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'"` CITY OF DIAMOND BAR PRESS '�•' ' DEPARTMENT OF BUILDING AND SAFETY w BUILDING PERMIT FIRMLY JOBSITE I n� 1��j -� APPLJCATIO r, PERMIT O SE ADDRESS � `� � � Y FYl 0 )�� DATE NUMBER��CODE ISSUE TYPE OCC. > APN LOT TRACT DATE ` CONST. GROUP � o CROSS ST ET ZONING SETBACKS '"'1O`�'�"TS °° OWNER �OM � ❑ o ADD S � REAR ❑ W CITY � �LIP TEL7 � ' SIDE/SI�E STREET RW ❑ o APPLICANT TEL SIDE O _ 6 CONTRACTO SEWAGE � PUBUC PMT�' o ADDRESS � �SPOSAL ❑ p�NATE SQ.FT./100 GAL W CITY ZIP TEL7 = STATE ) , *� �" RADING ❑CU.YDS.EXC. CU YDS FILL y UC.NUMBER ���!�l� N ARCH/ENG/ N T1'PE SO FT FACibR PS ADJ. AREANALUATION • . � DESIGNER W � � ADDRESS 11- •2 = CITY IP TEL (�} 3 ' � � � PROPOSED USE � 4 � ,,,� GARAGE o NO.DWEL. NO. NO. � pORCH y UNITS STORIES BEDROOMS � LOT DIMENSIONS m VALUATION ADJ.AREA o NO.OF BLDGS HOW QUANTRY DESCRIP7'ION FEE � � OU LOT USED � U _ ❑ U ~ IICENSEO LOMfl.LfOflS OELIMATqN I here6r dh�m tl�n 1�m icenud uda prwiions al Ch�Dter 9�comnercinp Y wnh Seceon ID001 0l Oivisbn�ol tAe 8w�ness�nd Rofas�ons CoEe,ud mr Irmsi�s n hdl brte�nE Ntat W 3 � W �- 01YNER�BUIDEfl Df0.AFlATpN 1 herehr dfum Mai I+m eampt han Iha Cantricmi�lK�nw law la 1M fdlow�nq 2ason 13e� ]0715.Businese ud Piolessans Cade An�[nv or camY w�c��puira a pmm�ro consuut (} � o �hei.imp�ove.demdah.a rtpar ury��uclwe.prmr W itx u�wnce.also rpu+es IM1e�ppfunl la luch pnmii 2 1= lo Lk�spned etatement Ih��he is kensed praum ro Ihe pwis�ms al 1M1e Cantruta't lceme liw�Ltup�e m • � 9 Itommenung wil�Settm 7000)ol Omsion 7 d Ihe Busineu�nd Pmlessiom Cod�l p M�I he o wmpt tlind�om g . . . . a„ i�me bava loi the aAeged uemplion A�ry�d�tqn d Sation J0715 Dy�M�DCliunl fai a permn wbRca � W Ihe�pphunt w�eNJ penally 01 rot more b�n I�ve huMred AolluS(550011: a o ❑I,�s owrcr ol Ihe prapenv.a mp empbYees witn waqes�s thn�saie�ampenvmn.wil do Me wa�1.r�d ~ the structure is rot immded a ollereA tw uk ISec.1064.Basinsse ad Piolesarons Cade Th�LmtrKtor i licrose q . .� Lnv don rot avpN ro�n ar^er ol paprnr�huilde or mqoves thneon.W wM Ooes wcA wat hmsell. (� '- W Or IMouph Fis own emp�oyees.pwded Ih�t w[h�npwements ue nol o�ended or olhree lor f�k H.Aowever. � m Me 6u�tlmq or imqmemenl e wW wnhm one Yw of eanpletwn.Me a�na�dild�wi1�m Me WEm ol pminp Q � tha��e AA not EwN a imD�ave for t�e pwCose ol sikl �V N N ❑I.i5 OWK�OI IAt plOplflY.���W�M CMII�CIY��with Ltemed tMtrxtoit to to�slruct Ihe prq�ct IS�e. uJ 103G,Busims vd Rolesfen�Code Th LmVxtor'f l[ense Lwv Eoei nol�pqy b��owner d popeny wha � Z 6udCs a imprwes Mnem.