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HomeMy WebLinkAbout17166 (37) � ---- - - .. ._.. . .. .__-- . . � �� CITY OF DIAMOND BAR DEPARTMENT OF COIvIIv1UN1TY&DEVELOPMENT SERVICES �. ��� . 21825 E.Copiry Drive �/ (909)860-3195 Fax(909)861-3(17 ` PRESS �'�� BUILDING PERMIT APPLICATION FIRMLY o ADDRESS I��.3 , � • f APPLICATION �� ��„�I NUMBER I�� p/C DATE � APN LOT TH(�CT D TEE TMPE OCC p OWNER � CONST. GROUP o ADDRE �� ZONING SETBACKS z CITY� y�ZIP , � TEL[.�f'�D=70 FRONT RW ❑ g APPLICANT TEL. REAR � � SIDE/SIDE STREET RW p � CONTRACTOR s�<<:�f+ . SIDE � Q ADDRESS � C�TM � ZI EL. " PROPOSED USE W ARCH/ENG/ ���1" 7 z DESIGNER � ADDRESS UNITS EL. NO. NO. � CITY ZIP TEL. STORIES �_gEDROOMS� � DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION O OWNER•BUILDER DECUIRATION SFWAD�IREM p I HERFBV AFFlRAI UNDER CENAITY OF VERIURV TNAT I N.1 E%EMvi FROIA THE CONTMC70R5 U- G2f29C/CB�OR W CENSEUWFORiMEFOLLOWINCREA50N(SEL.7031.SBUSMESSIV:DVflOFE5510N5GODE:ANVCITYOR (n � COUMYYrt11CHREWIR[SAFERMITTOCONSTRUCT,AIiER�PROYE.DEA10115H2ORREGAIRANYSiRUG W Patio/peck TURE FRIOq TO ITS ISSUANCE.AL50 R[WIRES iME APPIICMlT FOR SUdi VERMIT TO FILE 11 SIGN[D w � S7A7EMENT THAT HE OR SHE IS LICENSCO�URSUANT TO TME GROVISIONS OF THE OONTRACiONS LI- � CENSE UW�p1AP7ER Y(COMMENCINO WITH SECTION)oOD)OF DIVISiON�OF THE BUSINE55�ND PRO- u- PooUSpa O FESSqNSCDDE)ORTHATXEORSNEISExEMPT7MEREFFlOAlAND7XEB�lSiSFORTHEAILEGEDExEMP• (� V TqN.N1YVIOLATIONOFSECT10N703t.S8YANYAPP�ICANTiOR11PERMITSU&lECT9THEAVP�ILA`ITTO Z �e-Ro01 F„� ACMLPENALTYOFNpTMOfiETWWFIVENUNDREDDOLURS(f50C�): 0 04ASOM�EROFTMEGHOPERiY,ORMYEM��0YEE5WIiMWAGE5A5TME1N50LECOMPENSATIDN, ❑ COTTBf�ial Z M/14 DO iME WORK,AND TME STRl1CTURE IS NOT IN7ENDE0 OR OFFERED FOR SALE ISEG 70�1.BUSI� J � NE55 M10 PROFESSiONS CODE:TN[CONTRACTOflS LICENSE UW DOES NOTADPLY 70 AN OWNCP OF VROPERTYWIqBUILD50NIMPRpVESTHEREON.MIDNMODOESSUCNWO�7KHIM5ELFORHENSELFOq � � THROUGHHISORHENOWNEYPLOYEES,Pi70V10EDTNATSUCHtl.17RpVEA1[NTSARENOTNTENDEDOR L� p OFFEREDFORSALEIF,FIpWE/ERTMEBULDINCORIIAPROVEIAENTISSOLDWITHINONEYFAROFCOMi�E• Z TION,TNE OWNER�BUILDER WILL FUVE TME BURDEN OF PROYINO THAT F1E OR SH[O�D NOT BVIID OR = p.lPiqvE FOil THE VUPPOSE OF SALE} �y,� 04�OWNEROFTMEPROPERTV,AME%CLU5IVELYCONTMCTINGWITHUCENSEDCONTiiACTORS ¢ TO CANSTRUCT TnE PROJECT�SEC.7011,BUSMCSS M1D GROFESSIONS COOE:THE CONTMCTORS LI� V0luatiOn ADJ.AREA W CENSEUWDOESNOTAPPLVTOANONNEROFAPROVERTYWMOBUtLD50RMPROVESTNEREON,ANO � WFqCONTMCTSFORSUCHPROJECT5W17HACONTMCTOR(S�LICENSEDPURSUA.viTOTHECON7MC- QUANTITY DESCRIPTION Y TORS LILENSE UW)- FEE � O I AM E%EMPT UNDER SEC. 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