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HomeMy WebLinkAbout1624 (1108) . '"� CITY OF DIAMOND BAR t��-' ' � DEPARTMENT OF BUILDlNG AND SAFETY PRESS BU1LDlNG PERMIT FIRMLY JOBSITE APPUCATION PERMIT E ADDRESS •S �S US E N E�R� CCCODE ` APN L � DATE _ � — CONST. GROUP " CROSS ET SETBACKS �+��►� °D OWNER,� e� ia ZONING �� � � o AO S � REAR ❑ W CITY a P TEL. SIDE/SI�E STREET RW [] g APPLICANT TEL. SIDE [] 6 CONTRACTOR , SEWAGE o ADDRES L�C�'�- � DISPOSAL ❑ ��� �� W CI7 � ZIP TEL. �s 99t-7 t'1 ❑ PRNATE SQ.FT./100 GAL = STATE �i d LIC.NUMBER � '"�b �S�� O�o GRADING ❑CU.YDS.EXC. CU YDS FlLL � ARCH/ENG/ � 'TYPE SQ FT FACTOR PS ADJ. AREANAL ATION = DESIGNER �_ � � o p g r" M.�SStoN IJ„ 2 z CI ZIP TEL. (} 3 � PROPOSED USE t 0 4 c.� �, L-L �^�_ � GARAGE a NE�.�01NEt'. N . NO. � PORCH y UNITS STORIES�.BEDFOOMS m � LOT DIMENSIONS VALUATION ADJ.AREA o NO.OF BLDGS HOW nuatur�rY pESCRIPTION ��E W ON LOT USED oc � • • W � ~' CENSE�CONTNACTONS DECLARATUN I Mre6y dfirm IM1n I tn licenaed mdx prmaions d CAap1m 8(eemmeneinp � Y with Secnon 7000)of pvi�iw 3 el the Busineas md Prnhss�ms Cade,aM�ny Icrose it in fWl lorce�nA d1kt. 3 ❑ W ! IMMIEP�BI1RDEfl DE0.ARATpN I Mreby dlum 1hn I am a�xnp�Irom the CoritrKtor's lcsius lm Ip ihe lqlowmq �eamn Isec 1031 5,Bucinafe and Ra�esuana CoM Any Cily w ownty wkich nquiru�pnmt q ConNry�t, � O aliei improve,demol�sh.rc Ieps�eny structur�,qia lo ns nswnee.�m rpurco tlx yqhcmt M su[h permn � to fik�sqned ataremem IMt he rs X[enaed purtwm b tM p�avisana oi Ihe Cmtrx4or't LKeme Uw ICNqp � � 9 Icommencing wnh Secuan 700U)ol pvisim J ol Ihe Busmess erd Probtsion Cade1��he u txemp�Mxefram � d and the hasis lor the alleged erempbon.Rny ndavon 11 SecDon 1(131.5 by aM ipphtam Ip�permit 7ubneh K ihc aoui�ont to�crv�penatly of m�more�han frve hundred dallan(f50D11 a W � ❑I.�s avner of the O�We��M.u mV�Ployees wnh w�pes o their wle compematwn,wll b ihe work.�nU . �he svuctum�s nat mronded m MferM la aale(Sec.T094,Bmmess�nd Aofe�sans Code Tha Cmv¢pr's 4nnse q ,�,? Law dces mt applY to�n owner ol property who bwld�or�mpoves therem,uM who dces sueA work Mmmlf, f� ' or thiaug�hrs ow�employees,prwiGeE tlm fue�mo�aaemena re na�menaea a ofhred lor ub II,hawewr. Z po the bmldmp m�mprovement q wld wrtMn orc Yea ol cmpletlon.1M owner•huille1 wdl hM Ihe hurden ol pmvnp � � �he�ne aia nm hnld a imprave lar fhe puposa d uk.l h � ❑i.es axner at the p�openy,m�aluvvep contnatny with IKemed e0ntn[lors M censtrpel Ik p�qM($x 7044,Busiiass and Piofessrons Code Th Conuxror'�liente Lnv�es nm�pqY m an awMr oi praperry rho ,'� ibudds or imprwes tFaeon.