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HomeMy WebLinkAbout1350 (31) ���'"� CITY OF DIAMOND BAR PRESS DEPAR'TMENT OF BUILDING AND SAFETY BUILDING PERMIT FIRMLY JOBSI7E � � . APPUCATION �,,,_2�p PERMIT � SE ADDRESS DATE �J NUMBER CODE � APN LOT TRACT ATE ����-r� CONST. G OUP o CROSS STREET SETBACKS `� OWNER �L►.�S 11'�G✓!� ZONING �'"'a'"E"'S FRONT RW ❑ LL ADDRESS REAR ' ❑ W CITY ZIP�� L. SIDEISIDE STREET RW ❑ o APPLICANT SfiPf/P_ �C1��L. SIDE ' � : 4 CONTRACTOR � SEWAGE o ADDRESS ' ISPOSAL � � PUB� �* w CITY ZIP 7�L ; ❑ PRIVATE SQ.FT./100 GAL = STATE ' � LIC.NUMBER 5 GRADING ❑CU.YDS.EXC. CU YDS FILL N ARCH/ENG/ � NPE SQ F7 FACTUR PS ADJ. AREANAL ATtON �' DESIGNER W � o ADDRESS LL 2 = CITY ZIP TEL. (�j 3 � PROPOSED USE Z 4 ! � � � GARAGE o NO.DWEL. O. NO. y UNITS STORIES�BEDROOMS � PORCH s LOT DIMENSIONS m VALUATION ADJ.AREA o NO.OF BLDGS HOW �UANTfTY DESCRIPTI N FEE W ON LOT USED ¢ � � U ►_— � LCk4SE0 C01lTNACfDRS OECLAAATqN I hrohy dLrm INt I�m ictns�d ude prwision�01 LMpter 9�commancinq 1— ¢ wn�SKnon T0001 0�Uv�san 3 of rte 8usiross and Profess�om Lode.�nd my Ir.ense i�in lup lorte ud dlect W 3 � W ' �+- Q�YNFR BUILCEH MCIARAT10N I hneEy�Ilnm dut 1 wn tampt hom ihe Cmtricmr's Lcense lnv fa tl+e Idbninp Zrcamn�Sec 70315.8us�rcss and Pm4ss�ms tale Any My a tan�y whch rpuirn�pmm�ro construcL (7 � o �i�ei,imp�ov2,demdrsh,p��prr�iry ttructue,pqr W es nsum[t.��w rryu�es tlrc�pplun�Iw fuh pnmd Z /-- lo Lk a Sg��d itaiemem tha�6e is kensed prsuant tn the pwisans ol Me(onbHbr�i LCMSe Law IU�pn m � 91[ommmcmq with Ss[�wn 7C001 0l Qr�s�m S ol tli�Busness�nd Proles�qnt Codel a dui Ae e�m.pi Ihndiom � � d ��A Me Wus lor the�ne�M eempnon 0.M�nlanan al$ecuon]0�15 by,m,a��c.m ra s permn w6ienf � . W th ipplium m�[nJ prnal�y af noi mom Ma Im hurdrtd dolais(55001) a � ❑I.is awrer al Ihe yapelY.a my employees with wagrs n IMr sde tompenunon.wdt do Ihe v.ork,W � ~ Ihe snuiuie a nat�ntenGeO q o11erM ta uk ISee IOAd.Buvness�nC V�ofes�anf[aEe TM Cantrc�or's L[ense q ! V law dces mt�pp�y m�n pwner ol propenY wlq builds or mOrpves Mpem.a�d wla does suc�wo�M Fimsell. (� ' �+ p tivou5�Ms own employees,p�wiON m��tuch mpwemems ue not mieMM u a�lert0 M f�k 11.