HomeMy WebLinkAbout080 -�__ . _ _._
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` CITY OF DIAMOND BAR PRESS
� DEPARTMENT OF BUILDING AND SAFETY F�RMLY
BUILDING PERMIT
JOBSITE / '/ /� APPLJCATION PERMIT U E
ADDRESS �SP��`' �`���/2t�._�I�F✓ DATE TM�ER�CODE
ISSUE �/_/�
� APN LOT T��CT DATE CONST. GROUP
� CROSS STRE �s�� C��"�''p ZONING SETBACKS '�'"E'"5
� OWNER � _ I�4L14 -- ---- FRONT RW �
`o ADDRESS �G�� v�/ REAR O
,� CITY � ZIP�TEL� SIDE/SIDE STREET RW �
� o APPLICANT�A'✓�'a � , TEL -�+� SIDE ❑
x
a CON7RACTOR fd SEWAGE � pUBUC pMT#
g ADDRESS 7 ,���y� DlSPOSAL
w CITY G A Zlt'7les�TEL. � ��aTE SU.FT/1W GAL
= STATE �,/
� LIC.NUMBER �G�SE�� GRADING �CU.YDS.EXC. CU YDS FILL
y ARCH/ENG/ V3 TYFi'E ' `�AC7�R P A#�}:;AF�EANALU/�7��N
= DESIGNER � �
o ADDRESS µ�„ 2
. = CITY ZIP TEL. � 3
� PROPOSED USE � 4
� � GARAGE
= NO.DWEL. NO. NO. � ��
y UNITS STORIES BEDROOMS �
� LOT DIMENSIONS VAIUATION ADJ.AREA
o NO.OF BLDGS HOW Qu+�NtiT`t p� Ip�'1'1�3Jti►. - F�� '.
W ON LOT USED �
W
N �
LCENSEO CONTNACTORS OECLAf1ATqN�.I Aere6y Niirm tlitt I�m kcmad uMe qwuions at Chapw 91���8 �
¢g wuh S�eon)0110)at Division 3 ot�he&au�s aid Frdeuions Cnde,md nM liame q n IW Ma Hd eflact .:�. . " .
3 � 11
� OWNER�BUIIOffl OECLARATqN:I herehy effirm Hw1 I am caapt Irom tlw Conn�emr's lieense law la tlg IaYowing
.. rcason iStt.70315.Busuress aM Prohaeana Cede:Airy ciry w cantY wluth�puiiK�prmil Po cautruq, '._�(��.
o �te�.improve.demolish.a np»r a�ry rirucnrt.Prior ro its sswna.dm n4ukes the app4cmt kr suth pn�rt "IYw
i= ro fik a a9ned shkment Mat h���.a�ww�w��ro m.aw��s a m�co�e,om��:i���cn�. _'�
� 9 I��mmci�g wiM Section 7000)of Divisim 3 of Me Buswess and ir�enian f.oee)a�t M ia ennpt tAe'ehan :�.� '.
y aM 1he baas tor Me aMgaO e�tpn.Aay vplatien o1 Secfion 70315 try my appliceM td a perml mbjeth .
�"� fie spplieant ro i civd penaNy ot ml mon�a�live huM'M 9o�we�5500�.1: _��Q.
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.. � ❑I.as wMna uf ihe wW�m,a mv�dwK3 wi�A waqet u Meir sde carqauamn.-will da the woM1,aN � �-`
tle;hucture is iw�imrn�d m ottered Ia s�415et.7044.8usimu sd Prdtasia�s Cade:71x Cam�croi s lituue ;t[�.
, ',�j Law das nol awA'm�ownar of DrWtt��who 6uilds m mpwes tlwreon.and wlq Aen ash xrak t�aN. .:5.� , _ .
. `}� er�haYgA his awn enro�oyqes.Pwided iNl�wch iroBraw+�nK xe net,ina�dM a otkred for sil��It.6owever: �.:-� , .. .
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� ao the�udding a�m6rorenient is�wiMm oix yer d canpktim.ihe awrr-MiiYa wil hove tFe buAea of praviq e[:
� ne�he eia nm buiw u m�ove ror nu owoou�we.l -:� '
y (� �
+n ❑I.a�owm of tice PrWKtY.am uckwvely conlracMy wi�IiuMed Wnh�[A6 lu WnSirun Ih GroM[t�S[ ..{� .' - .i . � . . -
� � i044.Busiiress aM Profesarona Code�.The Canirxmr's license law daa nu1 a�dY m aa ormer ot plopalY who :.T,�„ . .
