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HomeMy WebLinkAbout1573 (20) CITY OF DIAMOND BAR PRESS DEPARTMENT OF BUIE.UING AN�SAFETY F�pML.Y BUILDING PERMCf JOBSITE ��s- L•dTl�' JC�1�I LN AQPLJCATIOt� PERMIT ��+�'1 SE ADDRESS DATE NUMBER 1`� r COOE ISSUE /� TYPE O(,G. � APN LOT TRACT DATE_,. "' � s.�CONST. GROUP o CROSS STREET ZONINGI SETBACKS `�"E'"5 '° OwrvER�N11/�.,�1.c S. CfM_ FRONT RW ❑ o ADDRESS��7G`�-a�'r /�J/t�_LA/ REAR O W CITY.D�AM0111A 1S�ZiP�TEL.' SIDE/SIOE STREET RW ❑ g APPUCANT �� 1� S. C_1.�'� TEL.$� SIDE � x 6 CONTRACTOR SEWAGE 0 pUg� p�,� o ADDRESS DISPaSAL � pRIVATE SQ FT�100CAL .� GITY IP TEL z STATE GRADING {�CU.YDS.EXC. CU YDS FIL� y ttic.tvunnBER ''t'YPE :SQ F'�' �ACTDR PS AE0.1. AREA1VaLt1ATt�N = � ARCH/ENG/ � 1 `—' DESIGNER � o ADDRESS .�--- UW.. 2 � CITY ZIP TE�. (� 3 � PROPOSED USE � � 4 �, .;,,� GARA6E o NO.DWEL. NO. NO. � pORCH y UNITS � STORIES�BEDROOMS� s LOT DIMENSIONS � VALUATION ADJ.AREA o NO.OF BLDGS HOW t�uaNTti'Y ,QES R1PTtC�t ` �EE W ONLOT � USED � � W � tICENSEU LONTflACTOflS�CLAflAiq�k I t�em6y dfirm Mat I�m Gtanead udei Provqiqu ol CMptw 9 Itumnach+p �� YQ wrth Secrion 70001 of Oivision 3 st fi�Bueuiaet end Prpfessions Cade.and my litanse n in h�force�rd elfekt 3 � � -gU1LUER DEQAPAiqN�I Mie6y Nfirm Nzt I xn w�i Imn die Contrattor't licente l�w fp Ne 1NWxriry :.: . rouon ISec 70.11.5.8udness ind Proteuiona Cade�Airy.ri[Y w eounry which rpuires a qrme b conahuct. _:.��� � o �her,imprme,demdish,a reps�r arry atruclure,yor 10 its nawnee.alm rpuies we pplicwN kr wch Oermi� � to Ide a apned staRment that M i�licenud puruwnt to�M prwi�ions d ffie CmtPtbr't li[eme L�w�M1apts :'_� . - - � 9 lcamnxnn�g wi�h Se�tion 7�001��nna 3 d Me Busineas+M Profeuiona CoGel a Nat h a wmpt herelrem ,_.::�. - % and tAe 6asi�tar be a1kgM enmption.Airy vidonan d S�cvon 70315 Iry iny�ppf¢+nt hp�perma tubpcn -:-:� - - W the apphcam w a civil panal�y af mt mae tl�an frve hundred dolkn IS5001.1: �- �- Q-: � ❑1.os awner of�M properry.a mv emDioyees wim wages u�ir so4 Wmpanation.will do prc warM,�nd - the sirucmre is no�ime�bed w diered M Hk ISec.10�14.BuHnus�nd Ptofessum Code:TM Canrutor i Lcenu -�_��. � Law does not epply ro n owna of O�nY�o Ouddc w improves Ilwreon,ad wM does weh vwA FimHlf. ' or lhrwgA his own empoyees.Oro��ed Mal tuch�npmemMts�re�ro�inleMeA s othred M��k If.Inwevar. �._:�: ae the ewbuq m improuemenl i�mld wiMin one yeu of tomple�ion.Ihe vNm��huildn wdl Mn 1Ae 6urden ut amiiq ::4: � that he did not 6uild a improve for Ihe Wrpose of sak.) - ---�:� y f/] ❑I,aS OWIIEr 0�fhL PfOptft�',1111 IYLIIKI'I!F/C011ttit�uiy W��KlMfd L011NiC10f�W W�3t1Ytt ih6 P1qOC1($!t }y o T044.Businesa�nd Prolesdons Cotle�.TM Comrkror's lianu law Mes not ipWV b m awner M pupeny who �_::g ,t huild:ar improvec thneon.aM wha wnlncn 1or pch projects wiM�taNactorl�l AcensM pswnl m 1Ae Cpttr�cm i � ���^u�� ;. CONSTRUCTION � ❑�+m e ���a�s.�. • .e.e .. c��,�r. '':"'. PLAN REVIEW � °i� °i""" �+ ELECTRIC TYNMKEHS'COMPENSATQd OECIAIiAT�J:1 Me�y attim tlut I� urdtic�0�M[anHnt to sNFimure.a �:::��.� PLUMBI � �. �artifrt�te o1 44brkms'Compemstion Awn�rce,or�Caiitied tApY thnrol I$ec 3800.L�b.CI. 6 O c�u+Ka�nr+���enr r�ri�n.a. � ME ANICAL o ❑ewmue mpy a raee.�m me e��+e��Mspe�eim oeprmr��a oeowm�m. 'Q G NG z � CERTIFILATE OF EKEMPTION fROM WORKERS'COMPENS0.TIRJ NSURANCE:TM1i��tc�on n�ad eot he wmplend �ISSUANCE � y il Me peimit is for one Awdred ISI�)u ka-1 caUfy 9Nt n Me-prlarmmce d 1Ae wwk ta w�sh tliia - __� permit ia iawed.I sMll mt empby MY Cenon in rry m+nror sa a m pxane wbjecl M the N6rYeri Cempee»lion ,.-. SMIP CJ liwn d Celifom�. �. e ^'� � ."�'�, PARK FEE � °a" '�`"" � SCHOOL FEES W AqTICE N APPLICAHT:M.aftrr m�kmp Mui Grtiflate AF�EmmpOan,yw�sMuH Ncame tu6jat ro tlw Worker a J � ComDmsauen Oto'ri�ims al the l�bw Cade.Yw must 1alMxah eomply wilh reh pwiiionc e Nris Nrme�hrl �+ be deemed iwaked. - ��..i � 01�9SION Elf qJOUSfRUtL SAFETY PEP�T�C''E � � ❑1 Mreby cHtily Mn m esavniori"Irii'�w���th1Rm w�lwch�Nnen n nqaM k Mcend. . _ . c s wi1 Ee nadt in tonne[tien wM rmt�IM�¢ed!1'tlns Pdmu.Yd tlut na Ytlktiip tYuttue.lnlfWAinq,lM9wrak . d a dunolaion a 6un�ntNnp tAenof.,wii k sve tlrn Nwry�ei�1381 lee�Mph.IClwµ92.67 2.Art t.Sa s x�.T�e.cac.i. 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