�oweve�, Z o—'o ihe bwlE�ng a m{+memmi n soW w�IMn ene yer al epmpletwn.IM wrner�huUe.w�l Aa�e Me buden el pevvq Q � mai ne a�a nai w�a a x�o�ove�o�me purpase M s�k I 2 N V� ❑I.n owrcr o1 tFe papeily.am�¢lusrve!y[onuutu�y wn�IKeraeE tmu�ctors m tans�rutt Ik p�qut ISK W a704i.Busircss md Pmkssrons Code ine Conuxtor's lkense l�r.dxs not aR+y ro m owna ol piopen�wAo � i Z budds ai impraaet Mnem,�nd wlw w�trxts lar wc�pra�ecti wiM�tDntrKpp��i�IKmsed pusumt b Mt Cmintla'i � lce�xlrwl CONSTRUC�� I }��7 r �� 0 � ❑I�memmD�undttSec .BfiPL.lpnx�CnufK�tel PLAN REVIEW � °7e °""" ELECTRIC � WORKEAS'COMPENSATION pEClARATION 1 hn�Ey allrm tlut I hrre�«�e1Kik ol emfsnt b fNl�nwe,a � �cnnt�nte oi v��tni eoirqeouua��+w�ne.a�ceutKa cow meea��sec 7eoo.tw C I PLUMBING � ❑troiKeo�vr�:n�.mri�n.n�a J MECHANICAL '' o CamKe eoor�:��iea w�m me&,���q ti�eenm De��m.��a Oeva�mu�� � GRADING W = CfRTIiCATE Of E1(EMPTUN FROM WDflK(RS'Cp.1PENSAT10N INSUFANCF.TMa u[tun�a��e.����a ISSUANCE � d�he penu�is lu one huWed(SI00I a kss I arufy�h�e�n 1Ae perlama+ce et Me rak la whcA 11u� h � r permil is iswcd.I Shall m1 tmpby ury persan in ury m�nm�o if b baomt tuC�at lo h 1WIei Lampenv�m MIP = L�ws of CaLlorna o W FEE 0 0,�� r��,m � � NGTICE TD APVLILAHT.tl.�he�maYinq mis Ceru1K���o1 E�rmpiwn.^(du�MJd becarc wb�ect b ihe Ndkn's SCHOOL FEES � Canpensaeon pwmms ol Ihe lihor Code.you m,W�INTwnA,eo�.p�y,w�lU t�h paann�a tM�pemie du1 4- De deemed�evoted ;';;: ' l:'' i.._:'� - • � K 1 S r- — �- J ' s OIVISqH Oi WOUSfflIHI Sf1fFfT PERMIT CEHTIFCATIUI •� W t� o ❑I hneby fe�uly ilut no eamtnn hve(51 d���1�n Aep1h�! �i pnsan if ipurtl W/ett�nE. {\�Q LA.� �t� /A � wJl 6e mdr n eaxrcUm wiN v.ork�WhorvM per�i,.�nut V�jry ttruttire.tqftd6np,I�uwarY. �']' r � a a EemoNm n dsmmEinp tkimf.wil Ee�tA�}y�tk11761ielC1� (OW 7I.Gry t.Art 2.Sec S��'e '"" '/S N�, � W S61.Lee6.CRC1 , x 3 On:ow�w+a.�.i wAI rot empby rryore la do y�orY.wAeh•rwM Ypuii�{.peiioC`.han h Dir�sm d ' ►_ Insustn�l$�lety.�s roted�6re.unkss 1atR�erfQn Iri�pertM E�la'wc��wor4�Lvm Or dwi+m Q y,I�' n:`^ti�', 7�'.�.•.+� ::i.��1 i �. �„ ❑�:�d��„���ry�����..,._ TOTAL FEES ' � COISTRUCfCN lElN11NG AGENCY I linebr�Ifim NI tlw�p�[aneuttqn kM+q wnry fn M oe+famrin �� = d the wmY fn whih Uns perin�u aasd�See.3097.G.4) �� C � � t.��:x,� COMM[NT5 m t�mer�e nman: � '� CENTRU+TE Of COu�PLUIlCF�NO AUTHONIIATpN Of[tlTRY.1 taHy 1 An�nad tl.�aMs�rd n,r N tl4i N�nipmatm pvtn 6 W�Rt I�n b G9n�pY/WM a1 fY4 IwMf Md Ciiy Rd�rcft�bq b MIIM1q ycan:vu�tm.rd�uihnve a r semaove d tle DArtme�t Salery eo�ee�on Ihe pq.�ry � la wh[�I lwe Iq ��Is prpou X �,,,,�����, �� " a4 � RECPT N0. � ` � PAIO BY �(�� VAUDATION WHITE—Department Copy,YELLOW—Finance Copy.PINK—Assessor Capy,GOIDENROD—File Copy,GREEN—Appticants Copy BS106-11/89 1° . 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