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CITY OF DIAMOND BAR PRESS 11w DEPARTMENT OF BUILDING AND SAFETY BUILDING PERMIT F!R_MI X J08SITE ADDRESS J i E 1,a DATE APPLICATION NUMBER CODPERMIT — ISSUE/ TYPE OCC. APN LOT TRACT DATE 1 CONST. GROUP CROSS STREETS OWNER ADDRESS 2/Od SILVE,P G'"'/fic.? KS kcNn ZONING FRONT RW REAR CITY Z7i091124b .5;AO)g/71- STEL. SIDE/SIDE STREET RW— W SIDE APPLICANT TEL. APPLICANT CONTRACTOR ADDRESS ^ CITY I y ' ZIP TES STATE 7 LIC. NUMBER ,%lc / EWAGE DISPOSAL © PUBLIC PMT # 13 PRIVATE FT / 100 GAL GRADING CU. YDS. EXC. CU YDS FILL N W TYPE SQ Iff FAC7DR PSF p. ADJ. ARF&,VALUATION I ARCH/ENG/ DESIGNER ADDRESS LL 2 CITY ZIP TEL. D 3 PROPOSED USE 59MI '- GGG Z 4 GARAGE NO. DWEL. NO.NO. UNITS STORIES t BEDROOMS LOT DIMENSIONS D PORCH VALUATION ADN. AREA OUANTITY DESCRIPTION FEENO. OF BLDGS / HOW ON LOT 1 USED D CONTRACTORS DECLARATION 1 hemby Athan that 1 ere funded aide, prowrons of Claim 9lmeemweli wdh SKnn MOD) of passim 3 el the Buadess and Protestant Cada. as His le:lnw a a halt lieu end ettecL Ltjtu12 f Elie OWNER BUILDER DECLARATION I hereby eFtira amt 1 sun wipe fn+m da CoMrKwr'A Lama Lew for M Idbwmp mean ISK 70315. Business an Problems Code Any pry a county which response a past wmtortstruct, the, Matra, Ymdth. a mi any attached. Arra ata a4anee. deed regutses din Applicant W such penton to Ade a signed aratentmt ht he a kmwd pusml to de prowsma d pm CenvKher's Liens Law ICh'OK 9 lcomeercmg with Satan 70001 of Mi amt 3 of the Bureau sed Protestations Code) ar teat to e eesrep darehott and the basis bden all"ad esamptan Any aadatmn d Section 70315 by are applaam esu a papa au6pca to apdcanl to a ewe panoty d rot mane than him hundred YWs 155013)1 I as ower a1 IM property, a era aeplgaee with wraps as for ante eotspeniatmer wA Y h wed. lad the structure n dee intended or offered for we ISN 7044 Buamess end Protestants Cade. TM Cmrawr'a Llianas sLawdorot apply w m wwar d severelyerely wwide a www" version. are who dos inch wank hens" a shrouph kir awn makwdds. prawd d Nat ash antrayaments m feel intended a dead to tea It. hom ode. ft -N le, wed hew h burden d omoqIlebddrnga .mpowene,ts a wed wtha ode Inner of ufepwtem. h w that he and nen build or mpraw for Iden wpm of she.) 0 as owner of Ne Property. am eKWnwly coma" wish kcmw cwtracwrs a tawral the WWI ISK 7014 Business and Reformats Code 710 Contractor l Lieoed Lew Om aW appy a an awry Of prepertY Win peas or itnadws Interior. and who Contracts la sten prgects and, a contracarltl licensed pasteanl in h Cenlrecwf s Lcem Law 1 P VIEW1amemmqandsSK8. 6 P.C. lAlcoch Cerlikow). Date DOW ELECThAURIC NG MECHANICAL0 j WORKERS' COAPENSAT@1 DECLARAIM I hmW affirm to I tend a WWCW of emaent to 00 -mom, W a makire of wakai Crnpanasdasr Insurance, or a twdfied copy Med (SK 7800. Lab CI Droned mpv or hriby Iunahed 16rbMd copyr; filed anth w Wilding IeepeLroar Dltprwwt a Ilgoarm Q CERTIFICATE OF EKEWTUN FROM WORKERS' CORPENSATION &WRA1[i This exam dead feel be kor"wia d she pant is An anhundred ISIDD) a was. 1 aanlY Ow de to parfrmands d h work M which pis Paul a l cooarIdsuel. I $hat wai pawn re ON madat a. as In nbecoMAW w den wmYrs' Compensation Lewd of Cadana Applicant WLSCHOOL SSUANs—S, . SMIP PARKPARK FEE FEES 1 p!% 7r. Vydy ronCE TO APRCANT ", den making this Crhlaa'i of yen sham eewme agKt w dr Wwar•e Cmwsatwn pm -1d the Law, Cade. y wast farthweA dangly wed Well pretderrm r aka panty lhd he domed maked ONLSIOIY OF NOUSTRIILL SAFETY PERMIT LERTiCATB)1: 1 nrlby MON shat no .ratan. Ito (5) a wan we as YON mw 1.0 a paean a ail Md IS dearod. wd M cede n tatnectdet wed cork asdtaved M qts penin. ash dant Wde fealdng tanctan, tdlawkg. fWewva, dmaaan a draenantrg shrenl, aeA men deanan testy -ane IN, fast high. IL w. 7.2. Grp 2. An 2. Set l. True 8. CA C) i O As aura •hu Nat, I wA no airplay anode to do weak which anuria team a ppaen ham h Ovism at 4. i 1 •, r J ,t Industrial Selety, as noted lbw. ones such ptasn has a partner • Y rush cork hw M tkYd,naR Drwuw of ltdustrW Solely Prnee Ne. TOTAL FEES — / y- Cl2YSIpI7mm admix wpcy I Z;;rrr W on Akre w a codearamwonon spi ery r the.Mew d the wait kr which Was Iron a mud ft. 3081. Cw. Q. Lands Name Linda's Aft— COMMENTS CERFIFCATE OF OWPLWEE MIO AYTNOREUTEOI W INERT: I crab I Econ cod art Misstated ad mat hal she mlenfeaW /win MW. I pas w wply was i me, cows and Pty arideacw aYsp M wiYg co WUCtan. Nd a mp "MWA d as resent d Luing and Wery w peOWqtykpary a which I apded far W parents hr a papal It Wlktsa WADW lL RE NO. FPM BY 1tl1LIDATION X pNta Apaflten AP r v Jr --fl"" kw ` WHITE—Dbpar66em Copy, YELLOW—Finan Copy, PINIhAamsear Copy, GOLDENROD—Fit Capt', GREEN— AppYCapkts Copy r / 881116-T t 189 •J SFP7ICTANKSVF___-___'_' SEEPP|T8)SI7F___...... ... ...... ........ ------- PR.".-GRAr 114G HN- RQUG'-11 GRADING POOL ELEC R l IC F001, FFNIGING FINAL ENG. FIRE DEPT, FINAL GIOUNT NTS r--'--'------ -----'---------------------- L,______________ '__^.~.....-_____-__-_-_-_____ SFP7ICTANKSVF___-___'_' SEEPP|T8)SI7F___...... ... ...... ........ -------