HomeMy WebLinkAbout1251 (11) '� CITY OF DIAMOND BAR pRESS DEPARTMENT OF BUILDING AND SAFETY FIRMLY BUILDING PERMIT JOBSITE ,.,` „ ` `O \ ^ APPUCATION PERMIT �E ADDRESS � �� � P�"���� � DATE TY�ER �CODE ISSUE I�� r APN OT TRACT DATE CONST. GROUP o CROSS S7 EET � � ZONING SETBACKS ""'a�'E'"5 °' OWNER �' ' FRONT RW ❑ o ADDRE S REAR ❑ W CITY � ZIP b TEL �� � SIDE/SIDE STREET RW ❑ A APPLICANT 5 U� TEL?N � SIDE ❑ � 6 CONTRACTOR SEWAGE � pUB1�C PMT� o ADDRESS `� �� � DiSPOSAL CO PRIVATE SQ.FT./100 GAL w CITY fl ZIP G111� TEL�.yN����s W STATE GRADING ❑ CU.YDS.EXC. CU YDS FILL y LJC.NUMBER y ARCH/ENG/ � TYFE SQ FT FACTOR PS ��ADJ. AREANALUATION ' �. � DESIGNER W 1 � tiDDRESS LL. 2 0 i CITY ZIP TEL (� 3 � PROPOSED USE G - Z 4 - - - � (�(,�-�5� e hou.s� � GARAGE o NO.DWEL. I NO. NO. � pORCH y UNITS STORIES�BEDROOMS � oc LOT DIMENSIONS m VALUATION ADJ.AREA o NO.OF BLDGS HOW QUANTfTY DES RIP'f10N � , FEE � ' � ON LOT � USED �� U e ��, ' .O� W ❑ � R L C� � LICfK`+ED COhTRACf011S DE0.AflAT10N I Aereby�Nirm N+t I�m icenxd v�dn provinmt d CApw 91co�inp ��'�' own�Sanon T000�o�Di.i�an 3 ot the Bminess�nd Prolessons Cade,mA my kan�e is in lul lorte W diKt J 3 � W � qvNER�BUILDEF D(0.A1tAT10N 1 Mrehy illi�m tlut I im eampt ham ihe Convscmi f LK�nu L�w la ttr fdiawinp z rcason ISet.7071.5.BuaMss�M Prolessm�Codr AnY crty o�tdnry wAicA repuiies�pnm�b wnsuut. (7 � . o y�e�.impiove.demdish.a rzDan aM s�ructme.Vror ta ns i�swrc[.Nw rcpu.ec Ne��pkmt loi iuch pe�mit 2 _ ro t= to bk a sqneJ surcmem��t Ae¢kmsed puwant ro tAe pwisms ol Ne Cantr�cmi t lkenst Uw(Lh�pter p� .... ".'�-�1- :�,.. !�'' -'-]�'�.��� � .l ;l�I ¢ 9lcanmeMmg w�th Secum 70001 ai Pv�san 3 d Me&u�ne:s xd Proleu�om Cnde1 a M�i Ae'u unrq�tl�wdran ,'f � y, rid the baus lor Ihe al4gcE��empoon A�vn�twn ol S'ttion 70SI.5�y�ny�ppliunt fa a pimit wqens ' W me�oWKant�o�eml penaliy ol noi more Nri M�huMrM OoIWs(f50D11: a � ❑I.as owner ol Ik popertY.a mY empbyees witl�waqes x tMr ttle eompenvion.wiM Eo tAt worY.Mtl ~ tl�e snucwie n no�immeee a Mh�M ta uk ISec.704s.Business and Pidcuions Cade ihe Cmnxtw's licrose 4 �.rj Law dot�mt�pplv lo an owner al praperry who Ewlds a�npores dineon.�M who does sucA waM Aansell. U u+ or tlrough his own employees,provded tlwt fuh Mnp�ovements x�nat inunded a ollertd br s�If,AoNe�rtr, �� = tlie buiN�ng a impipvemenl is�oW withm one pa�ol tomDkuon.Ih Owner�EuilM�.M�aN IAe MxEm ol ppviiry 4 N Nal�e AiC rot Euik a mpove M ihe purpase ol salel U v� ❑I.as Owner al 1he propertY.