HomeMy WebLinkAbout1508 (20)CITY OF DIAMOND BAR
DEPARTMENT OF BUILDING AND SAFETY PRESS
BUILDING PFRMIT FIRMLY
WHITE—Department Copy. YELLOW—Flnanco N
Copy. PINK—Assessor Copy. GOLDENnOD—File Copy_CR — Applicants Copy
GS10E-117E9
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ADDRESS
DATEAPPU
NUMB?
NUMBER
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SSUE ,�,s� TYPE �CCODE
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APN LOT TRACT
DATE CONST GROUP
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CROSS STR
SETBACKS �Fkcmrs
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OWNER
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ADDRESS
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CITYAW r JTEL.
SIDE/SIDE STREET RW ❑
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APPLICANT TEL.
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CONTRACTOR
SEWAGE ❑ PUBLIC PMT #
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ADDRES,� e
DISPOSAL
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CITYdZIP TElB
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PRIVATE SO. FT./ 100 GAL
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STATE
LIC. NUMBER --fit � C S9
GRADING ❑ CU. YDS. EXC. CU YDS FILL
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TYPE SO FT FACTOR PS ADJ. AREANALUATION
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ARCH/ENG/
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DESIGNERLU
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ADDRESS �d aEt'!?
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CITY ZIP TEL.
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PROPOSY� S
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GARAGE
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NO DINEL. C'•r4 ILY- V6t
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PORCIi i
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UNI7S TORIES BEDROOMS
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LOT DIMENSIONS
VALUATION j ADJ. AREA
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NO. OF BLDGS HoW_ �,
ON LOTUSED
ouaHTrrY DESCRIPTION FEE
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lKf Ki(C CO'lTR.L^T0R$ O[CLARAT24 I kre5y a!i:rm I: -at I Ion kcrrud ceder p,or.sims Of ChaF:er 91camnenc.np
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w t. Sell- 7000 o' Cr.rspn 3 of the Bas.nsfs sed Professions Ude IraMy, h
torse is n IWl itand e!tect
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I7::\IR BLILDER CEOLAPATCiti I be ell, affirm tat I am ae•rrt Iron vn Contractor's lrwse law la C! 6.':mmp
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reatrn (Ser IC31 5 li-ries and Profetvers Cade Any e.ty or tarty whrh 1rr..res a ps•ms to emfkucl•
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disco rep t).t, demrl.sh a repnr any dlatart. P'•a la it, --ce al. 111,.nes are pl.hcarl for aah pr -nn
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III L•! a si^,r2C sla:r•rrl Mal he as trerlild pursLlrli 10 Ile P•wrlaa4 Of to Canbsrlol s Lr!ns! LIw (ChITa
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O (a•Inerun w lh ST lion 7030; of Dawn 3 of Cr Basmess ad Profession Cede; a Cal he a trempl drr b-
ad Ili+ las.& Irl the aCrpM. taempt.an Any waa•on of Sa:1on 70315 by a'y aprl.U-t tv a perms sublets
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dr! s".0 -v to a C}.I F. div 01 ncr more d.ar fwa huldied d.tus IS°33:1
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01 as Orae. 01 Ili! Pr]prrly Or MY tmp'oyte& w.n Mars as Can sue [ompensabon w.l du the rm.k ad
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tw sl•x!ne is nrl rr.•e•.d•d err d!etes fa sale ISrr 7014 &rvness and Prutessae& Code The Carnator's lrrn:u
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law d— n': aryry 10 an awry Cr properly who hAds a rr v—s shreon a•d who does such work Samuel
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or tronas^ hs pewit eng:17&e.s. p•Osrded7 that fah rrrrewaral I:e KI mhndtd of Cl:!'al br sale 11. hawewr.
m
hills!
