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HomeMy WebLinkAbout1177 (5) :,--- - — -- --__ - __------------- -� - ----- - �% ��,�,,;,r� .. , �"� CITY OF DIAMOND BAR PRESS �„� '-��' � DEPARTMENT OF BUILDING AN�SAFETY .. BUILDING PERMIT F'IRMLY JOBSITE APPUCATION PERMIT SE ADDRESSr�✓�`'�'�✓SUNS i�7'C��'OSS/�✓Cy DATE 9t�V1`/ /Q�U NUMBER �� 7 7 CODE ISSUE /; (�� TYPE OGC. � APN LOT TRACT DATE �'`�� ' CONST. GROUP o CROSS ST ET_T�'�b"� �✓�� �� ZONING SETBACKS ""°"F'''E"'S °� OWNER ��T� " R x/c� �. FRONT RW ❑ � ADDRESS � �✓ '�G osS �/ REAR ❑ W CITY i�►n'►a/v� f�-�IP �7�� 7E1��'��y� SIDE/SIDE STREET RW ❑ o APPLICANTQ/�• �a/��� TEL Gv' � SIDE � z ` CONTRACTOR SEWAGE • - ❑ PUBUC PMT�" o ADDRESS DISPOSAL `; .-;' • .❑ pRIVATE'�� �,S�.FL/t00GAl. W CITY � �� z STATE GRADING . .Q CU.'YDS..EXC. ° � CU YDS FILL y LIC.NUMBER � ARCH/ENG/ � NPE SO FT FACTOR PS ADJ. AREANALUATION � DESIGNER W � � ADDRESS �- 2 � CITY ZIP TEL. (�} 3 W � -_L2_� Z 4 -- oPROPOSED USE - �, � GARAGE o NO.DWEL. NO. NO. � PORCH .-e/l G ��1 Z UNITS STORIES BEDROOMS s LOT DIMENSIONS m VALUATION ' 'r ADJ.AREA o No.oF s�oGs How OUANTRY DESCRIPTION FEE = ON LOT USED � ❑ U W � S ~ LCENiFO COh'TNACTOliS DEf,'LARAftON 1 k�ehy dtnm Ihat I�m Ycensed unde D�orq.ors ol C��C�9 Icommmniq r Y nn uon 70001 0l p.�s.on]of Me Busmess ond Pmles:mns Coda�nd ircy lemfe i�n lull brte md e11Hi � � W O J 3 W � iTti BUIIDEfl CE0.ApATICN I herehY dLrm tlut I�m pempl hom tAe Contr�cqr's Leenu lnv Ia tu loliowmq z reasan ISec TO31 5.Busmne�nA Pmlesvons Cade Airy ury a coumY whch np�.�es�pnm�t m eonstru��, (� o �Ile� xnDim'e dPmdnA Of lepb��M NutlWe.pid 10 iIs uSuaYt.Yw IeQuret I�e WplK�nt la fu[h pnml Z 4 b�ik a sp�eA�uiemen�that Ae�s kresed p.�ysntpe thr,pnnws ot Me Cmn�ttd's lKeme l�w IU+D�n Q] � 9 Icanmencmg wrth Secoon)0001 of Qvrs�m d 11e 6',sMes(�a�d Pra(essans Ladel a that he n�.empt Nwehom � � rd t�e Casu lor��e�nryM aenpuan Arry �amo�'�d'bdl�on,',j0��5 tr�vry�pp�rcani bi�p�rm�wb�ects � W �ne sppirani m�tnd penytY ol roi more It,an rve hu�die�do:lars IS50�11 '� a � ❑I,�s owrei a�Ihe poperty a my emplvyees w�n waprs as Nnr so4 comper.uiron wdl Ao Ihe wo�Y.rd ~ Itr suu[m�e e not�mmCrC o�ollereE 1 {le1ISec 044.Bu:m u R�olessane Laee TAe Lmv+no�'�Lcense a � l+w Aces rol app�y io m awnn al p��sy y.M�1s(�mlj�ka�pl�em.�nd wAo does sucn wat hmuil, U ••• a�hrau9n hrs own em¢Ivyees povdAl rt�vf�ucA mn�hents"hlMb�4nunded a allered lo�fak II.Aowever, z m �he DwW�ng a impro.emrnt n sWd wnhm one yer ol eomde�wn.the own�.bmidw w�li hM Ne baden ol p�ovmp d ' � I�a��e Ci0 not UmIE a improve lor tne pmpose ot s�k 1 = H .- ..