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HomeMy WebLinkAbout176 (23) , /Ola�..v - `���=,�.,�v '''" ���� CI7Y OF DIAMOND BAR PRESS , DEPARTMENT OF BUILDING AND SAFETY ��RMLY 6UILDING PERMIT J06SITE APP{JCAi10N PERMIT USE ADDfiESS � ���E TMPE ER �CODE � APN lOT TRACT QATE CONST.�_GROUP `3 �� � CR05S ST EET SETBACKS, "�"04F"'E""g = OWNER ZONING ��� � � o ADDRE S E' REAR�LQ � �— ❑ W CITY ZIP TEL. SIDE/SIOE STREET RW ❑ g APPLICANT ��C� TEL. SIDE � � ❑ z 6 CONTRACTOR ' SEWAGE ❑ pUg� p�# o ADDR S � � � � ✓ � DISPOSAL [] pqryATE SA.FT./100 GAL W CITY b 1 ZIP � TE � STATE r�n/�J/ GRRDING D CU.YDS.EXC. CU YDS FlLL y IIC.NUMBER `�� y ,68GN/ENG/ , - N '�PE SQ FT CTOR PS ADJ. EANALUATlON , = DESIGNER � �, � � � ' � o ADDRESS � lL 2 r'� � Z . = CITY ZIP TEI.. " (� 3 '' Z tJ � PROP05ED U5E �p C � 4 � � GARAGE o NO.DWEL. NO. NO. � �CH y UNITS_�_STORIES �^��EDROOMS.�_ � LOT DIMENSIONS �n 9 S(� 7f� m VALUATION ADJ.AREA o NO.OF BLDGS �� OW QUAPtTITY Q�SCRIPTI�N � �EE W ON LOT��USED �f� � W LILENSEO CONTflACfORS OELLAIIATION I hnhy�FLrm Mat I am IicmmN under pmnrm�vi ChiDw B�cwrwnenonp � X wnh S�cMn 7000)ol av�s�on 3 ot the 8wineu and Piofes�ims Codo,vM my k�nee u w WA lerce xd efhcl 3c � W �±. OWNEN�BI11lOEX OECLARATb1Y.I Mrepr Nhrm t�at I Nn�amp�from�he Contncroi�lxente lew For tl�e IdWwinp rca»n ISec 7031 5.Business ind Pmles�ron�Code Rny ury w camty whch rpuira�prrmn ro wnatr�st. (� o aliei,xnproue,demolish,a rcpair ury�mcer�,pwr m i1s�oswnce,Nw rpuras the�ppliunt kr�uch pmm� 2 � ro hle a apnM:fa�ement tlui he u kenutl pursumt Io tM prwismns W IM Canb�ctar'�leen9e L�w(CMpler � � 9 fcommencing wi�h Seciron T0001 oF Llvnion 3 of Ihe&uineaf and Pro�eeuom Code)a IAat h�i�enmpt h�retrom '�' p� and tM burs for tlie o0ege!emmption Airy vplatian pf Seeuan 7031 5 6y my�ppliwm fo��permn whNcq ^J K ttc apphonf to�crvd penalty ol rot more Men live�undred dolla�s�S5p01 I: a W � ❑I as owrc�at the property.a m1�xnDb1'ees wnh wages�s tAart�ole td�p�m�uen.will do tA�worM.rM Me strucwre rs mt mtenEed or othreG fn aale(Set lOC4,Busuxss anU Rofassbns Cede The Cmtrctar s Lcenu ,�j l�w does not�PDh m m wrner ol propeAY wln Dwlds ar�mproras thereon,md wM do�s euch woik Mmxlf, f�: W or through hrs own employeea,proviCed Mit wcA imprwament�re mt inunhd a ollmed Mi s+k M,ha�wver, � = the hwlding or improuemm�n mW wnh�n o�e y�r ol campletm,the wmer�buil0er wAI�rve tlie burden ol pavmp y IM7 IIe Aitl Oal Cutltl IX ImprOVt IIX ih!pnPOa!W 611e.1 � e�7 ❑I.as awrei of�he proDerlY.