HomeMy WebLinkAbout151 (75)H
wwc
ca
s
W
0
z
e
W
0
e/a
0
ZEW
0
W
0
W
C
C
0
ez
ri
W
O
P-
cc
G,
our.
c
s
. ,) d..�3 ) C --
CITY OF -DIAMOND BAR
DEPARTMENT OF BUILDING AND SAFETY
BUILDING PERMIT
PRESS
.. FIRMLY
JOSSITE r
ADDRESS s J Alf wooP
APPLICATION PERMIT i SE
DATE 1 rl3_R TYPEER CODE
DATE CONST GROUP
APN LOT _'5:2 TRACT
CROSS STREET CYA. MAA 4 01,190 POAA 494)2
OWNER FAOvaL YA12z-1
ADDRESS 2'GL 9 E_ G14-41"EII Pl
SETBACKS Is,R10VEWNTO
ZONING FRONT RW El
REAR El
CITY DIAMa`i JAR ZIP gj74STEL —
SIDE/SIDE STREET RW ❑
.eg TEL'�U, ti _ 273
APPLICANT//&_* P,-�'
SIDE ❑
CONTRACTOR C2 SON
ADDRESS
CITY ZIP TEL
SEWAGE ® PUBLIC PMT A
DISPOSAL ❑ PRIVATE SO. FT/ 100 GAL'
GRADING ❑ CU. YDS. EXC. CU YDS FILL -
STATE
LIC. NUMBER
C0
TYPE SD FT FACTOR PS ::,.ADJ. AREANALUATION
ARCH/ENG/
DESIGNER l46LD IQ.0C ENG.
ADDRESS 17.042yAU, y VZCc✓ spa
W
Q _.
1LU
U_-
2
CITY f 80EW Zip. 42.1,45'TELVI!_221L
3
PROPOSED USAF [SvS�G '� F9r�uGr to "`y
flES •
4
Li
a.J
GARAGE
NO. DWEL. NO. NO.
UNITS I STORIES �- BEDROOMS_
LOT DIMENSIONS OX .
m
PORCH
VALUATION ADJ. AREA
OUANTrY DESCRIPTION FEE `
NO. OF BLDGS / HOW n
ON LOT - USED
ElNSED CONTRACTORS DECLARAMN 1 Survey dlkm that I am WIWI uder paowaionS of ChaPtr 9 Icamarraciry
wrh Srbon 70001 of Crow 3 of the Busvets and Professmt Code and eery Mims& K e fW Mn aha atlrc
LL'i•
, W
GI E
�F 414
❑
W
sv
OWNER BUILDER OCCLARA70N I Surth, affirm that I am &.no hum she Contractor'I Lee— Law la ted ldleawrg
uewn IS" 70315 Business and Professors Cane Any city or county wroth repuin a pont to Conttrart.
after Wngra s. demofash. v rprr air mucwe. per to its issuance. atm entins Nae epakcaht for such prod
e file a filled statl-It that he is leansed pursuant to tie prrwivors of the Convector's Lode Law (Chaptr
9 lconwtencrng with Section 70001 at Dmswn 3 of Inv Butmess ane Profession Coal o Nn ha n eeerapf Nrahom
and Ito bans to, ft alleged eaanpten Arty variation of Scam 70315 by any applant fa a parents suhiets
m appkant to a civd penny of net mast Nan I- hundred allays (550011:
❑I, as awry al the property. ar per, emolayen ..di wage IS thnr 1* eomonnnen. "a Ne work. rd
C7
2
Co
2
D
d
U
de structure is tet wteaded or allergia for Safe ISn. 7041, Business aha Prelosswns Crile. The Contractor i Leense
i Law does tot son to an Owner Of property Who builds or envo n diverse. and who does such wait hens."
a nvwgn has awn eInf ry",. prended that such rnpowrrnts re nee Inlwded a 01*0 for safe. If. hawser.
a Iw building a endowment o sold vrntw ate yen of curnpfetin, tSu awrwr-buldr, wag haw IN burden If yavury
that he dad MI li in plow for the "%I of sale 1
❑I, as owaher o1 the prapvnr, an ncLsrwry tnna[tup wtN licensed ennrmrs ro mnnruct ISu pram {Sat
u 7044. Banrhets and Pralessohs Cade The Cntrrta's Sicnse Law does tea appy to an dwwr of propany who
builds or e'oraes thereon, ted who contracts fa such Frahm want a tnnrtrlsl emitted pursuant 10 ted Cntranr'a
LteruLaw I
?
