty o1 peEju7 t�at 1 am exempt hmn the CmH�actor's State Ucerse Law torUre#easor�{a}
� indicated below by the cheskmark�s),1 have piaced next tb Me applicable�lem(s}(54wHon 7031.3,Bwdness and
o Garage/Cavport
�-' Professians Cate-Any city or cau�etY that requires a permlt to construcl,atte,[mprnre,demoflaA,or rtpak,� . .
z shucture,prior W its�asuance,alm requira iM applfcaM far tAe permtt to fila e dgnM stetenkmt fiet hs or d�e tA Patio/Deck �
a 3s tisensed pursuant to ihe provisi.ons ot Ehe Cnntractcr'a State Lfcetrse taw(Cliaptst��g�rtlh Seetfon �
� 700p of Division 3 of the Bpsiness and N!ofessiom CodeJ or Ifiat he a she is ezempt hom IlCensure and the basis for LL Pooi/Spa
� N the attegetl exemplron.Any vblation at SecUoo 7031.5 bY enY aP4���$P��d s�jects the applk�ntto a Gv�1 perelty �
� `n �ot not more than five hunAretl dollars(35q�. � � ��R�
°C ' � Cflrrttnercfai
o {}S.as awrser of ths property.ar my empioyees w@h wayes as tl+eEr sWe compenaetlan,wAI do(a aq oi w(}portlons C
0 of tlre work,and me struchire Is not Irrtended or attered for sale(Sectlon 1044,BusMess antt Rofexslae Code:The �
� C�ntraciors'State licer�se�aw dces nai appry M an awner o(properiy wM,thcougii empioyees'ar per3arreS effo�k�Ids m
w or improves the property,Drovided mat Me Improvemerits are not I�e�Med a oftered fi►eale.B however,the buildtng or ,
� impmvement is sotd wiihin w�e yeat of compleikm,the 6vmer-Buitder wiN have ihe burtien of provkig that it vrss not bulft
� e
0 or improved Tor the purpose ot sate.).
� � P�DertY,am exciusNe g , �. . .
F (�,as owoer oi the b���^ W�m��M'��n���C0^��a�°1��� V2luation: �' AdJ.Areg:
0 7444,Business and Prolessiuns Code:The Co�rtractms'State Licer�se Law dues nat appty to an m�ncr d ptaQerty who
Z buildsorimD�'+esihereon,andwliocontracbiatheprojectswtUiellcansedGmtracMrpuisua�AMtheOonhaclars'Sffie QUANTIIY DESCRIPTI(7N FEE
�
Y License taw.). � � .t,
p U I am z�empt from licensure under the Contracror's State Usense law for the iollowing reanon(a): �
� — - ' 1 U.t b„�J
`� By my signature below I acknawledBe thet,except fa my personal residence In which I mu5t hav6 resided fot et�ea9t ooe �2 L+ '��+ �
. Z year pry"ar to compte8on of die.fmpravert�ats covered by this permiLt cannat legaity seH s 5hncdAe thst i have bu�i ss an � . �
Qowner-bullderiftthasnotbeenconsWctBdlnilsenthetybylicensed.cartracloralunderstarMthatacopyaliheapplkabk �
� iaw,Sectlon 70dd oi the Susiness and Pmfessions Code Is avaliabk upon request wtren Gds appifce8mr b aubndtied a at .
X Ne lollowing Web site:httplwww.leginfo.ca.gov/plaw.hhnl � � _ � .
W DATE: _ SIGN: m
�
l-�- � LiCENSED CONiRACSflR'S DECU4RATIOM� � � .
U
W I hereby afiirm under penatty of DerjM'Mat I am fice�ed untler provishMs ol tTapter 91Commencing with Section 7000) �I
m of Division 3 01 the 8usiness and Professions Code,and my t�e�rse is in fuit torce arW ettect.
� .^� r� j J
� LICENSE CLASS: .:: .!J I3C.NO.: ��Q J I ie �
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o DAfE:iL�.... � � G4NTAACfQR: L �
¢ WqRKEN'SCOMPENSAnONOECLARAnON � .
