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HomeMy WebLinkAbout17092 (42) J� CTTY OF DIAMOND BAR � ! DEPARTMENT OF COMMUNiTY&DEVELOPMENT SERVICES ,� 21825 E.Copley Drive � ���� (909)860-3195 Fax(909)861-3117 PRESS � BUILDING PERMIT APPLICATION FIRMLY � DD ESS���D I�Vtb�iC_/i�IV 7 <-(Jl/K�L r APPLICA7I0 � PERMR P/C o - DATE�. I U�l NUMBEFI(��2 p � APN LOT TRACT DATE � �� �� TMPE �C CONST. GROUP p OWNER p ADDRESS � �� ZONING SETBACKS Z CITY����� ZIP TEL. FRONT pyy p g APPLICANT TEL'7 '] REAR ❑ SIDE/SIDE STREET RW p � CONTRACTOR .G• � SIDE p ADDR S � � CITY 1 21P TEL._ �-L PROPOS USE �O• - � 1(I - o ARCH/ENG! T(�D�� � � DESIGNER NO.DWEL NO. NO. n. ADDRESS � CIN ZIP TEL. UNITS STORIES BEDROOMS � �n DESCRIPTION SO_FT. 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W � WORKEfiS'COMPENSATION�ECLARATION a � IHERCB'IAFFIRMUNDERPENALTYOFVERNRYONEOFTHEFOLLOWINCDEQI1MTqN5: Z � �INAVEMIDNALl1M:NTAINACERTIFIGTEOFCONSENTTOSEIF�INSUREFORNqpNERS' _ COMPENSATION,/15PROYIDEDBYSELTION77000F7HEUOORCDOL.FORMEPERFORMANCE W Q OFTHEN'ORKFORWNICH7HISDERMITISISSUED. � w �IHAYEANDMALIMAINTA:NWORKERS'COM�ENS�TIONINSURANCE.ASREWIREDBYSECTqN Q 77000FTHEU80ROOOE,FORTHEPERFOflMANCEOFTNEWORKtORWHICMiH15PE�7MIT15 I �� � O J ISSUEO.MY WORKERS'GUAAPENS�TION MSUMNCE C�RR:ER ANO pOl1CY NUTAOER ARE� CONSTRUCTION j CARRiER a �T �[� � _ �LANREVIEVJ � va�cYwuMOEq � [LECTRIC o �sSEcna+r+EmwreEca.�macnevca.rts�qsMra�[ooa��s�a�or��ss} PLUMF3ING Z ICERTIFYlHA7NTHEGERFORMANCEOFTMEW'OP1(FORWHICHTHISPERMIT�$ISSUED,1 MECHANICAL U' SNnLLNO7EMaLOVINVVER50NINANVUANN[RSOASTOBECOIAESU[iJECTTOiME � WORKERS'COMPENSATqN LAWS OF CALIFOqNIA,AhDAGREE THAT IF�SMOVIDBECOME INSPECTION FEE � SU0.IECTTOTMEWONKERS'COMDENSATIpN .._�ONS c ]7000FTIIE Ocooe.� ar'nrirncornP�rvnn� s¢v� � .,u , ISSUANCE � pATE: �� ��APPLICANL SMIP � WARNINC:FAI�URE iOSELURE WORNERS'COMPENSATION COVERACE ISUNLAWM. .D SNAI�BE ENERGY P/C �y SU&IECTANEMPLOYERTOCfUMWALPENILL71E5IWDCMLFWESUPTOONEXVNDfiEDTMOU5AN0 ENERGYPERMIT )„ DOUA{i..(f10o,DWj,INJ1p01T10NTOiMECOSTOF�pMPENSATqN,DAM�GESASPROVIDCDFORIN B— J¢ SECT10N�70BOFMElA00RD3DE.PITEPEST,ANDATTOfWEY'SFEES. fiETENTIONFEE: . oCONSTFiUCT10N LENDING AG[NCY PR6ALT FEE: � IHEqCBYAFFIRMUNOERPENILLTYOFVE0.NRYTHATiHERE15ACON5TRUCTION�ENDINGACENCY n- FOH THE DERFOfiAIANCE OF 7M[WORN iOR'MUd1 TNiS VERUIT IS I55UE0(SEG 7097.tIV C.). � � LENOER'SNAAIE 1—� IENOER'SADORE55 W� TOTAL FEES 2� .5 O 1 CERTIFY TMAT I HAVE qEAD 7M15 AVOIICATIONAND ST11TE THATTME 1100VE NFOFMAiION IS CORRECT. � IAGREETOCOMPIYYATHALLCRVANDCp1N7YOfiD�NANCE5AND5TATEUWSREL�TINOTOBUILDING � CONSTRl1CTqN,ANDMERE9YAUTHORIZEHE7R[SEN7ATN�SOFTHISCOUNTYTOENTERUI'ONTME Z PDOVE�MENTqNEDVROPERttFOHINSPECTiON>URPOSES.- � COMMENTS � R _ - ' m VE ITTEEN �PRt N -��-t��1_ . 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