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HomeMy WebLinkAbout14078 (17) J� C[TY OF DIAMOND BAR DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES `� 21660 E.Copley Drive Suite 190 � � (909)860-3195 Fax(909)861-3117 PRESS ���'� BUII.DING PERMIT APPLICATION ' FIRM LY JOBSITE APPLICATION r�� o ADDFESS 17u��x.�n►�/ GT DATE ` r��UMB R O #� � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP g OWNER � ADDRESS � ZONING SETBACKS ' Z ciTr�Me� P�— ZIP 9'l7�TEL. � �^ REAR RW ❑ $ APPLICANT TEL. SIDFJSIDE STREET RW O � CONTRACTO SIDE ❑ g CfTYI�/�� ZIP��,� TEL PR,f'�,/1�OV�- �� ARCHlENG/ • �S�LM 1 DESIGNER N0.DWEL ' > >j !�. ,� ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. N DESCRIPTION SQ.Fi. 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Z T10N.TNE OWNERAUIlf1ER VYILL HAYE 7HL BURDEN OF iROVN�iHAT ME OR SME DID NOT BURD OR = WPi10YEFOR7f1EPURi'W�EOFSALE4 � OlA50MMEROFTNEDROVEHf`l.AYEXClA15NELYCONTRACTNOVrtTlILICENSEDCONTMCT00.S TO CONS7RUCT 7NE PHWECT�SEG 7oa,.BVSIr:E55 AND PROFESSIONS COOE:THE CONTMCTORS LI- V81u91i0f1 ADJ.AREA CENSE UW DOES NOTAFPLYTOAN OWNER OFAPflOPERTY WF/00ULCSOR IMPROVES THEREON,AND MRqCON7MCfSFORSUCHPR0.1ECiSWITHACONfMCTOR(5)LIGENSE�WRSUANTTOT7ECONTMG QUANTITY DESCRIPTION FEE � TOASLICENSEUW.). . . . . . . .. . O I IJA E%EYPT UNOER SEG B.t P.4 FOR THIS REASON U li.. � DATE OWNER V . � LICENSED CONTRACTORS DECLARATION W J � W IHEREBYAFFIR41U1:OERPftULTYOFVFRRIMTUT1AULICENSEOUNDER�ROV1510NSOFCIUDTER V. � �(COMMENCN�NA7HSECiqN70oo1�OM510N]OFMEBUS�NESSANDPROFESSIONSCODE,AND Z � X W UGENSE IS N FUL fOftCE AND EFFECT. � LICENSE C145 �� LIC.NO.�/�-� ' �� m � �����(`,�,��.1-Ce � V DATE O CONTMCTO�.��LIL3Ll-�!'� a . W � WOfiKERS'COMPENSATION DECLAFL4TION Q N IHEREBVAFFIRAIUNDEHPENALTYOFPERtt1MONE0FTHEfOLLOWWODECLARATIONS: ' V � N . .� �, • Z � _IFV.VEANDWRLMiV/TNNACERTIFICATEOFO0N5ENTTOSELF-INSURELORW011KER5' � � 2 . 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RETENTIONFEE: ' - '�'r ¢ 1L a ....." ._"_ ' d CONSTRUCTION LENDING AGENCY PRE-ALT FEE: �,v • y � IHEREBVAFFIRIIUNDERPENI�ITYOFPE0.IURYTHATTNEREtSACONSTRUCTqNLENDIN6AGFNCY � FORTMECEA�ORIAANCEOF �WOFKFORWHIOITN DERIAITISISSUED�SEG70W.CIV.W. � ��j LENDERS NAA1E � LENDCHSADORE55 . � � ICERTIFYTXATIHAYEREADiHISAPPLICAiIONANOSTATEiHATT1E�80VEWFOiWATIONISODRRECL TOTAL FEES ' � d I AGREE TO OOM7LY WfTH ALL CfTY 11N0 LOUNTY O�W�NANCES IiNO STATE UN5 REUTINC TO BUILOINO ^ /� LONSiRUCTIp{ANOMEREBVAUfF10WZEREPRESENTATIVE50FTHI5COUNTYTOEMERUPONTME 1��LL/� �� � 11BOVE�A1FNTqNEDVROPEflTlFORPiSPECTION%1R es. COMMENTS � ��"� a ...7 _ m FERMITTEFHM�E PRINn, cn .� /<< /� � � y 9K3NAiUREOFiERMITTEE OATE '7Z� , J� � RECPT.NO. � / F'AID 8Y ,_ VALIDATION � WHITE—DepaAmern Copy,YELLOW—Finence Copy,PINK—Assessw Copy,GOLDENROD--File Copy,GREEN—Applicanfs Copy � • � ... .. . . , � r .. . . . � . _ . � ... ... .,,. . , .. .�� . . . .,. , . . .. :r. - ,, . ,i,. . r . . . . .'i . ,.. �• .. � �. CITY OF DIANiOND BAR .. , . . . � �::�-•, :: � �� :I��lSPECTION PECORD .. . .. .' . � . , . , ; , ; . *�..li.'.��:��.�I�t��`1 ��r��` `�a.�������;1� +�"�'1�.4-�����;�.Al�i��� �oi�:��'I-' ��►!E-������e�� �..�. 'SET BACK �.� . � ;, �� -'i�-- --- FLOOR JOIST.�.w. _ ..... �,...�,....�.,..Y....�.,.,.,,-.«r.-- - , - , . ., ,. . ,,..,-, �FTGS/FORDIS(STEEL....- - - � . , .. ..._ . _..._... � . FHA REQNITS .-:. .... _ ._ _ ', . _ _,. .�".^_t—' _.. ._._ ' . �' . . . ---.., .. ;ELECTRIC GROUNO_ ___ _ __. '" '" " _.. UNDER FLOOR DUCT- -� , �• . . , , .• � .. - - - -- - �- . . .. ,:..,�, ' ' - •- .:...;_ .. .. . ..:.�. ;GROUND PLUME3ING UtJDER FLOOR CUf�fDUiT - i_%;'� ' � , _,,,,•, � . _ . _,.. ..- - - . • -- --�- 1SLAB GRADE-. .. ._... '•' _... .----.. .., FIREPLAGE`FQ�)iJDATION �'�; ,:'��;. 1�. . _ ,`:,, � ,r:;,�- „..,� �, i -- r .,,. : . - --. ...� ±TEMP POWER --....--- ; - -- � - : .. .. _. :_ :. . ; FIREPLACE BOND BEAM _.. ... . . • " i � . � . 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