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HomeMy WebLinkAbout1643 (20) ,- , '"'` CITY OF DIAMOND BAR PRESS DEPARTMENT OF BUILDING AND SAFETY F�RMLY BUILDING PERMIT JOBSITE � `2� �A � �o U 2�C p�UCATION 1� ��gER�` .�._CO E ADDRESS ISSUE �O^ ��D TYPE OCC. � APN LOT TRACT DATE _T_CONST. GROUP o CROSS STREET GoL1M� ZONING SETBACKS "+�"E""5 � OWNER _LE_t�rJ G, FRONT RW ❑ � ADDRESS 5�►M� REAR O W CITY ZIP TEL S1DE/SIDE STREET RW ❑ o APPUCANT TEL SIDE O _ a CONTRACTOR ►�)E.l.S p�1- t71i'E. C on?w-r - SEWAGE o ADDRESS �9'12 z Gi R Eg►.!�.g�a.►�= ►r�� ❑ PUBLIC PMT� DISPOSAL ❑ pRNATE SQ.FT.!100 GAL W CITY Yo st�J ba (,��1 v�- ZIP��.!¢_TEL. �� L = STATE y LIC.NUMBER V I !'joBo� GRADING ❑ CU.YDS.EXC. CU YDS FlLL y ARCH/ENG/ � TYPE SQ FT FACTOR PS .ADJ: AREANALUATION � DESIGNER W � � ADDRESS !L 2 0 Z CITY ZIP (�} 3 � PROPOSED USE z 4 � � GARAGE o NO.DWEL NO. NO. � pORCN y UNITS STORIES BEDROOMS � LOT DIMENSIONS m VALUATION ADJ.AREA o NO.OF BLDGS HOW ouarrnrv DESCRIPTION FEE �- W ON T USED Q ee U = fL . LICfI�ISED GDA`TflAC10RS OFCLAflATqN�I hne6y�ifum ihn 1�m 4msd u�dv pmvivms ol Ch�p�e 9(camrtn[inp � � wuh Sanon 70D0)ot Oiviswn 3 A tM Busixss md Prafes:�an[ob.nd rtry Ican�K in IuA lace�nd efiea W � 3 � W LL 0.VNEN-BULOER DF0.ARATIOtd�I hneby�Ifirm th�t 1 om aempt Irom�he Comixmi s lin+te l�w la�e Idbainq s n+son ISec.70315.Bus��es�,�d Profesvm.tadr Airy crty a cw�tr whKA reQu�rp�permn ro cm�n�ct. C� ' — �E o aher,xnpwe,demd�sh,a repar�M n���e,pror ro es efwrce.Ym repuilei the�ppkmt lar ac�pn�mt Z � to I�k�sigried sta�rmem M�t he is kmsed pusuam ro Me paisbns of Me Contr�cfa's linme l�w ICA�p�a m "� � � 9lcanmennng wnh Setlron T000)��b^3 d tlw&ne�et�md Pmfeviom Lode)�mn M n e�empt Crtrehain � d sN the hsii�la the aAeged nmpaon.Airy volanon ol Section 70�1.5 by nry�pplKmt ta�permit wEKcu � ' W the�DdK�nt to i ciad penatty of mt mon 1t:an fiv�Aurdrtd dall�n(=50011� a � ❑I.�s owm ol the properry.a my employees rnM w�ga n tl,eir sde compenvuon.w�do the wvr4.rd ~ �he s�ructme a irot inteaAM a dferM lo sak ISet.70a4.Busin�[:and Aofesrons Cadr T4e Conh�cror's ticense d � Uw OotS roI aDdY b m wmer ol popert�whD OuiMs a mD��tlKrean.md who��ucA wort himxN. C� � W a tlragh hu awn emplqees.pw�ded iMl suc�mpouemmR ue nM mxndeA a ellered lor�ele.N,howaer, Z � m �he dnninq a�mprovemem n saM within one yes d campktian.th wwer�Du�Mer r.dl hM tAe brdm ol po.wp d � Aat Ae fie not budd a impove tm tM puryese e1 s�k.l U N -H ❑I.�s owrcr o��he praperry.