HomeMy WebLinkAbout3438CITY OF DIAMOND BAR PRESS
DEPARTMENT OF BUILDING AND SAFETYAv BUILDING PERMIT FIRMLY
JOBSITEA MIT USE
ADDRESS 2630 itnl C r3 L D DATE NUMBER CODE
ISSUE TYPE OCC.
DATE CONST GROUP ( — APN LOT TRACT
CROSS STREET
OWNER &:L Fr; fA1TV'Ri A
ADDRESS '-d 0q r+C.E0Ll0
ZONING ahem
FRONT RW Cl
REAR
SIDE/SIDE STREET RW El - CITY (:) IRtdJD Rr4 Q * ZIP TEL.
APPLICANT I o TELAPPLICANT SIDE
CONTRACTOR lic %4 izldrK
ADDRESS
CITY ZIP.G IDl TEL.
SEWAGE D PUBLIC PMT #
DISPOSAL PRIVATE SO FT/100 GAL
GRADING D CU. YDS. EXC. CU YDS FILL
STATE
LIG NUMBER ? y 3 3 C3 1
W
TYPE SO FT FAMA . AREWALARCH/ENG/
DESIGNER
ADDRESS LLL 2
CITY ZIP TEL. C1 3
Z 4PROPOSEDUSER
d GARAGE
NO. DWEL. NO. NO.
UNITS STORIES BEDROOMS
LOT DIMENSIONS
PORCH
00
VALUATION A U. AREA
OUTANTITY DE PTION FEENO. OF BLDGS HOW
O LOT USED
E 0 LORfiUCi(KIS OECLARAnW I lathy dfim Sot 1 n htwtM atla praeaian d Chlptet 9 lmawchtl
wtdt tun 70061 pf Oiviman 3 d the 9twarw std Prdmsom Code. and soy hcwrw n n 1d (ra old eHwi
Jlis
OWNER-9MOER DECLARATION: I hwakv affiw Rad I am ennip fraw do Comrwler•s Litsme Law fw the 1,11, p
wasat ISec. 7031.5. Bitumen str Prdetmm Cdr Any env at tam y whits mown a prme to exam,
w mprore, demdsh, w cepa awl wrwtae. Prig is is Waren. ata town do apphcant for wch pwm
w fibyrtma3ltwwmnt drat he n kffMd Pwawm m "llPrwsiom d dw Caatw't Liam Law (CMpmr
9 (,g mem Sarson 70N) a 6wsten 3 at So Rmerm snA PmW— Coil a dssi M a twoom dwwhae
and So hma nr So allied ewgM Any vialeaan at Saeten 10315 M wry appleam for a parson shwa
the apo"m to a cfw pme9v of not more thm fns bur*W 4nirs (Mn')
I. as owwr of the orppwty, a " mpletoes r.ilh wetly is tfKw sole rmgwrem. we i dr wick, Not
tM nnawe .s not imendtd w off.W Iso soh ISw. 7044, &memo sad Prelwsism Cede: TM commul is Liam
Law does not apply to m towner of "" We heli r mpows Rramm, tad whe dap soh wart Im sol
er, h IMPMMrms l erwn 1 htad IN ale. R, Iaowplt, PW411A dw IKM rea dadroRhhKtanemotm
So WON or mipmwmmt n sold within sow yaw of rssapletnm, As a or-hdir will have loo Win of pevey
that he dd not hold w mean w tM prima of wit)
El I, as awrw m pro pnprty, am tarb—,* wmrcmv wdh kcawed cmhar:wtt a copm i the plow ft
7044. business sod Prdrteru Cade The Cmhwwr's titmw taw dem tw pply w m owrw of peprty wM
Wits a improve dwrren, and sob ranmwh to soh papers wale a em —muds) IsrM prnem to 04 Cw*waw's
Lisww lawl CONSTO UCTION
1 n etamdt wwa Sec. , d 6 P4 IAttath Corthnle).
a' ° m"'r ELECTRIC
WORKERS' CA "ImTm OEQARATIfIa f WNW off m sir 1 hon a tatiRt>• d tarots m f1R-mae. a
a wrtificaa of waters' Compmter Intnm, a i wrshd tory *toad few. 3500. Loh. C.1.
Crdtw copy to Wool h—aloof a}
PLUMBING
MECHANICAL
CartiMd wry n filed wiso w win hwpadea Ospraemt a 0eperhmad. GR
ndCEITTMICATEOFEXENiTIdIrNaN1Waf61ERS' COmPEN$ATI01 tllf9A41ICE: This ewdm arA as Yglet
d So is far aro humor is1001 r has. i m* Roof n to pwNraaco M M tori to whia dMpamm
p.m's nwrel. I aha set aatsmy any par n my mwaa w m m hsww oahpcf r on IlYrlad Careenwsm
laws dJ f
d
x- V e E, 9
ll E n4sta Roo 1WrMr'f4fCENAPPICANFR. afM moray t11" CortCcaa twRIwl. V111 slydd hW
Carawrahm pam omm of So Ww Coi, tw men Mlw/t empq wild sash powwow r tin prod sled
SS ANCE
P FEE
SCHOOL FEES
t1 L141MOFPOMrRKSAFETYKNalMVMT9*
t
I hwehy ratify to m ewawtim foot ISI r milt M n deph fill with a prams n wowed It tMard.
sir M merle m armooctrm me visit wommw M do paw, mA so m ailiy waelra. dMdfae
a (36) ijs ICh3.2. Gp 2, An 2, Suwaedoomthkty-dM hep. w klwfOR arcedi hf or
b 3aldameTaleS.
CAa.
E.
4dinm
t'C4w
t`E': r•:
r-.sS41rJ•
1 As awnr-heldr, 1 .4 of 000phy mow Is do work wash wwA nWM s ppmil hem M lssesim of
brwtstrad Sdsq, m mal shseo. ntWt lilt paaa Iso a pane r N wdt calk hat So tAeisilts
Dwsm d W w* SO M Nm* No
p Cf1YSTRliCm LEM= AMOK I hadty stew tlw Sore a a tarhsisa Whiff qsy Iso W Iwlaraama
of On ark too viw lb pens~ is ima ism. 3017, Cr. CL
TOTAL FEES
iIa , / worm COMMENTS D)d2b—neC es7e 5 AL1 Srir—i
p lards a AUrta-,-"Aati3!Ri1FGTE OF COIspllAlrE Alb AUDQ6ZA71011 6 E1IfRy: I osrMy I Ira reel this appimiw sal as
s son So - innatio pm r anti. 1 spa a ewA* wit V sum Idem sod dry wt6ewew NkM is keen
ranstnctm, vow w, a repaem, of da Oeprhttwt of 0niity soepdAddymalai in FWW
I to which I Mn WhW IN Ilea poet fW $l ptpom d wshwp ire WbM
REC. NO. PAID BY 1MATION tNX1rw `WPM
WHITE—Ddlpafttnent C*^ YELLOW—Finance Copy, PINK—Assessm Copy, GOLDENROD—Fi o Copy, GREEN— APDL COPY , /
BS1D6.11169 v