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HomeMy WebLinkAbout1132 (10) __ _ i - .�.. a ., ,� �._ �, � � � � CITY OF DIAMOND BAR� ..� pRESS �., �-'� ' � DEPARTMENT OF BUILDING AND SAFETY BUILDING PERMIT FIRMLY JOBSITE � APPUCATION �.� O PERMR SE ADDRESS O L� DATE � � NUMBER ODE ISSUE �_�.,_�D TYPE OCC. � APN LOT TRACT DATE CONST. GROUP o CROSS STREET SETBACKS �E�� =-' OWNER -%Z-L � ZONING FRONT RW ❑ � ADDRESS S�J� p �+,��� W REAR ❑ W CITY�-� ZIP��TEL SIDE/SIDESTREET RW ❑ o APPLICANT TEL SIDE ❑ : � ` CONTRACTO SEWAGE g ADD S o DISPOSAL B� �� W CITY �� ZIP��TEL. 3 ❑ PRNATE S�.F7./100CAL z STAT `jj GRADING ❑ CU.YDS.EXC. CU YDS FILL y LIC.NUMBER � �� y ARCH/ENG/ � NPE SGl FT FACTOR PS ADJ. AREANALUATION ' - � DESIGNER W � � ADDRE — LL 2 = CITY � ' ZIP � � EL. 2 �ry 3 � PROPOSED USE Z 4 � � GARAGE o NO.DWEL. NO. NO. y UNI7S STORIES BEDROOMS � PORCH oc LOT DIMENSIONS m VALUATION ADJ.AREA o NO.OF BLDGS HOW QUANTRY DESCRIPTION FEE � W ON LOT USED Q ¢ U W S ¢ ~ �CENSED CO4THALTOIIS CfCLARATpN.I hreEy dhrm M�t I�m kmud iMer povnims ol CAaDter 9 Itommtaiip !- ' ¢ r.nn Sxnon 70001 0l p.�um)01 t�e Bus�ness�nd V�olesemns Coda��d my IKense is in IuA force W dlect W .- , 3 � W • � � . . . . . u- P.YNEN BNLDfN CIQANATCN I heiebv d��rm tFat I am enmp�ham i�e Contr�ctm't lcense l+w Iw�hc Idlwrmp = reason ISec 70315.6usmess�nO Pmless�ms Cade Arry oty w caunty whs��eQum a pmm�to construn. (� �j `�jS 5 S �� o �ne� mDrove,tlemd�sh,p repai�ny mucme,qror to ns nwarce.�m�eQures tAe applic�nt la�u[h perm�l 2 �— `io I�k�sgned s���enent�h�t Ae n 4censed pusuant e Ihe pwnans ol tne Conuuta i lK�in�l�w(CNpin p] Z 5 �. D �� � 9 I����u�g wnh Se�bon 7000)ol Gasan 7 0l Iht Bus��ess�nd P�ohssqm Cok)a thtl k b�mmpt Eiud�om � d �M�Pe Uas�s lor I�e�ilege0�¢mp➢on.Arty vdatan ol Secoon 7031 5�y�rvy talu�m for�perm�t wERes � 3 � "� the�ppl�c�m la�trvJ penalir ol nat mart M�n Irve Awdred daC��:ISS0011 a W J� 0 �I.�s e.vner ol Ihe pmperry.a my emdMees wnh wagts af Ihnr ick eompensauon.w�ll do IAe work.and N� v Us svu�ure is no�imentled oi o11erW Iur wie�Sec 10M17,Buvness mE P�olesscns LaEe TAe Cmiiacra's lKense C �S r U.�G�_ v lav Eoes rot�CD�r 10+n wme�ol pioperty wAo bwlds or impoves ihetm.��d who Eots wch wart himuN. � W a tlnough h�s own emplarees.p�o��ded Mai�uth mprpvemenls ne nol m4nded u allued kr s�k N.Aax�er. D m �he bwN�nq p impranmmt is wW w�ihin ono Yex al tanpetm,th owmrOmlCa w�ll Am Ihe hudm ol Piw�np y m�i�e A�G no�W�b a imp�ove Po�Ne pmpose of i�k 1 �S 7,O H ❑I.iS ONMt 01 Ih! �� I� �'� _ popertY,+m ett4vveM camiutwy w�m qcensM conuuias ro wnniucl the O�o�ect(Sec ' O � IOAd.B�SililSf�IM PIOItS5i0liS�pd! Th[LOnI�N10f 3�CMS!LM'EOtS IMI�R�Y����0�Q�Opl�I�who � hwlEs oi imqwee Mnem,and wha�ontruls M wch pro;ecB wn���onlncmiUl kmsed puswm ro Iht CmuaM's 0 �"""`"", CONSTRUCT�ON W O�.m�.