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HomeMy WebLinkAbout15478 CITY OF DIAMOND BAR �J�� --i DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � �` 21660 E.Copley Drive Suiu 190 �. (909)86Q3195 Fax(909)861-3117 PRE$$ �`��'� BUII.DING PERMIT APPLICATION FIRMLY � JOBSRE ' ., / ' �( � APPLICATIO PERMIT 1G;�j/� P/C o ADDRESS Z� S� S_� P���V' �N DATE N �� NUMBER�� ( /U � c� ISSUE TYPE OCC APN LOT TRACT DATE �� CONST. GROUP p OWNER 1 - LL ADDRESSZ �3 C.�3 S� QJ • S.�i Z� ZONING SETBACKS � CIN(�ic��r)o�f �N�/P C.. Zlp ��t?K!J TEL. _ �l 6��•7 FRONT RW ❑ APPLICANT'TTL,G I_:�w 1.., TEL.�c" ' `6- REAR ❑ � � SIDE/SIDE STREEf FiW O CONTRACTOR �j K� SIDE p � CDDRES��E ZIP �� �T � PROPOSED USE FJ`P C,�. h � `( Pu ARCH/EN _�'����� � DESIGNER � NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL y v� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECLAAATION SFR/ADDi}lEM � O eI NEREBY AFF1fU1 IHDER PENALTY OF PERRIRY THAT 1 MI f%EMPT FHOM THE CONTMCTO0.S LF GernOfl�CBfpOR CENSEUWFORTIEiOLLOYIIH�REASON(SE4M71.6BUSIHESSMDGROFESSIONSOODE:ANYCRYOR� (f� COUNTNWHN9iPEO1MESAVEiWRTOCONSTRUCi,ALTERMPROVE.DEMOLISH.ORREVNRANYSTRUG W Patlo/Deck 7URE.,PRqR TO RS ISSVANCE,1LL50 REOUIRES THE APPLICNfi FOR SUCH PEM11T TO FILE A SIGNEO W 6TATEMEHT TIAT HE OH SHE IS LICENSED PUILSUAN7 TO THE PROViSiONS OF THE CONTMCfORS LF � GENSE UW(GUPTER i(OOMMENCUp Nn7H 5ECT10N 7000)OF DMSION�OF 7HE BU5ME55 AND VR0 �- PooVSpa FE5910N3 COOEJ ORTHAT NE OR SHE IS FJIEMPT TMEREFROAI AN�TNE BASIS FOR iHE ALLECED E7fEMP• TION.AHYVIOLATIONOF6ECTIOH7W1.6BYANYAF7lICANTFORAPERMITSU&IECTSTHE11GPlICANTTO z R9-R001 � ACMLVENALTYOFNOT\10fiE711ANFNENIAlDRE�DOLLARS�f500�.�: � O�il50WMEROFTHEPROOERTV,OR►�VEMGLOYEESWITNWAGESASTIIEIRSOLECOIAPENSATION, 0 COrt1111BfC121 � � WRl DO THE WORK,MA iHE STRUCNRE IS NOT IMEHDE�OR OFFEREO FOi1 SALE(SEG 70ar.BUSI� J N NE39 AND PfqFES910NS COOE:THE CONTFiACTORS IICENSE Uw DOES NOT MPLv TO AN OwNER OF ? 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ISSUANCE �y_�11 0 �� � ��� �� r.. 1 L� DaTE:_CL� ' 1 ' APPLIGN7: �� � SMIP SC �W WARNiN0.FMURETOSECUREYIOIiMERS'LOMPENSATqNCOVEMGEISUN wFULANDSHALLBE ENERGYP�C C � 1 SUBJECfANEMPLOYERTOLRIMNIALPENALTIESANOCIVILFINE5UVi0ONE/NNOAE07110V5uA] ENE-RGYPERMIT �r S DOLIMS(f t00.0001,N ADDRION TO THE CAST OF C01.1vEN5ATqN,DIUAAGES/�S PROVDED FOH IN � SECTION77oeOFiHELAeOFCOOE,INTEREST,/�NDATTORNEYSFEES RETENTIONFEE: � pw., CONSTRUCTION LENDINGAGENCY PRE•ALT FEE: O � INEREBVAFFIRYUNOERVENAITYOfPERA1RY7HATTHEREISACONSTRUCTIdJIEN�WGAGENCY � FOR T7�E OER�ORUANCE OF iME wORK FON NMK]I TH6 VERMIT�S ISSUEO(SEC.