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-- . _ _..�_. . .- -_ __�_ ___________ . - --��� CITY OF DIAMOND BAR�': � ' : � � COMMUNITY DEVELOPMENT DEPARTMENT '�...� 21660E.Copley DriveSuite 190� � � � �� � PRESS - (909)860-3195 Fax(909)861-31 I7 '. ' " � . . '�^' BUILDING PERMIT APPLICATION FI RM LY o� JOBSITE' �' '� ' APPUCA�Q 1/� PERMIT /C ADDRESS� S "� 1`� 2 G� NUMBE � p c� I UE TYPE OCC, "' ' . -- APN�— LOT TRACT ' .DATE CONST. " - 'GROUP. - p OWNER /Y1�i/- �.�.�v-Pr? , p ADDRESS � - '•ZONING SETBACKS � W CITY /7—I�rtr ZIP TEL. ' �d � i REART --. Rw ' .� - -- Z � , O g APPLICANT - -- ' - TEL. . ! ' SIDE/SIDE STREET RW O � CONTRACTO � �` ` SIDE _ - - -�- _ _ . _ ... � �, � ADDR SS w' - - ' ,PROPOSEO USE� Q " 3O � CI'i��/ i G ZI P / EL �D C o ARCH/ENG/ _.. ., ._., ^ r , ; .• _� � z� DESIGNER_ .__. . _. ! _-- - _- ` ( - - � NO.DWEL NO.' 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W OL��EROFTHEPROPERTY.AMIXCLUSIVELYCONTMCTW6WRHLICENSEDCONTMCTOR9� __ _ _ Q TO CDNSTAUCT THE VRQIECT(SEC.7011.BUSINE55 AND PHOFESSIONS CODE TNE CONTRACTOflS LF ,V31U8110f1 ADJ.AREA - � LENSEUWDOESNOTAPPLYTOMIOWNEROFAPROPEH7YWHOBUILD50RIMPR0VE5TMEREON.AND WHOCONTMCTSFORSUCHPpQ1ECT5WITHACANTRACTOR�S)UCENSEDPURSUANTTOTHECONTMG QUANTITY � DESCRIPTION�-� FEE , X TO0.5 LICENSE UW.J. � . - . '� ' '� ' ' ., � . .. . _'_'. __ ___ _ ___ _____ _ _ _ _ . _ J ... .. _-.._ ' _ . . . . . .. . _ .. � ❑IAMEXEMPTUNDERSEC. B.tP.QFORhIISREA50N Q '- - � V . "_ . _ .'_ _ _ .' - . ' _ __.._ ..._._ ._ ._ . _ .. ..__' "' ' LL' DATE ONRJER , _ � __- _. • _ . .. . • Z W .. . . . .__'."_. .. _. _. . _ .._.__ . . � _ UCENSED CONTRACTORS DECIARATION " ' W , o� . - -. .. . . � ' IHEREBYAFFIRMUNOERPENALTYOFPEM17URYTHhT1AMLICENSE0VN0ERPPOVISIONSOFC/UPtER Vr . , . .-,, • p. i(COMMENCINOWRHSECTION70o0)OFDMSION]OFTHEBUSINESSANDPROFESSIONSOODE.MID Z -- - X MY LICENSE IS W NLL FORCEANO EFFECL � ,r' , m - , lll . . _ . ._ . _ -- - � - SS�7- -- � � LICENSE C�A�S UC.NO. � , � V DATE ��� CONTRACTOR d i W , _ i ., � WORKERS'COMPENSATION DECLARATION a � IHEIiEBVAFFIRMUNOERPENPITY0FPE0.NRYONEOFh1EFOLlOWINGDECLAMT10N5: Z ,, .. . ,.. . ,., � � "' ' '"' . _' __ ' _' ' _ ' _ ' ' . . � _IMAVEANDWILLMAINTAINACEfiTIFlCATEOFCONSEtfTTOSELHNSUREFORWORKERS' _ � � �--- -"- """' - ' COAIPENSATION,ASGROVIOEDBYSECTION97ooOFTHElA90RCODE,FORTHEDERFORAIANCE �U Q OF THE WORK FOH WHICH iHIS PEA�ITIS ISSUED. �, . � , � . . . ."'. . _._' . ._'.'..'.__ . . -_._. . _ . ____ . ._ _ W . .a _' ' _ __' _I HAVE AND NALL MA�NTAIN WORKERS'COMVENSATION INSURANCE,AS FE�UIRED BY SECTIDN ` � Q _ �7ooOFTHEU60 COOE,FOR EPEAFORAUNCEOFiHEWORKFOH ICHiHISPERM1T15 _ __ / ISSUED.MYWOR TIONI FANC IERM1DP011 M!lABERME� CONSTRUCTION' - (/ , j GIRRIEH � PLAN REVIEW - -- � PoLICYNUMBER � �� _ � • � -. . 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