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HomeMy WebLinkAbout1036(A) �. . . . - ��- ----- -----------.. ... __. ........_ . � ' `� '"� � CITY OF DIAMOND BAR � pRESS `.�_�-�" " OEPARTMENT OF BUILDING AND SAFETY -- BUILDING PERMIT FIRM Y JOBSITE � DAP EJCAl10N —N�R / �QS�E r ADDRESS ISSUE �'��J1 TYPE OCC. � APN LOT TRACT DATE �ILJ K.J CONST. GROUP o CROSS ST T ZONING SETBACKS ��� °° OWNER FRONT RW ❑ � ADDRESS REAR ❑ W CITY ZIP TEL. SIDElSIDE STREET RW ❑ o APPUCANT TEL. SIDE ❑ z a CONTRACTOR SEWAGE o ADDR O PUBUC PMT�" SPOSAL ❑ pRIVATE SQ.FT./100 GAL W CITY ZIP TEL z STATE y LIC.NUMBER GRADING ❑ CU.YDS.EXC. CU YOS FILL y ARCH/ENG/ � TYPE Q FT CTOR P ADJ. AREANALUATION v' DESIGNER W � o ADDRESS � 2 = CITY ZIP TEL � 3 � PR�POSED USE '~ � Z 4 � GARAGE = NO.DWEL. NO. NO. � pORCH �„ UNITS STORIES BEDROOMS m � LOT DIMENSIONS VALUATION ' ADJ.AREA o NO.OF BLDGS HOW QUAWTRY DESCRIPTION FEE ' W ON LOT USED Q � WO � � LILENSED CO�THACTORS OEQANATION 1 AereDY�����m IM1 I�m kmttA undn pwns�ons ol LA�Dier 91[anmmnrp l- ¢ wnh Secuon 70p0�ot Orv�s�on i d Me Busmess�nd P�ofessnn:tade.�nd irry lenee a in luli force�nd dlect. W � ❑ W LL QtYNER BUIIDER DECLANATION I Ae�ehy slLim th�i 1 rn eemp�hpn�he Contr�tm�'�ltenu Lnv lo��M1e Mb.vrtp Z rnwn(Stt ]0115.Bus�rTss anA Prolesmns Cade Any m�or ewnry whKh reqm�a�pmm�m amsxat (7 o altn wnpove,Cemdish,a re0����M n�u[1ve,par Oo�s nswntt.Nso�pures Ihe�ppk�nl lor su[h per�nit Z Q to hle a vgned�taiement Ihi�he is Irensed purswn�m thr prm,�vont ol be Contr�cbr'i lcense liw(th�p�h m � 9lcommmnng wnn SeoUon)000)al O�s�on]d Me Basness�nL Pmfcss�ons Codq a tl�+t Ae�f nempt tlwehom � a. and me O+s�s lar�he�peqe0 nemD�an AM vid+non d Sectan 7011 5 hy xry�ppieam Io��pe�mn wqeca � x Me appuram m�rnd pm�ity oi not more C,an Ine 6undied doibr�(f50011 a W � ❑1.�s ewne�ol tne propertY.a my employen w�m wpes n tlrc�i sde compens��ron wal da the waiY.ard tDe svuctme rs noi mtmd:d or olferM la s�ls�Sec 70Sa.Bu:�ness�nd Pwlessuns Cade iAr Lonuxta i Lrtmtt Q � Lxv Goes rot�ppiy lo m owner ol property wAo Dwld:or imqrns Mnem,n4 who doef Su[h worA Mmsell, U ' a�Mroush his o.+�n employeea,pwided IA�t Wch mprwmunts a�e not mitMM p ollered lor u4 11,howerer, Z m tAe bwb�rp d improvement is wld wnhin o�e yex ol tampknm.ihe bmitr�qnldn w�p ha.a Ihe budm al provvp Q y �ha�he Oi0 rot hwN or Mnpove la Nt purpase ol sale I = �a ❑1.�s o.�ner ol tne p�apvry.�m�aw:�veq contucuny w�m IKemetl�annxron io conarai i1e p�qet�ISK W 70a4.Bus�rcss ud Piolesswns CaOe The ConuKta's lsense Vw Aas mt�edr m�n own�of OiopertY wla � = bmlds oi�mpwn iAerem,iid who comrxu kr�uh pro�rls w�M a contrxta�i)Fcmud Omtuant lo Ine Cmvu�a's � �"`""�'"'� CONSTAUCTION • o — ` ❑I�m nempt uMer Sec ,B fi PC,IAttxh Wehurcl PLAN REVIEW " ��� � � °ae °wn" ELECTRIC � WOHKERS'CDR1P(NS1TIaJ OFCIARATIUI 1 Mehr dirm tlut I hm�u�nfc�te ol tmunt to sNl�neue,a a ceru6urc of Nb�tne'Wmpensauon Insv�nce,oi�[nu1Kd�oM tlKrea115s.3800,tih t�. 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