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HomeMy WebLinkAbout173 �� i
'''� ' CITY OF DIAMOND BAR PRESS
DEPARTMENT OF BUILDING AND SAFETY p�pMLY
BUILDING PERMIT
JOBSITE /���.` APPl1CAT10N PERMR USE
ADDRESS ��� �✓�"��� � PL, DATE '��y 5 Wl1MBER 12�CODE
ISSUE TYPE OCC.
� APN LOT T Tf1ACT DATE CONST. GROUP
� CR05S T EET SETBACKS ""'a'E"E''"S
�° OWNER ZONING ��� � �
o ADORESS • REAR ❑
,� CITY P TEL. " SIDE/51DE STREET RW ❑
���
o APPLICA SIDE ❑
:
�
a CONTRACTOR SEWAGE � PUBtJC PMT#
o ADDRESS DISPOSAL
W CITY Z{P TEL. ❑ �NAT� �.�/100 GAL
= STATE GRqDING 0 CU.YDS.EXC. CU YDS FILL
y UC.NUMBER TYP� ��t P�_ /�1F��iN�14. A1
y ARCH/ENG! � � � 1 3� E
� � DESIGNER � �
a ADDRESS t1. 2
= CITY ZIP TEL � 3
� PROPOSED USE � 4
� � GARAGE
x NO.DWEL. NO. NO. � p��H ;
y UNITS�-STORIES � BEDROOMS �
� LOT DIMENSIONS m VALUATtON ""'f ADJ.AREA
o NO.OF BLDGS HOW QIUiRN�'[rY � F�O �
W ON LOT � USED ,E
�
W a �
H
LICENSE�CONTHACTORS�ECLAHAiION�1 herehy afhrm Mat I am Gcenzed unda provitions of ChapRr 9lcwnmencinY _
Y wah Sanon 1pp01 of pnuion 3 ot Me Business a�Prokas�onx Cade,and my license u in fuY faru ud eflat �
�
� W
� ER�BUILUEH OECLAPATION:I Mreby atNm Ihm I am nempt frwn ihe CoMrxmr's lcrose Lsa Im the IoYwvirp
ieason(Sec T0375.Busi�ss an0 P�ofessions GoOe�.Any cn�m county wAich reqw�es a prrmd to cun:tr�ct, ��
Oalur improve,demdish,or repaii airy stru�twe,priw to its issuance,alw requues tice applcanl b`wch permil
f— ro fde a signN stmment Ihat he is licensed pufswn�to tFz piwisqns ot drc Contrutor's lkemt lew(C�np�er �j
� 9 Icnmmencing wnh Secnan 701M11 oi 6vision 3 0l Me Busiriess and Rnhssom Cade�rc Mat le iz eYmpt tlrrefram .-'�
d and the 6asis la the alleged eiertpuon.Airy vida4on of Section 1U31.5 hy any appliunt tar a permu suhqecis ^,
� the apdkant ro a crvd pmalty af ml mare than liue hmdred�ifars(5500�.�. �
W
� ❑1.as anrer of�he propertY,p my emplarees wi�h wages as their sda compensanm.wi��tlb rvo6.aid �
the strucwre is nm mtended or olkred fw sale�Sea lOM,Busiiws and Rohuans Cde�.TM Cmtru�a's license r[-
Vtaw tices rot apply tv an owne�oi property wM huiltls w mpraves iherean,md wla daes sah work himrtq, (�
W w throuyh hrs axn empbyees.prmided that sucA improvemenu a�e not interdM a otferttl for cak.N.YmweWer. � - � -
d�o ihe 6ulding or imp�wertrtnl is wN within one�er ot com�le�ion.tM mmer�6uii0er wdl Mw Ne MrOen ol pwvq .
