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HomeMy WebLinkAbout125 (11) ---'--___,1,�`�-- --�—,—.`_ ____ _ . - L--_ '"� CITY OF DIAMOND BAR pRESS � � �"� " DEPAR'TMENT OF BUILDING AND SAFETY � BUILDING PERMIT FIRMLY DDRIESS�S� 'Y• r��7��W�UO DA�TE CATION NUMBER CO E ISSUE TYPE OCC. � APN LOT T TRACT DATE t�-' Sf— �°� CONST. Q��T GROUP,�_ o CROSS S�j R�E�ET���- ' �� bN G SETBACKS ���+T� °-' OWNER�tL�SFJ2T"�-,t/l.6t2G�� � /c/.$'S FRONT RW ❑ o ADDRESS�SZI'/V.FE/�'�/rl�i�w�� +a/Z R� ❑ W CITY�/�'"�o'�/� a��ZIP %�TELF��d -�9S SIDE/SIDE STR ET �/Q RW � o APPLICANT TEL. SIDE ❑ x ` CONTRACTOR "-�''< <'' "' SEWAGE o ADDRESS DISPOSAL O PUBLIC PMT� � W CITY ZIP •TEL. � PRIVATE Sa.FT./100 GAL z STATE GRADING, ❑ CU.YDS.EXC. CU YDS FILL N LIC.NUMBER y ARCH/ENG/ � TYPE SQ FT FACinH PS ADJ. AREANALUATION � ¢ DESIGNER W 1 a ADDRESS � 2. = CITY ZIP TEL. � 3 � PROPOSED USE z 4 � � GARAGE ' � o NO.DWEL. NO. NO. y UNITS STORIES BEDROOMS m PaRCN • s LOT DIMENSIONS VALUATION ADJ.AREA � o NO.OF BLDGS HOW ou�wr►rY DESCRIPTION FEE W ON LOT USED q � �ra„� �. r�� ' $oe ¢ � U W V � ~ LILENSEO LOHTflACfORS pECIAflATqN I hrtEy dlrtm mat I�m kms[d unde piovisions 01 Llupttr 9(cmmencinp G t ab_ � Y wnh Scmn 70001 al pvis�on 3 0l iM Bu:inest and Frdesswns CaM.W Ty lemee u n hG Iwte�nA�Nect W � (a J yu. w _ � UYNER&11LOEB DECLABATCN I huebY+�Lrm tlut I�m oemp�6om the Contruta't ltenu lsw Iw dw Idlawmp Z roason(Sec 70]I 5.Busmns Md Prolesfons Code Any e�ty a canry wM1ch reQwns�permn b eonsvuct. (� o Nur,impiwe,Oemd�s�,a rcpar�iry strutue,par W ni nwen[e,dso ropu■�s Ne�ppkmt id wch pmm� Z � lo Lk�sqned ttaiement tlut te n kensed prsuani n Me poVivons d�he Cmoxta'�lkeroe l�w rcMp�n m � 9(canmennnq w�th Sect�on T0001 0l Pvisron 3 d Ne&nine:f�rd P�olenqnf CoEel a tlut he b tnmpt�hnalrom � . � �M Ine bavs lar Ne aneped�mnpnon A�ry vd�iwn d Sanon 70�iS Oy�rry�ppqum lo��perml u.0�ectt � '� ��oq�anl ro+�N�l penNtv ol roi mo�e th�n Irv�hu�red Odlxs If50011 � J W a � � ❑I,as owrcr ol ihe poper�y,n my wnployeef wnh wspee�s Mnr fde eompenuian,wJl do the woA,and ihe:tructure rs not imenAed or olfered fp�ale ISec.70d4.Buvrcss�n0 Rofessm�CaCe ih�Cmtncla's Lanse Q V l�w daf rot�OOM�u m aaier DI piopeny wla EudEs p inDroves Tdeon.�ik w�o Ooes ivt�wak Mmull. � . ' d tlrough his awn emplv�tes.povqed Ihat arzh ma���u.�a n�e�e�e a ou.Re ra sale 11.�owever, 2 m ihe CuJd�ng w mprowmem is mld w�Mn one yer ol ed�pinan,Ue e.vner�puildei w�A hne IM brden ol pro.rq Q , y ihat he A�d nm bwld p inpwe fur Ihe pmpose of i�4� -_ y ❑I.u owrc�d ihe t.am aclus� eontrai plO�Nt ISK. �UjJ . papei� h ny wiN kmsed tonuxtas m ansnut Ik ' 0 70a4.Buvness�M Piolessiont CoG The LonuKmr't LKmtt Uw doet noi�poM m+n�wner of popenY wha � . , ` Ewlds w�mpiwes IMem.and wlw tontrecg lo'such pra�ettt with 1[onl��cb��fl Ycenfed pr�wnl b Mt Cmuiclor's � �"`""�"� CONSTRUCTION ' � ❑� PLAN REVIEW I�m�.empt uMn Sec - �Attxq rolunel. = °ai °'""° � ELECTRIC P e.