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Home My WebLink About10020 CITY OF DIAMOND BAR COMMUNITY DEVELOPMENT DEPARTMENT � 21660 E.Copley Drive Suite 190 PRESS (909)8G4319S Fu(909)861•3117 � . � '""�. BUILDINGPERMITAPPLICATION FIRMLY o pp pIE�� G �diC�3Y G'�L.r/ DATE ATION � NUMBER I�� #lC � ISSUE T(PE OCC APN LOT TRA T DATE CONST. GROUP p OWNER "" ADDRESS ZONING SETBACKS � CITY ZII�/�G/'�TEL ' � REAR RW � , APPLICANT TEL SIDE/SIDE STREET RW ❑ ' � CONTRACTOR -�-�C SIDE ❑ o ADDRESS PROPOSED USE • " C "G� - - - C{N `— ZIP�(��TEL o ARC N . � DESIGNER ND.DWEL ' NO.' NO. ADDRESS UNRS STORIES BEDROOMS � CITY ZIP TEL N DESCRIPTION SO.Ff. FACTOR PSF ADJ.AREANALUATION - pC .. OWNER-Bl;lIDER UECLAFiJ1T10N_ . �w��M . O p 1 NEREBY AFFlqA11NDER VEWd7Y OF PEFWRY THAT 1 AA1 EXEMPi FLqM THE OOHTRACTOfii LL G��a�� . .. . � W CENSEUWFOAiHEFCLLOYlMWRE�SON(SEG7Gt1.68U5NES5NJDCROFE5510N5000EANYpTYOq (/) U COIA(iYMtiuCHREOUIHESAGERWTTOCONSTRUCiKTE0.WCF10VE.OFLOL�5H.0iiREDAWANYSTRUG W PBIIdD�Ck . �_ . . 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W ��IlI�YE,woW1lWWtiAWWOHI(E0.5CDIAPENS�TqNWSUiIANCEASfiE0U1REDBYSECTION � ]7aa oF TME LABOfi LOOE FOH iHE PERFOMIANCE OF i11E WORK FOH WH1Gf iFY3 PEHM(f IS LSSUED.YTN'ORNEHS'CpIPENSAT10NW5UAANCECMWEiiANDFOL�GYNUMBERIViE: CONSTRUCTION � �Ep PLAN REVIEW � POLICY NUuBER ELE C � (MssEcOONNEIDNoisEaol.w.EiEDOFn£PEFI,(rsfnHodE�u�aiEooatl�f5R�W1or11F5.A LUM � . 2 ICERfIFYTHATMITHEPERFORWWGEOFTMEWORKfONWMiCNTl45iERwT4SLS5UED,1 MECHANIGAL � (} SHALL NOT EYPLOY ANY VERSON W ANY AUNNER SO AS TO BEC0IAE SUBJECt TO iNF � WORKERSWA�GENSAi�UwSo�uLIFORN�A�k'+�EiMATIFI5M0uLDeEGOUE �NSPECTIONFEE � . ��r��— S SutUECT i07NE YIOFiKERS'COMVENSATION VROVtSqNS OF SECT10f1�7000F Tl1E UBOH � V — COOE.ISNNLWl�THW�THGp�VLYM1iM EP I$$UAMCE 0 ��jJ SMIP .• p MTE�'�/��`f��C`! APPLIGW7: , WApNu1Q fA.IURE TO SECURE M�OHKERS'CU.�PENSAiqN COYENAGE IS UKAN�FUL.�MD 67uL18E ENERGY P!C ;`^t - � SUBJECiM1EMPLOYERTOCfLMP1ALVEW�l11E5ANDCMLfWESWi00NEHWDNEUTMOUSAn10 �ERGYPERMIT pOU�FiS({laa,000�,N FOWTION TO iHE COS70F CO�VENS�iqN,Dw�GE5/5 P(iOV10E0 FON W � SECT�ON17aOFTNENBORCDDEH7ERE5L!�ND��TaNNEYSfEEi ' RETENTIONFEE: � � a CONSTRUC710N LEN�ING AGENCY pqE-ALT FEE � INEPEBVAFFIqAIUnOERiENALTYOFPERAMYTIUTTMERE15�Cq15TPo1GT10NlENOMM]Af1F71CY FON h1E PERfORMN�GE GF iHE'tIOHN fOR N7Ypf 7T45 PEFiAUT MS ISSUED(SEC]aG7.GV.G� � � IENUER'3 NANE C lEllDEftSA0DRE55 � _ . � ICEqi1F1'TNAi1NAYEf1EADTWSMPIKATqNANDSTATEiHATTfEABOVEWFWiAIATpNISCONiECT. TOTAL FEES _ ��f/ W 1 AGREE TO COMPLY WITN ALL G7YM1D COUNiY OqDWANCES AND STATE Uw5 FEU7wC TO BUlDWO " n' CONSiNUCT10PlANOHENEBYAUT1qWSERE7RE5ENTATNE50FiWSCOIMTYTOEMERUVONiHE S� {�gpyE-1,IENTqNEpPADPfATVFORWSPECTqNWPP0.SER COMAAENTS � � � PE G ��_ . . � N - N � EE - M7E � - - � ��-�� RECP7.N PAID BY Y/WDA � WHITE--0epartment Copy.YELLOW-Fiiarite GOpy,PINK-Asss66a Cop�;GOLDENROD-FIM Copy.GflEEN-ApplkanCs Capy - . � ,:> . . , . _ ,: ... 4�, .. : .. _ .�, '.. �-�:'�:c'�7l �;. I. , �T 1 . �.i ' .. .. . ,. -.� . ; ;, . �.� .'J �K � i C' i_ � r� „ _ __ _— . ' . _ _. _ _ _ _' — I _i _ .tzj ` �� - `i �r 3 $ � 1 '�S I 1� � I 3� ( � � � 1 i� I f �i. �"'.Y � I I� � � - f � � � '. I .u,�Y 1 . � { ' I ., { � � � , I I � _ • { �F � � � � � 1 � �t / � i ' f. 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