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HomeMy WebLinkAbout15748 (439) , � _�� CITY OF DIAMOND BAR —� �y� ' DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � 21660 E.Copley Dcive Suite 190 �' .�.,�.,.� � (909)860-3195 Fa�(909)861•3117 �RM Y BUII.DING PERMIT APPLICATION Q ADD ESS ��8� Vv a�er Ca�rs��D��. APPLICATION � '� ��/` PERMIT � LI P/C p DATE U NUMBER � � APN LOT G TRACT 47 �SO ISSUE TYPE OCC -�Y { y� DATE CONST. GROUP � OWNER ��n r�n r..n o ADDRESS "—' '' N� 1'� ZONING SETBACKS � CITY ZIP �`0 TEL��'�5�1Q�QQ REAA Rw p APPLICANT TEL � SIOE/SIDE STREEi RW ❑ CONTRACTOR �-� � �L SIDE p � ADDRESS SCC� CITY i✓�t4 ZIp91_��� TE��o�ru���r�7 PROPOSEDUSE � ARCFUENG/ DESIGNER I NO.OWEL. NO. NO. = CDDRESS ZIP TEL UNITS STORIES BEDROOMS � �n DESCHIPTION SQ.FT. 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CCMPENSATION,ASVROVIOEDBYSECTION170oOFTMEUBOflLODE.FORTMEPERFOqMANCE W qF 1HE WORK FOq WNICH iN15 CERMIT i4155UED. � 1— / ✓ IHAVEANpVALLIMIMA�NWORKERS'COMPENSFTIONINSURANCE,ASREW�REDBYSECTqN Q ]7000FTHElABOqO00E,FOp1HEPERFOfiMM10EDFTHEWONKFORWHIQ/TMISVERM�T15 ISSUm.MYWOR A'COY ENSATION UfiANCE�G1 RPoEflANDPOLICYNUMBERARE: CONSTRUCTION � cuuuEa ���a"�e- ��U►'�`... pLAN REVIEW � va�pYriu�eER Z ELECTRIC �Y� � (nsSEcfqNNE�No18EC�itEfEOCFTEVE{Y.fi6FoaaNEw,OtiEODotiJ1{s(S�oqaFlLFss� GLUMBING W ,'Z ICER71fY7F1ATINTHEPERFORIAANCEOFTNEV10N(iORWHICHiHiSVERMITI5155UEO.l MECHANICAL � �' � �� m C7 SMALI NOT EMPLOYANY YER50N N M1Y MANNER 50A5 TO BECOME 5U8JECT iO THE � y M10HNER5'CMIPENSATIONUw50FGLLIFOPNItiANDAOFEETIUTIFISNOUtDBECOAI6 INSPECTIONFEE S SLBJECTTOTMEVfOfil(ERS'COAIPENSATqNPROVi510N50F5ECTIDN770oOFTHEVBOR COOE,1 SWLLL F0�7f11W�TM COAIPLV VATH 7HOSE PRONSiONS. ISSUANCE �1,�.� �!�1 S b--q3^ p DATE: � APPLICANT: �SMIP ��U� �- �2 L��lr' J WMNINO:FAILUftETOSEWREYNFiKEflS'COMPENSATqNCOYEM0EI5UNUWFUL,/WDSMAI6BE ENERGYP/C r���17'�l���/��T.m j1�f': � SUBJECTANEMPLOYERTOCR1A11NALVEN�L.7IESANDCNLLFINESUVTOONENUNDRE07/qUSAND ENERGYPERMIT ��ITTT�T*�r' ����Tl<'i�ti'���("� � DOIURS�iloO,000),WADOITqNTOiNECOSTOFCOMPENSATION,OAMAGESASPROV10EDFORIN C,•i=-D__�'� ,_. ,_ SECTbN]70lOFiHEIABORO00E.INTEREST,AN�ATT0IUJEY5FEE5. � RETENTIONFEE: OCONSTRUCTION LENDING AGENCY PRE-ALT FEE: � IMEREBVAiFlRMIRWERPENALTVOFPE0.)URYlMATTHEAEIS�CONSTRUCTIONLENDqJOACENCY Z FORIMECERfORMhNCEOFTMEWORKFORWHICHTMISFEflMIT19I55UEU(SEC.70o�.CIV.C.). ( , W � � LfNDER5NMIE ' �. � LENDERSMDRE53 � ICERTIFYTNATIHAVEHE�DTHISAPPIICATIONANDSTATETMATiHEABO`�ENFOHMATIONISCOPRECT. 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FEES PAID - ,�=1h1AL PLUMBiNG ENERGY � - ::ft( IC ^�,.' f'1C�x'� ' !�''. , • -� --- � - , ' - -- �- - , . ._ - � -� --�--� — -.;a:. ,�� i�� �taaf_. .�... .. . . � . ., .�--- _ . � iCOt�INENTS I1�[5-oa c � ' � �c S�'-/.�-d� ' SEPTIC'fANK SIZE SEEP PIUU SIZE —-`—� ' �� , ��, � � ��.-� -�—� � et ���-�� .;_;I , _ :,..�� ��`o�, � , . '{ : . • . � _ . � � _ _ ,� . i�. �\ _ _ , - _ �._....._�--a:..:..� ,.�.�,3 ; � �". � � . _ . „