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HomeMy WebLinkAbout13025 _�� CITY OF DIAMOND BAH DEPARTMENT OF COMMUNITY dc DEVELOPMENT SERVICES �J �� . 21660 E.Copley Drive Suite 190 (909)66Q3195 Fax(909)861-3117 PRESS �'�^'� BUII.DING PERMTT APPLICATION FIRMLY � JOBSITE '/ Q ADDRESS ���2 SIC.-V�R �f}1� ��- APPLICATlON �l'Lr� PERMIT O'7 P1C o DATE � NUMBER �� * � APN LOT TRAC ISSUE TYPE pCC � OWNE�__�����'� SG(� e�� DATE CONST. GROUP ADDRESS �`7ZZ SI L Il��l �R�N 'T>/C_ ZONING SETBACKS 8 CITY �1 r3 ZIP TEL. � . D FRONT Ryy ❑ APPLICANT _�r�,�_ TEL. _ REAR ❑ SIDFJ5IQE STREET RW ❑ CONTRACTO �, �a 17 1 Jv�G _ SIDE ❑ g CITY E� �D � � �CZIPqI71� TEL,�S"9 ?C"') PROPOSED USE W fT� I�-- � � � AHCH/ENG/ DESIC3NER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. �n DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDER DECLARATION SFR/ADDIREM � 1 MEREBV AFFYMA LHDER PENAL?Y OF PERlVRV TFUT I NA EXENPT FiWM THE CONfRACTOflS Lt. 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B.�P.C.FOH THIS REASON Q U � OATE OWNER U s( LICENSED CONTRACTORS OECIARATION � ¢ 1 YIEREBY AFFINM UNDER VEN/LTYOf PEILIURY'f}IAT I AM UCENSED UNDER PR�VISIONS OF CHAP7ER r� � �(OOMMENCNKi1MTHBECT10N700a)OFDMSION90FTNEBUSINESSMIDPROFESSIONSCOOE,FND Z x W LICENSE{8 M FULL FORCE ANO EFFECT. m ^ G� 2 � Q UCENSE CLIISS `� � / LIC.NO. � 0 � � w�rE ?�� 12/ 9 4 ca�rFucroA a = YYORKERS'COMPENSATION DECLARATION a � I MEREBY AFFlRM UNDER PENALTYOF PERRIRV ONE OFTFIE FOLLAWINO DECIAMTIONS. Z � �IMAVE1WDYnLLMAMTNNACEi1TIFICA7EOFCON5E1R7030.FWSUREFORWORKERS' _ COYPENSATION,AS VHOVIDEO BY 8ECTION 8100 OF THE L/iBOR CODE.FOR THE PERFORMANCE U p OFTHE WDRK Foq VMICHTHW PERA11719185UEU. � �Fy} �IHAVEIW�YALLMWMNNWORKERS'COMPENSATIONINSURANCE,115REOUIREOBYSECTION � Q i7ooOF71iE LABOR COOE,FOR TFIE PERFORMANCE OF7HE WORK FOR WHICN iH15 PERMR IS PA�n � � ISSUED.IAY WORKERS'OOMPENSATION INSURANCE CARRIER AND POLICY NLIMBERARE: CONSTRUCTION � CARRIER ST[�7 T�' '�I.CN � PLAN REVIEW � POLICYNUMBER '�Q� O�� ELECTRIC `t (MssECrqWNE�No7eEoo1:PLFf�oFnEPEw.fr�BraRoME1�TDREnOutAFtsR�aloRlEssl PLUMBING F�� � 1 CER'TIFY TUT W T/E PERFOPMANCE OF7NE WOiK FOR YVHICN THIS PENMIT LS ISSUED,I MECHANICAL CI SH1LLL AIDT EIAPIAV ANY PERSON IN ANV MANNER SD�S TO BEOOME 6U&IECT TO THE y .__... MIOPo(ERS'COMPENSATqNUYV50FCALIFORNIA,ANDAGREETHlITIFIBHOULOBECOIAE INSPECTIONFE� S BUBJECTTOTIEWORKEi15'ODNPENSATqNVqOV1610N50F3ECTqN97DO0iTHElABOR CODE.I SFNLL FORTMVITl1 CAMPLY WIM TNOSE PROVISIDNS. �SSUANCE � � y� p DATE: Z APPLICANT: � I.�l,r� SMIP � WARNIN�:FMLpETpSEWREWORKERS'COMPEHSATIONCOVEHAOEISUHUWFVL,AND8HALLBE ENERGYP/C � �y BU&IECTMIEMPLOYERTOCRIMINALPENKTIESMOCNI�FINESUVTOONEHUN�qEDhKKISAtiO ENERGYPERMIT JDOLLAR9(f100,000�,INADDITION TOTHE GOSTOFCOMPENSATpN,DAMAGESAS PROVIDEO FOF W BECTKIN 7/0!OF TME U60X CODE,pVTEREST,MA�TTORNEY'8 FEES. R�ENTION FEE: O CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � IlIEREBVAFFIRMUNDERiENALTYOFPERIURYTMATTNERE15AfqNSTF%1CTIONI.ENDINGM3ENCY z FOR TME PERFONNANCE OF7NE WORK FOR WHICH TMIS PEfUA1T IS ISSUED(SEC.3oW,CIV.G�. W � lEN0ER5 NAME C LEN�ER'SAODRESS � w ICERTIFYTW1TIIi�VEREIDT113APPLICATIONMIpSTATETNATTHEABOVEAlFORNATIONISGORRECT. 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