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HomeMy WebLinkAbout15212 (30) :. �C.�� �� CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Copley Drive Suite 190 PR ESS � (909)860-3195 Faz(909)861-3117 • ���� BUII.DING PERMTT APPLICATION FIRMLY o� JOBSI7E n r^�O DATE CATION �g � NUMB R�a1�M!C �_� ADDRESS �� �Y � ISSUE . I a //!1 TYPE OCC APN LOT TRACT DATE V V CONST. GROUP � OWNER � ADDRESS • O ZONING SEfBACKS � CITY ZI TEL. R�R RW � APPLICANT TEL. SIDE/SIDE STREET FiW O � CONTRACTOR S � SIDE O g ADDRESS PROPOSED USE -� CITY ZIP TEL � ARCH/ENG/ A.i r_p DESIGNER ����� �-,�— N0.DWEL DJO. NO. ADDR S � � � UNITS STORIES BED OOMS N CfTY 21P TEL. y DESCRIPTION SQ.FT: FACTOR PSF AW.AREANALUATION � OWNER-BUILDER OECLARATION SFWADD,'fiEM O p 1 HEREBYAFF6r1 LNDEP iENALTY OF PE0.IUNV THAT 1 AA1 E%EYPT Fi10M iHE CO/.TMCTWIS LI� Gaf398/Ca1pOR W CENSEUWiORi11EFO110w�NOREASOH(SEC.7m1.6BU5wE55ANDPROFE55iON5CODE:ANvtlTVOR (n � COUHTYYNYp/11E0UHESAFERMRiOCONS7AUCi,ALTER�PROVE,�EAIOLJSH,ORPEPNRANYSTRUG W P8Ii0/DOCk 7URE,VfiqR i0 RS ISSUANCE,AL30 REOU�RE4 TiE APVUCAIR FOR SUCH 7EiW IT TO FILE A SICNED w � lTA7EMENT TMAT ME OR SME IS LICENSED iUHSUANT TO T1E GROYISIONS OF iHE CONTMCTMI9 ll• � CENSE UW(d1APTER i(COEIMENGINO WITM SEGTION 7ao0)OF DIVISqN�OF THE BUSiNE55IWD PRP u- P��Pa iE59iON5CO0E)ORiHATHEORSMEISEXE4PT7HEREFROMANOTHE8AS15FORTMEALLEGEDEXEMP• TION.AN'/VIOLAT�ONOFSECTION7m1.lBYANYMPLICM(TFORAVERMITSU&lECTSTMEAPPLICANTTO Z RB-Fi001 . � ACMLVENALTYOF NOT MOiiE iWIN i7VE HUN�RED DOLURS({Soo).}. , J OI�OV�NEROFTHEPROPfRTY.W1MYfuPWVEESMATHWACESASTMEIRSOIECO�GEN5AT10N, O (,`pmmOfCie WRLDO T1E VIORK AND TIE STPUCTUiiE S HOT IMENDED OR OFFERED FOR S�LE ISEG 70w.BU54 J N NE54 AHD 7ROFESSIONS COOE 7NE CAMRACTORS UCENSE Uw OOE9 NOT APPLV TO IN OMMER OF j , � — iROPERfll1MHOBUIIDSORMVIqVESiHEREON.IWOMTqDOE55Up1VA01tKM11A5ELFORHERSELFOR ' � THROUGHHISDHHERONMEMPLOYEES,VRONDEOTMATSUGIMPROVEMEHTSARENO7MENOEDIXi m , .OFFERmWRSALEIF.MD�VfVE0.7NE8UlDIH�DIIWPROVFMEHiI550l�WfiHHONEYEAAOFCOMPLE 'TqN.THE OwNERBULDER YALL HAVE TNE BUROEN OF PROVwO TiAT HE OR SHE�D NOT 611RD d1 IMPi10NE LOR iNE PURPOSE OF SMF�. � OLA40�N1EROFTHEPROPErtTY.A�IEXCLUSNEIYWHTWIGTINaMATHIICENSEDCONTRACTOR4 TO CONSTRUCT THE YfiWECT REC.to41,eU51NESS AN0 iROFE55 WH5 CODE:THE CONTMCTWIS L1� �/elUetiWl _ADJ.AREA CFNSE UW DOES NOTMiLY TO IW OWNER OFA PPOPEflTY Mrtp BURDS OR MV(iOVES TMERCOY(M10 � MAIOCOHfMCT3FORSUCHVRQIECT5WITIACONTMCTOfyS)LICENSmMiNAMTOTMECONTRAG QUANTITY D SCRIPTION FEE � � 70R5 LICEHSE UWJ. . .. . 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