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HomeMy WebLinkAbout128 (14) ! '"� CITY OF DIAMOND BAR PRESS �� �"`"' ' DEPARTMENT OF BUILDIWG AND SAF�TY ��^ BUILDING PERMIT FIRMLY � JOBSITE APPLICATION PERMIT � USE �,; , ADDRESS Z4.3..�� K►,0 LL CT DATE ��-$�$q NUMBER.�._.CODE ; ISSUE TYPE OCC. `,i a APN , LOT TRACT _ DATE ,_ CONST. GROl1P � CROSS STREET � �n.� 2-iC� e � 9��D83 SETBACKS """°"E"E"'s � ZONING °° OWNER �Bf�-vt� C�A1L 5,�(!LfFi� FRONT RW ❑ o ADDRESS_7-�'3,'i'� KVi bC.t� [�' REAR_ � W CITY D��hMa�o d+�-+'L ZIP 9� TEI(7�.�L'�I79 SIDE/SIDE STREET RW � o APPLICANT � � TEI�� SIDE � x /� 4 CONTRACTOR (v,p�La�'Of2-���i f s � SEWAGE o ADDRESS S � � PUBLIC PMT� �, W CITY �i�.� Aa,►r ZiP R176S T��.�f/f-OoqS DISPOSAL O PRIVATE SQ.FL/100GAL � _; STATE d.} LIC.NUMBER �$S!D Z C�53 GRADWG IO CU.YDS.EXC. CU YDS FILI — � �, ARCH/ENG! f13 TYP.E . SQ FT �A�.R::RS: ;ADJ.:AREA/t/AGUATiOK! . : : � = DESIGNER `.�< � SW� � ADDRESS �W � `::E�' 2 � z CITY ZiP TEL. � �. (3: rY: W. � �: PRUPOSED USE �L►�.�•• ��C, f c� z'• 4 � � d' GARAGE �. ' o NO.DWEL. NO. NO. � z '�`; PORCH � � y UNITS STORIES BEDROOMS � LOT DIMENSIONS m' VALUATION ADJ.AREA ,I o NO.OF BLDGS HOW QOAt�tiir ::D£SCF�I .•;ION FEE: _ i � ON LUT_._ ��� USED SF VZ y�.. �D/� SLr!/M � �--- � W � H � ^:�. . LICENSED CONTflACT(1RS�ECLAPAt10N�I hcre6y affirm Ihat I am�icensetl under provisions of Chapter 9�mmmencinp .'����: Y wnL Ser,enn I000�af�ivisim�3 ot�he Bnsn:ess anA Pmfessions Code.and my license is in lull lorce and elfect s ilJ; o J.: � 3 ❑ pl. � �+- [MlNER BUIWkH OECtANAT10N�.I here6V aflirm that I am erempt irom Ihe Conlractols license law Por Me lollowing • /* /� �J Z reasun ISec 70:i1.h,Business anJ Pmlessions Cnde:Any�ny or counly which requiies a permit m cnnsUucl, :;�'(7;: (7 rT5 � ��� ! �� i O aher,impm.e,ilr.innlish,nr repair any strucime,priur to its issuence,also requues the applicam tar sich permit "„2?: ySO I Q m Poc a signed s�aiement�hat he rs htensed pursuant m the piauisions of the Comracmr's License Law iChaptw •;��'. W�-�d.'�Q � ��� / �— � p� 9 ir.mnniNnnng with Se[tion 7000�uf Oivision 3 uf�he Ausiness ane P�otessions Code�o�that he x erempt therelmm ;�,}�,:. � . d and Aie Uasis Ini the allegr.d e.�emOtian.Any violaiion ol Sr.ction 7031.5 6y any apphcam toi a permi�suhjeds :;;�'. � W 7hc aDP���ant ro a civil yenal�y ol mi more ihan live hundred dullais 15500I.1: � '!'�': S� !'� �. � � UI,as owner ol Ile pmpeny,o�my emplr�yees with wages es Iheir snle compensatian,will do Ihe wnrk,antl �� � ~ the stnictwr.is nnt inlended oi ollered Ini sale�Sec.7044,Business anA P�otesa�ans Catle:The Cantractor's License '��,':j� � Law dues nm al%nly to an nwner o(pmperty who 6ni41s nr improves Ihereon.and wLo dces s�rch work himself. �.;(3.�, � � W ar tb�ruuph his own empinyees.nmviAed Ihal such impiovemenis are r.ot intended or affered foi sale If.Amvever, � m ihr..�uddmp or imprcvzmein is snld withm ane year ol completion,ihe owneo-buiMer will have Ihe hurden ol proving '.ad:. # � tha�hc Nd nnt AwIA ar impmve 10�Ihe pmpose ot sale.l �^.�. . p. � ❑I,a.v ewne�ot�M roperty,am exdusive comrachn with 6censed con�iacmrs ta constru[t the roett Sec �"�� � P �' s v I I '-JL�: ' d 70M.8usiness and Pmfession:f.oee.TM Condacmr's License Law Aoes not apO�V ro an rnvner M pmperty who �.