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HomeMy WebLinkAbout1526 (19) �. -----...- - - �----------•--�-- --•--- 'r'� CITY OF DIAMOND BAR . �-'' ' DEPARTME BU LD NGI PERMITND SAFETY FjRM Y .y JOBSITE APPL1CATlON PERMfT SE ADDRESS ��N� �i!V �� DATE Q�/-"I O NUMBER ��� CODE � APN LOT TRACT� D TEE_ �` �l'"-�� ONST. GROIJp e CROSS STREET e L SETBACKS �� °° OWNER ZONING ��� � ❑ � ADDRESS L '��� � REAR ❑ W CITY ZIP��TEL �02 SIDE/SIDE STREET RW O a APPLICANT � TEL.� - SIDE O : ` CONTRACTOR SEWAGE o ADDRESS DISPOSAL O PUBUC PMT� W CITY ZIP TEL. ❑ PRNATE SO.FT./100 GAL z STATE GRADING ❑ CU.YDS.EXC. CU YDS FILL y LIC.NUMBER y ARCH/ENG/ � TYPE S� FT FACTOR PS -ADJ. AREANALUATION � " DESIGNER W � ' ` �`' o ADDRESS LL 2 z CITY ZIP TEL � 3 � PROPOSED USE � � Z 4 � � GARAGE = NO.DWEL. NO. NO. � pORCH �„ UNITS STORIES BEDROOMS � LOT DIMENSIONS m VALUATION ADJ.AREA o NO.OF BLDGS HOW OUANTfTY DESCRIPTION FEE - ,��.. ON LOT USED Q � W ❑ ¢ �" LICENSED LONfHACfONS DECLARATqY 1 kreby yfrtm that I�m kmsed iMer providmt ol CA+Dtn 9 Icommercinq � ¢ wnh Secoon 70001 0l pvisian 3 0l tAe Business�nd Piofasan�Code.md my liceme ie n IJI lace�nd dlect .W 3 W . � QW�:EH BUILOEfl DECIAPATION I hereby tll�rm tl+n I�m tsempt han tl�e Lomrxta's Licmx Lsw la Te Mlor,�np � _ z rceson ISec 70115.Business�nd Prafe:ions Lode Any cm/or tounty wM[�reQu�a�pamn to toname. �(7 . . .. ' . ti '. .._ . o alia.imPiove.demdish.a�eWir�M�rutlure.yiu to tlf issu�Me.�m�epwief t�e applic�nl lor wch pmm� 2 � la Lle�apned a�iemem M�t he is litensed pusuant b Me pwisions ol d�e Caneictor's lKeru�L�w ICh�ptc m � 9 kommencmq wnh Se�uon 7000)of Drvism 9 d Me&rsiness snd Profauiaa Cadq w th�i he b�nmpt therd�an � a �nd tAe bavs for Me�Ikqed e�emptan Airy vnl�lan ol Setton 7071.5 6y iM�CC�t+m 1w�permit fupKcts � . W �he appiK+���o�iivd penal�y ol rot rtare ban frve huMred Aollus(550011�. . a �,�,,, ❑I.�s owner of the p�openy.a my emDlayees�it�wsqes�s Nnr�de eonipmsanan.wil do Me worY.a�d Ik suucture u wi intendM a allered fa ule ISec.7044.&ianess�nd P�olessians Cade 1M CmtrKiu's L[mse Q � � Cj v � L�w does nat aDDW m�n vnna al papenY .bui1N oi�"OreNs�Mnem.ud wha das wch waA I�muil. U ' o�IMoign M1,s own emplo�ees,prw�ded M�I 6��P�t1^T�s Ka pot interded a ollersd fa s�k It,Aowere�, Z m tne Dui�C�np oi impmemem is folA w�Min ane .r qf,Cmipe�i9n;:pw Owner�6uilder wil Am tAe b+Em ol pwnp .q = Ihai he d�d no�huN rc impiove fai me purpose ul sale I �2 h v� QI.�s ownr ol Ihe poperry.am�rtWsrvely eonuutny wnh IKened[MnxN�f[o[Msuufl 1M p�q�ct(Se.c. W 0 70dC.8usircss�M Piolessans Lo7e.1hrLmuKtoi�lironse mi�pplv p an wmu el poperty wAe � z 6uilas a impraes rtiereon.