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HomeMy WebLinkAbout167 (25) .. . . . --; ---- .j. - . - --,--- ` ^ .� f�. ' �= �� ��t,�'"�� CITY OF DIAMOND BAR� PRESS �1��� DEPARTMENT�F BUILDING AND SAFETY -�� BUILDING PERMIT FIRMLY JOBSITE _�j . _ �APPE GAl10N //_/��y NUM ER ��_CO E ADDRESS "� � ISSUE TYPE OCC. � APN LOT RACT DATE CONST. GROUP o CROSS STR ET � '� ZONING �SETBACKS . � - '�"�"�'�"'g °° OWNER �' S -FRONT . _ RW ❑ o ADDR `� �+ REAR ' - . , . ❑ W CITY �� P TE " �, ,,SIDE/SIDE STREET� � �' � RW ❑ a APPLICANT TEL. SIDE � � � ❑ 4 CONTRACTOR �' � ' SEWAGE , _ o ADDRESf3�o�9f�a� ���g.�. Sv�� C'' DISPOSAL- ...�: .. . • � PUBLIC- PMT,�.. W CITY /'� ZIP EL� .��D PRIVATE �,rSO_FT+/i00GAL = STATE^� ___�� '-� . '.. '�,'.. � UC.NUMBER 3�0$—G % GRADING ❑ CU.YDS.EXC. CU YDS FILL y ARCH/ENG/,Q � � � TYPE SGl FT FACTDR PS ADJ. 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'--`-�"6 n Lk�sgrod�u�ement N�t he n Icenvd Ovwan�m�he ywivon�of Mr Cmvumi�L'reme L�w ICNO�n m - • � . !�1 •.. � � 9lcommencmq w�lA$eUwn TO(101 0l 6rision]M tl�e Butine:��nE Prolessronf W7�I a Ilut M n�empl IAerehan � y mG Mt Uavs b�IAe�tltgM�mMoan Airy vid�tron of Saoon 70]I 5 by nrl applK�m 1a�permi wE�ecis �7 W the+Pol�c�ni io a�rv�l pmaltY ol mt moie tl��n IM hmdrcd EoGa�s(55001) � a . . � ❑I,�s owrcr ol Ih p�perty,u my employees wnA wapes u C�ni�de eompenynon,wA do Me work,nd ` de suature a rot ntenEed or o11erM fur uta�Sec 10a4.Bus�neas inE P�Weseom Cade TM Cantucta't L�eme a ` ip_ f,�'j l�w Eoes rot aooH ro m awner et popeny w1a 6udds a mpor��IMem.uM wln Cas fut�waN hmsetl. U ' 4' a Ihagh M1�s awn emp�oyees.pwded dut such mAornnms ue no[nurdrd a allmd Ior sW II.Aoarm. Z ' . m ihe 6wNinp a m�raxmmt ie idA wnhn one Yer ol tompkam.Ik enner-bu�ider w11 A�N Me brden ol povvp Q � dui Ae d�d no�6u�N p rnyoue la Me WNa�e ol s�k� S • h � ❑I.if owrer 01 1Ae D��M�ty.Mn IRIUSweM[OnfrHiny w�tll IKtmed(dln¢IOi1 W[0nsirucl IA�O�qai(SK W . � 70hS.Bus�rcss�ro Pro}esHons Wde The Lonu�nor't lKmse Law daes not�ppv b+n owner M pioperry wAo � , ` Luiks a mqrwes Ihnem.ind w�o tontn[ts la wc�Pro�Mf with i tonu�ctplsl Mce�sM Dufuint la 7u Cmv�tlar'! , �K�^Y�� CONSTRUCTIaN � ' 'S 0 W ❑I�m�ampt uMe Sa ,B fi PG IAna�A Cero1¢�tel. � P�N R EVIEW � °ae °"^" , ELECTRIC . � WJRNEflS'COMF'fNSATON DELIARATIW 1 hereM�ffwm I�n I F�h�[nofKm of�msmt la tell nsu�,a , . �' a amhnie al Mbikni Ca�pens�uon Msa+rc�,a�cemrcA wpr tnned�Set 7800.1+b C1. ' PLUMBING � cnoika��or�s n«�iw���a � J MECHANICAL o e�oi■d ear�s i�ka w�m me B�a ti Q GRADING � . .., lN waoo�av�,a�m�« o.wm�m� = CERTIfCRTE 0�E%EMPTIDN FROM R9fIKEtiS'COMPENSAT.pJ INSUIWI(I.TAn uctwn nad eo�M emqleted � ISSUANCE ����� � A Mr pnmt n foi oK hudred(5100�a 4ss 1 errM�tN�� performr�c�ol iM ra1 far w�c�tlM� / `" rmn n naeo.I sn�e rot em SMIP pe qoy ury pnton in my m ��b ome t a tle IW�kni / / � o ���'°��'��"�° W PARK FEE o p,h � � p� � A�1 aC ! � NOfCE 0 APPIICANT.tl.d�er m�4rq Ws Cxafcne al Enmmaa Yau W oK�+�i e nK��•, � SCHOOL FE . _._ .. _- - � ComDe^vnon prm�sims al the l�bo.Cade.Wu muft fa�hw�lh eonpiy w�th tuch qoviian a Nis pnm4�h�G '_ _ ' .. _._ . . ._. _'_."�"'.,._ � �+- Ee deemed ievoled a� ' dV dl OF WOUSfHIAL SAFETY PfRMIT CEqTIFIfATIW W . � • a- I hneDy«rMy Ihit m�.crvstan Irve I5)a wae leet n Aepth�m wh���peiun e n4meC 10 Intwd. s mtle n cmnettm vnm wat�urtwved by tl�u pem+rt.od Nn m 6uidwp mKtve.wfbldn4 I�u.wt. . • �- a demoN�m or d�sman�Yiq iMrol,wll Ee mare tNn Hu�h�sn(3B)��9h IG+Y 72.Gry t.An t.Sac � W x,.r,n�e.cac�. IAf�I!O � _ 3 ❑As ownermuder.I wa noe moior+�w'+ro eo nvY whN watl nqun��wmrt kom er 6ruo�a �i��►nfc AND 1�— Ind�svul S�lery.�s roted�bow.unkis�u�A pnson M�a yemrt m da tuch wnY han N d.ri�on , . , . � ¢ ❑Or�san d Mu�ttyl Sihry himn Na • a TOTAL FEES • � � O COlSfRLCf10N IEHOMG A;ENCY I Mntrl�K�m IMt tlrr�i��caneucmn M^MM pmcY lor W pilrmrr� 2 of the wa�k Ia whc�r pM��wM f5ec.3097.tn.GI. � lmM's Name �� COMMEMS mleMer's AEdess � � � CE lf OF IIAItE PMO AUTIDRIATpI Of INiRY 1 crMr I Mn nM tl:s,pyks��n�nd�t�r � � � ihe nlam�uon p n e tmM 1 prte k tertdY wM ae�We Iwvs MI�aN MJiuncn rtYVp b 6uilnq , y unsv �m.ane �ve� rtsnmwe al fh O�+tnrm d Mrq rd SMy b�r w�Ih pe�nN . S la wM1 I ied lor permn fp : /� � , F— ' —(/ . y���.� �„� � a� RECPT NO. PAID BY VAUOATION i, WHITE—Department Copy,YELLOW—Finance Copy,PINK—A9sessor Copy,GOLDENROD—File Copy.GREEN—Applicanb Copy • l • . _ . ._' . , . • � . . . ' . 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