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Home My WebLink About1428 (20) 'r'` � CITY C!F DIAMOND BAR pRESS DEPARTMENT�F BUILDlNG AND SAFETY F�RMLY BUtLDING PERMIT JOBSITE APPLICATION PERMIT $E ADDRESS ��uE � � TMM�BER �CODE � APN lOT TRACT DATE � CONST. GROUP � CROSS STREET SETBACKS �""�"'�'�"'s =° OWNER S.HLI.C� �CI�Nt9�- ��OL ZOt31NG , ,FflC)N7 • t •y� `.• RW ❑ � ADDRESS 73 ,L,�H�'� PL • __ _ REAR " ❑ W CITY ZIP 9��TEL.� SIDE/SIDE STREET RW [� o APPLICANT � �� TEL._�_ SIDE ' ' CJ R � GONTRACTOR SEWAGE o ADDRESS DISPOSAL � �B� �� W CITY P TEL. ❑ PRIVATE SC].FT./100 GAL x STATE � GRADING ❑CU.YDS.EXC. CU YDS FILL � LIC.NUMBER TYPE S .FT C70R PS ;0.DJ. AREANALUATlON y ARCH/ENGJ � � J � DESIGNER � � ADDRESS Lt 2 0 = CITY ZIP TEL (�f 3 ��-. PROPOSED USE '�R�ST�►f1Jth!!"-K' u►"ta�-�— • Z 4 �, � GARAGE � NO.DWEL. NO. NO. � POflCH y UNITS STORIES BEDROOMS c LOT DIMENSIONS � VALUATION ADJ.AREA o NO.OF BLDGS HOW QUANTrTY D CRIPTION FEE W ON LOT USED � w ❑ � LICENSEO WHfflNCiOPS�CLARATION�I hereby dlirm Mat I�m Gceneed undx proviums ot Ch�pw 8 IwmnNKnq � gY� weh Secnan 100��ol Oiriam 3 d tl�e&ainees+nd Prdeesion�Cade.anE my hcense u in luli lace wM ellect. � 3 ❑ � � QNNER�BWLDEH UECIAflATqN�I Fereby dRrm M�t I am ermpt Imm�M Contnno�'s LKence 4w la Ihe Idbwinp roamn ISec 7031.5,Buanns�M Pmfeasans Cade Airy ery a eeunty whHh requira�pumn m camtruct, (,7 O allu improre,demdish,a repau tM tlneluro.piar lo es ssmMe,dm nqures Ihe lpplrcaN kr Iuch perml z � M hk a s�pned�uiemem Ihat Ae is Mcensed punuam Io tM pwrsans ot he Contraror's Lic�n�e Uw ICh�pt„ �`p p� 9 Icanmencng w�M Secuon 7000)al Oivi�ion 3 of Me Busin�ss�nd Professiain Cadel a Mn Ae u�nmp�tM1erelrom � y, and Me beae la Me alleged eumpinn Arry vpla�wn W Secoon 7031.5 6y nry�pphum loi�pnmil a6�ecu 3 W the�pp�¢ant io a crvd pm�l�y ot rot mon thm five�undrod doll�n�f500L1 a � ❑I.as owrcr of 1h Droperq.a my�mploYeee wrth wpes�s tMu tole emmpenptioe.wdl dn the wor4.Ytl the strucmre�s not imended or ollered for sde ISec 7064.Busness�nd Rd�ssons Cade�TM Canu�c�ar's 4cxise s( �i 4w daes rot ipdy ta en owner of praperty wha 6uilda ar xnproues Nerem.�nd wha Aoes sueM1 Mork hmself. (� W m�hrough his ovm emplrtyees,prov�ded th��euch mprowmanu ve no�mteMM a MleieA Isi uk H,hewever. Z = tM bmHing n�mOrouemenl��Wld within on�yex al tomplefim,IM awnel�Eulder wil hwe Me Wrlen ol prmnnp q y� that he Nd nm buiM a�mprrna br the purpase al sak.l � � ❑I,as avner al the poperlY.