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• � .,�t'aa.. ,,... '"` � CfTY OF DIAMOND BAR ��� '''' '� DEPARTMENT OF BUILDING AND SAFETY PRESS ~ -�- BUILDING PERMIT FIRMLY , JQg��SjTE APPLlCA710N PERMIT � � USE � ADDRESS _�5� S L�L�°��.f/J�� C1ATE _.i�e��_NUMBER 1�_.��_CODE�._ ISSUE TYPE � �` � OCC ,� APN _,..___ L07�TRACT .�I..� DATE �I�to��� CONST.Y+;'—GROUP_� p CROSS SIrREET_ ZONlNG SETBACKS "°R'�""E""5 � 01NNER� FRONT _._RW ❑ � A�DRESS�/�'Fc� /�� �✓/`�TJ REAR ❑ _ � C,ITY,�!�'_✓,,�I�tJ ZIP ���TEL��-�..�1 � SIDE1� REE7 RW n � APPLICANT L-c'"��'Z�c� TEL:• r''f��. �--� �„°"`--- � �I CCN?RACTO '�• �r _ C:-�G�'�/L� — a I ADDREFS SEWAGE ❑ PUBLIG PMT# �� � `�` ��.�' DlSPOSAL �;CITY�.l�J�i ZiP�,� +%� 7EI_.�� ❑ �IVATE S4.FT:{100 GAL W;STATE ,t�/� �, GRADING C� CU.YQS.EXC. CU YDS FILL a. LIC NUMBEft `;� ��� r.. y� 7YPE Sp Fi' FACTDR PS ADJ. AREPtNALUATION ��AR HrENG; ! � - - �I DESIGNER__ � � � ADDRESS� L�L. 2 ,�— = CITY_ ZIP _TE!_. Z 3 � � PROPOSED USE S���--'C-Z- • 4 � � GARAGE o NO.DWEL. NO. w�• � pORCH �I UNITS_ STORIES BEDROOM� � LOl"DIMENSIONS m VALUATION ADJ.AREA a NC.OF BLDGS HOW �� OUA►dTITY DESCF€IPTlON FEE � ON LOT_�_ USED___ �V 2S � . U x � �'"� .CENSEf]f.O1�TqACrpRS OECLAR0.ilON I herehy aflinn±hai I am Pcensetl nnAei V�����a^s ol ChaO�er 9 Immmenung J � ,�rh S�n;ai ;1C01 cf Ilieis��mi 3 of�ne Business and Pmlesnons f.Me.un�my I�cense is�n fuA forte and efleci W o J 3;� W �a-'mV�L°nUl'_7EH DG:L�RkTICk I hcrrLv allim tl�at I am�eaem0�Irum;he f,oniracror's ircensr Law foi the iollowing —" . x i rezsu�Iti:�: %C:i I 5 Bus ness a�iA Profeuians Code AnY r.rty or wumy whmh requiies a pe�mit ta cnnslrucl, O' o nhz� �np�ove Jr.:¢isY,o reCav any stm:iure,C�iar m iis issuanr.e al.sr,reqmres tUe af•VI¢a�t fai such permn 2 ¢ tr'le�::riren s;n�enert rt;z;he is�icensed Omsuant to Ihr provinons ef Ihe f.ontraetar's L�cense{aw IChap�er m � 9 :i r.rncrt�c n:!•Se,Coii 71?DO'�ni Il�vivm 3 0(mc B�si�nss ar.d Proles,uons f,odel m that he is e+empt thereham 5� a, �r,Ilr Soss I�a C�r a:lepel eKemV�bn A+y violaUoc nl Sttoon 70715 py any applieant'ar a pe�mh suA�ecu � � 't r n7eli:.=.�:�r,3 rc�d perallY rl�et no:e Ihan five F.unAred dolla�s ISSOD�I a t a f�l as�•,v^�e�nl!he p•nperry v my�mp!avees•�iith wages as the�r s�le r.nmFersatiar will dc the Nqfk anA ^�-i,— — Ihr srnture�s rr:i�Icn;�C nr urfe�ed'or sale ISec.7C34 Busineas xn�'?ro�r.scmns Code The Comraolar s ucense Q i � w r.in:•i'�VV�S•'%an r,wr.e�ol�rape•ty wha hudds o�imV�aves theiaon.an0 who Aces su:h work hinsell. U; W ;���r.:igh��:>u�.r�rnUluyer.x,y�w:Jed Iha'suc�anpravemems aic no!