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HomeMy WebLinkAbout1427 (8) �. • '"� CITY OF DIAMOND BAR pRESS '-� ' DEPARTMENT OF BUILDING AND SAFETY � BUILDING PERMIT FIRMLY JOBSITE ` �, APPLJCATION PERMR SE AODRESS - � DATE NUMBER % CODE issuE g�_j ..��- �nr� cc. � APN LOT�!_TRACT� � ` DATE CONS7: GROUP o CROSS.ST EET- o-�. I'a`—�� SETBACKS '�"�'�"'s �° OWNER ��A'�`"'` f� � 20NING �O� � ❑ � ADDRESSn�e ������aZ/}' ��f ��'�`� REAR ❑ W CITY-�-�v 4� ZIP TEI�� S'� s�-3� SIDE/SIDE STREET RW ❑ o qpPLr.aNT ':f -��i* TEL SIRE O _ Q CONTRACTOR SEWAGE � pUg� p�� o ADDRESS DISPOSAL ❑ pRNATE SQ.Ff./100 GAL W CITY ZIP TEL. = STATE y LIC.NUMBER GFiADING ❑CU.YDS.EXC. CU YD5 FILL '= AFiCH/ENG/ � TYPE SO FT C7DR PS � ADJ. AREANAIUATiON � � DESIGNER W � � AODRESS LL. 2 0 = CITY ZIP TEL. (�} 3 o PROPOSED USE z 4 � � GARAGE �j � Q�• o NO.DWEL NO. NO. � pORCH y UNITS STORIES BEDROOMS oc LOT DIMENSIONS m VALUATION ADJ.AREA - o NO.OF BLDGS HOW OUANT(TY DESCRIPTION FEE ' � � � W OV LOT USED 4 � W ❑ ` ~ IICENSEO CONTRACTORS OCCLARATION 1 hereby dlum Mat 1�m kmud udv pro.n�ms ol CA�pu�9 IcommeKwq � ¢ wnn Se�oon 10001 0l Orvisan 7 0l E�e Busmes�md Rofession�CaEe.�nC m�M1ceme o n lun brtt�nA tltac �W . 3 � W _ - - LL UVNER BULOf A D[CIAAaTqN 1 Meby dlum Ma�1�m wmpi Iran b�[a�uscw'i lsmu l,w la d��Idlw�np ��, 2amn ISec 70315.Buvnes��rA Pralessans Cade AnY��Y or tounry whKh rpuirn 1 pNmn m tmmuct. (� �. ' o �lui.impiore.dmdish.a repa�r ury�Irucfure.p�or b nf issuance.�Iso rpuxes the�pp��l lar tu[h prm� 2 ►- w 1�k�sqned�u�emem M�t he u Irented purswnt p 1M pwiwns af Me Cme��ror't linnn liw(Ch�qe m • - � 9 uommennnq w�th Secnon 1000�ol Orvisan 3 0l tl�e Bus�n�u�M Protessiom LokV a th��he's uempi drd�om � d xM the baas b�ine slkped��empuon AM vwl�twn al$ecdon 7071.5 hy x�Y appAc�m 1ar�pe�mn wENcts � W 11K�pplcam io�ervd pendty ol rol mae Man five�undred daAus�55001 I -� a � ❑I.�s owrcr ol th poptiry.a my�mpbyxs witA wpn u IM�wk compennoon,w�l do the wa�k.rd ihe siiatwe u ro�intmaeA a o11nM la wk ISec)Oa4.Buva���nE Rdessions Laae TM CanvKru i Lceme Q V law dots rol aDPM��n wmer m ompe��y wln buids a inpovts iMrton.�nd wta dotf wth worl Awnxll. (� W a Ihrou�h hu own emploYees.prwidsd N�t uxh impwemenis ue ro�inhMed a ollend loi f�k tl.Mvrrtr. Z � m �he Dwbing a impwemcm n fotl wnMn one Yen ol[a�Nnm.the oM+ro�builMi wit M1m Ihe Oudm of pwuq Q y Ih�t he d�0 not 6wtl a�ave lo�Ihe purpose ol ta4� .U tn ❑I.�s owrcr ol the paperty.m ex�vvely tamnctuy w�b IKenud eaitrxmrt b tdWruel Me pop�t(Set W 106�7.Bus�ness�m Rolesaons Lode The Convxmr'e licmu l�w das nm sppiy m m w•m ol pap.n�who � z budds o�7mprwes Mnean.Md who conv�n�la w�A p�o�e�is w�A a emuKm��sl Ycrosed p.