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HomeMy WebLinkAbout17111 (26) J� CITY OF DIAMOND BAR � DEPARTMEM OF COMMUNITY&DEVELOPMENT SERVICES �Y� 21825 E.Copley Drive (909)860-3195 Fax(409)861-3117 � (�/S f'�C-e f r" 17�-�T� PRESS "'%�� BUILDING PERMIT APPLICATION O����'�°/ ��Yic��Y FiRMI.Y ¢ ADDR'ESS �Z��d �I R'�S C- � APPLICATION G� ,� �I PERMIT P/C o OATE � NUMBER �7 � ! I k � ISSUE � '� b 0 ST. GROUP APN LOT� TRACT DATE p OWNER �� N N Y �p NI o ADDRESS � ,�,r� Q I. e v�(�,_ ZONING SETBACKS z CI7Y � 21P TEL. FRONT RW ❑ p APPLICANT TEL. REAR ❑ � SIDElSIDE STREET RW ❑ QCONTFACTOR .�" SIDE ❑ AD�RESS � /� �� ' � � CI7Y ��T ZIP TEL.�n,.� P PROPOSED USE - c 4 � LV� ��7 L�Q o ARC NH/E G/� ��— �" � _ _ y � DESIGNER � ADDflESS N0.DWEL. O. � O. � CITY ZIP TEL. UNITS STORIES BEDROOMS � OESCRIPTION SQ.FT. 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Z � �IH�VEM'OWILIMAINTAINACEfiTIFlCATEOFCONSENTTOSEIFdNSUREfORNORKERS' $ CqAPENSATION,ASPPOVI0ED8VSECTION�ToOOFiHEUDORCADE,FORTHEPERFOR6IANCE w OF THE WORK FOR WNICH TNIS PEA��T iS ISSUEO. . � C �_I HAVE ANO N1LL MNNTAIN WORKERS'COi./PENSATION INSUMNCE.AS RE W IRED BV SECTqN �) O 37000F THE LA80F LOOE.FOR THE 7ERFORMANCE OF TNE WORK FOR WMICH Try15 PEAMIT IS / / /� ISSUED.MYMlOR1 RS'COMFENSATqNINSURANLECARRIEfl 70LICYNUMOERARE� CONSTRUCTION i //� �D � CARPoER ����T���9 PLAN REVIEW � voucrranusea ELECTRIC 4 0 (niss[c�orrNEm reEca.s�ETE�ovn-Ec�p.rrsta�ah�a.wn[�Wuus�s+roloa PLUMBING Z ICERTIFYTHATNTHEPERFORMMICEOFiHEWORKFOHWMiCHTHiSCENAITISI55UED,1 MECHANICAL (} SMALLNOTEIAPLOVANYDERSONWANYMAMvER50ASTOBECOMESU&IECTTOTHE N WORNEfiS'COMGENSATIONUWSOFCALIFORN�AµDAGR[ETHATIF15110U1D8ECOME INSPECTIONFEE SUBIECi TO THE YfORKERS'COIAVENSATION PROVISIONS Oi SECTqN 3700 OF TNE UBOR O COOE,ISFIALLFORTFIW�THCOMP�YVATHT1q5EP{70VISIONS. �SSUANCE r `p DATE:(�I� Cl1R APPLICANT: �� SMIP • � 1J J W�RNINO: AILURE TO SE E WORKERS'COIAPENSATqN COVERRGE IS UNUWFUL.NJD SHALL BE ENERGY P/C LL SUBJECTANE4PLOYEFTOLR�MIWII,PENALTIESAIrDGVILiWE5UP700NEHUNDREDTH0U5.WD ENERGYPERMIT pOU,ARS(f IOO.00OI.IN ADDITION TO TME COST OF Cq.1PEN5AiqN,DNAAGES AS PA���ED FOR IN J SECTION�70eOFTMEUBOflCOOE,IMEREST,ANDAi70RNEYSFEES. RE7EM�ONFEE: � � CONSTFUCTION LENDING AGENCY pRE-ALT FEE: O � IMEREBYAFFIRMUNOER7ENALTYOFPE0.NRVTHATTHCREISACONSTFUCTIdJIENDIN6AGENCY FOR THE DERFOR�ANCE OF THE WORN FOR Nn110/THIS DERAl1T IS ISSl1ED�SEC.]097,LIV.C.�. Z W � LENOEiYS NAME � � � IENDER5A0DRf5S � TOTAL FEES I D2.(QD � ICEFTIFYTFIATINAVEHEADTMISAPPLICATIONANOSTAIETHATTNEABOVEINFORMATIONISCARRECT. W IACHEETOCOti1PLYWITHALLCfTVANDCOUNTYOROINJwCESANOST�TEU'l15PELATINGTOBULLDINO � CONSiHUCTION,ANDMEREBYAUTHORREREPRESENTATIVE50FiHI5COU�TYTOENTERU70NTNE Z ABOVE-4ENTqNE�DpOVEFTYfORINSPECTqNDURPO5E5. COMMENTS � � � � Q �ERIAITTEENAIA�_n / Gl O / � fn �rCM �' �� N SIGNAT ITTEE � �� � RECPT.N0. 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