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HomeMy WebLinkAbout15414 (22) . . _ �x�s��� '''� CITY OF DIAMOND BAR RESS JUN 19 2002 . . � ���' DEPARTMENT OF BUILDING AND SAFETY F�RML � -� BUILDING PERMIT , JOBSITE APPLJCATION , ,� PERMIT ] USE ADDRES�3559 Jubi_lee Lane SS E N�R � CODE > APN LOT TRACT DATE CONST. GROUP � o CROSS STREET SETBACKS "�"aF"�"� �° OWNER D ni _1 Gati 1 lc�n ZONING �ONT RW ❑ o ADDRESS REAR ❑ W CITY ZIP TE�.860-9909 SIDE/SIDE STREET fiW ❑ g APPLICANT TEL SIDE ❑ z 6 CONTRACTOR ?� Rc_�c�c�Le Befiter I�nc�fs, Tnc. SEWAGE o ADDRESS 9��7 Arrnw Rta. �tc�_ 1 R� DISPOSAL � �BUC . PMT +� W CITYRancho Cucamonaaz���� TE�476-2699 ❑ PRNATE SO.FT.i1o0 GAL z STATE GRADING ❑ CU. YDS.EXC. CU YDS FILL y LIC.NUMBER C39 455775 y ARCH/ENG/ � TYPE Sf� FT FACIDR PS AOJ. AREANALUATION �' DESIGNER W 1 � ADDRESS LL 2 0 = CITY ZIP TEL. (� 3 � PROPOSED USE R@-rOOf,t./O med shakes, inst � 4 � Lt wt 'S' tile on aaraae, 40 vr Comt�/Hou � GARAGE o NO.DWEL. NO. NO. � PORCH y UNITS STORIES BEDROOMS s LOT DIMENSIONS m VALUATION ADJ.AREA o NO. OF BLDGS • HOW ouarrm�v DESCRIPTION FEE W ONLOT USED a � W ❑ � S ~ UCEHSEO COMHACTORS DECIARAT10N:I kreM�Ifirm Mat I im 4tent�d uNs Drovuims al CMp�w 9 Imrtmncuq F- � with Sccnon 1pp01 oi avisnn 7 o1�he Buiiness and Professions CoEe.xd rtry license a�n hll fo�ce�nE eNect W 3 � W � ' • . . � iM'NEN BWLDER OECLAHATqN�I hereEy�Ifiim Ih�t I�m eamp�Imm the Lontiata's Lsenn l�w 1ai the fdbwmq reasan�Sec 1031 5.Busineas and Prolesswns Cod�� Any ury or cantY whKh repuua+pmm� m constrmt. (7 _ O al�ei �mpwve,demdisA,a repan ury muctun,qmr to ns isw�nce,�Iw repurei Me�ppliant lor such prmn Z , ' � io!�le a vgnM suiemem Mat he�s�icenseE Dunuant�o Ihe pwisnns ol the Cmaamr's Lk�ro�Lsw ICMpta m � 9 icommencing w�t�Setuon 1000)of pvitim 3 0l tM BusiKss�nd Prolessoro Codel o�that he n enrtpt ttwelrom � d ane�he oasis lai t�e�Ileqed eumpuon Any vwl�tmn ol Settion 7071 5 Cy ary�ppliant fa a qrmn�uApcu � � ���OD��cam�o�cnil pena�ty ol mi more tn�n liv�hurore0 dollars IS5001.1 a W � ❑I.u3 OwMi ot me o�oper�r.a�n empiarees wii�l w19lS iS tlll�f S01!COT(1lIIfiU011.WI��40 IIIC Nqh.Lld ~ ihe strucmm�s not inlmGed ar o�tered Im s�k ISec.10d4.Buvnes��nd Profes:ions Cde:TAe Cmnatar's L¢mu � v Law Aoes mt aoDly io�n awner of Droperty wla�mHs ar�mpoves maem.�nd who does such work him�eN, (� �++ or ihrougn nis awn emoloyees,O�oviGed th�t such imywemenu are not mteMM a afhrtd for saY.tl,however, Z . m tne Dwlemq or�mpiwement�s soW wnhm one Yer ol canpktan.th uvno-Emldr wBl hnr Me hurden ol pwrtq � � tn�I ne Aid noi bwW or improve tor the purpose at sa4.1 U i y v� ❑I as mvner ol�ne propertv.�e�cWsneN contrxuny witA hcrosed cmvumrs m cnnpru��he pq,ct ISec. W .. 