HomeMy WebLinkAbout16649 r ._. . .._ _ ... . . � ... . �\ CTTY OF DIAMOND BAR ��' l , � DEPARTMENT OF COiMM�fUNfTY&DEVELOPMENT SERVICES ( ` / �� 21825 E.Copley Drive P R E S S (909)860.3195 Fax(909)861-3117 '�:= BUILDINGPERMITAPPLICATION FIR LY y JOBSITE /' v � APPLICATION /) PERMIT I I n I„I I P/C ¢ ADDRESS�1h�0 S_(r � ' I " o - - _ DATE NUMBER,���, 8 � ISSUE TYPE OCC APN OT TRACT DATE . CONST. GROUP p OWNER o ADDRE S U . ��`� ZONING SETE3ACKS z CITY ZIP TEL. � FRONT pW p❑ o APPLICANT �'{ TEL. SIDEJSIDESTREET RW O ¢ CONTRACT � � �- SIDE ❑ � ADDRESS � PROPOSED USE o CITY ZIP�� TEL.��e w ARCH/ENG/ z DESIGNER w NO.DWEL. NO. NO. a ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � �n DESCRIPTION SQ.FT. FACTOR PSF ADJ.AFEANALUATION � OWN[R-BUILDER DECLARATION SFFUAD�/HEM O p I HEREBY�FFIRM UNDER PENALTY OF iER1URv iXAT 1 AM EXEuai FRO,A TME CON7MC70R5 LF Garage/Carport W CENSEUWFORh1EFOlLOWINGREA50N�5EG70Jf.SBUSW[SSANDPROFESSIOr:SCODE:ANYGTVOR (J) U COUNTYy1HIpIqLWIRESAPERIAITTOCONSTRUCLAliE0.1M7ROVE.DEMOUSM,pRREPAIRANYSTRUG W P0;i0/DeCk Z il1RE.ORIOR TO ITS ISSIIANCE.ALSO RE041HE5 7HE AOPLICANT FOR SUCH VERIAIT TO FILE A SIGNED W STATEMENT TNAT NE OR SHE IS LICENSE�VURSUA7:T TO THE VPOVISiONS OF TME CONTqAC70R5 LL w � CENSE UW(CFUPTER i(COMUENCIN6 W1TH SECTqN 7000)OF DNISIOH 1 OF THE BUSMESS IWO PRO� � POOVSp3 FESSIONSCODE)ORTIATHEORSMEISE%EMPTiHEFlEFROMANUTHEBA5i5FORTHEALLECEDE%EMP• � U TIDN.ANYVIOLATqNOFSECTION70.t1.6BYANVAPP�ICANTFOR�GERMITSUBJECT5T1[MPLICANTTO Z F{@.ROOI A CML PENILLTI OF NOi MOHE TNaN FrvE HUNDNE�WIURs(3500).�: ZOI.�SWUNEROFTHEPROPERTYORAIYEAIPLOVEESMnTMWAGESiISTHEIpSOLELOMPENSATiON, ❑ COmmBrtiel � 1NLL DO THE WORN.M!D THE STRUCTURE IS NOT INTENOED OR OFFERED FOR SALE(SEC.TM�.BU51� J � NESSAND 0{mFE5510N5 OOOE THE fAMMCT00.5 LICCNSE UW DOES NOTAPPLY 70 AN OWNER OF j VIWGERTV VNq BULOS Ofl W vf27VES THEREON,AND YMO DOES SUCH WORK HIMSFLF OR MERSELF OR Q TXf10UGHHISORHEROWNEMPLOYEES,PRONDEDTHATSVCMVAPROVEM'cMSARENOTMENDC00R m � OFFEREOFORSKE.iF,IpWEVERTMEBUIDINCORIMPROVEMENTIS50lDVnTHINONEYFAROfLOMVLE� Z TION.T1E OWNER�BUILDEH NnLL 1UVE TME BURDEN OF PROV�NC iNAT HE OR SME DID NOT BUIID OR = IMVROVEFOFTHEPUHPOSEOFSALE). w OI,ASOWNEROFTHEFfL�PERTV,MIEXCLUSNELYCANTMCTINGWITHLICENSEDCONiMCTORS [C TO CONSTRUCT 7HE VROJECT(SEC.7W�.BUS:NESS AND PROFESSIONS CODE:THE CONTRAC70R5 LI� Valu3tiorl ADJ.AREA W CENSEUWOOESNOiAVPLVTOANOWNCROFAPPOOERTYN7qBl/1tD5�flIMPHOVESTHEACON,ANO F WIqCONTMCTSiORSUCMPRQIECTSVATMAODNTRACTOR(5)I�CEN5ED7URSUANTTOTMECOHTRAC- QUANTITY OESCFlIPTION FEE Y TOFSLICENSEUW.). � O 1 AM E%EYPT UNDER SEC. 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