toe b.ki •r; a rMpcvr,a f 3 Bald w::hrn one year of ta^plet.on Ile ownerba!drr w.I haw Ile bad_ al In—v
he ills mr 0..N or mucous la the l
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Purpose of Sale
❑1 a. mre. of the properly am IrCbuvtti C299ahry wit. licensed corlrarlas to consulate Ile yPt:l (Stc
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7,^,ad Eus•ness rd Prrinswrrs Utr tee Uruata s Lacvsr law does rot Story to an owner of Property wto
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fork'.%a drpraes I•elf an. Slid! welt) CWIXi1 for Bab p•oirrls wdh a Corlralo'(n licensed pI{NOI to the COrlmtta's
CONSTRUCTION �p
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❑ I+m ertrr t uM.n Sal 8 6 PC WIN Cw!dr1!ef
PLAN REVIEW
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Galt own<l
ELECTRIC
PLUMBING
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YT,Rs[RS C3Moi hSATpN DECIAP.ATI(pi 1 kre'ry':am Ilial I raw a taairtate o' tlnlml 17 sal mime. a
a CtRata'e %Wlirs Campersa:lm Insaarre.
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al a a rats1,[ tear te'ror ISnc 3E00, Lot C I
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❑ [ .eitory.1he•M.vtaro+lied
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MECHANICAL
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Vlf.W,ed cavy v fried ..IN Ce Bard lip Insprl.m Graro-eri a Geparlmerl
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aR1tICAF! OF EXEMPTION TR3M K::RtEflS C3Mr(NSAT]N INS fLN[E This urtrn need not be compfe"it
ISSUANCE
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d ce ml m fa ane huM,ed SILO) a less 1 tend Ihat in IN
pe' I e perlarWrle of de was hr which Ills
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pe•md a ISUA I shall me emptily airy person in aro mare• so as to hellions +.dkrert to dr Nkulni 1;Amprnul.Un
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Law& al Ca!drin.a
Date
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WIG TO APPLICANT N site., ral.np d•.s CM1lra:t sI I—Pao•, you sM.id bec" Barbieri to Ile ymakin s
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SCHOOL FEES
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G1rYrr�u:•err pror.srrs of the labor Code you must fwttwth corryy with lath Proanmrn or itis permit skit
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be hr•rrd Irr31ral
1]'iltiili CF LN USTRIAL SAFETY PERMIT fiR11FRJ.lIUs
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❑I hereN C"My Iter! no ercaw'.on Irw SSI a'maf feet an do;!% eta whrh a pnsm Y Il. and to dtller.d
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will be mak n cOmecbm wr•m work maturatedmad
ed by to pers. tmar animatingotanimatingprlttaBt
e dbYr1 lalsewak,
Araemoslm a d.smarasp Ikreol. will be mat Can slily lat.�78!'tfrl WO (Chao 32. Gr, t. An 7. SK
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34 I. Title B. C A C
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❑As owrwr beldam, I w•p list emcl:y�s�jM` Ip 2'wak which waid hear I,paad 6om Fa Csrrsmn d
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led-sbal SAIrIY As rated +htw. Inks& Bah Pamir has B pans to do such work tram it. *.law
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❑Dpaurm of Ina.shral Sarev Permit Nt
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TOTAL FEES
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CONSTRICTION LEk(IANC fila NCT tMn!Ly A!inm Cat•thsn a a unttaean sending army fa h Pwbmant
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of ft.. work fa wrth dos pans a lsadad 1$a 3087.T6 Cl
COMMENTS
of
Lender's Na.ne V
p=p
lendel's Ada
[t RTIFICATE OF COMPLLU[E AND Ano§ZATfN OF ENTRY I tabby I paw mad tis sppkcalen ad Itatr
rn
Dat to nlamalrun peen a correct I area to Canply well at BUY Ibbs and Bah srd.nari a rdatrq to holding
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carrratnn and weave a teprelaeune of IN Dspalmenl of a -W% and Safety to oYn oi+s she Propwry
No which I haw a C cont r Ile u1pU a droop myscamt
,
RECPT I
X 6
Sgatue AYPrtant Assn Ctfe
NO.
��PAJD T VALIDATION
WHITE—Department Copy. YELLOW—Flnanco N
Copy. PINK—Assessor Copy. GOLDENnOD—File Copy_CR — Applicants Copy
GS10E-117E9
L f
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