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, " CITY OF DIAMOND BAR � �� �-•� ' DEPARTMENT OF BUItDING AND SAFETY �jRM Y BUILDING PERMIT ADDRESS �-a g 3� � DATE GAl10N NUMB R CODE ISSUE � TYPE ` APN LOT CT DATE �~ CONST. GROUP o CROSS ST ET 20NINQ SETBACKS `rno+�"E'r'S = OWNER FRONT RW ❑ o ADDRESS � � • REAR ❑ W CITY ��iq-�.o�.� (��.ZIP�,STEL.(7.j„�4L SIDE/SIDE STREET RW D o APPLICANT TEI. .51DE�• ' `� � ❑ z � CONTRACTOR — SEWAGE o ADDRESS DISPOSAL ❑ �B� �� .� CITY ZI T . - O PRIVATE SQ.FT./100 GAL i STATE y LIC.NUMBER GRADING ❑ CU.YDS.EXC. CU YDS FILL y ARCH/ENG/ � TYPE SQ FT FAC7DR PS ADJ. AREANA UATIDN `–' DESIGNER W � t-I O � o ADDRESS �, 2 l.{ �j� � . Y' y fj,0� � CITY ZIP TEL. �r 3 � PROPOSEO USE -h' Z 4 � � GARAGE z NO.DWEL. NO. NO. � pORCH _ UNITS STORIES BEDROOMS s LOT DIMENSIONS m VALUATION ADJ.AREA o NO.OF BLDGS HOW QuaNTtTv DESCR(PTION FEE W ON LOT USED Q l � _ � � C1� 1 O ~ UCENSED CONIRACTORS OEClAR0.TbN I OerebY lffirm tl�et I im dcented unde�Drovmons ol ChaDm�9lwmmeixmp •� � Y wnh�Seceon}0001 0l dmsnn 3 of tAe&uinesa and Prcleseions fode.nd my licenu ia m lull}au a�d Hlect. C � ❑ W �+- OVJNEN BUILDER�CLANATqN I herehy allirm that I am e�emp�fiom�Ae Contncmr'�Lcenu l+w lor Me lollowmq ` �y� Z nasan�Sec 7031.5.Busness oM P�afess�ons Cade Any nry or county whsh rpwres�prmn m cmmwt, (} I � �J O alte� imprave.Oemohsh,m npart airy rtrunure,p�o�to ns�swance.Nw rpuxea t�eµpNc�nt 1oi wc�permn x � to hk a ggned sbcement Ihai he u IKensed ourw�m m tAe pw�:ians of Me CmaKmr"s lKeme L�w ICh�pter (p � , s�� � 9 Icanmencmg with$xuon 70110101 Uvrsion 3 d IAe 8usiness md Prohsmm Codel a NHt Ae�f�M�mpt thmlram g p� md Me b�srs lo�Ihr Weqed ewemptan AM vwl�Lan ol SecWn 70315 by rx/�pphum fa�permn wh�eau � 1 '� �lie aOD��t�m m o cnil penaity ol rot more tl�in Irve hundred EoO�rs(5500�� 4 W �� ❑I,as ownei ol the property,or my emDlayees wiM w�or�a ma�sae comn�sanm.wdi ao IM wa�Y.nd � the stmctwe n not mtmded a�afhrad lor�a4(Sea 10d4.Businoe and Pmfessnnt Cade TM CmtncM�'e 4unse { � Law does�oi.o��ro an owner o�v��x«r wha 6uild�or�mqovee Ihveon.��d who Qoes sueh work hmselt, (� W or rhrouge Me axn employees,po�WM�Aa�euc�mprwemems ue na mtnCeU a nflereC ta�sole II,�pxever, � = the 6udding a improvemem is wld withm pne year o�complehon.the owmr�WAAe�wiN hare tAe 6urden ol ywnp _ y tna�he did nm 6udd a�mprove for the purpose W sak.l �. ' y as ownei a1 tke praperty.om ewtlwnely contruuny wnh liems�d eontnctrct m eaneuun iM PrqM�Sec-. w , . Sec Q �.Busnes�and Prolessam Code Tlx