� t HEREBY AFFiAM tlNOER PENAtTY OF FERJURY ONE OF THE F6LLOWING DEq AANTIOWS: /1
0 1 have and wi11 maintain a GertHicate flf Ca�seni la Sefl-InSure ta w�Canpetfsatlon.m pmvid9d by CONSTRUCTi{?P!: � ?.,�� p
J Seclion 3700 0l lhe Laba Cnde,for the perfama�e M the wak for Mrkii Ihis pennR is issued. p�,qN REVIENl: �
> t have arni wiii maimain WoActrc's Comvensafiai btsvranca,as requtret�by Sectton 3700 of the laifa Code,for ELEC7RIC: +1- "—"�.7-�—
o the peAormance ol ihe work for which thts permil is iasued.My WOrker's CompCnsatlOn hrstaancE CatttCr and
¢ Poticy ttnmber are: P�UMBING:
� cr�tRiEa MEGNANICAt:
� roucvryUrnsER INSPECTION FEE:
� {ItRS5EC(NNNffAN0T8ECOMALE1f0l�'i}1EFE3�ifT35F4FCONEt!l�Df'i�OW.LARS{StO�Opt,�}. 15SUANCE: _ � �► �` �
� I certify that in tlm Pertonnance of Nre work Ior which 1hls perm�t ts issued,lBhaA mR emdoY�Y D�h am+meix�et ao asro ,i� �
� betome subjeet io the WorkerS Comper�saiion taws W CalNomie.Md a�ee itu3t ff i shauld becan�g suhtect iti Oie Watke's SMIP: +� �' $
� com�sauo�o��5+rn,s a se�eo�a�oo a�r��ao«coae,�anen raumm�ne oo+npy+,�uesa prov�afan. ENER�Y P/G:
� oATE: �u'P�iCAM: ENERGY PERMIT:
� wARN(N6:Fait�re to secure Wnrkert Gtmpe�a#idf caveia98 Es tmtav�Ftii.�shait sirt��ect an tmpbyet�dimhtat
w penaities and civil(nes up to one hundred thousand dollars(3100,000),M eddltlan to the a�at o(tlre comperr�atbn, ����ON FEE: �. �C�J-
0 damages as provided fm in section 3748 af tlfe iabor cade,inten�3t,�d aftomey's tees. . �FF�E-AI.T FEE:
°C C9NSiRUCitOMLENDIN6ASEHCY .BSAF: '2 �jj;�
a
w I hereby affirm under penalry of per�ury that there is a Constructkm Lendinp Agency lor me perlamanCe af the vrork for
� which 2his permit is fssued{Sec.3D87.Civ.G.). � , . _ �
� LENQEH'S NAME: �
� LENDER'SADOR£SS:
� �certity Urat i have read This apDlicatimt and state tt+at ttre abwe ir�msetlan is cortect i ag�ee to eampiy wtth etl cHy and �07Ai.FEES :?� (�i S� �
� counry ortlinances antl state laws relating to bullding consWcbon,and hereby auMiortze represerdaUves ot thls caunty lo �pMMENTS:
z enter u n the abwe-menUaned pmperty fw inspection ptrtposas.
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m A�1Q �. L 1`}°
¢ �P M NAME PRI ..�.�1}, .� r� . � (� � I �+ �'� �y-�
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_ 'S16NATlliiE 4�PERMITiEE �OAiE � RECEIP7 M..�tr r��_ PAIp BV: ��.�`9n � VAUDA?14N:�,i„
H.
WHffE-Department Copy,YELCOW—Fnence Copy,PINK—Assessor Copy,GOLDENROD—F�e Copy,GREEN—Applicant's Copy ' '
. �, .
�I�"Y �� D1.4fU��YV� B�R , �-
��9SPEC�'90�! RE�CCD��
� � � o ' � e � � '
SETBACK/LETfER TRACTAND LEDGER
FOOTINGSFORMS ' ' SWITCH GEAR
SLAB- - ; COMMERCIAL HOOD
UG.FLUP7IBING ', T-BAR
UG.ELECTRICAL �' ; ; . . , . ::: - ::< INTERCEPTER
UFER GROUND: ,;:: " . ,. ': , > ; HOT MOP,`SFIOWERPAN
SE�VER LATEFI�IL � " SEPTIC/CESSPOOL
MAIN WA7ER LI�lE ' � HERS REPORT RECEIVED
SEWER CLEANOUT - DEMOLITION
ROOF SHEATHING ROOF DRAINS �
FLOOR SHEATHING ROUGH CONDUIT
,,
SHEARWALLS EXTERIOR� ' � ;; ;: _ : '::; ;' , . � POOGI$FA '_ ' - ,`
SHEAR4VALLS INTERIOR `� , ': 'ROUGH PLUM6ING'�;
FRAMINGNENTING t! - ': " ROUGH ELECTRICAL -
. , �
,.....
