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HomeMy WebLinkAbout1641 --=� , '"� CI�Y �F DiAMOND BAR PRESS `�.�. �T�' �' DEPAF�MENT OF BUILDING AND SAFET'1t ��pMLY BUILDiNG PERMIT JOBSITE ic ', � APPLJCATION i s'ti ��+ (� PERMIT USE ADDRESS ja�� D D�arn�n.d i�ar �I��(�r DATE ����.(`_NUMBER CODE ISSUE � TYPE OCC. � APN . LOT TRA�T DATE � �� '�CONST. GROUP o CRO�S STREET SETBACKS �E�� ZONING �° CWNER l.�IQ� FRONT RW ❑ o ADDR SS ��`n� REAR ❑ W CITY ���Y��;1�, � I� ZIP ����J TEL. • SIDE/SIDE STREET RW ❑ o APPLICANT TEL. � ' SIDE� � z � CCNTRACTOR i +� � a r SEWAGE o ADDRES � " DISPOSAL � �BUC PMT+� „� CITY ZIP_l��_TEL. ❑ PRIVATE SO.FT1100 GAL z STATE �;�,�r�� GRADING � CU.YDS.E;KC. CU YDS FILL y LIC.NUMBER „�t�"1 �3� y ARCH/ENG/ � �:TYPE.. SQ FT' FAGT�IR::PS. .:: ADJ: ARE�WACUATION°` ':::: �' DESIGNER_ ��'`---�_ W � o I ADURESS ��-.."".—�--- . I,WL. 2 - Z CITY IP TEL. (� 3 � PROPOSED USE - I � Z 4 � d GARAGE o Na.DWEL. NO. NO. � pORCH y UNITS STORIES BEDROOMS � LOT DIMENSIONS m VALUATION ADJ.AREA o NO.OF BLDGS HOW ouaruriTv pESCRIPTl01� FEE_„_, W ON LOT USED ¢ ,; �t . '—'"' _ ❑ � ]L_ � ~�LI,.ENSEU CON?flACTOflS CECLARATION�.I neiehy afUrm thal I am lirensed under prowsious al Lhaprer 9 fcommencinp -h ¢ �.vnh Secuon 7�OCI of 7i�isian 3 ot the Besiness ar.tl Pmlessions Code,anC my Lcense is in full imce and eflect W 3 � W' LL�fbVNER-F,W�OER D"eCLARATIDN:I here6Y altirm t�a��am eaempt Irom�he Contrecmr's Ucense Law�lur the following . _'masai ISec '0375.Business anA Pro�essions CMe�Any ciry or county which requnes a permit m crostmeC �C,J� � o aL•e� m0�o'+e.tlemoush,ar reoair any siracture.prior tp ns issuance.also reQuhee the applicanl far such permn ? 4 to I:Ix a siyced sta:emert Ihz!he is IicerseE pursuam m the provisions of Ihe Conttacmrs License taw(ChaDle� �-p]� p� 9�;mmmencme mith Ser,ion 70DOj o!�ivisior 3 0�Ihe Business and 7rofessbns Code�oi Iha�he is enempt therefmm .'�� -• d I antl Ihe]asis Icr ihe alle�eil esemptior.Any violation ol Secnen 1031.5 hy anV applicanl!rc a Oermit su6jects -'' x ?hc a;F��i:���',m a civ:l penally ol nm more Ihar.Irve hundred 7ollars(55001.1 a. � ❑i.zs a�.vr.ai of ihe�!a�erty.o!mv employees with v.�ages as iheu sole compensanon.w�ll do lhe work.anU � the stmctu:e is nm imer:oet or oHered lar sale iSec 70C4,6usiness and Protessona Code The Conira�mr's License ���Q `f ( � Y r"'• � V.Law does�'cl appp tc ac owner af pmpeny who huilEs ar improves Iheieon,and who does such wark himsalf. .�(� W r.i t�:rcuch�iis owc enployees,pra'+idetl Ihat such improvemer.s are not intended o:oflered for sale.If.however. � �' I ..J m th.e huilCinr_.cr Impmvemem is sold w;hin une year o�comdenon,Ihe ownerbuilder wtli have Ihe 6wden ol pmvng 4� -� tha!he ilii:nm L•u��d ci improve ter Ihe OurOose ol sale.� �� � �I,as ewi�er ol;ne pmpert4.an xxcluswely co�tractmy with Lceraed eomrocrors Io co�siruct Ihe prqect�Sec. ��W: � ?p<4.Business and Rofessinr.s Code The Comracror"s License Law daes not apply te an ownn of ora0erry wAo ��.g Z Cwlds ar improves ihereon,and who conlracls lar such pmiecis wiih a wrttronor�s)licensed pursuant ta the Coniractor's '¢ `"�'"�a"' CONSTRUCTION c � ❑!em.exemp�under s� ,s,a Pc.;a,�a�n ce���a�are�. PLAN REVIEW p De!? Dwner ELE�CiTR��,..