=
U
W
'
CONSTRUCTION --2 it-?—
' ❑IamrnmptWrsn .d6PGUnraCerurenn
PLAN REVIEW � O 7�.
'-
"'•
J
ELECTRIC
PLUMBING % rG
MECHANICAL
VARKERS' COMPENSATION DECLARATION. I Sweattoffum give I haw a makers of Starner of sed wan. o
' a cenhate of Nbrvel Cnpensatm Insurance. er a troeed my dmred ISec. 3800. Lab C1.
'•, ❑ Certified! Copy is Sunlit, furnished
I ❑ Cali fairy is filed With the Buffing Inspecon Dnrnnnt in Uwrtrns,t.
CERTIFICATE OF EXEMPTION FROM ghdlKEflS' tONdPE1i INSURANCE. Tia acpn nod not to fomClefea
± d thepunt a for aur hundred 131001 r Ins. I certify Nn an pr prlwatree of gw week kr which Via
Ne ri C----nC----W
parent so as a become subject a Nbk
prern a issued. I hall ret station,station,arty parson rn an
Laws d Cafdaraw.
Q
GRADING
ISSUANCE
�� 1
SMIP ' ■
a
W
U-
PARK FEE
SCHOOL FEES
� IQiCE TO APPLICANT. If 0"raukiup NoCrtifsne d frnhpron, you shout, bran surfprt m Nt Nkr4r'a
Compmsatron provisions of the Lelia Cade. You must lar n "M CU" wish such prcyisees in Nn Coued shall
- be deemed trvoked
01YL90N OF INCLISTRULL SAFETY PERMIT CERTIFICATION
CITY OF r, „1: 'i c i i 1-di1eF;
a
� C1 Sweet, ttedv the, no eacavawn 1nw 151 or mile leer in e.pN into wNaen a paean u rewwed in aeuw
wa1 be suede w cs,rrte r With oak mih ved by dust Deane. tee Car Its aa0ay smecture seatkAay. Ish nwaft.
wbe e than durry-sur 1361 feet hyh low. 32, Grp 2. An 2. Se
tnl, Almil
ee aamphtwn ee afmnthngnr
�341, Tate 8, CALL.
-
Pl III DING Ai'-) c AX -E 1 Y
S ❑At aWnr purWr. 1 WW1 Not weapbr anyone to a week which wadi more a Pont San gm Owes d
- Industrial Salary. is noted avow. nletl such pens, has a wart to a such week Ilam due dMsiae
❑Gown of kdamy Safety P. -I Me
TOTAL FEES
v CCNSt;tW LN LENDING AGENCY: I hteebr ai Neu Mire is a coele-11.0e lerd.affewey Ise aha Prlawnea
of th Werk IN wroth no Count is issued (SK. 3097.6W. CI.
,
Smarr I Ne-
Senate a Address
COMMENTS
r CERTIFIcArF OF COMPILAINX ANO A MICNIZATICI1 DF ENTRY: I tally 1 haw read the no swen and iter
e Nr de mlrmarwn onto as Correct 1 awn to mrndy was, N San laws ash rq ororncn hoary Is ►W"
tnsImten and rdharue a rreuntawe of " DgrtrMll of Iiddvp aha so" to err Lis, the property
IN which I ha t ao/fed to n p at 1 N pupote d wait p msorsws.
X
sun a Aapreaet ee Agent /l /
-
/
/�f 'i / P/
RECPT NO. �J PAID BY VAUDATION L
V WHITEZDepartment Copy. YELLOW—Finance Corry. PINK—Assessor Copy, GOLDENROD—File Copy, GREEN— Applicants Copy
3 _7_ qa sl Aa GRf+-ur 9
g-22_gO CooF S�EfI�H�1►vG'-,.
l �/5'u�A � lo,'✓
1 y �