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HomeMy WebLinkAbout1258 (11) '"`' CITY OF DfAMOND BAR PRESS DEPAA'TMEN7 OF BUiLpING AND SAFETY FIRMLY BUILDING PERMIT ( JOBSRE � APPUCA PERM �� E � ADdRESS �� �j� '� NUMBER CO�E y ` ISSUE �}t P'/'� ;l TYPE OCC. < APN LOT CT� DATE `� "\V �y-1; r,RpUp o cRass sT��r - SETBACKS �� ZOMNG °D OWNER Q- � FRONT RW ❑ � ADDRESS ' f + REAR C] W GITY "�"' ZI 1 TE " ''� SIDE/SIDE STREET RW 0 o APPLICANT TEL R� SI�E 0 i : 4 CONTRACTOR '�� � o ADDRESS ` ' . / SEWAGE ❑ PUBUC PMT� z} � ,, DISPOSAL Q ppNATE SQ.FT./100 GAL W CITY�'�.�3..L�C�ma.� ZIP�TEL\.� y l C T UMBER ��Q�-�'� �` 5�J GRADING �CU.YDS.EXC. CU YDS FILL y ARCH/ENG/ Lf�'�� �� �' pESIGNER �-' 'l � � /o� o ADDRESS (�,,; 2 � CITY X' • ZiP9r�3 TEL. ��[�_ (+� 3 � PROPOSED USE �" � 4 � � d GARAGE o NO.DWEL. NO. NO, � P�� j y UNITS STOPoES BEDROOMS � x LOT D4MENSIONS NALUATION ADJ.AREA o NO.OF BLDGS HOW ClUAN7#tY (� W Oy OT USED � �,G � �CQ � � � +� � (?D t10ENSEO CONTNACf OPS OFCLARATIWi:l tere6y aN'rm th�1 am kmsed uds provirwis oi tl�pYr 9(cmmrring �!"' �Q wnh Sxom JOU01 oi Divisron 3 ot tAe&ainaa and iroiessions Cade,aid my lee�u a w IuN fwce sod dhct � . 3 � { � OWMEP�BUILDEH OECLARATI(MI�I Ircreby dfirm�hq I sm esnp�frwn die Comlxqr'�Lkente L�w M the foMowing . rtasan ISec.7031.5.B�rsiisss ad Proksvwn Codr A�ry ciry a cpnty whith rtquires a permit ro ton�bun. -� � , � oal�ei.imqove.Jemo4ah.u rqmi�my u�anri.pr'wr Io us nsmnce.dm requin�flx appG[yr1 far wcA prwl ` _ �O- ►- m fik a signed snument iFat he is ka�d pununt b the prwirint ot lke Cmtracmr i Lirrue Law(f7�p0er '� - � 9 l�omnrMirp wiM So[iion 1U0010l Oivition 3 d the Busroen anC Rdutim�e Cobl a IWI he q omnyt Mw,hdn tlw h a., and tlie dass for t�e aWged eamDYUai.My va4lion d Setion 7031.5 by my applicaM M�pemiit i�dy�cR j 1 �'Q a W tl¢applicant ro a�ivd pnal�y oi rot more t�an IM1s AuMred do6an�SSC�OI.I: Q � ❑I.as owrer ol tk P�WeM.a rtr!anWnYse=with wages u dw wk to�tiun,vnN do IM wmk.+nd me srruceure u'rot inta�a diued ta sye ISa.)M4.8usi�es�al fiaMs�ime tadr.7A�tm�rumi�li�se ��� � �,~j Law does�t appty m m owner ot pmAMty wlw WAds a imM�s fierean.rd wlm don turl�v�orl:henrdl, + W a tMouph his own emplvlas.prwidM dt�such mp�wemenn m�wt inenMM a aNeM ia stle.Il.6urner, +� m �he build�ng w impavemeit ia mN wilhin me yew d ranpNion.IM wnrhuitlr w�Aare Ue huhn of pmmg y�, y Niat he did irof luild n impwe 1m tHe pwpox al s�e.) .