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HomeMy WebLinkAbout1359 (16) � �X�IRED � �"` CITY 4F DIAMOND BAR PRESS� ���� �' DEPART'MENT OF BUILDING AND SAFETI��OU 1 5 ZOOO BEJILDING PERMIT FIRMLY JOBSITE p f APPlJCA710N PERMIT �E ADDRESS �� 0 "��� G�N� DATE NUMBER CODE ISSUE f?�,,,��TYPE . K APN LOT T Da� I CANST. �ROUP o CROSS ST E T ZONING ���CKS � a�� m OWNER��. �C 1J I�.c�' � ADDRESS REAR ❑ „a CITY ZIP TEL. SIDE/SIDE STREET FiW ❑ � APPLICANT TEL. SIDE ❑ • 6 CONTRACTOR S SEWAGE ❑ PUBLIC PMT# ' g ADDf7 ��� • pISPOSAL ,:� CITY ZIP g 7 TEL.1�S7"3 � PR�VATE SO.FT./100 GAL _s STATE �f� y LIC.Nl1MBER ��d '�'7���� GRADING ❑CU.YDS.EXC. CU YDS FILL h ARCH/ENG/ qy N�'E SQ FT FACTnR PS AdJ. AREANALUATION = DESIGNER g�� � '� � �' � � 7 ADDRES � L�l,. 2 � CITY ZIP TEL �RZ S' (� 3 � � PROPOSEO USE �' ? 4 � �s� .+'� � GARAGE "•�•yip.DWEL. NO, NO. � pQRCH �111TS�STORIES�BE�ROOMS o� LO�.",:DIMENSIONS � VALUATION ADJ.AREA 1 � NO.QF BLDGS HOW /�O, (�UAMfiY DES RIPTIUN FEE � � ON LOT � --- USED L . � a � LICENSEO CONTRACfORS�CLARATON I hreUy dfirm th��l rn Icensad undn qwiumt d CMptx B(cammmnnp � x wnh Sanon 70001 0l pvnion 3 01 fie Busines�and Raleasms Coda,�nd my lans�is n Idl lorce md dlect. � � � ; y� OVIMEA BUIL�q�ECLAflATqN I hereM dlirm Niat I�m wmpt ham iM Contrxwr's lseme L�w 1a Iht 1Wlowrip -��� reason�Sec 7031 5.Busmese�nd Raiesaians CWe Any�ny or county which rpuiru a permn M cumtruct, f.7 alu� impiove,demdiah,ar repwr�nr�ructure,pnar k ib�6swiKe,�w rpures die pph��M Mr�uCh oermrt �." � � m h�a sgned rtatemenl that Im u leensed pmewnt w ihe pwinm:ot lna Contr9tmr'e LKe�¢e law It��ptn � � 9�commennng wah Secuon T0001 0�Dwis�an 3 d th�Busimn Hd RMnsam CaAel rc tlut he�!�wmpt tlinelrom � i �ntl the 6ass loi the alkged exempLon.Any vwlation ol Saoon 7031 5 hy arty�pplinm ta a permn mEpca � w �oPDhum m s civY penalty ol mi more Man lire hunEretl Eollars 1750DI I a � ❑�,as mvner ol the pruperty,m my amployse�with w�pes�s tleu sde compenpl�on,wdl do Hie Work md . � .y�; tM tt�uctuie is not immded or dferM lar uk(Sec.7044,Businese md Piofessans Code TM Cantncm�'s�nnse .q Rw f aw Mes mt apCH lo en owner oi qoperty who hu�ks vr xnDroves tMraan.�n0 who Oces su�h wwY Aimull. fJ , , , _. �� o�nncu8r hu ewn a, lpyeea,O���ded t�it wc�imprwemenn are no1 imendea a OIhnE fa�fsM N,howewr. �� . �he 6mlding a imPrwer. v q wIA with�n ene Vex ei camplenm.th owner�EwMei vntl M1ave the 6uEen ol pwm9 s[ Ihat he Eid�ol Emtl m im;ove Mr t�e pupase W uk 1 � e�n ❑1.as awner ol the p�openy,an exWsrvely comnauy wnn h�emeA cmvu�we m camrtuct tM pqe�t(Sec � Q 7014,Bunness rd Rofesvom LoEe TOe Lontracmi s l'uitte l�w does nal�pqy m m wmer of qopenY who �-M� X CuAas or imprwes ihereon.