�s�slusnwM tomrocuny wnn hcemeA eMln�ters m tonstrun IM prqat fSe[ �y,� 704d.Business md Pmhsaiom CoUe i0e Conlrxmr'e Lipnu taw doe�roi�ppy m m owne�d properry wM10 6 huilds or imprwes thereo�.an�who eontncts Mr such pm�eels with�tan��x[arltl F[amed Dw��p��Cminelar'� O ��■�� ONST T N • w • r ❑I am�nmpt urdw Sac .B 6 P C IAtlach Ce�ofcanl. W �! p Osle Onner ? W�RKENS'LOMPENSATIW DEClAR11T1011 I Mrebr�Mum Mn I have t nndeate d am�ent m�Nl�mwe.a a cend¢ote al ri4rkas'Compensatmn In�w�rce.«�arnfed capr�Mreof I&c�eoo.��. PLUMBING 6 ❑cmoiKa mor+s n�,enr i��:n�a. J MECHANICAL � ❑CunheA rapY rs hled vntF dw Buikirg Inspecnm DeDxtment a aw�+�� 'CC GR ING �� CEIRIFICnTE OF E%EMPTqN FROM V+URNENS'LOMPfNSATiW INSURAI&E:The seem awd iae 6e wmpkne UANCE I �^ il tAs peimit i�tor pne hundrod(i1001 M M� I pr0fy Mat n Ihe pHtormaiKe oi IFe work Iw wlik�M�� , y permn ie nwed.I ahall mt employ ury permn in anY�unroi w+�b Exone wbpn ro tlr N6rtpi Cpnpentetwn gMIP � oi.,�:ai creo,��,. � PAFiK FEE p pate Apphunt W � IpTICE TO APPICANT H,dt��m�knq Mis Ce�Mca�e M Exempllon.You findd Yxr�e u�hjeel b ihe WorYn's �- SCHOOL FEES � Cpnpenqnon peraims af Me labm Coee.yau mmt IarMwiN canply wnh n�h proruiens a t�ia MamB shdl w he 1¢emed reuaMed J Q OIVi50N OF Nq1STRIAI dAFETY PERMIT CERfIF�Q P°^"n;•1 � ❑I te�ehr nnAv ilrt n�aur+a4on�a�)��Pwe.lei!m�epth ma wM�h�pe�an u rpu�ed k�ncad. � wal M m,de n comecoon wMh worl wl�r¢�d�tiy�tlGilermd:liM IM1 no Wddi�y�trutlun.wlfddinp Wfwork. a d�moli��on a dwnmtG�p iMreel.MiX he man tlun Hxrry-aa 1761 wn Iwyh.H7uP�9.Y.Gry 2.lu�I.&e w 341.Ltle 8.C.A.0 1 �Jkl �h1� �X�'� 3 ❑Aa�wrnel-6u1de�.1 wiq nm o wo wauN nqwn�pwmn haw Ihe 6ruian d . . �.— IrdYeMl S'hly.n roYd Wow. P � euc�warl:kan tle Mnsiav c � ❑°"'°"'"�"""'�"'`""","°. TOTAL FEES � CWSIRUCfpr!IEMDING A�t1L�':�k1�br'wlen��4,e an�o.ran�uurc6oii'Y'nd�q�Y�v�w vR�■ � 7e d th worl lar whsh Ihca�mitM�'ss�ed�u�:70B7.tiv,Gl�`�� .� `� slmdsrs x+me !3�_,i h....�._: . �. _ `'.• COMMENT'S � � lsndn'!MMaa � , � CER11FC0.Tf�COMPIWACE AND AUTI�ftl2Aii17 OF ENTRY 1 qrEly 1 h�euA Mit MpF[aan nA�1me N Ma�Me nlununon pyen e ennel I pin M wPN wM Y tIM Iwvs Ytl MY r6�rr�tildq le Yi1Gny � � y� an:vucum.ma wuw"ve� nmmue d h Oprurcnt d � inp d�lety b uor h R�iY , � lor wM1 1 rypwe"'"'�IIIiYi eaa. Ir �j� sqmva aopC+m er /�—�"`— RECPT NO. PAID BY� YAUDATION WHITE—DapertmeM Copy.YELLOW—Finenca Copy,PINI4—Assesaor Cqry,OOLDENROp—File Gopy,CiREEN—Applicants Copy �I 9S106-11l89 � ,.'.,+r.,av�,.,�:.gd' ;"vr�..;,+.i;r- �wR.;�.. ' - "��+.�_':_-� � ... .. . , . .r �"' ,g' �"�x. �sc s�� :� ��'�r �g��n..�wra� ��:�:� ��°�� -��;��p��.�� °��r�;��..:� -. . . . '. , .� . _� - �, -- -. . :. 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