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�����'"� CITY OF DIAMOND BAR PRESS ' DEPARTMENT OF BUILDING AND SAFETY �� BUILDING PERMIT FIRMLY JOBSITE ,�. `/ DATE CAT10N _ �G �RM�R '.�CO E ADDRESS b l.� /�� ISSUE TYPE OCC. � APN laT TRACT DATE ` � CONST. GROUP o CROSS STREET G ZONING �D�KS � a� = OWNER �,'�, o ADDRESS � d REAR ❑ W CITY P TEL. SIDE/SIDE STREET R'W ❑ o APPLICANT � TEL. SIDE O z � CONTRACTOR � SEWAGE o ADDRESS �6�v �,/�Ls1�� Bt�� � PUBuc c�T s W CITY �� ZIP��l.�TEL.�Z�Z DISPOSAL O PRNATE SQ.Ff./100 GAL = STATE G!� y LIC.NUMBER ��,�3� GRADING ❑ CU.YDS.EXC. CU YDS FILL y ARC i � TYPE SQ FT FACTOR PS �ADJ. AREANALUATION " DESIGNER W � � � ADDRESS tWi.. 2'� ,.� � .�, �� r � -� , . 0 = CITY ZIP TEL. (� 3 � PROPOSED USE Z 4 � � � GARAGE o NO.DWEL. 0.-- NO. j pQRCH y UNITS STORIES BEDROOMS e LOT DIMENSIONS m VALUATION ADJ.AREA o NO.OF BLDGS HOw ouawrRr DESCRIPTION . .• . �. . FEE " W OU T USED Q i � �� � � � U � � � X 90 lGEN5E0 CONTNACfOHS OECLA(IATqN 1 hrehy�Ifirm Nn I�m licrosed unde pmvivms ol CMpur 8lcomr�Kinp � ¢ wnh Secnm)000)al pvi:im 7 d�he Business and Prnlessms Code,mE my kense a n lu�lorte�nd ellett W f . � 3 � W �- 06YNER-BUIlOER DEQAAATqN I Anetry dlim put 1�m enmp�6om Uu Co�uKia's lcrose liw M w�biw.�np rzason ISec 7071 5.Businas��nd Profe:sims Cade Airy aty or eaunry wM1irh iquires�prmn m�onstrat. () � �ti � o ria.imDiove,demd�s�.u rcprr�m�Mr¢twe.pior lo i�s isaun[e.�Iso�pue�s tl�e�ppliuni k�wch prm� 2 `,t.:��. � - . , -�..� .\ ',.1 6 a Ide a sprkd suiemrn�tn�t he e 4cenud Dwsuant a Me pwisions o1 Me Cmtrictei i lr�w l+w�G�per m .:.\ •'�� Q 9([ommencmg w�M$eceon 1000)of P�san 3 0l Me Busines��nd Pralassiom Cade)a IA�t M e�.empt dw+d�om � d an0 E�e bas�s lor be alkpeE tumpuon Airy vidat�on d Secnon 70I15 by�ny�ppliunt ta�perma wqecu � W the appleam io�eiuJ penaliv����re�h�n live hwdred dollxf IZSD01 l a � ❑I.�s owrcr ol Ihe propeity.a mr emDbyees wit�wages n M�tok�ompn�atian.wJl do Me warY.rd � . ~ ih si�u[wre rs rot iniaNed oi alleiM In uk(Sec.70M14,Bus�ness�nd Aohssam Lode TM Cmnxn's LicMs� Q � l�w daes roi�onh m�n avner ot aox�tv�builds ar imDrovee Merem.�n0 wla does wch waM hnnsNl, �U � - ..W a�Mough Ars own emplovees.pwde0 M�t wch inp�o�ement�u�not inlerdd a allend for s4e.11.howeva, Z ' m Ite Du�N�ng a inprovemem is told w��hm one Yer ol�ompletion.tM owner6uldn wil Aare Ihe brden ol porinp Q � Nat he O�E nat huaE a impiove lor IAe pwpou ol pk.) S `n U y ❑i.