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HomeMy WebLinkAbout15129 (20) J� CITY OF DIAMOND BAR _ J DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ' � 216b0 E.Copley ihive S uite 190 / � (909)860-3195 Fax(909)861-31 l7 PRE$$ ��'�^'� BUII.DING PERMTI'APPLICATION FI RMLY o DDflESS e _l�II� �_2vv.�� DATECATION � `(�v NUMB R r_ 5 i a9 «'� � APN LOT TRACT DA EE �I ��/v CONST. GROUP g OWNER �' p ADDRESS b ZaNING SETBACKS � CITY ZIP GJ/7GS TEL. � �' REAR RW O APPUCANT TEL. �'Z SIDE/SI�E STAEET RW O � CONTAACTOR SIDE ❑ ADDRESS Ve • • � , � CITY ZIP TEL. PROPOSED US '� ' 1 � ARCH/ENG/ • _ � DESIGNER NO.DWEL NO. N0. ADDRESS UNITS STORIES BEDROOMS � CfTY ZIP TEL. � tn DESCRIPTION Sa.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFR/ADD/REM ' O 1 HEREBY AFFIRY UNDER PENAIiY OF OERAIRY i/UT I!W EXEAIPT iROM 7HE CONiMCTORS LI• Ga�9�a�h W CENSEUWFORTHEFOILON�N(lPEA50N(SEG7a71.5BU5ME551WOGROFE5510NSCODE:AYYdNOR (n � COtMTYWT9q/11E0URESAPEHMRTOCONSTRUCLALTE0.��PROVE.OEW�LISH,ORREPAIRAN'/S7RUC- . 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W OGJISOW!7EROFTHEPlWPERTV,ALEXCIUSNELVCOMMCTM6WITHUCENSEDCONTMCTORS [C TO CONSTitUCTTME iROJECT(SEG 70��.BUSiNE59 AND iRO�E33iON3 CODE TME COMRACTORS LF Vatuati —� ADJ.AREA lll CENSEUwDOESNOTMVLYTOMICM'NEROFAPflOPERTYWMOBUIlD50RWPROVESTMEREON,AND Z N7�OCpfiMCfSFON5UQIPROJECi5W1TMl1CONTRACTOR{S�UCENSEDVURSUMfTTOTHECONTMG QU ITY OCSCRIPTION FEE � IORSUCENSEUW.} O IAM EXE4IPT UNOER SEC B.t O.0 FOR TMIS RFASON Q U � CL DATE DWNER U t�� J UCENSED CONTRACTORS DECLAFiATION w � 1 E8V AFFIAI.I UNCER PENKTY OF PE0.IURY TMA71A1d LICENSED UNDER VROVI510NS OF pUV7ER � � �� 11EHCwOWT15ECTION7000)OfDM5KK170FTNE8U51NE55AN�GROFE55iON5LODL,AND Z �� MY ENSE IS W FULL iORCE/V�D EFFECL m � �L E S C �� �G LIC.NO. � j J � �1 D CONTMCTOR a � WORKERS'COMPENSATION DECLAFtATION Q � INEREBYAiiIR4UN0ERPENAITYOFDE0.AliriONEOFiHEFOLILN91J40[CIAMTIONS Z Q � �INAYEANDWILLMAINT.WIICERTIFlU7EOFCONSEMTOSELFaNSUREFWiWORKERS' _ ! 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CONSTRUCTION LENDING AGENCY PFE•ALT FEE: O � IHEREBYAFRMIUNDERPENALTYOFDERJIXiVTH11T1MEFEISACONSTRUCTqNIENOW4AGENCV FOiI TNE PERFORMANCE OF TNE WONN FOR WNlpl TMS VERMIi IS ISSUED(SEF�OY7,dV.C.). . � � IETAERS NAME CS IENDER'SADORE55 `� ICERTIFYhUTIIUVEHEADTHIS/WPIICATIONANO5Tl1iETHATTHEFBOVENFORM11T10NI5CORRECT. TOTAL FEES w IACREEiOCO4PLYWiTHALLG�iYANDCOUNTYORDVUNCESAHD3TATEUWSREUi1NOTOBUILDINO � Cp�5TRl1Cf10N,M�lOHEREBVAUTHORIZERE7RE5ENTAT1YE50F7HI5QDUHTYTOENTERUGONTHE ' � ABOVE�AEHTIONEGFROVERTYFOqNSPECTIONVURPO'E5. COMMENTS � 1 � � :SG���� d PERu1TTEE NAYE( � / � / . T � � Gr1AT FE VF E IT1E D�T � RECPT.NO. _PFUO BY VALIDATION WHITE—Department Copy,YELLOW--Finance Copy,PINK—Asaeesa Copy,GOLDENROD—File Copy,GREEN—Applicant's Capy -• ... �....•.�.,.�.,...w.�,.-• ,,....-. .t;,� .. `r ' T . �. 1 . .. . �i. � . _ . •<r .. ... a��!_. ... ....►�t:' .. �..�....�r.. y, ..N. . . : . . , . . .. . , .. . . . 'i'�•' . . . . . . , CITY OF DIANiOND.BAR . , ,. . ., . ' � �: ''.• ': . .�i •.�ItdSPECiION RECORD :,. .. � _'�. - _ . - ���- . :����^1'a F`['.laiii o ��r F'; t� � �(� � �. �,i;+(�y ��"�1� �,I� c ; M� �o ' C�.!�.-�..�...�...�..� .f �.��.R .� ��d.�.��� .�•1'���R.0 :.!'„A�...._.�....,�...1:� � n�!'�.' �. _ i �� ^ ..�.�,.. .� -� � �SETwBACK .��,' � � �, _ ^� �FLOOR JOIST � i �_ �,, �; ' , ,, , . _ .. ... .. jFTGS/FOR;.1S!STE�L ..: ._ . . . . �, '� \ FHA REQMTS: , �.. �...„ � _ ., ,�, ,,,.._, .. . . !ELECTRIC GROUND ._..._. ._ • _ ." �.. ` ' UNDER FLOOR DUCT � • �' � � � ... ..,.ti ,.� r,•,,.� ,.. , , ; :GROUND PLUPABING - UNDER FLOOR CUNDUIT , •. .. �.- .,,, . —,-.�..-- SLAB GRADF .__. .. .... •' "-' ---. .._ .. . � FIREPL"AG�•Ft'r}J J�,ATION 'e-.�,�= `.,.'.. ,,: �•�, '�r; . . ' ' �TEP.1P POWER _ _. --- . � . FIREPLF�LE'Br`r1'�t''i�3EAM �",�: .= ��,_'�_• �WATFR SERVICE- . � MID HT.E30ND BEAWI?;:'.;..� : :. i \,, , ;.�� ,��,• ; • •ROOFSHEATHING lZ(/��,,;���.��, ��Y —`—' '-� ; ,•ir� �+ ,�� : r� .. - . 8 FT. B0. 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