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HomeMy WebLinkAbout13478 CITY OF DIAMOND BAbt � - - DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES : � . 21660 E Copley Drive suite 190 (909)860-3193 Fax(909)861-3117 PRESS �'' aw.nnvc rE�r�.icA�oN FIRMLY oy JOBSITE !S�'I ��p�j�r� LG�►e APPLICATION PERMIT 13�.�� �!C ADDRESS pATE ` NUMBER � APN LO TRACT 3a uo� DqTE . l ���_ 1 1 CONST. GROOUP p OWNER (� c� Gf i o ADDR S • k ZONING 5ETBACKS W CfTY G ZIP� TEL. I REAR RW ❑ � APPUCANT TEL. SIDFJSIUE STREET RW ❑ CONTRACTOR Gl i - t�• SIDE ❑ ADDRESS ��-,�/ �� PHOPOSED USE � CITY �- �[- ZIP�� TEL -�' � � ARCHlENQ/ DESIGNER NO.DWEL. NO. NO. ADDRESS UN1TS STORIES BEDROpMS y� CITY ZIP TEL. DESCRIPTION SQ.Fi: FACTOR PSF ADJ.AREANALUATION Q OWNER-8[11LDER DECIARATION SFWADD/REM O 1 NENEBY AFFINM UNDEN PEN�LTY OF PERRIRY 1M�T I M1 E%EMPT FRqA THE CONIMCTDRS U- Garo9BlCa1�Oh COlSEIAWFOR7IEFOLLOWNUNF�l40N�8EC.7671.6BU51NESSMIUPAOFES510N9CADE:ANYCIiYOR (/] OOUNfYiNACHRECWRESAGFNYRTOCONSTRUCT.AL7FA,MPROVE.DEMOUSH,ORREMIRANYBTWJG W patiaJDock lUilE,PpqR TO ITB�SUANCF./M1.90 REa11RES THE APPLICANT iOR SUCX PEiWIT i0 FILE A 81(3NE0 BTA7EMENT THAT HE OR 8ME�iJCENSEO PURSVANi TD THE PROVISIONS OF THE CONiRACTOHe LI- ' CENSE UW(dUPTER�(COMMENCWO YATM tECTION TO00)OF DIVISION 7OF THE BUSINESS M10 PRO� �- PooVSpa FESSIONS CODE)OR7W�T HE OR SHE 19 E%EMPTTHEHEFqOM AND THE N51S FOR 7HE ALlEOE�E7�MP� 710N.ANYVIdATI0NOF8ECTION7091.69YANVAVPLICANfFORAPERMITBU&IECT9iliEAPPLIG�NTTO � Re-Raot F ACML PENAL7Y OF NOT MORE i1iAN i1VE NUNDRED DIX.Ui13�i5o�.1: � ❑I,ASONMEROFhIEPROPERT;ORNYELIPLOYEESWIlNWAOE5A57MEIR90LE00MPENS11T10N. Q CORIfIlBIC18I ' MIILL 00 THE 1MORK AND THE BTRUCRIRE IS NOT�MEN�ED OR OFFERED FOR SALE(6EC.704s,BU31� J � PqOPERiYWFqBUpDSORIMPROVE3�EREON,ANDYMODOE9W9UCFiYNDRNH�MS�ORHfRBELFOH � � TVWOUGHXISORNENOWNEMVLOYEES,PiqVIOEDTINTeUU11NVROYEIAENTS�flEMOTMlfENOEDOR m OFFFREL PDRSKE�F.HGWEVER fMEBULD�NOORNAPiqVEMENTl9 60LD WITHINONEYEAR OF COAIPI.E- 7ON.TNE OWNER-0URDEH MOLL w1VE 7ME BURDEN OF PROVW�7H11T NE OR 8HE DIO�qT BUIID OH MFROVE FOR h1E PURP6SE OF BALE4 y„� OI,/LSOWNENOFTNEPROGERTY,AAAE%CLUSIVELICpJfMCI1NOWIiMLICENSEDCOMTH11CfOR3 � Tb ODNSTIWCT THE P�Q/ECi(BEC.70N.BUBINE65 AND Pi10FESSION3 COOE:TiE CON�HACTORS lF V8IU8�IOf1 ADJ.AREA C915E LAW OOES MOTAPPLY M AN ONMEN OFA PflOPERTY YIRq 9UMD8 Oq IMPRWE8 iHEREOK ANO WFIOOONTRIICTSPoFlSUCHPRWEC75WITHACONTMCiOR�BILICEN6EDPUNeUN7T1DTHECONTMC QUANTITY DESCRIPTION FEE � TORS 110ENSE UW.} O 1 AM E7fEGPT IMOEN BEC. 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Z � ...�I FI�VE AND VY�LL MAIMNI YVORI(ER9'COMPEN6A7qM IN6UAAMCE.AS REOU�RED BY SEC710N Q l700 OF TNE LABOR OODE.FOR THE PERFOPMANCE OF 7NE WOAK PoR NM1llpl TFi13 PERMR IS ISSUEO.MYYYORKERS'GOMPENSATpNINSURANLE�RRIERMIOPOLICYNUMBERME: CONSTRUCTION � eu�wER � PUW FiEVIEW � PpLICV NUTABER A II A��. � ' �3 ELECTRIC � (MsBECroNNE�NOiBEoohPtEi�OFnEVERdiIBiaRa+EHu�OflEODotIAFslitmloqLEss� PLUMIBING _ Z ICERTIFVTW�TNTNEPERFORN.ANCEOF7TIEWCNiKFORYYF7ICHTHISPERMITISI55UW,1 MECHANICAL BHAlLNOTEMPLOVANYPER60NINANYMANNERSOASTOBECOME9UBJECTTOTHE y YYORKER9'COMPENSATIONLAWSOFCIILIFORNI.tMIDAOREETIMTIFISMOIA.UBECOME INSPECTIONFEE SUBJEM TO h1E WORKEPS'COMPENSRTqN VHON610N50F SECTION 370o Of TME UB�R aooE.isrwl.wnn�vnn�coMr�vxnrr�nrose�vr!a�wsi�o�nsJ. � ISSUANCE �f x+�� � • -� -- / � �� �cC.F"[Cl1'"tiF 17� l��fll�il SMIP f :�-�.� -�. �� �^ p DATE: APPLICANT ('"F �^ � WANIJINO:FIULURET08ECUHEWOpKERS'CORIPEN9ATIONCOVERAOEISUM.AWFUL,ANDSHALLBE ENERGYPIC} ��v 1'�'' �`��' ' �` ffiIB1ECf AN EMIROYER TD CRIMINAL iENA1T1E5 AND CML fWES UP TOONE MINDRED THWSANO ��'� '' � q . � OOLLM„(C700.aoo),NJACOITION TOlHE COS70FCOMPENSATqN,DMUGES AS PRONUED WH IN ENERGY�HMfT�:.` ' - j�` � '�- ; �� .,�J SEC710N77GOF7NELABORWOE,NYTEflEST.ANDA7TOqNEY'SFEE9. ¢ RETENTION FEE: � CONSTRUCTION LENDINCi AGENCY PRE•ALT FEE: � 1 HEREBVAFFIRM UNOER OENALTY OF PERJUqY iVNT 7HERE IB ACQ�lS7RUCTION LENDWO A6ENCY Z FOR 7NE PER WRMANCE OF THE WORK FOR WHICFI TrIIS PE WAT�B�SSUE�(SE4 70a7.CN.C.)• . 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