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HomeMy WebLinkAbout13216 (7) � CITY OF DIAMOND BAB DEPARTMENT OF COMMUNTI'Y&DEVELOPMENT SERVICES _,, s 216b0E.CoplcyDrivcSuite190 � (909)860-3195 Fax(909)861-3117 PRESS '^�"� BUQ.DING PERMIT APPLICATION FIRMLY • y�.� JOBSITE �'r_ APPLICATION t_ / � PERMIT l P!C Q ADDRESS .7'TLJ S. LANOE COVE � l b O c DATE .���•I/q NUMBEpI� x ��` � � APN LOT TRACT ISSUE " NPE ?� '•'. ,-' OCC g OWNER _�O��S DATE CONST. GROUP p ADDRESS C CDY ZONING SEfBACKS W FRONT ' �. qyy ❑ � CITY ZIP TEL �^ Z4 APPLICANT -Q�O�S�— REAR " !' O � SIDElSIDE STREET RW ❑ CONTRACTOR_M�IEA-R�DiDFlt�2t' SIDE ❑ 8ADDRESS_�L,���4vE� �`. ��N�'CyV�wA ZIp/qt74a T�EL�n���i-� PROPOSED USE rf�`Y OH ����ii'i DESIGNER �; ADDRESS NO.DWEL N0. N0. 3 = CITY ZIP TEL. UNITS � STORIES _�BEDROOMS ti � DESCRIPTION SQ.FT. 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J W a IMERFBY/�FFWMUrOERPENAIttOFPERp1RYTw�t1AMUCENSE�UNDERPROY15qN50FCMA�7ER � w' L A' � ` l� �(���CNb NnTM SECTION 7000)OF DNISION]OF 7HE&1SINE53 M1D PROGESSiONS LODE,AND Z I�a K. W UCEMSE�5 N FULL FOfiCE AND EFFECL m � UCENoE CUSS 17'( LIC.NO. Il� ? __ `_•' .. ' . ' � - . c , • ,. . - " � pATE�z JT� COMPACTOR d � WORKEFS'COMPENSATION OECIJWh11 J ��� U a -� , N IHEREOYAFFRiMIRmERVENKiYOFPERA/RYQVEOfTNEFOLLOwWGOECUMTqN `/w Z , . . � �IHAVE/JOWILLMAY7TNNACERiIFiCATEOFCONSENTiOSEWNSUREFIXiVAR1(ERS' _ , ' � . ' . CpAPENSATqN,ASPFiDY10EDBY5EC710N77DOOFTMELABGFtGODF,FORiN"ePEFFORMNiCE W OF TME WOFLC GOA WMip/TN{5 PERWT IS ISSUED. � .- - . , . 0 '> �1 HAYf A!0 MnLL YAY7iAw wOILCERS'COMVENSATION INSUfiANCE AS REOUIRED BY SECiION �1 Q J7000FTHELABORCODEFORi1�EPERFO{YAANGEOfTNEWORKFORKHICHttUSPERtA1T15 �" / '� O �$$UEp,MYWp{iKip$'WYYElISATIDNWSURANCEGWiUERMWPGLICYNUMNEHAFIL /� CONSTRUCTION • V � c.rwwER �� V PLAN REVIEW � � > 0 FOLIGYlNMGER .2 �� � ELECTqIC � � (n6sEcnRiNEIDnoieE(i1.stEtEocFn£PEFlMrswaoN�cHt�OfiF.vc�u/�FsRio�)onLfssl PLUMB�NG � W �t .('� Z � 1 CERTIFY iHAT IN iME VERFORMANCE OF TME YAF1K FOq WHICM 77115 VERMIi IS ISSUEO,I MECFIANICAL ( l � C7 SHAL1 NOi EMGtOY ANY iER50N IN ANY 4ANNER 50 AS TO BECOME SUBJECT TO THE .�- (n WORKERS'COMPEHSATION UWS OF CAJFORNiAANO AGREE 7HAT IF I Sl10l.lD BECAME INSPECTION FEE SUBJECTTO THE WOWCERS'COAIPENSA7qN GROVi5qN50F SECTION�70o OF THE LABOR S coo�.�stiuicoAn�wmicoMv�rwin�n� , y�isans. ISSUANCE L � /� ��/ SM�P '� p DATE�LZ�(� APPIIGI!!T:�j�L��/�[ � � ENERGY P/C � t WNWIMCiFNLURETOSECUREYIOfY(ERS'COUPENSATqN YERAGEISUtiAVlFVL,/WOSFIALLBE � �y SUBIECiANFJAPIOYEHTOCRIMWALPENALTIESMIDCM WESUPTOONEMINDREOTVqU5AN0 �ERGYPERMIT . DOlLARS(iloo.000).NADDIi10NTOTNECOS70FCOUD SATqN,DAAU0E5A5P1iOVIDEDFOfi1N - � SEGTION77wOFTMEIABOHCODE.INTEREST,MIDAt70HNE�YSFEEA pE7EN7�ONFEE aiT!+ �� tii� � � aW. CONSTRUCTION LENDING AGENCY pRE. T FEE•I �r��U'4���'� � INEREBYAFFIRAIUNDERPENKiVOFPFRNRVTMATTNEREISACONSTPUCTIONLENDW(3ACENCY v b _ � � FORiMEPERFOWdANCEOFTNEWORICFORWHICHiNIS7ERMIiI5155UED(SEG30i7,CIV.G). `^ � LENDERSN.WE K�� '� � LENDER'SADDRE55 �q� � i ceancr nur�waE a�ro rN�s evvi ic,�rn�u+o sT�rc nur n�E eeove w�oau�Tiou is cvrwEc�. TOTAL F EES Q � V W IAGREETOCWPLVWITHALLCRYN�DCOUNTYORDWANCESANDSTATFUWSREUTWf3TOBUpDIN6 GONS7iWCiqN,AHD NEREBY AUTHOfiIZE REGFESEMAiIVES OF THIS GOUNtY TO EMEN UPON THE S� ABOVE�uENTqNEDVROPEHTYFORWSPEGTIONPUfiPOSES. 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