�nd wla rondua ld peA D�v�ec5i wi���ar�sl lkmud qnwm ro be LmuKmr's " Lcenutnvl �'`'•' � `'�� � �� CONSTRUCTION � ❑I�m e.empt urdn Ses. 8.fi P.C.IAnrA teiolc�nl. � P�N RE�/�EW 0 0��< <'j.;•v �'= 4;«K:_','.�, ;1 t::i:.''t,' ELECTRIC � WpRxERS'LOMPCNSATIDN DEQARqY10N'1he�lliLNjum'fh�t,•I tiM�;t10�fjcir M tmsem�a edl�n�ure.a �arm�aie o�v.bitni tompenuuo`o�ni��rce.or�ieotpe eooy tnaed(Sec 9800,t�e GI PLUMBING o (n _ ❑Cnu6ee aapy is kreby�u�nsnee ECHANIC . � c J O ❑fnulKd tapy is Ned with Ihe Bwld�ny Intpecnm Depxunent a Depx6nsm � GRADING W x CERTIFICATE Of E%EMPTUN fflOM MARKFR$'COMPENSATpN INSUfWI�[E Thi3 muon neM rol M Carpk�M �S A �3 � Q A � il Ihe Dermit is lor pne AunAied(SI001 a kss I anily Lyt in Ih pnlamnce ol IAt wa4 lo�wMch Ihis y perm�l ic iswed.I th�7 rot employ�ny perwn in xry manne�w�s m Exome wE�ctt b Me Nb�kai Compenutpn S`M = lnvs ot CalAanu. W o W PARK FEE p Oarc Apphum � NOTICE TD APPLICAHT.M,�Ittr m�kinp Mis la61K+te of Emnptan,rou chould becme t�p�I to Us NtrYm'i LL SCHOOL FEES _+ Canpensanm povis�ons ol Me 1�60�Code.ya mmt IalhwM eomply w�tM1 tuch pvn�ionf or Wf pemia lhA � he de<med revo4M J � OMSION OF INq1SiRIAL SAfFiY PERMR CEflTIFCATIW W d ❑I haehY cn1Ay tN�m nuvnnn five 151 w ma�hn in dep�h nw wtucA a peam is rpw�M to Ct¢m0. � wdl 6e mMe n cmneum wnth wat auMar'vM by Na peim�.�nd Ou1 ro huidnp swctvt ualldMp.I�w�wk. a demoYtwn p bsmmtl�ry thn�el.w�l b mon tlun M+ry.u�(]6)�t hph.Ia+D 9.2.GN t.An 2.Su W ]t1.Ltk8.LAt1. S 3 ❑As ewnx�builde�,1 w�l not probv�N�m do worY whin wak nv�n.priM hom tlr PN�on d . � IrAirnul S�lery.as no�ed�bmn.unks:tucA perfm lu:�pmrit b Oa tuch wat han Er/iviwn. � W ❑°'ri'�,���'"`��`"°"�"° TOTAL FEES � � CONSInUCfUN LENaNG AGEHCY.1 here6y tlt�rm F�t IIRrt R i COnibu[Uon bldq�ylnry IN IFf P11IPmn[t � d = 01 Ne v.ort fa whKe�s ynmt n iswM�See 3091.Grv.G1. � �"1Oe�'N'"" COMMENTS m t�rs nda�e.a t LERTGIUTF OF Cp�IIANLE ANO AUI11dq1ARri Of ENTRY.I caefy t Nn n�d E�i�p�lcnim aM tu4 v� Mat Ihe inlammon pvm it arn[t. qn b tmdy wilh at fule Iwvs rd tiry rdwcn�WYq m h�Nrp y conn�u� . wna�ve a npn wv�d the Dqrmem d Bd4�iq rd S�MY m�r W�n tlw pav■ry � la whc ppled Cut br Uie prpose�1 nrk�ry' • X � RECPT NO.����PAI�B�Y /��VALIDATION ` nu. m�a aqmi . WHI E—DepaAment Ca ,YEILOW—Finanee Copy,PINK—Assessor Copy,GOLDENROD—Fle Copy,aREEN—ApplicaMs Copy � ' . � . . . �t ,.... - '•_. ... .. . • ' .y .. .. . . � �-I . :��� . . � . �� •r ' . .. ... .� ♦ :, n... _� _ .. ,.._ . �' . ... . 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