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HomeMy WebLinkAbout13709 � �� �� CITY OF DIAMOND BA& -- DEPARTMENT OF COMMUNTTY&DEVELO ENT SERVICES � � 21660 E.Copky Drive 5uite 190 '"� cvoa ac�a- s F (909)861-3117 PRESS �.�. �uTit� �rr arrr.�cATTON FlRMLY N JOBSCTE I� L,( ^ �t r� ` APPUCATION �J-7 � PERMIT � o ADDRESS � �� DATE_ �"�'' NUMBER O #� � . ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP � OWNER ° � XPIRED "' ADDRE I ' � ZONINC, SEfBACKS � anr f r f ziP TEL REAR RW ❑ APPLICANT TEL. S1DE/SiQE STRE RW ❑ � CONTRACTOR SIOE O � ADDR CITY� � � ZIP •. TE % -" � PROPOSED USE � ARGWENG/ � �/� DESIGNER NO.DWEL. N0. NO. ADDRESS UNITS STORIES BEDROOMS � � CIN ZIP TEL. cn DESCRtPTiON SQ.F7. 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CONTRACTOR r � j � `WORKERS'COMPENSATION DECLARATION /`L,•�t"�" U J/ ✓ � 1 HEflEp9^FFlPM UN6ER PENALTY OF PE0.ttIRY ONE Of THE WLLOWING DECLAMTIONS: Z � �I W1YE AND WILL IMINi111N A LERTIFlCATE OF Gd15EM TO SElFdNSURE iOR N+ORKEF5 = COMPENS�TION.ASPROVIDEDBYc�CTIONe'7000FTHELABORCOOE,FOPTNEPERFORMMICE W OF ME WORK iOR WHIW THIS PERAIiT IS ISSIIE�. � � � _ I HAVE M1q WILLMAINTAM WOWCERS'OG,IPENSATION INSUqANCE,AS RE�UIRED 9Y SECTION d� 37000FTHEUAORCP�E.FOq7XEPERfOR4ANCE0 EWORKWflWMIGHTHI5PERMRI3 �7(ISSUED.MYN'O RS' P�iSA:pyJ45UPANCE RRIERANDVOI�CYMIMBERARE: CONSTRUCTION I j �iCARPoER ��� �"'"��1� - � �.� PLANREVIEW � ~��Y��Ep �'� p � � --}-�}�— ELECTRIC � 0 (nessH.'ruvr,�orareEoor.aFrtUOFn���r�sr�ar�M��ocunnsls,aolaR�FSS1 PLUMBINO ` ---- ' W I CENTIFY THAT W THE PERfORIAANCE OF 7HE WOP.K FOR WF+MN THiS VERMITlS IS llED,l M HANICAL �i SH�Lt NOT ENPLOY ANY PEfl50N IN M!Y MANNER SO AS TO BECOME SU&)ECT T E l � NOPKEHS'COYPENSATqN U�NS OF CALIFORNIA�OAGqEE TNATJF 1 S 1A� INSPECTION FEE SVEJECTTOTHEYqPKERS'WMFENSATKKJPflOVI SOFSE �� FT ELABOR E,�sHui cor�vivNnn�nas owsioriS' ISSUANCE � � �.��-ta�� ��;�� SMIP p DATE: P AM: - -. � `" ENERGY P/C WARNINO:FAILURE TO SECURE E PENSATION COVEMGE IS UN •ANO SHALL BE ^ � SUBJECTItNEMPLOYERTOCRIMINAIPENAlTIESANOCMLfINESUPTOONEFNNOREUT1KK1511ND �EFGYPERMIT I ' 1 } pOU.ARS(f100.0a0).W 11�DITION TO THE COSTDF COMVEN511TION,OMIAGESAS PflOViDEO fOR IN � � J SECTqN970lOFTHELA00RCODE,INTEREST,ANDAiTORNEYSFEES. RETENTIONFEE: V' � a CONSTRUCTION LENDiNG AGENCY pRE-ALT FEE: O � IHEREBVAfFIRAtUNDERPENALTYOFPERJURYTHATTHERE15ACONSTRUCTIONLENDINaAGENCY Z W R TNE PERFORMNICE OF THE WORK FOR Yrt11GH THIS PERMIT IS ISSUED(SEC.9087,CIV.C.). W � LENDERS NAMF F-� LENDEii'S/�ORESS � ICERTIFYTNATIHIWEREAD7HISAPPLICA7KXlANDSTATEiHN�THEA80VEINFORMATpNI3CORRECT. TOTAL FEES W IAGREE iO COMPLY W1TH ALICITYANO COUNTV ORDINMICESAND STATE UW5 REUTING TO 0U1L01NG �� � � � CONSTRUCTION,ANOMEREBYAUTIKIRIZEREPHESEMAnVESOFTMISCOUNTYTOENTERUPONTME S� A00 - ENiIONEUV EqTyWRINSP PUR sEs. COMMENTS � IY] E NAME P � ( /� ,/� N /� "J i � .v L��� . Fl I � Ll,-- , l � SIG R OF TTEE D�TE � �'1� --�]-"7— —y . RECPT.NO. PAIO BY VAUOAT1pN x �,-�r � WNITE—Depertmant Copy,YELLOW--Finance Copy,PINK—Assessor Copy.GOLDENND�File Copy,GREEN—ApplicanYs Copy _._.a__.�._____ �.,�. . _._.. � �r. � .;o ( i � E _ � � r � �� , I� ��� ' - -� r �-t� � �� I ,` �` �� � �.� w i � �� . - m � �, � I � . t- s� � r � �� •� �.i o i 3 ,. 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