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HomeMy WebLinkAbout1604 (1108) �P�tr���� � ����-�� -��� _ � " CITY QF DIAMOND BAR PRESS � � � �•��' " �� # � DEPARTMENT OF BUILDING AND SAFETY �-- BUILDING PERMIT FIRMLY JOBSITE APPUCATION PERMI7 ���(*� SE ADDRESS �� /S �P DATE � ` � NUMBER._1_W=CODE ISSUE � TYPE OCC. ` APN LOT TRACT DATE CONST.�GROUP u� e CROSS S�tEET SETBACKS = OWNER /°S.d/Aav %P.L�N7'r 1 �Lr', ZONIN(3 .�r+oyew�nrs FRONT RW ❑ o ADDRE S c ���� � REAR ❑ ,� CITY v Z 7 TEL. SIDE/SIDE STREET RW ❑ o APPLICANT 2'�' L. s�►'='r SIDE ❑ � .� CONTRACTOR SEWAGE � ADDRESS DISPOSAL � �BUC �� W CITY ZIP TEL. ❑ PRNATE SC�.FT./100 GAL.. = STATE GRADING`� '� CU.1dDS:EXC. ' ! '��i -r `" CU YDS FILL y LIC.NUMBE y ARCH/ENG/ , . � npE 0 ACTOR PS ADJ. AREANALUATION = DESIGNER - �� ���% W � . � kDDR�S S. �' ;� rt. u�„ 2 � <30.3 �� ' 3y .,.t�- = CITY �'� ZtP � � TEI. � 3 • � ' � PROPOS D I.�SE. ��"�"' � 4 � �J�S Ora � GARAGE o NO.dWEL. NO. NO. � pORCH y UNITS STORIES�BEDROOMS s LOT DIMENSIONS � VALUATIO �"""ADJ.AREA'� � � ON OTBLDGS � UOE ������ QUANTtTY p��CRtPTlON FEE � ❑ � W � LICENSED CONTHACTOHS OECLAflAipN 1 hrMy�Ifirm th�I�m fcensetl unEw provisions at Clupui 9 leommtnnnq Y wrth Sxuon 7000�ot Oivia�on 3 d Me 8usmess eid Prafesnan Code.aM my Irsnae a n lull farre�nd dfeet. i ❑ � u- OWNEN-BUII�ER�E[lARATbAI�I Mre6y dlirm Ihel I un exemp�fmm�he Comr�cbr's LKmse Law 1or Ihe Idlaw�nq reoson�Sec 1031 5, 8wmass and Prohsaona Cade Any cny m eounty wheh rpuins�pnme m cunstruot, � o alre� improve,demo6sh,a�epa�i eny�ructwe,prmr m ns aswnre,also npu'rea the�ppleam for fuch pmm� � to hk�sgned statemem Mat he is IKenaed pursuant to Ihe povisions of d�e Canttuta�s Liunse l�w(Ch�pler � � 9(commennnp wnh Stt�nn 70001 0l pnfron 3 0l tM Busmese and Probuiorx Cadtl or th�t M s�xemp�Mxdram a, md Me hems for the etleped ewempLon 4iry vw4lron d S�Cuon T031 5 6y my�ppli[mt br�permrt wbRcls � [le epDlKam w a crvil penalry o1 noi morc than 1we hunOred Aollais If5001): :r� W �� � ❑I.as owner ot tAe prapertY.or my employees wim weqe:u Meir ide eompenu�nn wll tlo fle wor4.�nd tls ahuctura ie nat imended er oHerad Id uk�Sec 7DA4,Businne ud Ptofessiona Cde:Tl�e ConV�[lor'�lKmse � � law does ro[�pply Ia n owner of pmpeny wM builds a imprwn Me�eon,�nd wM d�ea such woil himtall, W or Ihrqgh his awn employees.prorideE Ilul futA nnpuvemBn[S re not m�enCetl M oft�RO ki f�k It,howMr, = Ne 6wNing or imOrovemenl is mld witMn one yur M rmpletpn.7M owner�6mWeI wdl hM Ihe burAen ol pwmp �[ y tha�he d�d not EuiW ar�mpiave lor the puryose ol ule.l � N ❑I.as owrier ol the properly.im attlua�vely contractny with IKemed eOM�Icror7 W eanstru�l iFe pqetl ISK. o1044.8usircss end Pmfesaona Code The Convatar's lkeme Law does na��pply m m ewner N prapen�wlw 6 Eudds or�mproves fiaeon,ind who coMu[�s fa wch pmieets ryi�F�anirsterlsl licros�d punwm b the Cantnctor'e L¢enu Law 1 N S O -'1 � ❑�+mJqmo'�y��� 8.B P. IAn¢A .icrnl ' o Due ��d owmr �.