Loading...
HomeMy WebLinkAbout15-1222a Js IL i y i2 a d' y +Ti 2 Za a 3 . 'yjl4- "J all oy y tSi'a :4 CITY OF DIAMOND BAi DEPARTMENT OFCO IUNITY & DEVELOPMENT SERVICES 21810 Copley Drive, Diamond Bar, CA 91765 �' G � � PRESS (909) 839.7620 Fan (909) 861-3117 Building Inspeenon Hotline (949) 839-7427 FIRMLY BUILDING PERMIT APPLICATION 4r fit „JOB SITE ADDRESS L+jell AlIeUDUA9� 1 'APNLDT TRACT OWNER ..... ADDRESS CITY ZIP TEL APPLICANT TEL CONTRACTOR ADDRESS JIS25S p CITY ZIP TEL ARCH/ENGIDESIGNER ADDRESS CITY ZIP TEL OWNMBUILDMGECL4WTION I Iwroy AM= udw mMy of penury tat 1 W e Pt (rode the C(MbadYa SMM LIMMA Iaw tar MM rmw W ir4Go 11 Deal Dy am ixacundend i dans Calm ned M the deduentes nal iSmaan 70MA, Rralma and rrofaeMm Goal Any dly m Mcnal UW M dtee a PatMN lB mwnrcLettr, Mymee, ewneel w rWkN eaY aa4ruYlm, pdw M to Inuwcw. aMPrnPoNasale appkaMmfarafa Panwaiofll9e eitrleaetaNnmt Umttp a sire Nkauaea P'bil»WaWldoaiEm CwataCMriUtMii taw {plpOtu 9Y wIN1&silm a ONelue3attw arelrpa mid NaleaNOrntYdaldethd to mahomeeanPi hum all the t�MRr of we a 0=I me Any va demmR 7Ni SbyphYapPiMaM apmri wt6}mM the tmaerapway M ipt mea ti&i kis NUaai91 assn ($.rPGf U I, a minor M iN proem ty, w my mp4me while wane" a4 ides wo O"rAabw4 w el All an of m U pmGom of Me work and the wtueaae Is mat amended w artatd to sae (Sected 7644 Ouldness wd fttssi m Owl, TN Currp;ara'SMw [keaetax ma appymen awns otpmpmtywN MnmPn 'ne Pon"eRpt Sense w lmemres the pmPwty, pnwhind mat the Immwemal ma nM hnmdad sabered baade h twvreyed DIB W dlyd p ar4aorenvnt MaMaaNLbn MwymtMctmpebov, ths t7mu OMMu'wN hate tp Mmmnd prtwMg tett wmrasb9n a mmrtxN 10rthe DuNasNaaM } q�u� 70I, Remar Mtlhepmps Ca�phlfyctaal SOW Lahmis u awassi e M heMWMbar of em rn.'•".e 7644 &peso and Heel iter Cods lip fanbacda' SOW ikrella taw Casa apPty m as ad Me et www top u3 khyYaeatara andwtowmacnka;N PrgmM with aill>;nMee Dbrbmmf Pumuam MMgP.prtrN!ms'SMM Ikupe taw) U I am assel Idem tipmeum order the CUMeMhel state Uaaa taw her Me Mndeat mmen(s) By my signature Seem ImknmNedge that exceptf x my Pwamr rmldence In welch I must haus molded is at Man we Tsar Phar M WMpletm of the IMP" OntB leu' W by ally penin I sept all Bell a Melded" that I NO" WIN aen a s w bullderll It des not been mncbuc4e In aenbeetya/ dinned centlacmrM 1 unmmimd taia 0M MthOapp4C M0 law Sectem 7044 M Mo Genera and PmfeaMm Code IaewellzbM upon ro8uep when Pae aapuceNn M rammed erat MefwwN*o Webwta KWw tnmmcaowtalawhelM DATE SIGN UCOM CDNTBACTOWS VCIANATMN I homey anym ever penny M wry that I am hcdnsed undo pmnaans of Cal 9;ccmmencho wide Seam 7 at Dmdon 3 M#0Musema Sep "RWM Code, ata my lkmm Mde fAftermi ode effect SE !1G �NjG tE CONTR4CTOR !