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HomeMy WebLinkAbout1235 % _ ... . , � � CITY OF DIAMOND BAR DEPARTMENT OF BUILDING AND SAFETY PRESS BUILDING PERMIT FIRMLY JOBSITE �U� y�� D 1�����r�I. APPLICATION � PERMfT 3E ADORESS � 1� � DATE 1��� �-NUMBER�_CODE ISSUE .. „�—���l�,� TYPE OCC. � APN LOT TRqCT DATE � � CONSL GROUP o CRO�C CTRGFT � C �S I /'1� ZONING SETBACKS '�'E"'S OD OWNER - FRONT RW ❑ o ADDRE �" E REAR ❑ W CITY -- QZIP g �_ SIDE/SIDE STREET RW ❑ o APPLICANT T� �E13�� SIDE ❑ : 6 CONTRACTOR SEWAGE � pUgLIC pMf� o ADDRESS O G L .� DISPOSAL ❑ pRNATE SQ.FT./100 GAL W CITY �C a Zp !o�f TEL S� d I a UC.NUMBER t�/ �32� y3 o GRADING ❑CU.YDS.EXC. CU YDS FILL y ARCH/ENG/ � � NPE S(] FT FACTt�R PS AOJ. AREANALUATION ` � DESIGNER �- r W � � + O o ADDRESS LL. 2 z CITY�'��n.;,�1��ZIP V T� 3 W � A o PROPOSED USE � �, � GARAGE o NO.DWEL NO. NO. y UNITS STORIES BEDROOMS PORCH � LOT DIMENSIONS � VALUATION � ADJ.AREA o NO.OF BLDGS HOW o��►�� DES IPTION ' �: FEE' - W ON LOT USED Q � � U � ~ ❑ � ICEHSED CON1flACTq15 OECLANATCN I k�e6y d6rm Ihat I�m 4c�nud u�de�p1eriLm�al CApw 9 Itomr�irp � � Y W�II SK0011 70001 a av�aon J ot roe Buarcss��d Profes:wns Cade.ud my Irm�e y in lul k¢e�nd ellat W c 3 W .. ,. . � -'�`•.- t� � a ER BUILDEN D[CIAHATDN I AeieEy dfiim tl��l I rn eump�hom Uie Lonv�cmr's lRenu lnv lor E��1dWwinp ,. Z rc�sen�kc 10315.Buemess and Rolessbns Code Am�ury a tantY whic�rpunes�permi to tmstrucl, �C7 I•.,� • o alter,impove,demohsh,a npr�any n�atu�,pio�ta iis usuance,dso�pun�s Ne�pplicanf lar ueh oermd �2 , , , , Q to hie a spned�u�emeni�hrt ha n kmsed pv3wm b Me prwiswns o1 tAe Lmexmr's lkeme L�w�Ch�pta m ee 9(cdnmennnq wn�Se[non 700010l pvision 3 0l tl�e 8usin�fs iM Professiom Code)a M�t he ia�mryt thaetrom � o., and fie Wvs lur Me il4qed vempLon AM�����ol Sa6M 1031.5 bY!�y�pplK�n��p�peim�fWle[is � �"'� ihe aD7��cam�a�eiv�penalty ol no�mo�e Nan irv�hurdred dollus If50011: J .., a � ❑I.�s owner ol Me p�openY.a m'/�^doY�es wi�h wpes�s Men�ok conqm�anan.wil da qie wark.W � �he st�arore is mt intmdrd ar o11erM Fa taie ISec.IOna.Business�nd Piolessbns Cade Tn�Lmtrcror's Licrose Q G �O v l�w does roi�pplY�a an owner ol popeny wM EuiNc or impam�hnem.�nd who das suth wdk Mmmif. .U �++ p�houqn his own ertployees,pmded Ihat such imp�ovemenis ue not in�endM a oll�nd fur fde II.