HomeMy WebLinkAbout1276 t_, __ _ _ ___. _ . _. _ �___ . � ._ . . . - ��c. ��- ��
- � `� t'"� C1TY OF DtAMOND BAR PRESS
�� ._,�� DEPARTMENT OF BUILDING AND SAFETY
BUILDING PERMIT FIRMLY
� JOBSITE � �A�CATION '�r}/f� PERMIT �� !�, USE
ADORESS a�d 6 CLE�►i EQ C�QB�i� ISSUE n TM�ER ��-l� CODE
� APN p �-o o �r�/3 LOT TRACT DATE /'` �`���7 CONST. GROUP
� CROSS STREET SETBACKS
°D OWNER 13�2�.9N u�it! ZONING �+°`F`E"'S
FF?ONT RW ❑
� ADDRESS ��a G G�CC7�1� C���' REAR � ❑
W CtTY ' Z1p�1?le,L�TEL86/-73/ . SIDE/SIDE STREET RW ❑
g APP�ICANT b� Q��,�r�t� 7EL SIDE ❑
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4 CONTRACTOR �- d�- � Q�� SEWAGE
o ADDRESS�i7e L n,� «ie d''�'�.� DISPOSAL � �g� ��
W CITY V Z1P��7EL7.�Y-F�78' ❑ �1VATE SQ.FT./t00 GAL
= STATE
y LIC.NUMBER�'3) 3 l�.e y2..� GRADING ❑CU.YDS.EXC. CU YDS FILL
y ARCH/ENG/ s,���. W n'PE SQ FT C1OR PS ADJ:AREANALUATION
� DESIGNER � •
o ADDRESS LL, 2 �:(p
= CITY Z!P TEL C3r 3
� PROPOSED USE i�l Z 4
� � S � GARRGE
o NO.DWEL. l��N j. NO. � PORCH
y UNITS STORfES BEDROOMS
s LOT DIMENSIONS m VALUATION � AbJ.AREA
o NO.OF BLDGS hoW ounNr�rv DESCRIPTION FEE
W ON LOT USED Q
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~ KENSED CONiR4Cf7ttS OECLAXAMH 1 Me�r sfFrm Mrt 1 am kenzM uMr pmaanf ol fNptw 9 Icomnunnrq 1- �
� wnn Saoon 7000�ol Drv�sron 7 d Mm 8usmen��d RMessan�CoA�.�M my lim:e n in hA Ipce�nd eHect W
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u- tnvNFN BIHtCKR Of0.MATqN I hereM atfirm�hn I�m e�empt hmn iht Contrec�w's lcmx law tn�he lanwnq
= namn 13ec ]031 5,Busmess iM Prohsmns Code dny crty a Mnry wRc�nquirn�pNmn ro tautrun, (�
o aifer xnpms,Eemdish,a rtyH�airy slrucnve,qar ro�ts nsu�nce.Mso rcpu.es d2 appl;unt la sucA pe��l Z
4 �o I�k+sgned st�Rmen�1Aa�he n kmseE paswm m Me pov�s�s of�he Lmtrxtor i limse Gw(Ch�p�v Q7
x 4(conma'tmq w�;h Secnon]�',YJ!o�Dmsion 3 d�ha Rusmtu and Pideuwn Cakl Q thn ht n emnpt thvehom � �
y �nC tM Davt Im�e a11egM exmptqn n�vw�non d Secnan 7071 5 h�M�ONKmt tor a permn a6�eca �
K Me ippixenl to�crvd penaliy M rot mwe than fM hurdrM da1M�IS50�11 J
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� �I.as o.vm ol th pcp�rtY.a mr empb�ees w�M wages d tFew rek ca�pMfsnen.vnN do tM work.w�d
~ rt�c mucwre�s iwt innMed m o1hrM la uk IStt T044.Bus�.c{s��Rofessuns Loee TM Cmtixca i lKmse Q �� �
� lsw eoes ro�rppry m N ownn d D�rt'I w�b b�*4 a imyrlvet Merea.md wM dots suM wBiY hnqttM, ,U ' �
W d ihroug�Ms o.vnti^P�artes.p�rnle�d mn sucn mpeK�m�s ae irot MrMM a Mh�eO 1a s�te tl�Dw.�iHy 'Z '�� `. - " , )�,i �,1 , . ,
m �ne bwM�ng u��prmMmi n wM w�p,ro one Y�v ol tu^'pinan.Afit w�*t��Du�der+w�A hr.a Ihe 6uQm Df p6viry �Q -
= tl���he diE rKK Ou�id a�mpme fa the W�oox d nle 1 2 � •
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0 7044.Bus�rcsf eM Po�n:mns WAe Tk tonhxror'�tcmze lrw dxf nm�pp�y ro�n owner of praoerty wha � �
4 hmMt a�mvwes eAvean.Hd wM rmrtrxn h:ieh oroRns w�M s[onvictwltl h[ensM prfuant m Me Cmtr�tia's
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`'�"�`�'�' ON RUCTIO
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— � WDRKENS'LDMMN50.TlJN OfQAPATION I AneM�Hrm Mat I hm�[a01K�tt d eonsmt ta seM nsue,a —
�ttndrc�tt Ot VAMef'fnmpr�sIIron Meu�rce,a i cnnhM repy iMeof�Sec J900,Lb L 1 PLU MBING
c �cr�eacwranr�avr�,�,Ma , � ' ' • MECHANI � 7 . OO
o ❑LnnhA copr rs��ed w�M me Buaemq inspeenm Omr'menr v Oeprmim� F AADING �
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� CFPTIFILATE OF EI(FfdPTW RiOM tWRKFRS COM11PEkSAT10M IMSUFlANLE TM settion need not De tomoknd ISSUA K N_
. � d Me permit is Im one hwd2d(5100)v ksf I cnufy Mal m tM perlamset d tlit wat la wheh tli� v r� �.
permit n niuM,I i��1 rot employ��y pttson in my ms�n f0 n b betm�e fuDp[f t0 Hr iMukKf'Lompentarwiv S i
lswr ef C�Romn
e o�n 7�I4d �. �oa��� . � u. SCHOOI FEES - �
� fAT10E T(1 0.PPLICANT M,�ttn mstinp M�s CnWFete d Fumptpn,you shak become s�AKq M NFvtn's
� tanoens+non pwmm�s of the l�6ar Cade.pn must IathwrtA[ampry w�d n�h prarsw�s a tb�prrm"rt�hNl
�+ ne sK�ree�r,dee , , �-w� eM n,� �, I
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� 17MS10NOf 1NilUSfRIAL SAiFTYPENMIT QNTFCATIf'll�� ei��'.�:.ei� �f� �=+7 � '.
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❑I naeCr rntilv tAn iro ncmton fne I51 a mae teei in drytn nro which�pertm u�epw�sd b desn.d.
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z 341,T�tk`B.CACI, .' �.�(.�L � � i.U1JV " �
' 3 ❑lu ownn-EudEer.I v�+i not en91p�/�nYont tn da wat whch wouH�Mw���Okmt hmm 7t C�va�On d
F� M6isuul SaInY.�f iwted�bove.unin�fuch D�M��Om�I to do such wat from the dnisAn.
� /"TV !�= f',.i`-.�'...�•�`� ;_r'^ '
W ❑Orision d Indmrul Salery Plrmit Na�•�� .` •��• • . •••• •• ��t
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TOTAL FEES
� CONSTPUCIION IEHD�NG AG[NCf:I AereeW dRrm N�t�tMrrn'�'mrseLctioh kMmm�ymey tar M Oafamyin
2 0l�h wrt In whch Ihiy perml u uwed ISec,3097,Cn.C I. w ` /�/�
� leMer's Name C����� � l� �■ l
m lmder's Addreq
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� QF11FG1Tf Cf COMPLW�Cf AND AU�NplLATUi Of FHTAI':1 arhly I l�ar nM tl:s�pp6cMm rd rt„e
H IAat tht nlymNicn qnen n ctrrM I qee tC tOmply wM�I SM�Wri and NN�H rWtnq te EuNny
y [msmxtan.md iuthain�'Mrcsmtmve o�Ue dwtmem d�xl�np r4 S+M1 m.ntr uq^^d�P�h'
= Fa wM1CF I luv�+Dded lor tAn Dh lar�Ir p.pou d mNaq ivpetmns.
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X y�,i��d�M a e�'�c— 7`"3 ad�� — RECPT NO. `�_L+1�PA1D BY �� VALJDA
WHITE—Departmertt Copy.YELL05N—Finance Copy,PINK—Il�sessor Copy,GOLDENROD—Fde Copy,GREEN—Applkanb Copy,
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