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HomeMy WebLinkAbout1017� � � .. . . . . -__. __T- .. . -.- - ",_.— _ —._ _—_ I �"` � CITY OF DIAMOND BAR pRESS .� -�� DEPAR'TMENT OF BUILDING AND SAFETY F�RMLY -.� BUILDING PERMIT JOBSITE APPUCATION PERMIT USE ADDRESS 3117 FALLOW FIELD DATE NUMBER CODE > APN LOT T._TRACT DATEE "� �� CONST. GROUP o CROSS STREET ZONING SETBACKS "`�'°"E''E"'S °� OWNER MR. DON LEE FRONT � � o ADDRESS3117 FALLOW FIELD DR. REAR 0 W CITY DIAMOND BAR Z�P 91765 ��, SIDE/SIDE STREET RW 0 a APPLICANT BOB KEL .ER TEL�94-S100 SIDE � 0 _ � CONTRACTOR PETERSON JONES SEWAGE � PUBLIC PMT� o ADDRESS��nn L' LTTT T(1TJ cm DISPOSAL W CITY SICNAL HILL• Z�P 90806 TEt? 988-003 0 �NATE S�.FT./100 GAL z STATE 528710 GRADING � CU.YDS.EXC CU YDS FILL d UC.NUMBER N ARCHlENG/ 'Uj NpE- SQ F7>FACTOR:�pS °'AD:1:AREANALUATION � �' DESIGNER W' 1 � � ADDRESS 'IWi`, 2 �, -.,� . .. = CITY ZIP TEL. (}; `"3 ' • J ' ' .., . Z 4 o PROPOSED USE �! �, �J GARAGE o NO.DWE�. NO. NO. � PORCH y UNITS STORIES BEDROOMS • � LOT DIMENSIONS m, VALUATION ADJ.AREA o NO. F BLDGS Now .: QunNTirr ;,DESCRIPiION =''" :`:`FEE: .. 'i .. ,. � ON OT 1 USED Q., . eWe U W S �.�: ~"' L ENSEO COMAACTOflS OECLAHATION:'I Ixre6y afiirm thai I am ficensed wdn piwhions ol CMpin 9(commenc�p iry Y wnh Sec�ian 70001 0l Division 3 ot the Busiriess ard Professions Cade,end my Icen�e n in full Imce�nd eftect s J', o ❑ 3 W u- UJJNER�BUILDEfl DECLAHATpN�I hereby a�lirm Mat I om uempl Irom Ihe Conlracmi's litenu law fa Me Idlmn�q " � � � � = rcamn�Sec 7031.5,Business arid PmfesAom Code:Any ciiy m caunry whkh reqw�es a pamil to cMSVu[I �;(7�' - I � O alter imDrove.demolish,n repair airy slructure.Orwr to its issuartce.Nso rapuuet the Wptinnt fa sucA permil �?-�: . � F- to IiM a signed s�atemem Ma1 he is Gcensed purwant ro IAe prwisions o1 the Cmtrxtoi s Liceme Law(Cheptd ,�(Q; .. � 9 Icommencing wilh Secuon 70001 al Divuian 3 ot Ihe Business and Professpns Codel w Iha�M is ecempt tMrelrom ;g, . � and tAe hasis lar the alleged amnption.A�ry v�atbn af Sect�on 7�31.5 by erry epplinn�Iw o permu whpcb �a, , W Ihe appliwnt�a a ciuil penally at nut more Ihen tive hundred doRers(5500�.�: ,�a,� j' � ' o _ ,.. :?-- 1 �r',^. U��.1 a. • {�_ .. � ❑1.as awner ol tle propenY,p nM1'employees wiM wages,s Iheir sde compen�ation.wdl do the work aM . . r the siruc�ure is not imended oi ollered In aale IStt.7044.Businus eM Professiau CuAe:The Cmtncta's Licensc ';;Q� V Law daes mt aO��Y tu an wmef al pfoqrry who huildt m imyvra therem.��wAn do�z zucA wark Mmsell. -�O�: . �+-� a tivougn his mvn employees,prwided tnet such improvemenis are nat intendcd a ollered tor sek.II,ho�wver .sZ-, � . = the huiNing a improvemm�is sald within ane year al campk�ion.the mvner�builtlm wi0 hxa Ihe buden of prmmp "Q�: . y �hai he ditl rw�6uiW a imprwe lor�Ae purpou o�sak.l � '�_� . rn ❑I.as owne�ol the poqenY.am exchuively contrecliny with liccmed cmtrxlms ro can�ruct the Proj�ct(Sec :�W"�.. . � 7D44,Business ard Protnvons Cax:The Camracwr's License Lew does nm apply to an wmm ot prapeny whu >.