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HomeMy WebLinkAbout1613 �"` CITY QF DIAMOND BAR PRESS DEPARTMENT OF BUILDING AND SAFETY F�RMLY ' BUILDING PERMIT J08SITE �b Z 5i�� �� ���N ���ER�CODE AODRESS fl, -� � �/� � APN LOT TRACT �ATE v' "�,'7�(, -'"�� CONST. GROUP e CROSS ST EET ZONING SETBACKS ��"'g °° OWNER FRONT RW ❑ � ADDRESS �-- � REAR ❑ ,� CITY��21P TEL. SIDE/SIDE STREET RW ❑ � APPLICANT � TEL. SIDE ❑ z ` CONTRACTOR � SEWAGE ❑ pUBLIC PMT� o ADDRESS DISPOSAL W CITY ZI TEL. ❑ �NATE SQ.FT./100 GAL a STATE GRADING ❑CU.YDS.EXC. CU YDS FILL y LIC.NUMBER -�pE gp � FqCTpR PS AD.1. AREANALUA7'ION h ARCH/ENG/ —_.�, � DESIGNER `l—�— w � o ADDRESS �� LL, 2 z CITY ZIP TEL ` � 3 � PROPOSED USE ' U ' '� 4 � � GARAGE � NO.DWEL. NO. � NO. � � P�� y UNI7S STORIES BEDROOMS � LOT DIMENSIONS m VALUATION ADJ.AREA c NO.OF BLDGS HOW ouANTrTv DESCRIPTI�N FEE � ON LOT USED W U` � ❑ V LICFNSED LUIU�lIALTOBS�ELtARATpN I hertM Mhrm tMt I�m kena�d Wa Dpviaons d ChWw 9lcommancxq , . � � wnh nan 70001 M Oivman 3 oF Me Bwiness�M Professiani Code.�nd my Ikmae a n tuY force wd dlect � .. � �";:�. � , . - � W u- R�BUR�Efl OECLARATqN I hveEy affirm Ihat I am eYemp�hom fia Condxtar'�4unx�..,ro�a+.ia��w 2 roson�Sac 1031 5.Bwmess ond Prde�srons Cade�Any rny a ceunry wlich rpwm�prmrt ro con�mcf, (� � o ane�.mpime.demdish,a rpau airy ttruciue,pwr w its nsuanea,Yxo nqure�Ne eppfkm�Nr wch perml Z f= io IAe i siAnetl stnement Ihat h�is Icensed puwml 10 the prwnrons of Me Contrxroi t Lrt�nse L�w�Ch+p�r m • Q 9lcortmmnrg MnM$ection 700DI of 0.ricion 3 d the 8usmes�and Profeuan�Cedel a Mat he n nertpt tMrehom � a, and the has�s la the alkged e.empuon Any vwl�uon d Sx�ion 7031 5 by my�ppliam Fw�permd wb�e[tt a K the plrcam w s cml penalty ol not mort Mm live�unErsd aollars If5001 I � W � � as owMr ol the prapeny,a my employees wiM wpes u their fWe[ompenutiun,wdl do IAe worY,rd ne sa�wn�s no��n,e�aee o�o�k«a ro�uie�Sec 70a4,8usiness md Prolessnns CaCe Th�CaMnctm's Gcwme Q � Lew tloes noi apO�Y�o en awner ol propeny who huAds a mororee therem.md wha does suc�worM M1�mwlf. �� W o��hrough his own employees,prwded that such�mpmvmienh an rwt inlen6d a alf�ied M tMe If,howaver, Z G�'7 iM huAdmg w xnprmement e aold w�Min pne ye��ol cmmplebon.tk owner-6ukar will have Me 6urdan ol pownp q � tMi Ae dia iwt 6wW w impiow Por Me purpose o1 raM.� 2 y U rn ❑I.