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CITY OF DIAMOND BAR CO;NMUNIT'Y DBVELOP:�tENT DEPARTh1ENT 21660 E.Coplcy Drive Suite 190 PRESS � (909)8643195 Faz(909)861•3117 �'^" BUILDING PGRb1IT APPLICATiO:� FIRMLY � JOBSRE � p,n� ����� APPUCATION �i G�J PERMR f� � P/C � ADDRESS ����Zy�ILLr—;� DATE l / NUMBER V M � ISSUE � TYPE OCC APN 7 TRACT DATE CONST. GROUP p OWNER '�i�,��F1� �f'y p ADDRESS ZONING SETBACKS LL' CITy,�A�+ I` v— ZIP TEL.� �-�f� FRONT RW ❑ � APPLICANT �� C � REAR ❑ � TEL �/",�IC��_ gIDE/SIDE STREET RW ❑ CONTRACT R SIDE � � ADDRE S � '•� � � T '�� � � PflOPOSED USE � �►�r' � �✓ - � CI7y )��N � ZIF� TEL.� ! --I9 � ✓ o ARCW'ENG! � � r z DESIGNER NO.DWEL. NO. N . a ADDRESS UNITS STORIES BEDROOMS � CfTY ZIP TEL. N DESCRIPTION S�.FL FACTOR PSF ADJ.AREANALUATION N � OWNE�i-BI:ILDEFi DCCLARATIOY SFHlADD/RLM O � 1 HCNCBY ACfIRM UNCCR OFN/�LTY OF OERJL'f1Y 7NAi I MI EfEYo`Fi1011 TIE CONTRACfOHS LI� GereQ!/LafpO�� LLl CYNSEUM'iONTMEfOILOw�:3REASON�5CG7:�J�.56USNESSANDFRGiE55�OM15C00[AF:YdT'OR (n U COlMTY1M11tl1HE0URE5�7EPY�TTOCONSTRUGT,A.iERM�FIOVE.DCMOU51lO�REP�IHM7Y5T�UC- W pat:a'Deck u� N�E,PNiOR TO 1T5 ISSU�NCE.�L50 REW J1C4 T��E�70�I�ANT f011 SJOI VE�T TO iILE�S:GhC� W � SiATFYLNT THAT MC pl 511E IS LICCM1SCD PVfISUFKT TO iHE Y(10Y•S�ONS OF il+C CONiMCTON5l4 C CENSE Uw(Ci1APTER�(COYYEYCH6 WITM SECTqI.7�oc1 O�DINSOh 7 OF iMC BUSINCSS ANO Pi16 LL' P��SW vFESSqN5fA0E�MT�uTMEO�S�[ISExEwPT7MCnCFROYIW�THEB�S:Sid1TnEALLEGFOEXE�w• (�} �/��� ) V 710NMf�VqLATONOFSCGTION70]i58Y/WY�FFLICANTFpiAPERM:'SUBJCCiSTHEA7P.IL.l4TT0 Z Re•Rocf /{/(,/ � AGVILOChALTYOFNOTWRE7HANFNEH::ti911[DDOLUn51f500y) � C1��SOwNERO�iHFPHOPERfV.ORUYEUROYE[SNITNW�GES�SMCiRSOIECOG7EN5A7qH. � �mm0fC�21 Z M'LL DO iHE WOWf.AND TXC STRUCTUqC R NOY IN7EN"..CD CA�O�FERi.D FO�SA;C(5[C.70u,BUSi� J NESSIWD PIIOfE55�Ok5 COOC.THC CONTMCT00.:lKCNiE U1v DOCS NOT A�VLY TO Al:OwNF.N Of N OROCEATYYND�ULOSON14PfiOVESiHCACON.ANDN110D0055UCMwORRMiYSeLFORNCRSCLFOR m Q iMqOUC�IM15qIMEHOWNE4PLOYCC5.P1iOVIC[DTMATSUd114�f10KMENTS�NENOTY:!CN)EUdi QW pFFERC��OR5AlE1F.FIDWC'2RIMCHUL�C4GOf1Y:+IlOVC4ChTI55IXLW:TMN0I:CYEAROFCpARE• Z iION,iMC 01wER BUILOCR MIiL W1VE TNC BUR�EN 0/PROY.NG TINT MC OR 9FiC DD NOT BUIC OR = W PROVE FOti lME PUIIPOSE O�SALEG W OlA50WNCROFTMCOiIOPERTV,/JIF%�USNELYCONTMCiINQYniMIICEYSCOfY7NTMCTORS W CENS�EU'.