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HomeMy WebLinkAbout1648 F '"` CITY OF DIAMOND BAR ��`�� � V�� `-�' � DEPARTMENT OF BUILDING AND SAFETY PRESS BUILDING PERMIT FIRM Y JOBSITE APPLICATION RMR l USE ADDRESS d ��I ,�v/!/L/ TO S DATE UMBER �'� CODE ISSUE TYPE OCC. � APN LOT TRACT DATE � � � CONST. GROUP j o CR�SS STREET SETBACKS "'t0A1E1E"15 °.° OWNER Tb.� .�JTQ/�l�L ZONING �OM RW ❑ � ADDRE S'9��� �+�M I��' REAR ❑ W CITY ZIP���TEL SiDE/SIDE STREET RW ❑ o APPUCANT TEL. SIDE CI z 4 CONTRACTOR — SEWAGE o ADDRESS�F r!"��a� pISPOSAI ❑ �B� �� ,�.� CITYc�iti Nn ZIP�'/.�1/�TEL. ❑ P�NATE SQ.FT/100 GAL z STATE �.... y LIC.NUMBER S SS/ ¢/ GRADING ❑ CU.YDS.EXC. CU YDS FILL y ARCHlENG! t!') 1'YPE SQ FC' R" '' RE?�: R��kN�tLUA'�"iON � DESIGNER � � � � ADDRESS Lt 2 0 z CITY ZIP TEL. � 3 o PROPOSED USE ' Z 4 � � GARAGE o NO.DWEL. NO. NO. � pORCH y UNITS STORIES BEDROOMS � l0T DtMENSIONS m VALUATION i ADJ.AREA o NO.OF BLDGS HOW t�tiarrttT'r D�S+�R1�'TIBN �� W OU LOT USED � ❑ �t W H �. lJCENSEO CONTRACfONS DECtAPATpN:I kre6y aifim�that I am ficmtaA uida pmvisana d Chpta 91to�minicinB � with Sxean 700�ol Oivision 3 of�he Businea�md Rdeuions Code.aM my license is in fep imce and eifut ,w. 3 � W �± OWNEfl�BUN.OEfl OE0.AIIAiQN-I lroreby dfirm thel I�m oampt Uem Me ConVxwr i lianx Law M tlrc idb�wng . . roa�n(Sec 1031.5.Business md Prohaanz Cade:Airy ciry a eaxiry which rcquira�pe�ma ro wnma�, -�t,'S. calkr.i�rwe.demdch.a repair airy atruchre.yim a i1s iswance.also reQuna tAe ppFcant ior wth pmnil -,2' � m iik a signrA sweemem tha�Ix is krnsed prvant ro fhe prwisi0na of tlrc Canvxmr's liceme Law�:hYqa -m --- � 9 Icomme�ing with SesSon 10001 of Oivisian 3 ot Are Business a,d Pmhssiwa Cadel ar Hret he a e.empt tlwie6om .-.^� d and the hass tm the alkged eiem0��pm vidalion al Sstion 7031.5 by a�ry apdicam for a permit w4[cu ..� - W Ba applicant m a crvi pmahv d mt mo�e tlun frve Iw�dr�doAars(55001.1: -�a � ❑I.as ouvner ol Ik property,a my anployees with wa�s as thee sole compensation.wiN do N+e vrollt.and � .... �he structwe rs not intaded or oNered fa sale(Sec.7044.Businns xM Prokuiona Cade-The Cantr+cmr':Lianse ;__at�, i j Ldw d0e3 noi a�lY M Bil OVmEt d WW«<Y MIhB huildT Of M1MOYlS IIMteOn.�Who doC�311d1 NmY himfd�. {,X W �ikwBh hi3 own emdN�-Y�avided Ihat EOCh 911QIOV6111M13 8f0 IWI Illklldld IX 0��lRd�lB�G��.�1OWMl. _,,� m ihe huiMi'p a impravemml rs sold wiMm are yer o)conrpktbn.ik owner-huilder wA hare ihe�rden a1 pming � ihat he did nat huild a improve Im tlx pwpou d sak.l _...� N r!� ❑I.as awme�ot nrc w�env.■n erc�ueH ca,n.nvy w�m icemed canvxmrs m c�mun i�e p�q.n Isee �.#it .. 