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Home My WebLink About1558 - { _ _ -- - --- .- - - -----_ . _ _ i_ . '� CeTY �F DIAMOND BAR PRESS ° DEPARTMENT OF BUILDING AND S�aF@TY F�RMLY -� BUILDING PERMIT JOBSITE �� W��Q� APPLICATION PERkAIT USE ADDRESS DATE NUMBER CODE ISSUE � � w ,�"�j TYPE OCC. ,� APN ' LOT TRACT DATE �"CON3T. GROUP `'' CROSS RE � ► ' SETBAGKS �E�� `-' aWNER _ ZONWC FRONT RW � o ADD 'SS �,,,�, �(� �� REAR 0 ,�; GITY�"' - ZIP T SIDE/SIDE STREET RW �] � APPLICANT �"+rn �i�TEL S9DE � � a CONTRAC70R SEWAGE � P�JBLIC PMT� o ADDRESS � t ' DISPOSAL � pRIVATE SQ.FT./100 GA�. �' CI t ZfP TE�'��t�►333 � STATE GRADING � CU.YDS.EXC. CU YDS FILL � LIC.NUMBEI��^�� ^' .�SD7�C� � ARCH/ENG/ ,� 'TY�E 'S'r � �'t�1 ``Fi F�'S =' , 1��'1�1. 1�F��4tVRt A�'If�N ; � pESIGNER + R � 7 < ° o FiDD ESS Z- ' ��y,: 2 � CIT ZIP TE (r�: 3 � PROPOSED USE t "�' 4 � � � L ' �< GARAGE � NO.t�V11EL. NO. NO. �; PORCH � UNITS STORIES BEDROOMS m; � LOT DIMENSIONS ' VALUATION ADJ.AREA e NO.OF BLDGS H01N - CtUAMT�'tY; p��;�l�'E'��'j� ;: FEE. : � ': � ON LOT USED # W �:. � �., , IICENSEO CaNTRACTORS OECLARATION:I herehY affirm Ihat I am Iicensed under O�ovisians of ChaD�er 9 kommencmg k-�,_. �'�,�wrth Section 7000)ai�ivisian 3 of the Business and Prafessons Code,and my ficense is in full iorce and etfect z�, ' O ,,,,{"! r'� ❑� .:l,�;i �� QWN�B-BUILDER DECIARATIDN:I herebV aNirm that I am erempt tmm the Comractor"s Li�ense Law Foi the tollowing � � r' reasen ISec.7031.5,Business and Pmfessions Code:Any ciry or caunry which requires a permh[u cws[ruci (}�; O alter,Improve,demolish,or repair any structua,Orior to its issuance.also repuires 1he aDGlicanl for such permR f,Z' h io file a signed statement that he is licensed pursuant to 16e provisiant of ihe Comrector's license Uw(Chapter �-�; �' 9(commencing with Sectim 7000)ol�ivisian 3 of the Business and Pwfessions Cade�ar that he is e�empt�herefmm �,: �� and tfie oasis for ihe alleged sxemptian.Any violatian of SecGon 7031.5 by any applcant Fo�a permit subjects :�;: � the appiican[to a ciuil penalty of not more tlian five hundred dollars(5500�_�� .,.��'. W (L.. A ❑I,as owner cf Ihe property,a my employees with weges as lheir sde compensation,will do the work,and �� the stracture is not intended ar otfered fa sale�Sec.1044,Business and Pmfessions Cade:The Ganractor's License : v law does not appiy to an awner af pmperty wAo 6uilds ur improves thereon,and who dces sucA wark himself ��:��. �� or.chrough nis own employees,pravided that such impmvemants,ara�wt intended ar oifered Mr sak.ft,howeve� �;, � m� the 6uilding br Impmvement is sold wit6in one year ot comple7ion,�he owner6udder xnll han�he hurden ot proamg p:��s�;., y [hat he ditl not build or improve tor the Ourpose ot sa�e.) 3�- � � t/��. ❑I,as owner af the pmperry,am eYCluswelY conirac�iny wilh licensed coniractors to construct ihe pmjeCi(Sec �', �� 7044,Business and Pmfessions Code:The Contracmr's License Law doet not apply to an awner oi pioperty who '�'�_ ¢ huildsar Impmves thereon,and who comracu for such pro�ects with a coniracror�s�licensed pwsuant to the ConAactor s �i�e�:e�aw1 ' CONSTRUCTION � • ��__ W �`-�� ❑I am exempt under Sec ,&6 P.C.