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� '`''� CITY OF DIAMOND BAR pRESS
�; �""' " DEPAKTMENT OF BUILDING AND SAFETY F�RMLY
~ BUILDING PERMIT
DDRESS r�--- i�� t� l—_t%l.Y�'JC'1'� DATE CAT10N t_'a-��� �BER `01 �'"�CO E
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� APN LOT TRACT ATE � �S"��V CONST. GROUP
o CROSS S EET — SETBACKS ���
°° OWNER ZONING �O� � ❑
� ADORESS REAR ❑
W CITY-�^- ZIP L StDE/SIDE STREET RW ❑
o APPLICANT -�`�i� TEL SiDE ❑
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q CONTRACTOR C1�`�j'?�w���.��F?iS %�i-e - SEWAGE
o ADDRESS . `-�� DISPOSAL ❑ �BUC PMT�
,�., CITY 1L�-IrA-[ArLu ZIP TEL i€s ❑ PRIVATE SQ.FT./100GAL
= STAT�`� ,�Jt�
y LIC.NUMBER " � r���t7.�_���- G�IO GRADING ❑CU.YDS.EXC. CU YDS FILL
y ARCH/ENG/ � TYPE SQ FT FACTnR PS ADJ. AREANALUATION �
v' DESIGNE W 1
o ADDRESS � 2
= CITY ZIP � TEL � 3
o PROPOSED USE Z 4
� � GARA6E
o NO.DWEL. NO. NO.
y UNITS STORIES BEDROOMS � PORCH
� LOT DIMENSIONS m VALUATION ADJ.AREA
o NO.OF BLDGS HOW auarirrrv DESCRIPTION FEE
W ON LOT USED Q � G� 0 • O
� O U ` /� ('y
W _TJ . �l b
x � ,
~ LICENSED COhTNALfORS OECLAR0.TqN I herehy�ffirm Mrt 1�m Ycmeed udn qwivans ol L7upve 9 kenmmuiq �
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� ONNEF BUILIXR�QARAlCN I here6y nlvm M�I�m eempl Irom tM Conincmi t t[enx Lnv la dro lolbwinq W � � ` • v
= re�son ISec 70715.8minesf�M Pralnsnns Cotle Arry t�ry a aounry wAqA rrpunq i pmm�M tonstru[t. (� �,)�. ' . '\.
o aRei miprove,drmohs�.a rep�r�M atruttat,pnr M�1s nzuance,dm rcqures the�pphnM la z¢h perm�f =�
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d mA mr basn la�he aneqN eRmpnon Airy vwlatwn d Secewn 70715 M�M�C9�K�m fa i pemin wC�ecn �
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� ❑l+�ownn oi ire aooertr.a nn emMovm w,m w�qe�m m�cde romomsaeon w,n do the woric.ma
~ th avutwe n not mteneed a aMe�ed Iw uk�Sec 7044,Bus�M�s enA Prohss�ari�Lade ihe Cmvrctor'�lrcm:e Q
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' p tMo,qh hn avn enployees.ywMed Mn suc�.++provemenn an nm mttnded a olhrtE M s�4 M,hmae�er, Z
m tM Dmtl�iq u�mpovemm�n mM w�tMn ane yea oi epnpktan,tAe wmer�OwMer wiA�M�he bvdm ol pwxg Q
N Ma�Ae E�d rot bwb a improve la�he pxpos�d ti4� _
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z hmlds a�rtpraes iheeon.�rd wlq contrxn la e¢h p�o�ects with�conir�ctalsl Fcrosedprm��l b da Cmurttw':
` �K`"'°`'"' CONSTRUCTION
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4 NOflNEAS'COMKNSATqH pfCLARATIQI 1 hnrbr illrm�het 1 hrve�rnofR�tr ol cwnmt to uM mwe,a
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� ❑cn��r�a����n�.�i��a J MECNANICAL
W ,��hed�opY is I�kd rn�h the Budding In�pecnen Oeprfrtwnt a oro.�m�� Q GRADING
CFpiiFICATf OF fNEMPTqN FRpd WORK(pS'COMPENSATKM RISURAI,CE.Thif senion ixed nm k ewrqlettd UAN �
y A tne permit n far one AurdreE(f100)a bs.I«rdfY t�at m Iht perfamarct ot dr warl la wMcA tMt � —
� perm�is�srvM.l shil m�empkry iiry perwn in my mmntt so n l0 6etaM sub�e[t lo th1 Mbrtai Cmqem�tpn SMIP
= L�ws of CdAwm� R W
o �h �, �^;.y;; : W PARKFEE
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W ❑Q.�son d MAustt�i Sskry Rrmn No
� Ca1SfAUCflIN tEN01NG AGENLY�I Dert6y tlfirm IMI tlert it�ContCucOon kMMp pmry lor tl�perfamartt TOTAL FEES , d
= d�k wak la wAch tliis pnm�l u isael(Sec.1097,Gv.C I.
� lmM'e Name COMMEMS
mlmdn'e es�
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t LENTIF Of COMPL �VOfE1ATbi Of FNTRY I nrhly 1 MN itM S.1 q�qtbn xd rt�4 r
rn m�Me Q n�s at� ro eomph wrtn�I san�.ws md�itr adnwien n�ri'y ro da�inp
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= la wAKA a lppt tk Vu7o�d m�kirq inspxtma
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�,�,,,,a��„d�,,, L•d RECPT NO. ��PND BY �� VALIDATION
WHITE—Department Copy,YELLOW—Financa Copy,PINK-0.gsessor Copy,GOLDENROD—Fite Copy,GREEN—App6carns Copy
85106-11/89
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