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HomeMy WebLinkAbout1051 (5) ' CITY OF DIAMOND BAR PRESS � i-�' ' DEPARTMENT�F BUILDING AND SAFETY 6UILDING PERMIT F'IRMLY JOBSITE �� lj APPLlCA710N PERMIT O+ / SE ADDRESS 7s S�• F� V.�-� � DATE NUMBER ( �r COOE ISSUE TYPE OCC. � APN LOT tRACT DATE � '� CONST. GROUP a CROSS STREET �� Cer't��— SETBACKS '�f0"'E'�'"15 m OWNER T��� �'�f- ZONING �OM. � � o ADDRESS 7?�� s - C'��Y �d � REAR ❑ W CITY��i5ek:�i�-- A•Z-ZIp��TEL.� SIDE/SIDE STREET RW ❑ g APPLICANT TEI. '¢-s SIDE ❑ z ` CONTRACTOR To I� C�'v."{ � �yypGE o ADDRESS�7 7G.� �-l�rra,[ R� c DISPOSAL ❑ �B� �# „� CITY Sr.ssf fSc.�I C-- ZIPH�v TEL.���� � ❑ �NATE SU.FT./100 GAL � STATE W ' " . , y LIC.NUMBER GRADING ❑ CU'.YDS.EXC. CU YDS FILL y ARCH/ENG/ � TY1'E SQ Ff F�►CiX3R PS AOJ. AREANALUATION � DESIGNER W � O� Y3.3 G e ADDRESS LL. 2 Z CITY ZIP TEL. (� 3 � PROPOSED USE V' • ��"t Z 4 � S rt i T� �`i�`�. � GARAGE o NO.DWEL. NO. NO. � P�� y UNITS STORIES BEDROOMS ac LOT DIMENSIONS m VAIIUATIdIV= 2 '� �d � ADJ.AREA o NO.OF BLDGS HOW ouAN7ml DESCRIPTION FEE W ON LOT USED � _ ❑ & ~ LICENSEO CONfflACRlflSOCCLARATpN�I IiereGy divm Il�t I om kenud un0n prov�ama ot Chapm 9ltammmrnp ¢ wnh Secuon T000)d Ovison 3 0l the Bubness md Prdesaions Cade slld 111�ICMS!If Ip lull f01C0 MIA!NlLi. � � . ... • . 41'^��1� ,��,y,w�..k� � `!M1 u�. OWNEN BUILOEH�E0.ARATqN 1 here6y dh�m Mat I am e:empt Imm�Ae Connxmr'e lrense Isw fa Me Idlowmp = reason ISec 7031 5 Bu�mess and Prole»mns Code Any cny w couMy whrch nquires�pnme Oo oonelnet, {' � o alrzi �mprove,tlemdrsh,a repai any n�ucwia pror m m i�suurce.Nw repunes t�e�pplc+m Por su�h permn �„' ,, . 6 lo file a signeG n�tement 1���he i5 INlNlA pfSUillt IO!II!OIOYI51005 at prc ConU¢toi�L¢ense law ICh�D�n � p� 9 Icommencing�wth Se[non 70�1 0l dvwon 7 d�he Busiross�nd Prafeuioiu Lodel a Ma�he n�Mempt Nrrehom 'g a antl�he hasis lai Ihe stlegM e�empLon AM vql�uon d Seelwn T031 5 6y i�ry opplrtant td�prmn w6�acn ',' � �ne�ppur.am ta a cNtl peneliy of nat mom thm lue hurdretl Oollars�550011 «� W � ❑�,as owner of Ihe piopnry,a my�mqoyees wim w.pea�c M�ir sek eomoenuuon.'wdl Ao M�wurY.md tM stmaure�s not mtmded ar oflercd 1or»le�Sec 7044,Busin�ss md Prolessanc Code The Cmuxmr's Uanse � V l�w does nol�pply eo m owner of Droperry rvho 6udds a�improves Ihttem.�nd wtw dots sYch work AxnHN () W oi�M1iou9h his awn emploYees.prou�tle0 tM1a�sucA�mprmemena ert noc munOeE a Mhnd for sek If.Iqwever, � = the 6mlding or impmvement ia mid xnthm one yeer d adnDkna+.�Ae ownerbuAdn wdl hwe the bwden of prwnp y that Ae did not hwW rc impiove la�the Ourpose o1 sak.l U � ❑1 as avne�of the propenY +m e.clusrvep contranmy wrth Icemed canirumrs b conhrucl the prq�ct 1Se[ W 7046,B�sness�nd Piolnswn�Lode The Comncmr's lkense L�w does not�pply fa m Ownu of aopeny wM '� i hwMs oi�mpioves bereon,�nd wlw comncu fm sucn pm�eea w��h�eomnnpl�l 6enud puw�nt m tlie tonvamr's � Ucense Law I QN r � ❑I em eumOt untler Sec .8 B PC IAnotA Gerelmrcl P���� �7 � Oe` °""" ELECTRIC yIM19HKEA5 Cp�7PENSATqN