HomeMy WebLinkAbout33361rwar'fj DIS ap
CITY OF DIAMOND BAR PRESS
DEPARTMENT OF BUILDING AND SAFETY
BUILDING PERMIT FIRMLY
JOBSITE APPLICATION PERMIT
Sf j4/1/'YON 0 -7 -0 -7 -ISSUE
NUMBERERCODEADDRESSiLlsa
DATE CONST. GROUP IAPNLOTLSTRACT
CROSS STR,EET 910 A ZES l ZONING SETBACKS sfgtuaLumS ,
OWNER "WIF- E 0 AVO RSA 577tAhM FRONT RW
ADDRESSc3LQ 11- 2 AMWA112" ' REAR
CITY ZIP (-fTEL.W '' WSIDE/SIDE STREET RW -
APPLICANT J -"L IIIAPPLICANTJ-"LIII SETRA-A441 TEL SIDE l'4-V96
CONTRACTOR SEWAGE PUBLIC PMT A
ADDRESS DISPOSAL PRIVATE SQ. FT./ 100 GAL
CITY ZIP TEL.
GRADING CU. YDS. EXC. CU YDS FILLSTATE
LIC. NUMBER
TYPE SO FT ADJ., ALLIATION
ARCH/ENG
DESIGNER 1 ` V V
IW
LL 2ADDRESS
3CITYZIPTEL.('3
PROPOSED USE I AZ 4
GARAGE
NO. DWEL. NO. NO. PORCH
UNITS STORIES BEDROOMS
LOT DIMENSIONS VALUATION ADJ. AREA
OUANTrr DESCRIPTION FEENO. OF BLDGS HOW
ON LOT USED
LICENSED CONTRACTORS DECLARATION I Iaeby allirm that I m fansd weer peviwrs d Chooser 94anwucsq
wnh SKbon 10001 of Division 3 of IIse swesess ad PrWamne Cada. and " lmanee a in full WO ad OWL
W
R WILDER DECLARATDN 1 Meld atfin died 1 am Wmpt been ten CMITICO'i IMAM Lav fa dse 010' IN
Any to Qnom (See 70315 Bwrvss sed Prulessmns Cade aly or comfy whwh rewom a paint Coaehwt.
alter impm, demoksh. a moor MF wruciae. pw Is As doaMde. ofse responseAlso oppecwn to, sob peat
to hk a signed stetanni Mai he is hcenM pawMI o the param darIN CMaKwI's Lirsee Use IChaper
9 (commencing wnh Section 70001 d Oman 3 of IM Business and hdesswe Code) r Mat he a learned Overstrain
and the Mas la IM Alleged esmptan Any violation of SKEM 70315 by Any appkcme for ataPrsuhNcw
Oe apli ant it a civil party A w, mon than live hurl r d doWs 1850011
s 1 as owm of the property IN my ampksns wth wagn as "I sok Camwutmn And do elle work, as
dse stwoue d m intended w offend tr ask ISK. 7044 Suanns w l Professions Code: The Contractor A Lowes a8;
T= Low does not apply in M w+mr of poperty who builds a wean threw. and rhe don such wok hmssR
ernto an not ksended a ofkred fa aW N, Ivevravn. r a drougn Memployeessearnemplos pwdad Out soh Mpwm
fs building or improvement is sad wdhm ow ser of co Vism t The owiew-builder will hors Ase harden d FOR Ac
AcAthatheaidnotcodaawposetoaseproneOfsW.t
t 01. as ower of the prdperiv. Ian sechrrwh CDnVKitrly MM kNOW CMYKda k naaKt the orogen ISat.
7044 Bunrcn all Protasssenl Cede TM CanrKw $ LmMw Lan don m apply As M dam of pop V who
bmlds or improves therem. Aril who cantoim far arch prepcls will a senrKtalal hwseed pwwem k IM CanrKtlr's
Lcenst Lawn CON TRUCTIO 'ik
1 Am .ramp Under SK . a i P C. IAVAch Cwtkaal P W
a °i" Dow ELECTRIC
PLUMBINGVMKERS' COMPENSATION OECLARATCA I Me* efts Mn 1 hm a nrahsatt of emewl to self-wsuA, a
a corohcate of N6rkwi Compensow Insaaws a a eartdik nems Owed ISK 3800. Loh C.I.
