HomeMy WebLinkAbout5343CITY OF DIAMOND BAR PRESS
DEPARTMENT OF BUILDING AND S%FETY
BUILDING PERMIT / / FIRMLY
JOBSITE 2 <z-1 S , 2,
ADDRESS 1 AmCN 1J L
APN LOT TRACT
APPLICATION S (, PERM E
IS.
T NUMBER CODE
DATE CONST. GROUP
CROSS STREET S
OWNER 1
ADDRESS 2
SETBACKS theatdrt &GMMZONINGFRONTRW
REAR
CITY ZIP SIDE/SIDE STREET RW 1:1SIDEAPPLICAN '
CONTRACTOR AJ C,
ADDRESS
CITY ZIF•' r
SEWAGE
DISPOSAL
11 PUBLIC PMT
Cl PRIVATE SO. FT./ 10O GAL
STATE (
IUC. NUMBER GRADING CU. YDS. EXC. CU YDS FILL
ARCH/ENG/
DESIGNER.
ADDRESS
TYPE SO FT FACTOR PSF ADJ. ABEANALUATION
W
LL 2 /i r
3 , f J = 4CITYZIPTEL.
PROPOSED USE
Z 4
GARAGE
NO. DWEL NO. NO.
UNITS STORIES BEDROOMS
LOT DIMENSIONS
PORCH
m
VALUATIO ADJ. AREA
QUANTITY DESCRIPTION FEENO- OF BLDGS HOW
ON LOT USED
L[ D 0WRACTDRS DECLARATION I hriby oflva that 1 am kMstl rod. powdms of Cww 9 Icamawap
oh Soman TOLD) d Otvrsm 3 d IN Bmawss W hdessms Cc&. W sm Icwr a n tug farts W othcc
WW
All
DiNIKR BLILDER DIaaRATI N 1 heap alarm fhl 1 as aanrt Ina doo"uxM laCa's Low= Lav the felvq
raison Sic 70315 Butn.ss ab Profesams Cal Any tav Or eawty whoa rpura a pwad is twarun.
dar pm. dsrnolsh, or roper wry strv:ara pv m as astaae, doe raae.es M applewl far auto pwnnw
ro ate a ssma statement that he is kmsed psau"t N h prornms of fN Cmrxv's team Law Popta
9 icammwairq with Seaton 10001 of Dwsm 3 at tr Bm.au W Prolaums Codel a tat he is Import tvdhso
W tM bats to the &"eamptan Arty vdatwn d $dare 70315 for a" apkwt fa a p••nw s Awls
IN appkant lo end pmdry d rot me than fwa hWatl aowf Ip50011
01. as parer of Ih papettY, Or NY aaplwyrs nota Ween All oar ser taaPoraaso", will N h .ewb. W
72
0
L
4tvstiatoeisrotinterdtlaoffereefasafeIS*(. 70". Suaasf W Prolassaws Code the CewrKv'o Laser
Low don rot opdy to w owner of prop arty who Wilk a wV .eo thasm, W who drs swh weA hmsdl,
of ttV"h his own erlip"S. povdsd I&M Itrch tapawawso as net PWMW a dMed lar say N, howaa.
IN lanlanq a rrprowrrant n saN wdw am Ha d caasplotm, this hpav-Wan We Kew IN biodw of pap
oat he d,d ret bred Or a Wm to the PrP. of saN 1
I. As oaron of th paperty. as eKkrtwly metaoay with kornad tmoKvs to eanstrun ft p W ISa.
7MA. & vmss and Profestani Code TM Controtmr's Lcwa Law also "a &a* w an away of poi who
aaros or impran them. W who cmtrxte IN SAN pratocn wren I CMIrKvlfl kauoal pauswl a IN CWtrKW's
W"r L'w'
jZ
LEd
CONSTRUCTIO
Cl IA. a sspt wale SK , 8 B PC. IAttacq GeAlaale
Bete D-- . t'1. (( d'
PIAN -RETS
ELECTRIC
PLUMBING
MECHANICAL
NIORKERSCOMPENSATEN 0ECLARAT10c I harp aff— aha I haw a srralaaw of cadet Io;%W yaw, at
a terdcate of tAMbwi CopMtam lastowee. or a craned this, 11i Mae 3100. Lab C.1'
Cooled Cam is hwap hamfad +
Cwtfad cm.2 Lethal with dr &." bioutw Deparwmt Or - • 1 \ OIW cera Q G DING
CERTIFICATE OF EXEMPTION FROM MOKERS' COMPENSATION 11115M Tho avow Yra Idol ba cmVrtd ISS ANC J / C •.• 1
d the perms a Ax ane hurorad ILI001 a his. I nrafy " w are plawaaca d W srrl Ne weaen pea
peat a of . 1 it, 1 rol MINOR with PIMA n am MOW M 83 a bKaaa adtact 10 dw VitKiWl .C?pa"WM
Laws of Cdd net
C 1-
c/ L7aa „ . (
r _LU
W
U-
FEE "
SCHOOL FEES +•` + n^ d`'JIalOTltfTOAICAR, dw aukp as Catfrur d Eaea w Shad bang sudlxt to wrbar•s
Capenrnm aasrns M dr lana Coda. You oat latlansh appy with rah prweoae a panwa std
be oee"ad 1Naktl
WIS1D11 OF IIIDUSFRIAL SAFETY 1'4RAaT CERTIFICATION
1 hap Cady that ro acauatan few ISI a aae foa a depth oro who a peraw is teI Y daKW.
