HomeMy WebLinkAbout154 ,\ �
''� CITY OF DIAMOND BAR k
`�� '��'' ' DEPARTMENT OF BUILDING AND SAFETY PRESS
�-^ BUILDING PERMIT FIRMLY
ADDRESS b�� N i�flrnowl� �fl� ��-�� DATE CA710N NUMBER -�OS E
ISSUE •7 TYPE OCC.
4 APN LOT , TRACT DA7E ���� -'' `L� 9 CONST. GROUP
Q CROSS�iR�E�� SETBACKS "a'°'E'"E'"S
m OWNER �., V Hl ZONING FRONT RW ❑
o ADDRESS� �0° �L RT 0 VD O REAR ❑
W CiTY�Y�N� ZIP � T L. SIDE/SIDE STREET RW ❑
o APPLICANT�O'� 1��q5 TEL.� SIDE ❑
a �.
Q CONTRACTOR �' SEWAGE �
o ADDRESS�� L�� �a� �� DlSPOSAL � PUBUC PMT�
�,^�q,� �--- ❑ PRIVATE SQ.FT./100 GAL
� SG N��� '�$�j�,,,�Ir�T C,� 5 GRADING ❑CU.YDS.EXC. CU YDS FILL 3
y ARCH/ENG/ {� ��� SQ F'i' FACTOR P A� .AREANALUAi'fON �+
� DESIGNER � � --3f.� •, < �� I
o ADDRESS (.t 2 �
� CITY ZIP TEL. � 3 �
.au Z 4 �
Q PROPOSED USE t�
� � GARAGE s
o NO.DWEL. NO. NO. � pORCH �
y UNITS STORIES BEDROOAIS �
s LOT DIMENSIONS � VALUATION -1 ` ADJ.AREA �
o NO.OF BLDGS HOW QUANTt7Y b�$GF{{p7'tON FEE E
W ON LOT USED a `
s V. :
"' ❑ OC k
�
l�ENSEG CON1NpCi0pS OECL0.FWTI04 I f:eiehy athrm that I am licensed unAer provisipns af ChaDtei 9(commencing U f
¢ wnh Salwn 70;101 of Orvrsion 3 of the Business antl Professians Code.and my license is in tull torce anJ elfecl W ;
� � � ; .:� ,i �' �.,�.�?' ,.......�_. !
�+- QNNCH 6Wl IIER�FI:LARAiION I hembY al6�m ihet I am e.cempt imm the Comraam'a Lxense Law for the lalbwmq (
2 reasr�r.ISec.70315.Business and Prolessions Catle Any crty o�couriry wh¢h reqm�es a perm�t ta conslruct. •(� t
o altr.i,nnyinve,demolish m repao any slmcNre,pnur la ils issuance.also�equues tl�e applicani kr s�K�pe�mil ��Z � ��
¢ to�de a li9neA srefement thnl�ie�s li;•ensed Dursuant to the D�o��sions ot the Contracmr's�i�eme Law(Chaptn �.�� €
pp 9lmmmen�ing wnh Seconn 71100�cl D�vrsion 3 of�he Busmess and Pmlessions Code1 nr Ihat he rs eMempt Ihere�mm g,
d anA!he oasis br tAe nlleyeA exempnon Any viola�ion at Sxuon 7031.5 6y any apphcam Por a pe�mi�su6jecrs '.��.
W ih:aCV6cam In a crvd penalty ul in1 mo�e ihan irve hundred daliarR 155001 I: :a ;
� ❑I ae mvner nf the pro4erly m my employees witli we9e5 as Ihert sole<ampensation,w�ll do the wnrk,anJ ?
the slmclaie ix nn�mtended o�olleied lo�sale(Sec,/044,6usiness ard Prohs.mns Code The Caaracloi s t¢ense rj ,
�, Law tloes not app�Y tu an ownr.r ot•pro0erly x•ho huilds nr impiaves�herean.and whn dces such wo�k himsetl. '� � '
'; w ihmngh his awn empluyees.prowded that such Impirnemants are nat inlended o'uflweG Por sak.il,howxvei. ,'.`7 � �
_ �he Luddin9 ur;mpmvemem rs sMd wilhin one pcar of wm0�enan.the owmrhui!der will have ihe hurden nf pmvmg � I
y �hat he tliJ nm builtl or impmve Im Ihe purynse at Sa:t.) U� , �.
