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HomeMy WebLinkAbout1578 _ _ -_.. _ _ -- .: �_�_ _. _, _ - _ , ., �.�,�..- , _ , �, � ___-:-,,�, ��:�: �---� '"` CITY t�F DIAMOND BAR � .� `•�" ' DEPARTMENT OF BUILDING AND SAFETY PRESS -� �UIL.DING PERMIT FIRMLY JOBSITE _._ f APPUCATION PERMIT ��.�� USE ADDRESS � .� ��� �7���4�'f� G°/��-L"���'` DATE _C���NUMBER.L�._CODE ISSUE TYPE OCC. " APN LOT TRACt DATE �� , ��CONST. GROUP `C CROSS STREET �/a�v���l�Sd�,,.. ��*�'�� . _:> ZONING FRONACKS RW a""E"'s '�' OWNER „��-�� c5 ADDRESS 4``�.�` �'-�' RE64R ❑ �.. �;; CITY ZIP TEL SIDE/SIDE STREET RW O g;I APPLICANT TEL. — SiDE C� ;� CONTRACTOR_�� � ����.��� �'��`�'" gEWAGE c� ADDRESS '�r� -7� s� �'''�'.�''�� �.1�'�� � PUBLIC PMT#�` ` DISPOSAL ❑ PRIVATE SQ.FT./100 GAL E;; CITY �'�����'`'��- ZIP �' � TE�����',�•q' ie STATE C� LlC.NUMBER �'���-�� r��er GRADING C� CU.YDS.EXC. CU YDS FILL i� ARCH/E�/ CtJ 'TYPE'"�°Q Ft" FACTC)I� ��a` '', : I�I�,�. A�iCANAL. C)hI `-"- DESIGN�R�.. � � " F+DDRESS �: 2 r.� ��_ CITY ZIP TEL.�_ �, 3 :` PROPOSED USE � `� ' ��` � � 4 �`-� ,���;�.�� �,,,a; 6ARAGE �, NO.�WEL. NO. NO. �; pORCH �.� UNITS STORIES BEDROOMS �� LdT DIMENSIONS �' VALUATION ADJ.AREA �� NO.OF BLDGS HOW ; QUAN�'1'1'� ��,,�, ;�j�"��� ` }'»�� �= ON LOT USED ,¢ oc t� WJ M, � . �. �'� �LICENSED CONTNACTORS OELLARATION:I here6Y affirm that I am licensed untler provisions oi Ghapter 9�commeocing �� mith Section 7�001 oi Oivision 3 ot the Business and Prefessions Cade,and my license is in full Porce and elfect. -w. �C � � � tt1 up QNNER�BUItOEfl DECLAflATION:i here6y allirm that I am exempt tmm the Comrador's Licente Law�or the Fdlowing �� reason�Sec.7031.5.Business and Pmfessions Code:Any ciry ar county which iequires a permit to consiruct (}" "�. c:� alter,impmve,demdish,or repair any sirucNre,prior to its isswnte,also repuires the applic�m foi xuch permit ;'�.. , �•= m li�e a signed statement that he is licensed putsuant to ihe prwisions ot tM Comracror's License Law IChaD�er ,;�.pg���. f �j� 9�conmencing wifh Sec9on 7000)ol�ivisian 3 of the Business and Protessions Code)or ihat he is exempt�herefrom ��.',',��., , , �,'y and the hasis far Ihe alleged ezemp:ion.A`ry�iolalian ol SecUon 7031.5 6y any applican�foi a permil siihjects ":'��: - �� °'� the applicant to a civil penalry of nat mare than five hundred dallars R5D0),I: �,,,�- u.� <�� ❑I,as owner ot the properYy,or my employees wlth wages as rheir sole compensation,will do the wnrk,and . �� the structure is not intended or olfered for sale�Sec.7044,Business and Professions Cade:The Cantractor's license sZ� - �;j Law does no1 apply to an owner of property who huilds a impmves thereon,and wha Aoes sucA work himsNf (a.- �:� o�thmuyh his awn employees.provided that such impmvemenis are nm intended ar of(ered far�sale.IC however ��y� ea the 6uilding or impravement is sdd within one year of completion,the ovmer-builder will have the burden ol pmving !i,Q� i? tha�he ditl not huiltl or imprm�e for the purpose of sale.) ,� �:? ❑I as owner of�he pmperty,am exclusivety contraniny with I�censetl comracmrs w consiruct ihe projen�Sec W; �.� 70G4 8usiness and Professions Cade:The Cantracror�s L'uense Ww does nat apply ta an owner of Oroper�y who ;';',a4�� ;;p huilds or impmves Iherean,and wha comracts lor such proje[ts wilh�mntracWr(s)Ilcensed pursuant ta Ihe Conuactp's •°` OCenSe�a`"� ` CONSTRUCTION �;u ❑ I am exempt under Sea ,d.h P,C.IAnxh Ce�tifica�el ��.� PLAN REVIEW P.� �ate Ow� �- ��.�Tp��•i , A.Li� -^') ;� NAflKEFS'CDMPENSATION DECIAHATION�I herehy alfirm tha�I have a ceniiicate al cansent m se�t-insure,oi �p UMBIN a cenifica�e of Workers'Compensation Insurance,o�a cero�ied copy Ihereof I���3800,Lab.C.�. ,�;__p�V„��__! 6�_� �} —P �_ ❑ ce�usea�o � MECHANICAL py is hereby fmnished. r.