14
Ury ,'I!•7
sop W red. a cm—l- with wok awwvtl by Ow pdm. W dal tobaadp tem. dld&% foYrwrk.
a damobtm or 6sma"6rq dared. will be mere than thrty-tw 1391 Not No. IoM 32. Sap Z. An 1. SK
341. Tete B. CAC)
As wma-k,diw. 1 wd as oarl>r +wawa I. do wart WKah wad rawaa a lawt nae M 0" al
t dusinsl Safety. as acted above, Wiwi rah pare" has a pawn as do sod wart haw On divirw
Drwsm of ViahnW skhty f1a"et NN. TOTAL FEES J
CWSMICTON UkCNC AGENCY: 1 hw* alkrnu thet than q a ts.wtesoa buir MoKY M M porls-ow
of ft "It to whah M poaw is issued ISK. 367. Ci, C.L
L'rdw's Name
Lomas's Adaoa
COMMENTS
CERTIFICATE OF CONKWCE AND AUIIOBIATIM OF jWlIT. I tairsto I Iso nag M aspitaaw and aur
M the aformara pass e . I awn w rsaplp wish M sow kwo W Caw adWra no" M fedaq
d.nstrKboa. W aialww a of 10 Dnrortawl of BJd.y W • apt da prow
b Ah I w Pr d. pepso d a+p .MKra
RECPT NO. PALO 6Y WU.IDATION I ! X
ter .row. d Appkwa 1Ktr
WHITE—Detpertment Copy. YELLOW—Finance Copy. PINK—Asseswr Copy GOLDENROD—Fila Copy, GREEN-- AppYcanb Copy /
t]C1r1rlA I/R4 v
40,1TY OF MMMM BAR
INSPECTION RECORD
r; a.i
77
5P. ` . j
SIFT BA^;, _ i i
t . FGRwiS'STt.E 1_ 1 C f '
FLOJR Je, TS
1 FIIA REMATSi
I LEC TRIC GROUND I j U N'Dr. R F LQQR DUCT
i GROU.' D PL U vING UNDER FL0013130rJUulT
SL AB GRADE FIR1rPLACE FOUNDATION''
T'=rAP rP0V,ER ....... FIRE LACE BOND RRA",1
w._
j t' ATEf? SEtiV1Ci" r MID HT. BOND FGAR - -
ROt)F SI -(i A r HIrdO -
r:1 A'.11WC'a'VC r tILATIOrJ .
I ; 8 FT BOND [SEAN!
I JkL•80,"15
P..O'—) COVEF'i I PRF -GRADING I
ROU -;H 1-11TIW-'i I BENCHING
I F's_;UCaF ELECTRIC ROUGH GRAD[,'-.G
PLUM31NGF_i..._..._...... _......................_._....,..... I i .. _.._.........._..._.: IJISH GRADING. f....--- .---
i ko.'Ei---rUF3 TEST.
r
II POOL ELECTF?IC
FX T. I ATIVSIDirJG Oa -FENO1tiG
fL' aSULITeO.IV
GEtLI,v..:, V,J, u.liTlarf ' !._.. j
PQOLiNAI_
FF SIT -E IMPS,
DI-'sYWAL.L NAILING I s --- I DEDICATIONS
SE`."JER :.: j FINAL ENG.
GSEPTi•TArJKjLANDSCAPE lRRIG-- E
i SCEP PIT/L.L. IrQF!_SITF BAPS.
GAS AIR TEES 1- I I i FINAL
FINAL CONST. -y -----_
ZONING
i FIRE DEPT: FINAL .....
SAL HeAtLNG.' r 1. = 1 HEALTH DEPT. FINAL
FINAL ELECTRIC.' a'- ,,_,.._ t t;. , ' i_ FEES PAID i
FINAL PLUMBINGI ENERGY .... _. ! ... ... ._',
COMMENTS _
SEPTIC TANK SIZE
SEEP PIT/U S17E