HomeMy WebLinkAbout4182CITY OF DIAMOND BAR
DEPARTMENT OF BUILDING AND SAFETY
BUILDING PERMIT
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FIRMLY
JOBSITE APPLICATION RMIT / USE
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APN LOT TRACT DATE CONST. GROUP —
CROSS STREET LCy L-1 00, ZONING SETBACKS I+iPO/EWNIM
OWNER t T tf'. +tY S M,Ih FRONT RW
ADDRESS 5i"! L+jFII ii IPL P REAR
CITY S49_ ZIP04126't TEL. SIDE/SIDE STREET RW-0— W
APPLICANTAPPLICANT-T<=n1t, lxa" fl r r (J TEL. SIDE
CONTRACTOR SEWAGE PUBLIC PMT
ADDRESS /? 7Hf Lclt t {/' 'a J Fi'I : DISPOSAL PRIVATE SO. FT./ 100 GAL
CITY Ld I Un GYwI ZIP 7r)/fes j ^`
37/;,
STATE m
f GRADING CU. YDS. EXC. CU YDS FILL
LIC. NUMBER
TYPEPE SO FT FACTOR ADJ. AREANALUATION
W IDESIGNERW2 30DADDRESS
CITY ZIP TEL. 3
PROPOSED USE ,l?"i/ r' '
Z 4
a GARAGE
NO. DWEL. NO. NO. j PORCH
UNITS STORIES BEDROOMS m
VALUATION C9 O ADJ. AREA
LOT DIMENSIONS
1 NO. OF BLDGS HOW Qum DESCRIPTION FEE
ON LOT USED
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LICENSE[) CONTRACTORS OECLARATION I hereby affirm, that I am hcanstd oda prwroara d ChpW 9lwrawlnnM
wdh Sedan '0001 of Qvrstan 3 d the Busira and Protesstrn Cob, ad RM Iranse a o fill feta ad efhtat W
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ONER BUILDER DECLARATION I hartbY affirm dm Ian oatrpt iran the Contractor'. Leatx Law fa alt! faaa omLn 7S. 10315 8,amss and Prollavems Cob Any cm, or Co I whth town a Mind lis eaaawt.
Saha ,npiove, demfeshof repay arty arataa, pray no as tsarue, dm rampart the apply ns fa wen lana Z
to hk a signed statement Mal be a 4crosd Prwmt m the Iedtstons d ilk Cmtarwr"s lyra Law IOMW M3
9 :canmermng with Section TODD) of Onialon 3 d tat 81=1 and Park— Cade) a that he a awttt thadfan
and Me oasts fa the aaepd e-Nman Arty .Wamn of Sedan 70315 W Who eaicAut Ira a pWmd snOness D
o the applicant ro a cad penny 0 net mare than Inti hiudrd dollars ISM I
A I as owner al the property or IN ampinVsas wish warms n total si MMMMEM war b fh! "wk and
die structure a not inlWead a offered fa 9ak ISK 1064 Bumams and Prdassmns Cade This Cmtrawrs LManx
thanes don Such wet MhaR. S2
z
Law does int aWY to an owns at pro" who buildit a mwrnwt ad what
J in through ms own emdowfes pros dd that such rap awairiits are rat 'A I he offend b sat. l arewr,
the tum. g a ,mawemmt is sold within one Yaar d to -I an. t4 MM -beaar wat MOF fha k"P of proweq
trial he old net Wild or inWowe for the papox of s ut I
UIdol1aimwr[r of the Po0er1V lln !¢amwnk famratr117 wM 'Ceram Imbawl w fansbat Mw rated ISO
044 Baseness and Rdessans Cade The Contractors Lranae Law dins int apple all m owaw of aapary wit
IE -WI l II1S there.. ad who contracts to such pnmtn ..Ina cmfrawrlSI lKanaad Paswa a that Cmbasoi s71S
0—seLaw i NSTR
1 am 1—af area Sar h8. PC (Asada CWbhnal 1, PLAN REVIEW
ELECTRIC
PLUMBING
Date o—
ItMUFFSClwdrfatSATIOE DECLARATION I W.W aNam Thar I Aare a ferdicaw of carat asill-aurae. a
a cerbf_h, al Mwkms Compansawn insaaaee a a cerahed cM thaad (Sar NO, Lai. C.)
Cn MECHANICALCarufedcOpYsWeftfamishedJ
V)<CW tdnd cop! ,s filed with da BiWwrtg lataatan Dapaatnt a amply tt. GRAni
IC CEFIT)iCATE If EKEWTON FROM aaURKERS COWNSAT)Od 29WRUU: That saran and no are caaepwed
the perms ,s Ia are hwWd IS 1001 a Las 1 eaMY ilia m that palaweoa d tlr wart fa whtA qtmnnitratesatastoblame, ahlal a dM Nhidari Cmgwo rIroteriploYatNIMrsmiairy
SSUAN CEd
per.l ,s asrd. steak
S Laws ofCNdaw W PARK FEE3oace~/'!1^ iVnt ' t. SCHOOL FEESNOTICETOAPPLICANTd. after makatg 1Ms CWoliam d E .Yin shwdd hoar sublet a Vitaler's
Cmnpensaim Wowsans of the LA. Code. You mat Iatlwrtlt wart side pamtp as MM partat shad
i he d.= rewaid
DIVISION OF INCUSTPLAL SAFETY PERNMT CERTKCATELN
i 1 hereby certrfY Ma m evavatrm irue 151 of mare M in 1Mgh ma which a pasm a reawd w dncad.
y _ iwill be mile m cmnecti n with wok mtharid IN that Patna, and that r Yrddaea strottee. addokk4 talvAtrk.
a demakhon a MsmatM" Mend. we be more than ttrtV 1381 M fatgh IChaI 3.2. Grp I. An 2. Site
Zy 361. Tib B. CAC)
3 As ownWbuddn I will not empbY aOYaM w b Mwa whsA would raavee pard trOrMat dftmt.
n• Industria Sday. as mad abrve. OAKS Suchars. Ch pleas a PM N, da thich Minh him Oe
hauam
D.— of "i°atbnd SaNry Permit Na. TOTAL FEES OCONSIRUCTONLENONCAGENCYItrayaNimdatatAvee mnaraetm hand" "arty Lar fat /awaaeatn
ea d It. Suet la w)ech this paean a award (Sar. 3097. Gia. Q.
Lender': Nun COMMENTS
mLenders Aaaea
err CERTIFICATE OF COIPLIMCE AM ADTHWaATO O ENTRY. I artily I hat raid Mit 4000M ed sti
fie tit Me nharmaam Owrt a luras I elm to walk wish as am vera had my aa6tit" a hdw"
hc.sb.trm, ad autlwre a ttelaullfame of ft Dow"" at 8edbl aha Seth Is sawn tem lea ptipty
for which I haw appld tar law ptwM (dM PeMse al yawn tetyataii /
A{ .kifJ! f /, RECPT NO. VAUIDAT a
of Appacmt a Alm Dee
WHITE—DepartmeffE Copy, YELLOW—Finance Copy, PINK—Assessor Copy, GOLDENROD—File Copy. GREEN— Applicants Copy
BS106.11/89