HomeMy WebLinkAbout1506 (20)CITY OF DIAMOND BAR PRESS
DEPARTMENT OF BUILDING AND SAFETY
�.. RU1LDING PERMIT FIRMLY
WHITE—Depatlr4nt Copy. YELLOW—Finance Copy. PINK—Assessor Copy. GOLDENROD—Feb Copy. GREEN— Applicants Copy
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JOBSITEADDRESS
APPLICATION FERME USE
E � 2- 2-2"E' NUMBER �^�'D
ADDRESS IpUJ a C�C>
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DATES e-- �-9 — 90 CONST. GROUP
APN LOT TRACT
CROSS STREET
ZONING SETBACKS &Wf 1CM Ixfirm
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ADDRESS I (ten 4A- ,,� r, to C f"
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APPLICANT TEL.
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CONTRACTOR 0 °v `-,Ov " PN
SEWAGE ❑ PUBLIC PMT A
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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
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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 MTRACTCRS CIFUARATCN 1 he•e.y alhrn the I am bursal undo povi—r., of Chap:a 9 Icwnnn rep
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rev. Secion IOOC; of Daaon D el I~e Ls ness and Nc'erssrons Cade. and IN heat@ is in full large and West
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C::.tifR BI::IDER CECLAR.ATCS 1 Wits, dhrm that I am ewwt from the Cr:rrmn's License Law Ili the lol:~rg
Pm'as.ra Lode Any rerl+gyres a to eorvruct.
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reascr ISec 7Ci15 Bas nrss n1 env a county which prima
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a::e' arp e demphsh, or rer#r ary prL"ve prior to itsatl.ance alsorarlyaef me aprla:am Such partad
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m We . sgW.. s•rr•rrrt that he n kersed prrlaant 10 the Moans o: to Creator f lraae law IChaptn
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9lirnrxncrnl Kat^ SKI Mill; Mill; of D.nrr ] at she Business and Pndeaorf Codel r the he a .. "1 mambo.
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rhd [h, Cass for Ce are;ed e.rs^D'wn Ary h•oyngn of $eencn airy aaDlrcant 1 per subtr.5
the 81CIKart to a cn.l f e+ally of net tacit 11:r.7ire hwdred.0.larl 135001 I
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❑t. as moi at the poserty w my e^playles wish Kagef as Ihei Sid, tor'.persabn K11 do the work and
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Ih snru!ure a MI rnt+yled a otlerN Ir are ISec 7607, Business a^d Pulessgrs Cade iM Contractor's LKnu
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law Mrs not acc'y to ar purer of poi 1•b^ bydas or arranor '"er. and who does such wore brmfe'I,
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a oro•.•• ba own emjysnes. pmrded viii# Is� mpcse,e+tl vr! l r�trnoed or of!e'e7 Ili tale 1!, h-lw
dw twr.r•g o mp'pl I Is srdd w IS. am jew of'earpleur• IM lw^er build- w 11 had! p! bUlt'r of ppnp
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that he dr.1 Pit 0.rld ce umpm hr the P,'Pose Of 3-111
❑I, as awrer of the pxltty in enkivr,y MMIOCTmk with IKeroed [r.oa[ 0111 to Canf:ruci Irl project ISK
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7;L14 Bowness and Ptrrnwrs Cas .The Cactrattcr's license law elutes act appy•n an owner of p'op'ty who
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tu.aa a ,mp;rves C,erecn rd whj COMracts Anr such pmpcn w.th a ee^rxtorlsl licensed pusuart to Me Crturtd's
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CONSTRUCTION
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❑ I ern e,empl order Sec B 6 P L IAlirh Ln ulratel
PLAN REVIEW 77•DI Ilo.q�o
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ELECTRIC 2 57e o 0
CDeA1lNSAII(N DECLARATON 1 bei,hy a!'.m pat I hart a Enbfcat, of crsent to sell argue a
aW,IReERS•
PLUMBING
a crrld.a•e of vw.sai Co persatm InsuaKe, a a cvulyd envy mar K1 (Sec 700C• lab C 1
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❑ Car War! gxr is herety lr. nhd
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MECHANICAL 1 2.00
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❑ rrt.hej copy o Med w for the BWld M InsaKirr Decrtrreal r Derautranl
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GRADING
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PfNSURANC[ Thissection ewd o1 be trroletad
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CERTIFICATE CE ExfMoTole FROM IATR%EAS' LOMSATIDx W
ISSUANCE1S.00 Y S Z _ o O
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d the pard n lar One hudred (S IOCI a less I certify Cut art The.prfumr¢e o1 the work la which This
••c is issued. I that not em a- son. m mise• so as to biome abject m the Nerkwi aur
per. a employ "Y a' airy Compo^
SMIP Sf�
Laws of Cal. -tans• , l _ ' ' 1'
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PARK FEE
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L'L
SCHOOL FEES
a10TICE TO API;CANT M. of:er-making MIS Cerrlrre M Eernptarn, you Should become subject as the ayorkw's
C'Mrrnat.r pannus of the LSM, Cade. you mint forthwith cu" with such payaans v Ibispamd shall
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be denied fmkrd , n, -I F' % C i I II `!
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[la4,l;1N D WDUSTRIAI SAFETY PERb/T CMIFIGTDN
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❑I hereto [ertdy pat an aca.erm Iwo 151 or we Pert in depth ata when a pogo is taqunad 10 alncerd
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we be modern ermclion with work w incruml by tM psrarK• rid pal no hddug su fort, sca NWlt labori
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a dmn'.ur o drsmr:kr,p therrol. wi be nec tar t•'ty-sm.lOB) Mt hoICh+p 22. Grp 2, Art 2. See
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OAS ow+m bolder 1 w4 nol employ acro to do wk wbKh warrY moat a prowl ha. the Dwaeh of
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InLs:rul Safety, as noted Mew, unless such prrlin NS a Pinar as do such work firm IN orani,n
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❑Dws.ar of IrN,sa4I Safety Parma No
TOTAL F
EES Co Z. or
KY LENDS[, BC! I liar eq, dorm that tlrrs is a censauurn 1•^%'•AI Irw'[y Ir M pwlraeKe
CASE
al Ih work la which this paint a issued (SK 7097. Cor C I
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Lnde,'I Name
COMMENTS
mLerdw's
Address
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CFRT;FCAr.E Of COMKIANCE ANO AUT1DAlATU1 OF ENTRY 1 trot, I MN read M opl4ateh Sad Siam
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maria correct aper to toarlal An ad sloe laws Aad city drdamacas eamaap 10 tends"
mat ore ar'rme bm
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Ersnrwle,, rd wlihorre a ropesr,trwe of to D•partwant of Brddrnl rd Solely 'A Now a— to prowty
ha wtata I vasa d IN MIS pm/mat fa me prpoa at aMg aupeea
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RECPT NO.PAID BY f0 Z VALIDATION
Sgnatuc at rt I Ms/l I Dar
WHITE—Depatlr4nt Copy. YELLOW—Finance Copy. PINK—Assessor Copy. GOLDENROD—Feb Copy. GREEN— Applicants Copy
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