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Home My WebLink About12899 (13) �� CITY OF DIAMOND BAR � , DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES EXPIR�[� �w 21660 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861-3117 0 C T 10 PRESS � �'^�'� � BUII.DING PERMIT APPLICATION TOOO FIRMLY o DDRIESS�' � /`�� .,��I� ��./�.. /`f�V'� DATE CATIONr�� e7 NUMBER vi � I #�� ISSUE TYPE OCC APN LOT TRACT DATE_ CONST. GROUP p OWNER �� 6� >' � �'`" �` ADDRESS •J t3 - ,� �-�i „ ZONING SETBACKS w � z FRONT RW ❑_____ z CITY 1�,�'!Q#`Vft�/JJ��r��ZI " TEL. �f/7•f-r�t��, p APPLICANT TEL. S DE/SI�E STREET RW Cl z — -- � CONTRACTOfi � /Y� � a' a ` i. `' � SIDE ❑____ ADDRE S�`s� PROPOSED USE (JL.t T� 1�IZeQL�IC� �%�-2)� �� o CITY ZI� • � TEL :S r,Lt�� , iS� �'�.!-�! w ARCHIENG/ � — z DESIGNER �� W NO.DWEL. NO. j�� ' '��"j'. � NO. a ADDRESS � UNITS STORI S BEDROOMS I � CITY ZiP TEL. cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECLARATION SFR/ADD/REM O I HEFEBY AFFlMI UNDER PENALT/OF PEfL'URV THAT I AM EXEMPT FROM THE CONTflACTOIiS LI- G8�8gBJCflfp0lt W CENSELAWFORTHEFOILOWINGRFA�ON(SEC.7031.SBUSINES5ANDPFOFESSIONSCODE:PNYCITYOR (n U COUNTYYNiICHREWIRESAPERMITTOCONSTFUCT,ALTER,IMPROVE,DEMOLISH,ORREPAIFANVSTfll1C- W patio/Deck W TURE,PNtOR TO ITS ISSl1MICE,P1S0 REQUIRES THE APPLICANT FOR SUCH PERMIT TO fllE A SIGNED W � STA7EMENT TY:AT ME OR SHE IS IICENSED PURSUAN7 TO TNE PROVISIONS OF THE COYTRACTORS LI� LL , CENSE LAW�CHAPTEF e(COMMENCING WITH SF.CiION 7000)OF�IVISION�OF THE BUSINESSAND PRO- POOVSpa y FESSIONS CODE)OR 1HAT HE OR SHE IS EXEMPT THF.REFROM AND TNE BA515 FOR TNE AlLE6ED F%EMP� ( T�ON.ANYVIOUTIONOFSECTIINi7031.5BVANYAPPLICANTFOfiAPERMITSUBJECTSTHEAPALICANTTO RC-ROOf � � ��a ACIVIL AENALTY OF NOT MORE THM'FIVE HUNDRED DOLLARS(¢G00).): —�— — --- — � Z ❑I,ASOWNEROF7HEPflOPERTY,ORMYEMPLOYEESWITHWAGESASTHEIR50LECOMPENSATION, CCfI1f159fCIBI ' H7LL DO iNE WORK,PND THE 9TRUCTURF.IS NOT I.VTENDED OR OFFERED FOR SAL[(SEC.7ona,9USI- J � NE55 AN�7 PROFESSIONS CODE:7HG CON7RACTORS LICFNSE LAW DOF.S NOTAPPf.V 70 AN OWNEH OF � PROPERTY WFIO BUILDS OR IMPROVES hIEHEON,AND WHO OOES SUCH WORK HIMSELF OP HERSELF OR � THROUGHHISORHfROWNEMPLOYEES,PROVIDFDTHATSl1CHIMPFtOVEMENiSAlIENOTI1Jr[N�E�OR m QOFFEREDWRSALEIF,HOWEVERn1EBU1lDINGORIMPflOVEMENTI55OLAWITHINONEYEAFOFCOMPLE� z TION,THE OWNER.BIIILDE{i WILL HAVE THE BURDEN GF opOVWG YHAT HE OR SHE DID k0T 6NL0 OR � IMCROYE FORTHE PURPOSE OF SALE). W ❑I,ASOYYNEROFTNEPHOPERT',AMEXCLUSIVELYCONTRAGTINQWITNLIGENSEDCONTflACTORS � TO CANSTaUCT THE PROJECi(SEC.70�4.9l1SINESS AND PFOFESSIONS CODE:THE CO�TMCTORS LI� , Velu2tion ADJ.AREA W CENSELAW WESNOTAPPLVTUANOWNEROFAPRbP'cRTYWHOBUILDSORIMPflOVESTHEREON,AND -----------' � WFIOWNTRACTSFORSUCFIpR0.1ECTSWIiY.ACONTRhCNR(5)IICENSEDPUR5UA1JrTOTHECONTHAC- QUANTITY DESCRIPTION FEE � � TORS LICENSE LAW.L � J Q U TAM E%FMPYUNDERSEC. 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