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HomeMy WebLinkAbout1152 -- -- ---- -- —�—_ , _. - _. . . __ . .. , '('` CITY OF DIAMOND BAR pRESS `,, '•�"� DEPARTMENT OF BUILDING AND SAFETY w BUILDING PERMIT FIRMLY JOBSITE . , APPLICATION PERMIT SE ADDRESS r � DA7E NUMBER_���� �CCCODE ISSUE ��� �y'1 TYPE � APN LO TRACT DATE !« CONST. GROUP o CROSS ST EET ZONING SETBACKS '�"E"'S °' OWNER �O�`�T � ❑ � ADDRESS �� REAR ❑ W CITY ZIP TEL 7C� SIDE/SIDE STREET RW ❑ o APPLICANT TEL. � 3 SIDE ❑ z 4 CONTRACTOFi SEWAGE ^� ,,, , ❑ PUBUC PMT� o ADD S � � DISPOSALc .,. ,'�;�� �,[] pRIVATE�• ��, S�.FT./100GAL W CITY ZIF��2 TE z STA E — � ,. y LIC.NUMBER — GRADING .'••.p.CU.YDS.EXC.�" • CU YDS FILL y ARCH/ENG/ � NPE SQ FT FACTnR PS ADJ. AREANALUATION � DESIGNER � W � � ADDRESS ���'--- lL 2 = CITY ZI�'�-- 'FEL. (�} 3 � PROPO USE 4 � / ' G AGE o NO.DWEL. NO. N • � PORCH y UNITS STORIES BEDROOMS � LOT DIMENSIONS m VALUATION ADJ.AREA o NO.OF BLDGS HOW Q�ANTmr DESCRIPTION ,. � . FEE •- W ONLOT USED Q � s U ~ ❑ � LICENSED COrJiRACTONS CECLARA1qN I hereby�Hum tlut 1�m kmsed udes pwwms el tlu01u 9ltwnnencinp � wnh Secuan 70001 of PY�son�ol IM Bus�ness nd Prolos��ms Coda.��d mY IKense n in IuA loice rd Nlect W . 3 � W �- O.YNEN BULDER C[Q1INATDN I herrCy dhrm Rwt I�m aempi liom�he Contrxro�'t ltenx lnv lo�th�Mbwmp reason ISec 70715.6u�mess and Pioless�ont LoCe Am nry or coumy wncn nquna�pmm�m anfva�. C7 o �lier wnp�we,demdrsh,a rps�am/��utlue,p�a ta ns ntwrc4 dso�pu+�s IAe apphr�nt lo�fuch permil Z � to lik�sqneA»atemenl Ih�t he u IKenua prswn�b the pwiuons 01 M!CMbi[bl t LK��SI Liw�Chipin m s 9 Icommennng with Secuon 700010l Phsion J M tl�e Busirctt md Proles�rona Lodel a tlut hs i�tnmpt fierdrom � d rd Me bas�s lar�he�tlryed aemptron Anr riW�uan al Sm�un 10715 h��v�oo�u�m la�pamn wqens � W the�pp�r.mt ro�crvi pmaity ol noi mow dan In�hundreC doiUn�5500��. a � ❑I,�s owrei 01 rt¢propeny.a my emplv�tts witn weqes�s Ihert sok�ompenanon,wiN Oo tM woh and ~ th suuwre a no�mimdrd or o11nM Ip sile ISet]074.8usme:f�M Pmless�ons CaCe TAe Cmu�cta't�nnse Q V taw d«:ml app�Y 10�n ownr ol popeny who builds a mpwes Ihe�em.�nd wla das su��wark Mmsell. (1 W a throuyh�is onn enDlorees.porded Ih�t wch mpovemenls re nat interded a ollertd fo�sak II.MMe�er. Z _ �he Cmb�nA or unpwemert n wiA wn�m one yer ol compnwn.tk owner�W�lde wal hr.e the budm al pevinp Q N dut he A�d rot hmN a xrorave tor Ihe purpose of f�k 1 U sn ❑i a�owner ol tl�e qapenv.�n�Y,snety rnnuxuny wnn 4cemed tontrxtus m wns�ru�t tAe yoie[t ISec W 767a.Buvr<ss�M Pmlesswn�Code ik Conuxtoi t lkenu lnv Eaes rot�ppiy�o m oanr ol popniy who � Z Wdas o�impwes Nneon.