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HomeMy WebLinkAbout1259 (27) . , , i ����'"� CITY OF DIAMOND BAR � x DEPARTMENT OF BUILDING AND SAFETY PRESS ,��, BUILDING PERMIT FIRMLY � .• 'JOBSITE APPUCATION PERMR SE ADDRESS �JSZ �G���N �2f�S _ �SS�E 7`/G_ pv NPE ER �2 S �CODE_ � APN LOT TRACT DATE �—�� ' �� CONST. GROUP ��. o CROSS ST ET w �- ZONING SETBACKS � ..�nowE�wrs o OA DRESS s2 t0�''J 2�'9�AU REAR � ❑ II W CITY '92 ZIP (7 TEL� f' SIDE/SIDE STREET RW ❑ I o APPLJCANT �'' TEL •�7� SIDE ❑ �1 _ 1 a CONTRACTOR � SEWAGE � p�BLIC PMT+� `, o ADDRESS �$� l�- DISPOSAL W CITY (21v�71S1/� ZIP 'fEL7�_ ❑ PRIVATE SC].FT./100GAL z STATE s-G �Z�jI� C Z6 GRADING ❑CU.YDS.EXC. CU YDS FILL N UC.NUMBER i y ARCH/ENG/ � NPE SGl FT FACinR PS ADJ. AREANALUATION , " DESIGNER w � � ADDRESS LL 2 � " 0 z CITY ZIP TEL (�} 3 � PROPOSED USE Z 4 � � GARAGE o NO.DWEL � NO. NO. � PORCH y UNITS STORIES BEOR�OMS , � LOT DIMENSIONS m VALUATION ADJ.AREA o NO.OF BLDGS HOW ouaNTrrv DESCRIPTION FEE ' r W ON LOT USED Q ¢ U W � � ¢ LC 0 COMRIIGTOflS OE0.AFATON I krehy dh�m tlu�I�m YcensM udu pmiums al Lh�pm 9(cmmncinp � . ¢ wnn Saoon 10001 0l dvinon 3 0l ihe Business xd Prafessions Lode.�M mr Irmse is n Idl fa�e md�Nat W ' : 3 � W , �+- O�VNER BUlOEq OECLMAipN I kreby�1hrm M�t 1 sm e.�mpt Irom iM Convacmr's l�mv l�w br be kNow�np , = rtsson ISec T0715.B�nese+nd Prolessans Cade Airy nry a tanry whKA rpuief i perml lo consnu[t, t� � o yia,xnpmx.EemahsR u repar ury ftmctue.pior ro es eswnta�so rpun�tl�e ipplunt Id tucn prmn 2 . Qm hle f vqned m�ement In�t Ae p MtenseE pursu+nl�p.JQt ppvision�,o[.itK Lmtrx�a't lrence L+w ICIuMn m � � � 9lcommennrg wnh Sectan)D0010l Qvizm]M tl�e&prott+iA Piofiaspnf(qdel a tlut he if eam0��M1nelydn � , d xd Ut Easis la tl�e ifeped eiempnart 6iry rid�non 4 Se�teh 10715 Oy�M apprum Ia�permn moiecn � -"' x me�pprt�nl ro i[ni pmyty o1 rot mon N�n Ine huMHd dodlil(=�I�'""�, a W � ❑I,�s own�r ol the propeny.a my employees wn�wapes�s tl+nr tak eouqenfatan w�l M ryrc weh,a+d tk mucturc rs not immded a alined far tala(Sec.7 Buuness�nd Fol�ss�ons Code TM Cantraceu's licrose Q O�v t z U C L�xr does rol aOGN m m mvner of IY'�'.�Ti 4a�y m wAo!as su[A woh hmsell. U W a through hrs awn employees.OrowdN M�t aeY ArmenO����oNerod lor��4e If,hav+rer. Z � ��� , . m Me AmWmp or wnpovement e foM vnlhm one Yen ol ednpktm.Me pwrr�6ulM�w�l�sn Ihe Ewden of pwmp Q � m,�n�e�a�o�m�b a�wow ro�m��vo�.oi ui�� 2 �U(J /37'�l C' ( �, m � ❑I.