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HomeMy WebLinkAbout146 (27) '"� - � CITY OF DIAMOND BAR pRESS '-' " DEPAR'TMENT OF BUILDING AND SAFETY BUILDING PERMIT FIRMLY JOBSITE APPUCATION PERMIT , t ,1 - USE ADDRESS � �L DATE � a NUMBER�CODE � APN LOT_�TRACT DA EE �� 1 � I�� ONST GROCUP o CROSS STRE ZONING SETBACKS � �"'04E'E"'� � OWNER �a�' �/ FRONT ❑ o ADDRESS REAR ❑ � CI7Y ZIP TE � SIOE/ ET RW ❑ o APPLICANT TEL ❑ z a C�NTRACTOR � SEWAGE � PUBLIG PMT� o ADDRESS �r D OSAL O PRIVATE SO.FT./100 GAL W CITY ZIP S/�TEL. ^ z STATE N LIC.NUMBER ��G D S`��Z GRADING ❑CU.YDS.EXC. CU YDS FILL y ARCH/ENG/ � TYPE SQ FT FAC70R PS ADJ. AREANALUATION ' ¢ DESIGNER W � � ADDRESS lL 2 0 = CI7Y ZIP T L (} 3 � PROPOSED USE — Z 4 � � GARA6E � o NO.DWEL. NO. NO. � PORCH y UNITS STORIES BEDRO�MS m � LOT DIMENSIONS � VALUATION ADJ.AREA o NO.OF BLDGS HOW QUANTITY DESCRIPTION � FEE w ON LOT USED � ¢ U W H � IICENSEO CONINACTO(1S OEttA0.4iqN 1 herehy�Nvm piit 1 im 4cerKed uder pwuions el Wptu 91����q � wnh Se�oon T0001 0l pvis�on 3 al Ne Businss iM Pralessnns Cad�.md my Icense if in ful lace mA dbct. W � F \�� '�j ;'•.��' �� - 3 � W � 0.YNCB&11LDEH UEQAMiqN I Me6y dhrm Ih�t I am tampt Imn Me Contrxmr's ltmse lwv lar IAe Idlv.v�np � rtaaon(S¢ 70315.Bunnes���d Rohssanf Cade AM��Y o�tdnry whtA ipuna�permrt lo[onitrutt, Q} oYter,inprore.EemoYs�.a npirt�iry flr¢tue.prior lo rti rsiwn�e.�Im iepuxe�CR 1p0�icim lor tuch perm� 2 � m I�k�a9��u�ement Ih�t he n kmxd puisu�nt b me pWis�on�of Mc LM4a[ta'f lclm[liw�C��qe m � 9(commmnnq wiM SKnon 7000I ol Qvis�m 7 0�trc Busi�ess Ird Proleu�on�Code)a N�I M p e.rmpt tl�aehom � � y nd ihe hesu lor the�IkgeA�¢mpum-Arry vid�tnn d Secnon 7071 S 6y a�ry�ppfcml Ip�oermrt wqecn � . W tle�pqaant m�cnd pen�iv al m�more thm five�uMred tldias If5D011 a . � ❑1.�f owner al Ih p�operry.a mY em0lqees w�t�wpet�s IUttt Ide tom�ensanrn.wJl Oo tAt wurY.N4 � Ce atruturz�s noi mimded a ollered Io ule�Se�.7064.&wness�nd Professunf Cadr ih�Conuuwr's IKmie Q v Liw das rol�pply b�n owrrtr ol pioperry wha buibs a mpo+es tlwem,�nd wM dat su[h wak MmeeM, (� � W p tlrougn Ars awn employees.O��ded Ihat suc�inprm�ements iie nm iMerNM a alineA fo�ule II.Mxe�er. Z . _ �Ae Wik�ng a wnprm�emenl n WIA w�n one yex ol cdnpk�wn.Ihe owner�6wqe wil hns Ihe hrEm ol pmmp Q _' y 11Nt he A�d irol hw10 a mpove 1or Nt y�rppse ol s�41 \ = t. _^ �• ♦ -. \ �' '_ ' �= �. 5�. r �-'. . fn ❑I.as owner ol ihe property.un�v.�aaneiy 2envxtiny witA 1'simed eonx�aoi�m eonsn�uct Me pqect ISec -W _ . . .