HomeMy WebLinkAbout1057CITY OF DIAMOND BAR PRESS <R� DEPARTMENT OF BUILDING AND SAFETY FIRMLY ti.. BUILDING PERMIT JOBSITE CODEDATE p ERT APPLICATION 3 M ADDRESS S/Lt (VA.) ISSUES 3 TYPE OCC DATE r — CONST. GROUP APN LOT TRACT CROSS STREET ZONING SETBACKS &VPDcamwm ❑ OWNER 5 -/Vic '9! a, FRONT RW ❑ ADDRESS cwt, ,. o REAR CITY ZIP TEL SIDE/SIDE STREET RW O SIDE APPLICANT TEL CONTRACTOR " tars /1 Ea O SEWAGE ❑ PUBLIC PMT # ADDRESS I �'» PO "' `` Tr— DISPOSAL❑ PRIVATE SO. FT./ 100 GAL CITY t,'.J!'Lt�r✓4+�+ ZIP ` di-_ TEL GRADING El CU. YDS. EXC. CU YDS FILL STATE tJ S GoS LIC. NUMBER _3 (n TYPE SO FT FACTOR PSF ADJ. AREMALUATION ARCH/ENG/ W ` DESIGNER ADDRESS W 2 (E} 3 CITY ZIP TEL PROPOSED USE swa'T Eta Z q __j_ GARAGE :) PORCH NO. DWEL NO. NO. UNITS STORIES BEDROOMS m VALUATION ADJ. AREA LOT DIMENSIONS e NO. OF BLDGS HOW GUANTITY1 DESCRIPTION FEE ¢ so aa; j` r` Sao0 0 O LOT USED U tlCf M:ED CWTRLCTDRS DECLARATION 11e1eby off. that I an kensed twda pmvisims of Ch pear a I— neve ng US wish Swoon 7000) of Division 3 of the Rosiness and Professions Code, and my horse a in fug force and ~ W ❑ J W O,YNLR BADER DECLARATIDN I hereby affirm Thai 10. Tempt frau the Cwtrna's Lcenm Law IN The follavinq (� - Nasion [Sec 70315. Bmmess and Professions Cade Airy coy or county which requires a Perone to cwseuct. fa Z_ m i altar mpi",e, demolish, a repair any rrmhof. prior b its issuance, aim requires the applicant such pemA 10 file a synod nalenent that he is licensed pursumt to the povisicns of the Lmaactor's License Law (Chap e, � 9 lcommeneuj with Section 70001 of D.s- 3 6104 Rusnss and Pref nurtm Code) of teat he 1erempl merefre" " and me basis IN the alleged eeemphon AM vrolatian d Section 70315 h airy applicant IN 1 pnnia subpets J the applicant to a crvd penahY of not more lM1�e.lye 1{cgysa1j50011. JEl s $;�s r zde compensation, ad do the wort, and Q I. as owner o1 the proper". a nus' em me structure rs not untended a offered for s e' 704.'1. t and Professnm Cade The Contractor's License j Law does not apply m an owner of property who builds a wnpoves Threw. and who does such wort himself. U � a through his own employees. provided that such mPrwement, ice not Intended m offend for sales d, however. Z o Tk budding a improvement rs soon �'('Ti" • c�a]npletgjn T4 builds wd haw the burden of proven chat rat bmnka anDrhr+la t'Wl;l ),j . a l I�vi lJ ❑h, as mm of the popnly. am "n"u"w h sonttxthny with cemed cmhetas to cwstrucl ted Pmgen IS" W _2 70ad. Buumss and Prafnsms Code. The (iw"afmr's License Law does not aro" TO an Owner of ProPnty who CONSTRUCTION C bwks —r—pones threw. and Dist" Ia rah Ota�n m twtmactalsl kented putuant b me Cmtcarta'i L-,.LowI CITY != {'.Ir\iv1ON0 UAR ❑lame.emmanderSee PVJI ;� ANID SAFE -TY .B.6PCIARachCertificate) PLAN REVIEW oc Date °w 4f ELECTRIC VORKERS' COMPENSATION DECLARATION I herety off— that I haw a frolic"" of consent to led anise, or VPLUMBING hCompensal m Insurance. or a cehfed copy cored (Sec. 3800. Lab Of C lcate of Waters'nhfedcopyrstarhyturnrshed J MECHANICAL a ❑ Cerhhed copy rs filed with the 8u4ng In Pofhm Depxtment or Deo -welt GRADING Cf Ff[f1CATE OF EyEMPTIEN FROM WORKERS- CONIPENSATION RTSORANQ: Thio section need not be eonok"dQ ISSUANCE 17_00 if the Pismo n IN we hundred (11100) in less. I ceofy that in Tis performance of the work for which this S' A • peen t is Mad, I Ibis not employ any person in any manna so as to become scrollo Wbrtei Comperiseim �_ Law' of Laldamnis W SMIP E O f W PARK FEE �✓ J ` Apotrcmt NOTICE TO 0.PRILANT. 8, aper making this LerMcate of Fhmnptan, yah' should become zubRft to Te tWrtn's NOT W SCHOOL FEES CompenaOm Nmrsions of the labor Code. you must fwowjA comply wdh such praisiom or this penT %hall i be deemedrtvaed. >= O"ISION OF INDUSTRIAL SAFETY PERANT CERTIFICATION y ❑I hereby cerldY that res ertavahon few! I51 or coda lee in depth into which a penes is required an descend. _ z will be made m fwnectrem wee vial oumaved by This permit. "M chat m hdduup struct". scaffolditn, laisevrerk. dlsmmrn thereat. willbe mon than the" -thio 136) fist high. r*. 32. G" 2. Art 2. Sec d demohom at m W- 311.Title 8,CAC) - x 3 ❑As wrrerbuikler. I wd nor employ arae to de wort which oak require a permsrl hen IN 6vaon of l— Irdusnal Salty, as rated sb—. mins such pmm has a permit to do such work from Te d"isim. W❑°.iriw of Industrial Sal" Fiemit Na. TOTAL FEES o tihapercy for the perfamarce L'OTSTRUCTs)N eby TENDING AGENCY: I heraffirm dui men a a construction Md'q e:a = d the work fa which this Perms is issued ISec. 3097, Cis, C) Lender's Name COMMENTS m lender's Address K CERTIFICATE OF CONIPLIAECE AND AMMINIUTUI OF ENTITY; I tetdy 1 h"ve mad this application and sea" an that " nfamatan given a carer. I apes to own* wch Asea" taws and city admantes rdatrq to bud6rq - H tmstruction, and sulbaVt a npresm y d The Department d Buis" and Sec"" b WWI Now Tea 100 1 = IN which 1 haw aPpl a thio prune A The purpose d waken inson— x S I©• kA/ 2 r' U 'lis 7 CEJ VALJDA ppplcant a Aged - Dat. RECPT NO.73 PAID BYE . WHITE—Department Copy, YELLOW -Finance Copy, PINK—Assessor_Copy. 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