� ELECTRIC y N9HKERS'LOMPENSATpN pECtARATNIN�I hereAy�Ifrm�het I �cxn ule al conamt lo�11-mfue.ar , a certA��an ol YNo�kns'Compensation Insmance.or�QnifKd rapy�neof(Sec.3800,L�6.C� � PLUM BING ` ❑Ceridied copy is henbY��mshed „� MECHANICAL C ❑CeruLed wpy i�hkd with�Ae Bwl6np Inspecaon Departmenl r anN�� Q GRADING W � CEFifIFILATE OF E)IEMPTqN RtOM NNPKERS'CpAPEN5A710N INSURANCE.This pction nead nol M compk�ed ��(��-. 1 � rt�he perm0 is for one huntl�ed(51001 a h�s I urety Mn m tl�e pnfammc�ol ihe wat fp wMch IA� L-� � y rmn is nsued.1 shall M� pe mploy ury peraan in rry manrer w�s k hcome whla�b�Mh�kr�Cmpensetien s L�ws el CMrtorme _ � PARK FEE p U�u Apphunt � NOTICE 1U APPLCANT�M,aller mekmp Mq CnBls�te ol E�mmptan,you�Miid hecome eL�[tt b Ihe WorM'� �- SCHOOL FEES -� Conyrensaean provnwns el 1M L�hor Code.ynu mwt hrlhw�comply nntA Wsh pwisions a du�permn�hW � 4 deened revoked. ' a wWISIaJ ff INUUSfRIAL SAFETY PEWUIIT��TION o,,.� 0 ❑I he�eCy ur1Ay fhat no�vcrvatnn i'be 44Y a.mh��el�in 14ptF Pb MA1YJ1�plIf011 q IpYllld 10 MSLWIA. � �x1 he mde m wnneelm wim rwk.unar'v.a�i'tifligy[(nu�...�e M.e m wildi�q muceus.x.�+o�d�ny,rrs�w«Y, a demolnian m diamaidinp 1M�o1.wdl'�mo�e tlyn tlwry-w 1361 Mt�iph.K]up 9I.Gr�2.M 1.Sa � I ,. W 341.TNeB.CACI x I� r�, � 3 ❑As owrhr�huilder,I wiN not"Y.9FLl���V��Id npmn�iumn han Ih avifion 01 . .C IMusvul S�MV.�s noed�baie. + Y 7ah work Iran IM�iuifian � �j ❑dnaim ol MWmid Sehry Parmt No. � ����N� ►,��,�iNim�IMt.tlNn.u.t:oonmucuon Nndinp�pnq Ia h�erMmn�e TOTAL FEES � �, �0/IM rvrY la whch 1Au n'y uwed ON �.a�z.w.w. `( �:: ,.: ., . _, �w- `,d�rs N.me �....:: • — CAMME �'.r�ndMe:: 'fATE OF LOMPLIANLE AMO AU114tl2AT��ENTP1'.I a/e7y 1 M+w ntl tluf�ppkk�tim�n0 fqY �nt��j1wn pvm o tarnct.I Wee b mmdv witli�tl Mk Yws rd eM riiwca�onp m YiMirq e.J�auMrin�npnenta�ive d Me Op�rtnrnt d Buildinp d S�My b sYr�qon 16e prape�ry ��applied M IMs rmd !4 pupose pl ipkinp' tiq�a. %�s�� �'-dS �D /,,[� yo,,.,,,,. , �.M p„� RECPT NO. 1�� P141D BY I�`-r�) VAUDATI �ITE—Department Copy,YELLOW—Finance Copy,PINFCrAssessor Copy,(30LDENFiOD—File Copy,GREEN—Appleants Copy • - ; .. . ,.- .,. : r. . _ . � ..� '• .,.t,. '� . ' , .t:. . . � � . � .. ' a.�� • . . ... . . . . •. ,�r , . , .. . , . . . . . 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