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HomeMy WebLinkAbout1104 '"` CITY OF DIAMOND BAR PRESS `:, '-•" ' DEPARTMENT OF BUILDING AND SAFETY F�RMLY :: ��a BUILDING PERMIT JOBS�'1�E ��� �Y1�!'1 1"t�DS ��LQr p�E CAT10N �Q' r1S_O�D NU B R � �� CO E ADDRESS c7S � APN LOT TRACT ATE ��`��' 'S -v i� CONST. GRQUP oCROSS STREET �b an S r�. S Car ta -ZONING SETBACKS 'M"°'E'"E"'$ °' OWNER FRONT RW ❑ o ADDRESS �+ D Y f�i m i S �L REAR ❑ W CITY 17ia wn�r c� F3�r ZIP �i 1'76 3 TEL.� SIDE/SIOE STREET RW ❑ -- o APPLICANT T►h-c 5a�n.s� TEL. SIDE � z a CONTRACTOR �"`�n-y'' � SEWAGE ❑ PUBUC PMT#E o ADDRESS DISPOSAL ❑ pRNATE SC�.FT.!100 GAI. W CITY ZIP TEL. = STATE y UC.NUMBER GRADING 0 CU.YDS.EXC. CU YDS FILL y ARC � TYPE SQ F1' FACTOFt PS Ai),): AREAN UATfON ¢ DESIGNER W � � ADDRESS LL 2 0 = CITY ZIP TEL. (� 3 � PROPOSED USE � r i f�aa�=�P cr Z 4 � ���o,��i�(JL��_ d GARAGE o NO.DWEL. NO. NO. ri1�!'n� � pORCH y UNITS STORIES BEDROOMSJ' s LOT DIMENSIONS � VALUATION - ADJ.AREA o NO.OF BLDGS HOW t�UAN7tTY DESCRI ON FEE - W ON LOT USED � � _ ❑ �~ LICENSED CONTRACIORS OECLANATbN:I herzCy aNirm that I am icmud uNe qaisiont o�Chapta 9ltommercing Y wn�Sectron 700U1 oi Division 3 of�1ro&ainess and Pioteuions Code.md mr licenx is in tuN fmce md eNac W ¢p � 3 � LL OyVNEfl-BIHLDER OE0.AflATqN:I Aea6y atlirm that 1 am eiumpt ham fie Coniraceti s l'cense lnv ler tln bAowing ' iu Z reason,ISec T0315.&niMss aid Professiom Codo-A�ry crty ef tdmty w�itA�requires a pnmil m conitruti. (� o aner impove,demdish.or mpair airy nructure.par ro its nsua�rce.Jw reainea Ihe ap�i�ant fw wch pemmt �2 1= to ftle a s�gred slatemeni 1iw1 he s licensed{arsuant b Me prouisona d tAe CantruPor's Licmae l7w(CAapts m ¢ 9(commeMiig with Section 1�0)��sion y�the Busawtt�nd Prafessrons Cadel a that he s eaaqt Maehom y aid ttie 6asis ra�Me�NegeA exempfm.A�ry v�aeo�d Section 7031.5 Dy my�{qGcant for,armn wEiaa � W tM apWrcant m a cNY penahv�rot more d�en tne huadred doH�rs(i5001.1. �. � ❑I.as m��r ot the PrapeM,a my empbYas wim wages s Meir sde mmpmmtion,wiN do lln woh.md ~ ilie structuie rs not interMed or alhred la sak ISec.7D9A.Busineu a�Profeuians Coda.The Cmtrswi s tittnae � V Law does not apply ta an wvner af propeny who 6uilds ar improyn tMreon.aM wM daes sucA wmk himsell. U W a tlnoiyh his am employees,praided Mat such anprwemenh re nm inkn�u otferM tor sak.tl,however. z = the UwNing a impravement a sold within orb Yaer of canpk�ian.the mmer-6uika will hare�he burden of pming Q- y Tat he did rrot hwlC a��mprove im tlu purpox o�sak.) ..Z rn ❑I,as owur of the properry.mn ettNxiveN contranim�wiM IicemeE rnnvxemx ro conshu1 tk prejxt ISec. iL 70dd.Busircss aid Prafessrons CoAc The Cmtrector's Licmu Law das�w�appy ro m awner d properly who � 6 6uilEs or imprares thereon.rd wiro canlncis Ia such D lati with a contrxmrl�)�ud Wsumt m tM Canuxtor's �+fe���� CONSTRUCTION � ❑I am e.empt urdx$ec � �.8.fi P.C.IAItatA CerOfkaNl. - . P IEW � ��� °"'"" ELECTRIC �— � wunKEns co�+a�r+snTar�o�aaRnnlroN:i n�.�M,n�m.�i n�,�e.