HomeMy WebLinkAbout4120CITY OF DIAMOND BAR
DEPARTMENT OF BUILDING AND SAFETY
1 BUILDING PERMIT 1 1
PIS! -
PRESS
FIRMLY
J08SITE APPLICATION qrr
ADDRES A! DATE NUMBER CODE
ISSUE y _ / TYPE , /1 1 OCC
DATE . CONST. GROUP ` APN LOT T T
CROSS ST E
OWNER ` i11% ZONING SETA/IaCKS
FRONT RW
ADDRE N I REAR
CITY ZIP TEI'' SIDE/SIDE STREET RW
APPLICANT TE SIDE
CONTRACTO ry 65
ADDRES -
CITY ZI O TE 2
SEWAGE st
DISPOSAL
PUBLIC PMT
PRIVATE SO. FT./ 100 GAL
GRADING CU. YDS. EXC. CU YDS FILL
STATE
LIC. NUMBER
to TYPE ADJ. AREANALUATIONARCH/ENG/
DESIGNER W 1 C /
ffir
ADDRE'Al 2
CITY ZIP TEL 3
PROPOSED US
z 4
GARAGE
NO. DWEL. NO. f NO.
UNITS STORIES BEDROOMS
LOT DIMENSIONS
m
PORCH
VALUATION ADJ. AREA
OUANTITY D RI FEENO, OF BLDGS HOW
ON LOT USED
i— LICE NSI CUNTRAL'IDRS CECLARATION- 1 M,aby nhrm Mat I am bcens" sRd. provrtms a Ctnpw B (mr.ewles
1h Semon 70001 of Dwrsan 3 nt the Buslnens an! Pro%sstnf Code ..it my license . m trill +mice and educt W
WW e
UWNFRBUILDER OFCLARATION I hereby affirm that I am error tram the Cmdrasla's Lipson law M fttopawnp
reams ,Sec 70315 Bussms end Professms Cod, Am my a coaly which rmarw . pain n caloutl.
Boer improve, demolish, a rept, any uwtae. aw to as dswrce am reswu tM appkeant its such pow
Io its a signed statement that he ,s licensee pasnnl to 1st prwrsms of ft Cwvww's licwta Law ICIAW
9 .canmenung with Semon 70M) of 0rsmn 3 d this Busrnu and Piston— L"al a IMI M n .mite Ow how
ane she bans for the ak* smnptpn Arty rAtaw of SAW 10315 by arty appkurrt t. at P.m obcts
the app.ant io . cud penally of nl mora dal, 1. Mrtrad dptfars 1550011
L_:I es own. of rM plooerfy a wy -pity." wish wages as dw som towwas" Al do Ili. ywre ma
d
O
J
the stnrture s not Trended a ottered fa u* IS.. 70" Ruta. and Professors Cost TM Comnew , L—m
Law does rot appy to m orw of property wM buddt . mauves #AAAA, and wM does such hn.k h.W
M thhougn h,sown enVIDM, provided that such Aprownwnn .e W memdad a othud lar W. 11. hwwwr,
Are owNing a .mprwemut is mN with. one rut of -41A_ the owrw bnba wt hast this Medan of pow"
mal he did not bmN a roV.. for the paWse of sale.)
I dS Truer of the phWaty_ .n eukaoeh coniracl" with Ieenaf Cmtracwf n uAsftWl IN prawt ($w
M44 Ruv.ss and Pro+esswnf Col% The Contrector s Lo" Law dw nt auply n an owrw of anally who
9nlds or wor lnerepn and M. tminms t. mpb pro." with a Cmlract.11l kmaW pafuanl to to Lmtracw
i
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d
ON T TI N
REVIEW, ` I am e.emp unit. See. B b P C (Attach C.bhatl.PETN
Date owhw
PLUMEI#NG' NOPKERS C041PENSATION OECLARATIOf I hereby .Nam sus I ha" a cetldhca4 of canmd to "If Asan, as
a ceruhcale of %Wk.s Uopnsom 1—oec a a mined copy awed (Sk 3800. Lab C)
E]ca„tt,d mpv a webv +umraMe M CHANICAL
9RADINQL.hitd rape n'- with At Rudd.Ag Insmenm omasmmt a Dawwsmt. Q
IFN:AlE OF EXEMPTION FRIM "KERS' LOMPENSATIOI OISURaACE- iW satlran nes rot M cdro%W a
i hl perms hs for ort hawed 11001 a los I eerbty shat .n dt p.immpq at et ahWk fa -ft'IM
mond,, As! I sh.N nt elupby airy perm m arty macaw m as b fwmt arEaast n Ili a 11ims Cawt,msu0al S IP
taws A Caldor.
Dau
W
V-
PARK FEE
HOOL FEES
t
ate of"
t
r
C—peo
TU aPPLCANT d, atl. malny mss
u ,pas d Eawh, cam yw s n WON staNact b IM 1HaNa'sNOTICE'
Compensanm pw,u.nS d IM tab. Cade, yea must idr1111Y.11 mnlatp anM wick Rwwws a tlw pawl fball
be d.. reroked
01ytS10N O INOIISTRIAL SAFETY PERMIT CERTFIG1102
i
E Cl I hereby c.trtr that n excavator +rye I51 a naf Net . Mt,dt A% svlteh a lwaoa is rewem Its ducuiwhohemos .n ,.halm with wars wthoi by Int pans, all ew n hWdi a imsnn, ud%here¢ fanwairk.
a demoldhm . isroatp itermt. wt be mat, dw ttwtY to 13e) Ica ho. 10tp. 3.2. Grp 2, An 2. Sat
311. Thee B, CAC)
L As orwa-0uid. I cad nw e.wby sms. le m work which w * rmwa a par” hats to (Lint of
IMn.nal Sally. as rand abora. wlwf such pars= hu a perm w do shah ask Maw Ma dhbtn.
p
aril. d low un' Saw"'"m
E ":' Ser 1 •'s'1
TOTAL FEES , COaSTRUCININ LEN00C AGEa1C'7 ARrn dw is a IaWy awry 1w 9. prlwwwln
d tM wwk 1. whhcb shot p. ISA. 3047. . C.I.
I L.A. f Name COMMENTS t.1: t
r• —::.
Lender, Adbeu
t
t CERTIFICATE O C asdY I Iww wit Mia W mta
a tM tM Ahrmnm fait 1 Mtn ad dq' aiatll % kt,ilanNtmstrwltn, and lee r" wW em KID"
to I atlKtwWhA-- RECPT NO. PAID BY VALIDATION
m/ a
WHIT9LDeponmem CoYELLOW—Finance Copy, PINK—Assessor Copy, GOLDENROD—Fila Cagy, GREEN— Applicants Copy
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s CITY OF DIAMOND BAR
DEPARTMENT OF BUILDING AND SAFETY
CORRECTION NOTICE
TO PERMIT NO. < 'Ivo
ADDRESS -2Y/-37 B" Fl i l,1 21 • DATE • % 7l
PLEASE MAKE CORRECTIONS AND CALL FOR REINSPECTION
REINSPECTION FEE REQUIRED
PLEASE1;
ORRECTIONS AND PROCEED WITH WORK
INSPECTOR
INSPECTORS OFFICE HOURS 8:00 - 9:00 AM AND 4:00 - 4:30 P.M.
BS701.11/89
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