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HomeMy WebLinkAbout1117 (5) . ,. �, _ _.. � • - - - -- ::_. _�____.. _.._.__._. :. ; .�t -,. : �� -- - � '"� CITY OF DIAMOND BAR PRESS �-. ��`" ' DEPARTMENT OF BUILDING ANO SAFETY �^' BUILDING PERMIT �IRMLY JOBSITE APPUCATION PERMIT USE ADORESS :Z0�7[? f. rLrni4f�1 D/� .Dra.Ka,ro DATE �"'z-� S�O NUMBER CODE 4 APN ` LOT�_TRACT 33 3 D TEE_ ���CONST GROUP o CRpSS STREEL ��Fk'n( SETBACKS � •��� °.' OWNER�2'�✓An/ �!' (.A f Z.P/J��n Z O N I N G FRONT Ryy ❑ � � ADDRESS G� 7 D E� [ ;y�5�� . REAR ❑ W CITY-�rQr+c�,A 13 A� Zip 9 t7� r"" SIOE/SIDE STREET RW ❑ cn. _�TEL.�„a.,U—�G 7 o APPLICANT_2f,anr -i. �a�'P�1.rr� '�L:�4�-s"c�l SiDE � 2 ` CONTRACTOR tt� �v' ` �+ SEWAGE 0 PUBLIC PMT# o ADDRESS DISPOSAL ❑ pRIVATE SQ.Ff./100 GAL W CITY ZIP _TEL. = STATE y LIC.NUMBER GRADING CJ CU.YDS.EXC. CU YDS FIt1 y ARCH/ENG/ � TYPE SQ FT E/LCiQf�P� AE1J:"AR�ALUAT1Q�t': V' DESIGNER t1! 1 2 � s S-o, o ADDRESS (� 2 � CITY ZIP TEL. � 3 _, � PROPOSED USE �c T�-.a. �l1 a.-,1/ .5�� Z 4 o p �' :� GARAGE o NO.DWEL. NO. NO. �.; pORCH � y UNITS STORIES BEDROOMS � LOT DIMENSIONS � VALUATION � ADJ.AREA o NO.OF BLDGS How o�arrr�rr p. CI�1P`°Ttal� .:_ � FEE jI W ON LOT USED U i = � � ~ LICENSED COYTRACTOflS OECLARhT10N:1 herehy affirm that 1 em 6censed undu praviuons af Chaptn 9(commendiq {.—.. . Y wi�h Secuon 700�)ai Dirision 3 of±he Buvness and Professions Cnde.and my lirmu is in lull fprce and eflac ,;.�_ � �Q 3 � :J i .�_ �+- OWNER�Bl11L�ER OfCIAftAT10N:I AereGy alfi�m ma1 I am eumpt imm�he Coniracmr':Lia�ce Law lar the fdiaving . � 2� �eason ISec 7091.5.8usress and Pmfessuns Code:Any citp or county whsh requiies e permR to ronxtru[t ��{} - . o alre� imp�we.demol¢h,of re0ait airy slructwe,O��ar Io i¢issudn[e.alw repuues Ne applicant.frc wch permn -�2 - I a: m hle a signed statemeni that he is licensed pursuant m Ihe provinons al Me Cmtt�cmr's Lueme law�Chapta :r�= . � _ s 9;canmenbnq with Section 7000;ot➢ivRion]Cf the Business ar.d Roleu�ans CodeJ a ihat be b um+pt tlrcrd�om �.: �� and�he 6asis ior the alleged-exempuon.Arry vialation aF Section 70315 6y any�pplicant fa!i permrt wbjectt .�;�- - - � the apo6cant tn a rnil penaltv�f not r,wre Ihan Irve huroied Oollars(5500�.�. . `:-1" � �� -�- as mvner oi tFe pmperty,or my employees wiM wages 1s their sole camponu�ion,will do Ihe work and �a�. thz s:iu-!c:z is nof�atr:ue�or ofle�etl for sals�Sec 70q4,Business and?ro:essians Cak�.The Conlnctm s Lcenx �. V law does rwt app�y to an owner at property who 6u Idt ur�mproves iheredr,anA who Aoet wch wo R himul�. W or thrnugh his own em0�oyees.proviaed ihat su[h imp�wemems are no[inu�ed w ofk�ed Mr sak.II_however, m ;he tullding or impwvemen�is sald wifhin one yea�ol cano�ehon,tM rrvrner.Cuilder wdi have Ne fiuAen of pmvi� .1:Q, � -y� that he ditl rot Omid m im0�ove fm the puryase ut sak.l ���S'... �� ❑I.as avur.er of the pmpeny,am extlusvely cnmracting w�ih IicensM contracmn ro conmuct the prqece ISec ��:�:��y,{�-� � 0 703G.Business aM Professians Codc Tk Contrecmr's Gce�se Law daes nol apply to an pvner pl prupe�ty wfro -� . - 4 6u:lesar imp�wes Mereon,ard who cannacl5 lar su[h D�lecis with a camrattor(s�LcensM pwSuaN ta me Cmtractw s . L1e"��"", '. CONSTRUCTION Q 2,S ti� : PLAN REVIEW � 2 G� •.. ❑1 am eaemD�unAer Sec. 8. ..C.IAtlxh Cettificate6 � .