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HomeMy WebLinkAbout13606 �� ' � � ; . / J� � CITY OF DIAMOND BAR � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Copley Drive Suite 190 ! � : �, � . (909)860-3195 Faz(909)861-3117 � � 1/� PRESS , ����^� BUII,DING PERMIT APPLICATION � 1 FIRMLY , oN JOOSITE �q ` �G APPLICATION PERMI ��r,J p/C ADDRESS V DATE NUMBER L�1 � � APN LO TRAC DA EE -J 2�'-�1 G TMPE OCC CONST. GROUP p OWNER o ADDRES Z ZONING SETBACKS � CITY P TEL FRONT - - RW ❑ APPLICANT TEL. REAR p � SIDE/SIDE STAEET RW ❑ CONTAACT SIDE ❑ � ADDj{6fSS -� PROPOSED USE� CITk� ZIP TEL l w ARCWENG/ � DESIGNER NO.DWEL. NO. NO. CDOHESS Z�P TEL UNffS STORIES BEDROOMS m cr� DESCRIPTION SO.FT. 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ISSUANCE ,.• �r •- _,�cI �,���� o (•1-I�Y �..� � ��tt : ,:�\: "- � p DATE: APPLICANT: SMIP . � ��_ � ENEFGYP/C T'.jltl_1:��"'' ' WARNINd F/ULURE TO SECURE Y10fIXEiiS COMPENSATION COVERAGE IS UNUWM.ANO SHALL BE �y SUBIEGTANEMPLOYERTOCNI4NALPENAIiIESANDCMLiNE5U0700NEXUNDi1EDTMOLISAND ENERGYPEFMIT DOLUIHS(S f 00.000).N ADDITON TO TNE COS7 OF WYPENSATqN,DAGAGES AS VPOYIDED FOfi IN ¢ SECTqN77000FTNELABORCOOE,NTEREST,MI�ATTORNEY'SFEES RC-TENTIONFEE: � CONSTRUCTION LENOING AGENCY PRE-ALT FEE: � � INEREBv AFFIRu UNDER PENALTV OF OERIUFY TMAT7HERE 6 AOONSTAUCTqN LENDPId AGENCY .r J Z FOR THE VERFOfU1ANCE OFTHE WORN FOR WHIp1 TMIS vERMIT IS ISSUED(SEC.fo7/,dV.C.). W � LENOERSNAME " C LENOER'SAOORE55 � TOTAL F S � � W ICERTIFY7W�T1 ERE TMISAPPLICATIONAhDSTI.TE7MATTME EINF IWATIONISCORRECT. � IAOREEMCA LY 1LLLCT'M1DCdJNTYORDINANCE5MID -UWSREUTWOTO URDIlq �� � � CONST AWD REBY/lUTF10RIZEREPRESENTATIVES H TOE ME z ABOVE• ROVERTYi�Vt1R � � 0 � COMMENTS J � m FERA1ffTEEN/WE(: �T) ' Q N y SIGNATUREOFPERMRiEE OATE � RECF'T.N0. - PAIO BY . VALIDATION WHITE—Depanment Copy,YELLOW—Finence Capy.PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—AppicanPs Copy . . . . . -.. .rt� , .,. �. .. �.p�,y..� .. � � -�:�.' � . . . �.P . . . .� �r';,,�,• . y�.�. •t ��.. r.. . ,1'.k' "^1''N' ,.w•v-: .:iY.. � CITY OF'DIAMOND BAR , � . .: ; INSPECTIOTJ'RECORD � � , � `\y . . , . I;+��.'j.�?3c`,.�C���,��,•� .��Q`���1�=� ��1.��,E-��.�c' �.�� ►' ''1' � c1 _ � �.4r .._ °._ c.�._,....`�.._ �''��. :.�'�.:�:�. � SET BACK ' �• � FLOOF3JOIST�,' � �i . , , 1 ' ' . ' '� ,FTGS.�FORPJS.STEEL � � I • ' • FHA KiEpMTS. ' " � ... . 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