HomeMy WebLinkAbout17678 (26) ��` CITY OF DIAMOND BAR !J � �, —� �'� DEPARTMENT�F COMMUNITY&DEVELOPMENT SERVICES � � � 21660 E.Copley Drive Suite 190 � � (909)860-3195 Faa(909)861-3117 PRE$$ �`'A�'� BUII.DING PERMIT APPLICATION FIRMLY N JOBSITE o ADDRESS 2 i D 'C� - p y � �. � APPLICATION PERMfT ���„ � P/C ��+C,iJ DATE �" I Z�'Q � � NUMBER�I U! 10* ✓l� � APN LOT TRACT I Z`'f D�9 DA EE f%�� �- v� CONST.��_ GROUP'L�_ � OWNER �-L�t " �C� " ADDRESS ZONING SETBACKS � CITY IP y 2�c+CfEL. � - FRONT RW O APPLICANT G ► TEL. REAR ❑ � SIDE/SIDESTREET HW p CONTRACTOR SIDE ❑ � ADDRESS � PROPOSEDUSE Rks�Ta Il� 'S�aLC!S CfTY ZI TEL � ARCH/ENGl� ,Gn�i j�/� � � _. ' DESIGNER !� �A�1� G�}( �..G N�.DWEL NO. NO. ADDRESS Z ! i? 0 �' UNITS ��STORIES_�_BEDROOMS � CITY d Z TEL.� � � DESCRIPTION �Sa.Ff. FACTOR PSF ADJ.ARE/WALUATION p� ONRJER-BUILDER DECIARATION SFR/ADD/REM � O p 1 HEREBY AfFIRM UNDER PENKTY OF VERAIRY TNAT 1 AA1 EXE/APT FROM iHE COMMCTORS LI� Gdf8g0/CfllpOfl i1J CENSEUWFORTMEFOLLOW�NaREA..ON(SEC.70.77.6BUSINESSIWOPROFESSIONSCODE:ANYqTYOq (n C� C0411fiYNhiClft�OUIRESAPEfY1ITTDCONSTRUCLALTER�PpOVE,�EMOLISH.OfIREPNRMlYSTRUC• W LL� TUpE,VRqR TO RS ISSUANCE.PL50 REWIRES TF1E APPLICJJfT FOR SUCM PERMIT TO FlLE A SIGNED W P8SI0/DBCk STATEMENi THAT HE OR SME IS UGENSED PURSUANT TO T1E PROVi510N5 OF TME GONiMGTORS U• � CEHSE UM�(OUPTER 0([OMMENqNO WITH SECTION f000)OF DINSION 7 OF THE BUSINESSAND PRO. � POOVSpB - . 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' pATE CONTRACTOR O- � WORKERS'COMPENSATION DECLAR.4TION a � � � , ,, . _ �� - � � _� � yINEREBY�FFIRMUNDEAPENN.TYOfPEM1RYONEOFiNEFOLLON1NGDfCUMTI0N5: Z � Q � �INAVEANDVnLLMAMTAIN�CE0.TIFIGTEOFOONSENTTOSEIF.INSUREfORYAP1cER5' S �. . � �� � � � � � COMPENSATqN,A3YROVIDEDBYSECTOf1]7000FT11E11BORCOOE,FOqTNEPERFpRMANCE W �� OFTHEWORI(FONWHIGITHIYVERMITISISSUm. � � � . . � .� • . ._ .• . . .. . , . _ . . � �IINVEANDWILLAWMAMWOFiKERS'COMPENSATIONINSUNANGE,ASREOUIREDBYSECiION ' � •� . ]7DOOFTHELABORCOOE.FORIHEPERFOR4ANC£OFTMEWOPNiORVn11C11THISPERM1T13 �" , '� , . -' , �, ,. � . . . � ISSUEO.GtY WON(EFtS COh�PENSA:ION WSUFWICE CARRiER ANO POI�CY NUMBER ARE� ' CONSTRUCTION � Guw�En � PLAN REVIEW • Z raicrriuueEA ' � ELECTRIC , , • - d 0 Rrus[cria�r�nwreeoo�stErmoFl��r.rtsra�o�+Ew�a�rooaru�sa�ar�aa� PLUMBING ., 1 • Z I CERTIFY THAT NTHf PERFOPAVNCE Of TNE WORK FOR WHICN THIS PERM�T IS ISSUED,I MECHANICAL ♦ (,�J S/ULLLNOTEMVLOVANYFERSONWANYMPNNERSOASTOBECOMESV&1ECTTOTHE (p 1WRKERSCOMPENSATIONUWSOFCAIJFORNU�ANDAGREETHATIF15/101A08CCOME INSPECTIONFEE � SU&IECTMTNE WONKERS'C0IAPENSA7qN VROVISIONS OF SECTbN�70oOF THE LADOR rj COOE,ISHALLFOR7MMTiCOA1PlYWITHiHOSEPFOVi510N5. � ISSUANCE � SMIP p DATE: APPLICANT. p W WIANINO:FAILURE 70 SEWRE WORKERS'COIAPENSATION COVEMGE IS UNUYVFUL.M!0 SHALLBE ENERGY P/C � " ` •�/\ J � St1BJECTANEVPIOYERTOCRYAINALPENALTIES/WDCMLFMESUPiOONEMINDREDT/10U5AN0 ENERGYPERMIT ���W il DOLlARS(5100.000),N ADD�TIQN TO THE COST OF COMPENSATION.DAAIAOES AS GROViDEO FOfl IN '+ J SEC770N 77oe OF TME LABOH CODE,NTEREST,AND ATTORNEYS FEES. RETENTION FEE: - OCONSTRUCTION IENDINGAGENCY PRE-ALT FEE: � (� � IHER£BYAFRRMUHDERPENALTYOfPERNRYTMATTHER@ISACONSTRUCTIONLENDWOAOENCY v Zd FORTNE FERFORMANCE OF TME YNHK FOR WHIGI TN�S PEfLAIT IS ISSUED(SEC.70Y7,CIV.Ca. . W � LENDER'SNAME . . � lEN0EA5ADORES3 � ICERTIFVTIATINAVEi1EA�TXt5A0PLICATIONANDSTATETNATTHEABOVEIN�OR/AATqNISCORRECT. TOTAL FEES � � ��, �� p� I AGREE TO COUPLV VATM ALL CT'ANO COUNTY OROMiW CE5 AND SiATE IAWS REUTIN6 TO BULDIN6 _ V '^ CONSTflUCT10N.ANDNEREBY�UT110RIZEREPRESENTATIYE50FiHISCOUNTYTOENTERUPONTNE S� ABOVEJAEN710NEDPROPERTYFOHINSPECTIONVVRPOSES. COMMENTS � MA2�' /�uu A. FE,z�is �/ti7�tNacr,z - _ pt�T7 /'� m ,FE�MIiTEE NNAE I�<.Cw.��A -��.�,.r� `'1-�oZ�/a/oC tn %%�i:LL. (/) SIOWITUHEOF RMITTEE DATE � � � � - FECPT.NO. PAID BY �VAL�DATION WHITE—OepaRment Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENRO �ie Copy,GREEN—Applicant's Copy ` __', CITY OF DIAMOND BAR , ._ ; �_.; `, : R�SPECTIOf� REC�RD � . � �, . , � , � . 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