RQUGH MECNANICAL :; ` ROUGH MECHANICAL - ' � •. � � .�>_
ROUGH ELECTRICP.L W(` )C( )` ' _ 'GA5 TES.T- ' -
' ROUCH PLUhJIBING - 'PRE GUNITE
INSULATION WALL POOL RR.E:DECK BONDING:.: " ' ' `
INSULATION CEILING P TRAP '.� '
DRYWALL y FENCEtGATE'AWRM ' `
LATH(PRE) F1NAL POOL -
LATH EXTERIOR d 'ZO WALLS:
Lf1TH INTERIOR � WALL FOOTING./STEEL
GAS TEST I WALL STEEL 1sT� �2�+0� ���rJ
SCRATCH GOAT %6 -L3—� WALL BOP10 BEAM
ELECTRIC hAETER RELEASE NlALL DRAIN/SEAL
GAS METER RELEASE WALL FINAL
,., ,
SPECIAL INSPECTION ;RO,FRAMING PLAi�NINGAPPR�JVAL ' ' -
FINAL BUIL-DlNG : ' , �
•;
= ' '- � `' ;ROUGH FIREAPPROVAL `�
'` ` : ;; �
, ,
FIN�L MECNP.NICAL . ', , ;� � I � _; : � , '� �s i FINAL`FIRE DEFARTMENT ;;: ; � _ �:;
FINAL ELECTRICAL - ' ' ` `FINALPLANNING;, -
FINAL,PLUMBING � ', _ �' ,FINALENGINEERING/PW '; _
'f.C.of,OCCUPANCY : - ��� ��, 'FINALCOMMUNIiY SERUICES � - - '
;;
CERT af OCGilPANCY:': ` ' 'FINAL HEALTFIbEPT , .. _ - � .,
, ,
FINAL�INDUSTRIAL WASTE''. ' ' ' ' ''
COMMENTS:
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�E�-���c�-�E �� can��u.�-ri��u
�USLQMER NAME: Ge1Ty SCOtt DkTE: 3/9/15
aQDRES�S(EQUIPdIEIVT 6NSTALLATI�M�: 23511 Mirage
��: Diamond Bar STATE: CA �P: 91765
1�1fPE OF EQUIaMEIVT,sYs�,ewsTatt�ar�ow: Wuapaca Paca-Ryde SN: 116-02-1300
�] HALL d00RS COAtPLY 37€5 CQDE(ELEYATaRS WtTIN SWING TYPE DOC}RI
� RBIQhfE IN ELEVATOR CAB tS ACTIVE AND WORO�U+IG PROPERLY
- � OI�KWERlCONTRkCTOit tS SATfSFIED VYkTH TIHE LOO�f�OPERA�TION OF THE EL.EI�ATORI�WE�B1MaITER
� �f�YS� REGE6�E�: YES � NO ❑ NUMBER OF KEYS (2) controller lock
� T&tAIML_ F�1 SA E�PERATt N HAS BE�N PER ORMED
EmergencY�attery dawering—Sys4em aperatian has heen demons6reted_
� �Fildl SET QF PRINTS HAS BEEN LEFT IN CaNTROLIER
i �] COh�PLETION PNOTE}S TAKEN
� OPTI�NAL PUWNED MAINTENANCE AYalLAB[L1TY EXPLAINED
� EMERGENCY�A.Ti'FERY Lb4VERING E7fPlAfNE6 FOR USE IN P4WER OUTAGE
� �QUEST_FO IN TALLATI a EQU MENT CHANGE
„�The fa{lawing fieldFshap changea to the P.01Contrad are req,uesled.. We agree tfiat EAcKinley Equipment wilt modif}r 1he
P.OJCantracQ and;imrace tlnese changes for time and materials, i
Need to return to replace bad overload. Need to test MLT after replaced. !
(�: EQUEFN�'ENf W1�L BE R�LEASE!}F�R O�ERaTlO�'Lf�'0�'�'��FAL� .Pa�1V�E�'F�MLY.)
F(N,�G.P�.YME[!dF a4tiED: �YES [� NQ AMOCJNL REC�IVED: 5 1,000.00
��t�mEi Narr�: Gerty Scott pat�: 3/9/15
Re�r�sentaGve Nam iPrir�i) ��E_ Owner
Cu�+cnrsrReprosQ�rrauvo-Sigr�a!uro AlcKintoy np;es�n. iun Si�natlm
(909) 861-6681 Arandjer@verizon.net
Er�4'serPtacns:� EndUserEa;�ai!•
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17�11 Arm�staong�Lverwu�•Nrv�n�,CaF�fornia 92614-57'6m
ELEVATpR (949}261-9222 (800}22�-7275 FAX(9�49) 250-7301
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