# .. waNmrs wMreisA EUARAnoN I KFMAFFNW WW PDMTYOF MUM ONE OFTHE RXLDM GOKLAAAYWW _........... I Nva and mil ma wind a CSM M Cnmeat M Stat-N4ae She WAMl Caww.saten a prarduf by Swda 37naottw tabu Ca .b the ceamntal ofthtwdb ter w sin fie pal is 4mla I hurealld m9 madRaa WpkareCammnatm tMemes a redefted DySecten 37000tNla6mCady,all ... ap at thewopNwh'mhter Mvmltaesaa MYWerkwY CnmPnaaDm NwmmKa Caltki end �/ ftiwy Numbw:a a l CAPRFR POM WMBER HAS SEt3nN NEED NOT BE CDNPIErW IF THE PBiatI IS WI ON: HMDIW OCL.ARM Slap OR IFSbT I odIVTy 9tl in the Iwrfun of alawMe.tarvech Mepamnie Iaued, I and monism, am paew inn Rana se am mare adPcl M Ow Wmkoes Canp[nsauon lata of CaMmm And aired Brad n 1 shed Nmm Sublece M Na Waller$ Cam DISeUw vmofaralaMr•n� IlparMpl cunPlywltll tlhl®phwMMa APPUGNNT � WARNING lu M nam WpkerI Camper nn ® una vM WON sumea m ampmym W wanew Panalba end I M,s, up M am huMme ihmand II�t41 W,ayu In aldnWn M the cant M the mmpereabm danadm a PWM6 der s4 MwtMn 37Matt a Mbar �f�� ares atuarney'B Ma CONSTRLCnW LENDING AGMY I MOODY of nim unew pal M dummy that tcem e e Cerstustpn Landi A9wrg Me Me pmmnnanst M tp wask der much bade Meme N "as ISM 3087, C. C) I-ENDER'SNMAE .................__ LEIDERSADDRESS I m+ty Mal l new roe dm amemenow, ares oft Do tp acmes Neammal is osmip. I Bow an mmpfywddai Py Nd adpnoa So Stead neve loaft IS bell masaucew, and hammy wearm mpr of MIS cmmty0 M, man me ped Sell de, OSSO& nPmPu6es Sell OF DATE Ery APPLICATION DATE yL ISSUE DATE 'tel t i 11�a5 PERMIT# ill TYPE CONST DOC GROUP ZONING SETBACKS FRONT REAR SIDE/SIDE STREET SIDE RW ❑ ❑ RW ❑ ❑ PROPOSED USE 9 OWEL UNITS # STORIES 4 BEDROOMS DESCRIPTION SO FT FACTOR PSF ADJ AREA VALUATION 1 SFR+ADWIREM 'ty� (�"'Q eftj SAM an -etal Gama"C�t 4M�� l.. Y'A- -LTL PatbtDeck y w PoauSPa '?j} } c allea1 z Ra~ m I I Valuntie h-- `! "=. N, dq ,, a'Yl'"ffi. Al QUANTITY N DPci'R'u*IDN I I Area _ FEE Lie + s I I CONSTRUCTION PLAN REVIEW ? a Fill `i 1 ELECTRIC PLUMBING MECHANICAL. INSPECTION FEE ISSUANCE ii 1 • 14- SMIP I ENERGY P/C kqJ9 I ENERGY PERMIT RETENTION FEEAb� PRE -ALT FEE BSAF i ( 1 TOTAL FEES;`74//# a sjl COMMENTS j t i w+. (ca 9Y�1 RECEPT ty —C PAIDBY i `S3R VAUDARON �T'✓} WRITE— Depentment Copy, YELLOW —Fleece Copy, PINK—Aesemor Copy GOLDENROD — Feel Copy GREEN —Applicants Copy 1 0 1 - ji I ILI 612 44111 A lipil I SETBACKI LEM TRACT AND LEDGER FOOTINGS FORMS SWITCH GEM SLAB COMMERCIAL HOOD SEWER LATERAL SEPTIC/CESSPOOL L MAIN WATER LINE WERSREPORi RECEIVED EIVED IffillcuiaLF,"471 1 PLUMBING ELECTRICAL it - LATH INTERIOROT'N' F EL TI'2mn( GAS TEST WALL I LIFT L STEEL I:j SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/ SEAL GAS METER RELEASE WALL FINAL FINAL BUILDING ROUGH FIRE APPROVAL FINAL MECHANICAL AlNAL FIRE DEPARTMENT FINAL ELECTRICAL -FINAL PILJWNINS FINAL PLUMBING FI NbINEEFUNG/ PW TC of OCCUPANCY f CCOMMUNITYSERVICES CENT, of OCCUPANCY 2NAL HEALTH DEPT. COMMENTS FINAL)NOUSTRIAL WASTE