�s o..rcr oi me c�ooer�.rn erc►urveh mnuKuny v,�m iKmsea�m�wnns m m�nra��ne pq«i Isa W 0 70L4.Buvrc:s�nd Folessans tode The Conuxia's lrm�e Lnv das nat applv to m ownn d popity wM � = DuiNs a mprwn thaeon.and who rontrxu la wcA prajects wilh�eontncmrlq licensed pu�wnl b d�e Con�r�c�a'1 t iK°"'°u'"i CONSTRUCTION 0 W ❑I�m eumpt uNn Sa .B fi P.L.IAnu�Lerali�Kl � P�N RE`/�E}� H s o Date O.vne� � NqRK[RS'COMPENSATqI�ECtAMTI(IN I here6y�Ilrm tlut I�m�arolKne al em�ai�e ull�nsua,a �andKae a�v�a�ei tompens�im Inauirce.a�ce�dre capv tham�ISsc�eoo.lib.C.1. PLUMBING � ❑Ceru1KA[opy R Uerehy Iwnshed. ��/N(r/1/l��1/j � J MECHANICAL c ❑farnlrA eopv��I�kd w;m M�&u�aip Inspecnm 0.paimmi a 10 m��. Q GRADING w � � CEq71FIChTE Of EAfMPTiON FROM WORNERS'LOMPfHSATION Mi5URA1MI Thu�tion nee! De tompleak (S`S`VA �. t.' �L� y d the perml is lar one hudred�5100)w kss.I teihly L1�1 n IM1e prla�mr[�al iM Vwr whih Mn . e pamit u iswM.I fh�A mt�mploy s�ry persan in ury sunni fo u b Mtowe wbNtt b Ih��ion SMIP � = Laws of Gldoinu. W o W PARK FEE p Da�e � � �� �A �pp�unt � W NOTICE TO APPICANT.M,�hn m�kinp th Ce�eline d f,xmqnn,pu� d Mcame w6Mc1 ti IM Nb�kw s SCHOOL FEES � � tanpensinon pweiane o1 tle l�hor Wda.yw�nust IwtliwiM ca+py w� such qoriwm a Mn�p�mn�Ai � Ee Otemed ievoYM. � r- - �� DM50N OF OlIXISTHIAI SAFFTY PENIAT fINiIFUiION � � f:,..^�: � . �'"��_,:t��..��..:�., . � ❑I Mretr/prtily tlul no f�uv�tm Irve I51 w mme het in deqh nw whch�pwsan e�puu�d m ducend. pC wil he m�de in tmne[tm vnth wart wXwrud Ey tlw perm�.�nd tlut na 6iN�q tlructw.wfloWq.lalwwak, �- a a�om�«a:m,�m�n�bi,wn a.�.nw�m.ry u���si n.i nyn.la.r a i.e�v 2.�n t,s« _ �,.,,�e.�.�, o r7 � , � ���� 3 ❑As owm�DuiWa.I wio m�m�p�aY r�aie w do worY whit�nq��ll�rpwn�prml hom tlie Qvisim M � InAimd S+IetY.�s roted�bv�.m4ss suh pxlan I��prmit L b wch wark liam IM liwwn. . . S �i — �. ,.-. � . . . � � . W ❑Qrision d IMm�ial S�k4 Rimi�No. ��_`� i�:- ��;.{. . . i. '.•� . TOTAL FEES . �j�j, '' tasrnucroN�xoa+c�raY i nK�er.n�rw.e.�.n.,a...�m� - i ol tN worY la whrtn fin �p�r��w��, , onm�t it isswd�S«.�097.Gr.CI. . � � l�;i r� COMMENTS � mLender'f AdMe:s , . � aarxrAT[a�uwtt uu aurHonurn+a Ewmv:i o�rr i�.�w�.w e:.ar�na,��ur � IMt tlrc idmnaeon pwn u taiat 1 qw b co.�ply wiih M ftw 6ws W ciry wd�rrtu iitiy m WMiy y �msuutwn.riE aMwve�ipm�uan ol N Oprurm d&id�y rd S�Mry b�nr�^Er O�rry � fa wheh I luve MW+d for 1M� iml lei tk puoer d m�Yiry nqsee�a. X /���---1 �J 1 / �(, . so �r�d nodsmt a n�ent p,r RECPT NO._�Pl41D BY �`-C VAUDATION WHITE—Department Copy.YELLOW—Fina�te Copy.PINK—A�sessor Copy,GOLDENROD—File Copy,GREEN—Applicanb Copy � � .. . .. .� ... .. r �.... .,���n r•.�htt..; ..- �.�i,�.��......,.�..�r.�,. ........»..,,., ..:......�.. ....,. _ ....a........y, ._.,.:, y. .. . � � H 1M'X S�K p *n €t� T' �^y t ... ���.�: �':i •�.�`k�': ' '�`1:1�'..��,��'..��`t'=.��a� :���ti�"� ` , � '; - ` g �^/^+ �y �g �^. 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