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� �� CITY OF DIAMOTVD BAR �� DEPARTMBNT OF COMMUNITY&DEVELOPMENT SERVICES _ � . 21660 E.Copiey Drive Suite 190 ���sdo-3i9sF��9ov>s61-sii� PRESS �_.��. BUILDI1�iG PERMIT APPLICATION _ FIFEMLY AK^ � JOB5ITE ��;C"'�����g/p,� � r�L/P APPLICATION PERMIT P/C o ADDRESS �iA�� 4(t,.�' �obdV l.J DATE NUMBER ��_.���# c� ISSUE j� �r"� TYPE OCC Y APN LOl'� ' TRACT � � DATE - 1� /�J CONST GROUP p OWNER II 1�� '� ° _ "' ADD SS , e�r L...� ZONING SETBACKS �, 6CITY� . � ZIP EL. a FRONT RW ❑ APPUCANT . � , � TEL. REAR ❑ �� SIDE/SIQE STREET RW q � CONTRACTOR � '(.,,, _ SIDE ❑ � ADDR S I � CITY 8}• 21P -TEL. �' ;PROPOSED USE o ARCH/ENG/ �R-��' �z OESIGNER NO.DWEL. NO. a ADDRESS NO. � CITY ZIP TEL. � OOMS I.1N ITS STC�RI ES 8E DR � DESCRIPTION SQ.FT. 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Z' W ,�.. , �.. . . � � ORS DECLARATION W � i �� �. LICEN E�CONTRAC7 ' �� IHEHEBVAFFIRAIUNDEflPENAL �OFP9iJURYTHATIAMLICENSEDUNDERPROYI510NSOPCHAPTER � ' � �.9�COMMENCINtl.WITHSECTION 'OFD�VlSIIXJ�3;OFiH6BU51NE5SANDPROFESSIONSCODE,AN� Z �MY IICENSE IS pV FULL FORCE D E¢�CT. ' y_�. e m O t p.� � �. 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Z ICERTIFlTHATIN7F7EfEPFORFAANCEOFTNEPoORKFORWHICNTHISPERMIiISISSUED,1 MECHANICAL ' ~:�°"' (�' SFInLLNOPEMPLOYqMYPEflB(�NINANYMANNEFSOASTOBECOMESUBJECYTOTHE � � WbRkERS'COAAPENSA71 NL¢�MSqFCALIFORNIA,AN�AGR THATIFIS 11LOBE ME INSPEC710NFEE _ �"' - SU ECTTOTHEWO¢iIGE"COMP � ON ROVB - SE T OOpFjH R� � - ,13 �FOP7HW�T Cq 7 5 NS / /? ISSUANCE C'' .o , ����� �r' �` rr,�.l p �DATE: '� A PLiC ` �' �.. -. .. � SMIP �� rs.;r 'w�' . J � � ENERGYP/C ..;E� ���. . - ���",��- � J WARNING�FAIWqFTOSECUFj6 RKERS'COIti1PEN5 NCAVERAGEISUNIAWRIL,AN�SHALLBE 5+ � � � ",SUBJEC7ANEMPIOYERTO�C�tIMI HI';�pENAf,T�ESANpCIVIL�FINESUPTOONEHUNDREDTHOU5AN0 ENERGYPERMIT ��'r0�� � � .�"�"��. � "�Dq.LAR6(6fU0,00U�,IPJ A��IxI 0 YHE C(�570F COMPENSATION.OAMAGESAS PROVIDED FOR IN —�� �{g �,�1� J� ,�,SECilON37PeOFTHELABOq�,,�,IrTEREST,ANOATTORNEV'SFEES. ' RETENTION FEE: �:.��.`.�5"'�"` � ' o � Cp STFlUCTION LEN�ING AGENCY PRE-ALT FEE: � �,�,IHEFE9y/AFFIRM,UIJv�ERP�NA�L, OF(��R.�UPYTHATTHEREISACONSTRUCTIONLENDINaAOENCY � "FOFTHE PECiFORMANCE OFTME Ofl�C FQfS WHICH'HIS PERMIT IS ISSUE�(SEC.3a9'!,CIV.C.). , W �.���.LENDEfl'9 NAME�....._ . � ,�� • . H 'LENDER'SADDRES$ �� '� �.�y � � �',.ICEH7IFYTHATIHAUEREADTHISApjiUCATIpN'ANDSTATETHATTHEABOVEINFORMATIONISCORRECT. TOTAL FEES � J+p1f '. � ',IAGRE'cTOC[7MPLVWITHALI�C� �ANOCIX9NTyDFaINANCESAPIDSTATELAWSRELATINGTOBUILD�NG � , ' � - � . � ��!CONSTRUCTIONAN4�HEREBYAU O(�IZEREP�.ESENYATIVESOFTHISCOUNTVTOEN7ERUPONTHE .. . �ABOVE-MEN710NED pROPER7V F R I�SPcCT URPOSES. � i ; . � � COMMENTS ' . _ �� ��Y axPE ITTEE IM����` I I .. .: . . , . Cf) �i��, � . . . . I ��', i.r� ., q . Uj 'SIGNATUR , 6E �A E LIDA� �. . .. ... . �.. .. , . . HECPT.NO. 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