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HomeMy WebLinkAbout104513 (9) � . . ., .. � , . . � . ; '"� � CITY OF DIAMOND BAR PRESS DEPARTMENT OF BUILDING AND SAFETY ' ' BUILDING PERMIT FIRMLY JOBSITE ' APPUCATION PERMIT �,il' 5 f� SE ADDRESS � 3 �fl� � r�� S E TYPE R 1� �C�DE � APN ' OT TR T ' DATE - —' � CONST. GROUP o CROSS STREET / SETBACKS ._ ;.: - ZONING- ""'°`E`�"`� °° OWNER FRONT ._ . . RW [) � ADDRESS REAR ❑ W CITY ZJP q/���EL,� '� SIDE/SIDE STREET RW CI o APPUCANT TEL SIDE 0 z � CONTRACTOR SEWAGE o ADDRESS ^ �� � '� ' DISPOSAL � ��uC PMT� w CITY �o r�'.cn4 ZIP TE �-�'• ❑ PRIVATE SU.FT./100 GAL = STATE y LIC.NUMBER 53n S97 GRADING ❑CU.YDS.EXC. CU YDS FILL y ARCH/ENG/ � TYPE SQ FT FACTC)R PS � AOJ. AREANALUATION = DESIGNER '�'/'� 4-� W � ' o ADDAESS �,Wi,. 2 z CITY Z1P TEL. (� ._3 .... . _. _. ._ _.._.._ .------- .. __ . ... . __ "� PROPOSED US f Z 4 � � GARAGE = NO.DWEL.'1 � NO. NO. i1 1 yi.. � pORCH _ UNITS �u STORIES�BEDROOMS/v/l � LOT DIMENSIONS m VALUATION ADJ.AREA o NO.OF BLDGS � HOW OUANTITY DESCRIPTION : ' FEE '�� • W ONLOT USED 4 � U W � . . . . _ .. � . � SEO COMRPLTORS OELUflATWN I Mreby�ILim tl�at I am kmxd unde�Proritims oi�luptH 9�umnKnanp �, � wnh Secoon 70001 0l Orv�sbn 3 d me Busuiese+nA P�oteuuns CoEe.�nd my leenee is in lull Ipn ud�Ilat. � '��. . � � � � . . W � � � .. .._ .. 4- OLYNFfl BULOEfl 0[CIAflATON I hneDY���irm IMI 1�m aempt Imm Ifu Lomrsbi s L[enu l�w la tl¢Idloainp � reason(See 7091.5,Business and Pmleevons Code Arry nty a eounry whch�rqdies�pamil ro eon�trut, (} � � o �Iror impiow.demd�sh.a rcpar ury suucture,pior m ds nswrce.�so npw�n Ihe opplK�nl Ia fuch pnmit 2 . . � la I�k�vqned st�tement M+t he is icensM pueuint eo ilie paisions al We Contricw�'�lc�me L�w�CNpte �m . . ¢ 91�anmencmg vnm Seaion 700010l pwsnn 3 0l me Busineu md Pmhssmm Cade1 d A+i M1e q a�mot tnaihom � , a md Ine Dass la Me�Ileped tumptpn AM vwl+non ol Seelion T0315 6r ury�pplic�nl fw�permil tubKcls � x �he�ppiaant io�ervd pen�lty of rot mo�e M�n fiv�hund�ed doA�n(55001 I. . a W � � ❑1.u owrcr ol IM piaperry.a my empbyea w�lh w�9n u tlm�r tok�ompens�tan.wil do tlie!work.rd . ~ IPR SI�UCIWf q Ilpl OIIMdlA 0�OIINM Iq pl��$ft.�OS4,BubM56 JM RO�B33�0�!COE!TA��pntliC101 i LKM3Q Q � � ' � lnv eces rot�pplv m n owner ol piapeny wna 6wNs er imoroves theem.ud wAo Eoes wM worY�wull. U •.• oi tl�mu�h h�s own�mploysee.pw�ded M�t such imDrovemenq ae nol niende0 p ollaed M s�k M.Mwever. �.Z , m Me MWmg a�mprovemem is wb wnhm one yeu ol eanpletan.tfe ownerbuilde�wip Ane the Wden of piwmp 4 � IAn�e d�d rot buiW a improve lor Me purpase ol ak I '� �_ `i' U sn ❑I.�z owrc�ot ihe qope�y.