. � huiMa w improves thnewi.ad who cantrxts lu sah pm�ets wifh a mmractalsl icanaed pusum�m tlm Cmh�clu's � .
��°^��"� CONSTRUCTION
W ❑i�e���b�s«. a 6 r.c.iA,�cae�.hi. PLAN REVIEW
� °7e °wie ELECTRIC
� 4 YwRKENS'LOMPFNSATION OEflARAiIINJ:1 Fns6�aHwm Mal I Ma��erif�c�e ol[ansen�to mM-insus.a -.:
� �cer6fica�e oi YWrkeri campensaion�murwce.a�uraled copr iherem ISee.�eW.ta6.C.I. -' PLUMBING
Q ❑c�srke�wv�:n�r�.n�. ,,�j MECHANICAI
o eernfied�ar i:�ika witn me eui�np snsosom ao�mwm a oro.*.��. � GRADING
� CEAlILILAiE OF EKEMPTKM fli0hi NORKERS CA�IVENSA710N MASURANLE Thic mtim�ned ro7!e eo�le�ed ISSUANCE
y s me permn is�«a�e nuMreE Itloo)n�m.�amfr ma in erc pai«nrna al da wat tv wlrich dMs
� permit n ismed.I shaM rot emWM u�'Rifo^in my memw m�s b Eecame a�et m Ile NMAers'Ldiqeiwto� � ' .S`M,P
� ���cy� � PARK FEE
� �im�ro arv�celn n,�m�;�n�:��,yW�+a e��e u.w�': �- SCHOOL FEES
� CmpensaUan pwuidu of tM UDm Code.YW must fatl�wilh cmQly wiM aeh prwitwn a tliia p�m�e slql :;
� ee ee�a�evme.
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. -.� a OINSION�INOIISfPl4t SAFETY PE1Gtlf CERIFICR710N: �+�YV e» �5 t+�`
- � ❑�nereDY urcay maf ro emvnien fi�e(51 ar mve he�in de�inm�xWia,GcA,..a Pa�^'s neuiitl m AucwiA. �:,�.- V�1 1 �!' W 1+9�4�f�� 6f'i�
C 1M11 AB IIIM!91 CMIIECIM WIIA IMOIk WIMIO�bM MN[P�IIIN1.NIA AN!0�q SbYC11A.1C��.I�iNRfA. Y1'a M�n 1^ti '!1.•n r. ♦�r� V
' d n deroNian u tisnanlnV thereot.wAI k moe Hw thaq'-m 1361 M laph.IRN.32.GrD 2.Art 2 Sec =v W�.rv:.�:� r�.a+�I w,�-.� .�� 1
. W� 341.Tilk B.C.A.C.1.
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. 3 ❑Aa ow�w�dalder.I�will not mpoy fnyaN to Oo wak wFicA w1A Rquin�l�mi�I�es Ihe D'iuMidi d
t— Mdusvid Sahty.as noted�at.uMas wch Pntan hn a P�b M wch wM hain th Airiwion.
¢ o°""��"�'"`"S''°"`�°"°. TOTAL FEES
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z af the wmk fa whicA ths pemi o uwd ISs.�97.t'n.C.1.
� '�"""''"'"K COMMENTS
m lmdn'z Address -
. . t (EH(IfICpTE Of CUAAPIIMCE A�AUfIqRIZAlidl OF EMN'!:1 cwely 1 IoN�d de a'pfntiai rtl fut l
v� Nn he infmretim giwn is m�at�-I�pw m mnpl�r Weh M�fwe hws rM t�r e�wcn iiuR ro beddnR
convnc[ian.r�d wXwke a np�e�nt+ew al tlr Oe�rtnem d 9idsq rd S�My b u1s�on tl�pwnp -
= Iv wheA I apple!lor this i a lor the p�pev d�mki9 impecria�s, �
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�����p� �" � � RECPT NO. � ID BY ` � VAUDA
WHITE—Depamnent Copy,YELLOW—Finance Cop�t PlNK—Ibsessor Copy.GOLDENROD—Fie Copy,OREEN—ApplicaM�Copy
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