(Al�ach Certificatel � PLAN REVIEW m t p' Oate ��e� >ELECTRIC �� ,W9HKER5'.COMPENSATION DECLARATION:I heretry affirm that I have a certrficate of consent m sell-insure,or - �: a certificate.ot VJorkers'Compensauon Insurance,oe a rertifie0 capy thereof(Sec.3800,L�6.C.i. ��P�.UMB�NCi 0 � ❑cenified capy is herehy�urnished � MECiHANICiAL . c � Cerlified capy is filed with the Buiiding Inspection�epariment or Oepartment m�k';GFIADING j ,,0��, ��,ERTIFICATE OF EXEMPTION FHOM WOqKEqS'COMPENSATION INSURANCE:This sec0on need not he completed � !ISSUANCE f �s �-%"�� if�he permii is for vne hundred�5100�or less.I cer[ify ihat m the performance of Ihe wak}or which"�hrs � permik is�issued,1 shall not emplay any�person in anV mannerso as to me subject ta e rke�s'Canpensa�imi �SMIP � o �aws yr cauro�r '�'! PARK FEE � A bateC� � f — �� Applinm �. J NDTICE TOIAPPLICANT:If,aher making fiis Certifkate of Ex n,you should bewm subject to the Workers �':SCHOOL FEES +--�I Compensation prwisians af the Lahar Code,yau must forthw' �c ply with such prvisions or this permil shall . }+-��'be'tle�med�evoked. 3 �I aVISIIXY OFSINDUSTRIAL SAFETY PERMIT CEATIFICATION: �'�. 01 herehy�rertrfy that no excawtion ti�e(5)or mare feet��'de.�th H�irq w�tycb a person is reQuired to descmd tC wil!hR made in connection with work authwaed 6y thrs permrt,,:aed tF`µ�ttlq°6u,�'diiiQ s{rnttwe,swlklding,�alsework � �or delnotitiqn or dismantlmq thereof,will 6e mme than thin�siM�)litit•iligh`(C�ap.32,Gry 2.Art 2,Sec ,W,° 349.Title 8:GA.C.I. x 3• ❑As ownerhuilder.I will not emp�oy aayone to do hich�wo ap��14Ra.,p,, it iran ihe Gvisqn oF � � � d— Industrial SaTety,as noted a6ove,unless such pefson ha��to�sucl�workj��AIV151011. �' � � �I ❑pvision of Indusiriai Satety Permit Na. - - � TOTALFEES �� CONSTRUCfION LENDING AGENCI':1 hereby aHimi�1haF,�her,rir,�conSvu�Lort�lend�p aqmcy:fpf tlie perfa+mance � .� 2` of tF��wark inr which this permi�is�ss�ed�Stt``3097 I.iv C{'� �'� •'' r o Lender's Name a � m', Lender's Addiess C�M E � 'd �� CER�IRCATE OF COMPLIANCE-AN�AUTNORIZATION OF ENTHY:I cerrily I have read tAis applkmion and state � �-� jhat 7he infamafwn given is corcect.I agrea to wmply wah all slah Iaxs and ciry ardi�untes rehMg to huildi1p � - � y� ionstruction,and authorize a representative af ihe Department o�Buildinp and S��ety to mia upon tlie prapet[y � � - �� fm wNch I have appl'd far�y is permd for t fpup�f of makirg inapec�na � � � r r � S�q e af Applicant ui Agent pop RECPT NO. � PAID,BY � � VAUDATION ' HITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Appllcants COpy BS106-11/89 :, . . . . > - L . . ��. �<� ,_ ,;< �,.r�� , ��„ru � �� . � � �,� 3 �; 1 . .,. . 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