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HomeMy WebLinkAbout1311 � '"` CITY OF DIAMOND BAR PRESS � J� I DEPARTMENT OF BUILDING AND SAFETY �'�RMLY �� BUILDiNG PERMIT DDRIESS ' � O � 0� �1 - DATE CAn� ���� NU BER 1�I J CODE � APN LO TRACT 'DA E� �-���� CONST. GROl1P o CROSS ET SETBACKS .�""E'"5 = OWNE ZONING �OM � ❑ o ADDRESS r ti REAR ❑ W CITYS�r�'��� ZIP� ,L L – � SIDE/SIDE STREET RW ❑ g APPLICANT TEL. SIDE ❑ z � CONTRACTOR £ SEWAGE ❑ P�JBLIC PMT#� o ADDRESS ' DISPOSAL .� CIT��S/On/l�..ui�iP�/LIPGi3 Sl TEL 1� ❑ PRIVATE SO.FT./100 GAL z STATE—= y LIC.NUMBER 3�t��7 GRADING ❑ CU.YDS.EXC. CU YDS FlLL y ARCH/ENG/ l / � � � "�PE Q � ��� PS AOJ. AREAMALUATION `=' DESIGNER ��,•�SK.� �'• f i � { ` • ' o ADDRESS S � � � -- L,L. 2 � GTY � �is�� _n,�. ZPC-1 fQ� TE . ''i�- g � PROPOSED USE Z 4 w �T _ � GARAGE o NO.DWEL. NO. O. � pORCH y UNITS STORIES BEDROOMS s LOT DIMENSIONS m VALUATION ADJ.AREA o NO.OF BLDGS HOW OUANTITY p�SCR1PTl(JN FEE W ON LOT USED q ,p � �_ � o � 10 " °�o ve, LICENSEO CONTRACfOHS OECIARAiION.I hre6y�H�rm Met I am IrenuE mder pioviaions ol Chapter 9(mmmenanp Y wnh Smuon 70001 0l Onision 7 el tlie Busmess end Pmlasions Code.and my Ir�nsa s m Iull k¢e md eNect �„I ' .� xQ 3 � W ,�LLZ � (fWNER BIIILOEA UECIARATUN�I�eie6r clhrm lhet I�m ememp�Imm Ne Contncta'a Lqenu L�vr 1ar Me Iqlawmg �� �eason ISec 7031 5 Busiriess an0 Professiona tode Any crty ar counry wMch rpuii�s a permn 10 construct, � ' .t� � `75 O alte� impmre,demohsh.a repa�any slruclme.priar m m rsswnce,tlm repure�the�pp6cam k�9uth permn )' , H to lik a signed sutement ih�l M�e Ycensad purswnt u dr prwisians e1 Me CmNa�la�'�Lianse 4w ICM1aDIe Q7 {�y � 9(canmennnq wrt�Smuan 70001 0l Ons�on 3 d�he Busineas md Profeasons Code)a Mei Ae ia�ump�Mrcelrom � �. � ane me nas�s for Ae�liepea ecempbon.Arry vplelian M Sxuon 1031 5 Oy�ny eppham fw�permrt wU�ts � o � � 1 � iAe appecam�o a cwd penelry ol no�morc thm frve hurdred doll�n�5500)L a • � � F ❑I,as owner ol the properey,p my�mployees w�tl�waqes as lhur�aN comq�xauon.wdl Ao Me wa�4,md � � Ihe etmcwre is nm m[ended or oflerM loi ale I�c.7044,Busmess a�d Ro�essom Cada TM CantrKiar s LKmse V L�W UOES n01 iDpIY t0�n 7W�l�D�plOpl�ty wno hwltls or�mprovea Mbeon,ind who Ooes such WIXI AlllllEl� � �++ a tMough his own employees provided Mat fu�h improvements ve not iMended or al6red for i�le M,hmvever. � m the hwldmp or imp�oaement is wid vnthin one yeer d canplmion,tM owner�hudda wiH Aave 1M bu�dm of prwinp 4 � that�e Aid no�bwld m imD�ave 1ar ihe purpox ol s�le 1 h '+7 ❑I as owMr N the prope�tY.tm eaclusrvely avntractmy w�M hcrosed tanv�[rora to ronslruot Ihe pqxt I� W 0 7p4a Busmess ud Professions GoGe The Contrxror's l¢ense Uw Eoes not�ppiy ro ai awnei ol O�oD���Y'� �2 Z hwlds or imD��s tlierean,and wha ronlri[ts fai suCh pro�ects wnA�conlraClailfl hcm6ed plrswnt M Ihe COntnCla'f ` Ucanse L�w� ����`�'i W ❑I am exempt under Sec ,6 5 P.C.IAt1�tA Ce�nlK�fel pLAN REVIEW � � 1 . � 0 oe�e ow� E6T .