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Home My WebLink About1665 (23) _ _ . -- -- _ __ _ __ __ - �'�`�'�'1�" '�'` +CITY O� DIAMOND BAR pRESS - L]EPARTMEt�T OF BUILOING AND SAFETY �{RMLY BUILDING PERMIT JOBSITE APPUCATION L� PERMIT �/�� --USE ADDRESS '��L� HAI,+U�Ct90E3� ��?A Q DATE 1'� ��!�� NUMBER 1��CODE ISSUE TYPE OCG. � APN LOT TRAGT DATE �� CONST. GROUP� p CROSS STREET (`HtR�'/l�ft�- �L��u� SETBACKS "'�7°'�'"E""5 °,-° OWNER ��w2S�� M.GC'iGA/N ZONING FRONT RW I� � ADDRESS � d� � REAR � w CITY �P• • ZIP�?��" TEL.._. !� SIDE/SIDE STREET RW 0 � APPLICAN7 ��1AJ,�� /�'C�"'/�l�fi� TEL�2l-,��3 SIDE � � � CONTRACTOR_ SEWAGE O PUBLIC PMT# o ADDRESS DISPOSAL [� pRIVATE SQ.F�./100 GAL �, GITY P TEL. � STA7E GRADING G�CU.YDS.EXC. CU YDS FILL � LIG.NUMBER�, y ARCH/�NG/ � "fY�E. � „ A�l� At�J,.AF{��LU�k�'1t}h� � � DESIGNER �. � 1 m �� ` � �' F�DDRESS tL.:° 2 � CITY �IP TEL - 3 � PROPOSED USE' � 4 � �` ,,,�;: GARAGE $ NO.DWEL NO. NO. � PORCH � UNITS r STfORIES � BEDROOMS � p�; � d� LOT dfMENSIONS VALUATION � ' ADJ AREA c NO.OF�LDGS HOW ' �t�RNfifirY :,'C��,(f�#'IC�1�I s 'F�E .. ;; W` ON LOT � USED ��5• ,d � �: � � � ��IICEN5E0 CONTRACTORS qECLAPATION�V herehy affirm ihat I am lirensed�under provisians of Chapter B lcornnencing �'" � Ijwith Section 700tl1 of Oivision;3 of the 6usiness and Piufessions Code,and my license i:in lull krce and effect ;}�:, . �� I; � � � . �� . �' . � - . �f— ,� NER�BUILOEfl�ECIARATION:I,I here6y affirm iha[I am ezemOS��om the Conirac�or's Lirense Law lor the(ollawing X '�reaSon�ISec.7031 ,Businessland Prufessions.Cptle Any titY or tounly wM1ich requi�es a permit m construct (�' ' O :alte• impwve,��dertrolish ur repkir any stmcture,pnor to iis isSuance,alsa requires ihe applicant For such permit .�..._"�" � '�,i10 lile a signed statement that'ihe is I¢ensed,puraUam tp the pmvisians ot the Contracfor's License Law(Chapter �j� � p� .9(commencing�.with Section 70d,�)oi Dvis�on 3 of ih¢Business and Pmfessions Code�ar tlret he is e�empt theretrom S�„ � pnd 7M1e hasis��tor.[he allegeA='tiem4�ion Any,Jidahon�.nf Section 70315 M any applicam for a permit su6jecls ^tY�- . �, �, �,'��,the applicam to a civil Denalry'a�nqt Ma2 than five huntlr,ed dall�ars(55�OLI: ,�!:, ' Qi �i� I 2s owneF of the properryl�ok mV employees w�iN wagesjas iheir sole compensation,will do[Ae work,and t�� , Ct e s�kucture iz�noF imended or bFfeied for sale�$et 7d44.8usl,nes5�,nd Rofessbns Code�.The Cantrattor's licvnse ,cj� . �' �� 'i�aw does not�apply to an nwn;p.r ni pYopeny�who hui ds or ir�provES lhereon,and who dces such wark himself (,T„ � �++ �,,pr tNdugh his,own empioye¢s,'provided Yhat suih imp�avranenu are'�nol intended or affered lor sale.It,however ��? � ;rhe hwlding or;impravement i5 spld within one;year of co�npletion;the owner6uilder will heve ihe 6urden ot proving k�,, �, uj ;`hat h¢tlid not�,6uild or imprave tor ihe pufpose of,sele.l , x` � �I,as ownet ot the properly,�'��;am Gxdusrve�y'toqtrxtmy.withlicensed comractors to constmat ihe project ISee ��'� Q �,7f144,Busines�and Professitlns'rCode�The CaQtractp�s licensa law doea�rot apply ro an owner of pmperty who �"j 6 'huilds�or impmqes ihereon,and w�a pontFacts iof S�h'p�dlectf with a[omracmqs)licensed purtuan�to Me Ccntractor s . � '�t y� j�y �'°"'�e�a'"! CONSTRUCTION }.wi.', L�I am exempt under Sec. � �� ,B.