�s awrci ol the propei�y.�m eaY�y�y,�oritr�iyy�wi0il�iedto+v�eo'r�b eEos(�ct 1N pqM ISa W . 0 70CA.Busrcss�nd Molesyons Code Thq.Lqnfr�wj t�lK}nje laW daei n'ot.+ppY,J4�I^.��b 7i�ty wM � � � �'J'' 2 Mke a impaes Mnem.�nd who eontr�,tila hLhN4j�Etf k'➢mI iO�pY��iV Y�l�!seQp�f��b IM Canlr�[M'f ` ��^�^��w� CONSTRUCTION � ❑I�m e.emp�wder Sac. ,B 6 VC.Ntt�A Cerul¢m6 P�N RE,/�Ew J � °"` °'""" ELECTRIC 1.. yN9HNERS'COMPfNSATq4 OLCIANATqN 1 hereby�Ilrm Ilul 1 h+ve�eerolriu el consm�m sell�inwt,a �� J i�ere�cate o�Nawe+s'Canpenution tiwr�rc�.a�camue iopy mereM Isec�ew.ue ci. PLUMBING I o ..r. � ❑cKai�a�oornnn.eri�:n�a J MECHANICAL � O ❑Cer�leA topy it Ii4A wn�tlu BuiiAinp Inspecuon Dpromem y o.nr��� a GRADING � � W = CERTIFIfAiE OF E1IEMPTIRJ FPOM WOqKENS'CDMPENS0.TIOII INSUflANCf.TNs utMn neeA�ol N�onpleieA ISSUANCE I�� O � � . yd IM permit is loi prc�uWrM�5100)a kts I entdy CW in tht perlamance �du warY M rAtn tnif J . permt q itsued.l 7hM rol empby any pawn in nry mimir so�s lo� E1K �e i SMIP �" o "�'�' �'����}_ �.C�v '�/ W PARK FEE � p D�ie ��L 1G • kdium v n � �"' �" x07iCF 70 aPPtCANT M,dm m�wq tive Ceelcxe d Eampuon.yw weK� �wW� SCHOOL FEES � •_.� tdryensanm Movnms al Me LiEo�tode.pu mun lotliw�ednq-I w�tuch panione a thn perme Nd � ee e�ea��d. a ¢ pNSIOW Of INqlSTHUL SAFETY PERMIT CERi1FCATq1 �y '"„ d QI�ereM m�d�hit�o�.uratm Ina(51 or man he�n Ieprh ww w�cA�w�w�o r.q+�d ro dncmd. �+' ¢ wi1 h mWe n tmneNon wn�woik�uNnu�1 M�n Mrme.and tlut m h�61y struttu�.wl4ibnp I�werk St�.,� �- s�amin�an a 6sm�ntYiq IMwI.wA Ee�nore Owi Mxry�si�(�61 leet Mph IpM �7.G7 7.An 2.S�c = 7lI,TNeB,CAt1. � SE! 3 �As m�ne�buldrr.I wd not�mpby r�aa lo b wak wAih waN n�un�rrint kom M Muo��I � � H M�Alstrial S�IrtY.u rotdd�6ove.unlnt wch person lus�pemn k do fu[A worY Lan N Mriaien , �� W ❑ONvan al IMnvul S�IeN Permn Me_ ' � � ; ������E������.���.���n������,.,.,�,��.��� TOTAL FEES 3'�I � = d Me wort lu wne�q+s prm�u icerA�Set.3091.fii G) � �"""''"""'� COMMENTS +� .ty � tm4r•s Aadm � IYIIIIFI'ATE OF LOMPLUMCE AMO AUTIIOItlZAT411 OF ENTNY.I wWy I Mav�nN tliu+Aicnm d tuw �I fis ma�ue��um.nw'pven b w� I+vn m m�dY wiih M m s rd c�h Md:rca nM+y m h.1My �1 y cmmuban.n1 auriwin�i e d Dw�tnnn d rd S*h b arr rPa M MaWtY �i � lar whch I d �a w . r ��d, b ': X y�, .����q �_�� � RECPT NO. 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