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HomeMy WebLinkAbout1339 (91) -"� CITY OF DIAMOND BAR PRESS � i-•� - DEPARTMENT OF BUILDING AND SAFETY F�RMLY BUILDING PERMIT JOBSITE c • APPUCATION PERMIT SE ADDRESS �� -1S S � M� C��8�� ISSUE TYPEER CODE ► APN L T TRACT� DATE ������CONST. GROUP o CROSS S7 ET �i ZONING SETBACKS ""O'�"�'"s °° OWNER N FRONT �N � � � �'1- REAR ❑ o ADDR S W CITY �1 Lv�O $D SIDE/SIDE STREET RW ❑ o APPLICANT TEL. SIDE � 4 CONTRACTOR °`� SEWAGE ❑ PUBUC PMT�' o ADDR SS � , DISPOSAL ❑ pRiVATE SQ.FT./100 GAL W CITY � �' IP � TEL. � z STATE 2 c� V—� g3 GRADING ❑CU.YDS.EXC. CU YDS FILL y LIC.NUMBER N ARCH/ENG/ � TYPE SQ F7 FACTOR PS AOJ: AREANALUATION � DESIGNER W � � t�DDRESS u- 2 � CITY ZIP TEL. (� 3 W Z q _� ROPOSED USE � � ��� J GARAGE o NO.D . NO. NO. � PORCH y UNITS STORIES BEDROOMS � LOT DIMENSIONS m VALUATION ADJ.AREA o NO.OF BLDGS HOW - ouarrrmr :DESCRIPTION • FEE ' � • � ON LOT USED � �' lx '�5 .dD W IL O � � � tCEHSEO CONTRALfORS OFLIAFtATIOH I kieM�fLrm IMt I�m kmtad unde piovisia�ol duD�8(cummencinp � � Y wnh Secoan 70001 0l av�san 3 01 the Busine:s ud Professnn�Code,fnd Iny I[Mf!iS il lull Porce�nd eRat W a L( � J 3 � W �- ONNFB BURDEH DELLARATION I herehy dliim that 1�m��¢mpt han ihe Canvsctoi i Lcenu law Iw d�e lol�awri�q re�wn ISec.7031.5.Basiness W Prolessm�Lode AnY���Y a�^�Y�+'hih rrqcira�permn m consuuct. C7 o �I:er.mpwe.demohsn.u iepaii any suutve.pibr b ils qsu�ntt.yw reQures Vt�pplu�nl fa wth perm�t �2 . � 7o I�le�s�9^��memeM d��t he is Fcensed pwfu�M ro the pwisions d Me Cmn�ctni i lrmse liw ILA�Dte �m � 9 Ieommmnng witM1 Se[6on T0001 0l Oivism 3 01 Me Bus�neu�rd Prolession�Codel a T+t he e aem0�d�rdiom � y and the Eazis lor Me alkped I�emDlan AM v��w ol Setoon 70]1.5 hy iny�Whont fa�perme wb�tls � �"� Me�ppc�nt lo�cv�l penalty ol nol more Man ine Fmdred dollus If500)I. W a � ❑I.�s avnn ol ihe pruperiy.a my empkrm w�lh wsqes�s thni sok eompe�s+non.will da Ihe wo�4,rid ~ tlrc suumre rs mt imendM or o11nM la uie ISec.7674.Bavness ud P�olessons Lade ihs Cmtrntor's Dcmm Q � L+w does rot a00b m m owner al qoper�v�huiks oi impoves Maem.+nE wtio Crcs su�r wak lumuil. U �+ a U+aqh Ais own ertplorees,pmded Owt sucM1 imD�ove^r^ts ve no1 inunded a ollertd tor fa4 II.Awvr.er, �Z = the WiW�ng a impovemmt if fold within one Yv�f compknm.Ik a.ner6uildn v.ill Arv�Ihe lwden ol piovirq a _„ _._. . ,. . N M�t�e Eid rot Eu�N or+npave lor Ihe Duryase ol ule.l .�U . rn ❑I.