HomeMy WebLinkAbout1506 (19)CITY OF DIAMOND BAR PRESS
DEPARTMENT OF BUILDING AND SAFETY
�.. RUILDING PERMIT FIRMLY
WHITE—Depei"Ir 4ent Copy. YELLOW—Finance Copy. PINK—Assessor Copy, GOLDENROD—Fab Copy. GREEN— Applicants Copy
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APPLICATION PERMIT USE
E 9 �9r �y NUMBER /� D
ADDRESS J e�8 C��
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DATE - �-9 - 90 CONST. GROUP
APN LOT TRACT
CROSS STREET
ZONING SETBACKS 'wff7E1'L'[m
;V^OWNER or.,a Clive.
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CITY I, - a 2 ZIP j IZf� S TEL
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APPLICANT TEL.
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CONTRACTOR
SEWAGE El PUBLIC PMT A
ADDRESS
DISPOSAL -❑ PRIVATE. SO. FT./ 100 GAL
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CITY ZIP TEL.
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GRADING ❑ CU. YDS. EXC. CU YDS FILL
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LIG. NUMBER
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TYPE SQ FT FACTOR PSF ADJ. AREA/VALUATION
ARCH/ENG/
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DESIGNER
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ADDRESS
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CITY ZIP TEL.
PROPOSED USE
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GARAGE
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NO. UvVEL. NO. NO.
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UNITS STORIES BEDROOMS
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LOT DIMENSIONS
VALUATION ADJ. AREA
QUANTITY DESCRIPTION FEE
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NO. OF BLDGS HOW
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ON LOT USED
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LO SID MTRACTCBS DE:LARATCN 1 he•e.y all.,thK I Sm bnrs.d undo pwi ., of US;:. 9 Icomre•rmp
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C::.tifR BI::tDER C[CIAP.ATCS 1 hereto dhrm that I am ewwt from the Conuatlar's License Law Ir de tof,wrrp
Pm'essioa Lode Any rad+�'es a to eorYrul.
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teaser ISec 74115 Cas nrss and city r county which prima
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a::r• arpa.te demolish, or repeat ary .1 L"ve prior to itsass.ance also fail ,% Ne aprkam such p.ma
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N We a srC+w! s'renerl CaI he n kersrd pcsaant b tet pwadns o! Re Canaxfar"3 lrnae law IChapfn
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70:0; of D. w O at she Baa.ess and Pralessiort Codel a the be a a•empu doll".
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tall ehr Cass lo, Ce Sre;ed e.es^D'wn Ary h•a:aeon of $.often M try SOPlcant 1 pees suClrta
the al:'kart to a tn.1 p+ally of net mo'e Char. tare huodred.dolarS 135041 I
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❑I. as moi at the poperty w my e'nrlaeees w m %wes, as Ilru Sde tor'.per.Lbn w.8 can the work and
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it. sr'ucm'e a MI rrtrnlyd r olle'ed to sae ISec 71144. Business a,d Pmfess,ors Code TM Coatracgu's Lente
Law des not a;;'y to ar, ware, of pini y ba bydas r, anp~-"eon. and Kho dies such wmk bmu'l.
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W it a..;, td own emW-Yee S. pwdM �tb� Isarl' snpnowt,t7 for. 't0I Rttrdvd a of!e'e7 Ir sale 1!, hawser,
de tc.c.rg o rmD'w I a uld w Nm ane yew oUcti pte:mr, The dv+,e' build. w 11 hire, 0. Ivin of pw.q
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that he di.1 Pit h.,ld r rmp'ow for the pu'Pose of sale)
❑t. as awrer of the pggelly M tGMLrr�.y MMISIC.hrk Filth homed [r.a SCtaq to CDnS:Fun Irl pgK1 ISK
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7O•H Bas,ress and Ptrtetwrs Caw .The Cov:yattcr's license law dant act appy -to an owner of p'op'ty aha
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rywts w.th a ce^t•sl licensed put -art 10 Me Cantund's
b'.df a ,mpwes Ca'ecn rd who COM'xts lx weh pxdg
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CONSTRUCTION
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PLAN REVIEW '17•DI Ilo.glo_
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ELECTRIC 2 57e o 0
CDMPfNSATIIN DECLARATION 1 hnehy a!'.m Nat 1 tire a [nblcate of [-runt In sarl 01 a
aW,IReERS•
PLUMBING
I grrht.a•e of vw.sai Co Aeration Insua". a a car uled Cray thwK1 (Sec OBOC• lab C 1
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Cau'eE gxr is he'ety Irrmded
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MECHANICAL j 2.00
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rrf.he! Copy a bred or III the 6r4 M InsaKu-n Dedwtmeal r pgatrent
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GRADING
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CERT:ICATE Cr ExfMoTOle iROA! IATR%EAS' LOMPfNSATRIN WSU9ANC[ This -[ten fwd of be trrolelad
ISSUANCE1S.00 Y S 2_ o O
d the pert+t rt lar en hiMled (S ICCI a less I undo Cut �n [4 pwlwmr¢e al M work b hch this
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^s is ,shed. I that not em a- son. n muni.• so as to biome wbpcf m de 111 atm
pe. a employ ry pe' Srry Lm,pen
SMIP Sf0
Laws of Cal:rn,a• , l _ ' ' I'
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PARK FEE
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SCHOOL FEES
WITICE TO API;CANT M. after-makcq IIS Cerokre M Exemption, you should bKfine tubla[I Ia the VMker•t
Con ensaf.nr pennims of the Lahr Code. you mmt forthwith comphill with such pwnens r an parmd shad
be. domed reraked n n, -I 1' % C i I I %a
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01h4,l;h Of WOIATRIAI SAFETY PEfib/T L'MIFIC+kTtON
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[]I hereto tKldy Nat m acRnm Ire 151 or we feet n depth ease which a person a required to dntrd
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we be modern torrKlion Wlth wdk N4wu4d by Me Perna• Said Owl an heldrep sirmliae, staflaldoll. lYeawpl.
rel_
r d—. '.I.. o dismr:s"p thereof, wd be sac Pa. Ow7-sw.1781 Mt Mph IChp 22. Grp 2, An 2. Sac
21c
K1•Tire 8. CACI I
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OAS orae braider 1 w4 not employ anter to do —k Aith weA rause a permit ho. to Draw ad
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Inst :rut Safety, as noted Mewl, unless such prrlin NS a permit So do such wak born IN 0-ron
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4:1.cm
❑Dwf.n of Inds sau1 Safety Pmm� No
TOTAL FCo O S
EES
AUKY I eq' dhrm that lairs q a construction le^%'•AI tlw'[y la M pwl.m.ce
CneSTRUCTDN LENDS[, hat
DI Ili walk la which tha pnr.t a issued (SK 7097. Car C I
of
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COMMENTS
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Address
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CFRT;FCAr.E Of COMPLIANCE AND ALIT1DIb1ATUf OF ENTRY 1 crely I MN read M oppkosi will rats
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that M .'".afro poen a carries apes to toaeyby An ad sloe laws am city rdnown ealeaep Po badlry
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[.,srrKlro, Sill wlhrue a lgresr,tanM of tla Dowimant of Borrope od Salary 'A MY cyan the property
SIN wt-Kh I 111re 511 IN MIS permit Ir Ra prPose, at rraYq an petaa
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RECPT NO.PAID BY f0 Z VALIDATION
Sgnatuc at at I Meals I Dar
WHITE—Depei"Ir 4ent Copy. YELLOW—Finance Copy. PINK—Assessor Copy, GOLDENROD—Fab Copy. GREEN— Applicants Copy