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. ._.. .. .. ...-' i -- , ._ . _-_,._..__.. . .. ._�__. . " `\�y-�'` � CITY OF DIAMOND BAR DEPARTMEIVT OF BUILDING QND SAFETY PRESS .� BUILDING PERMIT FIRMLY JOBSlTE � `` APPIJC 710N PERMIT $E ADDRESS 3�� v� � ISSTUE/ TYPE ER ' �CODE � APN L TRACT DATE 5P�� D CONST: GROUP e CROSS S REET ZON{NG SETBACKS �«u�"E'"5 °° OWNER � FRONT RW ❑ � ADDRESS � � � REAR ❑ � CITY ZIP TEL. �Z" Z SIDE/SIDE STRE RW ❑ g APPLICANT s W TEL.��.�� SIDE ❑ z 4 CONTRACTOR SEWAGE ❑ PUBLIC PMT# o ADDRESS '� DISPOSAL ❑ PRIVATE SQ.FT./100 GAL W CITY rn-� ta.L�►- I ZIP�TE � � STATE GRADING ❑CU.YDS.EXC. CU YDS FILL y LIC.NUMBER '�pE SO hT FACTOR PS ADJ. REANALUATION y ARCHIENG/ ���,n�, �� W 1 `'t$' c� . " DESIGNER ���'L�' e ADDRESS ��L� �� LL. z = CITY 5�1�{Y�F ZIP�j�4 TEL�c`�-��. �r 3 � PROPOSED USE ���� 4 � ,J GARAGE o NO.DWEL. N . NO. � PURCH y UNITS STORIES BEORO�MS � LOT DIMENSIONS m VALUATION • � AW.AREA o NO.OF BLDGS HOW ounNrrrY DESCRIPTl�N FEE W aNLOT USED � � HW ❑ � LICENSED CONTRAC70A5 OECLARATON.I IpreAy�l6rm Mat I em Icmmd unde�proviams e1 Chopur 9lmmmerci�q g� wnh Seceon 70001 of 6uis�on 3 01 IAe Busineas anA Prdessbns LoEe.iM ml Iemse o n lull Porn md dten. W 3 � W �- UNNER BIIIIDER DEC1AflAT10N I herehy dlum Ih�t 1 am eMemp�from!he Cont��cai�lx.enu Law lor Me bMowmg 2 rason ISec J071 5.Buamess and Praiesvons Cotle Airy utY a cwnty whch rpwra o pnnn b wn�lruc�. C7 O alter impove,demausA,p re0art am structure.pne�1G iu nwence.�Iw tpureE Ihe ipph[ant lor Wch permn ? F— m tile a sgneC siatemem�h�t he is�Kenaed punumi ro Ihe p�ovisans ol Me Cmu�cmr's lKmse L�w ICh�pur m � 9 Icammentmg wrth Secuon T000�nl Oinum 3 0l Ihe Businex and Piolecfrons Cadel a M�t M rs mmpl tlmdrom '� d �nd�ne hasrs Ior me alkgee e�empuon am waenoo M SKtan 703t 5 M my ippiK�m ta�+prrmn wqec�s � � � W IM ap0�it�nt�o a crvil penNty of not mme Ihan frvs hund�ed doYais Ii50011 a � ❑I,as w+ner ol the property d my emplayeei w�tti wipes is IMir 6Me COmpenieuon w�l Gu Ne v�a�Y,md ihe slmcwre is nm mlended or dlered Iw sale ISec.7p44.Busmess eM Prolessrons Code The Cmtr¢to(a li[ense Q V 4w dcea iw1 apply 10 an ow�r of D�oM�1Y who builds or improves Ma�on.ud who dns such worM hun�ell, � �++ o�Mrough his own emplayees prmidM tlia�fuc��mprovemenu aze nel in�sMM w ollered to�uk M Mwere�. Z = i�e Gwlaing m imyovement is wld wi�hin o�e Wn of comDlenon,the awnerhwldo r+ill Aave Ne 6adan of qorng � y iAat he d�E mi 6wW or u�prave br Me purpose ol sale� �J ❑I,as owner of ihe property,rn eaclusrvely wniracuny vmh 6cemM comuc�ms to constmcl tlie pqect ISec W 0 1044.Business�n0 Pro�essons LoAe The Cmirx[Or'S Liunse 4w does noi�pply m m owner ol pqenY wM10 � ` 6udtls m imprwes[hemon.erd wha conbacu lar such