- �� Q �.40RKENS �OMPENSATION OECLARATION I hereW atlirm thai I hme a ce:tificale of consem m seil-Insure,or � � a:en�i¢ai?rf Vmrkers Campensation Insurance,or a certified copy thereM ISec.3600,Lah C.1. P L U M B I N G 0 Z G tenmec�oov is nerecy�urnisheo. ECHANICA � .�...� ¢ �/ �____...,_� — G eroi:e9 coFV•s liled wilh t�e BwldinG Inspectmn Oeparimen�or llepartmem. �1��GRADIN.(�7 W — q� Z f,F71FN;F7E OF EXEh1PT10N FflOM'vVORKERS COMPENS0.TION IILLSURANCE:TMs secuon r.eeu not 6e comP�etzd ;o� SUANCE ' � /r �+\� �I i? ine perme is fcr ore hundretl(S100!oi less.�ceriify that m the performance of�he wak lai whch Ihis �"` � �C�" — y I�ermi�is issued,I shall rot employ any persor.in any manner so as�o be[ome sub�ect Io Ihz Vkrkers'ComOensalion ~ S^M�P =I LaNs of�alifnrma �:W o I n,�o I(;�sl�Qi`� apPr�a�� uJ PARK FEE � NDTICE?0 APPLICANT-II,aHei meMing this Certificate nf Eyemptio, u should becamc e«m�ee wo,�rs ���'SCHOOL FEES _-+ �ompe�isa9en provisions of the Lahor Code,yau must luthwnh c nith such prov ians oi this permit shall � ce oeemed ievrked. � p� �IVISION OF INOUSTRIAI SAFETY PERMIT CEfli1FC1Ri0N� ' ,,,„x.... � *; ;_�. ., . .,:,.:; d �!neieey cerldy+hat nn excavauan Uue 151 or mae leet m depth imo wAioh a persan is reqmred�a desren0. ; ¢ -n-ill Se matle�n connecuor.wiln work aulhw¢etl by this permil,arid that no hmlding s�mcture,s�a�falding,falsewarY, �- or uertiolicnr oi dismantling�hereof,will he more than thiJ..ty-six 136�.deet high,,lChip.32.Gry 2,Att 2,Sec � z aci r�nca.caci ""i x,: "'" � ?�'ws<," _ �? . 3 �As ownerCulder I will nm employ anyone io do N•mN which wauld reQuire a permit imm Ihe 6vision d - �— InJusuial Sakry,as r.o;ed above,unless such person has a pemet Io do such wwk fmm.the d'rvision.. s ❑a�,=�a�a��„d�s���a�S�e,Y�,m��Na. ", � .- :: :..:.:',",; : ;;.: ':: ::..; TOTAL FEES , C� a � CONSTRUCTION LENOING 4GENCY�I hereb/�nn.�Mat•ihere is a�iatlshtittion�len�inB apeMy lar fhe perfortnance Z ol�he wwk�oi which this permil is issued(Sec.J097,Civ.C.6 ! , � � Lentler's Nxre COMMEN � �''�f� �` � � �' m Lentle�'s Atld�ess . � ¢ CERTIFICATE OF COMPLIANCE ANO AUTHOHI2ATIai OF fNTflY:I ceridy I h�ue read tl�is appicatim and snh � � �,_, w iha�vhe nlormalion given is correct.I agiee m comply wuh all stah laws a��iN ordnances relatinp m 6uiMi�q y qnstmalion,anA authrcim a iepresemaMe of the Deparimenl of Builling mA Salety to ennr upm IM property = for which I have applied Mis permit for the.D�Wu d mak�ng inspcetians. �-- � e s 1�� ���� '� -� �' �na we af Applieant nt �i7ote RECPT NO.�._.�.�_—PAID BY .''�s7 I. � VALIDATION . WHITE—Department Copy,YEL�OVJ—Firiance Copy,PINK—Atsessor Copy,GOLDENROD—Fite Copy.GRE'EN—Applicants Copy g+ �:.�.'.. . ' . ! . .. . ���: .fLc � .. . ..., . , ?." 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