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HomeMy WebLinkAbout13341 (7) � CITY OF DIAMOND BAR � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Copley Drive Suite 140 PRESS � (909)860-3195 Faz(909)861-3117 ''�^'� BUILDING PERMIT APPLICATION FiRMLY } JOBSITE APPLICATION -�C��- PERMI7 �j� p!C , o ADDRESS ���� S• rt°R- OJZ DATE ► NUMBE � x � iSSUE TYPE OCC APN LOT TFlACT DATE CONST. GROUP p OWNER c� 2lwY- ' p ADDRESS " h• ' ZONING SEfBACKS � CITY 1 �� - ZIP�TEL - - o`� FRONT RW ❑ APPUCANT '� �v ei TEL �r,��b'--�3� R� � � SIDE/SIDE STREEi RW O CONTRACTQR L � S C'I v SIDE ❑ ADDR SS -� C.(J t�{�✓2ri,(n l2 g CITY � Z�p TEL J ROPOSED USE �v�_I�1.(����'�;{rlT � -k� =oro i�6,1 ARCH/ENG/ � ,DESIGNER N0.OWEL. NO. N0. ADDRESS � � CIN ZIP TEL UNITS STORIES�BEDROOMS � � DESCRIPTiON SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BWLDER DECLAFlATION SFRlADD/REM O Q 1 HEAEBY KF7{i/WpER PENA�TY pF OERAIRY T/NT 1 MI EXEMPT iROAI THE CONiRACTOit$LL Garaga�CarpoR � CENSEUWFORiHFfOLLOWPxipFASON(SEG7mf.6BU5WES5A/mPROFE55(QVS(Y�DEANYGiYOR (n COlX7T'/�MYCNREOUAESAOERA1tTTOCON$TRUCT,AITERMGROVE.DEYOl15�tOFiR�RVRM(YS7RUG . W PatioJDock � tURE PROH TO RS iSSU/�NCE AlSO REOU WES THE APPUC.NR FOA SUCH DERMIT TO GtLE A SIGNED � � � STA7ENENT TW1T HE M SME IS t10EN5Ep pURSUANT i0 THE PfqVI5�ON50F iHE COHiiIAGTORS l4 � � CEHSE UW(O/A➢TEN i(OOAIMENCpX1 MATH SECTION)000)OF W VISION]OF THE BUSMESS AND 7R0- POOUSP3 kES3qN5 COOE)OR iFIAiF1E Wi SHE IS EXEIAPi iHEREFXOY AND ME&WS FOR TME ALLEGEO E7IEUV. 710N.AHYYIOlATIONOfbECTION7o31.6BYAHVI�PDL1GNTiOqAPEHWTSUBJECTSTNEACPL1CaNT70 Z Re-Roof F ACIYIL iENAL7Y OF NOT AIOHE TIAN FIVE MINDREOOQIARS�i'+�)-�: � � � OILSOWNEROFTHEFROPERiV,OqMYEA1PLOVEESNfiTNWACESASTMEIR50LECWAPENSATqN. � (',pmm8fti21 - W7LL W iNE WORK.AND TNE STRUCiURE IS NOT WTENDED OH OFFERED FOH SALE(SEG 7oal 8U54 J I N NE53I�tb VNOFESSqN3 OODE TNE C01lSRACTORS IICEHSE LAW DOES NOT AP%V TO AN OWNFR OF ? . , . + iROPE1iiYYY/f�&I(DSqiWPRpVE57T7EREON.M1DNt10DOE55lIp1YlOFiKMIMSELFORNERSELFOR 2 TNtY]UOMWSOqMENOW�IFJ�Pl01'EES,PROVi0EOT11AT5UCHNIPROYEA1W75APENOTMEHDWOA m O OFFEAEDFOIIS�YEff.HON'EVERTMEBUKDW(iORMPHOVEMEMISSOlDW1T14NONETElviOFC9YRE• � TION.Tl1E OWHEA-BtntDEH w�LL HAVE THE BURDEN OF PROYN(i TMAi HE OR SHE DW NOT BULLD OR � MPHOVE FOR TME oUMOSE OF SALE} ' w �LASOVMFAOFiNEPqOVEHTV,AlAEXQUSIVEIYCOHTHACT4lONM1iHUGfNSEDCONiRAGTORS � TO CONSiRUCf TME 7f10JEGT(SE4 7oN,BUSINESS Mq YROFESSqM1S CODE TME COYtPACTORS U- ViWeti011 AQi.AREA W CEN4ELMMDOESNOTI➢PLYTOANOVMEROFAPHOPEflTYWHOBULDSOflWVFfOVESMEREON.M:D � wHomr+rw�ctswRwca�Prlaecrsmm�cartw�cro�syuc�:smwawurrToniEax�la�c. QunrmTv DESCRIPTION FEE � loasuc�sEuw.