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HomeMy WebLinkAbout15484 � 5 �' � _ , �.;. �� CITY OF DIAMOND BAR DEPARTMENT OF COMMLTNITY&DEVELOPMENT SERVICES � 21660 E.Coptcy Drive Suite 190 (909)860-3195 Fax(909)861-3117 PR ES$ �"M'� BUII.DING PERMTf APPLICATTON FIRMLY QJOBSITE � ��/ `S— ✓/jd� • � APPUCATION$' Z2 �� PERMIT ��'i �Q(�, P/C < ADDRESS . G/7 DATE NUMBER�>"��_L � � APN LOT TRACT ATE � 2� �O ONST. GROUP S OWNER AODRESS ZONING SETBACKS � CITY ZIP TEL FRONT RW ❑ APPLICANT ��, REAR O SIDFJSIDE STREEf RW ❑ � CONTRACTOR i o � - tG v R' ,� SIDE O � ��E ��o Z�P � � �L� q PROPOSEDUSE � ARCWENG/ DESIGNER NO.DWEL , NO. NO. ADDRESS UNRS STORIES BEOROOMS � CIT1' ZIP TEL — N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATiON � - ONMER-BUILDER DECLARATION SFR/ADD/REM • � O Q 1 HERmY APPiRM UDER iEN1LLTY OF PElUURY THAT 1 MI E%EtJPT FROM iHE CdlTMCTOR9 l4 GaregaACaiport - . . . W CEMSEUWWRTNEfdLLOWN�RFASON(SEG70l1.68USNE33ANDPiIOFES51ddSCODEANYdTYOq (f� C� OOUMYWFtlQ1REdlMEDAPE)D.IITTDODNSTHUCT,MTER�PRO�'E.OEMOLI9LORREiNRMlYSTRUG W PatidDeck - LLl �E ORqR 70 ITS ISSUANCE AL50 REdU1RE5 THE AVPLICMR FOR SUOI PER4M TO FILE A SIGNEO W .� ST�TEMENT TtAT HE OR SHE 19 UCENSED PURSUIIM TO THE FROVISIONS OF TME CONiMCfORS LF � CENSE UW(�TEN�(�uENCMA MATI SECTION 7me)OF DMSqN J OF THE BUSINE54 ANO VRb � POOVSCL FESSIONS OOOE)OR iMAT NE OH 3NE IS DfEMPT iHEREFFIOM AND TME BASIS FOR TME ILLIEOED E%FMP. 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W OLASO�M+E/10FiHEPAOPERfY,/JAD(CLUSNELYCOMMCiNOWIT4ILICEN5E000MRACfORS W CENSE�UW�OOESNOTPAPPLYTTOgM10`NMEROFIAPgAOVEHiYWIq�SO�RDMOiqVE$TYIEREON,MID VHIIIflf10f1 AOJ.AREA � wr+owrrtrucrswnsuw�crswmumrrrrucraus���ceNseoruAswwrron+ecart�ua p�Jp,H7�Ty DESCRIPTION FE � ranuc�+seuw4 _ J f�� - O I MI P�EMPT UDER SEG B.1 P.G FOR THIS REASON Q w U � � � '•t i LL a�� owr�n F' .. z W � L�CENSED CONTRACTORS DECIARATION i j � � IHEflEBVFfFIRMUNDFNPENKTYO�PEMIRYTWITIAMUCENSEDUNOERPROVI510N90FCHAPTER � � �(fdYENCNO MrtfX SECTION)000)OF OMSION 7 OF THE BUSMESS PND PROFESSqN4 COOE,AND Z x W UCENSE IS N FUl1 FORCEANO EFiECL - . . . . ._.. . _ . . . . _ . ' ._' ' . ..__ _'. ' _ ' "."_ ._ _ "-..._(�".��'r-' __"____'_'_._' '_ '____'-'____'. ___..'_._ ..__ _ .. _ . . . � L�CETtSE ClASS G�rZ.�LIC.NO � LL-p � M- ,�j � pA7E D O ( _COHTRACRNi 0. , l�l � . . 