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HomeMy WebLinkAbout16549 (15) EXPIRED �� CITY OF DIAMOND BAR DEPARTMENT OF COMMUMTY&.DEVELOPMENT SERVICES JUN 18 2002 � � 21660 E.Copley Drivc Suite 190 (909)860-3195 Faz(909)861-3117 PRE$$ �''�� BUILDING PERMIT APPLICATION FIRMLY � JOBSITE 1��/'►��,n n iNl,� n �N . (�•�i"� DATEICATION Z NUMBE !f/C a ADDRESS � V �-K�/ ��L� /Z 0 � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP � OWNER ` j'� " ADDRESS ��A I�I7� .�OV� ' ZONING SETBACKS � CITY ZIP TEL FRONT RW ❑ APPLICANT TEL. REAR � � SIDE/SIDE STREET RW p CONTRACT SIDE O � ADDRESS � _ PROPOSED USE � CITY - 0O 21P TE . �r� ARCH/ENG/ ��� DESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. N OESCRIPTION SQ.FT. 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B.l D.Q GORTMIS RfASqJ � S U ti.. � DATE OWNER V W F4 LICENSED CANTRACTORS DECLARATION W CL INEREBVAFFYi4UNDERVENALTYOF0E0.0.1RYTHATIAIA�ICENSEDUNDERiPOVI510N50FCHAPTEH Z ? � �(COA/YGNCl10WIi115ECTqN700010FDM510N]OFT/EOUSINESSANOPROFESSIONSC00[,AND �� 41Y IICENSE IS N flAl FOfiCE AND EFFECL m 0 LICENSE CLAS � `—J� LIC.NO. � J v o�h cornrucToa n. w � WORKERS'COMPEDlSATION DECLARATION � � IHERLBYAFF1i0ALNDERFEHALTYOFGE0.7URYONEOFiHEFOLIOWINGDCQAftATqNS. 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ISSUANCE � �! 1/��/� SMIP p DATE:___������ i APPLICANT. , � � ENERGY P/C WARNIN(i:FAILURETOSECUREVlORKERS'COI.IPENSATIONCOVEMGE�SUN ANDS/ULLBE � SUBJECTANEMPLOYERTOCRIMINALPEN/�LTtESANOCMIFINESUPTOONEM NDREDTIOUSAND ENERGYPERMIT DOLLARS(iloo.00a),IN ADOI710N TO THE COST OF COMFENSATqN.DMIA6E5 AS PROVtDEO FOR W J SECTIDN 770E OF T1E UBOR COOE,NTEP[SL AND�TfORNE1"5 fEES. RETErIT1ON FEE: '-- 2 .._ pW.. CONSTF7UCTION LENDING AGENCY PRE-ALT FEE: � IHEREBYAFFlRMIR�ERPEN�LTYOFFEiLIUMTHATTHEREIS�CONSTPUCTIONLENOW6l1GENCY dz fORT11EFERFORMANCEOFiMEWOHKFORYMICHTHISPEN.�iTI5155UE�(SEC.9oY7,CN.C.�. W � LENDERS NA/AE � IENDEi#SADDRESS w ILERTIFYTHATIHAVEREADT115MFLICATIONANDSTATETMTTIEABOVEINFORMATqNISCOi1RECT. TOTAL FEES -�p�•��v � IAGREETOCOMPLYM1TIALlCRYANDWVNTYORDINAlICESANDST�TEUNSREUTWOTOBUILDINO CONSTRUCTION.AND HEREBYAUT110RRE REPRESENTATIVES OFTIIS CWN7YT0 EMER UPON THE � � ABOVE�MENTIONEDVROPERTlFORINSPEGTIDNPURPOSES. COMMENTS 0 � _ �_ � � PERM E EryRINn , �^ � ` � ` �l N SIGHATURE F Rll IEE D E � RECPT.NO. PAID BY V/WDATION ITE—Department Copy,YELLOW—Finance Copy.PINK—Assessa Copy.GOLDENRO�File Copy.GR�ApplicanCs Copy( „ f����� . . _ .. . . ' „ , .'h . . . � .. .. ..... ... ��;.�.;� ' ... _ � , i.�r�.'if .�. �.. . . . . •l�. . �. • !C .,. , � _ 5� .� � . CITY OF DIAMOND,BAR . .._ . ,_ , _ , . . ,�;: �: �I�vSPEC�'i'iO�.RECORU �.. . .� . t-�,.,,� �� . . _ .�.� , �''���►!�l�S�.�'�'�g1�°� : :a���"1'� ;1►'�.�r�����)��� '+��'I�k-'�;�y���t���s+ �a�tr,Yr�F'� �(���-'����''��At ; ,..v......�,.Y........,,...,�......,.�.....,.y�,�..,..�_...,.,,.,.. ,..,.,.:...>..�,,..,...,,�_.�_�_..�.� �_........ .....,._ „ ....__...._�..-�......_.�,..,:n �....... � ....:..�tt, .._-.__......_... �SET BACK �r� ' !._ �. FLOOR JQIS ; , , ,,. • � . - ,. , � . - ; , , ,,, � , � : . � � . j FTGS/FORMSlSTEEL_._ _ < . ' _ _ : _ ; FHA REQMTS _ _ _ _. _ _ ._ _ . !ELECTRIC GROUND___ __ '� . - _- __ UNDER FLOOR DUCT , " � - � . . . , -_- _ . � � _., ._- � IGROUND PLUh4BING I = � : UNDER FLOOR Cd�IDU1T ' :� ; ' ' " ,. . : SLAB GRADc --- -- � I -- - _ . _ ._. _ . ! FIREPLACE FOUNDATION -..-__._____ r --- �TEMP P�WER - _ � , .- . � FIREPLACE BOND BEAM . , 'WATEfl SERVICE _ - -- ! MID HT_'�4NQ B�AM �'. .;. �' ' ' ` ; .� _._ � •- , 'ROOF SHEATHlNG 8 FT.BOND BEAFJI � `•:. � • - • - ' � _. _ ., _., . _., : 'FRAMlNG/VENTILIATION - - - - - - - - - FINAL BO fl�,�EAM - ` �ROOFCOVF_R . � ' PRE-GRADING - - - ' � i ; iRO`JGH�iEATING -- - � -- - ' ,' - - BENCHING _ ,, i ` ;ROJGH ELL-CTRIC..--' - _` , "__ i. ' �_ ROUGH GAADING - - - . :ROJuH PLUMBING -'-- -- -- - - ' - - FINISN GRADING �S�-IOb"JERRU6 TEST-� -- - --- - POO�ELECTRIC j , . iE??.LATH/SIDING-- _ . - POOL�FENCING � , � �1�1'ALL 1�}SULATION---; - - -. _ - _ _ POOL'FINA� . . iC�iLiNG iNSUL.ATION - -- - -- _ _ - OFF SITE IMPS. . . ` '' -= 'DRYLVALL NAILiP1G , -�- _ _ __. ._ _ DEDICATIONS ' f S�1lJcR - - - _I _. __ __ _ FINAL ENG: . . �SEPTIC TANK LANDSCAPE/IRF31G. SEEP F�IT/L.L. _ ON SITE R�IPS. 'GkS AiR TES? � FINAL ZONI��G ._ __ _ ';EI�!�L CO"�ST, . _ . ' FIRE GErT. FIN�L � . !Fl���;L.H:AT1NG _ _ _ _ _ __ _ . . HEALTH DEPT FINAL � _ _ ...__ ��f�uF�_ELECTRIC- . ._ __ DEV. FEFS PAID- _ __ -`- — �;`=!'•:F�.L PLUtv?3I�!G - � � _ . 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