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HomeMy WebLinkAbout10999 (5) • CITY OF DIAMOND BAR ' - ' '+" EX P I�E D COMMUNiTY DEVELpPMENT DEP 21660 E.CoQley I7rtve Sait�190 (909)860-3195 Fax(909).861.31 i7- ', ', O C� �� 20'�O PRiESS "'"' BUILDING PERMIT APPLICAITON FIRMl.Y , � JOBSITE. ,.�� ���,E K.d G!� , ' APPLICATION r `��NUIUBER' #� o ADDRESS DATE _ � APN _ LOT __ . TRACT_ ' `ISSUE TYPE OCG. ___. _ p OWNE�itJAtto Ra►A'S _ DATE _ _ CONST.'�,� GROUP p ADDRESS Sb !'i'F.Sf"Z�G be,1�. : : ' . - ZONING SETBACKS , �. � : z CITY �trt+►*ow0 M' ZIP 9!"764� TEt.`4d'!S�"j'3'r YL ,:,+ ' REAR -- • _ _ :� n - � APPLICAN'[,T• R �S _ � TEL•.-�_, . SIDE/SIDE STREET RW � CONTRACTOR -. . _ - _SIDf - - - . _._p . . ADDRESS- - _. . .__ � p _ _ _-, ; PROPASEDUSE "�'i4tGE d�'7t T�A�L 9� �OC�L:,,: o CITY, ZIF. TEL � __ . '_ . . . . �fdp� _ta,� � OT,7�. � wo ARCFUENG/ ° • . DESICaNER . — ____ ...;.__ ._._ . ___ _ _. _ , � NO DWEL' NO., NO. . _j � AODRESS ' - UN17S..-__. _ _... r.____.._STORIES--. ` -'BEOROOMS � CITY ZIP TEL. ... . ... __. _ ._ . . 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' . _ _ ...:'_ _. . _,- _ � � � WORKERS'COMPENSATION DECLARI\TION� � . � ��AEevuFln,�u�Eavo+�tTv�oFaximo�ocn+E�auowwaoEcuruna�s: Z . _ — .. _. _. ._- - --- - � _rruv��wowiu.ra�nrt�xeErmc�TEOFta�saarros€r.F=nisur�€soA�wa6i�tir�___ " _ . _ _. .. . . ` � COMPENSA710N.ASPpDVDED8Y5ECT10NsmuOFTh�Et�80NfY10EFORTI�PERPOaMNCE �U .. ._...... _— _ __.-OF 7HE WORIC FOR 1VNIC11 iH13 PEWYT 131SSUE0. . - _Zj .. ,:,-.-.._ ..__..:...._._.._______...-. � ...__e._. .. . ._' __ ... .. .,. ._ ...._ ... W _. • �_IiU1VEMOlYR.IAIIlMAID1Y110R(ERSGOLIPEIISA710NINSUNINICE.ASREWMm8Y8ECT10N . -� _ O __ 97000F7TELABORWDE.PD1iTHEPERFaAMANCEOFhiENJOf1KPIN11NHICH7MSPEPMffIS �ISSU�.MYWOW(ER5'COMPBi5AT10NIN5UFUNCECAHRIEHANUPOLICI'NUMBERARE:..._- _. _.GON3TRUCiT1ON-. �. .-.. -.. � 1 j cuauEA PIAN FiE1/1EW - _..0 . .... . _ ..,_ _..- ... _ _ .. . . . _ . .. .. ._ _ . .. . ._._.. - -�- -- - - _. ._._ . ' POLK:fM1MBER .. -._ - ,....- __.,.. ._ ._.__ - . � EIECTAIC _ , -0 - -tfH3SEc�toWH�►AT�mrf�E7�OFitEPE7i��1'6FORonEiRlrali�0allARSM11DWORtFS�. � .PLUMB1NCa __. ._. Z 1 CENTIFY TUT N iNE PERFW#MNCE OF TiE ri0ltl({Oti WMN:M iHIS iE19.kT 6155UED,1 MECHANICAL �.._(, .. StUILN�TENP�YANYVEfi50NNJ4NYM�t�A50A3TO8ECOMESUBJECT7QTHE _.._._. - - � WOHICERSCOMPENSATIONUWSOFCALIFONN�74ANDAOREETHATffI5HWL60ECONE . .... .- INSPECTIONFEE_-�._._...__.._. __.__ _..._ ......_ _.._. .__'__.__ _ _..._ . " __ SUBJECTTOTME WOWCEHS'CqdPEN5ATI0N PROVISIONS OF SECTION 97000F 1HE UBai t"'j _.caoE.isruuwrtnrunn�caa�rvnnin�osEPaojnsaoa. ___, . . ISSUANCE / O ___ _- _ _ _ _, . _ ., _.. __._ p o�h: nrR�i SMtP W ENEI�`aY P/C . � �' -rvuaniu:5ui.uiiElosEa�Aewo"wcefiscoL�rEHs�Tiano04Epl�oElSUNuwFilt,ANicstultHe- - � - - .. _.. � LL, S�JECTlWEMPI.OYERNCRbAMAIVENJ�TIES+UM1dNLFWE3WTOONENUNDREDTid13AND ENER6YPERMIT ' OOLLAl13(i1D0.000y.47 ADD(IION TO TiE C0.ST Oi Od.MENSkT10N,DAMMiE5/S PROYIDEO fOR IN - -� �SECTqN97000F7HECA90flCdOE.IN7EttEST.RN�AT10iWE75PEE5:_� .. .-_._..._ _ _.... . . . _. . � _ --__ R�i:md��:��11I��� ` O CONSTRUCTION LENDIN(i AGENCY PRE-ALT FEE: . ` ` . _ . . ... _.. _ .- -_ _ _ _ ___ _ � IHEREBYIIPFltU1tMDERVENAINOFVER1UtiYTHATTHEREI9ACOM5TRUCf10NLENDNOAGBdCY ..._.___.._.___ �. . �. ... _..:.' FOR TNE PEflWN11MICE OF THE WOAK WH WHICH iH15 PERMR IS ISSUED ISEC.90Y7.CIV.C.�, � . � . ... .._... .._ ._... ._ _ . _._ ..._ _ _._..._._. . . . .,;� .. .. ,..,,„, � LENOEHS NlUAE - 1-- LEIAER3N7DRE55 . _._.. ... .- ..-..__ . . . ' . _' _.._"'_... _. .. .__... 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