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'"� CITY OF DIAMOND BAR PRESS `"�,.� °"'" ' DEPARTMENT OF�UILDING AND SAFETY � BUILDING PERMIT F'IRMLY - DDR'ESS ��•-�� � . � DATE CATION���_�-� NUMB R �_� y � COS E 6 APN��/��'�=�� ` LOT,LD�o.TRACT�• _:� D TEE_ �'v�=�C� TYPE OCC. CONST. GROUP o CROSS STREET ,/��`�e.rf/�-}���r//�✓ ZONING SETBACKS �E�� °�° OWNER C�lrre.�v-r.-9 �C'� `7:��i.r f��',Ei• --- FRONT_ RW ❑ o ADDRESS /✓'.S"3 /v° �'✓° �"�✓'�,�i REAR Q W CITY�m��--���� ZIP ;�i`dr TEL.��i�!✓-`/yz ' SIDE/SIDE STREET RW � o APPLICANT •;`�'""�'� TEL. SIDE ❑ z c � e CONTRACTOR e=sr=.�,�..'�::�� �''''i94s:�.G:cE w - SEWAGE s -ADDRESS � � PUBLIC PMT# o DISPOSAL � PRIVATE SQ.FT./100 GAL W CITY ZIP_ TEL. z STATE GRADING ❑ CU.YDS.EXC. CU YDS FILL y LIC.NUMBER ' ARCH/ENG/ �� � 7YPE SQ FT'EAG7'OR pS. : < �►DJ AREAIVALUATfO . = DESIGNER �'-"'.ct.�,a�,�a �.,.. �7m'.�Et.".�o<�.,=..9 W 1 "1�`7J --a�Q•�o '� ,S � W n AUDRESS ✓e,5:,3s��" d��0 -�:� t��,. � 2 Z CITY�-��•.-g,''�,d''.-,<-' ZIP �^= TEL.�° '.r�" � 3 (�. � �. PROPOSED USE - C�- _ Z 4 � � � � GARAGE z N0.DWEL. NO. N0. � pORCH � y, UNITS� STORIES�BEDROOMS� .m 0o LOT DIMENSIONS �'`��. s %r re/ �t VALUATION ADJ.AREA � o' NO.OF BLDGS — HOW QUANTITY pESCRIPTION. �E� ..: W ON LOT_ 1 USED �'��v. r":5*n-r �"t`:S: �Q � � � v. W � -�.7�S C _ . ~�, IICENSCi]C0,4Tf7ACTONS CECIABAT10N.I herchy afhrm that I am licensed undei pwvisions ol Chapter 9�commencing Y r wnh Secuon 7000�nf Jm�smn 3 nf�i�e Rnsir.ess and Pmfessions Code.and mV license is in full force anC elfect. G1 �� � Q� �. ^7 o. � Gd 3 W, ,x. �Qv �.Q.['� '.� LL-� Y H-NUILUEH UEI'�ARATI�N I herelry altinn Ihel I nm exempi iran the Com�acmr'e L¢ense I.aw tor rt�e tdlovring x- ir.asen ISr.c 70315.Business antl Pm�ess�on5 Cude.Any[i�y ar coumy which reqwres a pe�mrt m mnslrucL ('}. J o�, alrer impro��e,demohsh,r.r re.pau any snucuxe,pimr b ns rssuance.also ieyuires the epylicent lor suah permn `�2. M Q�� m tAe a siyrr.�statement thai he is IicenseA pwsuanl lo Ihe O�ovisions o�Ihe Coniraclor's License Law(Chapter �m 1 . "� eC'. �ica::nnertcinq witli Srclan 7000)cf�ivisior 3 n1 Ihe f3usiness and Professons Code{or that he is exempt Iherefmm ,.�; � �'.s� A � �_ R n_ anJ ihe Uasis tur the a!legetl ex�mMion.AnY�i�!aLen nf SMtien 1031 5 AY any app!ican!!ar a permi!eu�jects -�� r W the applvam in a av�l pena�ty ui no�n+o�e than iive hm�dred dollars�5500).1. :��-�� ���� � �°" �; �.�I.a.�nw^ei nt Iha pinpeny.or my x;np!oyees•.vitl�,wages as lheir sule mmpensation,will do the wmk,anA �- � �; ihe stnn:nirr.•s nol in!ended oi o�fercJ lur sale ISec.70M.Uuzmess and Professions Code:ihe Contracro�'s License Q e�,� Law tlues nut aCO�V 10 an owner of O��qerty who Cuilds nr improves thereon.and who dces sucM1 warY himsel[ �;U. '�., nr tLmugS hix nwn r.mployr.r.s.provided that such impiovements are not inte�ed or olfered(or sak,II,hawever, ...��' _;. :he I:oaA�ng u!improveinem is sold withln one year ul completion.tM ownerbmldei wdl Aave�he hurden ol provinq ���a;. y;� Ihat he diA nat hwld or impwve ior ihe pur0ose of sale.� ���:_; 'h� �, V. JI.us awner of the pmyeny,am exdusrvety comracuny wrth hcenseA cannazrois�o cans�run ihe Wo;eU(Sec. '�J�� �o. i0G4,Ilusiness antl VrMecsinns Code�The Contracinr's Lxensa taw�loes nol ayply ro an ownei o1 properly who � � -2;, i:utlds m impmves ihe�eon,and whe conuacts lor such pm�ens with a wmracmqs�licensetl pursuam m mr.Connaam"s K, a; �,«�st�aw� �Q.