HomeMy WebLinkAbout14918 (442)PJ ,,q K5 q-1 EXPIHLU
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CITY OF DIAMOND BAR JUL 19 702
t �� / PRESS
EPARTMENT OF BUILDING AND SAFETY
BUILDING PERMIT i E FIRMLY
ADJOBSITE DRESSN V 0S 23V
5 j USE PERMIT I
DATEV CATION NUMBER CODE
ISSUE TYPE OCC.
DATE CONST. GROUP
APNL TRACT
CROSS ST
OWNER
S
ZONING SETBACKS .sto u m,a
FRONT RW—ADD
REAR ❑
CITY ZIP
SIDE/SIDE STREET RW ❑
SIDE ❑
APPLICANT TEL
CONT TQR
S J
CITY ZIP 2 ,"
SEWAGE PMT 0.
DISPOSAL El PUBLICADD
1:1PRP,/ATET / 10
ATE SD. F0 GAL
STAT
LIC. NUMBER C2-6
GRADING ❑ CU. YDS. EXC. CU YDS FILL
TYPE SO FT FACTOR PSF ADI. AREWALUATION
ARCH/ENG/
W
1
DESIGNER
ADDRESS
LLL
2
CITY ZIP TEL.
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3
PROPOSED USE
Z
4
GARAGE
NO. DWEL. NO. NO.
UNITS STORIES BEDROOMS
LOT DIMENSIONS
PORCH
C0
VALUATION ADJ. AREA
OUAWrrYj DESCRIPTION FEE
NO. OF BLDGS HOW
ON LOT USED
lO 0 CONTRACTORS DECLARATION I Walley off— that 1 one ka,sad rdR prowmms of Chops, 9 (tawano, eft
with SKoo. IOD01 of Dvmmn 3 of si Blmrness and Piulnswa Cain. aro aiy kww r it kit foru d ,Not
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OWNER BUILDER DECLARATION. I huotnj altnti mats 1 am email from the Contracmr's Lamm low tin IM blb"
reason IStc 70315. Suirmss and Profession Cot- Any city at tasty whch toowm a pRmR b tarahn.
alai rmprow, mmohN. a reaper any prunre. 010 m of rsanee. elm rpwu B61 appear far arch paR
m hie a Rpned statement dist he n licensed p t m tk prowsmns of mi Conraraa's Lcsre Law (Gaper
9 (commncing with SRttm 7DO01 of Oivisan 3 M one Wriest d Prolessmrr Com) R tan M it motion 1raMmti
and she Oasis lot the &%* acmonon. Any vemonon of Section 70315 by bra saPkrrs fear a foram s.Omecb
si applicant to a Cwd malty of not Tara Nan fM N"*.d onset ISSOO)1.
Cl I, m timer of tri pawn,. se nit eaiptaws with weepers as few tam tanprwrea, wa m the work. d
the structure n not intended a offered fa u4 ISec. 7044. Busarts and Polessraris Com. The CRmmmr b Lcwm
U. does not sppty b 1. owner of pownv who pur4s R eripraae diR,m. and who dam itch wok
ouhots".
ch p.ws nR
a thgm hs own angors, praded Nil sumae nts wit in ollswd M tab If hnveuor,
st Wddmq a unpwemsns is sold with. or vast of - ill, mi. On 0ermr•DYedR will Mat the Ordw of prang
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mat he Nd not mita of iRWOW for, 14 WMIN p 1141611
❑I, it owner of the Poprty, am macWroM Contin., wim kud tmaKtN% m eones,41 one Imp" Ism.
7614. Business W P ifessnns Com YM Conlra toil a Lamm Law Iwo rt softy b M awrr of Pop" what
Builds a nwau thereon. and who contracts lar ieh pmiscts with a ewrscaUl k,rad pesawt to fear Emir— I
tatnw Law I
CONSTRUCTION
❑ 1 an, limp under Se EL 6 PC wrath Cor.ht,M
PLAN REVIEW
°ait Dwindle
ELECTRIC
WORKERSCOMPENSATION DECLARATION I trrsby, aNcm Nat I how Is sea of coram to Satnga. R
a cernfuto of ,NRkRa' Conppmatmn Ing or s c turd ma aweal (See. 3100,
O cRMid Mpy r hn.0y, fiovi G�Qr -�/
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PLUMBING
MECHANICAL
❑ CRtlyd Copy m Ided nnth the E4rnldneq leswctri!D�erw-1 R ( _
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GRADING .} - �
CERTIFICATE OF EKEWTON FROM WORKERS' COMPENSATION taSII "a Thi,
d the permit is for, ON hien" 131001 a 61st I Choy That ti 1i M N on
pnae m msind, I shat not "Oey any perms n any airaw o u m parr No 1m
Laws d Caldseria.
77
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UANC.`E
S IP
P K FEE
SCHOOL FEES
NNOTICE TO APPLICANT N, after making int atA¢a� E, Is n. w Slim Lrmr
Carpnmoan Pamms of ov lease Com, IN aims hatlwnM tangly " sea, pa61w m as A ahs
bedeer- revoked.
dyt5lde Of 1NG7STRIAL SAFETY PERfWT CERTIFG1171.
01 lweby tentdy mat to ecavaows hie (51 or owe M an mph into wML a PRsw is r"kow m dlwmd.
wit 0e wade n tmnettwi wish work wdeRhmd M On PRM. mad inn r malmy mraprt, udmYq. Irinaset•
a rNinoNran or dismansnO NRuf. wit be awe Ow Twig -w 1381 Fur high PAP. 32, Gift 2. An 2. Sat
341. LW 9. C A.C.I
OA. owiw-Wildir, I wit two anmbr aatRr is m —k whidi wish mows a penin Iran iM Gwen of
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IMusuM soMy. as roma boat. areas pmts ftsemn has a Panel a dm each tart from 1r di -mem.
00— of kiam.al Safe" Fvrw No
CCNSTRII MN LENIM AGENCF, I he* self r taw swe 61 a oe.a m. kwiy ,phtY fe, sin p enwemse
TOTAL FEES
of mm wort la that 4161 purl ■ rserd (Sees. 3017, Ex. Q.
Iger s Naaie
COMMENTS
lRidn's AA* m
CENTIFUITE OF COhPL AMD AUtiQ12ATID11 a EIflR'Y. I trkdY 1 Iwo ed to aafr�mpr d tom
i mm me M esenan. I W"m tarapty wait M sw ram d dry ortmrry to" to Idrq
marmosetal M O,aRleraa of 9aWa mad m" to f r prolptyLj
t b whish I pare d rrmep nellaiaam
S paww r APftk ASIDam
RECPT NO. PALO BY 1CLLIOATION
WHITE—Dtlpartenern Copy, YELLOW—Finance Copy. PINK—Asaerssor Copy, GOLDENROD—RN Copy, GREEN— Appkwft Copy
EIS106.11F69