- . . '-' . -. . . � 76b7.Busmess�rd P�ofesvonf Coee M Canvxmr'�lonu law Aoe:nal�pplv n�n awnei M OropnY wM � � � � = d1i�Es a Imprwes IM1neOn.�nd wAa WnVicls la Wfh plqKtf with i conUxlof�s)�Msed/u1Wn110 UN COnlrKbf'f l;�. =� �r��uiN,i`, '1 `', LJ �_� -� � . � • .� • . _ CONSTRUCTfON` ' -�' ' �`� 1 Y�����Je'�,'�=,. •.� ° o , � ❑1�m��empt undn Sec .B 8 P.0 IAtUc�G�o�¢+�el. P�N {�E�/�Ew - °ie °""" ELECTRIC � WOHNEAS'CONPENSATpI pECLARATpN I hereby�Il��m N��I hm�eeroliiiu d emsent ro t�M�nsun,p . �aaMKate al Ykdnf[ompe�snm tieu�rce,e��ene�ee mpr mweo��Sec 3eo0.ue C.I- � PLUMBING � ❑enorKe eoor�s n��eov n■o��a J MECHANICAL o ❑enoitie eopy n�uee..�m nr swimnp mep.ce�oeextm.m n - oevre*em Q GRADING = LEHTIFICATE Of EXEMPTON FAOM W9AKEflS'LOMPENSATIOy NSUMt�E ihs�ecuon neeE nm be eo�k�N � ISSUANCE � d Itie permrt is br one�udred(i100)a kss.I � M�I in�he per�wmarce d t�e wal(a whs�ths " SMIP pnmt�s nsued.I sn�ll rot�mpla�airy per n�n n fo�s b becprr wb�ect m Me N6rks�Campen�atpn o `�� '���� � • -- ' W PARK FEE '•� � °a ADp � SCHOOL FEES Tl� � ICE N aPPLCANT n.aher nkinq Mq Ceielcne ol pum.you shald become suERct lo Ik NM4er't ompennuon pwroons al IM la6a Code.you muzi Ipthwnh eomply wiM urh paocnt a 1Ms pmmn N� � De AetrteC rNOYeE ^ .. W pY19a1 OF INOUSfPIAI SAFETY PEAMIT CERTIFILAlIdi Njj.�.�_� �9 �- ❑I hereDy cmdy mn na ea�v+uon Im 151 a mort le�t in leoth om whch�yu3m e npuird la dncwd. ¢ vn16e m�de n[mneclm vnth wak wIMvN h►Mu yerm�.rd tlut ro WiN+y tVu[tu�.tufhNnp.41feNak. � - ` �- a EemoNm a dsm�ntury tMeol,wll M mon Man dvh��u(781 IM hqh.�pu0 32.G�p 7.An t.Sa . W 1�I.TitleB.CAC�. � • ' _ � ❑As owne.�buJOer.1 wd npt t�qb�rryarR to do wak wAch vradd roqurt��pm�l hom Qw Qruim d ' F- Mustrul S+IeiY.������.v�kfs fuch perfm h�s��rmt b do wc�vurY han 1M dwvron � W ❑p+i:an d Musvul Sslery hrmn No TOTAL FEES Z � Cb1SfPUCfON IENOMG A',ENCY-I krep�1fi�m Eut IYn if i eenfsu[Im Y �M�Y Iw tM IRMmnn = ul�he wort fw wARh Nn ynmt if'swed(Sec.�1197,Cn.41. . , � �"'^�'�'"'� COMMEN75 m LmM's AEOrtss t CENf1FGlTf OF COMPtIAHCE PMD AUfIlON2ATQV OF ENTHY I voly I Mvr n�W�pplcKim�nl rur 1 tn tlut IM nlam�mn p,nn a torrect.I qw to ronqly wMi M ttsY Iwrt Md nly�rdxraM nMYy Eo hdMp � . y imsuucoon.rd wmaue i rqxrreman.e d nr Dw��mm�d&iwq rd SMery n�nr�pn tlie paywrv � lar wheh I luve�7WrA la thR Rrmt la the p+D�d n�io9 e X�FQ�+� �'a,.�-�n� j�--�i-���y �� . • sqn��u�et eoo�c i u aym� wr RECPT NO. PAID 8Y VAUOATION WHITE—Department Copy,YELLOW—Finance Copy.PINK—Asseseor Copy,GOLDENROD—File Copy.OREEN—Applicanb Copy ' ' �.•;: ;"�• i:l .:b ':�.v .. ... 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