+m sabmh tontnct+�y w�tA ticemed eentrxmn ro eanmuct ihe projM ISa. W 0 10U.Busi�rts aM Ro�etvons Codr.Tk Contricle�'s licenx L�w dots roI�Opry IO in Owre'01 poOMY M'M � • . � budds a imprwes MRem.ud wM canrxn 1or wcA proKn:wi�h��oahKtorl�)kmud putuanl ro tAe tmnKtw's �r�^���� CONSTRUCTION � �i,m.�a��aas«. .e evc.iaaxnc�.��h� PLAN REVIEW � °ae °'""" ELECTRIC � WORKEflS'LOMPENSAiqN OEQAMTIW 1 liereb/atf`m�h�I M1r+��mnk+a ol commt to seM-nsu�,a � �cnniKate ol tni Compensatim Infvtrc�,a�cnnfieE eapy thered(Set.1800,L�.C 1. U y � O c .RarnvrHnneert��e J MECHANICAL ' r«��Ka rovr K��a�;,n m.e�aa��y Mmc,�do.+�em« om�m.,n. � G RADING "' �� 1�.� , = QRTIfIUTE OF E%EMF110N FROM WORI(E8S'LUMPFNSA710N INSUMHLE:Tlr�secnm mtd rot M tmp4nd yd Ihe permil a la ont AudreA(5100)a ksf.1 ardly tlut m Mt perlaiwice ol Ae wvk 1or wAich tlxs , F pemirt is isuA.I sM1al rot emdoy MY pnfdi m xN m�me�m�s ro becan WEleet p IN Wxksi Cmqensatim ~ SMIP = lnvs d L�IAonw. o W PARK FEE � Oe1 '"D�""` u- SCHOOL FEES "� NOTI[E 70 APPLCAM�N.dter makinp thn CnMcne of Emn0lion.ii'�:Mfif,Eetame si4�1 m the Worker'f � Cm�pensanm pvrisions ol�he l�ha f.ode.yoa mmt tathwith tmqlr=w�t1�'.iud.pieviieni a tAi�penne�hA � kdee�drevaled. �l tv -�_."_. > s OMSt�i OF MDUSTHWL SNRY PEPMIf CERTIFILATION� W � ❑�nereey cendy uu�ne ocmtion Ge 151 u men kn i�eep�.ne wna6q.venw'1rnV��ro ieuad. � wA M msee in cmneqm wiM wor►wnwvN M�v�^�.4d inn�o W'Rd.iy,Swarie�k�Ha�q,tafsehrort. . a denwMbn u MsmmMnq tMeol.w/M nwre tlun Mirry�in(78)kel hi�.�p•�r.e�,:.a,z.sK W- 3p.Lne6.tat1. x 3 ❑Ax ewner�euMer.�wa not emvbr.�w,.m Ao!'wa G��hith;wodeip�in,1 o:�wi�lm.eM 6rCian d . 1— IMumul S�hry.�s noted�6o a.unkss nsA pevn lu�� M do tueA work haa 1M diriton.__ � C��_L'1..��=1 ri.'::J �_>�i.i-�T,�: . ' �°""'°"°'"""°`"�.'`""""'"°. TOTAL FEES � �" casraucroM icnnu+c nccw�:i k.�er•��e,.�e�.h��r�e��e,�e�o�r ro�w p.��. � 2 d Me wort fv whc�Rris pmnit b isweE�See.3091.Ci�.C I. � ��'�"'^• COMMENT'S � �- miMa�.�o nea�� " < amurA�a co�uu�a►�a�unaPoz�rnN o�[Krm:i n.err�n.�n,e e:.,qe.,�.�a n.r en tl+a M�f ' piien's[arM.I�pe�ro tMp�y wi�h M ma wf nd cilY ardnrrn iidnq ro hlinq yconsuucfm.�n0 mrcve�iepreu*�wve d Me dprtnem d Buifny rd S+hry b�r apm tM ircpnry � lu which I hM - 1a ' b tN p�pme d TYn^C i�eenu_ X ,� q d RECPT NO. �sy u PAID BY � VAUOATI nu� n�a D�r . yyF1RE— Copy,YELLOW—Finance Copy,PINK—Assessor Copy.GOLDENROD—Fle Copy,GREEN—Applkants Copy _ee.nc.��roo .__.. _..�__ . ... .. _._ __'--. , _.. , __ . ,- ,�- .. : .. - . r..� — T- �� �. . r�. , ; ;�:., :,-� � �� E: �:' '�'6�* �%��t'��:��`:w��kJ� �,�o�:� _ � �im�l�Cta �~��i�Z t"`e�.�,r�t t€.,f . . : _ i � , . .i ,� _.i•.' 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