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Home My WebLink About1066 . _ . ; ... � ... �'(-��"'''"`,"�' °� ��r �'�'`'.�'`''.t.@'� ,/�'�`R'�Ef�► d �---" � ,�.� , ;� �.... � aL!''l, il '� � CITY OF DIAMOND BAR '��" `��,�=�--�v �� _...• .� PRESS �� ' g`��r, /�, (�_�^� DEPAR'E'AAE�UIULDING PE'RMITND SAFETY �'�RMLY i.IJ �� '�,.� JOBSITE t� �� '�} .,,,.•,,� APPLICATION PERMIT USE ADDRESS �� ..� ��-✓��r�� DATE >�^ �''�L>NUMBER f�� CODE ISSUE TYPE OGC. � APN _ t` •'�• " LOT TRACT ` J`"' DATE -r�' 7`"' ��_CONST. GROUP `� CRC15S STREET 1'�Ylv r��-��-: r�a SETBACKS "�"�""5 `-� OWNER a�c��d i G� � �� i�:c�¢.. fZONING FRONT RW ❑ _ � ADDRESS_�� 3 b �; "=; ��Q.�xarid '�kt�^. `1�N ' I fi�AR ❑ W CITY �' -- ZIP��TELF� ^�1 3 SIDE/SIDE STREE:T RW ❑ o APPLICANT�c,��vro�- �-Gc�°.�,c�`t. �"�EL��3a-93 SIDE � Z e CONTRACTOR SEWAGE o ADDRESS � 0 f'UBLIC PMT# „� CITY P / TEL. DfSPOSAL [] f'RNATE SQ FL/100 GHI. z STATE y LIC.NUMBER GRADING ❑ CU.YDS.EXC. CU YDS FILL � ARCH/ENG/ tn TYPE � FACT}�:i�P� ;. ADJ:AREANA�UAI'(ON ' : �' DESIGNER W: 1 p ADDRESS t�L 2 /'f"r� t'�� Q z CITY ZIP TEL._ (rj 3 � PROPOSED U5E z` 4 �� GE ��c—��^� � GARAGE U o NO.DWEL. NO. NO. j pORCH y UNITS_ STORIES BEDROOMS �p � LOT DIMENSIONS VALUATION C� ADJ.AREA o NO.OF BLDGS HOW ' QUANTI7Y. DESCF�I�TIC��+I`: ` ' - �EE W ON LOT USED_ Q 7 S ua V �� _ � � �i LC ~ LICENSEO CJNTflACi0R5 CECLARFT!ON:i hereby affirm mm I nm 6censed under provisions of Chapter 9{commencing Y �.�r.h Secc:ur 70001 al p�vsion 3 cf the Bcsiness and Professions Code,anA my license is in fu11 force and eNem. �. 3 � ii _ 01YNEE�5UILDEH DEQRRAT104:I hereey alLrm ihai I am esem0�Irom iAe Contrxcar s l¢en:e Law for the lallmvmg — Z reaso'.iSec.70,15.Busmess and Proleesions Cade:any:i1V��com�y whieh nQui�es a permit to con5trucC �}� o alte: �c�D�cve.demnhsh.ei�epair any structure,pnor m ds issuance,also requrtes the aDUlicam for su�h permil Z' Q�to Na a siynel statemer,t Iha;he is!¢erSeC pursuant�o!he pravlsions o`�he ConUacm�'s License Law IChaptei -m � Q 9 Iccm,�encrog with Secuon 7G00'�of Orv�sion 1 at�t�g„Busi�a Smns CoEel w fiat ne is ewempt Iherefmm �� d am;!h�I;asis�Or!M allegetl exemption Acy�idC��d�o-� �i 31� Ey any appliwnl!o�a permit su6�ens �� x ihe aoc��cam ir.a:rv:l penalta a!not nore IDar.E��fiun�a�i.A_�� , �� u.i � �as.+�rer��rhe;rcpe+;y o�rnv�+'++D�aYees�mth wages as Iheir sok[ompensa!mn, wilt Oo Ihe wmk antl ~ t9e siructure�5 iot innmded or olleree lar sale�Sec.7044,Business and Pro�essans Code TAe Can(ractofs Litense .Q � � f,~„� Law does w!apply Ie an 7wnei of piopertv who huilds or improves Ihereon,and whe d0es wch work himzeN, �(�� W C:�hiouyh hi5 awr.eno',ayees.�Ommded��mDr�i�ls a��ded a�offered!ar sale.II.howevei. �.Z. � � � m �he I;cilning oi improvement�s sold within�o y 1 c Inlion t ilder will have Ihe Gurd¢n 01 D�aving ��Q ��Lial he"id r.ct Cudd or imprave`.o:Mc yurpost a!safe.� �x' H h rl,as c�e�rfr of the prnperry.am ezclusively c?.^.tractin�y �2 6censec cor.tracmrs to canslmcl�he pro�ect($et. �.�UyJ� 0 70Cs.Bus�::ess ar.d Pratessiona C.�de�The7L`odr,3ttar'?