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HomeMy WebLinkAbout065 . . . ._..�� �_ ---� --- - - . _. —. �_ - _ .---- . . _ ` '� � '� ` CITY OF DIAMOND BAR � DEPARTMENT OF BUILDING AND SAFETY PRESS t .. � � BUILDING PERMIT FIRMLY JOBSITE � APPUCATION PERMIT SE ADDRESS�O ���-1 �101.U'�,C\^pS� b � DATE NUMBER � CODE ISSUE TYPE pCC. � APN OT TRACT DATE �� "30 �"��CpNST. GROUP � CROSS REET ' � SETBACKS ��� °� OWNER '-' Z o�,� ZONING �O� � ❑ LL ADDRES � "� ' � 1 a '� REAR , ❑ W CITY�j'i'nier - L'Zti'. ZIP 1�� `fEL����1�� _ ' ' SIDE/SIDE STFt[ET �' \ . �.RVII ❑ o APPUCANT��►+►�e�- �z�rn e i,�'1�` TE I R I,� SIDE� . . 0 _ � CONTRACTOR SEWAGE o ADDRESS � PUBLIC PMT� DISPOSAL Q pRIVATE SQ.FT./100 GAL W CITY ZIP TEL. z STATE y UC.NUMBER GRADING CJ CU.YDS.EXC. CU YDS FILL N ARCH/ENG/ � 1'YPE SQ FT FACTOR PS 'ADJ.°AREANALUATION � DESIGNER � W � o ADDRESS ►WL, 2 = CITY ZIP TEL. � 3 � PROPOSED USE Z 4 � � GARAGE z NO.DWEL NO. NO. � pORCH �, UNITS STORIES BEDROOMS s LOT DIMENSIONS m. VALUATION � ADJ.AREA o NO.OF BLOGS HOW QUANTRY DESCRIPTION '. � FEE " � � W ON LOT USED a � W � ¢ � IICENSEO CONTHACTOHS DCCLAFIATION I krehy allirm th�t I em icenxd under provisions ol Chaptn 9(mmmenciiq � ¢ wnh Scoon 7000)ot Oivisicn 3 0l Me Business end Profe:snn�Code,�nd my Irense is in futl foroe�nd dlect W 3 � w �+- 01vNFR BUdOfR OECLMATCN I hrehy dfiim Mai I�m eump�Imm�he Contntta�i Lcenu law lor Me Idlawinq = Rason ISec.7031.5.Business�na PrMesspns Lode Any dry a counry whK�Iepuires 1 permp lo[GniVucl. () o dter,myaw demdi�h.or�Mr�iry�ruwa.prioi Oo its awance.dw repuie�the applicant la tuA pamil 2 4 M fde e sipned statemenl Ihat he is icenuE pmsuanl lo Me prwivons ol me Cmrtumr't Lkeme l�w(Chaptc m � � � 9�commenanp with Secoon 1000)ol Oirisim 3 0l the Busircss md P�ahssions Code1 a Mat he is tumpt Merehom � d �nd Ihe 6avs lor Me�ileged eampuon.Airy vid�lian al$etoon 70]I 5 6y��ry�pplK�nt Por�permit w6p�U � x the�pplicam m i civil penalty ot mt mme th�n(ive huNred doAars If50D1 p, J W a � ❑I,�s owrcr of ihe Drapeny,n my employees w�ffi waqes�s Meii tde tompensalian,will do IM1e work,md . .. __~ y,�rructun i:not imanded or aibr�d lor uh�Sec.70a4,Bu:�nss and Prolessbns Cadc iM1e Contrxmr'�licenae ;a � � • � La.v does not�pply to m owner of DropenY who bu�Ws or improves thneon,��who das fuch work himself, () ' a ihrou3h Ais avn employces,prwiEed Met�uch improvements ue not intended ar olfered for�ab M,havever. Z m Ihe 6uilEinp a mpwemmt i:tald wiehm ane year of tompetron.Ik awner�Euilder wiA have the MrAen ot prwmp a y IMt Ae did mt bnN a imprme kr ihe purpose of ule 1 �S H ❑I.a:owrer ol Ihe piopertY.