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HomeMy WebLinkAbout1479 - 2807 DIAMOND BAR BLVD '"� CITY OF DIAMOND BAR PRESS DEPAi�'TMENT OF BUILDING AND SAFETY BUILDING PERMIT FIRMLY JOBSITE E APPLICATION PERMR �E ADDRESS 2�d 7��.(.e-+...s—.�_ �'-�(1-ft•/�1?.,,.Z. DATE �'"Z'Y'�0 NUMBER �� 7 CODE issuE �—z,�—g� �nr� occ. � APN LOT TRACT� � DATE CONST: GROUP o CROSS STREET SETBACKS ���"� =° OWNER �_o�.� L, n 1 . T A-�' k Stti.) ZONING F�� � ❑ � ADDRESS �- d�p REAR ❑ W CITY ZJP�TEL�:�-gsg`f SIDE/SIDE STREET RW � o APPLICANT TEL SIDE O z � CONTRACTOR SEWAGE o ADDRESS DISPOSAL ❑ �BUC �� W CITY ZIP TEL ❑ PRNATE SQ.FT./100 GAL z STATE GRADING 0 CU.YDS.EXC. � CU YDS FILL y L1C.NUMBER �` y ARCH/ENG/ � TYPE S(� FT R PS �� ADJ. AREANALUATION =' DESIGNER W � ' �C7�3 o ADDRESS Li. 2 = CITY ZIP TEL. Ur 3 � PROPOSED USE ' Z 4 • � � GARAGE o NO.DWEL. NO. 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PLUMBING � �c.�oi.ecwr�:nn�nri�.sn�a. , _ _ . _ J MECHANICAL - o ❑r�mre c�or�:i�ra»�m m.e�+a�i���o.n�m��« ow«m�«n Q GRA01 G_.--� = CENiIiIfATE OF FXEMPTYIN RIOM WORKFRS'COMPENSA7[W NSURANLT-Thii ucmn�.,a��e.�ue 1 ANCE � ' � � il ihe pe�mn is lor ane hud�ed ff1001 a kss.I mtily drt in the pelawnn d M w�k fa rl.ch�M �y y mt n etud.I thM rot �mn in rc Conp S' f �C/ per emplay�iry Pe ury mwnor so Is m b�toer sub t m h NM i w�wn Slawe ef CWAwnu (� � F I Z� ��1T0 ,,,,,�, fcRK'FEE o �rc "' NOTtCE TO APPICANf M.sfsr m�k�nq Mis Cero4m d E ;yw:houtl luwee s �t tl�e 1WiYw't SCHOOL FEES ...� = Canyenuuan pwnions of�he tiEa CW�.yau nw�laihwAh empy wiN u�h pwiwir �Fi�prwii�AY u � h Aeemed revolM � > � pViS101 pi WDliSfplAl SAFEiY PENMIT QIITfIG1TI0N d o �1.Aneby�ntay Mat na�c�wwn L.e(51 n m�MN M d�yh wm wMeh�pnei b�NW�k Nuwf. w oe rn�ee m.ee n ennxhen win�warl�unwini M tlw pnmiL rd ar ro Odh�eau[trL wltoMiiN.tal,wwt, �- a demdnwn a d�smanLLnq Ihneol,wN Ef mae tlwi Hwh�a�1361 I«�MqA.�prp 7.t.GI 2.An 2.Sa W� ltl.i�leB.CAC1. x p� 3 yyAs ovnar�WiWn.I wit not�mpbY�^Wnt b do waY whicA waM�Nw��P�'^YI ken Ihe Pvuian d � y.. Ib�mW SiletY.�s rotd�how.inMsi tuch prm Iw�prmi�te M f�A worl h�w rie liwir. f , W ❑°"rs�°"�"'"'�'`"R`"""° TOTAL FEES � CONSIAUCTbII 1EN01NG AGENLY.I lw�bv�flir�/ut tliw�e a oeni���ndnp pwcy tor In Mkiwrrcy �� J Z d tlr wat la wAch tl`s prmi o iswA�Sec�OBT,Civ.C.�. � �"ide�'N""` COMMENTS ; �me�.•:aeeKu � � CFIiTI(fATE OF COAPl1A10E AMO AUflqNIAT[ll a INT11Y:I prYly I lwt nM rp�pYeMis�MI ttw . , . 'n tlW Ne nlnmaum p�vm e wnct.I qw u ca�ylr w�iM N stw Iwv+W eiry rircr riey b MiM� � y [mstructw�.ana,unr�ve■np.s�nuw.a M n.m r erY.y w s.wry Y Ar�r+*�aArh � hr wAKh 1 Mrt�ppl�t lor Ms prmii oi IM �r�1 wiry iiupa�on. � ��sy�n�..�t hokM�w g�uZ,,,3"/r y� RECPT NO.I S�I R41D BY I��� yqUpq WHITE—Departmen ,YELLOW—Finanee Copy.PINK—Nasseor Gopy.GOLDENHOD—Fib Gopy.GREEN—Applicants Capy BS106-11/89 �.�..��,.,.._. . ...�. .... . . ..•� ,•,. 'f, "'_ _ ' ' ',.�t.:� o � . .. .-11.✓�''.'i.ca f t. _ - ... � l. . . .r . � . . ... . � .� ..�.,; xr��.:�1,... !r..�.,..'. ...�i.� :'I. 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