��d who wmiuts la ach pro�ts w�th�eanv�cial�)lKnsed pususnl ro tlM Cmuuia't � ���^u�� , CONSTRUCTION � ❑i,m„n„m�,a�sR. ,a e vc anxn a��+K����. PLAN REVIEW = O7e °""" ELECTRIC } YVORKFHS'COMPENSA710N DECUMTION.I hereby allrm IA�t I hne�anikne ol ian�mt to fNl�nw�.a �cerulK��e ol Vuorknf'Compens�im Insw�rce,a�enmieu upr mnm�(sec.7800.ue C 1. LU MB �— ` ❑tnotea caov isn.�.oy mm�snea � �,,,� MECHANICAL. o ❑CxnlKd copy b Ihd w�m�he Bwldmq Mspaom Depa�m.m a o.v�•��. a G RA W = LEBTIfCATF DF FI(EMPTp1 fRpN WORKENS'COIVIPENSATION WSUHANCf Thu uctm Ked rot 6e[empkteA SUANCE � � d Cie permt is la one nuWM IS1001 a 4�s.I ceroly L�fl�Me pnlu�mnce ol IM waY fn whih Ma y permit is iswed.I th�q ml tmplry� erfon in�ny m�nrcr to is b becane W6�ect b Ihe ker'CSnpe^ m - P ►'� l�ws o i�anu. o � r- 0 W PARK FEE � °ai �OD� u- SCHOOL FEES W NOfCF 0 APPIICANT .�Iter metinq Mf Cerule�te al �bn.you iMuN Oeco �ubKet Ne Yei t � Compenxum pronzms ol Ik la6or tode.ryu must IaMwnh eonp�y w�wch pwoaro a 1M1n perma th+A �- be deemed mokcd J � pVISIpJ Of p10U$TRIAL SAFETY PEXMR CERi61CAil[H W �- ❑I ttreby tn�dY�+t na eammn Me ISI a m�leet in depth into�+Aich�piwn it nyurd w Iataid. . 0 ¢ wi9 Ee made n emrcenon wM warY wMnved�6y Mu.6i�rmn5��id rto�ro bu7dwq muctun.fulfoNinQ f�lwat, � . . . �- a AemaYim n Eism�n6np tAneol.wA Oe,{,��'tlw iMr��fa I�M Mt Fiy�.�Chp 7.t.Gry 2.Art 2.Sa � W xi.t,n�e.Gnc� @ 4" 't '�'�� s 3 ❑W mmn�Eulder.I vnl not�mpbY�^Y��ta la wak wAicll wouN np.n�pwmit han Oe Ovi�ui d � p.� Mdumyl S+lery.u mud�6ow.u�bs u�h n Hs� m�i I h wort 6a�n�M Aivnien � �E� 1 7 �'���! W ❑a�,����„tr"��.�����m"�a TOTAL FEES O �� �. � CONSiAUCIDN 1fd01NG RGENLY.1 Aereby d6rm IAat tlKrt u�umtratian Mnlnp Mwrc�Ix M MrMnnc� • = a�w..aY�a wncn nn perm�aissuee;lsec,�W 7.Ur,-t1.�--. ':' L:f1�: � lmae�ixm l.i t I '. - :i,,�.:���:..:�::.: COMMENTS � tenhriAm�e:s ;i;•'� • �1�'r�: :rr:�':-1 Y � m � URTIfItATE OF COMPLIl�NCE Z Idi E .I caulr I M+rud Mb+Odin►ri rd p+r �n m,�me��am,rio� � �a�� w can mt w.��na nn MdMwce nruro m u,Nnu y [an3tru[ tluYt�fprt Qe 1 af Bulduq nd T b mrr 1M — n 1 As �plr Ni p� �d �� im emf. X RECPT NO._��.•/��PA�U BY VAIJDATION s �e �n «Aq�m • WHITE—Oepartmem Copy,YELLOW—Finance Copy,PINK—Assesaoi Copy,GOLDENROD—File Copy,GREEN—Applicanls Copy oc�rv:_�vnn � .,ilt" i `G� , .j1::'Ya ���..M':Y:ro ��t`..i�' '!f./. .• Mr.� •fir... •- . s . .t " �N,•. y�� , n M. .• ....w.-. .�,.w- �..� •_. .... •• ♦�. ..r ...... -_..... . 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