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'"` CITY OF DIAMOND BAR PRESS DEPARTMENT OF BUILDING AND SAFETY F�RMLY � BUIL.DING PERMIT :.s J08SITE �AAF�JCATtON. �— � - � NUMBER � � � CO E ADDRESS��� ��N�G�A RvA.�- ISSUE p'I �_pl � TYPE OCC. � APN LOT TRACT DATE n � con�sT c�ouP o CROSS STREET � ZONING SETBACKS "•"'O1F"E"'� �° OWNER I/�� L/l�/ � �i�? " -- FRONT RW ❑ ,o ADDRESS ZZ6 ���l��GlA ��CIA D — REAR ❑ „� CITY-1yt�C�n k ��2 ZIP�1�TEL. SlDE/SIDE STREET RW ❑ o APPLJCANT.(�1����/r� �� TEL7 • � SlDE � x ` CONTRACTOR � - SEWAGE ❑ pUg� p�#� o ADDRESS � �C A ' � POSAL ❑ ppNqTE SQ.FT./100 GAL „� CITY.tL11�.f1N� /.�LiZ Z���'/�Gs TEI.� - = STATE 'GRADING ❑ CU.YDS.EXC. CU YDS FILL y IIC.NUMBER y ARCHIENG/ `. w TYPE SQ FT FfV(."TUA P� . R�/UY UA7'ION ' "—' DESIGNER a ADDRESS t�l. 2 2 CITY ZIP TEL (�j 3 � PROPOSED USE � � 4 � � GARAGE a NO.DWEL. NO. NQ � ppRCH Q,�� y UNITS STORIES BEDROOMS � LOT DIMENSIONS m VALUATION DJ.AREA o NO.OF BLDGS HOW QUANTITY DESCRI �I FEE W OiV LOT USED q � v � ❑� � tiCEN5E0 COMfRACfORS OECtARAT�N:I M1ere6y affi�m that I am Gcensed under prowdans ot Chapw 91cort�nmcing Y wnh xnon 7�00�al�vision 3 ot the Business aM Professions toae,�nC mY license is in full imce end e�dci. W 0 3 � UNNER�BUIL�ER QECLAFATpN:I hereby atliim ihai I am eamp�Irom the Coninc�w's Lcrosc Lm Im Nu idlowing Z rzason�Sec.7031 5.Busines5 and Pmfessrons Cade:Any ciry o�[ounty whkh requ��rs o pNme m ro�ttutt, (} o alter,imprme,demdish,or rwair airy nrunwe,pria to ns issuairce,alsa�uires Ux amplcant ior such pemit � F- to 1ik a sgned statemenl that he is licerued O�wam ro the prwisans al ihe Cmtrutn':Lae�e law�Clwpter (� � 9 Icanmenti�with Stttion 7000)of avitron 3 of�he Busineu and Pro�euairs Code)a�1ut he o ezaipt tlwdrcm � y end the 6asis foi Me aWged exemouon.A�y vidatpn of$ecdon 703L5 by airy app4canl fm i�wmi�su6�th � W the apphcam to a crvil penatly oi wi morc t�an frve hundred dallars�S500L1. d � ❑I.as owcer ai ik D��ny,or my empioyees witli wages as their sde cmmpentanon.wdl Ao Me work.�nd the:rructu�e�s nm intmAed or Mfeied for sak ISec 7044.Businesc a�Prokssans GaAe:The CmtruVar's Lianse y[ VLaw does rot app�Y�o a�owner of D�We��Y�+'��ilds or imprwes tAereon.md who doas surh wark himall, � �++ or�hrn�gh hrs mvn employees.p�wided tt�at sue�miMovemenu are irol inundtd a oi4red For sak.If,haxever = the building m�mprovemmt is wtd wiH+in olre yea�oi�omplet�on,tM avnx-hudAn will Aeue ihe bwMn ot pwng 6 y [hat he did nol hwN a impmve for I�e putpose ot sak.l � V1 ❑l as o.vner of the property,am�:cNx��efy contrxtx�y with I�ensed contra[lers ta construtt 1Ge qoRtt 1�. U,I 70M18.Business on0 hofes3iais CoOe:Tk Coniranor's laznse taw das irot wply to an awner d proylrty,ndro QNiAds or imp�ova therean,and wla�omracts la such O�IK�%�'�m a conlrxro��s)iinnsod pu�suani M Ihe Cmtnclor's 0 ��e����i CONSTRUCTION �� � � ❑�am e.