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'"� CITY OF DIAMOND BAR pRESS DEPARTMENT OF BUILOING AND SAFETY BUILDING PERMIT FIRMLY JOBSITE APPLICATION PERMIT �� SE ADDRESS DA7E NUMBER CODE ISSUE � � NPE OCC. � APN LOT TRACT DATE �_�CONST. GROUP � CROSS STR�ET Z�N�NG SETBACKS ��� �° OWNER �L� �J X _fIR P � _ �O►� Ayy ❑ � ADDRESs J��/I Sc�� L�" C'� REAR ❑ W CITY 11J1�L/illf� Z1P TEL. SIDE/SIDESTREET RW ❑ o APPLICANT TEL SIDE O z � CONTRACTOR 'h � "''�`�- SEWAGE o ADDRESS �� - � � DISPOSAL � �BUC PMT* W CITY LC�G'��'1/�9SI�ie�"'ZIP � � TEL � $" -s � �NATE S<].FT./100 GAL Z STATE y UC.NUMBER C��� ��f� ?�2� GRADING ❑CU.YDS.EXC. CU YDS FILL y ARCH/ENG/ � � NPE SQ FT FACTDR PS ADJ. AREANALUATION � � DESIGNER W 1 O 00 � ADDRESS �,,, 2 0 = CITY ZIP TEL. (} 3 • � PROPOSED USE z •4.. � � � �-k- .�t r � GARAGE ' .�, o NO.DWEL. NO. NO. m ppRCH ' y UNITS STORIES BEDROOMS s LOT DIMENSIONS VALUATION • U� ' ' ADJ.AREA o NO.OF BLDGS HOW ouANTITY DESCRiPTION - :• FEE • W ON LOT USED a - � U W _ • \ LO EO CONTNACfONS�ECLAHATDN 1 Aereby dhrm M��1�m 6nmeA u+dn pravis�mt el Ch�r 9 Icam�wndry � � � wnh Saoon 700C)ol Rdswn 7 0l Me Buane:e�nA Piale:scns CoEe,�M my kme�i�in ful lorze�nE d�ect W � � • � - - � � • 3 � W . • �+- O�YNEH-BUIOEF DCCLMATIDN I Mehy d6rm tlut I�m aemp�hom b�ComrKtor'�lkmu l�w b�tl��lopwwinp rtason ISec 70.715.Butiness�nd Pmlesvons Cade Any nry m tanty M�NII I�Qui�lt�pmm�m tmstruct, (7 . ... � o altei,mpove,tlemo4sh,a rcpar�ny strucNe.pior ro iis euun[e.Wm,pmn Ne yqliunt lor w��pmm� 2 F— ro Ide a v9ned finemem tNt Ae is kmseE pxsu�m o the qwi�ions af tla Cme�cmi's licenee l�w(Ch+pa �� � . � 9lcommennrg with&ctbn 10001 0l Qvism�ol Ihe Bue�.rtu�rd Pmleuiont Codel a tlut Ir il�ampt tlK.drom � a. md IM1e b+sis la dm�Aeped emnDuon.Airy ridnwn of Setton 70JI5 b/�n/sWt�un�la�permt wEj�cis � . . K tle+Dd��ml m�tNJ pen�ItY al rot mon Ih�n frn hwd�ed do0u�1550011: Q W � ❑i.�s owrcr ot tM Drapenv.a mv andWees wim waqes�s Nnr�de tanpms�um wii do Rrc wort.rM the nr¢wn is mt imendM a a11erN fd stle ISec.T044.Busin�ss md Roh�sion�Code TA�Connicn't lian�a q . . . .. � law das roi aOoM�o+�wmer af prqierty who buids a mproves�hnem,ud who das suh worY honsNl, U •.• a Niough his own employas.pwiEed that ash mpavemmts�re not imenhd a oN�rcd lu ak H.Ao,wver, Z m the M�b�np a impovemmt y fok wnhm one yew ol eompletpn.Me owne�-Outder wtl A�w Ine Euden af pwiry Q � �hat he d�d rot DwN p impraue fa the purpox ol uk.l .U y y ❑I.�s owner of the p�openy.