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HomeMy WebLinkAbout11798 (5) CITY OF DIAMOND BAR ��•U� �` --- DEPARTMENT OF CUMMUNTfY&DEVELOPMENT SERVICES � . 21660 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861-3117 �. PRE$$ ��..� svu.vnvc rEx�r�r�cwTTON FIRMLY y JOBSITE ��G,� p�� �/ APPUCATION . PERMIT P/C p o ADDRESS /`�''r� ] G�G�� DATE ' `�• NUMBER� 11 0 �� � APN tOT T ISSUE ���TYPE , pCC � DATE�"� `V CONST. GROUP OWNE� � �` ADDRE,�S ZONING SETBACKS ' � CI7Y��" 21P TEL. FRONT RW ❑ APPLICANT TEL.� REAR ❑ � SIDE/SIDE STREEi RW ❑ CONTRACTOR w SIDE ❑ ADDRESS g CITY ZIP TEL. PFiOPOSED USE S P+i ARCWENG/ � � DESIGNER NO.DWEL. 1 NO. Z NO. . ADDRESS UNITS � STORIES BEDROOMS � CITY ZIP TEL. �n OESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION ¢ OWNER•BUILDEF DECLAflAT10N SFFV/1DO�RiEM Z,�j O , 1 NER�Y ALflqM WDER PENALTY OF PERNRY THAT 1 AM EXEMPT fROM 1HE CONTFUCTONe LF 08f8�B/�alpOn s CENSEUWFOHTHEFOLLOWNOREABON�SEC.'l03f.68USN1ESSAN07ROFE55qNSO0DE:ANYpRYOR � OOUMYMRACFiREOUNESAPBRNRTOCOP6TRUCT,ALTER�MPROVE.DEMOUSH,ORREPAIRANY57RUG `W P9G0/DBCk . . 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B.8 P.C.FOR TMIS HE�SON � U CAiE OWNER � LICENSED CONTRACTORS DECLARATION � 1MEREBYAFFlRAI UNDER PENAITY OF PEM1JUFIY TMAT I AM LICENSED UNOER PROVISIDNS OFCHAPiER � s 0(CdIMENCW(iWRN6ECT10N7000)OfDMSION]OF7HEBUSINESSANDPROFESSIONSCOOE,AND Z X MY LICENSE IS W FULL FORCE MD EFFECT. ����� ` aai C� � LICENSE S LIC.NO. ��� DATE � CONTRACTOR WORKERS'COMPENSATION DECLARATION � Q yI HEREBY AFFIRIA UNOEH PElLLLTY OF PEFWRI ONE OF THE FOLLOWINO OECLAilA7pN5: � � � _INAVEANDWILLYNMAINACERTIFIGTEOFQONSENTTOBEIF-INSUREWRWORKERS' 2 COYPENSATION.ASPR011�EDBY8EC7fONl7aoOFTHELABORCO�E.FOPTHEPERFORYMICE U Q OF 7NE WORK FOR WHlql THIS PEHMIT IS 165UED. � [� �I NAYE AND YVILL MAIMAP!WOfiKEHS'COMPENSATIOH INSUMNCE,AS REWIRE�BY SECTqN � ]7000FTHELABORCOOE.PDRTMEPERfORMANCEOFTHEWORKFOHNMICHTHISPERMRiS IL12� �� ISSUE0.W VYORKERS' DENSATuq�INSURAIVCE GRFlIER AND POLICY NUYBER AqE CONSTpUCTION � �7 � � CARRIER �r rT" VLAN REVIEW _ IZS? �.I� � aa.icYNuuBER ELECTRIC 0 (MSeECf10NNE�NOfBECQ.RET�OFTfPHiMI'BFaROPEHJ1�DIiEDD�LlM81��lORlE65�. PLUMBING Z ICERTIFYTHATWTHEPERFORMANCEOFTViENK1RKFORWHICHTHISPEFMITI5ISSUE0,1 MECHANICAL � 6FIAL1 NOT EMPLOY MIY PEHSON N ANY MANNER 50 AS TO BECOME SU&IECT TO THE [/� WORKERS'COMPENS+�TIONLAW90fGLIFDRNIA,ANDAOREETHATIFIBFqULDBECOME INSPECTION FEE � SUBJECTTOTNEYVfMKEflS'COLIPENSATIONPROVISIONSOf3ECT10N97000F7NEUBOR coo�.