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HomeMy WebLinkAbout13722 (16) _`,� CITY OF DIAMOND BAR DEPARTMSNT OF COMMUNITY 8c DEVELOPMENT SERVICES w 21660 E.Copley Drive Suite 190 (909)86a3195 Fax(909)86�-3117 �RESS ''°�"�� BUII,DING PERMIT APPLICATION FIRMLY o DDRiESS �I 0 1^'G�t''�4-''t DY'/ J F, DATE CATION •'�� NUMBER � P` � ISSUE TYPE OCC APN L07 TRACT DATE CONST. GROUP p OWNER Y'� * U p ADDRESS--7'•�•1–� 0 q rhe.n ��r� � � ZONING SETBACKS � CITY�� l7k ZIP TEL. REART RW ❑❑ APPIICANT TEL. SIDE/SIDE STREET RW ❑ � CONTRACTOR �W1 S,�/S r^p u SIDE ❑ � A6DRES - '� .,.� � :.. , � � CITY Y" ZIP�p.j� TEL. ?��,,�.-�3r PROPaSED USE � ARCWENG! � DESIGNER N0.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CI7Y ZIP TEL. � � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANAIUATION pC OWNER-BUILDER DECLARATION SFR/ADD/REM � i NEREBY AFFIRM UNDER PENAL7V OF PERJtIPV THAT I AM EXEMPT FROM THE CbNTflACTOpS LI- Gdf29B/Cd�pOf{ W CENSELAWFOHTHEFOLLOWINGREASON(SEC.7031.58USINESSANDPROFESSIONSCODE:ANYCITYOR (f) �] COUNTYNMICHREWIRESAPEfUA1TTOCONS7Ft1CT,ALTER,IMPROVE,UEMOLISH,OPREPAIRANYSTRt1C- W PgtiO/DBCK Z TURE,iRlDR TO ITS 159UANCE,ALSO HE�UIflES 7HE APPUCANT FOR SUCFI PERMIT TO FILE A SIGNED. �L STATEMENT TNA7 HE OR SHE IS UCENSED PURSUMJT TO THE PROVISIDNS OF iHE CONTRACTOAS U- w �� CENSELAW(CMAPTEfie(COMMENCINOWITHSECilON7oo0)oF01VI510N30FiHE8USINESSANDPHO- u" Pool/Spa FE581ON8 CODE)ORTHAT ME OR SHE IS EXEMP7 TNEREFROM AND THE BIS�S FOR THE ALlEc3ED EXEMP- TION.MIYVIOL.ATIONOFSECTION7037.SBYANYAPPLICANTfORAPERMITSU&IECTSTNEAPPLICANT70 RB-ROOf � A CML RENALiY OF NOT MOflE�11AN FIVE HUNORED DOLURS(S50D).): � OI,ASOWNEPOFTHEPROP�flTY,ORMVEN�PLOYEESWITHWAGESASTHEIq50LEC�MPENSATION, COR11119fG1fll -� � YIILL 00 THE WORK,M1D THE SiRUCTURE IS NOT INTEN�E�OR OFFERED WR SALE(SEC.70M,8U51- � tiESS AND PROFESSIONS CO�E THE CONTMCTOAS UCENSE LAW DOES NOT APPLY TO AN OWNER OF PAOPERTY N?!0 9UItD50R IMPflOVES THEREON,AN�YMO DOES SUCH WOf1K HIMSELF OR HERSELF OR � THqOUGHHi50RHEROVMEAIPLAYEES,DiroV1�ED7NAT5UC41IMPROVEMENTSARENOTINTENDEDOR L�1� ,OFFEflEOPoRSJLLE.iF,HOWEVERTNEBUIL�INQORIMPROVEMENTI3SOLDWITHINONEYEAROFCOMPLE Z 'TlON.THE OWNER�BUILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DD NOT BUILD OR � IMPROYEWRTHEPURP0.5EOFSALE). OI,ASOWNEROFTHE PROPERh;AM EXCLU&(VELYCOMRAC7!NG WITN LICENSED CONTRACTORS � TO CONSTFiUCT THE PROJECT(SEC.70M,BUSINE55 AND PROFESSIONS CO�E:TXE COMHACTOflS U- V81tJfltI0f1�O Q• A�J.AREA W CENSELAWDOESNOTMPLYtOANOWNEROFAPROPEfl1YlNFiOBU1LDSORIMPPOVESTHEREON,AND � NM1IOCONTRACiSFOPSUCHVROJECTSWITHAC�tdTRACTOR(5)LICENSEOPI1RSllANTTDTHECONTRpG qUANTITY DESCRIPTION FEE � TORSUGENSELAW.} � O OIAMEXEMPTUt�Efl5EC. B.BP.C.FORTHISREASON Q �V'�1�V R.,, p'� . � Q �:.�.:. 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