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HomeMy WebLinkAbout1222 (11) '"` CITY OF DIAMOND BAR PRESS DEPARTMENT OF BUIl,DING AND SAFETY F�RMLY BUILDING PERMIT J09SITE APPLJCA710N � ;-.pE RMIT E ADDRESS �0 � /��a DATE `�""" 1��iJUMBER ���"'��CODE ISSUE TYPE OCC. s APN __ LOT E�_TRACT�.5�79/ DATE � "�� 1"'�u CONST. GROUP o CROSS STREET — — ZONING SETBACKS ��'�"'g °�=° OWNER G Q FRONT RW � � ADDRESS � O � � .Dr REAR � W CITY�Lr���ZIP 7EL.sps��+ SIDEISIDE STREET RW � p APPLICANT UCT A LOAlJT TEL.ZII'��� SIDE ❑ : � CONTRACTOR G7� � �EWACE o ADDRESS � �'� � �B� �'� DISPOSAL ❑ pq�yATE SC�.FT./100 GAL ,� CITY Z1P�Z TEL '�8 z STATE y LIC.NUMBER B .f"93 �1s'Y GRADING � CU.YDS.EXC. CU YDS FILL y ARCH/EN �y TYPE SQ FT FACT�R t� •AD.1. AREANAL A1'ION ' : : � DESIGNER W � o ADDRESS LL 2 z CITY ZIP L. (*� 3 � PROPOSED USE � 4 � ��_ " F � GARAGE o NO.DWEL. NO. NO' Z m P�� y UNITS f STORIES�BEDROOMS c LOT DIMENSIONS 7O� X 1l0� VALUATION ADJ.AREA o NO.OF BLDGS HOW QUANT1T1f DES R1PTI(7N: . :':.; : :: : :; .FEE . W ON�OT � llSED�d�l� � .OO � W � � IC NSED COMIRO.CIOIIS OECIARATION:I Mreby Mfirm�ha�1�m kens�d vMx provipans et Chpm B�tommenewq � wuA Secnon 1000�ol tivisim 3 ot tk Business oM Profnsims Code.�nd my licenae ia in hN force Hd efhct � OWNFR-Bl1RDER DECIARATDN:I Aereby oHirm that I am exemp�Imm the Comnetor'�lJtense Lww Iw th�IWbwing � . . Znrson�Sec 7031.5.Business and Prolesuons Cada�An�cBy cr cuntY whkh rpui�es�p�rmit ro construct, o �lur imqove,demafish,a npair nry ttructure,pior b ib iiswnce.Nw repuNes Ihe�pplcmi fa wch oermit � F— m tde+sipned statemem 1M1at M is Feenxd Wisuant M tlr qwisans ol Me Cmtr�cmi'�License law(Ch�pte ¢ 9 fcommenung with Seciian 70001�Q��pn 3 01 Ihe�siness and P�oleseions CaGI a tlqi he n�yampt tMrdrom � m0 me Oosis lor the�Iteped e�emp�ion.Any vidatpn d Sectqn T031.5 by wry applicm�fv�qrmn w6jens ... the applicam m a�ivd pentlty of rot more Ihan irve hmdred doll�rs Ii50011: � � ❑I.as owner ol the properry,a my employeee with wpes„7�eir sde eanpenu�ion.xriq do tM uork.aid tle structure a nol imeiMed w olhred for Nk(Se�.7066,Business rM V1olessbns Cade:The Conir�cior't Li�enae � ,�",� Lew Aoes rot appty to�n o�xier ol property wha buitls or imD���.��who tlaes 6uCh�vorM himaelf, ' n drouph his own employees,yrouded tha[wch impiwements ue noi inrnded or ofHrM lor We.tl,however, = the buildinp or anprwement n wW wiMin one yeer s1 tomple6on.tk mxner�buiWei wil Aaw tM 6urden d prminp lp( �j Mal he Cia no1 Wiltl a imp�aw tor Ifie purpou o1 sde.) y ❑I.