OECLARATION I hera0y aNrm Ih�1 I hM�[er6Ruk o1 Consenl�o ali�inswe,a a cenihurt af Workns Gampensnan Insurance,m i cal'AkE cop�ih�eol ISec 3800,L�6 C.I PLUM8ING 6 �vv �v � MECHANICAL ❑Cendieo c is M tumnhed G ❑Lernled ropy is hled wnh the BuAdmg Inspen ry� y�� _Oeprttmem 'Q GR W '� • � CEflTIFICATE OF EYEMPTION FpOM WORKERS'C PE A71 IiANCE This uctnn need rot b m�rykied NCE � y A Ine permil is lor one hundred if1001 a Ns� 1 terUfy tl��t m tl�e perlormance ol the wak fa w�Kh�M� � permn rs rssued.I shall ml employ ary peraon m ary mnmer sa�s W hecome pA�ec�b the NbrMss'Canpenutwn (P ��— � i�w:or ai�ro���e M� +� ,��� W pARK FEE 0 � �,� u� � u- SCHOOL FEES � NOTICE TO APPLILANT.N,�he�mekmp 1��s Ceniliaie of E�mptron,ya eMWA knme wD�en b�e NMMi'i � Compensanon provmm ol tlr lehor Code.you mwt IrNwitl/+�tp pJ�i�p11s a tMs imn�h�ll � W h deemed revaktd _ 'f i7��}���7f'111 a J � pV1510N pF INpUSfplAl SAFETY PEfl1�71T�CEpJIFJC,�7K1N J ��tiD v j- (' � ❑I� t�ISfLE,il� e0y cvrMy Ihat no exuvaWn Mt 151 or mve teet�n deptM1 inro wAidi�permn u rpionA fu/eacaM. � wdl Ee mWe in cmnenan witl�Nvrk�uthor¢ed hy tAu yermrt.uN tlNt no WiMmp fVutture.tt�ifoldinp I�f�work. a demoLuon n dismaiXinp Mr�eof_wdl M mere�hen Mrty�m 1381 6et hqh_ICh+o 92.Grp 4.4n 2.Se� W 341,TiMeB,CAC1 2 3 ❑As ownn�bulder.I witl no1 empby aryane te Aa wark whrh wnJd rpum�permt Irom IM Oirnion d � Industrial Salety.u mfed�bove.unlys sueh pnon h�a�pemiit p do wdi wort kom tlr diwion � W ❑Orvism d IMustrwl Safery Permn No TOTAL FEES d � C�ISTHUCTION LENOING AGENLY I M�ehy afliim tl�t Orn u��mmtwi Y1dnp apeney loe Uie prtama�u ��� = d tM wo�Y Ior whch tl�i:Pmm�u nwsd(Sec 3097,G+.CI s `"'�`�'"'"" COMMENTS m �.�,an'a aeacs: t CERTIFICpTE OF COMPLWCF ANO AUfI�tl2AT�11 OF EM1AY.I cruFy 1 han sd�Mn�ppicnm rd�tw •♦ t�at tlie nlumahm gr�en ie cornct 1�{yee b wmply rriih a0 t1�L Wrs rd eiy adnmcn�tiq m biildiiq cans:ru��wn.�nd�utlwua�rqNemmetne d tlr Dpanmem d Bwldinq rd S�hly b w�lr up�n/r yraperry �a wAKh 1 h�ve apphel 1w ho pnmi�lor�le pupow d m�kmp n7pe[Oons. �� ����� � O RECPT NO. � P141D BY�QS.�VAUOATION ,""`+�„� L� Syn�ive t o.Apem o.0 ,�� WHITE—Department Copy,YELtAW—Finance Copy,PINIhAaseswi Copy,GO�DENROD—File Capy,GREEN—AppllceMs Copy ,y ., ,.v.....�m.++�..u....,.w»�...-�. ,69.",�''h'k^ <4;+:f€ :�N�T3:��.''��� .'S� � . . . .� . . . � . �-, • • �o. rd�. ^,�.,Lr"r""�e 7?�i�,� '�."Ei,':.�'.�pk y.i'� 1. �:, n.��.a"' ,!'� ya�� R a rk.•p� r. g '��� �. .P,� .�;g �����,5`�, �'�d��L��u:�` �a�'#���� - . ��.¢f'��������� ���� �'-����'m � ,„ �. >- »S.: .�.. - . .a-.+:.: ._ . .�r.. ,��ze„.�.�.� �,�.: .e�'y���k'4 �,�^Y: �:F'�' ,.J��,i�..�n..9^`tl.�<�'.n`t, :�»- ..g R� °`�r�'�"�. 3 a 3 �Y' ..��r � i�'�.3 :� j �L":'" �€; t S� ���"!r°�i�u;� .i. ,q<`.m.€'�' .,,���>V,,�+ �V V,.,nR.x� :4 ���e� �. �;g.'��:.,:�„��.V {A�a» ,+.«a� r�g � �:-:y ::g' .� . . .. . _, i�a , f _... . .$ . :F� . . .• . .>������t��:.�°��tc..°,. e.a .;d� ,"•�?°K .��,�.:. �w e3r� ..�.c-., � :,d��.,� j . , c e� . 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