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HomeMy WebLinkAbout1389 (14) �"` CITY OF DIAMOND BAR PRESS DEPARTMENT OF BUILDING ANO SAFETY FIRMLY BUILDING PERMIT JOBSITE APP T10N , PERMIT 3E ADDRES5Z33I? �I��Et./dJ� Q.�D. 'DA uE �`$'�� TM�BER�coDE $ -�-�1� �'�-' APN LOT TRACT DATE CON$T. GROUP o CROSS S RE �v ZON�NG S��� � ��� = OWNER o ADDRESS 3 � REAR ❑ ,;; CITY IP TEII� "0 SIDE/SIDE STREET RW D � APPLICANT TEl- S��E � : / � CONTRACT R SEWAGE ❑ PUBLIG PMT+� o ADDrSS��. � ��- �`� DISPOSAL ❑ pqryATE SO.FT./100 GAL 9 CITY��_ZIP��TEL � STAT �� GRADING ❑CU.YOS.EXC. CU YDS FILL y LIC.NUMBER y ARCH/ENG � ��E � ��R PS ADJ. AREANALUATION = pESIGNER � 1 � ADDRESS 2 0 � CITY ZIP TEL. (� 3 � z 4 � PROP05ED USE �d STE— - � ,�- � GARAGE � NO.DWEL. NO. NO. 3 P�� y UNITS STORIES BEDR OMS c LOT DIMENSIONS m VALUATION ADJ.AREA o NO.OF BLDGS HOW ���'1'� DESCRIt�'ION FEE W ON LOT USED � a � ��–, ICEHSEO CONfRAC10fIS OECI.UUTION�I hreEy dlirm d�n I�m Ycented inde+Novnwns d Uap�n 8 IcammnciM � wnh Secmn 70�0)ol pvuwn 9 0l tle&uinesa md Profesawns Cade,wd my kme�n in WN km and e14et � 3 � � . � QNNFN�BUIL�EN DECLARATION-I hera6y dlxm tlw I�m aenqt ham Nw Contrxwr's Lk�nu l�w la M falbwNl z rc�son�Sec 7031 5.Busines��nd PrMeer�ons CaOe��ny ary or r.ounty w�eh nquine�pnmt m croslry�t. � O alur imprwe.demdish,n repsr oM rtructun.pia ro rti i�Hw¢e.�Iso rpuies IM ppl<ml lar�uch yerm�t � to hle�spned statement�htt he is IKmaed purswnt b tAe pw�aons of Me Cmtrxtoi't linm�4w ICh+pter �p 9lcanmmcmg weh Se��wn 70001 al Gwuon 3 d Me Bunnes+and Proleuian�CaMI a Mn he i��umpt tlrNrom � � and Me bass Iw Ihe+Neged enmpnon Arry valatmn d S�tlion 7031 5 hy nry appl¢ent loi�pe�mrt w6pcts � � � W the�pp6cant lo a crvd penatlV�����N five hYndred ddlaia lS50011: � � ❑I.ss owner al the praperN.a mY�ployees wim wrges�s tMrc aok tempemauon will Oo Ihe wort.td Me m�ew�e u nai intenUed or dhrN la uM ISec,iD64,Buarcss wd Profeasuns Cda 1'M Cmtnctor't Licmae . � Wtew does rot�pDly ta m owner of propenr wM MnWe or improves Mneon.md who doae�ucA v�orM Mm�H. q Ihrouph his own employees,provded Ilut Mh p�powmenq 1re nol MhMeA d othnd fo�sale If,Mwwn. � tM 6wbing a wnpwement ia solA witAin du Wn W eamPlavon.de MrierWitlei wil FM 1M buden ol pwuq �^ y msi M ditl roi 6wld w imp�ove tor the yumoae at Wk.) r H � ❑I.is avner ol the propory,wn e�iWsiveN eonhxuny wnh IKeneM emvaemn b wnsvuel the pqxt ISa 104d,Businesa�M Profossions Code:The Conu�cmi's lr�me Law Eoes rot apply n an ornri d popeny wAo � � hudes or imprwes thereon,mC w�o tamra[�s Ia wch Oro1K��W�+����K�fs)kms'd Ywswm ro tM CmtrKta's l�aense taw� CONSTRUCTION W � ❑1 sm e�empt urder Sec. .B.6 P.0 IAnxh Gruficaul. 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TOTAL FEES (� , "' O d CWSINUCfbH lfNdNG AGEALY:4,pysby Lall�tlrl tlrt if 1'tEntRuctiai 4adipp lar M I�+�w � oi tlr wwk M whcA IAis yumi�s iOYed�Gu-70B}.fi'v.C.�:••.• � � ��_� conn E , d- c L m �r:am�.,a � CEAfIFG7E OF COMPIW�CE AAD AUfI�tl2ATQ1�ENiNY:I arWy 1 tuw wW!is�ppfulion ed au! 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