���_ � � = huilds a imprwra thereon,and who controcu fm sah projects wiM�contractm�s)licensed pusuam Po the Cmtrxror's � � " L1Ce����w.� ::`' CONSTRUCTION W ❑I am e�mpt uMn Sec. .8.6 P.C.IAn�ch CerMcetef £:F�':::.� PLAN REVIEW o na�e °"'K` ::.: E TRIC . � WORKERS'COMPENSATqN OECLAIiATION:I hne�y ellirm Nat I heve i uitific�te af carsent to uM�insua a � . a certi�icate ol NVirke�s'Compensation In�urance,or a catifed copy theteol(�c.3800.leh.C.1. Q ❑Can�ee copy is nereby fumishee. J` MECHANICAL o ❑ Cvufied copY�s liled witA tAe&uldirig Inspecnm Depntmenl p Depirtnrnl. �.iQ�; (�.7F{/4��NC.1 W Z CERTIFICATE OF EI(EMPTION FROM 110HKERS'COMPENSATION INSURApCE�.Thrc uctian�eea rol�e cumpkud ��.. �CJ'S`VANL`E ' �= il the permit�is lor one hundred(5100)n less.I cenifY�hat in t�e pnlwmrxe o1 the wak la wh�cA Mi� � y permn rs rswee.�snau mt emp�em permn in am��r sa es a baame wbject m ihe wwteu'Compensetm ..'%�; SMIP . . ..r"�. laws ol Califomia. W: . o �e ��n W PARK FEE � NpTICE TO APPLICANT:N,after meki��Ai�Certilicate of Eumption.ya=m�a n�,�e;��m ub�w.�.� ,u=:SCHOOL FEES . -� Compensaum prmisims of tic labor Code.yau must fnfhwilh cartply wiN sucfi pwuian a tlus perma sh�9 �+- he deemed revoFed. J � -'e' ,. � DMSIUI OF INOUSTPIAL SAiETY PEHMIT CERTIFCA710N�. t -t�; , W p1 . Q ❑I herehy cehifY that no ettmtion���a'�flet�in� h inm whicA�persm u rpuired m detcend } ;'T � wtll he mWe in cmneclian w�th hork au tNt no 4aldiip sUutlure.�ulloldinp,f�lsnwk �e,_ . � �'. d u demoluiw m dismantlirq ihereaf.wil MYA' w(�)Mt hipA.(Chp.3.2.Gry 2.M 2 Sec . W� 3M11,Title B,C.AL.}. = x<. � 3 ❑As ownei-Euildei.1 vn0 nm e pLy,,,��n� oQq woply�uk requiie�pamit hom tlr Oivnm al ' . � �..- In�sirul Safety.as mted e6ove.u�@`�pperf�hef a :� � wch wwt trom tM divitian. 'r ^��. � � J ..:::.,�. W ❑°""'�,�'"°"°w'S�"�'"'"�. ,TOTAL FEES � ���� � eor+srAucror+�rmtt�r�Eu�q�+.�nenby.nmm, ro�y A�r;q��n:�•u�r z o��he wmk�u wncn ena b�u+.nLu 1�«.�l�6a3'ctt' � � �mecr'�Name [�1��S fSi�i1 y =\f``7 S.�'•.�E�Y COMMENTS m lmder's Address . ' � 6 CEFITIFCATE OF COMPLWCE AND AUTVqPoZATIai�ENTRY:I cerMy I IpN rud tlus�pptiatim rid shb �� � Vi thet�ihe nfam�tian given is carect.I qe�ta mrtply wilh ai sve�hwt�nd cnY aduurcn rdaaq m 6��q � � y crostructian.md autlrorue o rep�eHnuOva ol Ne Deprtmmt ol Buldu4�d S+MY lo min W��p�OMY � fa whkh I have epplied lor Cio permu lor th puryose af m�kuq inspaciqro. � Sgiutue af Appliont a Apem p�� RECPT'NO. PAID BY VALJDATION � WHITE—Department Copy,YELLOW—Finance Copy.FINK—Assessor Copy.GOLDENROD—File Copy,(3REEN—Applicarrta Copy - �-�'' `�A��� Y� � �� '� �'��"�� �� . . 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