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HomeMy WebLinkAbout1565 _ ._ . -- --- __ _ _ . i� ' , �"` CITY OF DIAMOND BAR PRESS �� '-�' ' DEPARTMENT OF BUILDING AND SAFETY F�RMLY BUILDING PERMIT JOBSITE APPLICATION PERMIT � USE ADDRESS �� � S 1� � DATE �� � NUMBER_�rZ�ZCODE ISSUE TYPE OCC• � APN LOT TRACT DATE � CONST. GROUP � �RpS4 STREET �r A ZONING ��MCKS � O"'S � OWNER c�1js G � "''�'�_ o ADDRESS ��4� G • ��I���� REAR ❑ W CITY �lA����/�C ZIP ��`�-> TE4�'_�a^ SIOE/SIDE STREET RW ❑ o APPLICANT.���►���S�. TEIY� SIDE ❑ z 6 CONTRACTOR •l���S� SEWAGE ❑ PUBLIC PMT� o ADDRESS � '"� �� �''�r'� DISPOSAL ❑ pRn/ATE SQ.FT./100 GAL W CITY �' � P�_TEL7"�� � W STATE zO ��� j-.f�l GRADING ❑CU.YDS.EXC. CU YDS FILL y LIC.NUMBER N ARCH/ENG/ � TYPE 5(] FT FACTOR PS ADJ. AREANALUATION �. � DESIGNER W � , � ADDRESS � 2 � CITY ZIP (�} 3 W � 4 o PROPOSED USE �, � GARAGE o NO.DWEL. • �• � PORCH y UNITS STORIES BEDROOMS s LOT DIMENSIONS � VALUATION � ADJ.AREA d NO.OF BLDGS HOW � ouarnm DESCRIP'TION FEE = ON LOT USED Q - � , �— W � • � W �" , ^ � � 2 �,. I t D R �. DECLNtAT10N�I hrc6y dfirm�n 1�m kmmd u�da pieritim�d LTspter 9 ha�K�•9 � ' - Y w h Sec n 1000)���J d the Bwine�f xd P,otessions Loh.�M my Icros�if in lvll Iatt mA eflect �W '� j �` �Q 3 W � f �: u- R&M�R DECIARAT[7N�I IierrW Hfirm Uet I�m enmpt Irom Ik CAMnemi t lkmse l�w fa du Idbwirq � z rtamn ISec 70315.Bvsimss nd Pro�essbnt Codr A�ry tity a te�riry whicA requirn�permq tp eontbuct. C7 o ahn.impwe.demdrsh.rc repar aM Ar¢hn.prar to ns nsuarce.Ym rcpuirn tl+e�pp6cN+t fa wch perme Z r= a I�k�sy�ed stalcment that ht n kmsed p+swnt b Ihe pwisians ot IAt CMtrxtd'i LKMte lIw�thipee m � 9 kommennng w��h Sec�ien 7000)ol Oivision 3 d tM&niness iM Professiom tode)n�hn M e emM dmelrom � � d md Me 6as�s la Me��eqe0 e.emption.A�ry vid�tion d Sectron 7031 S by�ny iODhcm1 far i pnme fuSRcts � W the aMdc�m ro�civi penetly ot rot mae m�n fne hundrM doeus(SS0011� a � ❑I.�s wvrer at Me Woperry.a�7�^D�Mn�wAi wiges n Mert�ok ea"D�^��ion.wdl de the wat.�nd Mrc rrunure x ro�ime�ded a oNerM la uk(�.7�.�^K��^d��ssions Codr M Cmtruta's 4censt 4 . � l�w Aoei nol�pp�y ro m owner ol praperty wM Euilds a mprove7 ihn�on.�nd whe das fuh rrork IumuM. U W 01 Ikouyh hU oWn lmp�MK2.D�Onded IAtl Su[A�11P���h iR 1101 inrcrdea a oneiea M sik.tt.nowever. Z m llk d111E�1iQ 0�i1�P2mMl q SO�A WiH�ill DM Y!M 01 tOTpiNq11.Ih!MTt1�bIRIAM wJI�it�1M EIKEM OI D�a'O Q � �hat he A�d rwt WiN a impove Im tAe pxpose d sakl = y U tn ❑I.�s owrcr of th qapertY.