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C1TY OP DIAMOND BAR �� ,�� ..__�_ P DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Copley Drive Suiie 190 (909)860-3195 Fax(909)861-3117 PRESS ' �?��'�� BUILDING PERMTi'APPLICATION FIRMLY � JOBSITE �1��]].r'I_ ,o-;�' /) �a�,3[a �'1/f APPLICA710N /C � � PERMIT �', P/C ¢ ADDRESS C�� `C`f "�2��F� �l..�i� DATE J NUMBER � a + � lSSUE TYPE OCC APN LOT TRACT_ DATE CONST._ GROUP p OWNFR � ` _ " ADDRE ZONING SETBACKS 4 Z CITY r ZIP �TEL. _ FRUNT RW f�__... 4 APPLICANT � TEL. REAft _ U___ v SIDE/SIDE STREET__. RW l7______` � CONTRACTOR . �� _ SIDE .______ _ _ U ._ � ADDRES -� ` C`� � � CITY � Z.IP �EL, G '"' PROPOSED USE,_ _ oARCWENG/ � __ -- — W DESIGNER_ NO.DWEL. NO. NO. d ADDRESS UNITS STORIES BEDROOMS � CI7Y____ ZIP TEL. � _ N – — — DESCRIPTIUN SQ.FT. FACTOR PSF ADJ.ARE,WALUATION en — OOWNER-BUI[ACR�ECtARATIpN SFR/ADD/REM Q I MERE9Y AFFIFtlA UNDER PENlLLTY DF PEfiIURY THPT I AM F%EMPT FROM THE CONTRACTORS LI- U' Garage/Carport dl.l CENSELAWWa1'HEFOILUWINCREA50N�5EC.703169US1YE55MGPROFESSb\SCADF:M�1'CIiVOi7 -- C..) WLINTYWNICHflFWINESAPERMfTTOCONSTRUCT.ALTER,IMPROVE,DEMOLISH,OHRFPA1Rr1NY5�HUG LW PdIiO/DeCI( � TUflE,PRIOR TO ITS ISSUANCE,ALSO REQUIRES THE APPLICANT FOF SUCH PERMIT TO FILE A SIGNED �, _ SPATEMENT THAT HE OR SHE IS LICENSFD PURSUANT TO TNE°ROVISIONS OF THE GONTqAGTORS I.I� � CENSE tAW(CHAPTER 9(COMMENCINd WITH SEC?ION�on0)Of�IVISION 3 OF THE�USIYE55 AND PRO� � FooVSpa--� _ �� FESSIONSCODE�ORTHpTHEOHSNF.ISE%EMPTTHEHEFROMANDiHE8ASI5FORTHEALLEGE�]E%EMP� (� V TKKJ.ANYVIOLATIONOFSECTION7031.58YAIiYAPPLICANTFORAPERMITSU&IF.GTSTHF.APPLICANTTO � Re_Roof r ACIVILPENALT/OFNOTAIOREiHANFIVEHUNDHF.DDOLLARS(f500)J: -- � ❑I.ASO'NNEHOF7HEPROPERTY,OHMYEMPLOYEE5IMTHWAGESAST'HEIFlSOLECAMPF.NSATInN, G7 COmmO�Clel WILI DO TiE WORK,N1U THE STRUCTURC:IS h0T INTENDED OF OFFF.RED f-0R SALE(SEC.7044,BU51� J - NESSAND PNOFESSI�NS CWE:THF CANiRACiORS LICENSE LAW OOES NnT APPIV TO AN OWNER Of � � PRDPER7YWIiOBU11D50RIMPFOVESTNEPEON,ANCWHODOfS6UCHWORKHIMSEI.FCFlHEPSELFOfl � _!__ __„__ � � TMRqJOHH15DRHEHOkYNE61PLOYEES,PRO`JIOE�THATSl1CMIMPFiOVEMENTSARF.NOT�NTENOEDOfl m — - OFFEFlED FOR SALE.IF HOWEVER,iHE BUILDINGQR IMPHOrMENT IS SOtD WIi HM ONE YEAR OF COMPLE- z TION,TFIE OWNFR-BUILDEA WILL NAYE 7HE BUP.DEN OF PROVIkG TFIAT KE OR SHE'JID N^vT PIJI��OR � IMPROVEFORTHEPUHPOSEOFSALE). � El I,AS OWNFH O�THE PfiOPERTY,AA1 F,XCLUSIVF.LV CONTRACfPJG WITF+LICEN&ED CON'fiiACTORS � TOCAkSTRUGTTMEPRPIEC"C(5[C 7040.,BUSINE&SPNOPflOFEu5!ONRCODE:1tiFC[NJTflhCI'OflSLI� VelUetiDft _____ .___ A�J.AREA_____,,___ _ _____ W CENSEWWDOESNOTAP°LYTCANOWNEROFA?ftOPEP7VNhIORURDSORIA;PiiOVES'INE9ECN.AYvD ---� - --------- � WFIOCONTRAC75FORSUCNPHOJFCTSWIfXACONTfl/I:TOR(5)IICENSE�?UHSUANT70THECON?FlNG � QUANTITY DGSCRIP7ION FEE � TORS LICENSE UW.). --- � CIIAMEXEIAPTUNDEFlSEC._____ ____b�gP�C FOR7HISRcP50N a ' � "_��._�___ _' � _'-- ` '-'_'_""'"_"'_'-_-._.. ._ CC u' �ATE . 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TOTAL FEES t�� i � IpGREE�I]GUMPLYWIIHALLCI7YANUCUl1NTYOFiCINANCESANDBTATELAWSfiEI.AT14GT091/1LDING �A CANSTRUCTION,AN�HEREBY AUIHOFlI7.F HLDRESGNTAT�yFS OF 1HIS COIJNIY TO ENTCIi UPON TH� /�j�\�p // /Ar,�J�(jJ� ZA90VE-MENTKNJF:[1PROeEFiTYFOflINSP IONPURP ES. COMMC-NTS � "-��� _�Y���'�"'.L-S�� _'—_"_'_ � 5 , _ �__.. �'� _.___--.______ __' __ __.."_"_.'—' "'_ � �� m PERMI7TEENAM 7) -- - Cn _ " � _ I� _ _ _-- � SIGNATURE OF PE ITTE . RECPT.N0. 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