� �a, �C� � YJOHKEHS�COMPENSATION OEQAflATIOM I Mre6y�Ihrm Nei t Mve a«rGf¢�te af cm�mt to sM4m�ure,a a rernLnre af YVorYen'Compensanan Inswarce,or a teruheC capy f�ereal(�c�aoa.��n e i. PLUMBING Z N MECHANICAL Q �Cervhed copy is herehy furmshed J o ❑Lended coOY��hkd with M�Buddng Inspecum UeOertmem w OpuVrynt � GRADING W /'� � CERTIFICpTE OF E%EMPTqN FROA1 VANNEHS'COMPENSATION INSUfl4t�E Thit u�inn need not he compkoed SUANC O V y A �ne permi�is lor ono hunOntl ISIp01 a kse I cerWy b��m�ne q�lormrre of ma wat Iw whrh thio � permrt is nwed.I shall m1 emobY aM Oerwn m my mencer so a lo Mc w6wtt W Ihe NHlurs'Canqenanm gMIP = Laws ol CWdornu W 0 7��-� �C�n � uJ PARK FEE ��e � �- SCHOOL FEES � NOTICE T�0'P�LCANT II,■ makmg M�s CeolKete Eeemo� .YW��d ome s�EKct m M�e 1A6rMx's � Comvmsauan pwis�ans ol Me tibor Code,you mua�farthwiM eamply wrth aue provi�ans a thn Peimn�hMl � he detmed rmaMed p Ge.-:�, a "'� OMSIpN OF INWSTRIAL SAFETY PERMIT CEflTIFICA ����� " "' � � ' ¢ ' ' L',..:y � �..!�'. o ❑I ne�eoy cenAy thet na eMcwation trve(51 a mare��m depth nto which�person u�pund ro dacaM, � wdl he m�de in connecuon wnh work wthQ¢d 1y Ihu permh.xd�bt na A�ildinp ftructun.u�flold„p,fllsewark, w demalnion rc diamsntbrg thereol.wiX h mare M�n thirry�an�36)het h (Grop 32.Grp 4.Ar1 2.Sac = 341.Tuk8.CACl . ���L � �j ���� � ❑Av owner-6uAder,I will iwt empby wryvne b do work wFich wouW rnpnn�yamil ham tlr Mntm d 1� Industnel Sahty,as roRd ahove,unleas�uch penon Mo a qrmt 1u do such work hom ds dirisan. t:;` � �i'`_! ,,.�'�.. .,.�r..,J :::/'�.e� � �y ❑6nam o1 I�usnul Sakry Pormrt No. �•''' r � � ,� a TOTAL FEES �-� CONSiRUCTqN LENpNG AGENCV 1 Mre6��(f�n:JhPt��f�ers ie:�.cerotuceon4endn6 fp[n[Y 1M N'lamana �.J sol�he xvrF foi w�c��is permn i�iswed�ec�J09T.Cx C.I. , , . � �maer:Hame CO�M NTS mtender's Addres� — ` CFIIfIfICATE OF CONIPIUlCE WO AUTIIORILR�i OF ENiRY�1 prtily 1 Irw md fiis pplralpn and aUu � va ihat tlie x�fmmatron pwn u caMt I pfn m canply wM al sqa Yws rd':iy adi�ai Meup ta 6uildinp y cnn�uucum.anE�u�ave�rpR�entanve of tle Oopatment ef Buil6np aN S�fetY p Mler�pon tlw MW�W = lar whch I Aave��I�d M Ihu permt lor tk pupov d��ry n�pecmns. � ` O � � � t� �..`�'� sqn ura d apa�cnt er nqent p RECPT NO.�}.I.ZQ_,.PAID BY �� ✓�A��DATION WHI —DeparlmeM Copy,YELI.OW—Fi�anee Copy,PINK—bsessor Copy,CaOLDENROD—Fle Copy,OREEN—Applleants Copy BS706-11/89 �� �I� . . . . . .:1�`r.�Kdt, .___'"_ �. .. 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