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HomeMy WebLinkAbout18267 (11) ��.�:�"'-`._�_.�....1 �� CITY OF DIAMOND BAR / DEPARTN�NT OF COMMiJNI'I'Y&DEVELOPMENT SERVICES ����-- �� 21825 E.Copley Drive (909)860.3195 Fax(909)861-3117 ' PRESS �"-���� BUILDING PERM[T APPLICATION FI MLY � JOBSITE _. APPUCATION ' � PERM(T p/C o ADDRESS ♦ DATE NUMBER ii � ISSUE /n TYPE OCC APN LOT TRACT DATE �� CONST. GROUP p OWNER o ADDRESS ZONING SETBACKS gCITY � TEL� FRONT RW ❑ APPLICA T TELI REAR ❑ � SIDE/SIDE STREET RW ❑ � CONTFiACTOR SIDE p ADDRESS °C PROPOSED USE � CITY �s T6L w ARCH/E ( •�v p Z W DESIGNER_ ��.-�� ` NO.DWEL. NO. NO. a ADDRESS � CITY ZIP TEL. UNITS STORIES • BEDROOMS � N OESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFRlADD/REM O p I HEREBY PFFIRM UNDER PENALTY OF FE0.IURY TW1T I AM f%EMPT FROM THE CONTMCTONS LL Gara B/C0 W CENSELAWFORTHEFDLLOWINOREASON(SEG7a]1.68USINESSANDVROFESSIONSCOOE:ANVCITYOq (n 9 �n U COUNTyWHICHpEOUIRESAVERMRTOCONSTRUC7,ALTER,IMPROVE,OEMOUSH,ORREPAIRANYSiRUC• W patio/pack � NRE,VFqR TO RS ISSUANCE.AL50 REGUIRES THE MPUCAHT FOR SUCH PE1iMlT TO FlLE A SIONED W � STATEMENT THAi HE OR SHE IS LICENSED PURSUANT TO THE PROVi510N3 OF TNE CONTMCTOR3 ll• � � CENSE UW(CHAPTER 9(COMMENdN6 WITH SECTION 7W0)OF DMSqN]OF T/IE BUSINE55 AND PRO- POOVSP3 � FESSIONSCOOE�ORTMA7HEORSHEISE%EMPTTMEREFROMANUTME0ASi5FOq7HEALLECEDE%EMP• (� TqN.ANYVIOLATIONOFSECTI0N7071.6BY/WYAPPLIGNTFORAPERMITSUBJECT57HEAPPLICAN7N Z Re-Roof A CML PENALTY OF NOT MORE THAN iNE HUNDRED DOLLARS(f 500).�� Q ❑�ASOWNEROFTNEPFOPERTY,ORMVEMPLDYEESWITNWIlUESASTHEiRSOIECOIAPENSATqN, O Cpmmerc' z V/ILL DO TNE WOi1K,Ml�iHE STRUCTUHE IS NOT INTFNDED OR OFFEREO FOR SALE�SEG.70a�,BU51- J � N NE55 AND PROFESSIONS COOE 1NE CONTRACTORS LICENSE lAW DOES NOT APPLY TO AN OWNER OF ? 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B.i P.G fOR THIS REASON J V � � l LL' DATE OVINER Z s F LICENSEO CONTRACTORS DECLARATION � IMEREBYIIFFIRMUNDERPENAITYOfPER1UqYTHATIAMLICENSEDUNDEflPROVISIONSOFCHAPTER V. p„ f�C0A1MENCWOWI7HSECT10N7000)OFDIVISION]OFTHEBUSINESSANDGROFESSpNSCODE.ANO z — O �IYLICENSEISNFULLFO�i�EANDEFFECT. IQ�� ? UCENSE CUSS / LIC.NO. 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RETENTIONFEE: oCONSTRUCTION LENDING AGENCY PRE•ALT FEE: � � IHEREBYAFFIRMUNDERPENALTYOFPERIUHYTHATTNEREISIICONSTRUCTIONIfNDIN6A0ENCY Z FORTME PERFORMANCE OFTME WOPo(FOR WHIpITH15 PERMIT IS ISSUED(SEC.9o97,CIV.G�. U] � IEN�ER'S NAAIE � LEN�EFTSADORE55 ¢ TOTAL FEES W 1 CERTIFY THAT I H4YE READ THIS APPLIGTION � TATE TUT iHE ABOVE q1FORMATION IS COqRECT. � IAGREET000IAPLYWITH,LLIGTYANO OR INCESANDSTATEIAWSREUiWQTOBUILDINC �' I � � � CONSTRUCTION.AND HEREBV E R RESEN TNES OFTMIS COUNiV TO EMER UPON THE Z ABOVE-MENTIONEOPFOPEF FORIN EC VUR ses. COMMENTS � J � QPER E ME(P ) � / fn ( � y ��NATU � RMI DATE — RECPT.NO. PAID 8V VALIOATION WHITE—Department Co y,YELLOW—Finance Copy,PINK—Assessor Capy,GOLDENROD—File Copy,GREEN—AppicanPa Copy .: ___,.,.,. . :.-. .,�...... . - -__.,.---,-, . ,.�< 17:�+�'�, a.��.sa.;a , , .� . ----�-.;.-,--�....,:..-.. .o,. ..,. .....H.,.� �,.�,--�. ;.a-��..s.,-. _. . . "":{." . 'r�f'. �ITY �F DIA�,PIQND B�R C�.. 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SEEP PIT/L.L. ' � I ON SITE IP,APS. � GAS AIR TEST I I ' FINAL ZQNING FINAL CONST. � � • � � F!RE DEPT. FINAi. FINAL HEATING ; ' HEALTH DEPT. FIfJAL � FINAL ELEC7RIC i ' � DEV. FEES PAID FINAL PLUMBING� ! ENERGY � I _ .. i . � � I � .,�� ti .(nl�e�' -*-*�-�-^-� i - � , � :'� ��..��s�_,�_._..._: ._._1 COPJIMENTS SEPTIC TANK SIZE SEEP PIT/U SIZE �)�� �11�.� �!.�I . I � �� . i \ . tiv.�.�.. _�... ....�.��_.........��J