HomeMy WebLinkAbout5343 (31)CITY 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
QUANT- DESCRIPTION FEENO- OF BLDGS HOW
ON LOT USED
L[ D 0WRACTDRS DECLARATION I hreay oflva that 1 am kMstl real. powdms of Cww 9 Icamawap
oh Soman TOLD) d Otyrsm 3 d IN Bmawss W hdessms Cc&. W son Icwr a n tug farts W othcc
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All
DiNIKR BLILDER DICIARATI N 1 heap alarm fhl 1 as aanrt Ina do C-txbr's Low= Lav M lathefelvq
reason Sic 70315 Butnans ab Profestans Cal Any tav Or carry whoa rpura a pwad is tmarun.
dar pm. dsrnolsh, or roper &W strv:ara pv m as asuaae, doe raae.es M applewl far auto pwnnw
ro ate a ssma statement that he is kmsed puau"t N h prornms of fN Cmrxv's team Law Popo
9 icammwairq with Seaton 10001 of Dws- 3 at tr Bm.au W Prolaums Codel a tat he is Imrrt tvdhso
W tM bats to the &"aamptan Arty vdatwn d Siabon 70315 for a" apkad fa a p••nu sAwis
IN appkant loa end pmdry d rot me the fwa hnatl adwf Ip50011
I. as awror of Ih popwtY. Or "Y aaplplaes nota WSW All thIa sell coapaell ", will N h real. W
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4tvsuutaeisrotinterdtlaoffereefasafeIS*(. 70u. Suaasf W Prolass-s Code the CewrKv'o Laser
Low don rot opdy to n owner of prop arty who Wilk a wV .eo thasm, W who drs swh weA hmsd,
of ttV"h his own erlip"S. poydsd I&M Itrch tapawawso as net PWMW a dMed lar saft N, howaa.
t o t"alap arrrprow"sent n saN w w an Ha d caasplotm, this ulap"v-hs We Kew IN buds" of pap
oat he d,d ret bed Or a Wm to the PrP. of saN 1
I. As owron of th paperty. as eKkrtwly metaoay with kornad tnoKvf to eanllrun ft p W ISa.
7MA. &rtrass and Profestani Code TM Controtmr's LcwK Law also "a &a* w an away of poi who
buWs or impran them. W who coarxts IN SAN proNCtl wen I CmirKvlfl kauoal pawns a IN Cmtxta's
W"r L'w'
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LEd
CONSTRUCTIO
Cl IA. a mnpt urea SK , 8 B PC. IAttacq GeAlaale
Bete D-- . t'1. (( d'
PIAN -REV
ELECTRIC
PLUMBING
TICALMECHANICAL
NIORKERSCOMPENSATEN 0ECLARAT10c I harp aff— aha I haw a srralaaw of cadet IoLlde.aw, at
a terdcate of tAMfwi CopMtam lasrawee. or a craned this, dread Mae 3100. Lab C.1'
Cooled Calm is hwap h.Moil +mayiI
Cwtfad cm.2 Lethal with dr Il." bioutw DMww-t Or - • 1 \ OIW cera Q G DING
CERTIFICATE OF EXEMPTION FROM MOKERS' COMPENSATION 11115M Tho aKew Yrs Idol ba cmVrtd ISS ANC J / C •.• 1
d the perms a Ax am hurorad IFI001 a his. I nrafy " w are phaimaca d W srrl Ate weten pea
peat a of . 1 it, 1 rol Milroy with PIMA n am MOW M 83 a bKaaa DAMO 10 dw VitKiW1'.C?pa"WM
Laws of Cdd na 1,t ' j', i t, W
U-
FEE '`
SCHOOL FEES •` + n^ d`'JIgTltfTOAICsR, af- "akp as Catfrcae d Farren, w Shedd bwnta aJlxt a Vulrbar's
Capenrnn awns M dr lana Codi, you oat latlansh to'M+Y with rah prowooae a pea" std
be oee"ad rNaktl
WIS1D11 OF IIIDUSFRIAL SAFETY 1'4RAaT CERTIFICATION
1 hap Cady that ro acauatn few ISI a aae foa a depth oro who a peraw is teI Y daKW.