�s owrer of�he popenY.xn ekluweM wntrocuny wnh Gunsed�onpxrore b connru[t ihe Mopc��Su. a7M4.Busmeu aiM hofessiona Code.The Contnewr's licenu lwv does not applY ro m oxmer d pruparty who = hnlda w i�roves thereon,�nd who centru4lv�ucM1 pmjects wi�h a conuaetap)kensM pxsuant ro de Cmtra�ta's ` �°°"'°�""� CONSTRUCTION � ❑I am e�empt wde Sec. .B.b PE(An�th G�titic�w�. . �P�N REv�E�f p Oale dNner , � WDRKERS'COMi'EHSAIW OECLARATION I�ehy,d,l6rb tl{�1 F:fii'��urefrate of emsem to sdl-nzure.a � � e �cerufinte of NbrYeri Compenation In�unrcq iri r�hU�liild(pyy.:t�llSet.�800,l�b C.�. P BING 4 ❑Cenrfied capy o hmeEy lurnished �J N MECHANICAL G l.�Cerdled copy i�ti4d with Me BuiNi�p Inspetuon pDwtm�nt a uw+ronem '4: GRADING W = CERTIFICATE OF FMEMPTION FROMW�tI�� �EN TtON� TNs setlion n�[d mt b mrtpknd SUAN � . ��� y d Ihe perm��e fo�orc hundred NI00�M'�.I 3ro�thn iWl� �Ivmmn el ihe wak lo�whieh tl+i� � pennit is issueA,t shaN mt e�ryby nry permn in nry m�nier�o�s m bxome abject lo fie 4Wrbrs'Campenaalim P .��. lNvs al CWifornw. W o C��-,e �.�- r•.� •..�;-,-.. • -•:;".:; � PARK FEE � �1e � �Da�� ��� � L �- SCHOOL FEES � rm�ro avr��ciwr:n.durnp�ing�n r�ro�cp�a rtmnycwn.fau-shooad 4ecm wMm�m we wor�ar's �+ Cdnpenvnm pwiswna al th}t'ih'ui C6df"�oL'�u3i 1d�h�0�tfi mMpty`Mitlr�Ech�pwienns r Mis permit dd � he Memed revoked. � J p� pY190N OF qCWSfflIAI SAFETY PERMR CENTEIGiION. d o ❑i nereoy u�en�mae no acwauon lioe�51 a mae hn u�hpth eto w�lich�perton it npuirtl w hscaiE. � witl h mMe m cmnecuon wiM waY rdMrind hy Ihn�e�mit.rd tlut m huitlinp�Vuetrre.v�lfddiip.hluwark. a demoNan u asmantlinp ilweol.wtll M�nore tlun tivry-au I�BI Iw�hi�.(qNR 3.1.Grp 2.Art 2.Sx W� 741.Titk B.C.A.0 1. . S 3 ❑As ourna-6uilder.1 wiA not�mpby sryon�b b na4 whcA wouY npuin�'rmit Irom Me Oiwiion d � Ind�slrul S�hty.�a noted a0ove.mins urh pnaon h�s�parmil b b wdi wat ham Ma d'rdswi. � � ❑°""�d`'°"m"'s.�""'�,"°. TOTAL FEES � � � CpJSTAUCf�11 LENdhG ACENC/:I M�eby sNirn tlW1 thaa u�tonttrueton 6ndinp a0mey kr he perbm�onu I yC W the warl tv whicA riis�erme k iuued(S�c.�097.C'rv.C.1. � i°"°""� C E m Isnder'�Addna � C r'�.-�,�2�� L�P t CEfffIFGTE 6 CON�LIA6CE AIW AUfIqNZA7Rl1 pF ENTNY.I prUly I Mn�aA Mis�ppful'qn wd t4n v� ilu�Ihe nlamnion piuen u wrect.I qne 10 tanply wiM M Nt Yw1 Md tM M�nrwas wYunY M 6uiainy � mnivuction.ad�uNiwve�nM��el Me O�ortmeM d BiLIAinO ni SoMv Y nm�an 4e ProO�nv � la which I Mn p I' a Ihn�ernit b t Rox d rkinp imp�cuens. � 7//-QO Sqnmr d t a Wem p�r RECPT NO.��RAID BY��y'',���VqLIpA WHITE— epertment Copy,YELLOW—Finance Copy,PINK—Aesessor Copy,GOIDENR00—File Copy,f3REEN—Applicarqs Copy BS106•11/89 ... :�. '1 '' .. ..... ...r.: y: ':.ry 6 '-t(,�.. rX.y . .... v.F. .. . Ol:i. '�..�F`,u..•- .� _�vc.w.�!:�.w.y.r,.�., • . . . . . .r,TF` L,.0 . ��V�� . . . . . . .. . . . _ n ��� , �� � . . i��i� � Q�i ��md° . 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