�m t�cluweN eontucliny with lemsed tmlutto/s m tonmutt the pro�xt�Set. yVj 0 7045,Business ud PtafeSHons Lode:Th Cantractor'f Litense law does not spp!y to�n owner o�property wM � x 6ullds or imprwa tl�erem,and who wntrxts bi such pmjects with t contrxtm�s)icrosed puw�nl ro Ihe Contrxta's 'a ptenu1a"� • CONSTRUCTION • � ❑I am ewempi mder Sa. ,8.fi P.C.(Anxh Grtilicax) � P�nf REV�E�f � °ai °""" ': ELECTRIC � WJRNEflS'COMPENSATON UE0.ANATIW I Aere6y Hlrm thn 1 M1are�ttrolic�te of eonsmt m tdl�insue.a �ceruhate ol Workni Compmsation Insuan[e,o��Certilitd[apy�Meal(Se[.3000,Lih.C.). � � PLUMBING 6 ❑Canledmpy&Aere6ylurn�:hed J MECHANICAL G ❑CerUlyd topy is IilrJ w�th Me Buddinq InspecUon Deputrnent a O�Or�ment. � GRADING W = CERTIFCATE OF EXE6'.PiqN FHOM WOHKERS'COMPfNSATION WSUWINLE:Thrs sectan need rot be eompletN ISSUANCE •, � � il the permit is lor me hundred�5100�a kzs.I aruly thai in�he peilaimeae of tAe wak Ia w�kh�his y mi�is issued.I sAall mi em I � � � On P M M D�rmn in nry manner sa�s tn Aecome sW;etl l0 1he N6�kei Conipens�uon ' S`M�P Slaw�01 CaLlomu. W o PARK FEE p Oatt Appticant � NOIICE TO APPIICAM.M,�her makinq Mis CertilKate ot FeemOian.Yw shodd hecane suEject t tlie Nqrter't � SCHOOL FEES � • � CanDrnsanm p�wisions ol Me Li6or Code.you musl falhwith[omply w�b such pimanm a Mie permil shW • 'i he dnmed ievoked. � DMSION OF MWSfHUtL SAFETY PfRMII LERTIfICAiION � �, � �v W a- ❑I herehy artify�M1a�no�rcmtion liue(51 a�e kn in deDth inm wFich�persm is rpw�ed n iescmd. �U`,.D1NG � witl 6e matle in cmnectpn with work witliaued by Ihq permu.md Ihet m huildinp stru�tue.tulfo4inp.Iaisewuk, . _ or AemoM�on a d�smantl�rp thneol,wJl he mae M�n Mnry�sn�96�feet Aqh.�p.3.2.Gry 2,An 7,Sx � = 341,iitle 8.C.A.0 1. W s 3 ❑ps owrw�buitder.I wd nm�mpby�nyme to do wat whicA wouW repuiro�oermt hom Ihe Dvision ol r— Indusni+l S�fery,u w�ed�hove,mkss such person Aas�pemu m da�ah waA hom 1M divisian � � W ❑°"```�.'"°'n`°'S''°"�'m'� TOTAL FEES � � CONSfNULfqH lENOiNG AGENCY:I tmre6r dliim Uut Nne is�[anvucoon bndinq�qeiay lor tlie prformmce � x of the xorY la whKA na permi�u iswd�Sa.3097,Civ.C.�. � lendei s N�me COMMENTS � Lmder's Addretf t LENfIFCATE OF COtAPIIANCE ANO AUTiqPo2ATpN OF ENTHY:I eeruly I��w ro�d Ihis pp4utun and mk en dut Me inlamauon prven's mrea.I qee m eanply wnh�A sub bws�nd rity a0in+ncn re4tiiq ta bildiiy ycrostructon.md�uthorue�RpRSCfIti1NE af Ne D�rtmmi vl BuiWxp md Sdery b witn upan IM prope�ry la whicA ve applKd lor tl�is prmil th upose ot�Yinp m Oone. ti� � � Id-3�- u (� � � � � �4��� RECPT NO.�PAID BY c�-� � VAIJDATlO itu�N Appcaoi a Aprnt Mp ......�.� .. ._'___'..__.. ..�...�.�•. r:_'__.,n...... ou�v e..�ee�.../`...... !]M 11FAICil111_Filu Rnnv f;RPFN—Annlicanfe P.nnv � . . ..,.. _........:.,.. - - . .. .�.7' • ,.. .t �. . .. � , . ... , , . 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