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HomeMy WebLinkAbout1250 (24) '"` CITY OF DtAMOND BAR PRESS DEPAFi'TMENT OF BUILDING AND SAFETY F�RMLY " BUILDING PERMIT JOBSITE ` p�q�E��� IVIJMBER � CODE ADDRESS �31 �-fl�bc��,Jc�D[� GoJ e.. ���E � � � APN i.OT TRACT DATE CONST. GROUP o CROSS ST EE SETBACKS �E�� o ApDRESS_ .�i"� s}���OS�C. `-1�,�_ ZONING E� � � ,� CITY c�l�f-A ZI � 2l TEL�,3 SIDE/SlDE STREET RW � g APPUCANT �'c-� ���-�'�'�� TE�. SIDE ❑ a a CONTRACTOR C , �h�-� SEWAGE o ADDRESS \�1 ��-m�n i DISPOSAL O PUBUC PMT# W CITY �Faf'�f ZIP TEL, ❑ PRIVATE SO.FT./100 GAL z STATE GRADING ❑CU.YDS.EXC. CU YDS FILL y LIC.NUMBER Cr�q_�Yl�IL?� y ARCH/ENG/ W TYPE SQ FT FACIDA PS = .AD.#. AREANALUA7'iON = DESIGNER a A�pRESS � 2 = CITY ZIP TEL. (�; 3 � PROPOSED USE � 4 c�.� ,� GARAGE o NO.DWEL. NO. NO. j pppCH y UNITS STORIES BEDROOMS - � LOT DIMENSIONS m VALUATION �• aDJ.AREA o NO.OF BLDGS HOW QU11NT[TY j�E$GRIPTION ` �EE ��,�,, ON LOT USED � � W � IICENSED CORTRACTORS DECIMATpN:l Mnhy aflirm Mn I an GcensM uda provipons o1 CM1aqr 9{eommencup ,�_ � wnh Sation 1000�of Oivis�an 3 d tlw Business snd Proksiuns Cade,snd my lienae it in tul loru�nd�ffect � o � � O�NNEfl-BUILOER OEaARATqh:I Axeby Nfirm tMt��m wmpt tmm t�e Comr¢mr's leenu law la M Iqkwing . reesan ISec.7031.5.Busims�nd Profesaiona Cade�Any ciry a canty which nquua a pniret lo[on:du�t ;��5_ o alur.improve.9emofsh.or repair xry rircetme.piw b�s isswnce.also nquves the�pplicm�ta tuh perwit 2 � ro Ne a sgned statment tl�at ha ia licenxd punwm b IM pmisions ol he Cantracror'a liceiue Ltw IChepter :aj- Q 9�eammencing NnM Sectwn 7000�af Qrviaion J d the Biwness�M ProMuio�n Codel��n he�s enmpt tlweiram -�� d aM the Easis for the aNeged eumption.A�ry violetnn d Section 7031.5 6y Nry�pl¢mt Iw�pnmil tuhpcu _.:�. � Ha ippl¢am u e civil penahy d no�more Uan tive hundred dopen�55001): W (I,� � ❑1,as a�nnr of Me praperry.u my employns vnM wages n�Amr wle compmutian wdl do Me wort,rM � tle smxtwe�s not imended a oflercd fw wle ISec.T044,Busmeac nd�daspns Cade:The Cmtncmr'a licease ���_ �j 4w dces mt�ppiy to an o�vixr of property wha huilds w imqwes Merean.xM who does sueh ao�E himsdF, W a thaugh his own employees.qwided Mn�uch mp�ovaments are not impWed p olfered Im xk.It.horre.er. ,�-� � m 1M 6uibinq a improvemenl is wM wRhin Orc Ypx al tanpktion.1M owner-EudEer wdl�we Iht Dwdm ol pmxp � tAat he did rot huiM m improve for Ihe puryau ot ssk.l _._�_ H _ ❑I.u owner of ihe piapeitY.am�.cluswely convac[iny with licenud eonlnctma ro eonsnu�t Hr praject 1�. -:111: . � 7048.Business end Profes�im�Cade:?k Conv�ur's Liunu lwr does rot apply b m o�x�ei ol properry who "'��..