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HomeMy WebLinkAbout14771 �� .�f �. ,,� 3 . .. . . �.:�� j� CITY OFDIAMOND BAR ' � ": • '' ' � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES -' ,;,� 21660 E.Coplcy Drive Suitc 190 ' _ (909)660-3195 Faz(909)861-3117 PRESS �'�^'� . BUD.DIlVG PERMIT APPLICATION . . FIRMLY } JOBSITE �i 1�1�� 1 i y�.__y I ���I `.APPUCATIO �O � PERMIT � L P/C . o ADDRESS �� r.-.�1 -�J� , ,,�ATE NUMBER # � ' ISSUE TYPE OCC - � APN - LOT - TRACT - DATE CONST. GROUP p OWNER �' -� '� `1 ' . � ADDRESS � � � �`� �' ' ZONING SETBACKS . � CIN�^ � ZIP FRONT RW O APPLIC E � REAR p � SIDE/SIDE STREET RW ❑ � CONTRACTOR r' • +^� SIDE ❑ � ADDRESS '� — ' ", sn ' . . , r+•�. p Cm, � � � _ ��.� h PROPOSED USE ' "'�-�.'�:•; , � � � ARCF-VEN �� .-{�''�f—�1 �i �l. ,y� • ,. . �,��.-�. �.. . . ) � DESIGNER - u� � �r .'� � t�7i NO.DWEL I✓ ' ;NO.� ���,� ' ' , NO. n. ADDRESS , � CfTY ZIP TEL. UNITS � -STORIES`��� BEDROOMS' � ' cn , DESCRIPTION 'SO.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECUIRATION ' ' SFR/ADOVREM . 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O 1 HAVE ANDNlILLMARRAR!WON(EHu GOA�PENSATION INSUiLWCE,AS REOUIRED BY SECTION /� Q 9To00f THE IABOq CDDE,FOR iNE VERFORMANCE OF TME W0 F011 WMICHTMiS GERMIT 15 � / � � ISSUED.MV _RS'COMP ATpNW. iLWCE R R�POLICYNUMOERARE: CONSTRUCTION ♦ / � GRWER � t-<< � •' PLANREVIEW � pOIICYM11A0ER ^ �� � ELECTRtC � / /�� � � �nass[cir�r�IDwisEaM�7moFnepcpxrs�cl�c+�bali�FsR1 ,d� PLUMBING � Z ICERTIFYTHATN7HEPERFOPI.UNCEOFTHEWORNFORWHICN7HISVERMITISISSUE�.1 MECHANICAL (} SMALLNOTEM7LOYANYPFRSONNANYMMINERSOASTOBEC01AESl9JECTTOTNE ^/� � Vj WORKERS'COAIPENSATqNUW50FCALIFORNItiMAACREE7W�TIFISMOUIDBECOME INSPECTIONFEE vv � � SUBJECTTO THE N�OqICERs' PENSATION VROVISIONS OF SEGT�ON�7 OF E UBOR � � � �.isN�u. co�v�rwm� EPR isarrs.,_ � ISSUANCE � A p / �/ !.� o DA E: • IGWT. jt*�L SMIP C�e+' O � WARN QFALURETOSECUREWORKERS�VIAPENSATqN00VEMGEISUNLAWFUI,ANDSHA{.�BE ENERGYP/C Dj„tte TT[���DS , �� � SIAJECfANEMPLOYERTOCRIMPULFENALTIESANDCMLFWE5UP700NEHUNOREOTiqU5AN0 UlJ1LlJlt♦ D�IU�R.S 13100,0001.IN AD�ITION TO THE COSTOF COMPENSATION,DAA1A�.3 AS PROVIDED FOR W ENERGY PERMIT J 6ECilON77oeOFTHEUBORCODE,lREREST,ANDARORNEY'SFEES. RE'TENTIONFEE: ' � CL �pl.�, CANSTRUCTION LENDING AGENCY PRE•ALT FEE: � � ,� INEREBYAFFlHAIUNDERPENAiYOFPEfUURY7HATiHEHE6ACON5TRUCTIONLENDINGAGENCY � � ' ' FON 7HE DERFORMANCE OF TME W'ORK fORNMIqI TNIS pERAl1T IS ISSUED(SEG 70Y7,CIV.G�. � . .� IENDER'S NAME . . . . . . � IENDEH'SIDORE55 W ICEHTIFVTHATIHAVEREADiHISAPPLICATIONANDSTAiETHATTHEABOVENFOPoAA7�ONI5CORRECT. TOTAL FEES ` � � �D� ,� � IACREETOCOMPLVN7THALLClT`//UIDCOUNTYORONANCESANDSTATEUWSRELATH�TOBURDING � � '^ CONSTRUCTION,ANONEREBVAUT/qfUZEREVRESENTATIVE50FiNISCOUNTYTOENTERUPONTHE . . . .. , . ' � � ABOVE#IEMIONED iROVERTY FOR INSPECTqN PUflP06E5. COMMENTS � %f ✓ _ t.._ �' � m v�wirr �vn � ` � ' ���= � �"...�� . �"� vj 8 1UTVREOFPE E A�E � � _ . . RECPT.NO. P�ID BY VALIDATION ��� Y1MITE-0epartrnent Copy,YELLOW—Fnance Capy,PINK�1lsaeeea Copy,GOLDENROO—Flle(:opy,GREEN—ApplicanPa Copy� � � .. �� .. 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FINAL '' ' ` FINAL HEATING - ' ' - HEALTH DEPT. FINAL , ; � FINAL ELECTRIC � DEV. FEES PAID FINAL PLUMBING . ENERGY • � �� � I . .. �J. , - . � ;��,��-�. r, .. �. . . . � . . � • � i ,� � • � _ �. . , . _ . ,. .. _.__ .. ... - -- --- ._ -- - --� --_ _ _ __�_ _ . .. ti _. _ . .. ,. , . ..�.� �: �T � ` JI ' ' � .. . . . . . - . -- t -� 1 , , .,� COMMENTS _ _ . � ; ., . , .. . _ . _ _ __ _. � , , , . , � , , � _ . . _ � �„ \ r � , �. _ ', " � 1 . _ . . • - ' ' .t ;� � , ; '� � • . � • _. _ r` �' t.�4U'f _ i .�: � -.� .. _.`, • ' � 31�!+I" n.�. ; � , ,.1 ��iis3a i7;�(l�.s t '� ;nE �r. � •`'J\ , �' � ' '� ' ''� i ' . k 1�,.1 !� r . . ., � - L ' , � • , . l�.i �..Zity ,_ -';1ii,i'r' , . . � \ 1� SEPTIC TANK SIZE � ' � • � ��- SEEP PIT/U SIZE � - , . �i.. � , _ . . . , � � .. � _.. _ _ , � ., _ � _ � � .,.. . , . . ; '� . _. . ._. .. , , ., r �__. . . . � � . —.. .. . - �. ... . . � .J - ' � ___ i'. /� . . i_ . � , � �„ . ` . . . . . ... - . .. . .. . . I � . i -� . ..'.". ' .: .. • •- ... 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