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HomeMy WebLinkAbout1120 � '('' CITY OF DIAMOND BAR `�, �"'� � DEPARTMENT OF BUILDING AND SAFETY PRESS BUILDING PERMIT FIRMLY JOBSITE - �t'}(� n APPLJCAl10N � ..� O PERMIT USE ADDRESS �Noa3 SSUE _, ` TM�ER�CODE � APN LOT TRACT DATE __ � CONST. GROUP � CROSS STREET � ZONING SETBACKS �►�� °� OWNER � �p�7 qyy � ,o ADDRESS a AM��►'��lut' 2 REAR ❑ �W CITY�;R�o�D g� Zp �I7GS TEL.7� � � SIDElSIDE STREET RW ❑ o APPLICANT TEL. SIDE ❑ z � CONTRACTO n ' ��S �- g ADDRESS � o�r E SEWAGE O PUBLJC PMT�" DISPOSAL ❑ pqNATE SQ.FT./100 GAL W CITY�QQi4 C/� ZIP��TEL���I y-7L• ' z STATE y LIC.NUMBER -`�5 a GRADING ❑ CU.YDS.EXC. CU YDS FILL N ARCH/ENG/ � TYPE SO FT FACTOR PS ADJ. AREAl1/ALUATION ' `-' DESIGNER W 1 o ADDRESS ��y, 2 = CITY ZIP TEL. �r 3 � PROPOSED USE-�_f��2 Car./Qr�TIc.:J. i�DJS� Z 4 � � GARA6E o NO.DWEL. NO. NO. y UNITS � STORIES BEDROOMS � PORCH s LOT DIMENSIONS m VALUATION ADJ.AREA o NO.OF BLDGS How ouar,rmr DESCRIPTION - FEE � � � W ON LOT USED a C� eT (i �,, � U � ¢ IILENSED LOhTRACIpPS DECLARATION 1 AntOy�Ihrm N�t I�m fcensed wke piov�fimf ol CMDIer 9ltomnencinp � Y with SK�an 70001 al Divi�an 3 0l the Business md Prolessim�Code.and my IKense e in lu7 larte�nd dlec� ' ¢ W 3 ❑ W . \'. . . , �- �±- O�VhER&11LDER OECLARATION I hereby alh�m tna�I wn�amp�Iran tlN Contrxta'�lKenu Lnv fa Me Idlo.v�nq . . Z �eason ISee 70915.Bus�nns and Proleesunt Code Any iity oi eaunty wM1Kh uQuirn�pam�t lo eonttrun. (} � . o almi im�we.0emo4sn.p�eD��r�m�suuttue.qqr lo its nswrce.Yso tepuins Ne�p�4unt la su[h permrt 2 � lo lile a sqned rta�ement Itut Ae is Ycm�ed pWsuam m tl+e provismns ol�he Contr�cwr's lceme l�w ICh+pte m e� 9lcwnmercing w�th Setuon 70001 0l p�san 3 01 M�Busurztf�nd Piales�ions Cedel a that k is e.tmpt thndrom � o.. md the hasrs Iw ihe�tlepN oemptnn Airy vio4van al Satpn 70J15 by my�ppluam Ia�permn wD�etls � "'� tne�ppiK�ni w�cnu pen�itv ol rot moie th�n fm hundred doi�rs IS50011. a W � ❑I.�:owner ol tne p�openy.a my empbyees w�m w�qe�as IM1erc w4[anpens��un.wJl do IM wo�4.od � tFe suu�m�e n no��mmded or otinM 1«s�k(Sec 76W.8u:�ness and aofessbns Lada ihe Cm[racm's licm:e a �� / /•� �D V law Aces not app�Y to m Owner ol prpperlY wM W�Ids 0�imDrpves Mnedi.�M who 0ots fuc�wark Mmsetl. U 7 r ' m throush Ms avn erroloyee�.pw�Eed Ih�t suh mpovements ue not mlended a ollered loi sak II,hawe�er, Z j��T �J .OD •� m the budC�np a impiovemem ie folE withn one yur W[omDkt�on.IM1e wmer�bnNn w�n nr.m.e�re.