0 7044.Business aM Prolesswn�CoOr ihe Lontrumr�s LKense l�w das not�pply ro�n ownn ol praprty who g � " ' z owlas m�mo�wes tnemon,�nE wAo comocts lor euch D�IK�s wim�contwctwpl hcros�d pusuant ro iM Cmv�ctv'e � a �1Le^u�aw' CONSTRUCTION � � PLAN REVIEW 'y ❑ I am ertm0�unde Sx .8.6 P.C.IAnsA Cerulintel. 1�— o Daie �^� ELECTRIC � WORKERS'COMPENSATIpJ DECLAMTIOJ I MeCy�Mxm�hai I hM�nrnfiuo of cmunt�o stll-�ns a n a andiote ol WOM1ns�Compensatm Ins aeera a ceWiea capy maeo�1 � �.c.i. PLUMBING O a ❑c�,���Ka�oov�:r�«w r�,���a. J MECHANICAL p G LerUlied mpy is hled wi�A tAe Bwking Inspectim OpitrtMm a � Dewrmrnt. � GRADING 1 W � = CERTIFICAiE Of E%EMPTqN FflOM WDRKERS'COMPENSAIIdi INSURA![F:Thit tection ned rot b�completed ISSUANCE a � d Ine permn is �oi ane hundred if100)a lesn.I cuuly ilul m IM prlumrc�d IM work Ip wluth IN� y SMIP n permn�s issueA.I:�all rot emplay a�ry peiwn in�ny mannr so x m Eame wbptt m�Nbrtri Conpent�ton o ��w:oi c,ino��W W PARK FEE 4 0 oaie Mdium � NOTICE TO APPLILAH! M.alier maMing M�s Ceufcite al Esmpuai,yau slaN 6ecome s�ect m�he 1WYar's �- SCHOOL FEES �T (�F DIA � ,�,i� � Canpecvnm orovisms al ihe LaOor CaA�, you muit tutnwAi cmply with ueh prauniu a tAls permn th�ll ��I�n1NG A.ND � x aK�a«�ok�a > � pVISIOi Of INWSfPoAL SAfE7Y PERMIT CERTIFICATIqi� W d ❑I AereDy cenAy thal no e.uwtm fne(5)a man leel m depM nb wNN�p�nm h rpwrtl lo dqcpd, � will h made m cmircctm wnA rorY authpvN Uy t�u pe/mn.ud tMt no Awldiq ltrietu�.tu�kNinp,I�IfwvorY, � a demolnian a Oismantlinp iherml,wdl Ue mort than tlurry-su�36�hn hqh.�LMp.3.1.Grp 2.M 2.S« W JaI,T�tllB,CA.CI x 3 ❑As ownn�huilde� I will ro�empbY+�W��o do wak wlwl�wwW r�qwn�p�mn from tlr Orvsian d f-. Inhis�ri�l S�lery.�s roted�hovt.inlas such perton M��pumn W do wch wA Irom tlr diwm. � W ❑Ovisan ol InA�strul Salery Permn No, TO7AL �^^� � tC � COJSfAUCfqN 1EN011G AGEIL`l�I hereEy aHirm tAtl tMn if�ronftra9on Wdip ap�cy ta tlr pulamma 2 0l tfe wak fa whcA Nis permn u iavrd 1�.�7.W.C.1. � �"i°�'''"'� COMMENTS I mlmder's AEdreu I 6 CEpTIFCATE Of COlAPIIAlCE ANO AUf101Uid1 OF ENTRY:I uWy I Iw�rpd ' �poicNim ad nri H that Me mlom�tcn qrven n carM.I�a to canply w M [ily nl�lry lo hJ6np �i ycrostrucim vd wit�arue�reprtantmn d�lr t d b�Ir yon tl�propary , � ' = ta w ed For mu pvmi�kr�lieti�qra 1-- ` ^, � �v �j� �����d n�p� �( RECPT NO. ��� PAID BY `� VALIDATION WHITE—Department Copy,YELLOW—Fi�ance Copy,PINK—Assessor Copy,GO�DENROD—File Copy,CaREEN—Applica�ffi Copy BS106-11/89 ,«.. ., . ��� � � " �_ �.-�-:-_ ����������°� �� ��:���� � ,• � w _ ���� � . ` � � �, �.a:sa QS��°������ $$ � �� � � �" �� �� � �� �"���� D x �. ��, �� t�`��>�� �����,� ������������� ���� ������`���� ���.��� ������� i� �t'�;,`� �^�. , � � ���� �," �� .�a:'.1 fS�Ste� � f �����#'� �E�71:".> ���� i . 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