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HomeMy WebLinkAbout13058 (17) �� �� � �` CITY OF DIAMOND BAR k DEPARTMENT OF COMMIJNITY&DEVE OPMENT SERVICES �� 21660 E.Copley Drive Suite 190 � (909)86l�3195 Fax(909)861-3117 PRESS �'„�' � BUILDING PERMTT APPLICATION FIRMLY � � JOBSITE C�/��-z �� �j APPLICATION � �'j'`"�ERMI7 � /C � o ADDRESS vC/ /C:77-�i�����-�li� �� DATE _�� � ` TIUMBER�`� � $ ISSUE TYPE OCC APN LOT TRACT DATE CONS7 GROUP � p OWNER �io•,S:Y..����S7�C' � o ADDRESS +�kt� ZONING SETBACKS w CITY�J;xisirut�"J ZIP`� TEL. - �S"� FRONT RW ❑ � APPUCANT TEL. REAR _ ❑_. � SIDEfSIDE STREET RW ❑ CONTRACTOR �I+T�:.�1�.t:°��.�l.i.c.'6.id�1'_k��1� SI�E _ ❑_.,_____ ( � ..,- i ADDRESS °.��-.3 ::�;Y'�°�:�i e4d`r � CITY ��f�`'e«gi(:�F:� ZIP ���6'� TEL.��`:�`'iS�-�:X..�' PROPOSEDUSE ____ � w ARCH/ENG! � W DESIGNER NO.DWEL. NO. NO. a ADDRESS UN�TS _ STORIES BEDROOMS___ ` � CITY ZIP TEL. " r�_,n- DESCRIPTION SQ.FL FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDER DECLARATION SFR/ADD/REM $ � i HEREBY AFFIRM UNDER PENALTV OF PERIURY TNAT I AM EXEMPT FROM TNE CONTRACTOqS LI� G8f3 E/C8 Oft � W CEN5ELAWFONTHEFOLIOWINOREq50N(SEC.70]1.SBUSINESSANDVNOfES510N5CO�E�ANYCITVOR '(n g � � �J GOUNTYriHICHREOUIHESAPERMtTTOCOPlS7RUC7,pL7[R,IMPROVE.DEMOLISM,DRREPAIRANYSTRUG W P31i0/DBCk �� TURE,PRqR TO iT$19SU/JICE,AL50 REOUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIQNEO � W STAiEMENT hfAi HE OR SHE IS LICENSED PUR51)AN7 TO THE PROVISIONS OF TXE CANTRACTORS LI- W � CEPoSE LAW�CHAPTEq9(COMMENCINO WITH SECTION 70oa)OF OIVI310N 90F THE BUSINESS AND PRO� u' Paal/Spa FESSIONS GOOE)OR THAT HE OR SHE IS EXEMPT TMEREFROM ANO 7HE BASIS FOR THE ALLEGEU F.XEMP• � TION.MlYVIOLATIONOFSECTION7031.56YANYMPLICANTFORAPEFMITSU&IECTSTHEAPPLICANTTO Z Re-Roof � A CML PENALT'OF NOT MORE THAN FIVE HUNDRED OOLLARS�S5o0).): Q � ❑I,ASOWNEHOFhIEPROPERN,OPIAVEMPLOYEESWITHWAGE5A5THEIR50LECAMPEN5AT10N, COfI1f11BfClBI ' WILL 00 TME WORK,IWO YHE STRUCi�RE IS NOT INTEN�E�Ofl OFFEflE�FOR SRLE(SEC.�006,0US1• � � NE33 AND PROFESSbHS CODE'.iHE CONTRACTORS LICENSE LAW�OES NOT APPLY TO AN OWNEq OF = ; PflOPERN NhiO BUILDS OR IMPROVES THEflEON,AND WHO DOE&bUCH WORN NIMSELF OR HEFSELF OR � 1HNOVOH HIS OR HEp OWN EMPLOYEES,PROVIDED TNAT SUCH IIAPROVEMENTS AqE NOT INTENDED OR m g W OFFERE�FORSALE.ISNOWEVER7HEBUIL�INGOflIMPPOVEMENT155lN.OWITHINONEVEAROFCOMPLE� ' a � TION,THE OWNER�BUIIDER WILL HAYE THE BUND[N OP PqOVIit6 THAT HE OR SHE DID NOT BUILD OF � = IMPROVEFOfl71iEPlIpPO5E0i5ALE). 4 n4�0�MNEROFTHEPROPER'fV,A/A6XCLUSIVELYCOMR0.CTINGWITHLICENSEUCANTRACTORS — � � TO CONSTftUC�THE PRO.IECT�SEC.�o4a,BUSINESS ANO PROFESSIONS CO[]E:TNE CONTHACTOFlS LI� V81U8fI0h ADJ.AREA W CENSEUWDOESNOTAPPLYTOANOWNF.ROFAPROPERTYWHOBIlILD50RIMPROVESTHERF.ON,PN� ��� —' � ZWrfOCpNTMCTSFORSUCHPRQIECTBWITHAC07JTRACTOR�S)LIC'cNSEDPURSUANTTUh1EWNTRA0. 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