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Home My WebLink About1828 - 21865 E COPLEY DRZZ04 ..... . DIAMOND BAR r`t ' DEPARTMENT OF BUILDING AND SAFE) v BUILDING PERMIT PfE FIRMLY JOBSITE ADDRESS APPLICATION PERMIT j SE DATE _ NUMBER Lea ; CODE ISSUE / _ TYPE CONST. — GCC. DATE ROUPJ APN LOT RACT CROSS STREET OWNER � C. A. Q. M . Zx ADDRESS "11SO :—LAt►2 OO—tLj ZONING SETBACKS awfKmwmm FRONT RW ❑ REAR ❑ CITY EG Mb rii ZIP Z — SIDE/SIDE STREET RW ❑ SIDE ❑ APPLICANT PAL i��J O CONTRACTOR P L'�,L�3raxt�ne�l Tl52ulca*S. eE ADDRESS / Z CITY,1-4-mixie ZIP2Z-.7/S L, o- EWAGE ❑ PUBLIC PMT s DISPOSAL ❑ PRIVATE SO. FT./ 100 GAL GRADING ❑ CU. YDS. EXC. GU YDS FILL STATE LIC. NUMBER— to W TYPE 1 SO FT ACTOR PS , ADJ. AREANALUATION ARCH/ENG/ DESIGNER M�Y�AL.t-�1 Assoce ADDRESS 7LQrD aC-At1CALQ0cQ 2A, LL 2 CITY L.-A. ZIP2DOGB TEL.4(o?-:7/ 3 PROPOSED USE_ JPJ► -Q--'d-(- ? 4 GARAGE NO. DWEL. NO. NO. UNITS STORIES BEDROOMS LOT DIMENSIONS /S.OS PORCH m VALUATION ADJ. AREA QUANTITY DESCRIPTION FEE NO. OF BLDGS HOW ON LOT USED a LICENSED CONTRACTORS DECLARATION thereby affirm that I am licensed tech provisions of Cbapte 9 Icammenung with Section 70001 of Uvisron 3 of the Business and Professions Cade, and my license is in fullforce and Select U W ❑ W W O,VNER BIAIDER DECLARATION I hereby affirm that 1 am exempt from the Cornrcbi s license law for the following reason ISec. 7031.5. Business end Professors Code Any city or county which requires a patent to construct, Alter hmprli demolish- of repair arty Seructae. Play b its arsuerce, AIM lequets the SPpkcant lot such Permit Ili file a signed statement that he is licensed pursuant to the provisions of the Contractor's Licle Law (Chapter 9 (comrnencmg with Section 7000) of Couturier of the to and Professions Code) or that he is exempt therehom and the basis for the alleged e¢mption Any violation of Section 70315 by any applicant lot a Permit Subjects Our applicant to a cod penalty of not mare than five hundred dollars 155001) ❑l, as owner atthe property or my employees with wages as their sale compensation. will do the work, end the anuctate a oral intended of offered for sale (Sec. 70". Business and Professions Cade The Cuntrctm's License Law does mt apply to in Sumer of properly, who builds or mpoves eTereon, and who does such work himself, or through In own employees, provided that such mpwen emls are not intended a offered for sale H, however, the building or improvement a said within one year of completion. The owner -builder win have the burden of playing that he did not build or impoue lot the purpose of sale) ❑I, as owner of the property am eclosorefy confraceng with licensed contractors to Construct the project (Sec. 704s. Busuress and Professions Cade The Contrctor s License Law does not apply to in ownin of paeart , who builds or improves Thereon, and who contracts ear such projects with A Comrctals) licensed pusuant to the Contraclo's License taw) is , iJL _Z m -J a Z < ,U W CON ON ❑ I am ri mpt under Sec . B 6 PC.IAllach Certificate). < PLAN REVIEW i Date Owner ELECT / WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a cvahcare of consent b set nsore, or ' a certificate of Y1Mkei Ldmpensstiorh Insurance. or a monied Soar therein ISec.3B00. Lech. C.1 i : ❑ Carried copy is far* furnished. * i Caroled copy a filed with da Guiding Inspection Department or , 7f AM I-W A variant i CERTIFIOATE OF EXEMPTION FROM VepiKERS' COMPENSATION wSURANCE This aecnon need not be completed t it the erne is for one hundred ISIW1 So less erol that n th performance of the work for which this D C permit is issued, 1 shall not emgoy Srry person n manners s b become b thr lief' Compenvtion laws of cafdorrua J Q W UMBIN HANI 3 % / O ADI ISSUANCE r Q 3D91 � Dale !/— 13— 4 o APPIic Uj LL PARK FEE SCHOOL FEES a NOTICE TO APPLICANT If. after making this Certificate of Exemption, should become sublet b four yWkv's a Compensators payuans of The Labor Code. yore must forthwith comply with such provisions or this permit shag be dremedteuoked. DIVISION O INDUSTRIAL SAFETY PERMIT CERTIFICATION i - i I hereby evilly that ro eeavaton true (5) or more kit in depth into which a person is required Is descend. writhe made in connector with work authorized by thus permit, and that no building Structure. snff"ttik IMsewrk, term deotmon or dhsmanang thereof, will be met it Uor Sit 361 feet high i°"° 37, Grp Z, Are 2. Sec 741, Thole B, CAC( ti d1l r ❑As ownerlandder, 1 with rot emellaY anyone to do work which wa ld requite a permit him the Ovisinn at Industrial Solely, as noted about, unless Such person has a permit ,o do such work Item the tuition. j ❑Owsim Of kdunrul Safety Minn No. t i f C TOTAL FEES J (p CONSTRUCTION LENDING AGENCY. thereby afMm that Searle is a tonsouctien 4M.q aPency'ler dr Performance of the work for which this partner is Issued (Sec 3097. Div. C.). tenders Name COMMENTS Lenclu's Address c CERTIFICATE OF COMWOCE AND AUTHORIZATION OF ENTRY. I tartly I hie eW this apPI ion and Seer I Tut the inerrrafgn peen IS eotrect. I apes to comply with all stain toes and toy erdtttnca feet" to bu eking consbtctron, and autMtue a to eel Ind Dpartsrere rr ft+iWhp and Slater in OW yen fh property applied M It., the of nhak+q iupctitns. X /3.r � O RECPT No. `�• ) PAID BY r VALIDATION ILI &901tier at Appk f or Agent//— WHITE—Department Copy. YELLOW —Finance Copy. PINK —Assessor Copy, GOLDENROD —File Copy. GREEN— Applicants Copy 4 t ill S P E CT11 0 N R E 0 R. D . .... L . . . SET BA ter, .... . ... .... ........ . ... .P D' .J01SI S ................_............................ ............................ ... ................- .. — - F I I 0'T ................................ ......................... ... � 17-- ' ..FLOOIUC)[ .......... ........................................................... ........................... ................ ............ PA4. . ............... .. .... 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