�f owrer ol Ihe paperty.m ett4s�veM tontrattny wiN litmsed eonuxmrs 6�tonrnun�h po�ec�(5ec � 7044.Bus�ross ud Roles:�ons Code Tts Contrx�or'c limu liw does rot�ppM m�n owner el proprtY wAo � puilEs o�improvn tlxrean.+nd who wntruts la ueh pro�ec�s wiM�wmrK�als)IKmsef pusuanl ro IM Cmunar's <<.�u i,.v� CONSTRUCTION � ❑i,m,umo���e�,s� ,e.s r.c.ia��nc��e�K,n� PLAN REVIEW o �,� °^^°' LECTRI � �---�"�' � WORKEflS'COh!PENSATIaI 0[CIARATION I htteby�n.m tlut 1 hm�eerolc�te ol tansenl�o�+�n:��.� � pLUMBING a cendc�u ol Nbkni Wnqens�iion Msuune,a�[e�ilKa wpy ihereal ISrc.3800.L�h t L � �r��n�a�oov�n«<cv i«���n�e J MECHANICAL p ❑faehed copy u W�d w�th IFt Bwldug kispxtai Oepabnenl a Depa�menl. � GRA W = CENTIFCATE Of E%EMPTqN FflOM NIXIKENS'COI�IPENSATION IN .Thit uaion need wl k eonqkted SUANCE 0� � � il Ilrc pnmit is lo�one Au�EiM I=1�1 a kss I n�nly Cui in lor �ol tlr wak lor whKA�his y permn is uwed.1 shiA ro�emplay Y DK�n m!�ry mmnei fo�f Dx w �kds tanpens�iion S = lsws d CalAorna W • o W PARK FEE � o"` � Z °'0'"'"' u- SCHOOL FEES 4J HOTItf 70 APPL CANT H,d r matnp th��Cnelcne al E D�a^.Va ���s t m � Canpensa�an pmisims al Ue L�bor Code.yw nust IarCiwrM co^dY wiA s�th pwisc'n a Mis . v- k deemed itvaked. WpN90N Oi INWSTRIAL SAFETY PENM17 CER11FIfAirp6�'1'�.'"��w�i���1 � 1a L.L�:.� o ❑I hereby cenily IMt no eruwuan Irve(5)a mae IM in deptA�ta whuA�p�ism if�pui�d n desced. ¢ wi0 be made n[mnennn wiN v�aY�utlwved hr Nu permu.�nd tlut�o bilAinp ttrunw�.wltalfn0.N�w�orY, �- ar demaLtan a d�vnantlinp 1k�ml.wil Ee imre than tMry�p��761 fwi nqn(Wp 7.1.Gq I.An 2.Sa �z SGI.T�tleB.C.ACI �UL 2 6 13�0 � _ 3 ❑As ownn�hulder.1 wil not empby rryone m lo wark wlrcn woutl rpun�oer�nn hom h Qrcim d � Indusuul Salety.n roud�bow.un4s:wch penon lus�permn m do wch wark Irom Me dmtion. . � . .,. r-:�:+.:'�i C;ni( W ❑Om:undMdusnulSateryPem.tG�o.�T,� �'r ��.,�'�:�:.���.�. TOTAL FEES � CONST11tICfON lFNOiwG AGENCY.I � um 111�1}Mle if Y fonftritllM lendir9�Y I01 M InlpmaK� ♦ ��� Z ol 1M wak�a whc�Nn�mt u itwd(���7,Gv.GI. ( � f, � lender'aName MMEM$� «' - m LMdei f AddrHf �_ � CS�1 t LERTIfIG7E OF L0�1MI 11M0 UTIDW2 Of .1 e�My I M+nd tl��poliition W�w d �n IM1�he elam�om ' s tdn I qa m In atl mtr 4ws ard pry ad:untM M�aiq ro 1uM�q y conmucim.W�u ve�no vnl� e tnent d BuK^C+^e SaktY b Wo^ p��' � la wAKn I M�a� M IA� � nd" in�qcOm. X �� RECPT NO. PAID BY ��� VAUDATI sqnuu� WHITE—Oepan ent Co y,YEL Finance Copy.PINK--Aasessor Copy,GOLDENROD—File Copy,GREEN—Applieants Copy :i '. ,.,� ._ . . . • . • . . . , ' . � .. . -���.= . , " - .. . � .�- . .' 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