704A.&rsimss aM Prohspons Cose:The WnnacMr's License lsw does nat apply m a�awwv W prapnry wAa .-:..g. . a� i � huilds a imprm�es ihereon.a�wiro�ontrach M zie�pmjecfs with�canirum�IzllieenmA pranmt m d�e CamrumYf - p ��^u�� CONSTRUCTION �� W H � ❑I am exanpt uMv Sx. ,9.6 P.C.IAt4eh Cer6ficalel. � EH/ o °i1e °ixn" ELECTRIC q �MINKEflS'COMPENSATIRI DEQAIIATIRL�herebr affirm that I Am�artificrn ol cmmnt ro sdl-insae.u :.���.:'�. T �roru&au of NMMeri c�����F�.«���tir.0�ma��sa.�eoo,un.c.�. ���--�- PLUM8ING a ❑ca��a�v+�mm�vi�m�a. � MECNANICAI c ❑r.�er,�e�a fae,„m m e��e��M�o�o.,��e o�mKm. "� G RA�J� w � CENTIFGItE OF E%EI�TION RtOM WOR�ffNS C01�ENSATION pu�IHANL4:Tlria ttcuan nwd rd be caep�ea4 S (�C� � •Q� y iF ihc DQmil is 1ot am huMrcd if1001 a kss.I arbly t58�n tlR PKfamxiee e1 tlk work ter wMh�Nti� ... y�.r-� permit is isweC.I�Y rot e�loy�ny per�n in an O�pm¢r so�s m Oecane wEpn b the NMkss'Conqena6on . ��< M�P �=) V o �'"'���`m' � PARK FEE ." °ae '��� �- SCHOOL FEES j NOTiCE TO APPLCANT:X.aher mating Mu faeli�re of E�nqta�.Yui shouN heca�e suhryet m 1he Worker'� � Ca�e^saom prorisioaE el th Lo6or CoAe,.pu mdof kF7nrifli'ianply witli ar.fi prwrsio�u This R�ahaA � hetletmrarevakM. . �a.;: � � d41SMIN�MIq�TN1Al Sl1FfTY PER�Mf GERiIFICA7IW.'. W o ❑1 herehy�xt8y Mat no eec�vatien Cxe(51 n mue 1M in Eepth iem whiM a 0��is nMrtl b M�+n1. - oe wiA be made in cmnec+m wim wmt wRnaea Yy aw yerma�m s:Miiy strnetue.xs�rolMp,hWweA�. � n Mrokan a dicnritling�M�af.A�iifle�msC.�`�A"?�>z ��i�q.32.CN9 2.An 2.Se W� 341.Title 8.C.A.C.I. ¢ � � S 3 ❑ns ow�a-nuAder.�wiY nm mpby a�e m ao w«t whicn wwad��'r.a v�rram M ofr4iaa d � I�strid 3aMy.�s�ed�mnt.u�F wtA9alm hu rpdmil b.dd ru�h wo�lt�iren W diypion. W ❑�,����s�,�`���.- ; -., _ .`.' TOTAL FEES � � CaiSfRllCfqN LENOMiG AGENCN:I MreM alfiin dw tlwe a�mmtra6on �A�Y M b Ptlmerri x d the wak la whih Uds o�u icarA(Sa.�97.Civ.C.1. � ts�r:x«�e COMMENTS p�p Lender's AAdas 't IEHIFICAIf Of COMPLUTACE AtA AUf1OiZAlID1�ENINS:1 prliiy I Irw�M!iu�pOlieNien aM fla! . s+� nH1 d¢nla�m.olon enen e eanq.��ei«ro canpM wiM al s1,r wn w eily«a.r�en rd�a m�ro y conmunia4 wd wtlror'vt s�qe�e d tk Oeprlm�M d BdAin��n!S�My b w�Yr Mea tlr pe�wlY z ta wMch i Ma 7�lied le ' i br tk F�+P�a�..M�� r )Q��d X ��p� �� RECPT NO.�C1 PAID BY � VALIDATION WHITE—DepartmeM Copy,YELLOW—Fina�ce Copy,PINK—Assessor Copy,GOLDENii00—Fib Copy.GREEN—ApplkaMs Copy 85106-11789 . ., .. :.. .,..: .,..,,. :x.,,-. .,.- . . , , . , .� .- ,.. � .yv-. +. ..� . .. , . . , ,. � - - .�.. ..- �,,,, -.�:..., ._ . .�,�, , �. . . , .�� , . . .. . . . `�� ... .. 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