�s owner of the property,rn eMCWsiueh�n�ntuny Nxt��censM eontrxmrs M mnnuei W pqett ISte W 7044.Bus�ress uM Pratess�ons CoGe TM1e Lomruwr's liante 4w das nat apply p m ewrcr of paperry Mw � = hxNs a�impmes Mneon,and wlu eomwats la tuch pmpcls wnh��ontraloil�i Nems�d pxawnl Eo tlu Cmtqcta's 6 �K°^°°��w� CONSTRUCTION 0 � ❑I am nem0�under Sa ,B 6 Y.C.IAUKn Cerofiuhl PLAN REVIEW = °ie °i""°` ELECTRIC � VAHKERS'COMPfNSATION DEUARAIHIN I Mreby�Mim Nut I have a urnficne d epnent k cNf�in�we,a /� a cenrlKate of NbrYa�'Campensa�ian Insursn�e.ar+cerufied copv M+�ed ISa.98W.L+E C� � � "'� l J ` ❑fxtrfied wpY�s herehy tumsheE „� MECHANICA� o C�Ce�nhed�opr�s 61ed wnh me Bmkinp Nspecoan D�oa�m�nt a ��m � GRADING W ` � CEflTIFICkTE OF E%EMP7qN FROM WDRNEAS'COMPENSATIDN INSUlIANCE.Thia aulwn need no�he compkpd NCE � .d� y d the peimn rs lor px hwdrM�i1001 a N��er6�th�4�ry.J�.,pafp�unee d IM wd1 Iw w�c�IM permn n i�sueG.I shal ro�eryNoy my permn in y�qu�Or�so�1s Jp Ee[qro�u6�en m Ih N6rkeli Laipemauon S u.salCaMom� ,�=� '_,_,,:�' W pARKFEE p O�ie Apdc�n�'..., � � NOTCE 70 AVPLCANT N,dur m�kinp Mis Canhcm d Eamouan.vW sAould Yeeane w6Kn u h Nbrlror'+ �- SCHOOL FEES .� Canpenutm ymnsiana W Mr Ubor mt Ilpwtli a[h pevuwnt w 11us�enne tlW w Ee Cremed revaNs7 (� �V , J � dN51a1 OF MIp1S�RIAI SAFETY PERMIT CEflTIFIfAiY1N Q ❑I�eeW unily M�t no eauv�am liye,.(5J a.maa!eM in dept�nm wlur��Ausa n rquirtl ti leurd. t�C w�l he meae a cannntm witl�xW`wthorveY Ov Lw.B�n.wd tlw m Ywldu9 atuctu�.ndtaldup,IY�sxor4. a demolu�on a di�mmtlinp thneet.�wA,h��anrc,tlqn tAik•�.1361 N%t-M9A.:lOrP.37.Gry 2.Art 2.Sa � 361.TAe8.CAC1. �;,..... ._ ,. .._ r. ... �. .� �_; i 3C ❑�mvrw�bmtlei.I wtl not emp6y anyon fa An worY wlu�h wauN Ipuin�p�N M�n h�vupn r � Ind�sn W SsIMY.�e mYd�6ove.unless tu[h RRan lus�Krmii b da wcM1 wat hwn dm 6vifim w� ❑°'""°"�'"a'�""'�.''""'m°"° TOTAL FEES CON5fPULf�N lE![IC�G AGENCV:1 M�eM dlMn tlut tlrn u�an�tru�mn Md'+q+�Y Iw M N��u 1 7C ot Me work far wl�ch tle�pmm�x iturd ISec.9097.Gv.C�. � ��r:N,� COMMENT'S m tmdei t Aldmss i CERfIFIGiE OF COHPLIANCE AND AIITlqWZ�TRH OF FUiRY erdly I Urn m1 tlww p�lir�tion�n0�me � NMt NM� ip11 QNII p dfllCl.��N 10 plll�r WI1�1 �MIS Mld CIIY M�Ktl 1�11110 4 dY�� y consu md rMMfve�npmemmve el IM �n d � �n0 rd LMY b�M�yen 1M MaOerry .—�� lor w' I �e 'd tlis Game far ' " .-. 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