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Home My WebLink About1325 (39) CITY 4F DIAMOND BAR PRESS �*�� DEPARTM�NT OF BUII.DING AND SAFETY F�RMLY � BUILDING PERMIT JOBSITE ;� APPLJCATION PERMIT /�•��E ADDRESS �� '� �r'��p A-N C�rrrsla. ~aCC� SSUE ��TYPE ER <-J� �CODE � APN LOT TRACT DATE �C:�;oJ /�,,,,�CONST. GROUP � o CROSS STR�ET SETBACKS �� OD OWNER �ldd'�I� �`(A?�iA-)J ZONiNG FRONT {�/ ❑ � ADDRESS ��GG ��e r� REAR ❑ ,� CITY fY1G�'��` �� ZIP " 67 �70� SIDE/SIDESTREET RW (❑ IiJ ' o APPLIGANT � �r r d )e t`I ix/��h �.J `1�7 SIDE ❑ z Q CONTRACTOR IA'U'7£d C�!N�a��tM- SEWAGE ❑ PUBUC PMT� o ADDRESS�� 1 l�Iv ��w' �.x1'•► d DISPOSAL ❑ PRIVATE SQ.FL/100GAL W CITY��t"3IJ'�` ZIP f�� . �� = STATE y LIC.NUMBER ��S�� C�� GRADING � CU.YDS.EXC. CU YDS FILL y ARCH/ENG/ t/y TYPE SQ F F�� _ _ �1CI,l:AR�A/VALUA"CI N ° " DESIGNER W 1 �i ADDRESS li.; 2 0 = CITY ZIP TEL (� 3 � PROPOSED USE Z 4 � � GARAGE o NO.DWE�. NO. NO. � pORCH y UNITS STORIES BEDROOMS � LOT DIMENSIONS m VALUATION ADJ.AREA o NO. OF BLDGS HOW duaNtrty DESGF�IP1'1t)1V �� ; ' W ON LOT USED � _� � W ❑ � 2 ~ LICENSE�CONTRACTORS�EClAflA7pN-.I here6y aftirm that I am licensed undc provisions of Chapter 9lcomrtencing � wrth Sectmr 7000�of Division?aF Poe Business and Profestians Cade.and my li[ente it in full�orce and eifect _ � 3 � :W LL PNNER-BUIL�E9 DECLI+RATION�I hereby�ffirm that I am exempl Iram ll�e Cantratta's License Law for the Following eason(Sec 7031.5,Busiiress and Professions Code:Any city m county which requires a permit ta canshuct, - (} oalter,impmve,demollsh,or mpair any structure,prior ta as issuance,ilso rzquiret the applitant loi such permil Z H m file a siyned starement ihat he is licensed pursuant to the provisions of�he Contra[ror's License Law IChapttt --Qj � 9�rommencing with Section 7000�of Divisian 3 of the Business and Professions Code)or tAat he is e�empl iherelmm , S� a., and Ne basis for�he alleged^�emption Any vidarion of Sectian 1031.5 6y any applicant far a permil su6jects - � W the applicant io a civil Denalty ai not mare lhan live hurd�ed dollars(SSDO�.k : a � ❑I,as owrrer ot the p�operty cr my employees with wages as their sole comDe��non,will do ihe werk,and ' the stmnure is not intended ar otfered lor sale(Sec.7044,Business and P�akssians Code�.The ContracNr's Lianse _.Q. V Law does mt apply to an owner of property who 6uilds or impoves thxeon,md who does fuch work himself, U •.� or through his own emDloyees,provitled Ihal such imprmemenis are not intended a oflered�or sak.If,hawevm, ;�� m the 6uilding or mprovemem is snld witFin one year af camplerion,the awne��6uilde�will have ihe 6urden ol proving .Q = thal he tlid not huiid o�impmve fo�the pur0ose af sale.) _�.,�. H y ❑I as owner ol the pmpe�ly,am eaclus�vely con�roctiny wilh licensed comracrort to construct the pmjttt�Sec. >,W. 0 7!]44.Business and Protessions Loae�.7he Cantractoi s License Law does noi aDDly m an owner af DropertY who �.i3 = huilds or imDrmes lhercon,and wha coN�acts fm such projects with a cantractoqsl�icensed purswnt to ihe Contraator's , a �i�e^Se�aW.� CONSTRUCTION O W ❑I am exemp�under Sec. ,B.6 P.C.iA��ath Ce�tificatel. - P(.A �EW H p �ate_ Owner -„��_EL•TR�/+ Al }�/�'!, li eJ �� W�RKERS�COMPENSqTION OECIARATIIXJ:I here6y affirm Iha�I have a certifcate ot consem m self-insure,or a cenificale of Workers'Compensation��surance,m a ce�uMed capy�nereo�ISx.3800 lah CI. - PLUMBING ¢ ❑ Ceni�edcouv is erehY(urroshee ._..,.n.