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HomeMy WebLinkAbout15879 CITY OF DIAMOND BAR EX P I R E D R • " --- DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 2i�oE.c���Ynr;��sw�i90 JUN 17 2002 �V (909)860-3195 Fax(909)861-3117 PRES$ ~�'��� BUII.DING PERM APPLICATION FIRMLY o DDRESS / � � � �"'��� DATEICATION � NUMB R �v��� M/ 3�� � ISSUE hy� TYPE OCC APN LOT TRACT DATE `2- � ( w CONST. GROUP � OWNER � � � � " ADDR S ��,,..� l�� Uc Y • ZONING SEfBACKS " � CITY�'�. ZIPGI�G� TEL« S�I7 FRONT RW ❑ APPUCANT ' TEL. REAR D � SIDE/SIDE STREET RW O CONTRACTOR V - SIDE ❑ � CITY�S � IP,J�� TELZ K 373`SY��ti PROPOSED USE (• 3 ^P �n�CY 3� � AACH/ENG/ • DESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL y DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION � OWNER•BUILDER DECLARATION SFRlADD1REM O I NEREBY AFFlRY UNDER VENALTY OF CERRIRV THAT 1 MI El(EMVT FRdA iHE CDNTRACTORS lF G8�8gBJC8fpOR CENSEUWFONTHELOLLOWWOREASON(SEG70.'11.6BUSINESSANOPROFESSIONSCODE:ANYGTVOR (n �/ COIMTYWHI()IREOUWESADERAIrtTOCONSIAUCT.ALTER�MPROVE.OEMOUSH.ORRfPA1RANYSIRUG W PO�IO/DBCk ,/ iVRE,PRIOH TO RS ISSUNlCE,AL50 REWIRES THE APttICANT fOR SUp/PEiW1T TO FIIE A St6NED W COLC,� L STATEMENT THAT ME OR SHE IS UCENSEO PU0.5UAN7 TO TME PROVISIONS OF iNE COMRACTORS L4 � CENSE UW(GU1VTEfl�(COMMENCINCi YAiH SECTION 7000)OF OMSION!OF TH[BUSINESS AND FRO- LL- PoeVSpa FESSION9 COOE)01t 7TVU HE OR SHE 19 b(EAIPT THEifEFROM M!D iHE BA319 FOR THE ILLLEOED E7(EMP- TION.ANYVIOlAT10NOF8ECT10NTW1.6BYANYAPPLICAHTFORA7ERMIT5U8.lECTSTMEAPP�ICANTTO Z Re-Roof � A CMl iENALTY OF NDT MORE THAN FNE MAIDRED D011AHS If5W).): o DIASONMEROFIHEPROPEHT:O(iMYEMCLOVEESWITHWAGESASTHEIRSOLECOUGENSATqN, ❑ CpmmerClal � L yAll p0 iHE MIONK,ANO iHE STRUCTLRE IS NOT INTENDED OR OFFERED i0R SAIE(SEC.70N.BUSF J NEBS M10 PROiE5510N3 07DE:TNE CONTMCTORS LICENSE UW OOES NOT�PPLV TO IW OWNER OF �:. � .,,p � � VNOPEATYW110BULD90RMPROVESTIIEREON.MIDNMODOESSUdIWOi1KMIMSEIFORHERSELFOR = "•�� tl��,v�� � ! 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ISSUANCE * ^�L. � — pDATE: I�� / /�✓APPLICAM: ` ` SMIP CiZ'Y(�Y�� C�• I U � WMNINU:FlULURETOSEWREWOFiKERS'C0IAPENSATIONCOVEMGEISUNUWFUI.ANOSMALLBE ENERGYPlC ���i7��d�2���yp� � SU&IECT/JIEMPIOYEH70LRIMINALPEtUl71E5ANDpV�LFINESUPTOONEMUNDREDTNOUSAND ENERGYPERMIT �II�II� ����LI Y pOlLARS(t100.0006�N IDDITION TO TNE CAST OF OJMPENSATION,OAMAGES AS PROVIDED FOR IN ¢ SEC710Na7oeOFTHELABORCOOE.INTERESLAND�TTORNEY5FEE3. RETENTIONFEE: � OCONSTFiUCTION LENDING AGENCY PRE-ALT FEE: n � IHEREBYAFFlRMIIWERPENALTYOFVEfWflYTNATMEREISAGONSTRUCTIONLENDMfiAGENCY ��/i dZ fORiHE PERFORMANCE OFTME WORK FOF WMICHTNiS YERIAIT IS ISSUED(SEC.�oi7,CIV.G�. � W � LENOERS NAME " �S .lEN0ER5/�ORE55 w ICEHTIFYTHATIHAVEREADTHISMPLIGlT1ONANDSTATETNATT1EA80VEINFOR1AATqN14CORRECT. 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FINAL CONST. ' � FIRE DEPT. FINaL FINF,L HEATING _ _ , HEALTH DEPT. FINAL � fINAL ELECTRIC ' DEV. FEES PAID -- �!?�dIOL PLUMBING- . • . '. ENERGY � __ - � - _ _ _ - `•.:%';t°�1�`.�.'�_�:L;�t.-l?�., .__. .�.'� , � - . - .._ -� ' �OMMENTS_J Z-24 • � �IM_�re ��.Q� ' . i � � � . . . , � , ' � , _ .'� � � � � ' ,� , r'1. ;,` - r, � �'.•`!;, - - �f: ��� ��J�:� ! i. ,1:1 t. ._ _ — ii.F'.�:.'L:i'i+.l:r...,._s :.i ~-�� -- __ . —- -f /:T.. r�rRYr. * SEPTlC TA�dK SIZE- - SEEP PIT/tJ SIZE � . .�,...r._._...,=;`R� ' " . . , �. , � . - � �- . 5 , . � . , �,,.'r" ''�, — � y��� � �,, ; . 6 � .- f .�y . �l. . . . 1 . d � ,yr � • � , , , , , ,, ; , '� ��.� . .�; . , _ . -- . . _ __ . : ,