� en ❑i.as v.r�cer at Ha MWMY.am zycMnrveN eamu2MN wit�ticemed amrtxmrs ro cmnrucr tM pA�iS�c � )�94.Businss and irWasroiu Code The Connsror's ltenu Lav does noe appy n m ower d pqrry wAe � buiWs m imprwes tMem.wd who conha[h Ia arA pio7ech wiA a�anracmrlsl M1�d p�twnt k tk Cmtrxmr's - - �1Ce�u��� NSTRUCTIO � �j .'�.�� � ❑i,m:�m�aQs.� e.6vcianrnc�«rK,ri. PLAN REVIEW "�"�^q � mie Owrr �. F�(:T�R".�+ l.f� ? NORNEflS'CO►iPEAtSATXN OECLAMTION�.I MesY Nlvm tlw I haw�arNlium of eonaan te sdl�nsve,a "—"—^-�•rt a cerM te al Wbr4ni Campmaoien Msuerce,u+taolkA eopY tMed 15'c.38�.l+b.Cl � � ie�i�t�+��v n��h'����ad. MECHANI``` o r�d�co�'n tikd ram tM BWairq Inspcuon Deprtrtrn�a owonem. Q ' x � CERTIfILATE OF E1fEMPT1[NI R10M Nqltl(ER5 C MSATNW INSURAfCE:This sectim roeA�mt h cmpleud � 4 Me pnm�is fa ooe huWed 1=��)a kss.I� � thn in the pr e ol tl�e wM hr which'Mis I � . � pnmit n isved.I shtl rof employ ary pmson in airy af ro 6�edne lo tAe Nldkrti CampenaPom S`M�(? _ _ . C.� o ���—``� ` PARK FEE �+ rat�m arri�,wr x,aw�n mo cNnrr,ii: 'Eia�'.. '. dr .�:ia e uK � '-' $CHOOL FEES � _ Cmpmmnon Movisac W tM1e tahor CaOe.Y�^�ilor ih tempp' arh "��e a 't P�shll . �+- be tlxmed iewMd. - WOIV610N DF IMWSIRIAt$AiEiY PfRMR CEMIFILAtIUN: q ^ �L}w•: �- �I Mrcey anilv m.t m esaatim Irvs 151��p�kw in4d�R nao'reiM�c�u npund b AmAA. � wiX be mde in cmiection w:�h wuk widain/kN aw v�.+�a�na re hi4ip stru.,u.,sWafx�.m�ort. a da�wlluon a dismaidiig tlereoi.wiM M mera�Hn dirh�w i�l he1 ledi.(CM9.J.2.:CHp 2.AA I.S�t W� 311.Ti�k 8.C.A.C.I. .. � , ... x -.�.�.: '. � --" _..._'/ � QAs m�+r-6ui1M.I wdl rot eaploY M�an ro Ao iVbr1.wbeh waY!?�n��.pwiM iM�M 6rifiw Oi r- Irdumial Sskry.es rold+6ae.udeu nrA,pnw!Nf i Y�b��ueh wxk han 1M liWen. � 0�,�,"'"'"°��'"'�"�. �.� TOTAL FEES ' � CdISfRUCf�lI LFtYLY'AGFALY:I hrebr Jirm tlW tlwe a�confCuepi Ni1in!M�Y�w i� S of Me wxA la wlich Ilw�prmt a uwd ISa.3087.Cer GI. $ �_� coMMen„s Pe� �h o— ���C7 m �.��� s CERf6CSTE OF AIfR�ZAT[II a EYfRY:I aBly 1 Ma m1 tlw+M�d fMe y tlr'mufian piwi u ��px ro arKb+�h M riY IMs wtl alY aAiMce nYtiK Y Mlf�l y aNw¢e� - d Yr Dprawn et 9i6q wl S+IMY w arr�n Nr Apnv � la iM tlw Y p p�6w�M nrRA iqsw�c ���� ���Q RECPT N0. �'�S PAID BY �`7 � 1lAlJ�u1T10N a ��m ar in� e.r . 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