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OF 1NE MIdiK FOR WHIf71 THIS 7ERMIT IS ISSUED. � � Q ����/Wpµ�LL�µ,p({�WpW([pg'�1Ao�H5�TqN INSUAANCE.�3 REWiFE�BY SECTION ]7000FTHEUBORCmE,FORTNEPERWRMIINCEOfTMEWOPo(FDRWMICHiHI4PEFtMR15 � t55Um.l1YMOAKERSOdAPENS�iIONIN3URNICECARRIERINDPOUCYNUAtBEAAFIE CONSTRUCT�ON l � WRWER - PLAN REVIEW �` Z vaicrruuan+ EIECTRIC ZS_ �C,� .� t� 7 � �ttassctTon�NareEaor,atrIDaan�vvs�rsfoaa+eHuo�ooatu�3�s+aqoatFssl PLUMBING ���tL� �� (� L � —_r'!�_ � �CERTIFY THAT INh1E iERfORMANLE OF iHE WVPof FOR WHICH TMIS PERMIT IS ISS�1E0.1 MECHANICAL 511N,LNOTEMCLOYINYPERSONNANY6UN�IERSOA7TOBEOD�AESUBJECTTOTME L jf 1 � Wp1a(ER5COA1PEN3�itlNUN50FGLLIW�1MIlANO�OREETNATffI5rqtlLDeECOn�E INSPECTIONFEE i, �] /�]�) SUHJECTTOTHEM10NCER3'WMPENS�iIONPRON5qN50FSECTIONl70aOFh1E p ISSUANCE �L�� /-�� `-�� �j OO�E.1 fORT1l�MlM Cd.1PLY MAAI E VROVIS t�./ - O - `- SMIP `p �ATE: � 1 APPLICANT: ' . . � ENERGY P/C WMNIN�fIUIUR TOSECUREYAR�H3'COMPENSATpNCOVEM0E14VNUwFUl,NA5H+LLIBE �y SVBJECfANEMROVER7OCAMpULPEIULTtESANDCMLf1NE4UPTOONEMINDHEDTHOU4AN0 ENER(3YPERMIT OOLIARS ltto0,00o1.IN ADDR�ON TO iHE COSTOF COYGEN3ATqN,ON.UaE3 A4 iROVtDED FOR iN � SECTq�I]TDlOF7MELABORCODE.NiEREST,AND�7'TORNEY9fEEA RETENTIONFEE' a CONSTRUCTION LENDIN(3 AGENCY PRE•ALT FEE: 0. 1 HEREBV AiFlNr IRAEN VENKTY OF PERIURY TN1�T iNERE�5 A CONSTRUCTION LENDINO AGENCY N z FOR THE VERPoR1AIwCE OF THE�K FOR N71iQ11MiS GEIWR IS ISSUED(SEC.�007,dV.G). W � IEPtDER'3 NAME � � IENDER'SIDDRE43 '� � ������,����o�T��`�ro�.'�"�°��" �� T�TAL FEES 0. CONSTRUCTIDN.ANDHEREBYAU1110RREREGFESEMAiNE50FTNISCOIMTYTOENTERUPON7HE � �- . S� A90VE.AIEH1qNEDPROVENTt FOR MSPECTION N�� COMMENTS ' � � �'IIe�G��/ m veaurtrEe Nurt�a � , � �f��i t�, CJt� � � a v EE o� � RECPT.NO. • PAID BY VAIJ�ATiON WHITE—Department Copy,YELLOYY—finence Copy,PINK—Assessor Copy,GOLDENROD—fib Copy,GREEN—Applicant's Copy �� -- C7 . ; •y;I-n �7 � � mv� � m � � ioo �oOToymn 9 --. . ... E ��i r�'� mv v � � T > p .9 � � � r_ � . OccCO � Om � w � � v��, W '�� � � 'p,-1 � r r � r D 'D n � Y z � r L'I G> G) "rt D -p � Z� `� "n D � { *` t � vC� '`-` � r�O- rn�- mo � � -i � � uZi � mvmxO � �xcnO � o ]0O C� �.I ': a � . .-i r x � � m D � C� 9 7� i I , Ifll C fn � 2 r D ^ C r r m G m `z v : �-� -. �D . 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