�nd who conv�cls hi such proF��s with a eo�tr�ctuls)Wcen.s�d purw+m ro the Conuqror's "` ���^u�� � CONSTRUC710N � � � ❑i am e,remp�utln Sx .6 8 PC Wuh Ceretk�21. .�, P ��/�EW ' Oax �`4^°� ECTRIC gWpiKEflS'COM1'PENSAiIOM1I DE0.ARATId1.I Mie6y�Hvm Mat I heve�arohc�rc of cm�ent ro tell�newe,a a a�Ma��e ol YW�ka�'tampenaauon msurance.or�«rtilied aapv tMred ISee 3800,lW C I � PLV�N�B�Nr.7 � O c.��nNa�nv�►.�.w t��a. J MECHANICAL p ❑famlud capy ie filed+nlh!�e 9uidinp Mspecem Opatmem w npx�mem <C GRA � CEIifIfICATE OF E1(EMGTION FROM N411(ERS'COMPENSATION IHSUMI�E:TMs u[lion nutl not M tarqN4d SSUANCE • y d iM porm�l i:lor�M MunAreU(5100)a Nas 1 drNly n i�e'erfarmrce d tlr waY la w�ih tMs . permn ia issueE.I�M1all not employ ury penan m eiry mnno �to hecane tuD� a IA Nbrlurs"Co enunon � tew:b cai��� / � �WU pARK FEE � NOTICE TO APPLILAHf tl �iu�me���q e��s c.�uir e'M E n, uld ��.��n �Na►�•s ��^ SCHOOL FEES � Lompens�ean proviarcu af ihe lsho�Code,you mu ta rth a y ith w�h prwisms or di prmrc�hh�l � �+- he deemed revoled � p� pVI5I0N pF INWSfRIAL SAFFTY YEPMR CERTIFCAIIpI� W � ❑1 he�e6y ar�dY wot no eycmtan lire(SI a�u�he�in dpth wro whieA�peraa s nymnd ro dew�d. p�e nvq 6e mede n connet�m vnM work eutlwN�� �P��eir„0�d at ro Yu1Gnp�Iru�tun.mNald�np,hltwwY. py � a Aemolmon a d�eman1linp tlrraol.wAI�e;.ri&c'Ihlpsl�yly:a�,�38)Mt�iyi (Chy �2.G�p 7.M 2.Set W 341.T�Me B.C.A.0 1 +t 1.,`- �. .x.^� S 3 ❑A�orrMr�Owlder.I wnN nat miPkY+^Wm Oo Eo wart whih would rpuin�Irm�ham h Uusion M � IMulrul Sah1Y.�s noted�Eae.unkf��uch pmm�ha: pd wh hom I�e Aiuifian �� � t '�°°��" � ❑Omson d Ndusnial Sakry IL�mh TpTAL FEES � CpJS�tUCT10N IENDING AGENC!I he�chY Mliim/ul Aw�u�eanatricuon MdinY ymcY la IM pakrmmts � d th woik!or wMth Mis pmi�n isnrd:�Sec,3p97,Crv,.C,l.. . • � �.,,��; : _. ,. . . ... .. ,. iMaer�rum. COMMENTS �aer��earc.: •� � CFRTIFCAIE OF CdARYMCE iW0�UfN�tlZA71(MI OF FMfPY.I qrlily I Mve�YE IYt 1ppGcilion d mee � Nat the intarmnion/ven s mroq.1��pee lo mmON�rhA W�lam I�xn�nd dry adiiwca nf�ui la build�q y consuuc�b.md inthorve�nomanuure d M Oprtmmit d Buidinu rd S�Mx b�nrr Ypm/e�rapnry � � tor whc ave�PWKd b IM10 pme e u ,.dmF Oans. ��� � �p� � RECPT NO._. PAID BY � _VALJOATIQN E—Depanment Copy, LLOW—Finance Copy,PINK—Assessor Copy,pO�DENROD—Flle Gopy,GREEN—Appllcants Copy , B51os-71/as " .-..__.*_:.-. —_'.�- -------'----- -�- ' . . . , � . -'`,-,�::,_:;�` � - �----- _;.... .�..--- - --- �.:. ,7 ' �yd'yj.,g ,:�g� �e���.: �.r(WdS^e�a���.������;m�,.f� �`.a'':���:fb��' ffia ,�,��µ�4€��k�.•�q'�"�{ 8�..��:��4 �x��A��«.�e.°����'t�...� � � _s 1 � � + , .�,� _ . , .:�, , . g..q.�.,....,.....r...:........,,:�{.�t.... .......:. `E i '.a'r. � _ ,_��. ,.�,. . . . . 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