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HomeMy WebLinkAbout14050 (649) --- -- �..-- ------�----_ ---- - -- ---- CITY OF DIAMOND BAR EX P I R E D � , f� DEPARTMENT OF COMMUNITY&DEVELOPME SERVIC S � ;,,� 21660E.CopleyDriveSuite190 1 C1 0 3 2C00 (909)864-3195 Fa�c(909)861-3117 � , PR ESS �'��� BUILDING PERMTT APPLICATION FIRMLY JOBSRE 2 r ' „ � '� APPLICATIO PERMfT j// p/C � ADDRESS �l I�ZJ f����� I��'�l 11-�-�• DATE_� NUMBER � 7�� x � ISSUE TYPE OCC APN LOT - TRACT- DATE CONST, GROUP g OWNER � � � �i�a p ADD�ESS ��� - �'71�-� ► �-• vJ � � ZONING SETBACKS • / •'/ . 2' � CITY L,•ir+ ZIP TEL. -l� REAR RW ❑ APPLICANT TEL. SIDE/SIDE STREET RW ❑ � CONTRACTOR SIDE ❑ � CnDRESS ZIP TEL PROPOSED USE���L��� ' �l/I�/f �/CfJf�J✓�Gf�„Z � ARCFUENG/ �� DESIGNER N0.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CfTY ZIP TEL. y DESCRIPTION Sa.FT. 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O I AM E%EMPT UNOER SCC. B.a P.C.iOR TMIS R;aSON Q 3 ¢ �= pA7E y OwNER V � W d LICENSED CONTRACTORS DECLARATION W 2 �HEREfiYAFFV+IJIINDERPEfU1TYOFiE0.NflYTNATIAMUCEN5E0UNDERFflOV15�ON^+OFCMAVTER Vr � �(COMYENGINp VAM SECTqN 7000)OF DM:qN]OF TNE BUS�NESS AND iROFES5iON5 fACE.�ND X W UCENSE IS W R1LL FORCEIll1 EFFECf. tl tL � 0 LICENSE CLASS IIC.NO. � � p�7� CONTMCTOR d WORKERS'COMPENSATION DECLARATICY Q � U N 1 HEREHV AFFlRM UN�ER PENALTY OF PERNFY ONEOF THE iOLLO'N7NG DECLM�TIONS. Z Q � _INAYEANDIMLLM,VTA1`1ACERTiFIGTEOFCONSEtrTtOSELFdNSURFFOAN'ORKERS' S � CowvEN5AT10N,I ' "+�DEO e`/SEC770N noo OF TME UDOR C�DC.fOR iME 7ERFORMAnCE � OfTMEWORKFp �TM�SVERAlIiI5155UED. � 0 � Q �IHAVEANDW�LLLWhy!M/ORKERS'Cp.�PENSATI0NIN5UMNCf,ASNEWiRE0BY5ECilON ��_^ � �'DOOF THE IAUW�Cd��.iM TNE VERFO WA/NCE OF THE WORK FOR WHIG71 iH15 VERMIT IS �jti � ISSVEO.WNORKERS'Q7MPENSATqNWSUMNLECARPoERANDPOI�CYNUNBERMc: CONSTRUCTION - -� uawEa � PLANREVIEW O POLIGY M/GBER 1� r ELECTFiIC d '4 Q (R!'..£EC11CN�"'&7NOTBENAitETmCFMPEFO..fT6�0YENl.wF�001U1L5RIW)ORLE55� PLUMDING � r Z ICERTIFy1NA7NTMEiERFOitMMlCEOFTHEWDNCFORWHId/TN!SPERMITISISSUE�,I MECHANICAL (� SHAL�N�7T EMPLAY/U%FERSdJ N IINY YANNER SOAS TO 9CGOME SUBJECT TO TME y .yVOqK�pStOAAPEN5AT10NUWS�C.1LiFORNIA,ANDACREETW�iIFISNOVLDBECOIAE INSPECTION FEE •^^^ SUWELTTOTII[MONKERSCOMVENS�T�ON7nON5lON50F5ELT10N]70oOFT11ELMOR {SSUANCE J` ' ('�•iJ �j COOE,1 SMALL fORT11YATN COMVLI'N�17N TMOSE iROY1510N5. �— � O SMIP ru�.-�,-:,.. ,.,,. ,.. � S�� p DATE: APPIICANL .. . , _..... � WMN�NC:FMURETOSECVREWONCERS'COMPENSA710NCOVER�CEISUNUWFUL.M�15MAlLBE ENERGYP/C �� TT��r• � ` ` - (�y SU&IECf IW EMPLOYCR TO CRIUINAL PENALTIESUID CNIL FPJ[5 UP i0 ONE M/NGREO TMOUSAND �NERGY PERMIT DOUARS(f t0o.0o01.N ADDIitON TOlH[COST OF COMPENSATION,D.VAACES AS PRONCEO FOA IN � SECiqNftOeOFiHELA00RCO0E.HTEREST,ANDARORNEY5�EE5. PETENTIONFEE: W CONSTRUCTION LENDING AGENCY PRE-ALT FEE: a O LL IMEREBYACFIRI.IUNDEROENLLTVOFVERNfiYTHAT7FIERE15A00NSTRUCT10NlENOWGAGCNCY �- FOHTHEPERfORA1ANCEOGTHEN'OpKFORWNICMTHISPERIAITI5155UED�5EC.7o01,L�V.CJ. Z W � LEWER'SNAMC � IENDfR'S��10RE55 (` ,/�/, � ILEiRIfY7NATIHAI/EREADiH15APiLIG AND5IATETHATiHE/.B�VENiO1WATpNISCORRECL TOTAL FEES // �'. / � d IACREETOCOAAPLYWITHALLdTY�NO YORDW/�NCE5INDSTATEUNSREUTINGTOWiLDiNG � � � CONSTpUCT10N,MUHEREBY .f PRESENTATNESOFTHISCOVNTY70ENTfRUPONTHE ABOVE�NEHfqNEDP E F H� P' TIONiVR005E5. � COMMENTS O /✓ !��/_ • � /� 4 veaurrr¢� ��� _/ [A l/ �� � SICN� FP fTEE �T RECPT.N0. 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