&P.L.(At[acA CenifiCa[e) :�PLA(1� REV�E i m3 T� F$j .� �. �ate �'� � �. OWner ' a ELEGTRIC �,��YORKEAS'COMPENSATION�ECLAAATtON I hereby affirm��that I have a certiiicate of consent to se�f-insure,oi ;PLUMBING a certifi�ate of Workers"Campenaauon Insurance,or a certified copy thereN�See,380�,La6.C.�. E . C a' Cl cE�ca��a�aPv;s ne,en�r��snea ��r;MECHANICAL _ � p .�Cerirfied capV is filetl with the BuAdmg Inspecimn Depanment or DeOanment `+�:.(��/{ (�„� � CEJiTIFICATE OF EXEMPT��N FHOM WORKEBS'COMPEWSATION��NSUAANCE:This seclion need no1 6e wmpletetl �;�SSUANCE ' O -�C� �', if'Ihe permi[is far one hundretl{5100)ar kss I�,rxr,tAY 7hat��in d�R R�tormanre o�[he work for whkh"th�s �y,..; __ permit'is issued,I shall irot employ airy Permn i1i-any mamee so as to hecome subjcct ro the Nbike�s'Compenution a ' / = laW uf Califwnia. . � ca �:k �r FEE � ➢a1e � �PP��i � SCHOOL FEES �, NUiICE.TO APPLICpAf�If afleY��makm,�t�i sp ertt�if�e al�NnPGon,yau sM1auW becom¢su6�ect to[he Nbrker s i —�� Compensa[ion pYovisians nf the 4ahar°COde,�u mutt'FuttfiwiM comply with tuch prwi5iens a ihis perme shall . � � Ue deemed rewk,ed.� '. � � ' � J . fa—V�ISION OF IN�USTRIAL SAfET PE��`l�q.CEHTIF TION��«�rv�yf I: � w u♦.�I hg�aby�certity:that na e%c�tPea five��o�.�wre tltel�9rYm�p[h into which a persan is required ta desceM � m,�, wiY 6e maAe in connectim with vyork aNhorued',by iha penni(antl Ihat o0 6uilAing ttruttwe,scaffald�ng,falsewark ; � ad', dr demoluion.or Osmantling thtdFof,will Ue imre than�Yhirrysix(3fi1 feet higlti(Ghap.3.2.Gry 2,Art 2,Set E y'.j �, �". 341,Title 8.C.A.CI ' .. .��:', � , � . �� .�� .�.�y _ .��_ �'. 3', QAs�owner�htiilder I wdl not emGloy anyone5 to�do Wyrk'�Nt¢¢h�x,W'�d�-4Yquire a pe�mi�fmm Ihe 6rision of � -� � . ' � ��, p.' I�dusvisi Sefety,as noteda6oJ,k;�nPess•sueh`plrson ha{5"perm�f'to Ao such work from Hrc division. , , � � . . � � �,.: . �arision of Indumial Safery Por )No: �y � C'ON$TBIIGT�N 4ENOING AGEN�I M1ereby aNirm that;here is a�cons6ucrian lenti�agoncy tor-the perkimmce TOTAL FEES °,. , U�5 Z' .o�t�e work for which this permit is isaued�Sa.'3097,Cry.�C.�'.� � ''�, a�'�.��Lender's Name �, . C.�MMENTS �. . ... . ' �'� Lpndeis'Addaw. � �� '�. �'�' CEIiTIFICATE OF��COMPLIAN;E,ANO��AUfN01MIZA710N 0��ENTflY:�I arMy I have«ad fiis appliealion aiM stale . � �, �J'��,.tl�'et��.therinformatian�given is cwrec[:I agra�to'comply W�5B sWle laws ad ciry ordin�nces rdotiiq to 6uldi� � - � � iq � yl„wns[ruction,and authorize a represeMatrve of tM1�tlepuvment of Building and Safety b mW upwi tlie qoperty - � ', �i.�f�I have appl�ed kr Mis p�rmit for.he piiryose a making inspeetionz. - . - � ` � � ��j� signa�we ot npp��cant or ' RECPT NO.--�'��t-�—l�P--PAID BY VALIDA'TION s WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOL�ENROD—File Copy,GHEEN—Applicant5 Copy I, 0S�7os•11/a9 - � . .. , .. --. - - ,. „ ._ v ,.. 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