� that he did not hwMl ol�mprove lar the puryose ol sak.i �
y ,. �
. e/J ❑I.as owner_of the praperty.am ettWsively.wmrcuny wilh�¢mmd wniractws W construct IAe prapcf I�C. � - - �
7f14A,8usiross and RoiessWnt Cade�ihe Cqnvxtor's LKenu Lxv Gaes nol�pqy�n an ovrtkr d mWMr wIW � -
4 huilds or imprwes Ihtteai,�nd wtro contracU 1a wch pmjects wiM�cwttranor�s�Iiunsed purswnl b the Cmtrx�r's
��cense uw.� CONSTRUCTfON �- Q `S
� ❑� .emp��m ' a .� cKur�r�. ; PLAN REVIEW �.�
e °7e °u"'"` ELECTRiC
� NDRNENS'COMPENSATION OECLARATIf1N.I here6y�Ilam tAat 1 hwe�cenificate d cmrent ro stlf�insure.a ',:
, a urnhca�e af Wnrkni em�pens�twn�nsuranoe.w�aaMied topv inemd ISec.3800,uo.C.l �- PLUMBING
Q ❑Ceitd�ee aopy rs herehy fmnukd. � MECHAN�CAL
o ❑Ce�tiiKd copy is f�kd wi�h tM BuJMnp Inspec6m Depxtmem a o��� -�+`C GRADfNG 7
� _' CEflTIFICATE OF E%EMPTqN FHOM Y`9NKENS'COMPENSATION HSIINANCE:This xctpn rcsd not he io�npkted �j �SSUANCE �> '�
� il the pe�mrt is lor du hundreA(5100)a kss.I cerofy Mat n Ne pertwmnce al the wark tar which tfas �.�,
y petmit i5 i33ued,(Sh�l ro�employ alry pet3Dl1 in 81ry m8nnE1 50 i5 IO 6KMM SuE�CC�b IYM WMkYi Cartpentstian SMIP
� vw:o�c�no�oa � PARK FEE �
p Oate - Applwnt � �
W NOT�E TO APPLCANT:M,atur making Mis Cerafiwte d Eump�ion,you sha�tl Mcmr wbjat ro Ik Nblar's � SCHOOL FEES
� Cmryensation ryrnisims ot ihe lnhar Cade.yau must FaMWiM tomply wilh weA prwsiam a Mi�pemM�lul �OND RAR
� bedeemedrewktd. ...rv !TC Cll�fw! —
WOIVIS�NOFINOUS7NIALSAFETVPENMITCERTIFCATIQI: �*�+w:r: dN� SAFETY
� . � ❑I herebr ceildy Ihat re e&avatpn Me(5f a�e ket in depth inb wM1ich�pliaan u nquirN b deaceM, -
s wiq he made in cmnection wilA work autlinized hy tlxs R�mR.md tlwt no bWlOxq structue.fCaft0l�i�p,�WnvaAe.
' d «dmwldan a dismantlinp�hereot.wi M mae tlun Nwry-siy 1361�M1qh.(�aP.�.2.Gq 4.!ut 2.Ss
W� 341.Title 8.C A.GI.
_
3 ❑At owner-huildx,I wiN not empbY���m�k whirL wroWd nquin�p/rmt Imm IM Uvitian d -
1.- Industru!Safety,as rodd abo�e,w4ss wch persen hu a pamit m do wch wak han IM Inision.
� �
W ❑°'"''�,a''�'="°'S'h""°`""'�. TOTAL FE ES �S �-
d
� ca+srxucr��rw�acencr:i n�rtev�+��uuf u.�.u,�..uw�r�a�e w�r�*�.ram«�.
2 at the wark fa whKh IAis perml u iswd(Sec.309T,fiv.C.1.
� �'s N� COMMENTS
mLender's Addrzss
s fEfli1FLATE OF LONWLINCE AND AUTFq4IA ENTpY:1 ra4Fy 1 Mw rad 1ht ippiumi rd shY �
rn that tM inl grven u mrM.1 aprte ro wiN tll stri hwt rd eiry ahM[n�Wlnp fo aY�q
� y consvuc .a�d mwue uwe Dq�rtimimt d B�IdMq+nd Sile�y ro rrr yion un prayn�y
= lor h I � 1 prrtil d mdap uspxUa�s. /
~ /tJL�I
�� Sy�uwe 1 a Aqpit
� RECPT NO. PAIO BY VALJDATtON
WHITE—D�aRment Copy,YELLOW—Finance Copy.PINIhAssesaor Copy,GOLDENROD—Fi�e Copy,�REEN—ApplkaMs Copy
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