�owevei. �Z ' m the bwlC�ng a impiovemmt ie toid wi�hin me yea ot compkt�m.the ownsrbu�ldn wip hm Me Wden ol pevi�p Q � th�1 he did rot hmW a imrywe la Te W�u al f�lt 1 � h rn ❑I.i:o.vnr ol Me D��nY.m eaYuneM eanti�cuny w�tA IcroseO[onlrxta�b eanstruct Ihe pqect ISec W O 7MW.Bus�ness�M Nolesuans Code ine Conv�na's license lwv doei not apply m n awnn el paperlY who � Z6 budds n Mqiwes Unem.and who contr�ct�la s�h pm�ecis with a tmb�ctorlsl Ycensed Pu�umt ro Me Cmlrueor'f 1 �K��u�i STRUCTION � 0 "' ❑I im uemp�undv Sce. .B,6 P.L.Wn:h G�Gla�iel. L.AN �EW 0 0+« °wne1 LECTR C '� � �O � VAflKEflS'COMPENSATDN DECIARATIW I hneby�ffirm thn I hm�cnufinte d tmseni to sd��wue,or .' PLUM ING �teni ol WoiYni Compens�tion Insu�rc�,o��enufied eopY Ihned(Sa.3800.l+h.C.) � ICA �`` = CnnteU eopy is Aereby lurrished. -' � � �,� <v t o ❑Cnolyd eopy rs Lkd with the Buwdrq Msoectian Devrtmem a DroNm�m � GRADING W /�1 Z CEi176CaTE OF El[fMPTIDN FROM YVOAK(RS'COMPENSATION NSURANCE.Thn secuon need rot Ee tomyetM ISS CE � G° A Me perm�is la a�e hurdred(f 100)�4sf.1 nro�y Cut n�he loimarite of tlr k whih the N perml is iswed.I Ihall rol empby Yry peison in�ny m/nrcr so Is wb�at b Cmpensation �p o �""'°��'� "' PARK FEE � � ` W � °ae ^ ^ ��'"� u- SCHOOL FEES "' WTI� 0 APPIICANT.M.tlter rtuYi/q Nie laulkne ol on,ya shald It e at t�he Nh+ter't � Cdnpenunm ymiyms o1 dr l�ha Code.you�nusl la 4D,"p11;Ati\'IA suth Mwisions p INf D�rme ff�M � 6c Ittmed revo4ed � f�:'.'. . F i� �.) � � OMS�11 Of INOUSfBUL SAfE7Y PFRMIT CEflT1FILR)bi��?—'F:�ti��✓' W � � ❑I AoMy«ndy�h��no e.uvnian live(51 a���in depth uto wfiKh�yenm i�rpunl to d�uad. � wil h mde n emnecuan witli wort�utAa'utd 6Y tlwt permn.W IMI ro Euid+y imrtvt f[711dAinq.IYtnwrt, a dnnolnwn a d�unr�t�nq�hneal,w11 Ee motn'tlun��ry�}y 1x��hA�t�n-la�v 72.Gm�.An 2.Sec W xt.tm�a.c.A.t� �uL �1 I��J s 3 ❑Ai ownr�Dulder.I w�A na�mpby anyoK to Io wat wM1i�h wouN nGun���m wan M Di�ision N � . r 6Musvid S+kty.u mted�hove.unkss wch Onsm M��pnmt m do peh wak/.Iran tl�a��on . ^��' �:c' ✓::,\lr:'i' 'i V W ❑OmSionO�MuSi141$illfyPMmIN►.� Y - � •'"� TOTAL FEES � '' casrxurra+uNox+c accxcY:i n.�a'.rs�.•e,raa�n.'�m�o�r�,q.cr�w�.a�.rc. Z A tlr wak fa wh[h tl�s permt it uwd(See 9097,Civ.C.1. /� ' � ���� COMMENTS ��' "1�'��ZC.� � i.,a�r,aea�es: m � amuuT¢a ca�w�cc uro xur�ouznro�a[wmr i�«ay i n.�,..i u��.ar+=,M.�e n,r v� tlwt tlr inlum�non pvm i��aien.1 qee �dY welM M sud M.��nd ie7 wdir+nca nYuq lo Ail:q y �onsuumn.rd�unwv�i Rpesem Nt Dprmwn d BuiY+M rd 5+1eq'm ww w�^!+P�h . . � b,� ��w ���.r►.�:��,. y.� , � ���/ �u ni a�� �/ ar , RECPT NO..,u1��PAID BY���O VAUDATION WHITE—Department Copy.YELLOW—Finanee Copy,PINK—Assesaoi Copy,GOLDENROD—Fla Copy,GREEN—Applieanb Copy BS10S11/89 . . . . . '. .. . . , ' ' .• . . . -.. . I . , . . 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