HomeMy WebLinkAbout2749CITY OF DIAMOND BAR
DEPARTMENT OF BUILDING AND SAFETY
BUILDING PERMIT
Q/e, GJI— 1-3,qPRESS
FIRMLY
ADDRESS e
TIONPERM11 USE
IDATESSUE J /
NUMBER ,, /,,'' CODE
APN LO TRACT DATE --/ / CONST. GROUP
CROSS STREET
OWNER ZONING FROTBNT RW
ADDRESS REAR
CITY ZIP ` TEL. SIDE/SIDE STREET RW
SIDE APPLICANT - TEL
CONTRACTOR f T
ADDRESS ,XT/ p J.[
i
CITY W.& 4pb%.en , zip - 0=2 TEL-
SEWAGE PUBUC PMT t
DISPOSAL PRNATE SO. FT / 100 GAL
STATE
LIC. NUMBER yi? GRADING CU. YDS. EXC. CU YDS FILL
TYPE ADJ. AREAIVUATIONARCH/ENG/
DESIGNER
ADDRESS
W t
LL 2
CITY ZIP zglhL 3
R POS E' Z4
j GARAGE
NO. D NO.
UNITS STORIES BEDROOMS
LOT DIMENSIONS
1
ca
PORCH
VALUATION - ADJ. AREA
NO. OF BLDGS HOWOuAwrr
ON LOT USED
p N FEE
d 100
AMO CONTRACTORS OECLARATON: I Mon affirm tha I an kc—ad dada pwiaais at CNpw Imimaxing
Mli Saturn 70001 of amen 3 d the &aura ad"A's"ns Cak aN Ms' Gama i as hA force ad Afat
M
W
OWNER BUIIOER DECLARATION: I hereby Alum laid Ian lartap turn rr Caawww & Lraml Law to did farpnnp
mason ISa. 7031.5. Burnet ad Praleawmt Calc Any m As eofay w%wh retia a poem b nrdai
Am. "wmae. 0.00. or nprr awry awataa, p w w as dawn. dm rown ted a6lI kv lath PNM
to He a ww omammt that b d koenai palmist to the wassail d ted Cmraceei s Licwaa law IC1,apaa
9 lcwnaaa:anp with Satin 70001 d Oiviam 3 d the lb, ad Proisswad C1dpi r *40 M i 1Ytm tllrthaa
and dr basis for the W pad twmptam. Any vdmm d Salim 70315 by My Whom lar a paaail soaped
tb omticant to a trod pwdty d at mal mm fm Mndaad Miss 1s5OO1.1:
l, as swim of tb poOanY, a nM employees tires wiles a rhes esti chwMaaaum, wdl 6 the mirk, rd
d 19tedamad
to
d amt mtmdW a ofteod for sob ISa. 7044, biumess wad Prtdassons Cadr iN Cmwacw s lhCmm
law don not app" a m Oram f prapwty who holds a Mwepdwaen. ad vow dot such work 1- tel,
w Owymmapfidnowlws. p ww Tho swh ampwamaw we not -waded r dbrld to sill. 0, Itlyreawr,
IN 6.,14.9 w d sow -0. one Y4a of wowtdn. slid,amara-harYa wA ham dr badm d pwmp
that he did not bld as h„W— fes dr papa d sab.l
E] 1, as owner of the pro0aty. on tebdw* cenwataty with litawd conasbrs b cMdrmct Me pgat ISM.
7044. Suamss m d Prahsams Code: Tb Cratnider s Laama law der M app" a m awmr of pa" wM
builds a impaves thereon, orad who raraate far soh ptgats with a cenawhumaad ftnlr(al id pw11 Canwacia s
Liana L- I
1 am tempt mor Sid B b PC IAttwh Cwt h aarf
CONSTRUCTION
PLAN REVIEW a
tinar ELECTRIC
MWERS' COWNSATION DECLARATION I hraby affirm tNs I haw a trtwcml of cmwt all -+tush a
a certificate of WArs Compansom bareae. a a testified pry dyad W. C.1.
crotid test' d Iwraby i ammed.
71
c.ulid ropy a f4a1 w sh rt mea tin awaawu a 'Z —%-.marmot
CERTIFCATE OF EKEWTM FROM WMERS' CM"NSATION NMWANCE: Teti strum tad rot b caapiewl
4 des pant u far me hunted 11100{ a Ips I madly *0 a IN pabrorare d w wok da whah this
punt d iS MA. 1 toll rot ample am pow m try atatlw so m or bKM WAM b tM Wakof Campmmtim
Laws d Ldyaam.
Ott, f ^ g,, t.
WTICE TO AFRICANT: 8, ahr mmue On Cawliae d EMnebar. w 1atlwt m tis YArha't
Cormordo n pwaim of sed Laha Cole. Wes am tardmdt amply with nch a Ail pow shed
be fumed revoked.
j
F
Lt
1+-
PLUMBING 7• Sfl
MECHANICAL
GRADING
ISSUANCE
SMTP
PARK FEE
SCHOOL FEES
owlso OF NapISTIM SAFETY P'EAW CEATWGTW
l tMraby catdy that a travama ho (51 a rase M m chem into rdddr a lrrna is rapwd a dafad.
wA b shade a tmrtcdm whW wok aadrried h tis p1rd. ted ors no balfal awanw. fdmaorrk,
a dwndiNn w donation ItMnA. will be rata Rem tdrty-six 1361 M hits 1611m. 3.2. fife 2. Art 2. SK
341. Tide S. CAC.)
As mamm-hadliar, 1 tip not aneby agar b do wok whih Ria" memo a parva bora 4 6w1wia d
Iwd¢md Sahey, as toad akar, own Rica Paw has a pram d n sada wok hem tM domia,
oamtrr f bdasamw Sda" l.am No.
TOTAL FEES S
C11d.ANArTON IENOING AGENCY: I read" Ohm aw taro b a to mw m baeq amp, a IM patbawlaq
A dr work far avhwh do pinto awed ISac 3087, Ca. Q.
Larr'a Nma COMMENTS
Linda's Ad*=
CERFKIGTE OF aWLWV AND AtIT1MUTON OF FNNBY: I ew* N baa toad on appbeadm and Arg
0 dr dammm rom a cowl. 1 spm is awdy waoh ad rig bora ted cry matures ad" M bdmq
canstnatim. W is a ap,mna .
es tb
ofto
d aWM
tM Dd 84bq ad Sddy w tear film i pammY
f wd h{I hwr saw sw tai lpm nlpwoom.
JYG' --all ,.
peso RECPT NO. U PAID BY_ a VALIDATION
WHITE—Departmew Copy, YELLOW—Finance Capt', PINK—Assessor Copy, GOLDENROD—Fib Copy, GREEN— Appy wft Copy
EIS108.11M
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