_EiFyt��}yd,tlp?i;�ot S,�iyltG;an owner of prapeny wha '"'y' Z tuilas a�impra��es ehereon.and wne�oftsaf�s�sych ptqiects't�4h�can,�aC�oqgll�EenseO pwsuan�io ihe Comracm�'s Q t�:��ninw� i�i`�::� F�:,;c.: :y;••t�:.:I Y NSTRUCTION � �s 2..5— � ��d ([EIt1�i JI'dE!s� s ��.c.,a:, n�'c`e��n�a�e� PLAN REVIEW '3 7 : C7 9 v Cai,_�' �/•- �i� Owr.er•� i•� `` ' EL �'7 . �"['� yVJORKcRB COMvENSAT10N OECLAqATION i hereby allirm that I ave a ceridicate oi consem to selFinswe,or a reinLcr.;r.of'Nerke�s'CnmDensation��sura�ce.ar a ce�u��ee coov the�eaf ISec 38G0,tae C.1. '�� PLUMBINVG O Q ❑�'er.dieJ caoy+s r.�,�n��rw�,snPa �� MECHANICAL o ❑Cart:`ieA ceOv�s`ded wdh�he Budding Inspection Oepanmem a o�Pa«m��. :��; GRADING � � � � � �� W 2� � �:ERTIF!�ATE LF EXEMPTION FPOM WOfiKEflS CDMPENSATION INSURANCE.?his section need nm 6e completeA VAN�i 1 f7 � d (j y t ;az perinii �s Icr ane hundred i5�001 a�less.i certi(y IAM in IAe perfarmance af rtie work Im which�this � . - permit is rssued,I s�all iwt emplay any percon In any manner so as to 6ecome sub�ect to Ihe N6rker5'CnmpenSaUon gMIP � oLaws nt ear!um.0 W PQRK FEE p i1a;e APOlicanl .�� NOTICE?0 APPLICAN7:If,aft¢r making�his CerMaate ol EMempeian,you snoub eecome sub�ec�m�he wo�4a's � SCHOOL FEES _+ Cmnpe�satmn provisio�ol ihe La6Dr Cade.Vou must forlhwnh co�nply wiih such prwisqns or this pnmu ShaP � 'i be dec�r,�d revoked. J � fN6'iSION OF INUUSTRIAL SAFEiY PEflMIT CEFITIfICAT10K W �- ❑I here6Vi ce�tlfV tha�no ex[avaiion five 151 or mae tect�n depth into which a persm rs reqmre�fa descend. � w:l!Fe mede m�corecliai wilh work authomed oy mis yeimrt,and thei no 6uilding smduq,stallolding.blsewark. - �- ' - � � d nr den�,o6tinn�r dismantling the�eaf.will he mare than Ihirty-sii I361 h�e��iBh,IChaO.72.Gry'L,An 2,Sec 2 341,Title 8,C A.0 I - � W S — � L1A5 owne�-6wlder,I wdl not em0loy anyone to do work whith wald requiie a permii imm me Oivaion al �� " � � ' H Induslr2�Safety,as noted a6ove.unl¢ss such person has a permit ro do suth wotk frDm 1Me dniti0n _. . ...... .. .. .. . .. . , _ ;�.,� ... �. . , .. � � Wl_'[M.�sam d lridistr�al Sately Perai�No. �.:`.�'"'�i�x., ....�.°....,.s.. `/ � CONSTRUCf10N LENDING AGENCV:I here6y aHlrm that there a a construcUon Iendmp�qency for Ne perlormance TOTAL �EES v • �� Z ol the work for whicA ihis permil is issued fSm.3097,Civ.C.1. . .. � . ..,., ._.,.. ._....,.,, . . . ...,,:,.,. � tenaersnlame COMMENTS mLender's Addreas � - � � . � ¢ CFR?IFICATE OF COMPLIAICF AND AUTIDRIZATIRJ Of ENTRY:�certiFy 1 M1ave read this appicetion�nA slale � � �, :�� - � � , � �.�:.,�- r/� ?hat the information given is carect I agree ta wmply wrth all sta�e laws aM ciry ordinances rtleli�g to huiNi�p � " y construcuor.,and au+horve a reorzsema�ive at tAe Deputmenc of Building and Safety tn mler upan the property � � �•� . � " . . � � = Inr wAicA I hau applied for tlris pnmit for�M purpose d making�mp¢ctions. � . ,�r c � ��=� '�_�--�=-- RECPT N0.7�3 � PAID BY 2�d J VALIDATIO � Signature of Applkant or Agent Osce ---� WHVTE—Depanment Copy,YELLOW—Finance Copy,PINK-0.ssessor Copy,GOLDENFtOD—File Copy,GREEN—Applicants Copy RS10o-11189 . - � .. r-.__-_ .....� '. _• .., . ..�. . �, _. ,,...; ... . .:' �:. :..�.�.... .'' 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