14
Ury ,'I!•7
sop ba red. a connect- with work atrwvtl p Ow p m. W dal tobohlirl ~m. tedld&% foYrwrk.
a daaohtm or 6sma"6rq dared. will be ove ran rlrtpsw 1391 Not No. IoM 32. Sap Z. An 1. SK
341. Tete B. CAC)
As wma-k,diw. 1 wd as Barth +wawa I. do wart WKah eeaM rawwa a laws nae M 0" al
tMmtssl Safety. as acted above, Wiwi rah pre" has a pawn as do sod wet haw On divirw
Drwsm of Viahnim skhty f+a".t NN. TOTAL FEES J
CWSTRl1CTON UkCNC AGENCY: 1 hw* aftna thet than q a tsewteooa burr Ware, M M porls-ow
of ft "It to whah M pons is issued ISK. 367. Ci, C.L
Lardw's Most
Leach's Adaoa
COMMENTS
CERTIFICATE OF CONKWCE AND AU1101IATIM OF ENTIIT. I tairsto I Iso Mud M aspitaaar ad mer
M the afermara pass e . I awn w rseplp wish d saw kwo W Caw adWra no" M bale"
construceea. W aialww a of 10 Dnrortewl of BJd.y W • apo" da prow
b Ah I w Pr d. fry d a+p .MKua
RECPT NO. PALO 6Y WU.IDATION I ! X
Sp.rra d Appkwa 1Ktr
WHITE—Derpertment Copy. YELLOW—Finance Copy. PINK—Asseswr Copy GOLDENROD—Fila Copy, GREEN-- AppYcanb Copy /
MQl nrlA I/R4 v
C1TY OF MMMM BAR
INSPECTION RECORD
bz ho ,
S, T BA^;, _ i i
t . FORrviS'STt.E 1_ I C f '
FLOJR Je, TS
1 MA RE 01 -ATSi
ELECT F?IC;F?OUrJ17 t j Ur,Df.n F- R DUCT
i GROU,vD PLUMBING - UNDER FI-0013130N_DUIT
SLAB GRADE FIRFrPLACE FOUNDATION''
T=rAP P0'v';ER ....... f FIREF LACE BOND f?f"A",1
j - ATEf? SEF?V1C r MID HT. BOND FGAR — —
R:'i FSt(iArHIrJG -
r:F r.'.11WC'a'VE rJIILATIOrJ
I ;$FT BOND BEAM
I JkL•80rJ0 BEAM
F?O7F" COVER I PRF -GRADING I
F?L}U ;Fi FiEf TIW-'i I DENCHING
I F's_;tJC:kF EI_EC'IF?I it ROUGH GRADU•:G
FSCUGH PLUP.i3I'JG 1 i 1l FINISfI GRADING i —
i ;HQ`vW-:Fl-7UB TESD I(POOL ELECTF?IC
F .XT. 1 ATIV'SIDING iI. POOtiGFEN1 ^
IrJSULlir:o,y
CEILI,v.:, IiJ t1E.liTlQrf ' ! ._.. j
PQOLiNal_
FF SITE IMPS,
LFsYIh'AL.L NAILING I DEG_I_CATIJNS
SE."JER
f:..
FINAL ENG.
SEPTIC TANK j LArJDSCAPE
i SCEP PIT/L.L. ON SITE IMPS.
GAS AIF? TEES 1- I i FINAL ZONING
FI"JAS.. CONST. :: - .- -_--. I. FIRE DEPT: FINAL
FE NAL HEXI ING .''.r HEALTH DEPT. FINAL -----
FI"JAL ELECTRIC.' j ?5.
t 1 _DEV.FEES PAID
FINAL PLUMBING 4. 1 ... _'. i ENERGY
COMMENTS _
SEPTIC TANK SIZE
SEEF' PIT/U S17E