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HomeMy WebLinkAbout1904 - 1370 VALLEY VISTA (2)CITY OF DIAMOND BAR PRESS DEPARTMENT OF BUILDING AND SAFETY FIRMLY BUILDING PERMIT Y JOBSITE ADDRESS C� V Z4 APPLICATION PERMIT USE DATE NnUM ER CODE ISSUPE APN �!'A I�'7Gt6fTRACT DATE: CONST GROUP CROSS STREET OWNERi(la(YL^�P-u �C7(� SETBACKS 1klFIX kaEIrM ZONING FRONT RW ❑ ADDRESS c-�'�� CITY ZIP G+74R TEL I I REAR ❑ SIDE/SIDE STREET RW ❑ APPLICANT TEL SIDE ❑ CONTRACTOR a ADQRES ~P CIT ZIP TEL SEWAGE ❑ PUBLIC PMT DISPOSAL ❑ PRIVATE SQ. FT / 100 GAL STATE JI C UC. NUMBE IC. NUENG/ GRADING ❑ CU. YDS. EXC. CU YDS FILL TYPE FT FACTOR PS ADJ. AREAIVALUATION DESIGNERUJI ADDR S 56 2-0' QD y U- 2 CITY �R ZIA Z? I L11 1 TEL. "A 3 PROPOSED USE 4 0 GARAGE NO. DWEL. NO. V NO. UNITS STORIES BEDROOMS LOT DIMENSIONS PORCH m VALUATION ADJ. AREA OUANTTTY DESCRIPTION FEE NO. OF BLDGS HOW ON LOT USED r DO LICENSED CONTRACTORS DECLARATION: I hereby dfirm that I ore licensed under provisions of Chapter 9 (comni with Section /D00) of Division 3 d the Business and Professions Code, and my Inane is in full farm ard dlec i a r �� OWNER BUILDER DECLARATION I hereby affirm Min ta at I son from the Consi«tor's License Law to, Ma falwinglo salon ]See 7D31 5. Business and Professions Code Any city or connty which requires a permd to construct, alter enplow. demolish. ar repair say struciwe. prior to as issuance, also requires the ins icant so, such peed to file a Plies!statemeaf that tie u licensed put cent in the Provsrns of the Coolest 'a License Law (Chapter 9 (commencing with Section 7D00) d dwsken 3 ofthe Lomas and Professions Codel ar dul M a exempt th«drom and the basis far the alleged exemption Any violation of Swim 70315 by any applicant for a permet wblecls the appbmnt m a civil penalty of net more than five hundred dulkin IS5001) plawes with wages sale compensation, will do the work, am I. as owner at The property. ar my amas trial the structure is not intended in offered be sake (SIC 7004, Business and Professions Code The Cntraclr's License Low does not apply to n owner of property who builds ar enprows Mien. rid who class such ways himself. ar through his own employees. provided chi such improvements are not intended or offered for sW If, however, the bowing ar improvement is sold wrthm one year d cpmpletmn, Ili owver-bwdar will have the burden of Proving that he did not build or improve for the purpose of tale.) (� 1 �.' q3 ni O Q Q g :)r F e J 1r�7 4 Ofas Owner of the property, ere euchmwhy contracting wilt licensed contractors to construct live prey«1 (Sae 7Dd4. Business and Professions Code The Contractor's License Llow does not apply to on owner of property who ludds or improves thereon, Bad who contracts far such protects with a cnlractor(s) hcemed pursuant to die Cnaseter's License Law l LU CONSTRUCTION ❑ 1 am exempt order Sec. B 6 PC Winch Combiner) < PLAN REVIEW Date Owner LEC I '� PLUMBING MECHANICAL WORKERS' COMPENSATION DECLARATION I hereby affirm that I blow a ciohcile d consent tat self-ssure. or a certificate of Workers Compensation Insurance, in cabtied copy thereof (Sec 3800. Lab C I ❑ Certifed copy -a hereby f«coshed Cernhed copy is filed with the Building hupscbm Oapartmnt ar Department 4 GRADING DE (LATE OF -EXEMPTION FROM WORKERS' COMPENSATION INSURANCE This aaction need not he completed id the permit is for one herded (S1O01 re less. I .st m the pert«main d the work he which this permit s issued. I shelf net employ aN Prison tin airy niters In tits fact la tier keri Compensation L f rimer i r 7- Q� - rem Ilpda.n, W , U- UANC 1 O PARK FEE SCHOOL FEES ' lf ' NOTICE APPLICANT. N. alter ="Cg des Cerbhcate pf E fin, thou timid became subsist as n tlm 0 shelf Campentatxw provnrona d the labor Code. You mud turthwith, reply urn such provisioner as this permit chap be deemed nvded. . f VISION OF NOUSfRIAL SAFETY PERMIT CIATIFCATION i ; ❑1 hereby cerldy that n aaavden foe 15) «more lad in dpth into which a person is required M dsscad. will be made in cennmw with work ittbveM by Mu perma, and Mt no gilding s rwire, acdlofdins lelsow«k, w demoklun ar dismntAng thereof, 8-ba were -dun d«ty-da-136)` t high (Chap 32. Bop 2, Art 2, Sec 3e 1. Tale 8, C.A.C.I 17 ❑As owner buider. 1 wl lei'e'ppby prune to do week whch wouN require a picot him tier Division of Induatnat Safety, as noted ebova, urilesb such person has a permit to do such work have tun /union. ❑fYnsin of Industrial Safe ty ►erred No. - TOTAL FEES 3. $�� s CONSTRUCTION UMM AGENCY: I hereby affirmat shoe is a construction loading age" One du parlannce of the work far which ties permit s issued ISac. 3097. Civ. C.I. I Larder's Name COMMENTS j Larder's Address c CERTIFICATE OF COMPLIANCE AND ALITHMATION OF ENTRY: I entity I have real dis application and sloe t that the mlarmatmn given is carrect. I arm to comply with all sure laws sod airy oNina«as missing to kdldin8 partment d Building ad Ssfagr to nta Din h properly a .�hmwOied�,3F�or r d amkk9 inspections. 12-- RECPT NO. ��L ✓ FAID BY � VALUATION Q0 Sipnatrn d Applicant « Agent (Yee \ZAITE—Department Copy, YELLOW —Finance Copy. PINK —Assessor Copy, GOLDENROD —File Copy. GREEN— Applicants Copy EIS706-11/89 C, k:" 1-1 77- 7-- .. . . ... ....... ....... .. .. .. .. .. .. .. .. ... . . . ... . --------- ---- ------ ------ ..... .. . .. E� 54 ........... . SUMV, T AiNX SIZE . .. . ....... . . SLU 11 ITIJ 'S!'71. .... ... ............ . ... .... . .............. .. . ..... . .. .. . . .. ... ...... . .. . .... ... .. . ... ... .. .. . .... .... .