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HomeMy WebLinkAbout1088 '"� CITY OF DIAMOND BAR PRESS �...� -' �EPARTMENT OF BUILDING AND SAFETY BUILDING PERMIT FIRMLY JOBSITE APPLJCATION PERMIT ��..,��� USE ADDRESS ���� '4'���'� ��� � DATE S��'��p NUMBER J�'�CODE ISSUE ,� � TYPE OCC. � APN LOT TRACT DATE �i�� �� CONST. GROUP e CROSS STREET � ��,�`Y ZONING SETBACKS "P101E1�"'s =-° OWNER C� . �htC°/�i3-Q FR�NT RW ❑ o ADDRESS l7�4� �/� ����'✓� LN REAR ❑ W CITY �<�a'� �'�'f' ZIP��TEL�6���G SIDE/SIDE STREET RW � g APPLICANT �� YG`G'��"� TEL.� SIDE � I z � a CONTRACTOR �'�'� �'��"`�'- SEWAGE � PUBUC PMT# o A�DRESS �7a z'+- �N. -H�P�1 4� DISPOSAL ❑ pR�/ATE SQ.Fl:/100 GAL ,� CITY S�""�''' A"�i9 ZIP ���` TEL�'�,. z STATE y LIC.NUMBER �-4��G tL C -3!., 3-o GRADING ❑CU.YOS.EXC. CU YDS FILL y ARCH/ NG/ � N�'E SQ F1' FACtDf�PS At?J: ARENYAI.UATION � DESIGNE W 1 � ADDRESS it 2 0 z CITY ZIP . (� 3 � PROPOSED USE a- � Z 4 � e�ti{�pL•�a„4�1. � GARAGE o NO.DWEL. NO. NO. ' � PORCH y UNITS STORIES BEDROOMS s LOT DIMENSIONS m VAIUATION ADJ.AREA o NO.OF BLDGS HOW QUANTtTY DE$CRIP'I�iON F�E , w ON LOT USED � � � = cc ~ LICENSFD COMNACfORS OECLAHATII�1:1 MreOy a/tirm M�t 1�m i[enseE Wer prwilims o1 Clwpin 91�o��iq � � wnh Sxnon 10001 0l Oivision 3 d�he&xineas nnd Prohasqns Cade,ond my Ismse rc in fuN 1rca and eNect � ' 3 � W � � RWNEH�&11lDER OELLANAT�l1�I here6y alfi�m tlut 1 am e�xmpt Imm the Cankanni s lrmse law iw tlu idlwriag � . . . . . � reason ISec.7031.5.BusiMss aM Prolesmnt Cade:Airy ciry m canty wlrcA requires a permimm eo camtru��, �-(7 I o aner.improve.Aemd�sn.d rqw�airy mucn+e.prmr ro aa�avunce.M�repu:ea tlu apqticant(or aach permt .2 �- m tde�sgne0 statement mat he w NcroseG pusuant ro the prwigmf of the Cmtrxtar's Li[ease law(Chapla -jy � 9lcanmeiuing wit�Satian 70001 ot Omsim 9 al ihe Busircn and Protessions Catle)ar ttot Oe is evemp�tRerel�om g . d m�d Me has�s tor the aNeged aamption.A�ry vW�tron W Secron 7031_5 6y airy applrant In a pernrt w�jetu .] W H+e�pplinm to a crvd pmahy ol not irore thai five IuMred doAus(I5001�1� ..O. � ❑I.as mvner nl th propeny.n my emplayees witA wapes as 9ceir ade tompensauan.wiN do 1he vmrk.aid ~ the svucwre rs not inteiMed or otfered fa uk(Set.70dd,Buvneu a�b Professions Codc The Lmtrumr's liunse �q �- (_' (�^f���y�,C b (,�j Law dces mt apply m an awrer of propvry wM huibt a nnprmrzs Mnem.aM wAe does such wart hunseH. --L� �++ a tnrough his own employees,provitletl that su�n mprwemenu are nm inanded a o16nd Mr sak 11,hoxreue�, :,�z� �� � m the buiNug a impouemmt is mM within one yeu al can�letron.Ihe owner�biribd wAI haue the hurdm ol pwinp �.d. � N Met he did�rot huiW m mpovs Im die purpou af sak.