�m e�c4nmiy[ontiacuny with I[emed conb�cto�s b tansiruct�h1 pqM ISK W �DSd,BuLRSf W PIOICSL0113 COAl.Tht CM�fKIOf f LK��1[Vw don mt�pplv u�n owna el papertr wha � = huildf a impwe�tAneon,�nd who�antrub lor�uch pAKcts wiM�wnti�edlfl keisd pvium�b IM Lmlr�cmi f " �KB^u��� CONSTRUCTION 0 � ❑I�m e.empt uMa Sec. .B.fi P.L.IAnxh Ce'u1r�uL P�N RE�/�EH/ = °a° °wne' ECTRIC �� •O� � WpRNERS'COMPfNS1lTqN OEClARATIIIN I M��y�Ilum Mit I A�.v a cnel"sste o1[memt m seN o�a�.a .�' i�eru�K�te o�wdkni tompensatm�+eu�rce,ar�enu�re uqr mneo�ISee 3eoo.ue t�. PLUMBING ,_ ❑tncira�oor�nn.er iun+�e — ,_�j MECHANICAL - . " p ❑Lereled eopy n I�kA with Me&:Idnq hspe�wn Deprtm.n�a o.w�e��. Q GRADING W 2 � CEpTIFCATE Of E1fEMPTqN FXOM WORKERS LONPENS47Id-1 NSURAICI.T�q�enwn need rot Ee tortqkfed AN�C`�. I`J ' y d t�e permt n fa ane hunEiM ISI001 n kss I tuo1V Cut n tlie pnlamr¢�al tlr wvk Ia wh�A dn permt u caed,I th�l m1 ertpbY�ry person in x�menrci w�s m Oecome wb�¢t b Mr NMkai Lampenwan SMIP o �'�"'�c'����"� W PARK FEE p Oah �nm�_. n r�- -- — � � rnnce ra avr��caur n.�i���m.n�w:edni�o„�a E�poon.iw�ir,o„ie nKo�+���,o ar►�aw�•� SCHOOL FEES � CanDensmm pmisims ol the l�bor Cude.you muq'Iw�.�h eonqy_wi�M1 tich povisw a Ihi�permn ihM � De deemed�ewYM � J � DIYLSIOi OF WOUSfRIAI SAfETY PEflMIT CERTY�TION W �}� ❑�hereEr cn�1 M+t m twr�ian li�e d��k in �h�i w�q�� n nWirad b Muwd. ¢ w�l be m�A<in emrntm witA aorY wMinu��,�pe�.��fut{�a�W/q tu�utiv.Wlbldnp,f+6wwrk, . � a Mrolrt�m a d�vnsntYrq�hereal.w�6e inan�h+n Orryan 1�1�t�ipe �LAp 71.G�p 7.An 2.Sec W J41.iitle 8.CAC1. - S v /�.r l'ttr;r)',::� �'� � 3 QAs mxw�6wldn.I rn�m��ev�wr+�ryOnf IdJa wa�l NMcI��waAJ l�jlGr�'(�rtr.�kan�h.Onisun d F— InAistri�l SahtY.�t rond�hms.inkffiwthyrturh��p�; ada:t hvwoil�m W'�visort � fiV�L:J��.�� .� . W ❑°m�"°"�""'"'�''`"""'"°"° TOTAL FEES ��d0 � CONSTAUCf10N lFNOiNG AGENCY.I IwebY Nfim�Out tlu�e e�te�mu�fion Ynl+q prrcy 6r h rrMmarce 7e ol tlr�wrk In wAtA Eu5 permi s uYld�SK 3497.G+.G�. . � ��'"�'�'Nin1° COMMENTS � tnder•:amrott m � C[NTIfCATE Of LW7lIGICE RMO AUTIUNZ4Td1 p ENfRT_1 erUly 1 Mw�uA hs NpliMiw rM ttat . va UNt tlie Mamnm pnen u vnct.I qv ta compy wnh N suu 6ws rd ii�n ai.�a uln.p 10 6�y y tm�trucum.rd�uthaire�nprtwnuUve d tlr M�rtmmt d B+idiy d S�MY b wiYr qm tM PM�N' � Fu whch 1 M++POkd la 1hn ynmq la tlr pryow d euk+q ntpsMn�. I N- --"' ��n�"��e ��I b��O RECPT NO. D PAID BY�_VAUDATION sqnihn�t apprun�n Apm� O�w . . , WHITE—Depanment Copy,YELLOW—Finance Copy.PINK-0.ssessor Copy,GOLDENFiOD—File Copy,GREEN—Applicama Copy � BS1 0 6-1 118 9 .R�. �.��.... •_ .�` .. " ' _, . • '. . . . ' � �_ �..N.,�.-...-.T'�:',�-'r... . .. ' , i)'.� ��1� �{.���:.:��' :�t,,.�, 1i...., . .. . . . ._ . .� . - . - . .. - . ' i _.. . . ' . _ ' _ .. 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