� G iJare (�F�J S')17 Owner . .. ELECTRIC yyy � iNONKERS'COMPENSATION OECIAPATIpN,I hereby alfirm that i have a cenfiaace of tansem m sNf msve or � � � a ttrpf�a of V�rkers'Lempensalicn Insurance,o�a an�ified capy thereaf($ta?800.Cah C.). � ��PLUM�ING � ❑c���rea�onv�s n�,�n,r��sn�a. � MECHANICAL o ❑Gunf ed copy is Fi:ed,vith the Building Inspeciion Oepartment or oePu�ment :�� GRADING j W 3 � CEPTIFICaTf Of EXEMPTION FROM V�OANEflS'COMPENSATION INSUfIANCE This settian ne6U noi he compk�ed ���` �SSUANCE �7j � � .y. if the De�mn is lor one Aundied(5700�w less.I ctttifY that in ihe pwformance af q�e wak fa whkM this � permn is issued,i shail m1 emplay ary person in any manrer so at to 6e[ome mbect ta t7q rihlkns'Campensarion :~' S(��P . �.. b - = laws at Callfwnia. 0 oare � cant (jj_�� l L'_G.'pV � S'G �� NOTiCE TO APPIICAM:If,afcer making this Ceriifica���r E�u,p�.�:n�ne oec�:�ni���o m�w�r�r: �--SCHOOL FEES � Compensatian provi3ions at�he lauw Cade,you must IaMwim compy wiM sucM1 prwninnz a thia permrt shall � � be dcemed ievaNeC. J � qUlb1Q+1 Oi IHWSfRIAt SAFETY PENMIT�E�FI�70H , - �+a �(`:,,'__'�6L�S_:+;L ����,'yJ � �i hereGy mtldy Ihal p0 BktlWtWn t�(h'p mpb�-1py7pP�h into whicA a pusan is rcquiad to Gtsten0. � wdl Ce rrade in conntt�wn with wprM authof¢etl hy Nu permit,a�d that iro 6uddinq sttactuie,sc�f}oldiip,I�Isewwk . a demo4tien ar dismamlirg Ihercoi,will he more than thirry�si��36)leet h�qh.�puD�3.2,6ry 2.Att 2 Sec � Z� 741.Title 8.C.A.t.�. W ��� � � ��� _ � ❑As ownc�huilder.I will not n,�p de wm yl Id reqare�permt hom the Onom ol �—. Industrial Safery,as nmed a6ove,unless such person has a permit to do sueh wak fmm llrc divisiMt. M � - W ❑p�ision af InEustrial Safgq.Pe'miyNq-- .�.• - ;, -:- ':'j � CONSTRUCfqN LENaNG AG�,H�Y:.lhseh�aMwn that;aMen sz'tMSIIteEE�`UMinY aOMCY la Ca PMoimaxx TOTAL FEES � � 2 0l ihe wort tor whkA this D?�hmS`�SssFued�Sa-��7;�Sia.&i.".•. ", � �. � � lem�er's Name _ COMMENTS � mlender's Addresa Q CEFfTIFICNE OF COMPLIqNCE ANO AUfFqRIZATIW OF ENTpY:I catily I have nad this�ppticatian yd st�e � rii �haf fhe inluma0on given is[u�M.�aq(K t0 cOmph/with all state laws and[iry Otd'aia�cea«latrp lo OwlOirp . . ' y canst�ucum,and authmue a repreuntative of Me Oepartment�i BuiWi�q aid Safely tp en(e�upon fhe proptrry � tor wh¢h 1 tave applkd Iw Ws permil IoytRe q�ppu of making inspxtpns. yy ` � � �� /\ �—_. L7/.'_�tl ^ /0 ��j � ---�Synawre ot p�cant a�A�� p�� RECPT IVO.rS����C�-:---L--�-�?AI�BY VAUDATION ,� � wHi7E—�enartmset Coov.YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Appicants Copy _... - _�__ x __ __ _ __ _ _ � � � - , . . , , �� �,, ; . � � — , ' , �` �E , ` �� � � : .. _. I � � , f �- � . � � ; [ , -� s A� ; � ; �- � � � ��:E � , ,� -� { i � r € E : � , �fla�s . 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