Cerbimd copy u toreby tanmwd N MECHANICAL
5 Cabled copy rs filed wen 1M &s1an8 WWtan Department a Oprwam. QQRAQ
cERT1FCATE OF EAEmpnoN FROM WORKERS' COMPENSATION ROMANCE. Ths aenan wad tar k cwn*rd
a d the pMtrn n ler ion hundred 18 t0O1 a Mu. 1 araly Mut At On prfaaawa of ase Oak fee which this Ipermitnaswd, I dull rat too" a" perm in any names, w me M Mean subpart 0 ftWerlari Cnapanswils n SM
Laws d Cold.—
PARK; FEE i4fa
SCH60L FEES . FIM0710E TO APPLOW. f. Afar m0mg Mn Gndca duw qw n. sw, dwmd bomee ngaa w Also fth.,a
Corpenwhorw pow"n of M loop Code ed,swat laOwdr Coolly with a.:h povraas a this Immense
revaluedshoo
he desed re
OMSION OF INd15TRWl SAFETY VERMR CERfFCATON n ` .
I Maby grimy Mae no easavabon few 161 At mm fset in apOr ars vMrdr a Mson s seared to daeand PiAK
r (11 eej` i' •
r-
1 eed s Prime. ad ih ddiy a,ram, Ki#Wft Wwwk. n work avdia1w Mll wem ,wen wcwillbeaslcarm
A,demomwn a Ors oodmg IMed. we k movie ell Owey-sa 138) Not Niyt fQtp. 3.2. Dry 2. An 2. EK
u 341. Told 8, CAC)
I-
owm odder. I will m wpky arrow Isdo wok whdr wmmd rows a pall Nam do bow ofCVI-.W1coni Sally. ac noled .bow. unless inch ps Add ha a paaw is do such not hent Y OWWL
e DwAon of hrdwOral Safe""sew' Mn TOTAL FRJESCOiSTNIMNLENDINGAGENCY. 1 Mraby Mfg" Mat an k a con"waon rdhe qaq Ia ten ptrlwmaeo
It of its, oak to, whmh M faaaa 4 Zed ISat 307. Civ. Ll.
Land's Name COMMENTS
plarder's Address
IC CERTIFICATE OF CWPLIAACE AMO AUTIDRIZA7Cf1 NDR'. I Asa* I have am Ods pplkabm ad am
J dun to edanteeM m eancl 1 wen ore Wa baro and till W&AMM owelin8 is haOfre
YKan..ed . (Mr t.rrrt d &A&4 d salary a ase pa#els
E M h 1 Ow d rwk.g kpg—
S 9/
siyseew of Appkani a Agent
RECPT NO. PAID 9Y IF A
WHITFinaE—Department Copy, YELLOW—Finance Copy, PINK—Amiss or Copy. GOLDENROO—Fila Copy, GREEN— Appkards Copy ( /
BS106•11199 v
CITY or Diklfiill u Ek-rlltl
INSPECTION RECORD
m !7
ecmm.aptP. T FLOOR JOi iT S
FHA REGMTSePp/./
L1 RIC, G:R',D','Uf I t JN1 r) F R FLA -!AOR DUC 1'
UNDER FLOOR CONDUPLUM: W,(; lop FIREPLACE -OUNDAIICYIN
3FIfEl L A C E 80 N D 8 F A N1
tAI L) BOND BFAM
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r , , . .. . . . I .
iIiI ...... .. ..... - GOIND BE'
H, X1,K)N FINAL NO N J RE M
iTATPJ(, PENCHING
FIMSH 0- RADING
S!H,_,-,A,E0,,rUR TEST PECIRic
wit - N L rWIING
POOL FRIAL.
I.N"' i A'HON M', SiTE PV'S, SJ
ON sDf,,Yv All. NAILING
FP TA%K
F" L L L ONO S -; TE IMPS.
F I drat{ . ZN' N GST
NS,r. PIRE DEPT, FINAL
WA f li%''a Hit"'ALTH DEPT. RNAL
AlNA! F-ECTRIC i! DEV, FEES 1,
Tlki,jm. P: 0;1,111,4 E N E RG Y
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