HomeMy WebLinkAbout1609 (20).pdfCITY OF DIAMOND BAR pRESS
DEPARTMENT OF BUILDING AND SAFETY F pMLYBUILDINGPERMI7
dOBS{TE APPUCATION p..f n b PERMIT _ E
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SSUE ( TM ER CODE
kr APN LOT TRACT DATE ",1
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o ADDRESS
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o APPUCANT TEL SIDE
CONTRACTOR SEWAGE PUBLIC PMT#
o ADORESS m DISPOSAL pRIVATE SQ.FT./100 GAL
W CITYel,i 11 m ZIp LZb TEL
W STATE
l ?b,$33 GRADING CU.YDS.EKC.CU YDS FILL
y UC.NUMBER
T1fPE SQ FT FACiti1R PS AOJ. AREANALUATION
y ARCH/EN6 W DESIGNER
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PROPOSED USE
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F GARAGE •
o NO.DWEL.N• (cx.e.v pORCH'
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m VALUATION ADJ.AREA
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to lie l vpned tbfrmem Ilut he is kmud purswm m Ihe p oris ons o1 Me Caiexta't lkrm l w(Ch ptn '(n I I
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y xM the b sis lor Me Ileped e emptan Airy vN tion A Sectnn)091 5 M ry pplicant lor a permn wb ecn J
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I,as owM al Ih Orop rry.p mY K^MMeef vnth wages s Nn1 ide[ompenuUM.w l Eo I e work.IM
tne cuuctwe rs not immded a oflmed la sale ISn.70M1d,Buyness nd Pidessions Cade The Contrxmr"t LKen e Q
Law does roI DDM ro m owrur ol pioperry wlio buildf p impa+n Ihereon.id wAo!as su worl muM, (
a tlnqgn his own emplorees.D wided IMt tuch Mnpravement ie mm xnded a alf i d M iK M.Mv+e er. Z
m me build iq p imprwement n wW wnhm ona yer ol amdetwn.h owner Euilder wai nsw Me Dwdm ol D^0 Q
y N i he d d not W N a irtqrove fa the Ourpase oi s k I U
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7p4a,Budness iM Pmlesuons CaOe The Lantnctor's limu l w does nol pplY m n ovmer ol pape tY wAe S
6 EuNs oi impro ef ihnem,mE wlro eontncu Iw such pro ens wi h a eomrxroil l Mmsed pwswnl ro IM Cminala'fKu CONSTRUCTION
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0 0 '7'^ iwner ELECT lC'
V 9HKEAS'COMPFNSATIpV ECIAflATIW 1 hereby NMm IMt I a+e cerolk tt ol eonsmt lo sNbnsNe.or
PLUMBINGunhauol4WdeiCompenstwnInswrce,a[eulied[opy tnneM ISec]800.lab.C.I.
Cnuled copy is Aertby Ivnnkd J MECHANICAL
o Cnnird eopy is likd with IM Bwb np Mspe[tw DeDximem 0 DeDx me^ Q GRADING
W LEH71lICATE Of f%EMPTUN fRpN IM1'OfIKERS COMPENSATION INSUAANCE iluf utuon n[ed no1 be[anpkxA
I ihe pnmq is lor one hundred(51001 a k s 1 druly M in Ihe pn o mance ol the wat lor which Nis
h oK n uwe4 sha rot emebv v on my m mie,ao u ro eecome s q«i m me wx e i Caroe sauon
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e PARK FEE
o Unte.JI L Avp itml Q W
NOTICE TO APPLCANT H.dtn metinp Mis Ceruficete ol E+mmD p^.1'W=IKI m tM Nb'n't SCHOOL FEES
ComOenvtwn pwis m ol Ihe 1+60 Lodr.yau must t«thwnh taryly wnF nch povision a i permn wM
6e deemed reralN,
Js qNS10V OF WOUSTflIAt SAfFTt PENMII CEFT6ICATM111
wo- I noeoy.cntdy Mat no ert raton lire 151 a mae leet in droth inu wlucA parsm u pured b/exend.
s wdl he m de m emnecton w tl work+utlwved bY IMt'Pmmn.Md MN ne MadmY iKlu.cafloWinp.NsewaA.
a demohuon m d smantl nq thneal.w l 6e nae tArq.IMrry ir.138141 et hW.(Llu7 71.Gry Y.Wt 1.Sa
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WS.3 As ownr-WiWn.1 wi0 not mpby mry e lo do woM1 whch wpld repuve pml hom tlK Gwa M
Indusuul Sa/ery.s noted bme.mkss wch person lys prmit b do w[h waA hom IM dni ion. , .
S P F i lW Q.iewn d Industrul Sahry krml No TOTAL FEES O
LONSTFUC(UN IEND NG AGEHCY.1 Aer br tlr PrfnrmrKe6yIhmNIIMnueonsdu[wn NMvq pencv
z ol Ih waY la wAsA tluf p rmt it usup1$e 3097,Gr.L.1.
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COMMENTSoliYC;. )i;'1 , F.n+,lmd i s Name
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UHTIfICATE Of COMPLIANLF AND AUTHOPoZATMN Of EHTRY.I eaMy 1 Mre nd I u ppc+im r d nsY
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