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HomeMy WebLinkAbout15451 (1969) . � -S . . � �..1' CITY OF DIAMOND BAR ,�.._.:�- � ' ,� DEPARTMENT OF COMMUMTY 8c DEVELOPMENT SERV[CES 21660 E.Copley Drive Suite 190 � (909)860-3195Fax(909)861-3117 �� ) PRESS ^'��'� BUII.DING PERM[T APPLICATION � FIRMLY � JOBSITE n ` f� _ I I �i� PERMR p/C Q ADDRESS�aC y� L GJ�GO/(� YRA/N APPLICATION on p DATE NUMBER x V $ ISSUE (��TYPE pCC APN LOT TRACT 3�S 7 S DATE V"CONST. GROUP p OWNER _�1�,.�_ _�4-�11 �� p ADDRESS .���,`��. Ll d��� T7�TA ZONING SETBACKS 3a�,� /f �W CITY�„�A iJf\RA�ZIP���TEL. �O�'�T RW ❑ APPLICANT TEL. REAR ' p SIDE/SIDESTREET RW ❑ � CONTRACTOR G�W f�I�(2 SIDE - -� ❑ r� ADDRESS�(��g �.�A- � p� CITY Z�p TE�, PROPOSED USE � ` _ �+ ARCWENG/ DESIGNER N0.DWEL. NO. ADDRESS � CITY ZIP TEL. UNRS STOpIES BEDR0�4S � ti OESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION � p� OWNER-BUILDER DECLARATION SFR/ADD/REM O p 1 NFREBYAFFIq.I UNDER iFNA1T'OF pE0.1URV THAT 1 AY E%CMPT FqpM ME CDNTMCTORS L4 Ger8g6�Ce�pOR lll CENSEUWiORi11EFOl10WINCREA50N(SEG7a]I.60USMESSAImGROFE5510NSCObE:ANYqTYON (/� �.7 COUNTYVN9p1RE0UWESACERM?TOCON..TRUCT,JILTERIMPROVE.DEYOl15H2ORREPA:RANYSTHUC• W W NRE.VNiOHT017S65UM'CE,ALSOREWIR£SiNEMPLMXlTiDRSVCHFEMaTTOfLLE�51GN[D W Pa:io/Deck ..� STATFIAENT iHAT NE OH SME IS U(�NSED VUfLSUANT TO TME VROVLSIONS OF THE COHTMCTORS�4 � � CENSE UW(d/APTER i(COM4CNCIN�WITM SCCTION IODO)OF DMSqN]OF TH[BUSINE55 AND 7RP POOVSp� fE55�ON5 COOE)OqTHATHE OR SNE IS E%EMPT iMEHEFipM ANO 7HE&15i5 FOq TME I�LlEGEO E%EMP• C7 iqN./NYVqIATqNOFSECT10H7m1.6BY/iM'APVUCAHTiORAPERMITSUBJEC75TMEAPPLILANTTO z Re-Root �„� A CML PENALT/OF N07 AqRE TUN FNE MINDRED DOlLARS(i3Oo1.1: O OL�OWNEROFTHLPROaERT11,OR4YE�PLOYEESNnTHWAG[SASiNEIHSOLECOMPENSATqN, ❑ (`qmmOrClal - Z MLL DO THE WORK,AND TFIE SiRUCfURE IS NOT M7ENOED OR OiFFAEJ LOR SALE(SEG 7a�,BU56 J N HESS ND 7ilOFE55KXd5 COCE:ME CONTMLTOR4 LICENSE Uw DOES NDT APP�V TO AN OSVNER OF j iROPERfY NM110 BU0.D3 OR MPROVES 7NEREON,/�NO M110 DOES SUCM WOHK NIMSCIF Oq HE0.5ELF D0. � TMROIX]MNSORHEROYVNEMV�OYEES,GiqVIDE0i11.�T5UP114PRpyEY[HTSMENOTINTENDEDOR m �l1 OFFEHED fIX35ALE F.FqWEVER ME BUIDING OR 1MPROVEMFNTIS SQD VTHNONC YE.IR Oi�OMP{F- �' Z TqN.TftE OWNER.BUILDER VALL MAVE TME fiuRbEN Of VROVWO 7TUT HE Ofl SNE O�D NOT BURD pR ��. � MPRUVE FORTH[PURPOSE OF 6ILLE} w ❑tti40wNEHOFiHEPROPERTY,NAF7(CLUSNELYCOlftRllCfVMYrt�/1LICENSEDCOHfMCTORS L'C TO CONSTRVCT ME PAOJECT(SEG 7ou,DUSINE45 AND PROFE5910N5 COOE:IHE[OHTMCTDi15 ll� VeIUBtIOfl ApJ.AREA ltJ CFNSEUWpOES/qTA➢FLYTOAHONTIEROFA►ROPEqiYMnqBUADSORl1PqpVESTNEREM11W0 � NM1IOCOMMCTSFOfiSlK71if10JECr5YVITMAGOHTMCfOR(3�LIC[NSEDPURSUAIRTOTHF.00N7MC qUANTIN ESCRIPTION FEE � T00.5 LICEHSE UW.�. O IAA10(EMPT UNpER SEG B.�P.C.fOR TMIS REASON Q ^ U � DATE �I�.l L{. [7 O ` S: � � — - — V UCENSED CONTRACTORS DECIARATION w � IMERFevAFFIR1AtRlDERDENALTYOFVE0.tt1RYiHATIAIALICENS[DUNDERVROVISiONSOFCMApTER Ur p., •�COr.w�[NCwO WITM SfCT10N 70001�Drvi5i0N 7 OF TME BUSINE55 AN�PROFESS�ONS COOE.A`1D Z � �X W L�CENSE 6 N FNl iORCEMO EFFECL � 0 �ICENSECLtSS L1C.N0. j V DATE CONTRACTOH 6J. w � WORKERS'COMPENSATION DECLAMTION 4 _, _._. __ � IHEREBYA�iIRAIUNDEqVENALTYOFiERR1RYONEOFTHEFOLLOWfNODEClAMT10N5: . 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