__�..,_�._____,_�..__. _ _ _ . ._ � ME�•.F„�AN��.f1L _,_ C ❑ Certi�ied copy is liled wilh the Buiiding Inspectian Deparlmem m Deputmem. ��Q GRADING W J � CEA11fICATE OF EI(EMPTION FHOM NKIRNERS'COMPENSATION INSIIRANCE:This seciion need nat 6e completed UANCE ( '�� y if the permit is tor one huntlred IZ100)m less.I certify ihal in the perloimante of�he work tar whkh�Ihis paimit fs issued,I shall not employ any person in arcy mannei so as to become suh�ect lo the Nbrkers'Compensalim otaws ot ea�ifomia. w P{�RK FEE o Oaie Applicant _�� NOTICE TO APPLICANT:H,aftei making this Ceriificate of E�empt�oo,You sMuN 6ecome subjat m the w�r5 �SCHOOL FEES -� Canpensauon provisians ol the Lahor Cadt,you must Ia)hwi�ceYh�ly�wiM s�cn aw�:b�g«m�:permil shall � be deemetl revaked. �t� �'✓� ;`� a • � qVISION OF INDUSffiIAL SAFETY PEHMIT CEflTI �� ""��""'`�� o ❑I hereby oerfify Ihat no exca�an trve(51 ar mwe leel in depih inta whlch a persm is reQuireA to detcend, pe will 6e ade in connection with woh auMa¢ed by ihu pe�mit,and M�p Q� ing structwa,s[alfoldinp,labework, - a- or demolitinn ar dismantling Ihereof,will 6e more M�n in�)ix( �31�iC�iph.IChap.32.Gry 2.ArI 2,Set W� 341,T�tle 8.C.A.C.). �� '� bap ,y�.3.+ x 3 ❑As owner-huilder,I will noi empby anVo�re to tla work wM1ich wouW iflQuire-a t From the qvispn al � Industrial$afety,as noted aboue,unless such person has e 0?,mN410-da stiih�.,work lrim��nuion. 4.�t .._... ..,' : � , �,� �� , . ::�.,Y i ... �y ❑Onrsian ot InAustrial Salery Permit� � � �/7� . � CQJSTFULT�N iEW�ING AGENCY:I herNfy�:,�f�im�i�at t�ere is a�toratruciwn lendmg apa�cy Mr 1M per(omiinq TOTAL FEES ;�� C� Z of tlre warN fa whkh ihis permit is issuea ISec.3097.Civ.C.I� � tende�s Hame COMMENTS m Lenda's Address Q CEfi�IFICATE OF COMPLINNCE FNO AIJ�Fpfl2ATI0N OF ENTRY�.I terti(y I luvt read tliis�ppfeilian and suk V� Ihat the inlormation given is correct.I agree to comply wiM all slek iaws and eily or&iunca nhti�p ta 6uildilp yconstruction,and authonze a r�resentative of Ihe Oepartment of BuiNinp nC 581ety m mar ipon the praperty = la which I have applied Ior this permit for the p u al makinp iivpxtans. 1--- � � ' ' X —=� '�, � RECPT NO.� � .�_PAID BY � VALIDATION �n tu e of Appl[�n1 a Oah _ WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—Fi�e Copy,GREEN—Applicants Capy BS106-11/89 _,.+'�' _ _ ../ �,�.r.t;fi"+"-,:,'.Sn�r , •• , a�.p��: �-�`" � ��-JT' - ... . . . , . . . .. „ .., .. . . . .. . .�� ,:�:.,: ..,,,� ....; ,:�.,�. �: ;;;r .�"':r:.,x ..�,a.r 2 � �` g�"F � � L�:�"�.C€ �'��SS �a �s �,g s&� '��z4��5 � �� h� �1'��aa�, - � � &'��' � � ..�hi �'� a��...�'� �'�-��a �a�..�� <� ��„�r� �, �' z,�v 'E� �. �S �4 �' s�g r��'� t ,.. $ ��"�':�'. 9::..�.� a �� %"� �s�'�'_�...: l�i i�ar,.�y l � 'J�J4 -. ; .S_dt �{-+1' �, ' `'� . ��t .�� sd��.:.�.� ,.��S+�t'��hu�M..�;.�� u:��;ya��"��€rq��.v> ^��,€C�;�m'-�` a��"^'��"��aa�:��:�.�si'�%�S,.T" ��. ��:�'.'�€i ..:�i��d�'�,��mra��„��k�:u� ��'��C��}. .,� aa��..,N �i�.��., €uu�a y� 3u�� 3�t 'tx�z a. �saa, �.,�,�s�i.t ,�� i �a.�«�; ;�c r� ;"� r i., ��, ru-a��a ��.:..�-c ��n .,'3 � � I�"�� , y��t� , i�w. �u�� .� � =A� �a.; �s;�� x�4�;�� ,,.;£ ��:�«,� �� r, �, v��kasa �� n d ��,..€�:r��tr� •'�� 4 � �;�,. ��,� €,�`„�?'d�HI,. 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