�TRU TION�_—_ �..Q�9 � O �� `��-_ --- : U I am erei�pl wde�5 c nuecn cPnircatel �� PLAN REVIEW � ' ° o,' na�� 7�z�9Ei oK�r - "'' - ELECTRI r-�, 1 Lr7� -- Q� `hKIRKEFS'COMPENSATIP'J OECLAHATION:I herr.hy affirm tnal I nav a cer icate nf cm�seni N sell�insure.w ��� � �— --� �:, a mnihca�e nf Nodms'Cnmpensation Insurance,oi a cerutied cupp Iheieo�ISec.3800,Lab C.I. � �� • ��____ ; 4 �>Cendie�cuuy is�ieieuy Iamshee. ��/ �1QEC�-{ANI(�.AL �-o' ❑f.ariiLnd cnpy is liled wifh the Buitding Inspeclion Departmem or Department. '��V�`GFADING W ISSUAN � .��'i G . f7C`� %��,. CEATIFILAT[Of EXEMPTION FAOM WOANEAS"COMPENSATION INSIIflANCE This setuon need nol Ge mmpleted -� �I ihr.permit is Inr one huntlreC�5700�or less.I cr.ruly that m the pedormance of ihe,wark lar which Ihis � pemiii is issued,I shall not emDloy any person in any mani�ei ro es W hecome sublect to Ihe Workeri Compensation ���� SMIP '_� laws�i CaLfamia. � t�'^� +"; "x^� ��� — o y�L�ft� a iia�'�'��—�"��..�.>. PARK FEE �p Uam ppi � __ �� NOTICE ID APP ICANT.If.al�er making Ih{s Ceiulicate of E�emption,you s�e04�me'sunieci m the worke�'s �� SCHOOL FEES ��� Cumpensatiu��Orovisians ol ihe La6or Code,you must forthwiM romply wilh such prmiswns or this ye�mil shall � �LL; he OeemeA revokeA. .._--___ -�¢� qVISION OF IN�U,STRIAL SAFETY PEflMIT CEHTIFICATIOy:<;'! ?j E y+�C,.'e1 W . .�' .. .. .. ��a�� UI here6y certdy that nn erowtmn fine(5�or more leet irt depth into wNch a perton is required b dexend, .:q�C wtll be made.in conneciion wilh wurY aulhaved hy Ihis peimil,and Ihat no 6uilding auuqwe,acaflolding,falsework, d m Ae�nuliunn m Jisinamlinq Ihe�eof.will he mo Iham{hirty�sh(7138LfeeJ,niph.'(Ghap'12�:Gr�;_T,2Art 2,Set � Z• 3M11.Title 8.C.A.C.�. �,t: . ._. :...„ . ..... . . ... . . — W :i:: � .�',! 'S. :�. . �,;.... ... � . ... . :.. ... . �3 As awnerbuilder,1 will not employ anyone io Jo'wu�k`,wl�iiti would iequire a��permii fiom rtie pvisiai of ' .,F— InM¢�nal Safery,as nnteA ahove,unless such person has a permit to do such wak hom Me division. -- — .�_ ::��._ . W ❑u�,,,o�o��„a„5���a�sa�e�Y�,m'�No TOTAL FEES �: ', � � CONSTNl11TIUN 1EN01NG AGENCY:I herehy allirm Ihat theie is a cons�u[tion lendinq aqmcY for the perfamiance • ,x ul IM wad kr whKh this permil is issued Stt,3097,Civ.C.�. � �endersName�� C�MMENTS m Lender's Atldress � t Q CERTIFICATE Of COMPIIANCE AND AUTHOfl12AT10N OF ENTRY:I cerlify I have read Iliis appikation and shte vi Ihat Ihe inluimatpn given is caren.I agrce to wmply with all state laws aiM ciry oNinances repting to WtlAirq �� cunshuclmn,and authaiize�rzpresentatrve ol the I]epanment ol BuiWinq�nd Safety to enter upon 1M1e propeiry ' , O _ s In�which I have applied fa�Ihis pami�for Ihe papose A makiiq mspections. h �,i'J — _'�����P��� � �� RECPT NO.���PAID BY � � VALJDATION Signatwe at pli� � 1 Oak � WHITE—Depariment Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicants Copy BS106�11/89 - __ .. __ _ �, �����ty ����'�°�'g��� ������= � ��� ,*�+�`�'�t��"`al'e���nn`� � ��x�� 3 , � � � �� :��� � i �c � ��C��.,�'�'�`-�n��`��`�`�'�� r� .��� �t ���„� .����r�� ,�������t��� � Y�a�� � � '� =iF ''y����hdfl�� ���Xi���kk��p�kbq � - ��. 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