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HomeMy WebLinkAbout13150 J� CITY OF DIAMOND BAR DEPARTMENT OF COMMUNTTY 8t DEVELOPMENT SERVICES 21660 E.Copley Drive Suite 190 • (909)860-3195 Faz(909)861-3117 PRE$S '����� BUQ.DING PERMIT APPLICATION FIRMLY � JOBSITE APPLICATIOrI^ n q�G�Gi PERMR 1 �`�O, P/C(� �/� o ADDRESS 2��3� J a�c � ' DATE � r _NUMBER� 11 `�1 '�V � issue TYPE OCC APN LOT TRACT S Z� DATE CONST. GROUP g OWNER � p ADDRESS �b �'�- • �L: ZONING SETBACKS w CITY ZI TEL J FRONT RW ❑ � APPLICANT TEL. REAR 0 � SIDFJSIDESTREET RW O CONTRACTOR S� �u SIDE ❑ � ADDRESS PROPOSED USE S CITY ZIP TEL. Pu ARCH/ENG/ ����� ' � DESIGNER � ADD ESS NO.DWEL NO. 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LL' PoaUSPe fE55ON5 COO�OR T1MT NE OR SME IS EXEMPT MEREFFOM M10 THE B�SiS FOH TMC ALlEGEO E%EMP• TqN./WYV�OIAi�ONOFSECTqN7071.6BVANVAPP�ICJIRFORAPERMIT6VBJGCT57MEAPPLICAMM Z Ra-Roa1 F ACMLVENALTYOFMOT►�ORE7MMIFNEMINOREUDIXIAAS(i5C0�.): � ❑►ASOYMEROFTHEGROPERTY,ORWEMPLOYEESWITHwAGE5A5TTIEtASOLECOMPENSATqN, � C,pmfilOfCiel WILLDO TIE WOiUC,MID THE STRUCfURE IS NOT INTEMCEO OR OFFEAFD FOR SALE(SEC.7DU.BuSI� J NESS AND GROFESS�ONS OOOE:ME OOffTMCTORS UCENSE Lnw COES NOT APPLY TO AN OWNER OF �,,,�/� N piqPERTYWIqBULD40RIYPiqVE57HEREON.ANDNM�000CSSUCHWORNN�AISELFORNERSELFOR m "�-�'E � T17qOUON XI50fl NEN dM1 EYPLOYEES.GPOVUEO TWITSULM MPROYEMENTSAR[NOT IMENDEOOR � ,OFFFREDFORSALEtF,NO'NEVEitT1EBlALDw00RIMPFI0VEA1FMI5u0lDWITHNONEYEMOFCOM%.E- 'TION,TIE OWNEN�BURDER WILL HAVE 7ME BUROEN OF PROVWO TNAi NE OR SME 0�0 NOT BUIID OR = M�AOVEFORTHEiURP0.5EOF3ME�. � Ol�+�'NNEROFiMEVHOVEiRY,IWEXd.USNELYfANTRACIwON7TMLICENSEDCONTfuCTOfiS io�NSTRICt 7TfE CRQIELT(SEC.7oN.BUSINE55 AND GHOFESSIONS LOOE:h1E CONTMCTORS LF Valuatian _ADJ.AREA � CENSEUWDOE9NOiMPLYTOANOWNERO�APPOPFR7VWFqBUADSORMPpDVE4TIENEON.AND yylqpOFfiMCT$FORSUCHVP61ECi5YlIM11CONfRl�CTOfl(S�IICENSEDVURSUAHfTOTMECONiMG p�,qN7�Ty DESCRIPTIOV � FEE � NRS LIGENSE UW.1. ; , , OIAMIXFJAPTUNOENSEG B.�P.GFORTNISR[ASON U � 2 V"' MTE OWNER ~ � . � U w LICENSED CONTFACTORS�ECLARATION —� � w INEREBYAfFIR1JUNDERPENFIttOFFERA1RYTUTIA�.�L�CENSEDUNDERPROV15lONSOFCMAP7EN V, � i(COI.NAENCWOYATHSECTUN7000)OF�MS�ON70FiNEBU51NE55ANDVRDFE5510N5CODE,IND Z �� W UCCNSE IS N FULL FG7C ANO EFFECf. 