�er��a������r�w�.e.d PlUM81NG a rertifsate o}Warkers'Compensation Infunn[t,or a certitied capy Iheeol(�3800.UC.GI. � ❑c�ur�n c�v�:n�.�nv t�+snea. � MECHANICAL p ❑Certiiied copy is likd witA the Budding hsputim Oeprtment a o�m�m. 'd- GRADING � I z c��riFrarE o�exEawru�Fea�wunx[es conreEr+satror�w�w�:n«s sa��a�,m�o�,ea ISSUANCE ` � - " n tn�oKmn�3 ro�o�n�e�m�sioo�a�:.i«�r,���n��ro���t d.�tor wn�n n� y � perm�t is iswed.I shaN rot empby ury pe�mn in airy mamin w�s b Mcane whpd ro�h Nbrkeri Compe�xron - C�M� � Laws ot Calrfwnia. ' o W RK FEE � °at �"�� �- SCHOOL FEES W tAT10E TO APPLICAM:H,ahd mekiig ihH Cdtificate of EximO�ia�.4W tMiN Mean su6�eet m Ihe N6rMn's � Cmryensatian prrnisions of Me lahm Code,you must InXiwM�tomply wiM uh praisidp a this pmin�111 W h deemM rev�ed. J � qVI510N OF INOUSfRIAL SDfETY PEB I� �p ,':�...'� � R, w.�s�.. .. . � ❑I heretry cendy that�ro exnwtiod°(i�e�i`I K��e feet in depth inm wl�h a pe�am is�equir�0 m descend. ro � w�tl he made n cmnec�ian widi wai�utln¢eA b/Mu RrmA.and tlwt ro Wildig muclue.aaffddin9.fdtwvak. d a demol�ion m dis�nmtlHg theieol,will Ee mae Man Nwh-=u(381�t ApA.IL7W-32.Gry 2.Art 2.Ss _� 341,TiMe 8,C A.C.1. _ ,��� � � €��0 3 ❑As mmr-d�dder.1 wi4 e wryG7'*t do wwk wMch wadE�earire a prmit tran h Oivisim ef r I�du�uid SaMy.u noted a6oyt.unkss wch penm has�paml b do sueA wa1�hom IM diritqn. ^ i6o t � t , W ❑a.,,�d��rn���m�t�--; ` '::,; TOTAL FEES � ca�smucrr��Nonuc�re«wv�Ma r�dpr a.taao ' r�.o•n��•e•«�.K+ • � z d�k wo�tm wnrn a•asued�lse 3o9i Cn c1. —�+ tender's rume COMMENTS = Lender's AdMeu m 4 CEqTIFICATE OF CU�PLWCE AMO A1IIHOIpZRTIRJ OF EMNY:1 ceelr 1 Mw�d Iit sppit�uen rd s4Y VJ Ihat tlrz nlam�tiw�4ven a cw�ect.I a�ree Po cwnplr wdh�i Stl10 hw+wM dM d����B m�^9 construmm�.md autlarim��pnaMuuve d Er Dqpr6eatl d&ikiq wd S�My b MYr yea yr NAMP = ta whrh I M�t sp��d k�G�s 0�M iM p�M m�k�p n�.�� � {— � �/ � '��—jl� � —���d ��� z� O RECPT N0.1.1='=PA�D BY _VAUDATION WHITE—Department Copy,YELLOW—Finance Copy,PINl�Assessor Copy,GOIDENROD—Fb Copy.GREEN—ApplicaMs Copy BS106-11/89 , . „ . _ . . .. ...,,. ,,. . ,. : . ,,, , . . , `� � � a. �°� �;�� �.������������ ��-� � � R ��'� ��.'X� ���A.,...,`.�:,-.,�" �����'�A ���.��'�� ��� . :'�-�, ����, � � s �,� ����m _.. a � -��� °'" �s �_ g � .�����.�_,� c . ^?�� t - .« '- �, �s �� ��r4�� � � � {&� ��.,�;4� � ���. �`��,�. ���_ �` �� ���-� - ����,� ;x �,Q�v �:��;a � R�,A��;� .. i">ri...%1 . �' �.�..i�✓a,v�a3:.�, . . . , . _...._._...... _ , ..._.. ._._,.,,..._._.. ._. _.... .... ._.. .. ............ ..._.... ........... ..� .._ ..... . .......... ....... . .. .. . .,,. _., _..... ..... __...._..._...�.. .' .._._... _.. � �t.i�t3'�'t. „ ,. t � ���r t.���'�ir'�-•"i � �_` ..._ .....' . __.._. _.i._._.m.._ , ,... .. ............... . . ............. . ......... ......_ . . ., ........___.:_.. :. .. .. ..._ ... _.... __.._.__.............._.__,...__. . �. �.t.;::." a.�-ct.f i ?��_..�.�afi j ; ..��`..��16 I': � i�..-%L.}ti�..:l.�v e , . __.- . 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