�oW.CN.C.} � IENDERS NM�E � � LENDER'SADDHE55 --'� ` � ICERTIFVTHATIHAVEREADT1t5APVUCATiONAND57A7ETUTT1E1100VE FORUATIONISCOHRECT. TOTAL FEES � � � O�7 W IAOREETOCdAPLYMrtTHALLCRVANOCOIMTYORDIwWCESIWOSTATEUNSREUTNaTOBULDIN6 � LONSTRUCTION,ANDHEREBYAlffIqRIZEREPPESENTATIVE50FTH15COUMVTOENTEi1UPONiHE ZABOVE�ME�'fT10NEDYROPERT'FORWSPECTIONPURPOSES. COMME'NTS � 9 - �7 �7�/`-GI--G�r-lL`��i�f v m PEiwriTEEN �Ei IVWNi) ¢ � Q N N SIGNATUflEOFPEFWIiTEE OATE � RECPT.NO. PA1D 8Y VALIDATION WHITE-0epartment Copy,YELLOW—Finance Capy,PINK—Asseuor Copy,GOLDENRO�File Copy,GREEN--Applicant's Copy •r .. ,.•r..... ry.� ,. . ., ....i�r�•.�.-�+.�s. . -4•.nWa.��►.�._l.w. :.�:' �`;�•'-i.`.",�".���' -,.."�':'S.. ,,, .%WX�. ,. .�iwarv9:.�'r•r r:+/...r:�^h4.+. .- ..n ..t.�.�,•r-�.. . .. . v - CITY OF DIAMOND BAR ' �; I�JSPECTION RECORQ : ��. �. _,C��,¢i.t'�o�►�,�.."�.� ' � e '�.����A E ` ! ' ��71���� . - .�,..�.....,:.�,....._..._._: iSETBACY. . . ' � � ; , �: � .;� . FLOORJOIST 'v ' , � �, . �, •, •, c ; � FTGS/rORh1S/STEEL • -� � FHA REQMTS � ' - �. .. . iELECTRIC GROUND ' � ` 1 �� UNDER FLOOR DUCT � - - ;GROUND PLUh�BlNG UNDER FLOOR CUMDUIT � " ` � " �SLAB GRADE - - - FIREPLACE FOUNDATION � `:TEMP POWER � : FIREPLACE BOND BEAM _ . ! .. ; � �WATER SERVICE MID HT.�BOND BEAM � • • � . ; •ROOF SHEATWING '. �� �> • 8 FT. BOND BEAP.1� �� ' ' " ' �FRAh11tJGNENTiLIATION - FINAL BONO BEAM � ' � ` ' � , ,ROOF COVER • PRE-GRADING - � ' !ROUGH HEATINu BENCHING ;ROUGH ELECTRIC ' � �?J ROUGH GRADING - - - � R011GH PLUMBING FINISH GRADING 'SHOVVER.rT'UB TEST • - • POOL ELECTRIC `EXT.LATH!SIDING - POOL FENCING jNlALL INSULATION � - • POOL FINAL - ;CEILIP�G I�JSULF�TION OFF SITE IMPS. ; 'DRYVVALL NAILING : �EDICATIOPJS . ' 'SEWER � � FINAL EPJG. � ; ; SEPTICTANK , i LANDSCAPE/IRRIG. SEEP.PIT/L.L. •..� ; ON SITE IMPS. I ' GAS AIR TEST FINAL ZONING ' ; = , FINAL CONST. , ZS � FIRE DEPT.FINAL 'F1NAL HEATING . HEALTH DEPT. FINAL FitJAL ELECTRlC f�m DEV. FEES PAID - f�l"JAL PLUMBING � ENERGY . . _... . � - _ . . �."�I � r_:�,�:r • :;.. -. � ':b.�.���::.� �.�:,�z,:_..ti._.._,..,.,_.._... ':COP��MENTS _.__ . � �i , ,.; ,_.. ... . _ . _--- _ , � .. li -•` i . "`�1--r �---... � �� � � = . . - ;. , . � _ .__ � ' � ' I ( � � ' . � . .�, .. ! : _ , • � �_ •� , ' , � - � •� � . . �. 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