� LS': Certihed coDV�s filed with ihe Building Inspection OeparMem or Oepariment �'C-:GRADING i.0 !� — ' CEBTIFICATE OF EXEMPTION fROM WORKERS'�OMPENSATION INSURANCE:7his section need not he aompkted .'{ ANC�_,;� �e �� �.n it ihe permit Is lor one hun�red�51001 or less.I certity tAat In the perfo�mance�ol the work far which this - ._—. — perm t is issued,I shal nm employ any person in any manner so as m became su6ject ta Ihe Ydprkers'Campensatian ' CJM�P �� �aws o�Ca�ifornia. �' PARK FEE i:� oace A�Pf'c'9nt 1`^.� `>, � '`� NOTICE TO APPLICANT:If,after making this CertificaYe af EMemD�ion yqu sipuld became subjecl to the Nbrker"s �� SCHOOL FEES •� Compensanon provision5 of the Labor Cade,you musi°forthwilA comply��'wiili su[F prwuans w ihis permit Shall i.L he deemed revoketl. �J ,p� qVl OF INOUSfRIAI SAFETY PEflMIT CEflTIFICATION: iw ���g:�, . �n- I hereW eertify that no excavation five(5!g'or"i5lwe�leet�n d��e�Pth Mfo wfi�icl�a persm is mquirad ro descrnd it� w made In conneaion wit6 wark autlwr¢ed by'ifi�s permii,antl'tbet no 1w14inp structure,seaffolding,labewak �� or d¢molition or dismantli�9hereof,will be mMe Man ihirty-siM 136)feel high.�Chep.3.2,Gry 2,Art 2,Sec x- 34I.Title 8.C.A.CI. . . . '� ::C ..,,,, x ^; . J .. .�'. �; ❑As owncv-huildn,I will not emplay anyoire�to do wa�k whkh wau�d reyqre a permit irom dx Division ol ir— �nd�snial Safety,as noted a6ove,unless Sikh person has a permif ie tlo sucM1 xrork�from the dhision. rE :i�.._'�.: . i� ❑Gvision of Industrial SaFety Permil No. r�^'� - �« TOTAL FEES �- ��' CONSTAUCTbN LENOIA�AGENCY:I herehy affirm tAat there is a construction�endi�apency Ia tlie perfaimairce a ;;C ut ttk wnrk far whuh ihis permft is istued�Sec.3097,Gv.C.I. ,�g ii5 te�Mer's Name COMMENTS �1 ��� �.� '"»'� �z'� y � ��p Lender's Address - . �'--r d'� "'Z CERTIFICATE Of COMPUANCE ANO ZA OF EN7NY:I catiFy I Aaoe md dds appKotim rM state � !cn that�he�nforma6on given is carect apree to mply with all state laws aid ciry ordiiancea tdetinp ta 6uildi� r' ��n construc� fiorize� metive o Department of&dldiny mid Satery m enter ipm tle p�operry � ;;= fo�w cA 1 hav ylied for Ihis �iiit far pwpou al mekinp i�[tions. /� /� iY— � d {i / 1/ � ,.r� � �'� ' � �� !�" — RECPT NO. � ���PAID BY �� �� X� VAUDATION� r � Signslwe d kpplicant or Agem WHITE—Department Copy,YEL�OW—Finance Copy,PINK—Assessnr Copy,GOIOENROD—File Copy,GREEN—Applicants Copy IJS106-11/89 , . . - ., �_ u: . ,,�:. , . . . -''`,� _ .L , ar: . . - � „:,, ""'^•�>�.�.� . . � , . . ` " � � f� u-�� g,�7�s @�' �t ,� €tt +u � �'a� s�� �C 3s , . �_,� � .�� �, ka�za a���'�:�k,di�.�;a.���r..€� �.��.�:��.�:�'�'< }+ �s x 5 �.a�. ��s � � w;� ��x �.� � pr,��d €�'�x � s� �4, � ( ����:, E �,�,�';� i k'w,:m� �� 9 r �t ��;,,- � }�.�- �5��"��;���°,�e�������'��`����� €E>•,.., ���,,� t�.P,.'�sr����jy4i'�d�sx� ��➢1 a� ,��� >7#5��;��'�"�v� :e���€''���x��A°��.��« - '�r`£�`., ��a�� ���w�����`"t���;.�.� ����� '_.�� �f„�������gs�%��,��, � ���'�������,�`;a'� � ��� ':� �� �� ?�,�'. .���i:�����;� ��� ��rg �°r� �:,i� rt��+� �'�� >�� „���i��� � s �.g � g � ,���<;�. � ,i� a. ����,, .!� : �f�� ��, ,�. ����k� . 4 �,l �� s��?�'���� �����'�.,. �� ���4���i. �� t, -���� � �:�;� � ��a€�:����m�;��t��—�.��a���3�€�5��;��€a���a�€�t�s�siapt�,��#tE?���.��`«z�.�.�t�w���'iG?�izi�����u���f��(��a�����.ys���u��z���d������,...�,t,.E�����a��*d���.�a���„ss���t�€��Y�����a�<3�aas���i��t������s��a�as� .P� A � . t, a, � _.. __.� i _...._ �.._... ...M....� . . . ...__... _.... _._...... _... ...._ _ .. _. .. , ............. 1 .''.."�'.�7 3 S�. . . . � � . .�. .�. ..............._. ............. „ .....-.. ......_......... ......._._... . _..,..._...... , . ...,...._.. ....... ...._._,..,..._.,........... ._.._. t ... 3 :�E € �. � ' ..,(t � : t. . . . .._[ ....,..._ ............_ ..:.._ ______ .,._.,..._.,.. 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