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' � �� C1TY OF DIAMOND BAR pRESS ' �
1 �� DEPARTMENT OF BUILDiNG AND SAFE7Y FIRMLY
^ �u��l� BUILDING PERMIT
JOBSITE APPIJCATION PERMIT $E
ADDRESS !I(i S• Gcd�r/� �-J,P �� •� SSUE G-2? -9 D ��q�CODE
K APN • LOT TRACT DATE—�-�-��� CONST. GROUP
o CROSSSTREET ���k+ev.CQ ��r-r –Q�V� M++v.E�ras
ZONING SETBACKS
'—° OWNER A•r4S FRONT RW ❑
� ADDRESS 1ll� S • Gtaucl� REAR ❑
W CITY " ZIP.g.l1(!.1_TEL �'�� SIDE/SIDE STREET RW ❑
o APPL�ANT �j�l I C'�o f i�'� TEL ���'3k1 t SIDE ❑
s CONTRACTOR �+k ��- `
SEWAGE ❑ p�Jg� pMT�
o ADDRESS �-�S� �t r`ti �wt•� �,�ti-H�_ DISPOSAL
w CITY �0.ItiY �tiN ZIP.�TEL c�•�. ❑ PRIVATE SQ.Ff.!100 GAL
• = STATE - -` - �c-;:•.,..
N UC.NUMBER ���'�1 � � GRADING�����0 CU.YDS�EXC. " CU YDS FILL
y ARCH/ENGJ r � TYPE SQ FZ' FACTOR PS -AOJ. AREANALUATION
= DESIGN�R 5aw`�C a r, FOw�1i�Ci-d � W 1�,_ -
� ADDRESS�`��� a LL 2;. _ • -
Z CITY�� ZIP a�z 4�TEL. (} 3
� PROPOSED USE � ` �Q Z 4
� � GARAGE
o NO.DWEL. NO. NO. � pORGi
y UNITS STORIES BEDROOMS m ,,,
� LOT DIMENSIONS VALUATION ~ � ADJ.AREA
o tvo.oF aLDGs _ HOW - Qw+r+Tmr DESCRIPTtON FEE
W ONLOT USE� Q
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_ ❑ �~ ICENSiO GONTNACIIXiS OFG1AIiA7GN 1 Nnbv altum dul I un kenuE udn qauwnt ol CNpu1 9lcwremcinp
� xnh Secoun 70001 of Qv�sm�d tlr Busness aid Proless�w CoG.ud ary Icense a n IuA lace W etfect W .
3 � W .,, _. .
� P.vNEN&dIDER OEQARATION�I Anetry NNm tlut 1 am aempt Irom IM Conuxla's lams�lw.Id Qr ldbwnp . . . ,
2 reuon(Sec ]OJL5.Buvneu u�d Pwlessniu CoG Airy uh����y wlwJ�repwra�pomd m wnctr�[c. (,� . .
� . O �Iter xnqove.demdis4 v rtpar�M tUu�We.pqt to itt ncu�rtl.Yw reQutf IM�ppWnt la wth pamt 2 � .. _
1— M I�k a iqnd+taumen�th�t M u 4Mxd putwnt b W pwismt W Nt Convxiar't lcw�L+w ICA�qe �p � . �.
� 9lcann�onq w�m Secuan 70D01 d An�wn 3 d uw Bw�neu and P�d.awns Caael a dui Ae n�,cmvi dro�eha* � , • .
� ma me tas�s la Me w.yad uempum My vds�d Satwn 70315 6y uiy+pWw.+nt fa a permq wDFcts >
W iie appram w�cni penNry d wt mar 7an Im Aundrzd doaara(f5D011� a -
� � ❑I.u ownr ol�k poperry.a�ry empbytts w�N wpes��Neu:W campny4on.ws Ao�M waY.W
~ the tuu�twe a rot�nien0ed a oflered fa s�b ISec.706d.&wmu�nd Rd�uane Cade.Tk Conuxwr i lrtense a
� l�w das mt�ayh m M owrur ot prap.rry who Wdd3 a.impro+ns narem.ud who das w�n won hnwit. U
' a tlro�,gh Au y�.n er.q�or�es.pwdN dut wcA mpov�mmu we ooi mteMM n olund lor sak.II,howe�er. ..Z '� ��'.? ..