�mendeA or olfercC°m sale��.however, �� m i�re h•ilA�^3 x i;pinvrmen�is sold�.rnh�n r.ne yeai of complen�m �he owrrvr�6uilder will have'ne 6nrAen nl provng Q�-� y,iSa�•u.rn:no;Fia:i.i:anymvr f�r�he puqase af sale 1 �j va i[]i ,1.,wner�i��h;:p�;p•ry am axclusrvrFy�onnacUny w�th hcenseJ conlrac�ors rc cwstruct the p�aieG(Set W� ' ��;�7�1C �3u.s�i�,c�s�md'�nfcssinns�ode 7h�Cnr,tror.or's Lrtense law dues nol apply tu an owner of propr.ly wAo '�S. Z:I�Pr.s m ins�a•m>�her�nn and who con!:ar.Is lar such prulects wrth a cunttacUr�sl Lcensnl pursiam m the Cam�ar.ror s '����«���-�,� CONSTRUCTION _ � i=] nm r.�enqr.;ncer s��:_ a e Pr,ia��Ma cP«�r�a�; PLAN REViEW __ � '°'^ °""ef ELECTRIC � WDRNFHS'f�MPE��SAT10N Of�LAflATI(IN I her..W e}lirm that I have u cerli!icate ol consenl ta selt�insure,ar ��:rntaw r�M1'c�keis'�nmpersahan Ir.surance,oi a r.enitmA�oDv����e�ISx 3500.Lah C I PL�MBft�lG _ � QC ce i���o��wr�:i:�«n„i�K��:nee � MECHANICAL ___._ o I�CrrcLe::[o�:y is liletl•.vrtM1�he Bwlniny Irspe[Um�epartmem o��, �epariment � GRADING W, 1 + i CEH71�If.FiF OF F%EMP7ICIN FROR1 WOflNEflS COMPENSATION INSl1iWNLE This secuon neetl nni Ce wmDk�al �Z ISSUANCE � '�J' CaO � .r!'�c permn is'cr one hur.ereA�S1001 or less I cenify �hat in tAe pe!lormante ot the work 1m whkh Ihis � — ••nrt rc issued I snal�not empioy any pe!su�m any ma��cr sc as to h me su6�en m the Nhrkers'LamcensaUm SMIP � "�„S��r�iiL� 1 � PARK FEE n '7d!e Ap0li�ant � � NQTICE iU APPfILANT �f,after maMing thrs Cerulicate oi Exem mn,yau tMuld be me su lect m�he WurYeis SCHOOL FEES _ � Cc�^qersannr p�nvismns of itre:aMrr Code,you must�athwiM como�y with suah prwiswns a;tn�s permrt shall te der.med re�nkrJ - � p� 014'ISI�J 0�INOl15TNIAl SAFETY PEflMIT CFBTIFICATION `r ¢ x W ��7 1 Md� d �i hereby rendv ihal�o eMcavation frve(hl ai mwe�eet�n AeD1h mm wh¢h a person is requirvd m Aes�m�, � wul he made m connncnun w�fi wmk authorved 6y thrs permn.and that ro 6uilAing svuctwe,scaltoltling.1alsework. � o� Jemuln,nn a A�smamlinq ihereoi will 6e mo�e than thirry-sir�367 fev,t�iAh (Chap 3].Gry 2,An 7.Sec __ z :SE1 7iAe B:AC; W ____tily'�♦ S __' �si i T • 3 �'Ss n erhmlJei.I will rot ei�loy airyoM ta do work whioh would reqmre a permn from 2M 6msbn M r—I tr�M sina!�Sair.ty,as noted alwve,unless suoh persan hat a permit to do such wmk fiom the drvision. — � v � � C�LSvismr.ol In�uvnal Salery Reimrt Na TOTAL FEES �O a � CiIIYSTRUG"f10N tFN01NG dSENCV I Apre6y allirm tl�af there is a congnuetion knding apefrcy for Ihe perfo�men[e Z al me wnh!or wLkn;h•s�e�mn i.v issuea(Sec 3091,Crv.C_� � �P�nors u„�e CQMMENTS mLende�'s.1pdrr.ss_. ¢ f.ENTIiICATE OF f.OMPLIANCE ANO AUTFqpIZA710N OF ENiflY I cnvM����LM Mi5 3ppR[etqn Md state -- 3 v� Riat rhe ndormaenn gi�en is correct I a9�ee ro comDN+'�h all state laws a�d[i1y erAinances reletinp to CWldi� y I canstrur,Uon a�d aulhorue�i represenlalrve of�he Oepartrtenl of Buildinq and Safety tn emm upan ihe qopertY I ~ifnr wh¢h I hau applced foi thrs permit!or t purpou ot ma6ng mspclbn5 r� � ��� Y d� �y�`cyF� RECPT NO. 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