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HomeMy WebLinkAbout14736 __..__ .._. ._ _. -- -- � �� CITY OF DIAMOND BAR (r DEPARTT.ZENT OF COMMUNITY&DEVELOPMENT SERVICES ' � z��E.���ynri��s��»o XP,Ii�ED _ (909)860-3195Fax(909)861-3117 - PRE$$ � ��'�� BUQ.DING PERMIT APPLICATION r� � FIRMLY � JOBSfTE I� c����,.,' APPLICATION PERMIT_ `� P!C o ADDRESS `+� �41Ti1�\�I�--�L1 DATE " NUMBER��� ✓ N � APN LOT TRACT ' D TEE �^�a'����0 ONST.,,��• GROUP � OWNEH ' � AODRESS ZONING SEfBACKS � CITY ZIP TEL p�R pW �O APPUCANT TEL. � SIDEISIDE STREET RW O CONTRACTOR�►�1 �l" � SIDE ❑ g ADORESS d t � � CffY V��'t.b�N'?J ZIP � TEL� � PROPOSED USE_PAN���IIC !_d f' �t�l�lT� o ARCWENGI � DESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORIES BEOROOMS CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER•BUILDER DECLARATION SFR/ADD/REM � p I IffREBY AFFlRM UNDER GENALN OF PEiLNRY hUT I M1 EXEMM FROM TNE OONTRACTORS LF Gef0�C21pOR LLI CEHSEUWFOR7YIEid10WNOREASON�SEG707f.60USNE55ANDPROFE5510N500DEM1YCITYOR (n ZCf�IMfYMMIpIREONHESAPEWAffTOCON6TRUCLALTERM7ROVE,DEMOLISH,ORREPNRANY3TRUG W P81Iq�D9Ck �L TVRE,VPoOR TO R3135UANCE./�150 REWIRE3 7HE APPLICANT FOR SUC//iERAqT TO F1LE A SICNED W � .�,, 6iATFMENi TMAT ME OR SHE IS UCENSED PURSUANT TO THE PROVISIONS OF THE CONTMCTORS LL � � CENSE UW(QIAPTER 0(COMMENdNG YNTH SECTION 7aooJ OF DIVIS�ON 10F T116 BUSINESS AND PR6 � POOYS� FE59qNS CODE)Oft THAT ME OR SME IS E%EMPT iT1EREFRqA M7�TYIE B0.51S FORTME ALLEGED E%EMP• TION.ANYVIOLAT10110FSECTIONTWI.6BVANYMPLICA17TfOflAPERMITSUBJECTSTMEMPIICANTTO Z Re•Roof � ACIV4.VEHKTYOFN0T4qPE711ANFIVEFNNIXiE�UOl1AR5(f500�.}. l O1�180WMEROFiHEPROVEHiY.ORMYEMPLOYEESWITHWAGESASiNEIR50LECOMPENSATIDN, O �mmercial WN.L DO i11E WOiiIC N/O THE STiHJCTURE IS 110T WTENOED OF OFFERED FOR SALE(SEC)01.1,BU56 J NE65MJOPROFE5810HSCODE7NECOMfMCTORSLICENSEUW00E5NOTMPLYTO MlOWHEROF ? � � PiqPERryW1qBUlDSOR1I/CRDVESTMEREON.11t�WHODOE55Ud/WORKW45ELFOqNERSELFOR TNIIWOM/USpiMEfiOWNEMPIOYEES,iROVIOEDTUTSUCMIMPROVEMENiSARENOTMENDEDOR m '� OFfERmiOR8KEIF.lIDWEVEqTHEBUlDttJ60RMPROVEMENTBSOIDYrtTHMONEYFAHOiWMPLE� 'TpN.TME OWNEq�8U1LDEH WM1L MAYE 7NE BUROBI OF PROV4x1 iM�T ME OR SHE O�D NOT BU1lD ON W PROVE FOit T�E PUflPOSE OF 8AtE�. 04A40Y�MFR OF iHE PROPEHTY.AM EXCLUSIVEIY CONTMLTPIO WRM LICENSED CONTMCfORS T9 CONSTf61Cf T1E PR0.IECT(SEC.tOM,BUSIH[55 M10 PROFESSWNS CODE:TME CON7iLlCTORS LL Valuatbn ADJ.AREA ` CElLSEUWDOEBNOTAPPLVTOANOVMEROFAPROPERTlMR10Bl1RD50RMPF10'lESIHEREON,AND F W1qCOMTRACTSfOR9Ud1PF1WECf5MAMACONTMCTOA(5)LICENSEDPURSUANTTOTNEOOf7TMG QUANTI7Y ESCRIPTION FEE � m�suc�+seuw.�. / l OI AA1 O�AMUNOERSEC. 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