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HomeMy WebLinkAbout1467 (19)CITY OF DIAMOND BAR PRESS DEPARTMENT OF BUILDING AND SAFETY RUI1 a1Nr PERMIT FI13MLY JOBSITE ADDRESS CL CnA aeA= APPLICATION PERMIT USE DATE Q ..� G� NUMBER _ CODE ISSUETYPE OCC. DATE —O o1� !� ONST GROUP APN LOT TRACT CROSS STREET OWNER M 1Y-0- 0"ACT) ADD RESS Xir)0 I Ccn l A -t SETBACKS �Wmn ZONING FRONT RW ❑ REAR El SIDE/SIDE STREET RW ❑ �a' CITY '✓ ZIP TEL% 55 APPLICANT TEL SIDE ❑ CONTRACTOR -` ADDRESS S(D k Vgjnf`j --'-r-% CITY ZIPgO�- TELVI1 -'773 SEWAGE DISPOSAL ❑ PUBLIC PMT ❑ PRIVATE SO. FT/100 GAL GRADING ❑ CU. YDS. EXC. CU YDS FILL STAT E. LIC. NUMBER-9M70�- Cr) TYPE SO FT FACTOR PSF ADJ. AREAIVALUATION ARCH/ENG/ W 1 DESIGNER ADDRESS LLL %2 ZIP TEL (D 3 •' Z 4 PROPOSED US GARAGE NO.OWEL N NO. UNITS STORIES BEDROOMS LOT DIMENSIONS 0 PORCH m VALUATION ADJ. AREA QUANTITY DESCRIPTION FEE NO. OF BLDGS HOW ON LOT USED ❑ EICIVED CONTRACTORS DECLARATION I hereby affirm that 1 am licensed order pmvisians of Chapter 9 (crosaens: ino with Section 1700) of Division 3 of the Business and Professions Cade, and my tense is in hl fact and effect Cr F W ❑ J W OWNER BORDER DECLARATION I hereby affirm that I am mould limn the Ctmtncta's License Law fa the fdb 'rep reason ISec. 70315. Businms and Professions Code: Any city a county which re*rn a permit to construct after, iinpreve, demolish, or 'Taff any struclut, pion to its ssuentt, else requires the applicant la such permit to file a signed statement that he is kersed paswnt to the provisions of the Contracta's License Law (Chapter 9 (commimci g with Session 7000) or Division 3 of to Rustiness: and Prolassoa Cork) or that M is ewmpt tAfehom and the basis for the aleged nena,60". Any violation of Section 7D315 by arty applicant Ia a permit wbiects the appkant to a civil penalty d not mere len five kindred deters (25001) ❑I, is ow. of the foprty, or my empuryees win wages as their sok compensation. win do the work. ad 1:,5 Ip Z m s • _; r� ' tL U the structure s not immided a offered fa sale (Ser. 7Ddt. Burmeister and Prefessias Cods The Corame s License Law does not apply to an owner of property who builds of improves therm. and who las such wart himself, a through his own employees. provided that such inprevements an era intended a offered for cork H, hasvner, the bulling or improvement is sold wnhn one year of so pleron, the owner-bunlder will haw the burden of proving That he did not build a "Vow for the purpose of sale 1 I. as owrrr of the Property. em enlsrely contraclny will, learned contracrn to construcl the project ISee. 7044. Business and Professions Code: The Coivistals Liana law does not aptly to an owner of property who trur's builds or imptoves thereon, and who contracts he such pmjnls with a cwtractafsl tensed pursuant r du Cmed Lnemse 1") Z Q Z 0 CONSTRUCTION ❑Ia,taemptunder Sec 66PC.