�DOCS�HOTAO�iL�OANCYACR�OFAVR07[�Y�N'�qBUD SORO4 ROVE�SNiMF Ed1NYJ Veivalian ADJ.ARCA � IYqCOMM�T5FOA4UQ�7N0.1[�iSNnTNACIX:TMC.OR;S)LICCNSEDVU(15UA�TTO7Y'[oa+rruc• pUANTITY DES�RIPTICN FEC Y TO�i5t1GErv5CLAw� J � O�WE%EUPTU:�E�SCC BiVC.FOR7ni5RE�50n Q 3 � • • ¢ u" CA'C ONNCR � .. . . � W � LICEM1SED CONTRACTORS DCCLNiATION —' � w IME�CBYAFFIMIUN�ERVCNALiYO�VEfLA1�Y7NAT1AAILICENSCDLN�E11YR0'ASIONSOFp7MTE� � d i(C01+MEYLiN(iYniMSCCT�ON70aqOFOMSiOn]OiTHEDV5iNE55AKIPIiOFESS�ON'+COOE.AYD Z X NY I�LEHSC 6 W M.l�CnCC AND EiFCCT m l31 � ��/ y � � LICENSEC SS� LIC.NO f1!1 /�'�/> > W ���I��CONTMCTOR�y.�.�( a pATE `�/�7 'Y7 � 11�ORKEFiS'COMPENSATION DECLARATION Q = 1 Y3�'t'� � � IMC�iiBYAFiIfWUhCCRiENILLTYOFPEMI�YOHEOFiHEiOIIAYnHGC{CLAM![7N5 � Z G �INAVEAN�WLLAMNTAN�CEAT!FIUTEOFCONSCNiTOSFLF.lA5l1RCiIXiWOqRCf15' S L1'7YDENSATION.1l5VROVI�E08Y5CCTION]7ooOFTMCIABOfICOCC.FO�MEPCRFOIWANCE U � O�TNEwOnKiO(INmipiTM.SPCRMiT6134UED � � ,�I HA'.'[A.tiU VALL W1:NTAP7 M'OfL(FRS'C040fN:,�7qN INSUMtiCE I.S REOUiaF.]BV SCCT�ON O4 ]700pFiMCUB011CACC.FORTHCVeRfO�W1hCEO�THEM'ORNFORMNIOIiMISVEilYIT15 GS;lE0.VYIM�J.�.KE��75' P[N."iAiIONIN5:IRANCCGRfi'CRA4D70L1CYM1YBiRAli� r CONSTAUCTION jJ �1."�-P �lN �r� PUW REVIEW • uan,[n � z pa�cruuue[n � �1�y � ELECTRIC ¢ o �n�s[cra��ntmwror.00►�u��cFncvrn.r-aronac�axp�c�oau'�ss,r,aa�cs, PLUMBiNG � I CC�T:FY THA'N THC PE17F0(�MAYCE OF TME W0�1K fC�WNiCM Ta'S PCNAIT IS 65UCD.I MECHAYICAL C'} SNALI,NOfEV�LOYA'.YOE�SCMW�.YYYAhNEfi50l15TOBCCOML'SUNECTTOTIIC INSPECTIONFEE ^ (/j NORMC�S'CW�[hS�:10NLAW50fCALIFGRY1Ah�I.^+�[ETHA'IfI5��0ULDOCC,C�E �y— S SVEL'EMTOTN[WCN(ERS'COUPFtiSATqIiP •.�SKM:;OrSECiON77700:iNEU�Wf1 r`.r� V cocE.iswv.�roaTMnnn�touv�rw^.Twn�s vaov:sari, ISSUANCL 'y'� 1 0 � SMIP _,L'� ' +�'' p DATC.���� APPLICANi. -����/ J -" �,,. ENERGY P�'C WAyJ:4CiALU�ETOSCN�CWON(4R+' JV�FA'SATqN I 1iL'NU'MUL.AlDSXALLEe � SUBJECTMIEYPLOYFRTOLRwNALiCNtiilESA.�:ICIV:If CSUPTOOI.ENUNDRE�T/1d1SAN� ENCRGYPCRMIT DOLtAf75(i 1 oc,00r.l.IN/�C�ITION TO 7HC COSY OF COwP[NSATpN,OAUA�,',S�S PNOV�C�FOR W �{}P—��� ¢ SECT�OH71:eOFTMEUBOf1CO0E,WTGR[SLANDATTOntiEM5�EE5. RC-TENTIONFEE: �IV L pW„ CONSTRUCTION LCNDING AGENGY PRE•ALT FCE: 0. IYICRCBY�CiIf7M UNCEA iFNALTYO!P[0.1U�Y THAi TMC�C IS A CONiTRIH:TION lEN7WG/1,^,CNCY FOfI THC CERCORYA4GE OF T11E WOtIK FOA WNRS I TM:S PCHMIT I515`+UE�(SCG.70Y1.C�V.C� � W � LEHO[WS NA1AE � LENOERSA�OHE55 Q ICENTIFITMATIIMVERWTX:S�PFLIUTqN11hOSTA:ETM11TiMCAROYEHfW1YATqN15�0f111[CT. TOTAL FEES '\. + d IAGRCETOCd,PLY1NMALlC:TVM�CaV�TYON'iN�{N:CSM'JSIA7CUMNCLA7NCT08ULCING Cp:ST WCT10N,Iv.9 MEREBY AUTMOR:ZE pE7RE5CNTAThSS O�7Ni5 CIXINTY TO FNTE�i UPON TME ABOVC� NiqNE7VIlOPER7YfOA1N5PCGTqNVVf11'OSCS. � COMM'cNTS � Ql1l1.�-�.� �/�l1 1-�)'1 �l� � au: �vw� y � � ������ i � ifi �`UNEOF/ERw � DA•E � RECPL NO. 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