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HomeMy WebLinkAbout1016 � : � � ,. _ _. _ . _ . �: . '"� CITY OF DIAMOND BAR ' PRESS � ' DEPARTMENT OF BUILDING AND SAFETY -'+ BUILDING PERMIT FIRMLY JOBSITE APPUCATION PERMIT '�� USE ADDRESS 3153 FALLOW FIELD DATE NUMBER CODE � APN LOT T TRACT ATEE � � CONST. GROUP • o CROSS STREET SETBACKS �E�� m OWNER MR. SEIBERT ZONING ��NT qW � � ADDRES�1�3 F�l�,bf1W �'���P REAR � W CIT4h����T�$�� ZIP�TEL. SIDE/SIDE STREET RW � = APPLICANT MIKE MARTTN o TEL. 5A4-51 n� SIDE � Z •Q CONTRACTOR PETERSON JONES o ADDRESS 3190 E. WILLOW SEWAGE � PUBLIC PMT� W CITY SIGNAL HILL ZIP 90806 ��2�988-003 DISPOSAL 0 pRNATE SQ.FT./100GAL z STATE I y �IC.NUMBER 528-710 GRADING � CU.YDS.EXC. CU YDS FILL y ARCH/ENG/ Uj:>NPE� 'SQ'FT FACTOR`PS .>=`A .:�AREANALUATION > � DESIGNER W 1 � o ADDRESS '�: 2 ' .,ti-.. .. . I z CITY ZIP TEL. �; �:3 � , . . :•a' ,. . W o PROPOSED USE Z�: 4 I " �: GARAGE o NO.DWEL. NO. NO. ' y UNITS STORIES BEDROOMS m PORCH � LOT DIMENSIONS � .:� VALUATION qp�.qREq o NO.OF BLDGS HOW � j QUANTITY �DESCRIPT.ION " " • W ON OT 1 USED R= FEE � �+ �` o� .�¢: . u, .0 � �- LICENSED CONTRACTOHS OECIAMTqN:I hereby eftirm that I em licensed under proviyons ol Chaptp 9(commmc np ¢ with Secoon 7000)of Oivisron 3 0�Me&uiness and Proleuims Cade,W rtry licmte is in hll lorce and e)fxi. i.�: � . � 3 � W' � QWNEF-Bl11LDER DECLARATION:I herehy elfirm ihat 1 am eaemp�imm�he Conirncroi's license Law fw the Idlanng � Z reason�Sec 7031.5,Business and Pmlessions Code:Airy dry w canry whkh rqryirq e permil �n[on�trucl +(}? O al�er,imprave,demalish,a repair arcy stricture,prior to iis isswnce,also repuues Me Wp�iunt for such pmmh ,:2� 6 to file a signed statement thet he is�licensed purwent m the pwisions of the Contrxtm's Liuroe law(Ch�pte m;,,.: . � ' � 9(cammencing wiM Section 7000�ol pvision 3 M Ihe Business and Proleuiam Cade�a tlu�he it emmpl Ihaehom .,,,g:: ' � d and the hasis for the atleqed evemp6on.A�ry violation ol Section 7031:5 hy erry�pplicent loi e permit wbpcp :���.; x the appl¢am to a civil penahy M mt more ihen tive hundred dollers(5500�.1: :�..�J� ' W �a" .. � ❑I,as owner of the properry,a rtry employees with wapea u iheir sde campmtaoon,wNl do the�wrk,end � ihe structure is not imended or o�fered lu sale(Sec.7044,Business ard Profeuions Cade:Ttw Cantncwi s License Q�,, � Lew dces rot apply to an owner of property who 6uNds m improves thereon,oiM wM does such wmk hvnsell r(�; ' ' a Ihrough hu awn employees,pwidM thnt such improvemenis�ie not imended n olfered fai sele.II,hwvever �z�' � � m Ihe huilding or improvement is sold wiMin one year o�tampktim,Ihe owner�6uildm will hwe Me daden ol govuq „Q; . y that he did not 6uild m improve fur the purpou of sah.) ;.(_�; . fn a(�? _ ❑I.es owner ol the prapertY.am erclusively comractiny wiM licenaed conVxlas ro tonstruct the project ISec ,�yJ,� 0 7044,Business and Prolessions Code:The Contrxror's Licenu Law does not�pply�o an oNrtiei ol prapny who ��:'���.