�nd who owtr�as Iw sucn proiect�wnh�cmvxmqsl Mcen�ed pusmm m Ne Canu�ctu's t LCe^u�„+'� CONSTRUCTION � 0 •.• ❑1�m e¢mpt uMe Sa .8 6 PL,IM1�Ixh Cuule�rcl �EW � e °�'° °wne ELECTRIC � N9RxEA5'COb'MNSATqN DELIANAT1011 I hcrcby.ri.m ihat I hm,�eiKn.vi e�«��m ull-mwe,a pLUMBiNG �cen�l�c�ie ol Nbikes'tompens��wn Insuance,a a enUhM eopy ihneA ISe[3H00,la6 CI a �c«m��a�oor�sn��mri��snee J MECHANICAL o ❑CernIKA capy�s liled with Ihe Bwldinq Inspectwn Depa�tm�nt a Oepxmenl Q Cj W � = CEHTiFIUTE OF E%EMPIqN FHOM WOHNFRS'CON.PENSATIq1 p!$UMN[F Th�s uceon nerd no�b�ompkeed ISSUANCE � d 7Me peimii�S tor one AundieE(SI001 a kss 1 entdY tlu�in tl�e polo�manie ot tlu wak la wluch I�n y peimn is nsueA.I stull rot empby son .my.,iraiw'.So Is to hetomt 3ublKt b Ik Y1t�lnf"Lanpens�uon = L�we al Ca�Rnnu �� � ��i�� j) � Oaie " �"''+.MV.�n�1 W EE � �- SCHOOL FEES W IATICE 70 APftICANT M,il�ei ma��np�h��teulcme ol faemDm^.ya sMild 6rcome wERct m�he Wakei t � = Lompensatan qov�sans of Me labor LoEe.�ou mm1 lorthw�+somply vnth wch qmsnm a T�s permn�h�l � o�a«�a re�ot�a ��� ., ,nnn s qV19W OF WOUSiR1AL SAFRk iENAAIT CERTIFUlTqN'vv.i W o- ❑I�ereEy�Mdy tlu1 no�.cmton hve(SI a mae leel m dqth nlo whch a qrsm u fpwred ta dHCMd. ¢ wd De ma4 n emne[in�wim waY ju�hpitfd.,0�tliu qima.,rd tlu1 m�dmy�vuctu�.�qlloldin4 Ia�sewa4. d a 0emo�t:nn a 6sm��np�hefeo/Fnt D�,mare.Wo.biary r�(]61��'�SA I�+V 7I.Gry t.M 2,Sec Z 741.LtkB.CAC1. °'�:" � ^"•'J _ �iii...�JIC;�.'•. h..� :.�:.i'�I 3 ❑as owrc�n�aae�,i wdl ro��mpby anyoM Io do wo�4 whah would nqure�ynmt hom tlis pwm�f ►— InAisuyl S�letY.+:mted�6ove.unkss wch lenon lus�permt b Eo san warM hom Itr dnisan � W ❑Rwsm d Ydurnul S+1ety Permit No � CONSTRUCfqN IfNDNG AGENLY I hne6y dfin tlut Uen u�eomtrucoon kM+p pmty br tlie prbrmnn TOTAL FEES 2 d the wo�4 In wMch Un prrmit e nwed(Sec.�((L'17.Gv L 1. � lwdw i Name COMMENTS m LenAn's Pddress � f�HTRIUITE Of LOMRIANCE AND AUTFIOPIZATDI OF ENTRY I�rMy I/uve nM C:�pdrnm rN rtw tn Itut Me nlam�tpn prven s ta�ecl spre�ta[o�q�y wM�II fbb 4wf��d tiry adivrca n�l+q In biiMnp ytmsiruciwn.and auCa�ve� u o1 tM Dprtrcnt d Bwl6rq�nd SaMy b�nw uyon M poprry = b wn� ve�DNeA tQr Rus 0 ■ h pW W�wkiry inspecuonA F-- a ,�� d nw�sr�a nw�� a RECPT NO. �PAID BY VAUDATION l WHITE—Department Copy,YELLOW—Finanee Copy.PINK—Aasessor Copy,GOLDENROD—File Copy.GREEN—Applicanb Copy ''`•'� :'%"` `�.«s'� ".S''. - ,. , - `;r`•� .;�,',' .,.: .,7"sA,,..- , ,''• . w�'_,'�. ,.a,. . .k:�"'� '' , �" '' ' . ., . .�,•. 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