�wm ro tM tmuxex's / '� ��«^u�� CONSTRUCTION � a "� ❑I am emmpt uMa Sec .B 6 P C.IAttzh Ceruhu�el U4N R EVIEW -• � � °a` °rn" ELEC � NqqNERS'COMPENSATbII pEC1ARATIqN I Meby�Ifrm tM�I hne��nefK�k ol crosml b�tll�ntue,w � �urtdrcue of wh�tai uma�:���N��..��.a��no�Ka�wv a�.���.aeao.i,e c�. PLUMBING � O cno�re���e�.nr i�.n�n�e J MECHANICAL C ❑[aUIrcA capy u IJed with�e&wG�q Insp'clm OprLrwil a O�vxeront Q GRADING W z LEftTIfIfATE OF Fl(EMPTON FROM WORNERS'LOMPENSATIW MSUflANCE ihis�ecoan�.�e��e.�o�p.f�a SSUANCE � � A tl�e perml is lor aro Audred Ii1001 a ksf I tnLly Lh�t n 1he prlamaze ol�he v.vY Ia wMcA IM ' ) y rmil is iswM,1 shd rol� fon in pe mploy ury per siry m�nKr sa�s m b'come wCNc1 lo Ihe N6rY�ri CmpemaUon MIP � �lJS ..��. L�ws o1 C�Idornu W _•."c,—E o � Artic rt � °it �DO�"'�� LL SCHOOL FEES W AqTCE 10 APPIICANT M.�fter meYxq Ew7 Caol[ne ol(nmpipn.rou shoutl Mtdrc tubN[I lo h NhtM'i -�+ Cmpensaum pov�sn�s ol IAe liEa Cade�-�+!,miM'fa�..iih eouply w�M w�h prwoonf a tln�pwmil dd � ne e«�e�ed. ,.z. �`": 4':9.�; r � pV510N Oi MIOIISfRW.SAFETY PENMIT CEIIfIfIQTip1 W d �I kreb/n�Uy W�eo�ameon fNe I51 n m�htl in A4T nta wACA�Mnan i��Na�M o Mfe�d. � wil h made n[anectwn�+itl�wak y+��d►y Tpymn.:ed MM b WiMy nnctr�.WIkWy.fY�w�wY, . a eMw���s esmr+m�q m.�wi, i�.v� 'A+hM�C�I!f.ei Mpn.(CMp.3f.G�7 Z.An T.Sa W 3CI.TNeB.GA.L1 F� V ' x 3 �As owner�brlder.I wil nm�mploY rryon�a da wark wA�h xald I�Wii�'i,prmt han IM M�i�on d ' F- kdustrul SNe1y.�t mbA 16o�n.�i iut�prten Mf��prrnl b b weh waY haw 7r h�ruiln. 41 1 � s •zr,.'.(.'. ;��`_C✓ �:•r-.:r-� f ' �,,,� ❑G�sion d Irouseu�SaMtr PYmn Nd � � �asrnucror��E�ar�nr��.i n«�,.��n,�u�..n��mK�r�,.»Kv�w w�. TOTAL FEES � = ol tlw wvl la rlu�h As prnt u uvrd(�.7LL97.Civ-G) � 1endef'�N'"■ COMMENTS m l.ndert um�ee: � '� URTIFCATE IMtE ANO AUf10WZA710N OF fNfRY.I weh�I Arw md�:.N4k�d rtre , w M�t Me� anumn r eu�Kt I WM 10 CMnply WMI�I t1�Y IWf MiA dfy MIi�RIt I�Ybq 1�Y�iK�Y y mnsvatun.rd�u e�nMwUb+�d Ihe Dpl�rnl�f BrYii9 M$Mwy O Mr upan IM MMKh � la wA¢h 1 hne� hr IAn Onm�Yar IM prpw d�+9�^^�OK�- ,�� ' / '��— ��� �v RECPT NO. PAID BY VAUDA �, � Squnn,l Apycnt a Ap�m � . . WHITE—Depertment Copy,YELLOW—Finanee Copy,PINK—Assessor Copy,GOLDENROD—Fle Copy,OREEN—AppGeanb Copy RSfOf 11/89 -� •r�r�,. r - _,i� ' " .:�'.,"�i '��:.v _ '� _ •c�...�.�.. ..:� , ' � • . ,'G"�, _- , , . , .. �:i.r :�u. oi.._,�. . .. _.. ,`, ':,i.-, .:7y: _ .•�s:.•..-��.i�;: ,. 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