� Z huilEa o�improva[herean,and wha antra[u fa we�pmKns xnth�romrxmrls)Ncmfed purtumi ID the Can[rxmi e -� � �."��'"'i N TR 4 � ❑i,m.,���ma sK .e.e r.c.ia�,ca a�on�.n�. ; PLAN REVIEW � °ae °'""" '` ELECTRIC � VIONKERS COMPENSATpN DECLARA710N:I Mreby aHirm Nut I hnn�cniificau d�ommt m Wt�ineue,a : a cerhlKate ol N6�kni co.roensatron�nsvme.a�ceruheu eopr thmm(sa.3soo,��o.C.1- � PLUMBING 4 ❑ceruted caov a nereev Wrnisned. ,� MECHANICAL o ❑c.�en.e��v�:iaea.�,�a�u�.e„�a��ti�,�o.o.,m.m a o�o..m�.m. :+2 GRADING . W � CENTIFICAtE 9F EXEMPTqN FR�1 WORKfHS'COMPENSATIOM NSURANCE�.Thia ac�ion med rot M compkpd ANC y if�Irc permrt is im ona Aundred IS100)v kss.i urWy fiat in Ifie prhrmrce ol Te wark 1a whih�IM1ia �-- prmit ie iasueE.I ahaN rot employ ury penan in rry ee�nnr a u m heemro�lect lo tla NOrtri co�x���� --- SMiP s � .��..' ���oi c,i�ro�.. � � PARK FEE o a�. ,�w� . 1 JNd7CE TD APPLICANT_N,aNer malnnp tlds Grtiliene d Eamp�ion,ya sWJd hecome ro�he LNrolm'� �. SCHOOL FEES � CanPenuoon prwwons ol the L�bor Code.Ynu must IortliwiM earyry wiM weh pwuim a Me permit�h�A 'i 6e deemed�eroltM. � �Bacg- �—. � ONISIqd OF INWSTAIAL SAFETY PERMIT CEpTIF�A f����� d �I herehY nrlNy tlut�w eauvatbn fiw(51 a nere ket in MC�A inta whitA�piton q rpuird b�neend —� � will Ee mde in wnnection wqh aork autlwr¢ed bY tlu Rm�n.rd IM ro Yilduq itrunun.teafloldin0.hlrwak v dmnlitlon or 6mmMny�kral.wiNq�qe dwq Xaq��hr het Miph.�h+P.3I.BR 2.Art 2.Sa �r s � �o W� 3tt.Title 8.C.AC.1. �U` 1 � x 3 ❑As owner-Eulds�.1 Mitl na�aqby�ryaw b 1�iwrk.whi�h wautl rpuii�a 1�t kwn Ilr Oirnian�I �: - � . F— M�striM S�h1Y.�s eohE�60vt.unlaTfuth penoo haf�Oumit b io wUi work kan N!N�ian. •-.� rt-�t � Ci�Y �..;- !.)�. .1.:-..�t�:, :��,-�`i � �°""'°"°"�'n""S''°" . "° - TOTAL FEES � cwsrxucrox��nc ar�ricr:i '�.��5 di4vit,pr�nd�a,�y+w w R.am�.K. : P x a nr��«.nrn e�.oK�a uw.a�.ws�.cw.c.�. � ►a�r,w� COMME y, trMer:aaaesa t LEHfIfILATE OF LOMPLNHLE 11N0 MRNOHIUiXxJ OF EttfR�f:1 e�tily 1 hw�m0 1ws�ppGution rd rit - v� ffitl Mm inlvm�tian Orwn q artM.1 qree to eomph'wiM�9 f�Mx�rd MY�ames i61nY ts Miiliiq ' y tanstrut�ion.ud�utlior'va�r�qerenttlivs d UM D�pnlnent el 6Ydd+p ind SdstY r�nM 14on M paprty . � lar "A t Mve pyed Ix tlw rmi la the p�pos�d wakinp inspxiaic X i � ' �_`���'Q RECPT NO. PYUO BY VALIDATION Sqn.nn d Aop�iune«ny.m Dw . 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