� u y ❑i.as mvrKr of du qopeny.�n ezcirnvety mntranmy w�f�IkmsM metrxmn ro wnmucl tha pyect ISec. �W 709d.8uvross aM Protessions Cadr.TAe Comrxror"s Licmu law das not apply m an owner o1 property wlw � I = hui0s or�imprwes thaem,mid who wntrack la ach pmjecta wilh a coatq[bi�s)licrosed pursuan�m dw Contracla'z " ��^��°�� CONSTRUCTION � ❑�am�.�m�a�s� .e_e r.c.�an�cnm�ki. PLAN REVIEW � Od1e °""" ELECTRIC � WOflNERS'COMRNSATXIN DECLAqATION�.1 Mreby�Nam Mat I�we,�m��o�oo���m�-��..a .- PLUMBING a cenAiwte ot NMini Cpnpensatron Insu�arce.a a cwtitied tapy ttwed ISec.3800.laC.C.�. a ❑c�a �wr�3 naenr+��n�a- MECHANICAL o c�en�e��n��a w�m n,e a��s+Mea+�+�c�+�++�� �+�+ 'd GRADitVG � CERTIF&ATE pF EXEMPTqN FfiOM WptKERS'COMPFNSATION INSURAf�E:This���a�m a��ua � ISSUANCE m � y H the pemal is im oro huidrN(S1W1 d kss.I mtl11�n in the perfmmmce of Me wak ta wAich fiit permit is ixwed.I shap rot empbr airy per�in�M mem�w�s b 6ecOm!Eu6ntt W Re NbrYas'Cmpemalian SMIP oi�ar c,im��u PARK FEE 0 o�n s ro—Pa tu � 1ATICE TO APPIICANT�.tl,after m�kinq this � :'o�E � ` : �ro n�e w�.•s �^� SCHOOL FEES � Compensatim praeisian W Me Laba Code. w6h seh prw� a tl�is pam�R slWl �is � be deemed revoked. a � pYI51pN OF INqi5fRlAl SAFEiY PERMR CERTIFIfATNYi�. daef�af� ❑1 hereM�ertil that m aravstion(q� 1� m-�v.�whicA■ is s wiN he made m conMctan wM wwk a�t�r��y�P��,a4d�iWV�^B mu�etu�ie.u�Poldi��lalmwork. � a dmwlilian a dismmtliig threol.wiN b man Own thirryou 1�1�t hph.�p.3.2.Gry 2.Rn 2.Sae W� 3d1.TitkB.CA.C) � 3 �AS mnri-heNer.I wiY^mlyfVbYi�=7otlonb'M���wF'r�,weY�np�fraYipmil hain Ihe OHeai d , � ioa�sn�sarnv..:�ora.��rss�p pwonms,,�■m a e�wn!_..�jr4n ee e�. � u..;Y_.. .i s.:d� '.-. . W ��"'�'°"�"""'�''`""�"°"° TOTAL FEES , �O � ��������.��.�.�.,,�����,�,.���.,.� i m me wmt w wncn o.a pmm u�.e Isec.�os�.cir.c.�. � �"i°ef''"'"'� COMMENTS p�p LmAer"s Ad6eaa 't CERTIFICATE OF COMPLIANCE ANO AlITH01MU7tlN OF EN�HY:1 mfily 1 h�w irA Mis aplie��ien rN mt �a ma me in�anumn qivm n wnn.��g«m amplr wi1A+�s�h I�n and city oroin.Kn rd.ring m taiKag y [qRItUCIW�Yd aui�Blii!a f!plYIIIiIIYe d IIY dpfil�lnl d�y�.��lT/b MIlf IqCll dR�IE01l1� IO �Nv!ip y�p 11x3 OK�/Of MR NWA d�M9���. ~ ��f 0 "r1{ � ►„� ,�„ o.a RECPT f�. 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