�m enluvvely mntratny wim YcensM�onuxias n tone�ua tne pro�ect ISec W 0 7044.BuLrcss ud Ralesswns Code.TAe Canuutor't lkenu L�w Ooes ml�pp��ro�n owner ol praperty who � � 2 bmldf er imprwef Merean.�nd who tontruts lor wch pro�ectf wiM��ontrubrl�l�Msed pwsu�nl ro Ihe Canlr�pp's � �'°'"�'�"", � CONSTRUCTION 0 "J ❑i�m eiem�wde SN ,fl B PG Innxn tno�K�rcl, PLAN REVIEW • � � °ie °"`"" ELECTRiC � WORKfRS'COMP(NSATqN pEC1ARATIpJ I here6y illrm thai I have�urefic+u ol�msm�m sdl•insue.a �nn�ncau m v�akei Comans�tbn meur�rce,a�cntdiee aooy mnro�(&c.�800.lw t I. PLUMBING _. .. ------ -.� �y � l/1 Cndee com is nereM�u�rstee 'I J MECHANICAL ��� a GRADING o LJ terviee co�y�s niea w�m me e��e�nq msarnm o�ov+�ni ar Depym�m� � W � CER161CATf OF f%EMPTqN FflOh1 WORK[pS'COMPfNSAT10N INSUIiANCE Thi�+ecmn nad�ot b eompknd ISSUANCE � d Me pemut is lor one�undr�d(SiD01 a kss.I nndy M��in tht pularmxu�of the waY lor wAch Mn � pnmit is�ssued.I sAaA rol emDby ury pt�son in�M nimer to�t ta Eecome suE��cl b IM Vbrkri Co�npenutim SMIP � = l�ws ol L�Idanu. i, W o �� .S' �-/ , � „ � W PAFiK FEE 0 � rarec ro nva�cr�T n,���K�Q n�:c«�nK,�t� �,•,r�y,w�a eK���,q m n. �►M�� u- SCHOOL FEES �� Lmipenvi�m pwnrons ol Me L�Eei Lode,you mus a M Mnpy��such porewn a tAif pern4 NYI � be deemed ievWN. � � � .� q�1S10N Df pIq1STRIAI SAFETY PERMIT CERTIFIfATION� � ' � W �-�/ �J^ 111yyy r a- L/�he�ehr crtdy that no e�av��pn fi.a(51'q q Icet�deqn��� Rn�It Ipoii�0 b O�scad. �� ¢ WQI t�n�de in ta+necuon witl�vror4�uthaved'4�Mhl�im.�nd 8ul m 6u1Mp ttroctv�.twlfol/np.W�ewak, . d a demddion a dismrimnq the�rof.w�1 6e ma�rtNn�Aury�u.(7G)Met Aiph.(d�p 7.2.Gq 7.An 2,Sec W sai.rm�e.caci ,,,., '� �A�i I = Gl��Y £�r ri�.�r:�rti 3 ❑As vwrrtr�buiWer.I wip irot rmpbY o y�q�,�.M'hFhn.M'�"b AWRf't'PK�' °�^�a�'�^� . . �--. InEusbul Salety.�s noted�how.unkss s�[A��,�qwipil/>do uMh wwV�Irdm4M�ion. �, � W ❑°""""°""°""'�'S''`"��'"° TOTAL FEES � CONSfPUCfMI l[NOING AGENLY.I lu�elY Nfrm►u1 IMr11 is sL�ucLon Yndiq p�nty fo�1M prMrmmn r = al�he vpY la whc�dus pnml u usued I�c.3097,Liv, e r/1 , E � lmdei�Name � � ��•�•� COMMENTS _ (tll�ll S/WdliS m ` amirr.�h o�cornv�wNcc�w urtrawznnou a[rrtm:i o.uh i n...o.e w:.�.ro�.�a:+n. fn Mn Me nlormauon pven e torM 1 qa ro eamply wiM N sut I�w�and ury alinMca n4Gp m 6uldirq � y mn:uu[uon.and�utlwve�nprtsenutna�1 tly OpvnnM d&�W�p rM Sah�y b rw�pri h poprry . � Iw whsh I ppled lar Ihis R�mil Ip tle se d +9 impcuonc ��, X���7� �i�� � 1I��� RECPT NO�L___✓_ .�P1AID BY � VAUDATION ' Sy�,��.�d�r��m o�. �^..^_ WHITE—Department Copy,YELLOW—Finanee Copy.PINK—Assessor Copy,GOLDENROD—Flle Copy,GREEN—Applicanb Copy � F;1t:?-Y�< .•Y�. •�. y . ,.,.� ... . .sYn.n.,ru,... •'. . . . �� . .. .. . . , � .. . 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