pmlats wnh�cantnclals)IcmtM pm7usnt te IAe Cumsolor's 0 ��«^u�w� ONSTRUCTIO �7 � W ❑1 am eeempt oMer Sec .B fi P.L lA�lach Geru/inpl PLAN REVIEW � H � o"° a'""" ELECTRIC � NARKERS'COMPENSAiION UECLARA710N I MreUy ifhrm tlu1 I n„e�[ertitqak al tansenl to�N6Ms�xe.d pLUMBING a ttnihcare ol NbrMns'Compeneanan Insunnce.o�a mtihed capy ihoeo115ec 3800.ta6 C I 4 ❑Cerufrcd copy is he�ehy turmshM � MECHANICAL c ❑Cwut�ea capy�s t�ied wim me BwN�ng Mspecnon Oepatmmi a Mvrtmem. Q GRADING z � CEflTIFICATE 0F E%EMPTqN FNOM WORNERS"COMPENS0.TION INSUIIANCE �lus�etnon need no�k compk�ed UANCE y A ine p�rmn is lar one hixdred(f1001 a Mfs I mnly fiat m Ihe pxlaimmce d tlu waY Wi wNCA f�fs � permil is usued.I s�all mt tmploy nly plfSOn 111 iny IIIEnMr SO 75 10 bKOm�Su6�ECI 10 Ille N61tM5'fqmUensnron S � t Laws al C�hlorma o W K FEE p Oah "�a�°°^' �- SCHOOL FEES W NO110E TO APPIIGANT M.af�r mekinp tlu�fwiplKa�e of Erempuon,you dquld 6ecome wqen m dx M14rlx�'� = ComRnsaum prov�srons of He 4Eor Coda,pu must IarNwith comply niM nch pwnpm a Mis pmM thdl � be dttmed reuoked r^�'w � ¢ pVISIQJ OF INWSfRIAI SAFETY PERMIT C�'tiFl�plj��`5: _�1 � C ❑I hereny undy that no�xawtwn h�s�5)a mora leet m d�pih M10 whicF i persm n rqurd b Ounnd, � will he maEe m conrecuon witl�wo�k anlwr¢eU Ey tl�r perme.rM N��na Yxldinp mu�tn.wfkNmp.(,hnwrM. n�aemaUtwn a dsmantlrtq thawl._�11 he_rnare Man�hirt�-sia 1981 Mt hiqh.�Chp 31.Gry 2.Art 2.S�c Z 3A1 T�tleB.CAC1 JUiv 2 9 f��3� _ 3 ❑Ac awnx-euAEei.1 riA rot�mokY+n1ron�o Go worY whic�wauN nGun�Wmt han Ihe Oxnsm d p. hdusinal S�htY.as noud tlore,unksa wch prmn Ms�yermrt b du�ah warY hom Ihe ONuwn. s ��'r•�/ ���' t./ir���[lIL,% !'� ' . � � ❑�n,�a���..�s.�a, �m,No :..,°.F. TOTAL FEES � � ca+srwucra��Nonuc �rniRcv a�����w�..:��,eadmua�'►Ero�u w�Mr+�e�e Nrwm.� • x d�he woik lor wAKh tl�rs perim�u rswM ISec J097.Cn.CI � lmder'a name COM m Lmae��fAACress � ��5�' '� GERTIF[ATF OF CWIPLIAACE�ND AUTIqPoZATION OF EttTRY I vWy I M�e rwd wi��Wls�tim ad�ule en ihe�the nlumairon qrvan is wrnp I pra m wmply weh p moe 4ws rd ary ardin�rcn iWonp w Yuitliny ywn:tru�non.aM wM�«ue i�prtunutrva d IM Opxtm.nt ef B.dduq aad Sahty Y�ehr�qon Me pp�ry � tar w�[�1 ave�pqed Iq tlu peimu b tlie qrpwe d�kinp inWsnons. �f '���a�.�i�pqcan/�'�.+� V—a��� RECPT NO.���E�P1410 BY D'Z��WWDATI � WHITE—�epartment Copy,YELLOVY—Finance Copy,PINK--Assessor Copy,GOLDENROD—File Copy.OREEN—ApDlicents Copy ' BS706-11/89 �� . r '}i��:. �.X... wn�fN�YN .. ;�f Y .: _ . ..__ . . " .- -. .�iT"- .rY- ; - .� .: • i ' � . _ ' !r� Y �:f g�°,�" :�l£ �" ' �3 S 1�a`.t�� R ' R 'J_. ��..�#:� „ ..��,' Z��a���^:,�:g.:�;���;: k "�`�.>�'� • , '�'�°'..n��`�:°`.�...� �i�'� �`-����� �� i .Y !. ..ie ... 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