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Home My WebLink About16743 (37) . �� CITY OF DIAMOND BAR ��,�� DEPARTTr1ENT OF CO;viMUMTY&.DEVELOPMENT SERVICES r ,3 2I825 E.Copley Drivc ts.��S�.... �_ � �-�e--�r-� (909)860-3195Fax(909)8G1-3117 PRESS"� :�- BUILDING PERRfITAPPLICATION . FIRMLY � � JOBSITE / ! APPLICATIOP� (� PERMI P/C o ADDRESS I/�.G' �� _/�Lti,�•- DATE ��V _NUMDER = i�_��yy�I � APN LOT TRACT ISSUE � � TYPE O C DATE CONST. GROUP p OWNER �L � � ZONING SEfEiACKS � CDDRESS � ' IP ��:STEL.�Q�I.,�j1 ��i' FRONT RW p � APPLICA T� �� TEL. REAR ❑ � SIDElSIDE STREET RW ❑ � CONTRACTOR ��Q ��_(;. SIDE ❑ ¢ i— � ADDRESS 1�LL�L_ . � pROPOSED USE � CITY� ZIP TEL.SQ��.�L7 - � w ARCH/ENG/ . w DESiGNER NO.DWEL. �i}(� � �� 'q 'I,C�.(1.� �Q � � ADDRESS UNRS �I�S E3ED �Ol'vIS = CITY ZIP TEL. � � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWyER-DUILD[R D[CLARATI��J SFFVADD,'REM O I NEREBy AFFIRM UNDER P�YALTV OF DE0.IURY THA71A11 E%EMPT LROAI7HE CONTRACT00.:11• GBfagCiCB�pOR W CENSEUWFORTHEFOLLOWINCREASON(SEC.Te]f.SBU51NE5SAhDVRO�E55lOIv5CO0E:ANVCITYDq (n V COUN7'INAIICHREWIRESA7ERMITTOLONiTRUCT./LLiER.IMPROYE.DCIIOLISlI.OFREVAtqA.L'YSTNUC� W PdtiplDBGk TURE,PRpf1 iOITS ISSUANCE,ALSO RCOUIRES iHE A^PLIGkT FOR SUCH PEfiMIT TO FILE A 5•GNED ` ST�TEMENT TWIT HE OH SME�5 IICFNSED VUfi5U0.YT TO iME PROVI5:01:�OF THE ODNTMCTCRS U� w � CENSE UW(CHAPTER Y(COMMEYC:NG MATH SECTION 7G00)OF OIV:SION J OF THE BJS�HCSS AN7 PRO- u' POOVSpa fE5SqN5 CODE)OR THAT HE OR SME IS E%EMPT TN:REFROAf AYD T1E BA5�5 FOR TME AIIECED E%EM?� VTqN.IWYNOIATIONOFSCCT10N70.11.6B�ANVA�PLICANTiORAFEPAlIi5:10.JECT5TN[AGPLICANTTO Z Re-{3pp� � � ACML PENALTY OF NOT GOR'c TNAN FIYE NUhDRe�DOLURS�150C).�' Q OLA50�/'iEROFTNECROPERTV,O(iMYEN�LOYEESVIITHWACCSISTHEI(150LECOAIPENSA'ION, ❑ Commercial Z WiLI DO THE WORK,�ND TME STRVC7URE IS N071N:ENDCD OR OFFERED FOR SALE�SEC.70N.BU51� J NESSAND DROFESSIONS CODE:TNE CONiRACTORS L!CEhSE UW OOCS NOTA7PLYT0 AN OwNEHOF � PPAPEfl7YWMOBUILD50RIMCROVESTNEREON.ANON'HO00[SSUCHWOFKHIMSELFORHERSEIfCR � [L TNfY%1GHHISORHERONMEIAPLOVEES,PROVIDCDTHATSUCHIMPROVEA'ENTSAR[NOTI�TE�DCODR m OOFFERfOFDi75KE.IF,NOWEVERTM[BNL�INC0�71MPROVEA!ENTISSOLDWITHI`lO�:CVEMOFCONPLF� � TqN,TME OWNER�6UIlDER 1MLL nAVE TME BUHDEN OF VROV WO hlAi ME Ofi SwE D:D NOT BUiL�OR � MPHOVEFDRTHEPURPDSEOFSALEI ❑1,R$OMMER OF h1E FROP[RT1',11M E%CW SIYELY CONTRALTING M^iM IIGCN;.D LON!MGTCRS Q TO CONS7pUtT THE PR0.IECT(SEG 70u.BUSR:[SS�ND VRO�E55!ONS fADE.7HE CON'RACTORS LI. 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