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�, - _------------____ �,w____---- --- -_ , _ _--- ___ ---�--�-'`—'�- C1TY OF DIAMQND BAR r�� � COMMUNITY DEVELOPMENT DEPA1tTMENT 1 '�i ..,.� _- ------21660 E.Copley Dtive S�itc t90 � • , . ,QR�f�+s+.__-... _______---_....___. � �.__ _.-._,�f=-- .�__-------____----- .._._.. _. (904)86Q-3195 Fa�c(409)861-3ItT` _ �'�° BUILDING P�RMIT APPLICATION l FIRMLY Q aDdRESs Q(/ `7�� C.�rt!K.�iL/U�C�'��`t�L�� �)aTE CATIOM1E. P3IJMBER//'�!Z_ E #� 0 � APN . _LOT TRACT - __ . UATE Z�� ! TYPE OCC _. ,�CONST. ." CaRQIJP - p OWNEfi ��N' �.'T� - __._. _ . .. ADDRESS � ZONING SETBACKS � g CITY�. �i ZIP i=�J 'EL d _ �EART_ HW ' ,•� , : , APPLICANT_ __ __ _, TEL - ` SIDE/SIDE SlREET RW ❑ � _�__ _.C- _SI�E .. . __.__ E7 CONTf?ACTOR Q AODRESS-_._ . 6 _ . _ _ � GITY�I�,.e.S�r ZtP_�.�T.EL PROPOSED USE - _ -- _ o ARCH/ENG/ '_ . ; ; , � DESIGNER - NO.DWEL NO. NO. a ADDRESS ` ' UNtTS STORtES BEDk?OOMS � �CITY ZIP TEL. � ' bESCRIPTION SQ FT. FACTOR PSF- ADJ.AHEANALUATION u� • � ___,_. __4WNER-81;14QERDECLARATIQN...... __.... - SFR/ADDlFiEM - - _ � ` O _ _ . . _.. _ . .. Q i�aearncFlw t�oEa a�w.rr oF nErwaY nar i�w�acEurr caaa tHe cor�rFucroas u- ' ���_ ::-. . .;.. LL! CR�EUWFOR7MEFOLLOWMqREA5IX1(SEC,7091.3BUSWESBMIDPNOFESSIONSCODEANYC�'OR . (() _ . . .. - ... . _�. . - ,U� 'WtMtYNM�QIREWIFiESAPERMtTTd�NS7FUCLN.7ERMPR6VE.DE�lJSH.OHflEP/URANV3TRUG` �� W PBt10IDBdC .- ' . ,� .• . . - � 7l%7E.PRpR TD ITS ISSUlWCE ALSO pECUIRES T!�APPLICANi FOR StKli PENMIT N FlLE�SIGt/ED� w ...-- .. ...... .. . � -� ��.�.. W -STATFA1Hii THAY HE OFf SFiE IS LK�NSED PUit6l1AN�TQ 1HE PROVISW�OF TNE CONTRACtORS LF - - ' - � -C8J6E lAW(tl41PTFA 0(COMAI6MCNG MNTN SECTpM 7a6D1 OF D1Y151W130F 711EfiU51dESS AtD PF10-.- .. � PnoVSpa � . . _ . .� .: FESSIONSCOOEIORTHATNEOR5HE1bEXEMPiTHEREf�M/JlDTFIEB�SISiORTHEMlE(7EDEXEMP- - .� � . 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INSPE ONFEE ._.. . ._ � ..._'�' ...,..' ._.- . . . . ' � SU6JECTTO iT1E WORI(ERS'WMPENSATqN PHOVI IONS OF 6ECTION 37000F iHE LABOR coo�,i sfwi.rcar�n+coeavi.r vnni nias roHs._. _. _ S CE �Q F`� . � o�tE. �t� �rtnicurr. `'�—' 1 . _ ._ __ . �-� wuaiNa:f�ivaE ro sEcuaE xioq�cEAs�od.iv�rnr�cov�w�caE is ur+uwFVI:�no siwteE ... _. ._ ..ENEHGY P1G-.....: - - � SUBIEGTAN EM%.OYEN TO CRMINAL PENALTES M1D CML FINES UP TO ONE IKRiDHED TFIOUSANO ENERGY PERMIT DOLLARS(fta0.00p1,M ADDITION TOTME COST OF OdAPENSATqN.OAMA�ESAS PR�VIDE�WR W '- � sEcraHa�wocrt+Ei�eon0006wreaesr.u+o�rrarwErsc�a _ iiE`fENT10NF�: . _ _ � _ ; � -� _ CONS7iiUCTiON LENDING AGENCY � -- ` � - . ___ _ _ PRE-ALT FEE ... __. " Lr IHEREBYAFFNiMUNDERPENALTYOFPEiUUflY'IFIATiHEflE1SACONSTqUCTIONIENDWfiAOENCY - - � 4- Pop 7HE PEpWF�AHpE�THE WOqK FOR WHICH TNIS PERAl1T IS ISSUE01��.�.CIV.C.). . , , Z . .._ _ ...... . .. ........_._. . . __ . .... ... ..' _ _... ... . .,.� , W . .._. . . .. . ' � LENDEA'S NAME - . . , -.._ . . . .r...... .__ ____.....__.. „ .. . . . . : �. . � LECAERSADOPESS '._ ..... � .. 5 � ..ICEPTIFYTMATIHAVEREAD7HISAPFLIG710NANDSTA7E7FUT7HEABOVEINFORMATqNISCORRECT. TOTAL F�ES �f ' - � � IAGREETOCOMPLYWRHALLGTYANDCWNTVOHDM�NrCESANOSTATElAWSREUTYJGTOBl1YA�NG �� �� - �� / � �.���� , CONSTRUCTION.M0 HEREBY AUiF10Fi1ZE REPRESEHfATIVES Oi 7HI5 CWINNTO ENTEH UPON TNE . f.�' � ' � . Z neove�Errrbr+Eo vaorEittv coa iNsr[crar�ruqrosEs. CAMMEN7S _ ___ _ 0. _. J � � . � .Tr. . ...._"_ . .. ...... . ...._.. . . .. ..._... . ... . . ' � . - .. - .. ,_.."'..._. , . .___. _ «... . . - .� PEHNfI7Ef (PRINi) � ^� `�� , . �-. . - S iANf1EOFPEHMITTEE CA7E ... . . .... ... ..,. - .� N ... RECPT.NO. 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