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HomeMy WebLinkAbout1287 (13) '"` CITY OF DIAMOND BAR pRESS DEPARTMENT OF BUILDING AND SAFETY F�RMLY BUILDING PERMIT JOBSITE _D APPUCATION PERMfT E ADDRESS ��� � � ��^�� tGG oS DATE 7�Q'�U NUMBER � Z � CODE issuE .���9 —9 b Tr� occ. � APN LOT TRACT� DATE CONST. GROUP o CROSS STREET SETBACKS '•'"�"E"'g � OWNER o G ZONING �� � � o ADDRESS �4-130✓�— ( �3� REAR ❑ W CITY Z1P TEL SIDE/SIOE STREET RW ❑ g APPLICANT TEL SIDE •� .� �,; O : s CONTRACTOR .S '�"` �c'�'�'�- �Oo � SEWAGE o ADDRESS ��i� ti'vt�oC/C -- DISPOSAL � �BUC PMT� W CITY �-✓� ZIP��� TEL� � �� ❑ �NATE SQ.Fi./100 GAL = STATE �Z� � GRADING O CU.YDS.EXC. CU YDS FlLL d UC.NUMBER y ARCH/ENG/ � TYPE� SGl FT FACTOR PS =:-ADJ. AREANALUATION • - � DESIGNER W 1 �o �e—ron. o ADDRESS LL; 2 = CITY ZIP TEL (} 3 � PROPOSED USE � D 'E'+�' � Z 4 � '�.C�� �3 6 � � GARAGE o NO.DWEL NO. NO. � �R� y UNITS l STORIES BEDROOMS m � LOT DIMENSIONS VALUATION � ADJ.AREA o NO.OF BLDGS HOW ouAM'm DE CRIPTION - : FEE ,. � ' � - � W OV LOT USED � � �U � � COMRACfOftS OECIARA7pN I hereby dlvm tl�n I�m kM..d ud.povn�.�s of CApeM 9 I��MO � � wrth Saoon 70001 0l pv�s�m 3 0l Er&nineu and Frdessions Code.md m�lunu i�n IuM lan�nJ efbct 'W 3 � W �+- 01YNEH�BULDfR OEQAfiAibAl I MeEy dlum tlw I�m tamp hom�Ae Canu�nor's laense Uw la h lolewvy mmn�Sec)U715.Buvms Md Pmlauons Cde Any crty a toumY whch ipuira�Mrm�t construtl_ �� oNur.impiove.demd�sh.a tep�u xry p�u�tue.pnr b aa eswnce.yw rpu+a Me�pkw�fa wcA pnm� 2 ►— m lik a aqned�utement�h�t he�kmsed prw+nt b the qovisuns a1 1M Cmeamrl LR�me Lnv(LMy�� m Q 9lcanmmcmy w�M S«om 70001 af Orri�an�d tl,e Busneu�nd P�oNuian Whl a Hut M a�mrot O�w�6om � d �nd Me b�Hs fa Me�Mq�d teempuan.Airy vdatqn d S�ctcn 7071 5 br u�y�pplint fa�pwmii wEMcn � W tle�DdKmt to�[ni pen�tty d rot more N+�five Awdred�IflA011��1 r: r� —� /.:�% a � ❑�.,s awner m me v���r.n mr emNaeee w�m w+tle a enw ai:diiqr�`unan.w�l ao ew wor►.rw ~ �he�aatwe ii ro�imeMed or dfered la taM(Sec.70u.Bmxrn wd Rd.cwu Cad.itw CmvKrr's Lanu � � lnv do�s rot�ppiy 10 n owner al poprry who builds a inpa�e tlweon.snd wM Aan reh wort Iw.wN. W a Moupn�is own tmyarees,qwded Na�sucn impavemrna xe no�inaMW M o1Nnd br�W 11.Fw�rer, z � a� �he huildinp rc imMovemm��s mld witl�n one Y�r olk a��1tan.IM!aiMMi•diA� 1M EuMn ol yoviM � � tlut he d�d not 6wld a wnpove Por ihe puryase d uhJ�J L � � �;�� S y U H ❑�.