�m t+daneh ce^nM"W wM h�e�rsed connxrors ro cenmucl the prejM(SK- W 70ae.Bus�Kss ib Profnsans Code.ihe[antrK�a'f licrose Uw das na�wh ro m w�+n.ol paveny who $� ` h�ad�w�mprwes ttK.em.mJ nM eonvxa 1n neh DmiK+s v.;A�eonttscral:l Aeenned pursu�nt to dr Cannc�a'f �����µi CONSTRUCTION c � ���m�i�����. .8 6 PG IAttxA Cerliklkl. P viEw o w+� °""" ELECTRI �- � 1M]R[ERS'LOMPENSATD7 OECIARATION I MeM��f�m m ���01�0"s�^����-'"s'��•� PLUMBING i�endK�n of 15Mkni Comprnrn�on Msu�rce.a r eot ISee.3800.l�E. I. � ❑�n„�e c„r n��,t�a �����e� J MECHANICAL o ❑Canfed copy n hkA w�M tlie&�nq Mspec �a ao■�� ¢ GRADIN W 2 LEqT61fAlE OF EXEMPttM FA[!.1 WORKERS LOMPENSAl10N I17�1HANCE:This section nKd^ot be co�qkttE ISSUAN t `- r yA the permn a lv one�uMrrE(t1001 a k+s.I cHefy C�in IM pertormnn e1 the wart Id whith Mif perm�t n asuM.I�hal mt empoy inY perm�in nry m�mn so a m hcome w6en lo tle W■ksi Con�pen�nan SMIP � �""d c''"""" W PARK FEE � °ae �""0D""`�� u- SCHOOL FEES �+ rnr�ro aracaxt:n.�m m,�;��y mn c.e�+r or t�.p�,:nwe xw����m nK�wk�� w � tampens+roan prmrisions ol the l�eor Cade.Fie�sti.(atlJri4 eene�i witl�ncA vrwisoro a mn permi shY � he deenrd rtuaked > � OIYISION OF INOUSfPiPI SAFEiY PERAdT^Cf�R!T6CAT10N: � ❑I�ebY cerMy M�ro eamten Ir�p Fs1 Qmo�in d[pM��OMm if rpuind b Mtta4. o�e wAI h m�M in cmnctim wvh wat�uc1.iJ.16y tluf rt.md-Aittid munuv.uafhidinq,N.ev.erk, � v demainian a Msm�nrinp tknol.w�l h more tlun IhMry�w(361 feet liipli.((h�v.J.2.G�2.An 2.Ss � _� ]t1.Tit48.CAC1. = r ,T,Y (`= r�:�,"�:.?: � �Afi 3 ❑W m+nw�W�.I wiN na l�pb1 r�ar io do wdrY whkh xw�d,ipw+v'+mt trom tlie Wcon d ►— InAnnial S�MY.n roxd�bo.�.uM1fNs YLtA pnian Tii,1 pKwi�p'deJ�h werl fra�Or diuifiort ¢ o°�`'°^""�""�S''`""""""°. - TOTAL FEES � � CONSfAUCTON IfHONG AGENLY:I henbY atfirT EW�hen u�tonroutim imdin0 prcy la tly Derlain+m z d m wat ta whch Eris pnmt q u�ue I�3097.6v.C.1. � te�de,•e H,me COMMENTS m lendn't AdMea � LfflTIFfATE OF COMPlW1Cf Alp ZIRIUV OF EUTNY:I crMy I M.�nad tl:s aNfcse�rd tt+r �m m�me inromunan qhen u ro romdr wmi M suu bwt ma N+r«rnnca aq ee y �ms�ron�on.mE wtlwae d dr Uwr+n�d B�.YnO d S+wM d a ipn rr � Ia whcA I hare. lor Iha rt fu Ile P�d mYinO�tpn. . � �� ) X � �n�a� ` � RECPT NO. � /��!—PAID BY � � VAUDA WHITE—Department Copy,YELLOW—Flnance Copy,PINK—Agsessor Copy,GOLDENROD—Fb Copy.GREEN—Appliesnb Copy BS106-11/89 .. _ _ . _. . .� .-. v . . ..--.. �-n�• -.� ...... . -.. ..Yw �. ....�.0 f�,�:J ...�� � , ^ . .rs li. .. �... . �. . __ ._.. _..__.- . , . -'. . 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