i
. N ❑I,as ovmer ui Ihv prupenY.am exdus�vely convactiny wnh liceused mnVacto�s ta constmq the piujeci(Se[ �•�; � �
0 7044.Busm.r.ss and Pmfessmns Code The Conlratro�'s L¢ense Law does nol Byp�Y io an awner ol O�oDer�y wAo � ' � f
. ¢ hudtls m inpnoves ihereon,and wl�o coniracis for such pm�ec�s wrth a connacmqs)hcensed pursuam to the Comraomr's i
��°�^s��� CONSTRUCTION .:� c�_,,t�
o '
� ❑��m e.e�����me�s� ,a e vc ia„:n ce���r�a�ei. PLAN REVIEW � .1 �
� o"' °'""" ELECTRIC ' �� �
� ��' �
� WORNEFS�COMPFNSATIIXJ OELLARFTION I hereby alhrm thai I have a a�qf¢ale af conseN�o seN�inmre,or � � �
a cernf¢ate of\VoiMers'6ompensa�ion Insura�e,or a aertihad copy tne�em ISeo 3800,la�C I �� PLUMBING ___ �
Q ❑Cenihee copy a hereM1y lumiseee. �, MECHANICAL f
�/ t
p CJ Ceridred wDY�s filed wnh the Buildmg InspeaLon DeOartmenl a Depa�tment. � GRADING �__ �
w
x f.ERTIFICATF OF E%EMPTION fflUM YJOflKERS'COMPENSATION I�A�S1flANCE This setuon need nat he mmpkteA p �SSUANCE �A�� �
� A Ihe pennn is�oi nne hund�e�I5100�or less I cenrfy tnat m Ihc pedoiman[e of ihe wmk fai wlikh thit "'
"' SMlP t:�f/ �
permit u issced.I shall ml employ any person m any ma s uh�ect W the NbrNers'Compenulion
o �aws a�ca�it �ia W PARK FEE �
0 oe�v � c �'�4 APD��ia^� tWt,. SCHOOL FEES
NOLICE TO A LICANT It,aflei making ihis CerM1h�at . ou should 6e[ame suDl��lo Me NMMer's �
� f.nmpensation provisions af the laho�CMe,you must fonhwilh[omply wnh turM1 provisqns or�his pe�mu shall �
, LL Le deei�rcd�evoked i
� .
Q [XVISION UF INDUSTflIAL SAFETY PEHMIT CEHTIFICATI�N �
� I
o ❑I Mrehy r.ertAY Ihat uu excavatimi frve(5)or mae teel m depih mto wMCA a person is�equrte0 to tles[entl, .
` OG will Iw urdde m cmne[iwn wilh work euthwued 6y Ihis permq and that no hufldi�structwe,scztlaldinp,falsework, (`��['Y I7 F A M �' �A R
� d or tlemolluan ur dismamlirg thereal.will he mae than ihirry-six�361 iret high IChap 32.Gm 2.Art 2,See � ��
' x aai,rm�a,cac� B�JIlO1N(; AIVD''�AFF�
6 =
; � �.(Ps owner�6mlde�.I wAI nm empby anyone to da work wM1ich wouM reqwrz a pmm�imm�he Dirnian at
f-. Indusi��a!Sahty,as noced ahwe,unless such peYsun n�s a permit to do suc�waiM hom the division
� �
� ❑[Ancmn ot Indusirial Sa�ety Permit Na. /�'' �
� CONSTFlU(TN1N�FNOING AuENCY�I I,erehy atfirm�ha��Mre is a constructinn knGing agency tor tAe pnlormana �OTAL FEES i..��/d
= of the wo�k fm whmh this permn is issueA�Sec 3�W.Civ.C.�.
� Lender s Namc COMMENTS
mlende:'s Address
4 Ilf lIA E AND AUTHpqIZA1bN OF ENTflY_I ce�tity I have read ihis appliratpn md stale (
t�at th¢mtor a��on ivn rect.I ag�ee to WmpFy wnh ail sute Ixws aiM ciry ordiiunces relanng Io EmNinp
, N consuucuun, nd a o�i reuntatrve of the Da�wtmeM af Bu�lding anA Selety m mlu ywn 11k praperry
= la which 1 �thi pnmil for the D��of makin9 inspec��x _
`" i( t 3 "$''''9 �
,i,,r- -� d1 f. � ,
na me o
plxam or Fgent � RECPT NO. ���f�-��PAID BY „�ti,. � r�-' VALJDATION�
WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOIDENROD—File Copy,GREEN—Applicants Copy
,
�
�
:4:
, V
,- , � !
" . , "
�� . . L � ' ;
' ♦' ' , .--:..
b �
. , _ ,. .
�
. _ � �
_, �_ ' � �
. �pv� ;
� �
�i �
�
_. , �� , �
�; � � �
: , �� ,
�
. � � � ,
: . � �
; �
� �� » �
� ��` . ;. �,
: � � � _
� � � . � ,
_ � �
- �
� � ,