� _� � O IAG fXEYPi UNpER 6EC. B.t P.G FOfiTH15 REtiOti Q C 3 � - • , � DATE OYMER U �d W "_' '''_ "_ ' ' .. IJCENSED CONTRACTORS DECt.AAATION W CL INEREBYAFTIRAIUNOERPENALttOfOEiWiiYT1iAT1AMLICENSEDUNDEHFFqVIS�ONSOFCFNPTER � � , i t� •(COitlIENCMqN7iM5ECT�ON7000�OFUM$qH70FTNEBU51NES5MIDDHOFf5510N5CO0E,ANp Z � � W UCEN:E lS N iLLL FORGEAND EFFEGT. � ��E� �.�o. �84-�3 �- � ,� a. o �j a,� J- cortrw�croa t a W � WORKERS'COMPENSATION�HCIARATION � NINEqEBYAFiYWIRWEqpEXALiYOFPE0.RIMONEOFiHEfOLIAWINOOECUW1Ti0N�:r��^ Z � ��IINVEM/DWiLL1AAW7AWAGfRTIFlCATEOFCANSEN7TO5E�HN5UREFORY.OfiKERS' 2 - COYPENSAiqN,ASPHOVIDED8Y5EC7�ONJ�DOOFiHELI�BOACODEFONTMEPERFOWAANCE w Q OF iNE WOfYt fOR WHICH Tw8 iERAUT 13155UE0. � � ��MA1/EANOWLLMAWTAWM�ORKERS'OOMPENSATqHINSUMNCE,A5qEIX1WED8Y5ECTIQV Q 3700 0F THE UBOp CO6E,FOH TME PERfORUANCE OF TNE WOP1(fOR WWCli THIS VERMIT 15 '7 R./� , . � �SSUED.Af!N9fl1CFR3'COMPENSATION WSUMNGE GAWi�ERANO POIIGY NUMBER ARE: TIO ! GL!' �� � CARAIER v� R EW � 3 i � PUi1CYMMGER r r� '(r ` n� . IC p missfanNrfmwTeE�oFne�rswHa,ew�Da2�ra5a�ooloq�ssl �Ur,� Q Z �CEHTIFY TNAT N THE DERFOfWANCE OF THE VrOF1K FOR N'MiG/i11IS DERMiT I5155UED,1 MECHANICAL C7 6lfAtLNOTEMPLDYM(YiEHSONNANYMAM1EH50A5TOBECOAIESUBJECTiOTHE r (q 1MDRKERSCOMGENSATIONlAW30FCALIFOFLJIA�DA�AEEiMAIIFISNOI�lDBECOAIE INSPECTI NFEE S 6UB.lECTTOiMEYIOqKERS'COMDENSATqNiROViSqNSOFSEGiqNa70oOFhIEUBOR CAOEISHNIF IHLOAiPlVWI7HlTiOSFPROVI5�ON5. 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"t m PEqMITTEEN/u�E(GWNT) � �- .� .�h a � � SIGNATUHE Of TTEE OAiE � RECPT.NO. �_PAID BY 1 VALIDATION_ WHITE paAment Copy,YELLOW—Finarxe Copy,PINK—Assessa Copy,GOLOENROD--File Copy,GREEN—ApplicanCs Copy . , .. .. . . . . �. . . .. . ,. . . ... ... ti ':t �. . . , . -• ,._..t,;.�.. , , . > . ,. � CITY OF DIAMOND BAR ,. . '-.,`� . INSPECT(ON RECORD , r:_�,. . _ il��;� l'•a.�7'lI�'l�i �1�'#!? il.�.��','!E�,,�1�! � : 1(��:d���.11�lsi 18�'�P'�. �.�►'���.��1.�i ;=- - --_._ _. - --- --�--_ __ ------- ---� --- -___�_-_____ •-=-� _�--- --- �- _ -- - -. _ ----- =_- - ..-L . .. . . ... 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FINAL ` r'�"L ELECTF�IC � g�� � DEV.FEES PAID 4_r`�aLPIU1^�!�!G : `���// ' ENERGY � i � ,..� r ... . .. -. I . - - ' ;, • ., �� . . . . . ;------- . . . . . �.,,�'E"Q'�y;�� ,. i -1 —� _ r . _... . . _ .� " __ _ i _ _ .i. � J _ � 1 � `` _ -- _.. _. ._ . _ ; _ . + \ . .. --. it �_�•.1�`Jii�i�{�i I v �.- • { , � �_- � � 1 . - i - � � - -�- . - i _ , - �`i . - i . . . ,. . , 1 . - - i! i"'-' _ .l . . . /1 , .; ' . - '' '_'t . i�_-� t. ' ; . � - � . .,. i . }-- ' ' • ' . ' � . i T- � ! . `I i: I - f.t � � '� � 1 � � . . i � _ i ����;t��rar•��;s�zE .. ' ��E� PIT/U SIZE � ; � ..� - �. � l a<< � : � >. � _ � ''�i, ��� � i � / .. , ,,\ , � - U .i� � 1 ? } :' .} . � `''_ .. � ' ( � _ �� I - — . .� ' �_ I