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HomeMy WebLinkAbout1105 I _ _"__ " .' - -.._ . . .. �-�_..�� �' . - ' �—,_.. . . . . \ '"� CITY OF DIAMOND BAR PRESS �� '-� ' DEPARTMENT OF BUILDING AND SAFETY � w BUILDING PERMIT F'IRMLY JOBSITE t L _ APPUCAl10N _ --_�' �PERMIT O S SE ADDRESS ��� � d �a (J�a W�-Gr ���E TM�ER �CODE > APN � LOT TRACT DATE ��'�-s v CONST. GROUP � a CROSS STR T a ZONING ���CKS � a'�TS °: OWNER � ADORESS �" �v REAR ❑ W CITY ZIP TE �� SIDE/SIDE STREET RW ❑ o APPLJCANT TEL SIDE ❑ z 6 CONTRACTOR `� �" SEWAGE O PUBLJC PMT#" o ADDRE S � O vr CoG(� DISPOSAL ❑ pqNATE SQ.FT./100 GAL W CITY 'G� ZI 2 TEl7 z STATE d - y LIC.NUMBER �7 � GRADING . �CU.:YQS.EXC� • CU YDS FILL y ARCH/ENG/ . W NPE SGl FT FACTOR PS � ADJ. AREANALUATION ' c� DEbf6' R W � ADDRESS LL- 2 = CITY ZIP TEL. (} 3 f PROPOSED USE rDD c� _ Z 4 � �G O 3 G � GARAGE o NO.DWEL. 1 NO. NO. � PORCH Z UNITS STORIES�BEOROOMS � LOT DIMENSIONS m VALUATION_(p �dD r- ADJ.AREA o NO.OF BLDGS HOw o�A�� DESCRIPTION FEE"� . W ONLOT USED Q �¢.+ V � - Q IICEHSEU COkTHPLTOFlS DECLANATION I Aueby Jlum�Aat I am fcrosed u�da p�o.ieians ol Clypm 9 Iwmmewip � Y Mnh Seroon 70001 0l Qv�san 7 d Me Busross ud Wdes:bn:Code.�nd my linnse is in IJI lorce v�d�Nect. W c 3 J W � OWNEN BULDEN DFCLMATqN 1�eieEy dfiim ltuf 1�m enm0��rom tl�t ConlrKio�'s LKense L�w tor E�e Idlownp re�son ISei. 7031.5.Business ud Pmfess�ons Cdo A�ry nry or eountr whch repmrn�permn ro eonstr�et, C7 o aher imp�ove.demdrsA.a repsr any n�uciue.y�a ro Ms nsuance.�Im requres Me app�rcsnl�a such pnmt 2 F= to I�k+sg�ed suunenl Ihit Ae a 4censM puwanl lo tAe pw�sa�s o�tne Cmnxroi't lren:e l�w�Giptn p� � 9 IcommeM�ng wrth S«um 700C�ol O�is�on 3 M i�e Business mA P�oleuans Codel u M+t he u�ampt�hnehom � . d ma me Eas�s loi�ne alkged�empoan.Arq rd�ibn ol Secoon 70715 br ury�pplKam for�permn wbiecu � � �+DD�c�nt iu i[nd penaltv of rot mare Ihm Ine hundnd Ootlan(SSU011 . . a . � ❑I.as avnn ol 1M1e poperry a mY�D�N'ees wil�wig�s n IM1nr SWe Compenunan.w�tl do Iht woY.�nd ~ the suamre rs not immAed a alhred la aa4 IS<c 70dd.&�s�ness md P�oless�ons Cod�TM Cmuxoor't Lcwse Q � law dms ro�+CPh m an vMner ol property wha buddf a mprnes�Mem.�M wta Ooes�ut�xarl himulf. U W a dwough his own emplovees.DrovdeA mrt suc�mprmments�u not nandN a allered im s+k II.Mn`er. �Z = me w�b�nq a imprmemmt is w�a wnnm ona ves ol eamdeuon.m m.M��b�ddn KiI�M IAe Oudm ol piovinp Q y ih�i he d�d nal bwN a impiove Iw Ihe purposs ol ak� U �n ❑i.as o.�nr ol�k popenv.