�e��b«Sec. ,B fi PC IAuxh Gnfiutel PLAN REVIEW � o Dak �""'� ECTRI � WONKEHS'COMPENSATqN DE,^,IAPATIa: 1 krtby�ftum�h�t I have�eemhUte a�omunl lo fN�-ntue,a L �ceruL�arc o1 WerMni Compens�lm Insw�rct,ar�[nolied eapY IAneo�ISu 1300,l�:L.I. C.7 � � J MECHANICAL _ ❑CenJKd copy n�ereh lurnnhed 4 C ��nlKd taoY�S liled wiih Iht Bwid�ng Inspetlim OeC��lment rc Deprtmant � GRADING W = CfHTIfCATE OF EZEF!Pllal FROM WDNKEHS"COMPENSATION INSUMN[E Tnn se<non ia�k�ano�ead ISSUANCE t� �= A�ne mm�is lar one hundrtE i1001 a kss 1 ceruf tAat in�he y D ( Y pnloim�rce ol 1 waI�'la Mluch tAn r pnmil n issud.I ShaA mt employ ury person in�iry manner io i�om;sub.ec�b R NOr F�i Compenv�pn � l�ws ol C danu W � • �Z.�•-�tj � W PARK FEE 0 oa�� � a�K�� � 1qTICE TU APRICANT q,�fltr m�kinp M�s Lerelcue of Emnpu�.you sAoJd c �u�Ittt m d�e Vkrker's �- SCHOOL FEES —� Canpenuum�D�W�s�ms al tne L�6or Codr�p m�i fa1�wM�ewqly with tuh prancm a d+s permd�h� LL Ee deemcE rewl�ed ��-y,f,' n ^. ' :� J ¢ DMSIUI OF INWSfPIAI SAFEiY P[H69T CFATIfiA710M , W �— ❑I he�eEy eeroly IF�t no t.��v+uon frve(51 a�rore hel in depih inb MhicA�persm i7 rp�ared 90 destend. � w�e be msee n�mnecmn w��h wo�k/a�h�rYed W��s,pprmni!''Q- na h:lOny itrucfue.u�llddup.IJsev.at, d a dnr�a6non a drsmmtl�iq thcreal,►.iN h1��more�`M�yitwtJ)d tat bpr.(CMv 7t.Gry I.Art 2.Sec � = J41.T�tleB.tAC) d��lt [ l 1 � . w S 3 ❑As evmer-bwWa,I witl rot empby xryon to do woik whcA wp�ld rpw•��pnmt hom tlr Orism d r. tndusuul S�lery.n rottd�hoy�,u■Ins suM penan Ms��permi�to Oa suc�_w�ai�irpm me Mdsart � l.il l 1 v� •.. .� • r_..�.,� W ❑pnnm of Ind,s��ul Salery'Ps�mi�No.'"���" ��.�', �-:..-. � TOTAL FE ES a � COHSTRUCiIOH LENOING AGENLY.I herehy�Ilirm N�t tlnre p�conseu[nm YMrq pnKy Id IM prkmw¢e � 2 0l IAt warY ta wM[�E�rs perml ii Itved(Se[.3097.Gv.CI. � lender's Name COMMENTS m lendei's AOGess � L[HTIFI[ATF Of COMf'INNLE AHO 2�ITIQY OF ENTTi�l.I cpaly I Mn nN wis appknim rd nia . y m,�mr nio�m„�,oK�a�«n i re Io cemply wdh d mu Iwvs rd nry udinrrtn nhunp m h:Niq y crostrucuan.�nd wth ue a�prtun el�he pepannent d Buldnq rd Safe+y b�non�yon the paprry = la whKh I A ed�lor M lor pupos�d rtuk�q inapecuon� � • �r)/ 4 v �.j`� ,N � L' / sy� u d .m a aRm ' p�r RECPT NO. �`� ` PAID BY L VALIDATIO WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy.GREEN—Applitants Copy :J,. ,.q.'Yi:�c:.:v 7'." 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