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HomeMy WebLinkAbout1135 --..__... .-- ----- -------�---------_..._--- - ._. . . .. .. , .. . __ �� � '"` CITY OF DIAMOND BAR PRESS �,� i-•" ' DEPARTMENT OF BUILDING AND SAFETY F�pMLY .- BUILDING PERMIT JOBSITE 1 A�PPE CATION�Q_ .�_(�O NUMBER � � � CODE ADORESSI VG�f'1p � C ISSUE /__ a-��`� TYPE OCC. � APN LOT TRACT DATE �� CONST. GROUP o CROSS STREET ZON�NG SETBACKS ""°''F'E"'S °� OWNER + .� Sn;� FRONT RW ❑ � ADDRES tr:: � ' REAR ❑ W CITY � � ZIP.�1?b`� TEL. SIDE/SIDE STREET RW ❑ g APPLJCANT TEL SIDE ❑ 6 CONTRACTOR � SEWAGE O PUBLIC PMT+� o ADDRESS v� DISPOSAL ❑ pRIVATE S�.FT./100 GAL W CITY� � IP�ZE�! TEL7� 5 �6 y LIC.NUMBER � ' u ��a�b b, GRADING ❑CU.YDS.EXC. CU YDS FILL N ARCH/ENG/ � NPE SQ FT FACTOR PS � ADJ. AREANALUA ION `=' DESIGNER �� d�v `�^ W � "�• �r a � ADDRESS � � � 2 = CITY '` ZIP �`_TEL F St (�} 3 U Z o PROPOSED USE � '� 4 �, � GARAGE o NO.DWEL. NO. NO. � PORCH y UNITS STORIES BEDROOMS � LOT DIMENSIONS m VALUATION � ADJ.AREA o NO.OF BLDGS HOW OUANTRY DESCRIFTION FEE " � W ON LOT USED Q W U S Q ~ L�ENSf 0 CONTRACTORS OELLARATION I IrtiehY�����m INt I�m kmud under Ororiami of CluDta 9 Itommennrp � , Y MIIM1 SK00�70001 a1 Orvaan 3 of�he Busness ind Prdessbns Code.md my lemse B n Idl late�nd Nlect _ . . . •� � � W J � � W � Q�YHEfl&11lDfR OE0.ARATqN 1 Acre6y alLim thu I�m eampt Iran ihe Conlrx�a's ltenu lrv la Ne Idlwvmp �eason ISec 10J15.Bus�ness�nE Prolesswns CaUe Any atY a cunty wMcn ieyui�es�pe�mn�o construt, ('3 o yta xnyrne.demoYs�.u�epair airy aiuctme.O�ror to es asmrce.Yw�e7wref tl�e�pCic�nt la tu�pmm� Z � �o I�k a rgned stamment tlui he rs kensed Dunwm ro the pwiswn:01 tM Cannutor's lkeroe Liw�G�pte m � 9lcanmenunq wnM1 Se�uon 70001 0�Orvis�on 3 al Ihe Busness�M Piolessain Codel a 1���Ae is�umpi Merehom � s.. ��a me e,�:loi Me�IIeqM�ampoan.Arry v�duwn ol Seeaon 70115 M�ny�ai¢am ta�permn wE�u � W nx,vvi�.��m,��a p.���v oi.o�mo��m.�iM n�m«a eoe,�s lssoni� a � ❑I.�s owna ol the p�opeity or my emplorees w�M wagrs u Nni ide compens�uon.wAI do Ihe wart.�nd ~ me strawie rs nm intenaeU a aflerea lor pk�Sec 7Dsa.Bus�ness�nd Frdessms Lode ihe Cmvxtar i LKmu F— Q � l�w das ro�a�l�m�n owner al pioperlY who Mnks 0�impoves Maeon.�M who tloes fucM1 wo�M�xntt�l, U •.� p tlKough A,s oxn e�on�s,aw�a�a mm��n imOrwemmts ae nal ntended p o1hrtA Po�sik H,however. 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HlITCE i0 APPIICfWf.M.�lier mi6 m�e�oiK, r : :� c m nk na►n�� LL SCHOOL FEES � o� �° ���'°�''�`�"��` �` � Compensanm onvms al the Liba Code.you m t v rth :an:a iM� il th�ll � De deemed ievded > s qVISIUi Of WOUSTHIAI SAFEfY PEBMIT[ERTIfIUlTION a++ ^r �T n^f���;. �l�1 i^ �- �1 here0v chldy iMl no ta�wtnn Ine(�q hd!11e1 Vrap�t�nb.wlYc��q�emW�Teywkd lo I�s[ad. 0 ee II 6e nude in tmne�twn wn�wrck�utlwve0�y f Wm4�dJMI ro�rq.fuuttuq np,lalfnvwY. �- a Oe.min�m a WvnantYry thneol.wm be��n�Fnqiia:y]i�1�ee�AiyA.-I(TaD 9?Gy�2.An 2.S�c . Z JCI.LhB.CAG1. W � �_ ...���777���''' owro�hwWer.I w�tl m��mpbY�^W^�b do worY which wouk�epure a paint hom IM Oiriion d � �— Pn strW Siit�y.�s no�e0�Eout,unb7 wch per7on Ms�penrit m do ach wak liwn IM bvuion , � W ❑Q.ism ol Indusvul Safery Permn No TOTAL FEES � CUiSTRUCION LENqNG 0.GENC/:I here6y�Ili�m Ih��iMn n�wn�ouctm M�dnp pn¢y lu M qrbm�nn — c� Z d Ih wo�Y la r�lu�A U��7 perml it swed�Sa.3097.fiv.CI. � lm�kr's N�me rtl� ENT$ - m LeMer'f AObeu � � C[NTIFILAiE OF COMPLNNCE�ND A1R110N2ATVi OF fNTIiY.1 mnh��+�n.a ub Rpc+��rd hs� � I�u Me nlrcmitm pom is earM,I prn 10 canpN wnh YI suu 4ws�nC mr nbru�cn nYunp ro Md6np C � y co��� m.a.i-�.� �w�r+�pell�nwn�a dr Dqrtmmi e1 Bui6^0 rd S+lety m�r Wn^tl+M�RM � tu hcn I lu�s�DDI tor IAis DNmn la th p d makinp inspamns. 1 q 2 X syN��e a ncprr�a ny�m �""�arl� RECPT NO. �-/�—PAID BY VAUDATIO WHITE—Department Copy.YELLOW—Finance Copy,PINK—Agsessor Copy,GOLDENROO—File Copy,GREEN—Applicarro Copy �,,;;�,.,� •,.,..-.�:.,._.. . �;�i t�:� r± . . ti�, ,.s y� .r...._� .�._.; , , . . . . � .. .. . .. . , . . • , . .. . ., .'� . • . . .. - , � .... . , .. . .. � i.�.�:` ... ,. . • . . .. �;�E���'' ��:�°�•• ►�.�C,�`�.i����"���'_$��"�' ��`�L�� . �������.��'IC�I� �L���� � � � . ,.__ , ' .� , t .., .,,., `� y � I�a� a'"tfy'x�4.��$;; s�;1�! 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