� Ne EwN��q w x�aavueam is wId w�Jan ar r�r ol rm�d�uon.th o+m��Ewldd�w�l hrn Me Oudatol pwnp � ,
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^ ❑I.�s ownr ot tne OropulY.��alwvery conuxuny w�m 4centeO tmux�n�n wwruct tlie qN�ct ISec W
0 7044.Buairss W Prdesuons Code.Tee Conuxta'�lKmse lw Aaet mi+oWY m m oM+in of papury w1a �
x buJds a imqwes 7�nean.ud who conu�cts la s�en praNnf wim�conuxwrlal kensea pusu�m m qu Lanu+cmr'�
'� ���^��w� CONSTRUCTION
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''" ❑�im e�emPt umer Sec .&fi P.G IAtizA CnulKaul . P�N REVI�W
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� °ae °wi" ELECTRIC
TNORKEflS�COMPENSA1qN OFLlAf1AT�ON 1 AereOy�Hvm Wi I nm i nrofca�e ol croseai m sdl�nsu�,w
�«rmwu o�v.a�ai Campenutm�uuirce.a�temKe cupY maeot ISa.3eu0.�w[1- PLUMBING
4 ❑caoiKa��nr�=n.�.n�i�b�a „�j MECHANICAL _.
q ❑Cuulyd copY�=IJid wN�W&JWnq Mspcam Depavnent a o.����. � GRADING +
2 Lf8T1FCATE Of EtEMPiON fR0A1 Y�tN�eEAS'COMPENSA71(W WSUNANCE itws�ectun ne�d ro�6e ewroleud O ISSUANCE
� d tlr Pe�m�is lu ar hudred(5100)a Ysa I urofY�I n IM prlamnce d tlr wat Iq wtxcA M.= �
"' perw��:i,wea.�sn,u po�empor+m�w�^M,m m,nrci sa,s,m eaarc wo�C�m c.naWt tanKns�wn SMIP
o "w'°����"� W PARK FEE
� °'�� '°�"�� u- SCHOOL FEES
••• fATICf TO APPtICANT.tl.din m�Wnq dw Coafcou d Eampuan.yai s1aJd be�ane uL�ec�m ih.w.1r't
� Gm�penulun Wovuwns ol Ne la6o�Cade.MW musl latliwah tDaKiy wiN asA qwisans a tlw pnma ihat
a0
LL be d�emed�trakd.
s pY151U7 OF IHpU$TPIAL SAiETY PENAYi CFRIFICATIW: . .
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d ❑1 nne�cewy tlut no�wr�uon hK 151 a ma�IM in dw�nm whcA�pnwn q rwuwd m iucad.
s wa 6e maee m eaurcuon w�m wort a/enud W tlus Rrm�.wd tlu�ro 6uild+q WKIW�.wlbW�lalxwat, _ . �
d a dmwNwn a d�un+nurq thneol,wY h�ma�eun tlrry�su 1361���I�+P 3.I.Wp f.An 2.Sec
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r— liduseul Satetr.+s roud Wovt.inks�wcb Dxson Au,Daml 10 da wN wat 6aa Ihe dnwan .
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W ❑°""�'°'"°""'��''""�'�''"° TOTAL FEES
'' cn+srAuctar�nonrc aG[t�r:i haeer.uvm a�.�u�.u,�auo�u���a.u�r w ur vk�c+
2 d Iht watk In wA[h tlus perml u uued(SeC 109J.Gr.LI.
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p�p leneer's nddretf
� CFBTfffATE Of COhtPIIANCE AND AUTHOlq2AT�1 Of ENiRY:I wW'f 1 lu.+md Wt+pP�+�o"W tate �. .
�a tlw Ne ntam�uon V�en o eoneq.1 apra m canpiy wM�tl suu Iwq md wV adwra rWurq ro Wunp --� '�
N canstrucuon.ard�uNaue�rwrtuntxm d tlr D�qauaW d 8uddvq+n1 Salety b�wr ipaa dr p�putY
= lur whck 1 Mn�oWKd lof ihu wma lol de wwt*d m.Iw inWecmni
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s�u��,a��.ap�i au RECPT NO. PND BY YALIDAT
WHITE—Oepanment Copy.YELLOW—Finance Copy.PINK—Assessor Copy.GOLDENROD--Filg Cop�c GREEN—Applicants Copy
BS106-i l/89
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