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HomeMy WebLinkAbout1586 CITY OF DIAMOND BAR PRESS � ���� DEPAR'TMENT OF BUILDING AND SAFETY BUILDING PERMIT FIRMLY DDRIESS 3 �ECATION Q^1n_�� ��ER�CODE -� `l > APN L T TRACT DATE q-��-aD CONST. GROUP � CROSS STREET SETBACKS �� °D OWNER ZONING �� � a � g ADQRESS s 'r REAR � W CITY � � ZIP � TEL SIDE/SIDE STREET RW � g APPUCAN TEL. SIDE ❑ x 4 CONTRACTOR SEWAGE o ADDRESS � PUBUC PMT#� DISPOSAL � pRNATE SQ.FT./100 GAL W CITY TEL. z STATE a LIC.NUMBER GRADING 0 CU.YDS.EXC. CU YDS FILL y ARCH/ENG/ U� 'TYPE SQ FC.�ACT�3A t�* AQt:. REANALUATIC�N `=' DESIGNER W � o ADDRESS (W 2 z CITY ZIP TEL. � 3 � PROPOSED USE F n � 4 � � � GARAGE o NO.DWEL. NO. NO. � PORCH ; y UNITS STORIES BEDROOMS ee LOT�IMENSIONS � VALUATION ADJ.AREA I� o NO.OF BLDGS HOW r t!WltNTt7Y-� ��O > ':FE� ' ..;: W ON LOT USED � D � � � W , � � LICENSED CQNTflACf01tS OECLARATqN:i hrchy affirm Mrt I am Gcros�d unlr pmvitims ot Ch�ppr 9(eomnercinA . ¢ with Sec6on 7W0)o�pvisan 3 ot Ihe Bwinest aM Professidu Ca�.and my licmu is in IuM imce rd eHecL .�.W � � �. LL WVNEfl�BURDER DECIAflATIDN:1 heieLy alfirm dxt I pn eaempl from Ihe Cartrscror's Licmm law tor tlw M6wiiq . = reawn ISec.7031.5.Business md Prafestimu Code:Airy ciry ar eanty wMeh requi�a penml ro eanatrun. �'.�!j. o �er.impme.demoksh.or rep�r am stncu�e.prm m os isnoire.dm requira h a'pirant for arM permil _��. ►= ro fik a signed sutement that Ix is kcrosed puswnt m Me prwisiwu of Me Ummuta's License law I�Wter �.�� . � 91��ing wiM Ssea�70001 of pvuim 3 aF the&uiness and ProFenims CoAe)a that M is eaenpt dwd�an ...4��- d and the baaia for the aileg�e�mption.A�ry videria�d Sectioa 7031.5 by my sppliwm fa a Rmx1 whjects K the a�Kam m a crvd pm�1y of rot mme ll�m frve Mxdred ddlars IS50011� .���_a. W u . � ❑i.a5 awnef ai the M�nV.d RN�^D�W�With w�gts x Mmr snk co�Mvtqn.wiN do tht werk.ad � ~ lle structwe a not imenAM a MMM fa sak�Set.7048.Businest xd PrMessians CoEe�.TM Canhztr's��rse � �'j Law dces not apply ro an owner ol p�operty wla WiNs w mproves Naean,md who does wcA waM him�elt. :.:�(,1.. 1-- W or�vnu9h his own er�lq�ees.Wov�d MN ncA anpovanenu art mt mteMeA a olhrcd fm saM.M.Awwrer, _`.�, . � e'p the hulAi�ar im�rouement is mN wnAm ene yew M tempkueo.Me aw�er-heNe�wAI t�M tAe WrAln M I��A '' � tlre�he�d irot Wild a i�owe 1m tlx WNou ot sa4.) ������. y � sn ❑1.as oxrer af the MW�hY.an artMnwelY ronirxtiny witA I�med cantrxlars Po tanshu[t ik prajoct�Sx. .::�. 