Comncmi'�ircenu Lwv das not�pp1y ro an ownei o�o�ow�h�a ',� z hudae o�improves�hereon,m0 w�a conenu�la such pro�ecn wim�eom�anoqq icrosed pursu�m tp Ine tmtratal 4 LaenseLaw� . . ', � . � , , , • • TRUCTION ' � � e ` i am e.em une 5 b P.0 nxe CeratKa PLAN REVIEW" o ' ow�� - -�j(o , � � NOflKEflS'COMPENSATpN DECLAflAT10N I Mrc6y�th�m thai I Ame a aniM1uu af tana�m�o�tl�-Msure.u r- r D�y a ceruhcate ot Nbrtni Lompensaum Inswarce,a a ca�die0 capy�AxeM ISec 7800.L�0 C.I - ��� L—' 0 _ ❑Lendiaa wPY�s�erehy furmstie0 �� � � i e ❑LtroleA capy rs hled wnM1 tlie Bwldiny Incpecvon Oepartmem a DepartmeN Q GRADING W n = CERTIFIC0.TE OF EIIEMP710AI FROM WORKEflS'CqNPENSA710W WSURANCE �hu secnon Med w1 De wmpined UAN L /T �= d the ermn rs Mr on hundred 151001 a 4ss I cerll that m Me � y D �y puta�mnee ef th work fa wluih thia ^ , permrt is�asued,I shall not emplor any permn m any menner so as lo becpne wb�al lo IAe Nbrkers'Gdnpensttion S'M� 2 , �Jl�O � taws of C+liiorma �•.; � 6�� � �� '��:� �x� �! PARK FEE p Dite L•-..::r !�,'.q���� W � woT�eE ro arr��e.�,rrr u,.n«m �� s Ceiu Kne d Emnpuon,yau shoWE Oecan wb�eci to 11r Nbrlu�'� �- SCHOOI FEES � Cdnpenwtron prmns�ons al the laho�Code,you n�un IaMwrtM1 co�ly with sueh pwawns a tAn permn�hdl V' 6!A!!m!d�WOkBd J S ¢ pVISIpY DF INDUSiRIAL SAf(Y�I�IgMIT�ITIIEp p W ���� �J �4y � ❑I here6y roridy ihat no�laMoT'Irve 1�1 a mure lat m depth mm whrh�pmm u m�w�ed m�pcentl. � wi1 be maGe n conMnpn wnh work mlhavN 6y thu pirm4 md tl��t ro ptildmp svucture.aailaWmp.Nuwart. d demaldion m d�smamLnp ihe�ml.wdl Ee morp @�nrlqn!►�E��I�§:1,��14tihiph.(dxp 17.Gry�.prt 2.Su Z 341.TMeB.CA.C1 �—'V �.itt'.i..'✓: ���' c_•-... = G�, ;. ;. :, ��) <;r ,=i'Y 3 ❑As owner�6uAder.I�+p��f`eipiplqK•iRytln�te��Ywrt wMc�woutl npmn�prmt hom IM Divum d � Indusvul Sahry,is noUd�6edr,unGs�iuih qnon h�s a pemxt m da such wark han IAe liviswn W� •l3/ ❑Gvisim ol Industrul Sahty h�mn No TOTAL FEES d � CONSiRI&TqN IENdAG AGENCY 1 krehy dhrw tlut hre u s mnatrucuon Nndinp percM fw tlr Perlarm�nn a ol 7Ae work 1a whKA hn penrxt u issued ISa�.1087,Civ C). q lender's Name �MMENTS ' m Lubei's Md�ess ^ t CFflTIFICA7E�COMPLIAACf AND URIOItlIAT/N OF ENTAY i vNy 1 luw nd Ihs appic�tim nd�bh � 1 �'T"���a � ma��he mlorme�ro.�wn b cmM I q�e to wmply wM�tl�nu Wr�m1 eiry adinanas�liq m 6uildinp V �./ y crostru[tan.md wtlpr�ee�ropnaent�tive d t6e O�pirbnn�M Buldnp rN$alety b�nMr y�n 1ie puprry _ � x 1or wh¢�ed tx 1�a permn M Ile pupme M�mtinp qtpsmm. 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