�'���: , � hullds or impraves thereon,ond wM wmrectt fa such pmjects with a comrecmrp)Fcmeed pwnxnt m�he Cmu¢ror s , �"`°'°��"'� > CONSTRUCTION o �: � ❑I am e�rempt urdn Sec. ,B.6 P.C.IA�t�ch Cerdfic�U) "':`. PLAN REVIEW � ��� °i""" ;,� ELECTRIC � J � �- � VAHKERS'COMPENSATIOfJ OECIARATIW�.I Mehy alfum�het I heve a certifitero of coment ta sdl�iruue,v - . a certificate o�Nbrkes'Compenwtim Insurance,o�a cerufied copy�hereol(Sec,380p,LaD,C.1. �.l a ❑e«��nea��v��n��etr��,�nn�u. „' MECHANICAL o ❑Cer�ilied copy is liled wiM tAe Building Inspectlm Depnhnmt a Deprmrm Q'GRADING W � � CERTIFCATE OF El(EMPTpN FROM WOqKEHS'COAIPENSATION UISUflANCE:Thi�section rced ro�he canpkmd ` ISSUANCE � y it the permit is lor one hunNed�5100)a less.I certify that in Me perlormance of N�work fa which�Ihn '. ' permit is issueG,I sAaY rot employ aM Oartan in airy manner so as to hecome w6jxt to Ihe YVbrkeri c«���, ; SMIP - '.� = Law�ol cdAo,ma. t�: � W PARK FEE ' � ��e �� �: SCHOOL FEES � NOTICE TO APPLICANT:N,alter makirq m��Caru(ka�e oi Emmouon.rou shw�d necm�e wbKci ro me�5trbr s � Compensation prwisims al the 4bor Cude.ypu must IorMwiM with such .: � 'i he dremed ravoked. C01"�� O�wisnns u thp prmil ih�Y F..;...`,.: .. � & .��:': . .. � WISlUI OF INp1SfR1AL SAFETY PERMR CfHTIFCATqN: :.;,�S.;�s? W i � 0 ❑1 hnehy cniily Mat no eiuvetion five(5)w rtve leet in depth inm which�p�rwn n nquired ro dpcend � s witl 6e made in cmnectian�work autha¢ed��� ,t) Wtlduq rtruclv�.ualloldirp,fal�vak . � a dertnlition ar dismentli �herenf.will Ee 38 t hiph.(CheD.9.2.Gtp 2,M 2.$ec - Z� 341.Title 8.CA.C.1. > ' W ' ,. ' 2 S ; � 3 ❑As mmer-huilder.I wiA nol empbYs anWie to do work which wqdd require a prrtril hom tlm Divisim d '� � � Indu:tri�l SalelY.as rohd ehove.unless Yl 1 Uhu g penrc�ro da�ucM1 work irom tla divmm�. r,"� ' ¢ f\ 2 3 1990 "' ❑�����'�"���`"�"""� TOTAL FEES � . � �� � CO1ST{IUCTON LENdNG AGENI.Y:I hert6y�ffirm tlut dw�u�mqtrucUon Wdi�q apmcy for IM 2 of Ihe wark fa whch this permt w�' �'��w-�.d�,�'$��];..7�!'C7�1;� t� � lmdtt'sName `-"' � "' Li��`tY:VIV✓ ij.Q� m i�,a�r:nda�� � � Ri'� �t=FI=Z'Y COMMENTS . . Q CEffI1FICATE OF COMPLIMCE AND AIJTFtlftlZATI(N OF ENTHY:I arEfy I IUM rud tl�is eppli000n rM ma . ' . fn tlut the inlormetnn pvm n correct.I oprea to comply w'rM W sute liwt�nd dry wdiunca rd�mq ro huiYtinp ' ' 1 . y tonnrucWn.end au�Mr¢e a rcprtsenuu�w ol tlr Deprtrront al Build'mp and S�MY m w�ror�qon tlr P�hl' � la whch I have applied fw Ihu permp Ior the pupme d mdinp inqieelvu. �. ' � Sqnotue d Appikmt a Apmt p� RECPT NO. D BY VAIJDATION ,WHITE—Department Copy,YELLOW—Fine�ce Copy,PINIhAvaessor Copy,GOLDENROD—File Copy,GREEN—Applicanta Cppy � � ���T ° � �:��.�,������� .� . _.. � - - �����'��";P��� ������� � p�g' y�� � � � & �.�,� �'��.'.�;��"s�,p���.:��L",�'�� � A' ��� .���� � i�`r � k �^m b �' °���R��`9�e� � s.�`;' .."�'`�a �` v/ '�._"°'�i �skx.���' ��`�"�k �� a"�`�' ��� � , es�ry �s , � �-: _ �� a.#. . 3. , V��,���?�.,,�b �.L�.. s � ' .� � �., �: -��.:«� . ��, e �:z�' ���� � : }a.l r � .1 ..... . 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