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HomeMy WebLinkAbout18056 CITY OF DIAMOND BAR ` � ��� ,J DEPARTMENT OF COIv1�fUNTI'Y&DEVELOPMENT SERVICES - �y 21825 E.Copley Drive (909)8603195 Fax(909)861-3117 �- PRESS `��'' BUILDING PERMIT APPLICATION ' � FlRMLY y�, JOBSITE 2�2(�S GLt/�/V��.L ���, APPLICATION OL , /1�1'ERMIT 1��b P/C �1� o ADDRESS DATE U(�FUMBER # O�� � ISSUE TYPE OCC APN LOT TRACT DATE G�✓ CONST. GROUP p OWNER .r�� e=Ki+i.�-�/JC Z "" ADDRESS Z/"LG�� G�/tN/�if(�- 20NING SETBACKS 0 z cirv D,itcue.vw 3tt✓ 21P TEL. ��-a�] i F�R�ORT RW ❑ g APPLICANT C�1/W J'�.w�,( ��r�.0• TEL. � � SIDEJSIDESTREET RW O � CONTRACTOR Cr�tlh✓ /�:� �oN3� �"oN SIDE ❑ � ADDRESS /dL+S - . �✓.45.4/r�C.td.a /lc..✓n � � CITY �N��7��%r�h. ZIP d 0 TEL LSt-o3o� PROPOSEDUSE w ARCWENG/ , . �z DESIGNER ��`"kJ�✓ f�•�/+.� �^�S� NO.DWEL. NO. NO. a ADDRESS UNITS STORIES BEDR MS � CITY ZIP TEL. c�i� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFRlADD1REM O p I HEREBV AFFIRM UNDER VENAITV OF PF0.AIRV TFIAT 1 AM E%EIAPT iROM TIE CONiMCTORS LI- G7(298IC8fp0f1 ' - W CENSEUWFOHTMEfOLLON1NOREA50N(SEC.707t.SBU5MES5M1DPFiOFESSiON5CO0E:ANYC1iVOR (n U COUN�YWNICHREOURESAOERMRTOCANSTRUCT,ALTERIMPROVEDEMOLISH,ORREPAIRANYSTMIG W patio/Deck L NRE,VWOR i0 RS ISSUANCE.AL50 REOUiRES THE APPLICANT FOR SUGH PERMIT TO FILE A SIGNEO � STA7EMENT THAt HE OH SHE i5 UCENSED PURSUANi TO 7HE PROVIS�ONS OF TME CONTMCTORS LI� W � (.ENSE UW�GIUPTER i(COMMENCW4 WITM SECTION 70001 OF OIVISION�OF iME BUSINE55 AND PNO• u' POOIISPB FESSIONS COOE)OR TIUT HE Oq SHE IS E%EMP7 iHEREFROM AND TNE BASiS FOR THE ALlECEO E%EMP� V TION.ANYVIDLATqNOF5ECT10N70.17.58YANYAPP�ICANTFOflAVERMITSU&IECTSiMEAPPUCANTTO Z Re-Roof A CML PENALTV OF NOT MORE THl�N FNE HUNDRED DOLUFS(f 500).�: Z ❑LI150'MJEROFTHEPROVEflT/,OqMYEMVIOYEESWIiNWAGESASTHEIRSOLEC0IAPENSATpN, ❑ COIfIrtl0fCi8I � YALL 00 THE WORK,NID TME STRUCNRE IS NOT IMENDED OR OFFERED FOR 6ALE�SEC.70u,BUSb J NESS/JIO VROFESSIONS CODE:TME COMMCTORS LICENSE L/�N�DOES NOT A7VLY TO AN OWNER OF � DROPERTYMh10BURDSORIMPROVESTHEREON,�INDWMO00ES5UCHWORKHIMSELFORNERSELFOR = Q TIIROUGH HIS OR HEN DNM EMPLOYEES.PRDVIDEU TMAT SUp1 WPROVEMEM511RE NOT NTENDE�Ofl m . �� OOFFEREDFORSKEIF,FqWEVERTNE8U401N00RIMPFOVEMEMIS50lpWITHWONEYEAROFppMPLE- Z TION,THE OK7JER�BNL�ER WILL MAVE THE BURDEN OF PROViNG THAT ME OR SNE DiD NOT BUiID Ofl � IMPNOVEFOPTN[CUPFDSEOFSALE�. ❑L AS OWNEF OF THE PHOPERTY.AM EXCLUSIYELY CONTMCTPlO WITM LICEKSED COHTMCTONS � TO CONSTRUCT THE PRQIECT(SEG 70µBUSINESS AND PROFESSIONS COOE THE CONTiUCTORS U� V0I119(10t1 A0.1.AREA � W CENSEUWDOESNOTAPPLYTOMIOWNEROFAPROPEHNYMOBUILDSORWPROVESTHEREON,AND � YRIOCONTiUCTSFOqSU(71PRQ1ECTSWITNACONTMCTOR(S)LICENSEDPURSUANTTOTNECONTMC Quarmrv DESCRIPTION FEE ' TORS LICENSE LAW�. �7 � O�NA E%EMP7 UNDER SEG �• 8.6 V.C.FOR THIS RE0.50N U �I ��� .�[✓I�-f �Cl G 4 � � fL � fk/� �Lc• u" DATE OWNER � j� ' __'_Z. . _ .__' _ � '_. '' '_' -. . . . . i � . � UCENSEDCON7RACTORSDECLARA710N w M�� Q,50 � IMERE9VAFFIRMUNDERVENALTYOFGE0.IURYTMATI�LICENSEDUt:DERVROVI510N50PCMAGTER Vr 1 �lL�t'{TU� �'S��t✓(��- p„ 0(COMMENCINOWRHSECT�WITOOO�OFDIVISION]OFTHEBUS�NESSAND7ROFESSIONSCOOE,AND X MYLICENSEISWFULLFOHCEMlDEFfECL m ' r-Q��`; lll Z���/ � ucnuse cu s��r uc.r+o. �2_ � L..f�/ F- �, � s,i�!c d �S w DATE Z CONiMCTOR_,({/�hlf��NL� a I -DS� /i � ✓� - _�_,� WORKERS'COMPENSATION,DECLARATION . 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