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HomeMy WebLinkAbout13156 (14) J� CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Copley Drive Suite 190 � (909)96Q3195 Fax(909)861-3117 PR ESS ^'��^� � BUQ.DING PERMTT APPLICATION FIRMLY 4 JOBSITE •-Zr�G1 ba` ��� +�r APPUCAT�ON PERMR �/� P/C[� �Uq o ADDRESS "-L � DATE NUMBER ��� .JV'•.A 1 � ISSUE /�/,'� TYPE OCC APN LOT TRACT ZZ� DATE I_�_l`1 CONST. GROUP p OWNER F ADDR SS � ZONING SETBACKS 'P�' CfTY � � 21P91�ZI?TEL� R�RT RW ❑U $ APPLICANT TEL. SIDE/SIDE STREEf RW ❑ � CONTAACTOR �� C�K,I�1�O-�Lv SIDE O ADDRESS PROPOSED USE� S G � CITY 21P TEL o ARCH/ENG/ �.� ) � DESIGNER ^�M��'`� NO.DWEL. NO. NO. ADD S UNITS STORIES BEDROOMS � CITY ZIP TE . N DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION N OONMER•BU�LDER DECLARATION SFWADDlFlEM O L� I MEREBY AFFlIW UfOER PENALTY OF VERIURY THAT IAM EXEAIPT FAON TME CONTHI1CfOR5 U• Gare�dOe�pC�t 8 CEHSEUWFOf1iHEFOLLOWN�11£A.�N(SEC.7WIABUSPlESSANOPROFESSIONSCODL:JINYCITVOR (n ZCOUNLTNIAPIREOJNESAiERMRTOCQRTRUCf.AL7EilMPROYE.pEMOUSN,OHREPaHANYSTRUG W ��� � � LL� NRE GRION TO IT9155V�NCE.ALSO REOUIRES iHE MCL�CANi fOR SUCN GEiW1T TO FdE A SIGNED W .� ETATEMENT THAT HE OR SNE IS LICENSED iUR5UAH1 TO TME PROVISiONS OF T1E OONTMCTORS l4 , � CENSE UW(CHAVTER Y(CdAY[NCWO MIITN SECTION 70oa)OF DMSION 7 OF hIE BUSINE5511N:7 PR0. 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FEE � TORSUCENSEIAW.�. . , . . . . O1M/f7(EIACTUNDERSEC. B.6�GFORTNISREASON � � LL' MTE OYVNER f' � � W LICENSED CONTFiACTORS DECLAFiATION � � w INEREBYAFFIR4UNDERPENALTYOFGEiWR`�7N�71MIL10ENSEDUNDERiROV1510N50FCHMTER � � �(COMMENCNO N7TH SECTION TOoo1�OM510N]Of THE BWINE55�ND PROFESSiONS CODE,MA Z W LICENSE IS iN RLL FORC�EFFECL � 1��� m O � � LICENSE�CCC���,,,,SS LIC.NO. 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' RETENTIONFEE: �� a CONSTRUCTION LENDING AGENCY PRE•ALT FEE: � IH[FEBVAFFlFUAUNDERPEN.LLiYOFPf0.NRViNATTHER[ISACDNSiiWClldJIENDWCAGCNCY n- fOR7HEPERFOHMANCEOFTHEWORK ft il 1 V wAITISI55UEU(SEC.aoY�,pY.C). � LENDERS NAME � IENDEiI'SADORESS �f �w � IGENTIFYTNATIHAVEHEADT}115APPUGTIONANDST�TEiMATiHEABOVEINFOfWATqNISCORREM. TOTAL FEES �����3 � WO� �• � I�GREET000IAPLYWRNALLCfiYANDCOUNTYORDINANGE5M1D5TATEUN5PEU7NOTOBU0.DIN0 CONSTRUCTION.AND HEHEBY AUf11DW ZE REPRESCMATIVf S OF THIT COUNTI TO EMER UPON iHE Z A80VE#1ENTIONEOiROVERTYFORwSPECiqNPURPO5E5. COMMEFITS � � �UPo�tA� lU P m — Q PEWAiTiEE E(vW ` � g � �� � 61ONANREOFPEHMITiEE DATE � . RECPT.NO. PAID BY VALIDATION WHITE—Depanment Copy,YELLOW—Finance Copy.PINK—Assessa Copy.GOLOENROD--File Copy.GREEN—Apqicant'a Copy CITY OF DIAM�ND,BAR . . . 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ROOF COVER PRE-GRA�JING �� ' ROUGH HEATING 6ENCHISJ;('�-`�' !;! • �,; ,� � i.•,i•;;-��r ROUGH ELECTRIC . . . ' ' � ROUGH GRADING � fiOJGf� PLUPJ;BING �'�� "�' FINISH uRADING SHOVVERF�UB TEST - �'`-.�� ��� . POOL ELECTRIC FXT.LATH/�IDING � 3 ' " POOL FENCING � � U'dALt iNSUt�1Ti0�J POOL FINAL � CEILItJG INSULATION OFF SITE IMPS. ' � DRYINAL.L NAILIPdG - r,�� �� , , ' DEDICATIONS �SE1�"JER ' FiNAL ENG. ( SEPTIC TANK LANDSCAPE/IRRIG. � SEEP PITIL.L. �_ _ ' = � ?;"�'�i` ON SITE IMPS. GAS�.7'�ST � � FINAL ZONING � �FIr�A ,COPdST. '0 FIRE DEPT.FINl�.L : ),�_ � �r r ' FifyF.L.� �.".:��G . - I - . HEALTH DEPT. FIWAL + - � . rIiJAL.ELEGTR{� � DEV. FEES PiJD -- --- -- - . �=iN�L P�UhABI�dG � ENERGY � ���_ i (: . . __. _. . � , � ! 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