11�f � o )IM4.BOSIMSS i11O P101KEi011S COM�TM CM�1it�0f�i LICMf�W/AOK IIM]QpI�Ol LI OMMf M p10Mti*WFO ':�_ ' Z hnlds ar impaes tnereon.aM wM mntraen fa ve�pmjeets wiM a eontncroial�K�+�d Nsuant m tM Cmtr�clor's 4 �"`"�`�"� - CONSTRUCTION �� � ❑i�m..�a�s�. .e.�r.c.i�m�cKok,�a. ~ PLAN REVIEW � °a� °"""" ELECTRIC � ' � � NqtKEflS'COMPENSA710N DECIARArpN:I FesUy�Mim Ma�I h�ve�cerMicm d canan ro nM�iroure.a :. �c�rtfiaie ot Warkai Compens�tim Inwarce,a a cerolkd wpr tMred�Ssc.3800,t�A.C.�. ' PLUMBING a ❑caur�a���.n���i�sn.a. � MECHANICAI j o ❑r�.er�a�y�:i�a w�m uK e�,aa�a��om��n o�.n�u. Q GRADiNG � � CEFfTIFICATE�EXEMPiqN fROM WORKERS'COMPFNSRT�N MSURANCE:Thu���a am n��� ISSUANC � il ihe permit if lor ane hud2d(510�)a laa.i nrtify Mat in the prMmsre d tlie wart M rltith'1Ms `. F D�it is isaM.I s�aA rot empM�Y P�mn in m�'m�mier m as m bemr L�n n tlr NbrMf Ca�ien . Lsws d Cal7tm�:a. a W�,�t PARK FEE - � �h � �+- SCHOOI FEES � � MII10E TO APPLICANi�M.elkr mYcing tl`S Certiletle M Exr�ion.pou SMW lleame wEjet�b 9k YYerla�"a � Cw�qmaum Vm'isims d tle liha Cde.You mml lutl1wah cmiqy wi1�sah Pwisiwu a tle7 i�ril�i 'i 4 deemed revoked. � s DMS�I OF IMOUSfHIAI SAFETY PERAMT LEHTIFICATId�I � -`; -�'.� W �- �I hereey cnrily iMt no ewnron F+e 15)a mve�n n ilepM�1a ad�k'�pusm is nq:iM a d�rcad. o�e wi1 h mode in cenrttion wid�ww4 nNwruel bY�M�^rt.+n1!�M ro Yuidng suYeM.rca1MMg hipwak� d w Mmoklen a dismanlM1np thereM.wil be are Man Mrry-sic t36)ket 1�.(tlup.32.fxP 2.An 2.St u _' 1N.Tele 8.C.A.GI. 3 ❑As mrmerbuiMler.I wiA not mpbY nW^e Y13�„�k w����.J V�Iras Iht Uivitian d .,: H InduArul S�IetY.+s robd a6we.ueku wcA pMon lus a pMnit b d�wd wwk imn�IM Ii�wa. � W ❑�;.�a������ _ � .� . ., . t , TOTAL FEES � � � CONSiH�lCflal tEtYIn1G nGENLY�i 1�y.iifi�m,lul tliae n.�anieunion irrsil-�O�Y��Pa�r+ 2 d Oe wwt ta whkh 1ns 1��u isaed iS�3D87'�'Lri'.C:1:.:' .�.. ... �., .. _. . , i � �aa.�:r� COMMENTS � m �•:eeercss t CFRf�ILA?E OF COM�IIANCE AID AUTYQA2ATId7 OF ENTRY:1 tatify 1 Mt md/ia�ppiwfiw ad suw N tlut tle wl b eanaet.I pra b w8A�M mk Iwa and dry adiwRa�ip ro hd6ny y .�rd - � al W d Bu�iig rd S+My b w�x yen M��rq � lar . � . 1er . .M th M nWung R, d a�.��d �, RECPT NO.��PAID BY � i�� VAUDATION ; W —DeparlmeM Copy,YELIOW—Fi�ance Copy.PINK—Aasessor Copy,GOIDENROD—F�e Copy,GREEN—ApplieaMs Copy I ss�os-nias _ ' ����,k� � � ��� � ' -� ���'� �,w � �x�r: �r�� � � �� ���������� 3'� ��..k�.= �-�«�� ��,� ^�r.«�:���� ���s..���,�� x ����� � ���m�� s� . 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