(AnachCertificarl PLAN REVIEW Date Dwnen y IC YMERS' COMPENSATUN DECLARATION 1 unity affirm tet I have a cetira a of consent to Seat nsae, at a certificate of %,kiss' Compenssaw Irnsuarca, as a earthed eWy tiered (Set. 3800, tab. C 1 ❑ CerM spy a hereby furnished. CO J L e MECHANICAL fernfed copy a fled with the Buidng kusprcton Deportment a DepartmentQ CERTIFICATE OF EXEMPTION FROM WORKERS C@APENSATION RISURAfCE: This secnon reed nuc be tompleted d the pemit is for one hundred IS IOM a Ins. 1 certify that in the performance d dr way fa which thin percent is issued. I ship rot per Cmlm t emason m all mannk transfer so is become Subject to the Nbrtari gettsat Laws of California. '� { Date - Z?r c_ Appk,m E .-Trey NOTICE TO APPLICANT. 1, after n tha Certficate-a1.Es*ksr'r'Yu sM1batd berome S&fact to lr kVhrtels Compensation Wo smns of the tabor Code. yon must tar> ionply,wiTb Such provisions a this permit steal he deemed revoked. �j �' GRADING I` W W I=- SMI P PARK FEE SCHOOL FEES DIVISION OF MISTRIAL SAFETY PERNpT CERTIMATION ❑I hereby certify that ro esemtion five (5) or depth nuperson is rpuined to dosed. radl h made m ttAxnectajt whA wed sluhjorhe0 lid � d floc ro 4VWM, sWfilli , IdWa t. a demolition a dsmaiding tkreol, wed h minas Thiry la 3B1 het b-gk (Chp. 32. Grp 2. Art 2, See 341, Tide B. CA C 1. . ...r C' r.rf ❑ N ewtner fodder. 1 veil rat empby amrorr. Is, do wtat M'Tili' waWA IaglMn'a perms to lk 6mnt of Mistrial Safety. as rokd above. onlas truth pdem W{i perm to do such wet Ham ON 6i3sios ❑D Osim of hdstrkl Safety Permit No. TOTAL FEES N LENDING AGENCY: I km*y affirm that there is a .0 so~ rndiq agency for dr pala+nonn CONSTRUCTODIN of sed wok far which lids permit is riled ISee 3097. Cit. Cl. tender's Name COMMENTS tendea's Address CIRTIFUtTE OF COLIPLIAECE AND AVTHRZATION Of INTRY: I costly 1 have red his alpkcatim and stale that the nforma6m given a cared. I Win to troegay web all star Imq and city adnafee ratting to tiding conmuctmn, and asdia4e a neighs entatree at the Department d Buidrq Said Sally to enter wen lin pap" for vol h�I hien apph4Emit." permed for hr,Qupv to making inspehorK ��=L= f~2^� Sgnatue of int A int lrr �._ t I RECPT. NO. �Q PAID BY VAUDATK . y ,) k Y-44 WHITE—Department Copy, YELLOW—Finance Copy, PINK—Assessor Copy, GOLDENROD—File Copy, GREEN— Appiicants Copy SS10t3-11M9 y r r .( .. ..; :.. ;.> :... , -r _>„,;i. ... � -�g:`a �..''tC.•«kY•sJ. a. Fw..k�t';-_ �s k-t7. Vis. g'yr�;, ., r6Y:,t .a-e„�..� � .. r..-.. ..�w:fi- - tl��°°A�a�nii INSPECTION f RID @��..0 X�Pii.. N d 3 i..... ��i. S 0 i ... r .�_`4x� .r- ��� :7 p' r � l�t����C �4asJ�$ i�i�`�, 's->��f•_,,��€��+,ls e. 4 SIFT BACK, j i t FLOOR JOi�TS i _.. — .. -- •.-_—� ..—_._. FHA Rf O_iT� > ELEZ�_sli�cAa DER FLOOR DUCTut - GRMI D PUMI-IIyG UNDER FLOOR CONDUI I- 1j . __._ .._.._.._. __ SLAB GRADE ----- ..._....._._.._._11 FIREPLACE FOUNIDATION _-__ { ......._... -.- - Tt tv'P POIJER -.'FIREPLACE Y> ATe~R SLRViCMAID HT, POND BEAM ;ROOF SHEAT RING � ;} £� FT uOt ID.E3E t{I 1 t _._ ,.. _.. _ FFiAt 1'tJu.'VFAT tS I ILIOtd .....__.._ _ .. . ........ 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Y _.— GAS Alli TEST _ - - --._ _. __..._......._ _.._........._ j j1 FIfdAL ZOtr' iI�1 a --_ _....__.. - --- F-IINAL CONST -- --_- f hlf;E DEPT, FINALFINAL--- iJ- — Grr,'AL H{ ATIN3 --- -- —_ HEALTI i ---DiT FINAL jrENALELECTRIC DEV. FEES PAID WNERGYFNAL—fLUPt6fG i