�,,�M�s� ,a.a rc innrn e�,rrk��i PLAN REVIEW � o81E °"'"�` EIECTRIC ? Y�iKERS'COMPENSATqN DECLARATION:1 hereb�altirm Ihat I have�arntinte ol canunl to uN-inswe,a pLUM81NG t a ren�finte of N6rMes'Coiopn�v]ion Insmmce,m�cdtified copY ihneof IS�c.3800,L�h.t-1. t 6 ❑cn�n�ea��r�5 n�«nv����n�a ,,,�.� MECHANICAL o ❑Cmlilkd copy rs hkU wi�the Baldi�p Inspecem Oeprtment a O�xmimt � GRADItJG W x CEHTIF�ATE Of EKEMPTqM FROM WORNEHS'CONPEMSATIQN INSUMNGf�.This sectmn ned not he�aipleted � if�M permit�it for o�e hwid2d(Si(q)a kss.I catiiY tlwl in the per�ormarce ol IM��mrk In wEi[h tAn y _ permit is issied.I shaA not emQloy Nry person in mry mamier so es m decar whKct m t4e IAbrkers'Cmpense�on ... ,�7 � laws ol CalAonw. �,(,� � PARK FEE �S� 0 }i! � °ae �"'�� �+- SCHOOL FEES "' rar�ce m aeri�ca+t:n,�ar��m�s Ceufkate o�Eumpta�ry�s�M,become subjeq m tk Worlmr'� —, Gompenu6a�provisipc ol the la6a Code.you musl Mr�w7h r9loyiy�it�,siqG pwisions a�6is prmu al�A � �e Ae.emeA revok[d. - � ¢ OIVISION OF INWSfNAL SAfETY PERMIT CEHTIFICATION: � � ❑I herehy certily Ilut ro ettavaYon frve 151 a mae leet in depth inw w�idi���'�°"n rqwad ro deuand. � ¢ witl 6e made in connectian wiM wmk wtharaed M�� �mI.�t�„'+C�'��.ilfi'Y°.adfuYinp,I�I+wnk, d a dmaiilion m dismaitYrq tpntat.w�be mae�YW�h1r�Y-sir�1391-''Ist .jOYp 3.I.G�B 2,Atl 2.Set W 341.Title 8.C.A.C.1. .'. � s 3 QAs mmd�builAer.1 wiN not e�wryone�a do wort which.woWd nN�in���prm 1me�tlr Divism d � p— I�snial Sakty.u ro�ed edove.unkss such pmn'ri;h3i�peTii:t ta Ao wcA wuAr 6an�Ilr�risiGA.' � ❑a�s�d�,�,�5��Po,�� ��; � ; r � '_ TOTAL FEES �� � CU75ffiUCfqN tEWMNG AGENLY:1 AeieM aflirm tlut thre is t camnutfim M+deq�pmcY fa ilw p�AwAwae 2 ot ihe wark fa wAih tlus pumit u issued�Sec.3087,Civ.C.i. � te�de.�s rame COMMENTS m le�dn'z AdNess � CEflfIFICATE OF CObIPIIAlCE AND AUllIdRZAiQI OF EHTRY:I prlily I Aaw ml Yis applicMen mi spM eA Ma�Nx�lorm�tien Orv�n is wrett.I�gu to coniBM wiU�I sab Mn rd CYr adiree�Y m huidM yconstruction,mA ritmriu��epaeen�W.n d tb Uqr6nent d B�il�q ad Shry b mM 1pin!M pap�ry � mr wnan�n� f.e mr mf:oKmn la ►:q.qp�oms. ~ X �-.���� / 90 a^'qwtao d Appkmt a Apm pw RECPT NO. �1 S� PAID BY VAUDATION^ I WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOI�ENROD—Fle CUpy,GREEN—AppliCaMs Capy 8S106-11/89 _ -�.,.:. ...:.._:,.�,. .. _ �..,....,. ._, .� _, . ., � w . x ��° ��_���`�k�=��`���� �Ff� �,��'�: -.� �� . . �,�, n ����� . .. ��... ��. � � -�� P n ,��� — ����� �r� �, �- �. fIF r :'� � �k� � � � �� � .. �s ���'�� , -:���� � , �'r� �� ' �� .,�.::,.,..... ,,..,,.._....:,.z�. ......,...'�":!...ec..,.:4„x:�...:..,......�..�...,,�:�,..,.-. . , .M.a m..m .ea.sr.o-c,..�.w�tw:,..����iH w .v,.w...u„...� . l� _. . .. .l.> �.,. . � , . - - '. i ..., _ ...: ........._... ., ....__.. �.._........_... ....._. .... _............... .. _.. _ . . .._......._ ...�.. .......................... ....... .. . ._. �..._ �- i_. , i ...: '� .-� _ e ._.,,, ,,,:- . :(.., , . , .. .. ............_.._ .,_ ...,.,.._ _ .___ ..... ....... , . .._.,.. . .. .._. ....._ .. _..__... __ ' __ ..._._ _.. .� ..........,. � � ... ..-M , -; . 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