1, / /� m p LICENSE ClA 5��IIC.NO. � •,��^'� � .�'_/n� J �"'j wrE�LfC[�y_coNr�ucToa d � ! +i WORKERS'COMPENSATION DECLAFiATION —r � U N INENEBYAFFIRYUNOERPENALTVOFVE0.RIRYONEOF7HEFOLIDN"NGDCCUMTIONS: � z Q � __INAVEANDWLLIAWNTAMACEHTIFlCAYEOFC�NSENiTOSELF-INSUNEFORMx7FNEA5' 2 COMPENSATICN,AS PROVDED BY SECTION 710DOF iME UBOR COOE,FOR THE PEflFORMANCE � OF TME M/ORK FOR WMIQ17MI5 VERMIi IS ISSUED. � � IHAVEANDW:LL�NNTAWWORKERSCO�APENSATqNINSURANCE.�SNCWIRE08Y5FCf1ON ���.,,` ( r � Q �7o00FTHEUIBORLODE.fdiTMEDERFORMANCEOFTXEWORKfORWNICHTMiSVEA�iT15 � _____� ____LSSUED.MYIM}RKFj35CqJPEN�ATqNINSURANCECARFIEHMYDPOIICYNUMU[RME: CONSTRUCTION y` /�11n J\ 1`�'1 � GiiNIEN �i�'\T��r��� PU1N REVIEW _a_y � POIICYHUA1BEq �� ELECTRIC ,L�.�t-� � Q �SEct�a+u�IDrioreE�tIDocnfa�rt�swaaEruanmoauwsa�ccta+�sst PLUn181NG ��/�\ n � Z IGER7IFYTUITNTIEPERFORMANCEOfTHEWO�'XFUIWMICHTHISPERMITISLSSUE0,1 MECHANICAL ���� D N (,�} S�ULLN01f�PLOVANYiERSONNANYYANNERSOAST09ECOM[SU&IECTTOlH[ INSPECTIONFEE Q� •� •• MORKERS'COMPENSATIONU�OF�AI.IFORNItiMlOAUREETMATIFISHWLDBECOh�E p — --- S S�ECTTOTIEWO�MERS'COMPENSATqNVpOVISqNSOFSEMqN37ooOFTHEUBOH �SSUANCE T Y Z � U 1 ONTINATHC04PLYWITHTNOSEPR VI51 . ^` ' � � SMIP �,��� � — `p DATE � � APPLICANi.� � � `I^' —�. '"� _ . � � �� ENERGYP/C 11t , {r"'l �� WARNM4FMlIRE SE REWORKERS'OGAFENSAfqNCOYEHAGEISUNUWFUL IDSIWIBE �j `� �y SUBJECfANEUPLOYERTOCRudWALPENAL77ESANDCMLFINfSUFTOON6MINDREDh�OUSAND ENERGYPERMIT �� �� [,rUJ pOlWia(f10D.00oI.MADDRIONTOTHECOSTOFCOMPEN5�TION.DAMAGE5/3VN0�"AEDFORIN � l�ti �� � SECTION770eOFT1[UBONCOOE,IHTEREST,ANDATTWWEYSFEES RETENTIONFEE: �� ��Y ' -�J�� W CONSTRUCTION LENDINGAGENCY PRE-ALT FEE: �1.�v a � INEREBYAFFIFiMUNDEROENKTVOFPEMIRYTU7iNERE15�CON5iRUCT10NLENDINOAGENCV a FOR THf PERWRYANGE OF 7ME WORK fOR WHIp1 TM15 PEflM�TIS�55UED(SEG 70YT,C�V.C.)• � LENDER'SNAIAE�y� � LENOER'S�DR[gs C �f � 'y• .y/y)� WICERiliYT1UTIHA/EREADTHISAPPUCA7qNANDSi�7ETMATTIEABOVEWFOWAA710NI5COf1HECt TOTAL FGES �'������ V� l�� `V � IAGREETOCOM7LtWITHALLCffYA14D�YORDIN,WCES�NDSTATEUWSREUTNOTOBU60iNO � CONSTRUCTION,M10 NEREBY AUfFqH11E REPRESENTATIVES OF 7H�S CIXINTY TO ENfFH UPON iXE � AgOVHAENTIDNE'�CROVERiYFORWSPECT runvases. 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