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Home My WebLink About13179 (39) _�� _ CITY OF DIAMOND BAR r i DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Copley Drivc Suite 190 (909)860-3195 Faz(909)861-3117 PRESS '�� BUQ.DING PERMIT APPLICATION FIRMLY o ADORESS / DATE CATION-�.-Z�j� q NUMB R `�� '! A� \�� 1.�.�2. i g issue TYPE occ APN LOT TRACT DATE CONST. GROUP � OWNER . " AODRESS e ZONING SETF3ACKS Z CIN ZIP TEL � " FRONT RW ❑ g APPLICANT TEL. REAR ❑ � SIDE/SIDESTREEf RW ❑ CONTRACTOR SIDE ❑ � ADDRES � CRY ZIP�S fEL - �,�'�, PROPOSED USE " P� ANCHlENG! � DESIGNER NO.DWEL NO. NO. CIDTD�RESS Z�P TEL. UNITS I STORIES BEDROOMS� � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION tn Q ONNER-BUIL�ER DECUIRATION SFFUADDIREM O � p 1 HEREBY AFFlRM UbER iENALT/OF PERAIRY THA7I M/EXEMPT fRpA TNE ODN�MCiORS L4 G8(BQaJC81pOR W CENSEUWFOftTMEFqlOWNORFA50N�5EG70.71.66USM1E54ANDPROFESSWN:00DE:INVCITVOR (n (� OOUNTYYIMICJIREOUIRESAGERMRTOCONSTHUCT,ILLTERMPROVEDEAIOLISN.OHREP�IHANYSiAUG W Patio/Deck � ' V� TU1E PA�N R9�33UANGE,ALSO REWIRES iNE MPL�CAttT FOR SUpt VEfWI7 TO iILE A SiGNED W � STATEMEM TUT HE OR 9XE IS UCENSED R10.5W�NT TO TME PROVISIONS OF THE CON�flACTORS LF � CENSE UW�CHMTER Y(CdAIIENCMM W(ill SECT�ON 100DJ OF DMS�Of:�OF TNE BUS�NESS M'�PRD- u- PooVSpa FESSqN5C90EpT.!i11ATHEORSHEISEXEIAPTTNER[FROMANDTHEB�l515FORTHEIILEGEDE%EMP• (� TqN.AHYYIOLATqNOPSEGT10N70Jt.OBYANYMPLIGWTFORA7EflMITSl1Q1ECiSiHEAFD�ICANTiO Z Re-Root � ACMLVfNALT'OFNOTIqREl/UNFIVENUNOREO�OLLM5�t500�J� � OI��EROFTHEPROPER7Y,ONMVEIAPLOYEESVATHWA6E5A5TNEIFlSOLECOMPENSATqN, 0 CpmmBfCl01 ' 1MLL DO THE WOi1N,MRI iHE STNUCTURf IS NOT INTENDEO OR OFFERED FOR SALE�SEG 7ou.81151� J NE54 AND iROFES510N5 COOE:TNE CONiMCTORS UCENSE UW OOES NO7 A7PLv 70 AN 01YNER OF � PROPERTYN'F10BURD90RMPf10VE57NEpEON.MIDM'NOOOCSSlK1�WONKX11.lSElFORXERSELFOR � (,'� TYiIXXYfWSONMERONMEYPLOYEES,iHOYiDEDTFIATSUdi1MPROVEMENTSARENOiNTENDEDO(1 m �4� OFFFIIEDPDRSALEG,HOM'EVER��ONCORMvfqYEMEMI5501.OMniHNONEYFMOFCOUPIE- Z '710N,THE GWNER�BUIIDEfl YALL MHYE iME BURDEN OF PROVINO TUT ME OR SHE DI�NOT BNID OR � MPpOVE FOR THE iUpPOSEOF S�LE1 (1,� OL��IM�EROFTILPROPEHtY,Al1E7(QUS�VELYCON7MCT7WMrtT11t�CENSEDCONTMCTOR3 (L TO CONSTRLKT TM[7{iWECT(SEC.70u,BUSMESS NiD PROFE5910NS CODE'TNE CONTRACTORS L4 VB�UB:i0f1 AQI.AREA �L1 CENSEUWDOESNOTAVPLYTOA710MMEROFAPflOPERTYWFIDBUILD90RMPfqVCSiMEHEOH.AND � W1pCONTMCTSFORSUq/PR0.IECTSWIiHACOMTMCTOR;S)LICENSEDVURSUAH:lOiMECOHTRtG pUaNTITY DESCFlIPTION FEE � ra�suc�sEu�wy � J OIMIEXEYPTUNDCRSEC. B.�P.C,FOATWSREASON Q � � U � � OA7E OVmER W ' , . \ . � LICENSED CONTHACTORS DECLAiiATION W • _ � ' � � '\ ��- �� ,,,'� `. �, � INEREBYAFFIRMUN�ERPENALTVOFGEFiNRYTMATIAMLIGENSEDUNDER7ROV15qN50FGHAG7ER � � •�COAMAENC4qNTf115ECT1ON70001�OMSqN70FTHEBUSiNESSANOPROFE55lON5CODE.F'RI Z X NYLICEHSE 6 N FULLFOR EFFECT. lll m � ULENSE UC.NO. 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