-- � tn ❑I �s rt«ne�ol IM popei�y�p t¢�si�j�vnaxunj,wun'4cenxd.lo�inai;o eonsvuct tne p�o;ec��Sec W 0 7674_Basness ard Pialessansjo0e 7�erC0oYa[Ia's L�censcl�w-loes ro��[pv„la�n ovmr ol paperty wM � xd hu��ds o��mpwes thenon.�nd wWilo�Lun-foF such��a�n.f w�lh�OMIIYIOIIfI�kM1ed plSW�l ID Iht LMUKNI f . �rc��u�w, CON�S�--T�R.�UCTIO�N ' �7 G � ❑I !"^pl YMN SN fi PL IAnxh Lero� itl P�IN Y1C V IC VY � ca�� �"' V Q""" ELECTRIC a WONKFHS CCMPFNSATIaJ OEf1AfNTla1 1 M1e�eM�Il�m tAal I Aave �nhc�te o1 tmsent to sN�nsue,a . � a cenA�ou el Nakns Lompnss��an Inwarce,oi�tanleA capy N�ereof(Set 1800.LOA C 1 PLUMBING 4 ❑Cnni�a aopy rs noeey Iko�sned J MECHANICAL c ❑CaoleA mpy is 6ieE with Mt Buad�nq Insp¢nm Oeo�����a o�w�•�� Q GRADIL�1 W � _- 1 1� = CFNTIF�CATE Of E%Eb1PT10N FROM K9RKEAS'COA'PCNSATION INSURANLE Th�s se<twn rced mt 6t tompkkrl ��UANCE � A IAe pnrtut u tar ane huWied IS100)a 4ss I cetuly 4ut n Iht ptilormrce ol Eie wart la wlu�n INs � snni—�� °s _ pim��u rswed.�s�+A nol emdoy�ny pe�san in�ny manK�sa ai ro hcm tu6ie[t lo Me Vk�kers'LOmpenSitqn � Laws of G�domu �y..�..�.� _ �Nflf� rCC O W � °ae ApphCn1 u- SCHOOL FEES •.• NOTICE TO APPIICANi II.�fter m��inq M�t CNUIK�IG OI El111DIp�.�'dl iMYN ElCM!lIIbIK�b Ih!��l��I � Canpensanon provrsims ot the laEo�CoAe.pu miet laR�w�emqiy w�m such prwnms a Mn pmm��haA � Ee deemeA ievoYed � pVISIR:Oi INWSfRIAL SAiEiY VERMIT CfRTfCJIT101 W �– ❑I nc,eoy cnidy�hn no e.avauon IM(51 a ma�leet in depiA nW w�uch�persan i�rpmred lo d�umd. ¢ wdl Ee m�de n[mneaan wrth wwt�umaved Dy tMs p��mn.�nd M�i no h.kvq nructve.wltdd�np,fY+ew«k. � a dmnln�on or dismmtlinp Ih�wl.w�l Ce mae INn INiry�n(38)��Mpn (L7uD 7 t.Gry 7.An I.S�c W sai.r�n�e.cat� _ 3 ❑As ownei hwlde�,I wie not�mpby�nym�b Oo worl whK�woutl�epu�e�pe.m1 hom the Draon el �— Mdustrul S+leiY.+_�oird�6ove.�nkst wcA penon haf i peimt b do 1uA wak t�an 1M Onnbn. � W ❑Qnsbno11n0ustn�l$�IehPnmitNo TOTAL FEES _ ' "v o- o � CUISTNUCfIIN IfWJING AGENC!1 here6y�ifiim Il:ai Ikl�p�[OnlbROql k14��pl1Ky IM W pMblmyK� = ol tlr wark lu rM�h tlui pnml u nsied�Sec 1037.Gu L) � <<�•�N•^� COM�dEhfTS m i�rs aea��:� ' ' Q CEBiIfGTE OF La.IPIIANCE ARD AUTFIORIZATtII Oi EN7HY I CNM`/�MN nM tlu��ppcsuan r�a tua em m�me nlam�ion prvm n earect 1�yee mmdr wnh ao mre laws�nd eiry adwcn n4uq fo buldro y �msvunm.W�umave�rep�um d Dw��mmi d Bu�Wnp�d Sahty u�nr Won tlr provry � lu whc�I A �DGIeE lor E�n Vmm� rtie Dou ol mYinp intpcmns / V U L I�_ RECPT NO._�PAID BY� VAUDATION �,.. �a o+a W Department Copy.YELLOW—Finance Copy.PINK—Assessor Copy.GOLDENROD—Fllo Copy.GREEN—Applicanb Copy 4S10G•11/8A . .. .... :��. . , , .. . .�.•'��:'. - .. , . . .... . .... • ... . .. . ,.. 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