�nd who comruta la wch proKcis with a cantnctn�fl��sed pursumt 4 Me Conu�ctor'� 0 L1e"'�`'", CONSTRUC710N � ❑I am eump�ixdn Sec ,B.6 P.L IAn�cA GerCfioxl pLAN R�VIEW p Dete Owne� CTR� ! } WORKER GOMPENSA7qN OEClARA710N I hxeby Ntirm�ha 1 hwe i nrelcae ol emsem 10 sNf.uawe,u a cer yle of Nbr4em'Compmsefion Inswince,ar a cntified CopY Mne01(Src 3BW,La6 CI. PLUMBING � ceroted caur n Mreey�wnKned J MECHANICAL o ❑r.amae�y�.nka wan ab e�uane M:pxum o.oaruMm a owwm�em Q (�RADING W � CEIITIFIL0.TE DF E%EMPTqN FlIOIJI WORKEHS'COMPEHSATqN pISURANCE.Thn�ac�ien nwd not he tpmpkted ANCE y d t�e permn is Ia one hundrcA Ii10�1 a b».I tenfy ih�t in 16e prlorrtwie�ol tlie wart ler uMKh dY� permil is�ssuW.I�h�ll rot tmplay any partan in wry inenier eo u to hxome w6�ect b tlr NbrYa�Cpnpen�etion MIP Laws d�iorn�o. �+ �� PARK FEE 0 0,����,�,�—kvi��.���- LtP.. 1S� o N0710E TO APPI ANT N.dkr m�kinp Mp Cmnfate m e.�ou�.�u�e u���„qK��wo,k„�. •� SCHOOL FEES � Canpenauan wwis�ms d tM la6or Code.you mun fatlxYah pnyly with aueh pasiana�*is�e'mi�hall � he deemeA RVokN. J m� p� pVI510Y OF MIptSTPUtt SAFETI'PEflMR CERTFIG ��: � �:; .r-e�' n:; !,R,' � ❑I Mie6Y oitilY tlu�na�zuwuan li+e 151 a m�j�he4:.��b9A!M..�-�MhicA�persm u rpuirtl b Meerd. � wiY he made n eonnectpn w�M nork�uMar'aN br dxs pemit,�nd tlqt m huJdup�uuctue.wlioldmp,hl�wvwY. or deind�non a diamantl�np iFnaal.wdl h�inen tl�thirryair 136)ket hi�.IChw 1.2.6ry 2.Ah 2.SK W J41.Tbe 8.C A.C.I. �+�'� �� �C: � ❑lu vwrbr�bmNer,I vnA not e^qhY wWnC.f wor h ■Yu�u�kan h arnm d � Induslnd S�4ry,�a romd Wm.mYss wch penon Ms a oermil b b wch wwt hqn M Mrnqn � � ❑Onsim al Industriu Safery Parmn AN_'—'" r.. . � �srn�►�,►e������.,�,;ar�e�,,nR.4.����.�«��,K�. TOTAL FEES , gol the werk far wheh tlii�permrt n iaWd 4Se4 3Q9�.CFv..CJ.:��.....� :.. �. , � LeWer't Name COMMEIJTS p�p Lmder i Nddreas � CENfIFf11TE Of C011�PllAN'.E ANO AUTIUtlZATpJ�EN1RY I prEly 1 Mr�wd iif�ppleMion�nd rtaY � va 1Mt tAe�tarmmon puen u amt7.I pr�to pnWN wM MI fine Mw��n0 eitN MOiiwita rNunp eo sifnp ':� cmovuct wtl»rin��um,e a nK uwt�m r e��wro,m s.�r.�r w�+�e sawm C M I pplied n M flr p�qne d�rkl^Y waeums ` v }�� � spn.tue at Ap r.ant a t Ate � RECPT NO. PAID 8Y�VAIJppT1pN WHITE—Deparlment Copy,YEILOW—Finance Copy,PI�1K—/lsaessor Copy,OOLOENROD—File Copy,(iREEN—AppliceMs Copy i9 .. .... . ...... . :. ...,. ., .,,_. ... . . , . .. . . . .. � . • . . . . „ ., . . ,.. - . � � . . . . . � M . . , ..t. � . .. . . .. � .t R �� x�s:.� m"s,, r:�ta a.;, • � �. { �:�� i: �np ���" ���,��.�� ��:.r=���'� �'��m��4<. - ���'a������ � ��.��� �������'��.� � , . . ; . • , r - , ., . 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