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-- - --- ------ -- - - - ..__J__.. . . --- -- --------------�---.. _ . . - -. . _ _. • , CITY OF DiAMOND BAR . COMMUNITY DEVELOPMENT DEPARTMENT ` �.� . z��o�.copi�Yn��osu�c�i90 . . . PRESS (909)860�3195 Fux(909)861-31 l7 . i �'�'� BUILDiNGPERMITAPP[.ICATION FIRMLY N ,IOBSITE f1 �� • v�� APPUCATION PERMIT / P/C o ADDRESS ' U DATE NUMBER r Q� M � ISSUE OCC APN ' LOT TRACT UATE C .P GROUP p OWNER WADDRF�SS V ZONING RO TCKS n C T n 3 �800_.o � Z CITY�L� ZIP TEL. • IS , g APPLICANT TEL. S� - I R�R � SIDE/SIDE STREET RW ❑ � CONTRACTOR '� SIDE ❑ � ADDRESS � � � r' � CITY S h 1 �YtaC ZIP�� TEL 1(n• �� ►) PROPOSEDUSE ���� � ( o ARCFVENG/ ' U-Pf1X' � CDYYI�. � DESIGNER NO.DWEL � NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL ' � DESCRIPTION Sa.FT. FACTOfi PSF ADJ.AREANALUATION � � ONMER•BCILDER DECLAFiATtON SFRlADD/REM O ' p 1 HEREBY AFFIRM UlDER VFWLLTY OF 7ERA10.V THl1T 1 AY EXEMDT iROY TNE CONiiUCT00.S L4 GeroQNCefpOK . - W CEHSEUWFORTNEFOLLO'MNCiREASON(SfC.70.71.68U5wf5S/N07ROGESSIONSCODE:ANYCRVOR (n U WUMTYK711GiRE0UIRESAGERMITTOCONSTHUCLALTER�P�E,DE40L15H2ORREPAIR/NYSTRUC• W Patio/Deek . � TURE.PR�OH TO RS 155UANCE,AL50 iIEW�RC3 h1E APVLICJINT fOR SVCH PEAMIT TO FILE A SIGNED W STATEMENT 7MAT NE OR SME B I�CENSEU PURSUM1f TO TNE PHOVIS10N5 OF T17E CONiMCTOH9 LF � CENSELAW(LMA7TER9(COMYENLWQM77MSECTION7000)DFDIVISqN]OFiXEBU5M1ES5ANOPRO� LL' P��SW f E55�ONS COOE�OR TUT NE OR SHE t5 E%E1APT TMEREf ROY AND TME BA515 FOiI TME 11LlEDED EXEMV- � �y�� TION.ANYViOI+UIONOFSECilON7o�1.6BYANYAVPLIGHiFd1AVERMiT5U6tECT5T/1EMPLIGNTTO Z p�Roo1 � �V�/V, .� � A CML PENALTV OF NOT IAORE TNAN FNE NUNORED DOLURS If400).1: , � O�ASOWNEROFiHEPROCERTY.ORIAYEMPLOYEESNn7MWADE5A37HEIRSOLEC04VEN5AT10N, � CpmfflBfLi81 Z WILL DO iHE M/OFiK,IND iME STRUC7URE IS NOT WTENDED OR OFFERED iOR SALE(5EC.7oN.BU54 J NESS AND VROFESSIONS OOOE:THE CONTMCTOFS UGENSE LAW DOES NOT�OPLY TO AH OWNER OF � � PROPEHTYIMHOBULDSORI4PROVES7HEREON.INONMODDESSUCIIMIORKHIMSELFORHERSELfOR m - � TNHOUGIINISORHEPOWNEYPLDYEES.Vi10VIDEDT11AT5UCH111PROVE4ENTSMENOTMENDEDOR , �1 OFFERED FOp3ALE IF,/IOM/EVER TME BULDNOOR IAAV(10VEYENT IS SOID WRHN ONE YEAR OFCOMRE• � �-� TIOH.THE OWNER��BUILDER VnLL MAVE TME BURDEN OF PROVYJ�TUT HE d1 6ME 00 NOT BUttD OR Z YPiqVE FORTHE GURPOSE OF SALE� = OtA50wNEROFTHEVROPERT'I,AMIXCLUSNELYCONTMCTNOWRHIILENSEDCONTMCTORS � TO CONSTRUGT ME PRQIEGT(SEG 7oN.BUSINESS IWD PROFESSiONS CODE:THE COHTMLTORS LI• V8�U8tIIX1 A . L�i CENSEUWDOESNOTAPGLYTOANON!IEROFAPROPERTIWMOBVILDSOflMPipvEST11EREON.A/O � YWIOCONTRACTSFORSUGICRQIECTSINTHACONTMCiOR(5)LICENSEDPURSUMITTOiHECONTR�G pUMlTITY OESCR�PTION FEE Toas uceNsc uw�. � O IAM E7(EMPT UNDER SEC. B,f V.0 FOR THIS RE�SdJ U � � � � � u" DATE 01NNFN �"� Z W � UCENSED CONTHACTORS DECLARATION W � IHEREBYAFFIRMUND[RPENALTYOFPERIURYTW�TIAMLICENSEDUND[RPiqVISIOHSOFCMAPTFR � �r � p. /(COMMENCWOWrtH5ECT10N7000)OFOMSION70FTNEBUSINESSMlDVROFESSqNSCOOE.AND Z MY IICENSE i5 W FUIL fOiiCE M10 EFFECT. m � � ���5E�u55 ���.�. Lo^anlac-�3 � � V DATE � CONTMCTOR�) �YY�. � � W • � WORKERS'COMPENSATIONOECLARATION� 1"j��1� Q � � U N IHEREBVAFFIHUUNOERPENALTYOFPEiWRYONEOFTHEfOLLOWwODECURATdNS: � � Z Q 0 _IHAYE/JJDYVILLMAINTAMACERTIfICl1TEOFCONSEMTOSELFdNSUREFORNG1iKER5' _ � GOYPENSAT�ON.ASVRONDEDBYSEC710H77000FTNELABORCOOE,FOiIiHEPERfOfWM10E w OF THE M/ORK FOR NM1IICN TM�S OEIUIIT IS ISSUED. � k"� �I IUVE/VJD WILLMAMTNN M/OHKERS'COMPENS�TION INSURNKE,Il4 REOUIRED BY SECTION /j '/ Q ]7000FTHEUBOROODEFORTNEPER�OMIIWCEOFTHEWONKFORWMCHTHISPERMRIS D(��. � ISSUEO.MVWORKEHS' oEN5AT10NtN5UiLWCEGRiUERANOVOl1CYNUMBERARE� CONSTRUCTION � ] GRiLER � PLAN REVIEW Z voucrr+uueEn — ELECTRIC 4 0 �nasSEcnor+�rrneEmr.�tFr¢oaFn�reaNrsraaa+E��n�EDoauFtslf� )oatFssl PLUMBING w MECHANICAI Z ICERTIiYTMATINTHEPERFORAIANCEOi7HEWONIFM7WHiCHiMSPEiWITi5155UED,l (,�} 5MA{.�NOiEMPLOYANYPER50NWM/VMi1NNER50A5TO8ECddESUBJEC7TOTHE . � N9R1(ERS'COMPENSATIDNUWSOFCALIFORNU,ANUAGREETlUTIFISHOVIDBECOME INSPECTIdVFEE S SUB1ECTiO7NEWOqKERS'COAIOENSATIONPRDVISIONSOFSECiqN]7000FiHEUBOH _ 000e,i sw�u�a�rM+nrN ca+vir rnn�nasE vaovisior+s. 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PAID BY VALIDATION WHITE—Wp�nmant Copy,YELLOw—Finanw Copy,PINK—Aasesta Copy.GOLDENROD—Fi�s Capy.GREEN—Appl t's Capy . �t'V '`" �'i=.�;' , � ,.:�1.;:. � "��•':�.Y�P.. .:, ,•.foc.. ... ',y'� .w,�.^��i, �� .. .�.•'r�:�"y:,•."�....., , ,.. :ii.'^ .. .. * _ ,1'.,..r.....t.'� . ".. . . ...• � . .�;�! � •I •'y � . �• � � . � ,. CITY, OF D,AMO�Ed:[3AR '. �`� �r-��:� , - . ' ,�z: � , . :; .. . , .., .. :. ,,,;;,:�_, . . �=• .:�. . � ifr!SPECTi {OP� RECORD �'' , ,,� �' ''.. `, ti�c��t��,�.;. i�r .•r,��.....����„�. . i�i,r. '�� : '1�.�-���,�;:r1���!!,. ���1�r�= :.I►��;��c��,i�e����� " ::. i_�►`r��1�13,f:'r��,��.!'_�_. 4�6t'���' �,I!�`�-�,��'a`:•:�1;��. ____ _,.�- ---,••-W —_ _� ._ : �.._ � �� .- -� �-, . . _ —:__ SET BACK�;�._ .._.,... .�. _ _.-...__. ... ._.. �FLOOR�JOIST...--- ------- ---- --------- --------.-.�_.�` �:�- � � .• �':f�-��-�.; _ � ,_,� -___..--- -• .. , . Fi'GS/FORMSiSTEE--- - - ----- -- ---- ... . ... _. 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