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Home My WebLink About1056 (10)CITY OF DIAMOND BAR DEPARTMENT OF BUILDING AND SAFETY PRESS „ BUILDING PERMIT FIRMLY JOBSITE ADDRESS �I �O Q ial{�� .sl¢'d�" APPLICATION _ PERM R USE ISSUE E 3 `�O NUMTYPE ER�COIDE DATE CONST GROUP APN LOT TRACT CROSS STR ET__ OWNER w w M.3 ti SETBACKS IkfR7E1Efr75 ZONING FRONT Rill❑ REAR ❑ ADDRESS r y e CITY ob j ✓-I a .a-34� 71%�TEL. � SIDE/SIDE STREET RW ❑APPLICANT 7—� Sa••.e. TEL. SIDE ❑ CONTRACTOR ADDRESS SEWAGE El PUBLIC PMT # DISPOSAL ❑ PRIVATE SO. FT./ 100 GAL CITY ZIP TEL STATE LIC NUMBER GRADING ❑ CU. YDS. EXC. CU YDS FILL ARCH/ENG/ (n TYPE SO FT FACTOR PSF'- . AREANALUATION DESIGNER -+- —k^2a, L� , u . IW 1 � d e r 0 2 ADDRESS sato. ar l CITY0Iwo 4.--- ZIP /7 TELE4_93—slir, 3 PROPOSED USE 11 NO. DWEL. NO. NO, UNITS STORIES BEDROOMS LOT DIMENSIONS 4 GARAGE m PORCH VALUATION ADJ. AREA NO. OF BLDGS HOW ON LOT USED OUANTfTYI DESCRJPTJON FEE U ❑ IICENSEO CONTRACTORS DECLARATION. I hereby aflmm that 1 am licensed iirdw proviaas of Chapter 8 (commeming urth Smaen 70W) of Olvrsmn 3 01 the Business and Professions Code and tint license is in full force a effect F— W El OWNER BUILOFR DECLARATION. I hereby alfirm that I am exempt from the Contractor's License Lase fw the inlaying reason ISec 7031.5. Business and Professions Code. Any city or county which rmuires a permit m conabiet, alter rmpmve, dernolrsh, a ruin my st "hire, prior to its i"Wace, also requires Me apPlrpaat for soh perms to f 1, a ngued statemcm that he is ficensed pursuant w the provisions of the Contractor's lkeme Law IChap, 9 Icanmencmg with Sn[inn 70001 of Dimsm 3 of the Business and Professions Codel a that he is esergst the ehum and11v basis far the alleged exemption Any violation of Section 70315 by any applicant for a Perrin subsrts rhe aPPI1_1 to a crvd Penman M nal more than fw tundred donars (35001). ❑I, as owner of the o t a m em I ices with - Pr Per Y. Y poY wags a thea sole compensation, will do the work, and the structure is not intended or PtfenA to sale (Sec. 7044, Business and Professms Coca. The Cmtraotors Lucia. Law does int apply to an uwrer of property who builds or smprwes thereon. and who does such work himself. or ihra 'h tis own employees, provided that such improvements are not intended or Offered for sale. If. however. rhe building a impwemem -s sold wnhm oae year of completion, the owner budwill have the baden of Provi g that he did not build a i Prove for the purpose at sale ) ❑I. as owner of the property, am exclusvely contractmy with licensed cmuactors to construct the pmrmt (Sec 7044. Business and Patessans Code The CmT'actcr's Lkeese Law does nor apply to an ovnser o1 pcperty who hudds or impwes thereon, and who contracts fa such p rfects with a centractor(s) licensed pusuam m the Contracts s Leanne Law l 0 �/ (/ W (} Z 0] 4 q (.) Z = W ' CONSTRUCTION 3 y- pt umlm Ser Iy e / a. a Pc (Atlaeh Cerariwle) Care m -ne PLAN REVIEW ELECTRIC PLUMBING Vd KERS COWPENSATg OECLARATION I hereby alfirm that I have a certftcate a consent to serif ersae or a cerhhrale of Worie,s Cnmpensatan Insurance. or a certified copy the ed ISec 3800, Lab. C.I. C cernhed:opr a herehy 1 msxe J MECHANICAL Cwtihed copy s filed .6 the Pudding Mspeetim Det a anew or Department F,ERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE. This section need not be completed d 'he Permt is for one hundred (31001 of less. I certify that In she paarmance d wo the k fur which- thusperms is issued. I shall not empto any person in any mean m as to become sublen to the Mram' Compensation Laws of Caldnrna. Date ppplaant 0 W L1. GRADING ISSUANCE f 3 d d SMIP PARK FEE SCHOOL FEES NOTICE TO APPLICANT ANT , Labor alien making aqfY�� youosdd shbe— stribaltribalto ftWakn's Cmnnsahm pwn— d the .alp 4 with such prwlssons a alias permit shag p be deemed aeok d.,- DIVISfN OF INDUSTRIAL SAFETY PERMIT CTRTIFICATION. ❑1 hereby ready that no eacavmmn five (5) or me feet m d t iota which a r>erson n rpuuad to descend, will he made in connection with r�,s�INif#ermilP no puiMieg sntKture, WIWMirg, talsewwk, a 4emohuon a drsmanth N he, tlso Ihir ) feet hph. (Chap. 3 2, Grp 2, An 2, Sec 341, Title 8, C AC.). CIA, owner berlder, I wip,,0.qoo1�-110➢�y io.rlq w!ohy+uhdi: ara!bi uaaiM a pwrtxt ham Else Qvwn d Industrial Satety, as noted atfo�' UtkiYs{sF�sch'.pMap lx'sa pter-h�iil io+fe�sudrw-111/)ran the diriveri, ❑Ovation of Tdustrial Safe, ptt rrhrTRd ii`; L7 AN,D Si i� Es 1 TOTAL FEES7 C J CONMUL79A LENDING AGENCY. I herehy affirm Mat dine is a wormiactom mil agency fee by, prfamwrs: of The wort In which this Perna is issued ISec 3037, Civ. C.1. Lender's Name COMMENTS Lender's Address CERTIFICATE OF COMPLIANCE ANO AUTRORILAT101 OF ENTRY I mrify f hoe nd *is application and some Met the mlamation given m cared. I apes to comply with at stain d laws acity artbaanca rdapp a buaki crostruchm. and Wftilt a "OMMMatiue of tM oapwtmeot d Diking and salary 1a amw ripen the Fall fa which I have uWied for this prion for the porpose al mdirst n=Kbms. RECPT NO. WU�D SY E— VAUDATION _7—n-9 y�`� Jr Sow �a� rb _)�e Applicant WHITE—oepartanerM Copy. YELLOW—Finance Copy, PINK—Assessor Copy, GOLDENROD—File Copy, GREEN— Applicants Copy GS106-11/69 U IN U, "J 9 Fri es ....... ... . ....... ... . h. . .......... .. t" B .. ...... ... 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