+�,:7' Fee 13. e o � � WORNFRS'CpMI'ENSATqN DEQARAiION I hnebr�Nnm N�t 1 hn:e�terelK�te ol emunt to sNl insue,a . +oem6n�e ol Nb��ns'Co�ensaiu�hsuraaa,ar�mn�Kd wpy tnneallSee 1800,b�C1� • PLUMBING � ❑Cao�Kd copy is AaeEy lum�s�ed J MECHANICAL o ❑ee�ni■e covy�:t�ka w�m me a,�a��m�cino oeo,�mum a oArn�.m. Q GRADING A�� � W {� � LEIttIFtATE OF f11EMPTqN FPU.1 N'pIKCpS'COMPFNSATION PISUHAN(I Th�s u[non need rol M earok�ed i�i �SSUANCE y 1 the permit is la�ene Aundred(SI00)a kss I a�u1y Mat in Me perlormx�te ol Ihe wa4 br whcA thi� � peim�t iz usued.1 shil rot empbr a�ry permn in yry m�nrci w��W Ee�ome p�b�nt lo M Nbhni Conpensatm SMIP • �. ' •_.. � s Law�ol CMdornw W o m�� a„b���� w PARK FEE -�}(,�V�v�1�,� . � NOTILE TO APPIICAM.M,�fur maYinq Ws CerhlKile d Fampvan,yau�hould kcome�c�n ihe NMtn's LL SCNOOL FEES Cmqenunon prwiumi al tne l�Da Loae.rau mm1 lathw�mrpy witli tucA pwitms a tlut pemq�h�ll � . ' . . � he deemed ievokM .' ¢ pVISIpJ Oi WWSIRUU SAFETY PERMR CEAMCATp)7 . CIT � �:y��• W V . p ❑I Aerebr�ertdy Mai ro�wratqn Irve(51 a ma�h�l in dep�h inb whsh�prsm u�quud m dncmd. � wit G m�Ee n�onnenm wnh woil wttauW try Na prmq.W IMt no lu�duip ttru[tv�.tnllel6np,labewuk. , , a dmw4tm a drsm�ntlnq threol.wil Ee mora Cw thrry-u:1781���qh (duv 3I.G�p t.M 7.Sec � W� 171.LWB.CAC� ' ' _ � 3 ❑As owi��6udder.I wd rot�mploy rryone lo do wnk whch wouN�equn�prm�han tla Orisun N . H Induniul$a1NY.�s roted�ho�w.wksf wch perfun Iu��Perm�m do wch work hom h In6ion. � ' W ❑°"'���°�,"°�s''`"�'""�� TOTAL FEES � .�.o � � LWSTRIICTON 1EN01NG A,�'iENLY.I h�nbv dlmm M�tlw�b a cansucmn Mn/+q pmry br th.prlam�nte - . 7e o1 Ihe worl la whch 1hq perm�i�esud�S�c.3097,Gv,4) � lender's A4me � . • m t.�der'.neertes COMMENTS__�o�.filie., o� 1�4�.r 1QCeCdli�t�l. � CENTIFfJITE Oi Cp�vIIANCE ANO AUIHOItlZAiO+OF ENiRY 1 eeMy I M.�nN tl�e�ppGotr,rd n�r N A�t VR MiIpIMIq��S�q CUIKI.I w ro cmp1�wM W suo I�ws m1 inp Mdxwca�Nrq lo Wtl�rq - � �, cros��ucuo�. a wmo�w�npe�. .eve tlr O�Prnwnt d Bu�i9 rd S�MY b�nw Wm tlr MoprW � ta wncn e od ator Au mn M�he re o1�.ruq iaoaeau. �/-� � 9 ��J��� � Sqn+tue d ��a�p�m p�� RECPT NO.�_�1_Sl1 iG�PAID BY / VAUDATION� WHITE—Oepartment Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applieanls Copy `�1� � \�. .. . . . _... . ^ `� .,Y i �.,. / . . � ' . . ' . � . . � . . • / . . ... 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