+m exclusnely comia[tiny w�m hceMed wno-xmr:m wnmuc�the prqxt ISec uJ � T044,Businese eM Proless�ons Lode The Contrxm�'s Licanse lew daea not�pply ro�n ewmer d property who ^,� ' Z hm1As or improues Merem.�nd who�omra�ts 1a wcA O�pn�w�i cmuxtarlsl Mem:eO punu�nt to Me CmV�ete''e s l¢enae la.r 1 � CONSTRUCTION � � � ❑�am emmpt uneer Su .e.6 vC.lAtt�h Cerelc�al PLAN REVIEW �� �+�_0�'�' 4, � °a° °'"'"` ELECTRIC yWIXiKERS'COMPENSATIOW DECURATION I haehy aHum M�t I bpn�arafiad ol crosanl to 4f-n�ura,or �cernirca�e of Wmkers'Compensaw�hsur�nn.or�ew�iheu eopr theno�1&a 9eu0,t+b[.1. 'PLUMBING s ❑cnmbe�evv����eer iw��:nee � MECHANICAL C ❑Cxulyd copY�����d wifh Me BuAdmp Inspecuon Opvlmm)or Depv�men� Q GRADING W � CER7IFICATE OF EXEMPTIOIJ FHOM WLIIiKEflS'COMPENSAIq]N INSURANLE:TMt ucron neeC nol h campkLLU ISSUANCE � y d the permn i�Fo�one pwdred(5700)d kas.I uruly Met in Me prlarmeixa d Im wak for whe�din permit�s is�uee.1 shall ro�emplay airy perwn m��manner�o ee a heeome tu6lat m Nr Nbikari Compensetien f,`�IP olaws el Calrtorno � pARK FEE � W Oet '�°P��'�� u- SCHOOL FEES f � NOTICE TO APPLICAIlf.M,slnr makinp Mia Cepicem M ErmPtion.you eMutl Yecomr t�ec�ro 1he VYorlrr't � Compensation provis�ons o1 tlr Lahor Code,pu mun fathwiM tompM Mntl�uch pwpnns a tlxs penM 1hMl � he Oee�d ievokeE. J � qYISIR7 OF INOUSIflIAL SAFETY PEflMR CEHTFGI710N o ❑I�erMY tertAY li�l no�xta�ralan Me 151 Or mae leet in dpm ma whrcn�yenon's nQuned a tlucwd. tC wYl be mMe m cmneciAn wiM wort�uthorrdlr Ihis permu.�nA tlut no huildxp slrutturc.wlloldmy.IWewwk. ' a- v Emiolmen a dismantYnp tMnol.wil h�more tlun MNn'•Y�(781�M1�.(a�p 72.Gry Y.An 7.See W' 341,Title B.C A.0 I � ❑As wma�bwlder.I wi1 no�ampbY hWM m do NvrY wA¢M1 wauN nqwn��pnM�kom/u Dirbnn N � I�dun�iel$alety.�s road�bow,unbsa�uch pertm N��oermit m de weA werk ham Yr Iia�ion. � ❑a�.��a i��.i s,i�ry w,�.��, T�TA�. FEE$ � CWSfRUCfqN LEHOING AGEIH,Y 1 hereby Nfirm tlut tlrn n�[anstruton N�Y M�r�w Mr IerMn�ce 3e al Ihe warl la whcA tliu lermt n uwed�Sx.7097,fir.CJ. � �'"de1"""� COMMENTS � i.�a.rs aaa�s, � c��r��cah o�con+ ANCE Al1�AUT110PoZATqN OF FNTNY:1 arrh'I Iqra mA IFi���.�a aw �a tlut ae nlvmitn w n rmect I prce M mmyy �N�Nh Y.rs�ntl pry Mdi�urca nMtYq 1e Yildnp � � canetnsuon.�M DII26�flOR mive ol h umn d Buildn+u md ide4 b mor�on�M papen� g fa�vMch 1 M ■a�a aa mn kr tM �nkinp impeeYma. F X /^/ � O xo��e..a ,�� a�M ap RECPT NO. 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