�oi ao�:q Q y �ha��e di0 ro�WiU a xnprove lor Ne puipou ol salt I = y U ❑I.u awrcr of[ne p�openy,�m ealusvery comrxnny wnn IKenseO contocmrs�o construct IM prqect�Sec. w 0 �044.BuLnlSS IM PIOIf2710�7 LOQ! Tk Lontocmr's license liw don not�pply m�n ownei ol proprty wha � Z pudds o�impoves IhNem.Md wha eanb�[t31a NKh pN�lcit wilh J eonl�aCiql�)4cMsed pursu�nl b tl�e CmlrKta'f ` �"`""`""' CONSTRUCTION c � ❑I am eampl uMn Sec ,B P.0 IAnxh er�IK�RI P VIEW Jo.�� G-2l.- U �.�, i GrTatr , .007 � K9RKERS'CC1�IGENSATK►�DEC1dNAT10N I hneb��I�rm IAat I hne��erolciu el cmient Io ull�nsw�,a �cenA�mie ol Nb�kae'Compsmaian Imw�rc�.a�ceuLsd cWr Nneol(Sec.7800.lab.C.1. .... ' PLUMB�NC.7 0 z ❑LMIiIRd COOY RAHlEry IVrmShld ECHA �r0 O 4 o ❑CerulK�topY�s Lkd witA the BuAd�nq Nspuuon OeDytmem n Oeuxtm�n�. � GRADING W � CEIffIFLATE OF EKE6�PTION iHOM WpiNERS"LOh1PFNSATION INSUfiANCE Th�s unan need mt k emqkiM ISSUANCE r N d tne pnm�l is fa one hunA�ed�5100)a kss 1 eeroly put n Ihe palamr¢e ol tlr work Iw whrth tl�s � � peimn n�ssued.I Sh�A m1 emploT�rr person in�ny menrci m s�b bLpnt w6;ect b Iht Y.brtei e�,���.,m . SMIP = l�ws of C+Idanu W � W PARK FEE o.�� W NCTRE TO APPIILANT.M,�Iter rtukmq Nn Cerolc�Ate'o1 Fircmpta9 pr•,fM�IO betane pbiecl m IM N6rYer't � SCHOOL FEES —� Compens��m prwisims ol the li6or WAe.you mufl!7MhvL�i•Fen�l�w�M1,�h prwuions n Tn pem�u d�yl � be eeemea rcvaked 6;:s'-��_t �:l�::ri: T Q DMSION OF INOUSfRIAL SAFEiY P[flMIT LFRTYIGTION " W o ❑I ne�eoY catdy iMt na ac�v�tan trve I51 a ma�leet�n aeptn into wnKA�persm is npund b dnce�d. ¢� wdl k made m m�mttm with work riMwvtAbypy�y}rmn�!Mi11ut n{�vunue.u�llold�np.I�uaak. � a demotn�on a dismantl�np Ihneal.w�A be moh7da1.6nwfi.4��6�I�Q, ICMv �t.Gry 2.Mt 2.S�c = Sd1.T�AeB.CAt1 JU�� L W S 3 ❑As ewrw�bwlder,I wi0 not empby rryoK m b wqaYr whic�wddd tpwrr•a panW�fRm tlr Pvocn d p-. Indusu W Sakry.�s rorcd�hore.unkss tucR ao!'1u"\ eTt�lb�tlq Wd�wak hdm Ce�dmvswrt ( v I r 4� 1 � �,r� ,.., ��.Q SF�., yJ ❑Dm3qn OI II�Au3fi41 SilCly Mm�NO.-• .�� n,^ r A� � TOTAL FEES J �D� � CONSTRUCiIDN IENONIG AGENLY.I heretr��ffnm�A�t Men u s wnsrtu[aon Yrdrq pmc�la 1M pnM�rrzt z o l the woh ta wM[�IDrs perm�is iswed�Se[.309).Gv.GI. ,t � 1ende"N'm` COMME � l m i.ron•:aaa�:: � UflT1FfATE Of COMPIWNGE AHO AUTxONiZATKIN OF fNfHY.I eatlly I Mw nd hf apicnim ad nwe h tl��t tAe nlormatqn pven e earM I qee to umply wiiA d t�k hwt Md ury pdiw�cn nl�linp to Wi1Mq y canstrucbon.�nE riNa�ue�rpnumibue al IAe pprtment d BuNnq rM SNety b�nw�an 1M poprry � I«whKh I Mva�ppled Iw Mn yumn lor Me yuyos�d euk+q in�qcumt . ' � �l�I�r.,�-���.��,-�-G, G �14-�v � ��� s�n�.rt Mdr��a ao.m p.r RECPT NO. —� �'�PAID BY � VAUOATION� WHITE—Department Copy,YELLONV—Finance Copy,PINK—Assessor Copy,GOLDENROD—Fib Copy,GREEN—Applkanta Copy ��r ,'ir"�'1' � S.E:. '4i�Y� �.' 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