�m ptlusnely tonlrxnny w�th licemed[onv�ctai b tonsnucl ihe pq,cl ISec W . 0 16W,Buvnss rd P1oletsions CoAe:iN Conv�ttoif li[ense l�w e�:�oi�opr m r,o��a aav.�q wro �g Z EwWs a imprwes Innean.ind wno cantrxn la wc�pn�ects wi�h�mnn�ceorlsl hc'nsW puswm b the Lmvutor's ` �r°^'��� CONSTRUCTION f�S �S� 0 � ❑I�m r�pt uMn Sec. .B fi PG IAtutA LerolriRl. P EVIEW --�—'�— 0 oa�� u�� ELECTRIC � NApK[pS'COMPENSATION IXC1AMTpN I Mebr�flrm that 1�are�nrolK�oe ol eon�m�to uN-insv�,a "� � �«re�a�rc a�Nn�kni c��,��ti�.+�..«��nor�e�o,,.m���s.�.aeoo.iw.c i. PLU MBIN G � � OtKm�eavv�:n.�rwN�e. - -- - J MECHANICAL - _ . - ---- o ❑Cnnled tapy is LIM witA tM Burdinp h�pKam Oprunnt a n.n•����. < GRADING � CEfiTIfCATE OF EIEMPTON►Rp.1 NqNI(ER5 CpYWFN54T1(1i INSUIIANf�.iAis se[tion neeA not b tmpktd SUANC 'I .'3.O� y il Me pnmt e lar one�udrM�SI00�s bs.I teroly IA��n he perlwmmn of tlw worl lor wlw[h Iha permn is oaed.I shall ml�myby rry persm in s�ry mmrc�w�s b b�ane sublec�lo Ihe Nbrtni Coryenratan �� S(��P - o �����c'���� W PARK FEE � �"` �"�� . u- SCHOOL FEES � HO71Cf iD APPLIGWT.M.al�u m�Ymp d+s CaulK�te of FYnqtan.ya tlw+ld bcros u8pct b Ihe NtrMr1 � Canpenunm pwmons ol�he Li6a CoN.yau nwt faCiwiih eo�r w�M wcA pomuu p Ihi�pmnil fMll . � k dcemed revaled. � � . ¢ DNISIUI OF M10USfHIAt SAFETY PEAMIT CERTiICA11A1• I ' � � G�S:J!�.1'� �;M. / o ❑I hneey eaiAY tMt na�arvauon hve(51 a ny�tw!in d.p�h inp�4rh[h�pnsm ii Iqund p lac�d. ¢ wdn k m�de n emnecaan wiih�.aY�uthair�l M tln o��.md tlr[u b�iOK itrunr�.ualbN.q.Nwwork. � a dsmaNm a dsmmMnp�k�wl.w11 be more tlun Ifwry-u�176)Mt F��Chp.J7.Cq 7.Art 2.S�c . . Z 741.Luc8.CAC1. C1 {� ' mWbY mMm,�t�0� � rAM�IwM I' 3 QAs ewmr�bwNer,I wiA na wat A n�pwmil hon IM 6veien d 1-- Indusuial S�lety.is mad Waw.`nlesi tu�h penan bs��n�il b�a wN wak kan tlr OM�ian. � � II W ❑dwsion d M+miJ S.IeN Pnmit No - �. -_• . •'••••�' ^'.� TOTAL FEES � UC � � CONSINUCfION IEHDING RGENLY.I F«�tiy'NMm.tlw 1M�u�w�ww�em6Miy�rty M tlr prbnnw�� � 1✓ � , x al the worY la whKh M qre.t is a�Yd{$�i.�II91.Gv..C1�:"•��•� "•- � � 1eidef''x""` COMMEh7TS m LmM':Addrea '� � QHIlftpiE OF LWPIIAKF ANO AUTlbHZAY[11 OF EMIRY.I wory I Iww�ud*u ppicr.�r�Nr� � ♦n tNt tle nla.uion P'wn e iurnt.1 qa ro cenyk�itl�M tue�Irw�nd d�'ad+wKa nlreq m h.ldiq ' y construcoon.W�uMvve�npewnM+d fr Uprarnt d B�il:q a�d S�My b�nr�p.n W ppnty . � lar wAth I Iwe�P led Far IM p�mil b Ir pvpea d�rtiry n�pcsru, . X �" ' "''"'� —` �s�_�C, RECPT NO. 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