�ucbsneh eonv�cuny w�m 4censea comn�mn m om�rnat me prqec�ISec LLI 0 7044,Buvrei:�M PrWess�ons Goae TK ComiK�or's lrenu twv Aoes noi�odv m�n owner ol pupertr wAa � 6 dulAs oi imDrwes NMeon.mE wM�omrxu la Mh D'olK�s+rnh a[ontrxtor�si Mcrosed p+swnl ro Ihe Co'�uKla'f ��e�u�w� ONSTRUCTION � �"h�� � _J "� ❑I�m eamp�u�der Sec ,8 6 PG IAnxh[ernlK��el PLf{ � ���� °�^^ ELECTRIC � riCHKfRS'C06�PENSpTIU�DECLARATION 1 hnehy dirm dut I hm�uruhc�u'al eonsent to sNl-asue,a PLUMBING .. �ceruhuu al Kvrtni Lompensa�mn Insuarce,w�aeMud capy IMeof lSec 180D.l+h C 1� 6 ❑tHun.a�o�v+:n��.ertuMse�a J MECHANICAL o auhed coDr n Lled NmA me Bu�ld�nq Inspecnm Depatment p Oep��munt Q (�.7 �.+ , lU � CEFT6CA�E OF E%E6�PTDN FNOM WONKEAS'COM1IPENSATION INSUR4NCE 7Ns famn rceA rot h eo�k�eA I UANCE � � A be Orm�t is Iw one�undred(f1001 a ks:1 uroly N+t o tht e o1 d+t waY la whch this y mn n�ssueG,I tANI nol em M��' ��O . prr pby�ry p[tfon in�M minrc�eo is m 1 t uEittt to Ce NMtei Canpt�u�an = lsws a1 Caulornu W • o PARK FEE � °in �"�2`�_a� AppO� u- SCHOOL FEES •.• IJOME TO APPLIC4NT tl,ilier mak�iq INs Cerolcne ol EamD�m. u s uJd Oe[mie rvbpct W lAe Waln'� � ComDent��an pw�sqns el�h Lihw CoEe.you mu�t IuMw� w� fuh povi�nro a thn pmmt�hAI . �y� � � 4 deemed�evoked � �.�, � _ � OhiS10N OF INDUSTRIAI SAFFTYF�A(T/(�S�R11FGT111 F� � ,�/ . W !I Y L':'r�! � ❑1 nereoY cnidy that no eamuon hve ISI a mae het in dryth nlo vA���pnsm if�purt!lo Inted. ��� ` 3''� O Q '�• � wd 6e m�de m�mnecnon wid�wark�uMaiteO by Ihs peimA.�nd tlu�na W�Wrq�nutue.folbldmp,I�sewaY, � - �- a demoln�on a d�smanH�nq�h�eal,w�l M more m�n m�rry�sn 1381 hei MW.(CNo 31.Grp I.An 2.S�c = xi.rm�e.cac� JUP! 2 5 f�a� 3 ❑As ownn�buUn.I w�t not empby�nyone to da ha wh[A wouW�puirt�pnmt hom IM Divison d ' � InAusuid Sale�y.�s roud�Eon.u�tns wch penon lu��pamt b da wch wvk Irom Me dM�iart ¢ I^f—� 1�`.��'r�.�,��: �'(�'� W ❑a�=�o���MJ��,h������ . . -- TOTAL FEES oZ 7J � CUiTTN1C110N IENOWC AGFttY.►�nM�Nli��n. + � ' ^A^Y�P'�v lor Ihe PKfumnn N L9!de n i ineseu[non k Z d Ih warl fa wluch tns permt u awed I�.�7.Gv.CI� � <«•■xa� COMMENTS m IeMa'i AAEress � � CFNTIfCATE Of LOMPIIM[E AND AUTION2ATpi Df[H1RY I nd/Y��ppfcanm W ttst . V! tlul IIK nlpr11u0Dn � WrrM I 10[Omp�y WiUI NI Ilw Nd 4I�M�Mtp f�4Un0 10 huNn� � ionauu�uon.�nd i utr.e I M Opx d rd Saley m aw�pon tir p�qerry In wnc�I N.e kr OermA la NWst umc � � � sr f� n Sqri Kmi a np.m „ RECPT NO. `3'� �� PAID B1M1–y� ����1 VALIDATION W —Department Copy.YELLOW—Finance Copy.PINK—Agsesaor Copy,GOLAENROD—Flle Copy,OREEN—Applicants Copy h� . . . . .4.� . ... � .. . , -. . . , � : . , . • . . ' . . . , . sen nrsi s s , .. : . �,:�C �: ��� �.���' �:��`�''�.��'`��``����`�' ����li�k ' � . .. . .. . �: . 1������E:���t�i� �'���"J�a ' . ._ . .. __. __ __ - -- - _- - - _ _ . _. . _ . i _ ... ` � ., .r . • ,. R.'�.t .`,'.. . ' ,... � �.�. w.-�..«..«���w�..,y.i-.'-..:..+�..-�..�;�;.1. .,�,,.,..�..�,..s..,.Y-�«...e�+=-.. 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