�swut�mm�rn caaa�r wm�nrose arwhsior+s. ISSUANCE • p DATE: APPLICANT: SMIP �L� � ENERGY P/C WARNINO:fALURE TO SECURE N'ORKERS'COG�PENSATpN COVERA(iE IS UNLA4YRIL,AND SHALL BE [—y BUBJECfANEMPLOYER70CRIMWALPENALTIE5M10Cm�FINESUVTOONEHUNDREDT1pU8M1D ENERGVPERMIT � ' � � OOLLARS(t100.OW),W ADDITION TO THE COS70F COMPENSA710N,�AMIIGES AS PROVIOED FOR IN � 9ECTIDN770sOFTHEIABORCOOE,INTEREST.ANDATTORNEY'SFEE3. RETEId��ONFEE: L QQ CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � IMER�YAFFlRMUNOERPENALTYOFPEfUURYTNJIT7NEFEISACONS7RUCTIONLENDINaAUENCY FOR 7HE PER W RMANCE OF TME WOi1K A WHICH TNIS VERMIT I6155UED(SEC.7oY7.CIV,C.). � LENOERSNIVAE � � LElDER'SAODRESS /► f � ICERTIFYTNAT111A1/ENEADTNISAiVLIGTIONMDSTAlETHAiTHEABOVEWFORIAATIONI600RRECT. TOTAL FEES ` �^�+� �� ��✓+\ •I � I MiREE TO COMPLY YYRH Nl CRY hND COUNTY ORDINANCES AND STATE lAWS RELATNO TO BULL�INO � , � OONSTRUCTIOµANDHEHEBY AUf110RIZE REPRESEMATIVES QF T1lS IbIINiY TO EMER LIPON7HE �BOVNAENTIONEU ViWiENTYPDR M ecnoN ouRvoses. COMlAENTS � 0�.�-U� p � PERMI E�PRIN7� � � � y (/� tKi 7UH OF VERN77EE. ... . . OATE � RECPT.NO. PND BY �.VAIl�AT10N riMITE—DepeRment Copy,YELLAW�Inarwe Capy.PINK—Aaseasw Copy,GOLDENROD—File Copy,OREEN—ApplicenPs Copy . . . ., .. .. ... ..„ �.,. . 4.:�. .. ' . �J- . � ... , . .: , � CITY OF DIAMOND BAR , IhESPECTiON REGdRD 7-/�.-�1a;. .. �. . � c � � • - � e � i . � . 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FINAL j � FINAL I�iEATiNG ; HEALTH DEPT. FINAL ; E � FINAL ELECTRIC � �--- � DEV. FEES PAID � FINAL PLUMBlNG � y ����_-- ENERGY � � , c, � i• 7 - '' �--- ! - • � - � , , --�-�-�;�:=3; C01�'EMEI�TS ' �. r •',, . — �. 1 . ,,.�1 d .. .. r � ',•1 S �.:4}y' '} f-- �� � L _..�. � . . .1 t"4 �;' ' .! , � ..Y r��,: � � - S6PT�C',7,R K SiZE SEEP PIT/U SIZE _T_.,;y�. a.�,,:..•: —`� . -- i '� ,1•� i . - � , `�'�'� _ , 41 C` .� c.. _ , i i _.._�.___.. . . . . • C's - ..� ''._. •`-'—.-,� _ . .. ..S `.i . . ,.������T �^ �..%.I ���(!"� G� �� k.....� .