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HomeMy WebLinkAbout13568 (17) .. �. __ :` _— . CITY OF DIAMOND BAR ' �^ �� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ` 21660 E.Copley Drive Suite 190 (909)860-3195 Fax(909)B61-3117 PR ESS �����^�� BW.DING PERMIT APPLICATION FIRMLY o� JOBSITE i[,�,�, APPLICATION — �J--q�NUMB R ��� ����` � ADDRESS 1-'7`� Z`���� G�7E � L._ OATE � �q� ISSUE TYPE OCC APN LOT_I4�1� TRACT +'Zt�r__� OATE CONST. GROUP � OWNER "" ADDRESS CnG? COL.�.II�IG L��CXJ� �:I�L • ZONING SETBACKS �� CITY ZIP TEL REAR pw ❑ APPUCANT ' ��Z"� TEL7_t34��%-H SIDEISIDESTREET RW ❑ � CONTAACTOR S1l��C3'F11- L'l�.�STQ.I�G�(UN SIDE p q� ADDRESS PROPOSED USE ' Z v � CITY ZIP TEL � ARCHlENG/ t t DESIGNER_��L��CV — NO.DWEL � NO. NO. ADDRESS ` � - � UNITS 1� STORIES � BEOROOMS� � CITY I.�c ZIP.GPc _ TEL�� �%�'IlZ N DESCRIPTION SO.FT. FACTOFi PSF ADJ,AREANALUATION � OWNER-BUILDER DECLARATION SFRlADD/REM p I HEPEBY AFFlRY UNDER PEIULT'OF VERAINY THAT 1 MI E7(E/APT FROM TIE CONiMCTOflS LF Gara9e/Carport lL CFNSEUWPDRT11EiIX10`MhqflEA50N(SEC.7�7.68VSINESSANDVROFESS�ONSCODE:AM'CRYOR (n y OOUNTY'MIIWPEdME6AGERA1RlOCON6TRUCT.AITERIMP{tOVE.DEIAOLISH.ORFEPAIRM1VSlAUG W patlWDack � TURE.Pi110R TO ITS�SUANCE,AL"+O REOUIRES TNE APPLICAN7 FOR SUCH VEN.1It TO FILE�SIONED w STAiEMENT THAT ME Oii SNE IS UCENSEU VURSUAHT TO TME DROVISIONS OF TNE CONiMCTOfi3ll- � CENSE UW(niMTFH Y fGOMYENCPIO N'17H SEGTIOH T000)OF DMSION J OF TNE BUSINESS M7D PHO• u' PoollSpa iE5510NSCODE)ONTNATHEORSMEI9IXEMPTTMEREFROMANDiMEB�515iORiHEALLECEDEXEMP- C7 , TION,AN'/VKKATIONOfSECTION7�1.68YANVAPPLIGNTFORAPERMiTSUBJECTSTNEAP7L�CANTTO Z Re-Rool � ACMLPEHALTYOFNOTAqRETMMIFNEMUNDPED0ol1AF5psm1Y � ❑�ASONMEROFTNEiROPER7Y.ORMVEM7lAVEESWIiMWA0E5A5ME�R50lECOMPENSATqN, ❑ Commercial � W1LL00 iHE WORK�ND iHE 57iitMTURE IS AOT IHTENDED OR OFFERED FOR SALE(SEG 7W�.BU51• J NESg AND Df10FE55�CN5 COOE THE CONTRACiORSIICENSE UW OOES NOTAvp�V TO AN OVMER OF � OROPERTYN'HOBU4DSORMPROVESiNEREOV,�NDWHODOEgSIX:HWORKHIUSELFORNERSELFOq m (� r/V10U0HMISORHEN01'MEYPLOYEES,Gf10Y�DmiHJ1T6U�11MPROYEMEMSMENOTINTENDE00R , W� OfFEREDiOHSALEIF.IqYfEVER7MEBUlD�N(iORIMPROVEMENTI550lDWfTMNONEYEAROFCOMRE� � �T10N,THE OWNER�BUItDER WILL/NVE THE BURDEN OF PROVINO Tui HE OA SHE DID/qT BUIID Oq NIGROVE FOfiME PURPOSEOF SALE� �y O�/L40NTIEHOFTMEVtqVEqT1;/WE%CtUSNELVCONiMCTNCi'MTHLI:ENSEDCONTRACTON , � 70 LONSTRUCT TME PHOJECT ISEG 7W1.BUSINE35 ANO iROFESSION9 COCE:ME CONTMCTOHS U� VaI118Y10 � AOJ.AfiEA � CENSELAWDOESNOTMPLYTOMIONTIEROFAPAOPERTYNMO&16DSOHWP(qVESTMEHECN,M10 WFpCOMMCfSFORSVCHOqp.JECTSWRHACOHTMROR(S�LICENSEDPU0.5UIMTOTNECONiMG pUANTI �ESCRIPTION FEE � lORSIJCENSE UW.} , , . .. ^ . 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