�e v..rcr ot the poperty.�m�.cYanely eomracnny wnh Iseroed tontrxmn a tonstrun�M prapct I� W T04t.Buvrc:s ud Prolesown�tods The ConuKmi s liunu lw.doa iai�ppp ro m aYwrr d poprty wM '� z buNsaimpoveslhnem.�ndwhotonhuts�f'1�iM��j�Cf`Wimltana�cbrlHYunWprwmlto;tlrtanuxmr't ` �K°""''w� ' "'""" " " CONSTfiUCTION 77, b c� \r� P.�,�,.-1 C�F' ::- 'J __ o av«oi:�:.. �:.�_� �. � ❑�,m��M w�ae s.� .s u`v��Anan te.k,rl. PLAN REVIEW � °ie °'""" ELECTRIC � NORKERS'COMP[NSATKfI DfC1AMT1011 1 MeM�flrm tlut I hna�tnM¢�4 0l eonswt to sW�inue.M a cero�Ksie o�vw�►ai to�q.�s�+un t�w�a�.a�ceut�ee tnp�,nw�IS«.�eoo.l�b GI. ! ' PLUMB ING � ❑troiKacaor�stk.�r�wn�•e J MECHANICAL C feMeE copy q 64E vnm tlr Bii�6/q Infpcoon Oprmwn a o�nwn Q GRADING W � CEHfIFRATE OF ExEMPTDN fl1pA WOw((N5 LOMPfNSATIp/NSIIRANCE TAn ..��w�e.ce�o+�.a ISSUANCE 1 3. C�C7 N �Me pnml e lor one h�MrM(S1m)r k�� I proly N�I n IM prla el tlr warl Yr WieA tlw peimn ia iswtl.l i�d ro�tmpry rry pason in�ny n�nner p u t bc t b W NbrYri Ca.prnrMien SMIP � l+ws al CNAan� W o ��� ��(g -�0 �� W PARK FEE � PQT¢E i0 APPILANT M,drr mMiip ihs CnelrMe ol Eswpuon,ya sh w��q�n r m.rw►.•. V- SCHOOL FEES -_+ Compenunm D�sum of tlr l�Ex Lode.pu nw1 IaUwnh cmdV wnh uih prwsrro a/ie M�dul . v- k deenrd�evMd s OIVISIai OF NOUSfR1Al SAFETY PERMT LEpTFC11TM1M l`^ � 1 rt d `G ' �Q N�+-- •C_ o ❑I AereW artty Yut ro�ar+ibn hw(5)a wa�IM in lpth nb wI:U�Ouso^u�q.iM w biW. �+ e w�6e nwe n em�rnm wie�wr1 rnwur ty�hu pa�w.rd tlr ro�i6y itYnr�.rcalkNr�h6rwrk. 1 LZC'� Z D'U � a bn�lwn a is�an6p IMaof.wA Ee w��Mn th+ry-�n 1�61 fin Rqh Ww �2.Gr�1.Art 2.Sa W 7�1,TAr8,LAL1 x 3 ❑a w�w�ewldx.1 wa na t�pbr we^.a eo wvl nh'se wa�a npi..,ry�r Ir..�r.U...��I t— In�:vul Sakry.ss noW�6oN.w�bs pdi prwn Au��wnp m do wh wwt Inn tl�lwbia W ��"'�'°"'°`"'"�'`""`"""° TOTAL FEES (, c� C� � � CONSfPUCfION IE�A�NG AGENLY:t hw�6r�firm M tlw�'s�rnoaanw Ynbq q�ay Iw ti A1ww�at � x a m.wa►iu wn�n m:o�c u na.�Isk 7as�.u..tl. � �"""�'"""' COMMENTS m lxdu't Mben � � CERTIFGTE OF COMPLIMCE MO AUTlqItlZA7�Y OF FMiIIY.I twMy 1 Mw mr ria uppYraOe Fr tdY , v� tlut Me idxmmen p�n e I pM Oo er.pl�w�h�I ssr I�wt rd aY r�rea iib M MrYN ycmprv��m.ml wihww �y,a..ua.d dr Oqruw d B�iliq w S�My r�.�.p�Ow�rry . � �...�n i w..,�.r w �a a.�.�e.d�:�:.�+.a Q _ X �1 �/)(1�Q �`� RECPT.NO• /G a Z-- P/UD BY ���r�� VAUDATION � kl�+.�«�pet � � • � . 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