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HomeMy WebLinkAbout091 (4) '('' CITY OF DIAMOND BAR PRESS �-'� " DEPARTMENT OF BUILDING AND SAFETY � � BUILDING PERMIT FIRMLY JOBSITE APPLJCATION PERMIT USE ADDRESS 2� 7 aT C r DATE NUMBER Q �� CODE ISSUE TYPE OCC. � APN LOT...r_TRACT DATE � " CONST. GROUP o CROSS STREET SETBACKS m OWNER n4v S f t�U f�oT� ZONING .FRONT � ' /¢,� RW ❑ � � ADDRESS � �2-� �''0. °'�.� CT �^ REAR ❑ W CITY o a-r ZIp9�74 S TEL4f6o 7YoY SIDE/SIDE STR[ET RW ❑ o APPLICANT ob 1 t 4 TEL �y 6 -�� SIDE ❑ : � CONTRACTOR (i a^U� � / S 'z SEWAGE o ADDRESS 19So l7rG� e�r !2� DISPOSAL � �BUC PMT� W CITY Q��s•�o,� (��t✓ ZIP.S/7 G r•TEL7t �' l-�l - - � PRIVATE SC].FT./100 GAL = STATE � y LIC.NUMBER��S/o 2. �—S 3 GRADING ❑ CU.YDS.E>:C. CU YDS FILL y ARCH/ENG/ . � NPE SQ FT FACTUR PS •ADJ. ARE14NALUATION � � DESIGNER �5 p e r n�a•�. W "1 " � • • � ' � ' � o ADDRESS � 2 • . � CITY ZIP TEL. �e -�3 _ ; � f..� , . . . , � . . �, , \,� PROPOSED USE a ` . ' , Z q _ . _ � � � GARAGE x NO.DWEL. NO. NO. . j pORCH �„ UNfTS ST�RIES BEDROOMS s LOT DIMENSIONS ' m VALUATION ADJ.AREA � o NO.OF BLDGS HOW ou.wTirv DESCRI ION FEE � . :. � W ON LOT USED a � U W [L _ ' � '�.',�., •`� � lIG 'SEO LONiBACTOf1S D(CLARATqN.l kre�y dhrm mp I am kenud Ws pwwms el Llupur 9 I�ammrinp �Q wnh Secoon 7p001 0l pvis�on 9 0l E�e Busmes��nd Prolessam tode.�nA my Icm+e u�IuA Iwce md dlect � �� 3 � W � �- O�YNCR-BUILOEH OEQAqATqN I hnehy d hrm IA��I�m�ampt ham�e Lonnecoor'e lcm�a Lnv M Ihe foRew�np � naenn ISec ]071 S.Buvnesa mE Wolesmnf Lode Any ulY a taMY wlxth 1e7uirts�permil la emshul. �C7 o yur.improve.demal�sh.u rtw�r�iry p�unw�.piw to ni nswrce.Yw rpui���the�pp'Kant for wcn qrmn 2 � - tto hk�spned pa�rmem tlut�e is 4en»d Dunwnt ro the pa�sans al tlrc Cmeumr i Limce liw(Uapw.r m s 9 Icommmonq wi�n Sectron 70D010l pvism 3 a1 the Bwmess and Probssions Codel a tAat frt n�nmp�Mndwm � � d �nd�he Easn Iw the�neged e�empuon Am�vid�uon ol Sectan 7071.5 tr��ny�Wl;unt lo�i pemin aaern � x the eppKant�o�crvY pen�itY o�mt mae thm Gn hundred dullar�If50011� - a W � r,�,,, ❑I.a:owner ol 1M papntY.a mY emplqen w�th wiqes�s IAm tdt[omDem+nan.will da IM1e wo�t.�nd the sttuc�me n not immded or ollereA In uk(Set.70.1d,8uynesf�nd Prole�sions Code TA�Cmtncbr'�linnse .Q V lsw dan mt app�y lo m oann o�papeny who dritlf o�mprmn Naem,�nd who does suh wart himu�l, () � ' or Mougn h�s awn�mployees.O�w�Eed Cut sucA improwments ve not intended a ollered M s�k tl,howrver, z . m �he Duiltl�ng a unerovemen�n fok wnhin one Yex ol cmpkum.1M vw�e��builOn w�p Awa IM brdm ol Pwvy Q . y Ih�1 Ae did not hilA p impmx lor Me pur{iox ol pla J �S , h ❑I.u owrrr 0�Ihe proDNly,am Ia4LveM eomrlttmy wiN M[emed eonuxtas b[annrul iM prqen($ec �W � o )OGS,Buvass nd Piolasrom tode ik WnuKtor's license law Eas nat appW m an ew�x�d qoperty who � . . ` a,ae:a�mnw�mKeo�.,�e wm roovuu t«wcn o�a�ecn w�m�co�uxm�w�cMseaa.a+m ro me t�u�eu': 0 �'°�"u''w� CON STRUCTION • � ❑��m uempi weer Se�. ,e.fi PC.IAnxn teru�ium PLAN REVIEW ��,� ��--'�"'�. �.C�/�� '`7��_ e Die °wir ELECTRIC ��'��' • y YAARFNS'COMPEHSA7qN OEQANATION I haehr�Hnm Wt I hm�ae�ohqte ol om�mt W uM�n�ua,a � � . �terM�ute ol Whdai W�qe�s��wn Mwirce.oi�cnel�ed eopy MneM ISec seoo,i,e.e.�_ �� PLUMBING � D a�m�a���n�«nr����•a J MECHANICAL o ❑Ceroled[apr n Lled wiih Iht Buddinp Mspecla�Depr6n�m a Dw�mrm � GRADING Z CEpTIfCATE Of FMEMPT�IJ FROA1 W[FKERS'CdNPENSATIR!PLSUIIAIQ�ihie re[tim need mt M eonpleted ISSUANCE � � il Me pnmit is la on�M1urdred�5100)w kss I urofy M�i n tlu pnlamr¢e of 1M wak la wheh tt�i � 7�� ' .. . y permn y is:uM.I sh�ll mt�npby ury peison in iny w�nrcr so ss m Mcome wbpe�1a tlr Nbrluri Compmitm . . . .. . . .. .. . . CJ � t�:mc�.m�ry, W SMIP �c o � PARK FEE � °a1e `"��'�� u- SCHOOL FEES � NOTCE 70 APPIILAtiT.M.Jur mek�rg tl�s Cerulcee ol Eamption.you�MJA Dxome�ubNct ro�Ae Nkrler't , --� Com�ensenon pmu�ms ol tle L�hai Wh.Ym nu�t IaA�with tanON vn�h uh pneen a an pmm�ihW � 6e deemed moYed. Y .' � pN9d'�OF INOVSfRIAI SAFETY PfRM1T LENiFCATIfJN ' W � ❑I hneCy�er1Ay tlut no erttvnion Fve(5)d man leet in Eepth nN w1iM�persm u rpuiik lo Mscend. ¢ wil 6e made in cm�eclun wM wo't autnitid br Ihs p�rmit.�nA tlut 1a buiWeq tvu[tun.tWbllnp,I��w.ark. . . �- a Aertdmen a divnantluq tkreol.w�I be mon tlun IAvN-u�(381�1 Aqh.fOW 72.Grp Y.An 2.Set - W 331,Ltle 8,t A C 1 � � S � 3 ❑As awn�r�EuiNn.I wil rot mploy rryon�lo h we�4 wluch r,aaA roqw��Mrmt hom IM�veim M - 1--. InA:suul Salny,�s roted�6oH,w�4ss wcfi penan Aas�pmr�it b do fuch w«k from IM/ireien. f W ❑Gwm W Mnnial SkN Permt Na TOTAL FEES 3 �j. (,. � d . � CdISfFIUCfON IFNdNG AiENCY.I Atie6Y a11um Nt IM�q�tonttucvm Y^4Y MM�Y��VrM^^�^« . . . = d Ih waY la rNch W s pemrt i�sfud(S�c.7(L97.GY.G). ..�. lrnder•s wmi COMMENTS m Leder's Add�ess - t fEAf6fAiE Of C01APL�A1[f AMD 011�FOtlZATMMI Oi ENiRY.1 arM'I I MM ruC Ma�OdK�ti�W f�W 1 rn Na�Ce nfam��ron pvm o tanct.I pee ro em�pM Ni�A��rw bws rd eiry rMrca nYrq m bi7irq y co�»�aum �rd.ymor v2�enwvr d tlr D�pru+m d Builwl yd Syty u�nr W^tlr PqrN � M wn iTu�e�0 s •mm kr Ne woose d mMinY i�cnons. � �VY� ' L �� -- . 1 RECPT NO..�P�PAID BY CIC r�T Z VAUDATION�j/ r • �,�a KI d O�M WHITE—Departmen[Copy,VE�LOW—Finance Copy.PINK—Aaseesor Copy,GOLDENFOD—File Copy.GREEN—Applieants Copy . ... .•.5`A•.a.:t".':���p.n..v'!h•���l.li �i:!o"�. /'w�,.:�:����y�•'5,:��..".2.,<1 •�..• .. .. 'qv,n..�•?y.+«.'u- • Ti �:Z+ . ' .. 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