��. � _ z hwlds or im0�aves theieen,and whu convacLs lor such pmieds with a convxeror�s)licensed pursuani ro the.Cnmractar's E d '�°"nse1o`", z"r';CONSTRUCTION + � f � ❑��m�.emm endcr Sea &fi P.0(Anach Cartihtate�. V ,;; PLAN F�EVIEW � � � __ ; o uac�_ �+�e� �:° ELECTRIC k � � WiIANEHS'CUMPENSATION OfCIAAATI(IN I heieW allirm Ihat I have a eertificaie af consem tu sell-insure,or �.;"'���`i�� � K . a ceruticate ot Wprker5 f.nmpensalion Inswarice,ar a r.ertified mpy�eaol(Sec.3800,1a6.C.�. �� PLUMBING � � z 0 ce�er �,�y�:neren�+���snen �•MECHANICAL ___ � � o f,enified copy is filed wilh the Building Inspeclimi Oepartment or o�Pa��mQ��. :�Q�:GRADING � � � x CEflTIFICATE OF E%f.M7TIUN FR(IM 1NllNNERS'COMPENSATION iNSUMNCE 7his seenon nreA nm he�amP���a �i�: ISSUANCE � � � rf t�e permn is fnr one hunAred(fID01 m iess.I cenify ihat m�he perlorman[e ai�he work far whkh�Ihis —' G/J �; yennil Is issued,I shall not em0�oy a�ry persm�in any manner so as lo Irecame sub�ttt to the Nbikers'Compensaiion . S`M�P � Larvs ul Califunia. • 7W: o umP �1-g- 8°I aoou�am _ LJ:I PARK FEE •.� NOTIf.E TIl FPPIICANT:If.aher maNing Ihis Cerolicate nf Exemption,you s uld came subject to the w�kers =�=-SCHOQL FEES. � Compensation provisions n�Ihp�ahor Code,yau musl fathwitM1 camply with such pronsians w this permB shell g`! ��[y{ �� he.deemed revaked. — �"" ��--�--��"q.� J Q DIVISION Of INOUSTPIAI SAFETY PEflMIT CEflTIFICATION�. W � � ❑I herehy aenily Ihxi iw e�cavauon Irve(5�or moie leet in deD�h imo wM1ich a person is rat�uired to descend, � - au ` e�e wdl be made in connection with wa�k aWhaved 6y ehiz pe�mii,anA I�al no hwlAinp suu[ture,scallaWinp,falsewark. ' � � - d ur ilemnlmm�or drsmamling Ihereof.will�e more than thiny�a�z 136)feet high IChaD 32,Gry 1.Art 2,Sec � bl iil R'a16i� /���q �A�p�p V — _. —�1i�TTh�iTY'�i'�T�Y"�l'�i'�G�f W 391.Title 8,C A.0 I. � x 3 ❑n,owne�6uilder,I will not ertqby anyone la da work which wqdd require a permil fmm ihe Uvuion af �-- InAustna!Safely,es noteJ a6ov8.unless such person has�De�mit ta da suCh wark fmm the division. � Y�Orvis�or.of Indusuial Salety Pormit No � �s TOTAL FEES Z � a � CONSINUf.TION LEN�ING AuENCY�I Aere6y aHirm Ihai there is a mnsnuclion IBndi�ageircY�o�the plrlo�man�e � Z ot OW wmk foi wh¢h Ihis peimn is issued(Sec.309).Civ.C.L I � le�der's Name COMMENTS 5`��}'+�p �' XT�.I� ���pL/�� _ �ender's Add�etc m 1'l �i- � � � Q CEIffIF�CATE OF C� LIANCE AND FpF11ZRT10N OF EN7flY:I aenity I have rtad Mis applicalion and stale � i fn thal�he nrtormatio given is care I aprte ta amply with all stete laws and ciry ordirunces reqting to 6uiki�p � � . y wnsirucUnn.and Iho�i�e a r¢pr utive o1 tk Oe�wrtment u1 BuiNiny wd Selely fn mter upon the poperry � �.•� _ �or whirh a lied for this it 1or�he pYpose of inekmg inspections. T I � y �� g �� t '�('�Q� � RECPT NO. PAID BY��L VALIDATIO� -� Signa e plinm or Agem Deta WHITE—DepaRment Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicants Copy .; , � , _ _ _ , _ , , Ea z�, _ _ ,.. '','.� ' 3.�, � �'� ' � �� ,: , � .".� � ' ,. , � � � �� s ��� < ; ' ��x��� -. . _ . �r�,: ` -: -_ �q � $ a� , �j'",� o.' s � �� �,� �����, � � ��E:_ � ' �� ._ __ � �.. t' � ��;� - ��; � �-- �, ��� ��� ���. ;� � � � ��� � � � .;�� � � � ���; _ � �. �� � � � � � �� � � � ���� '����;. �� ��� , � E � ttw �2�. . , m., . . ' `�' - . � � ;� '��i,� � `��� ` '; =,, ;� j�� . � . �'. ' €�i ' �g kk" 9 � _ f� a , fi.- � - , � �n�'� . � � � ����. ���,- ��� �� ��- �����`W - � �, ; . � r���,, ; �� �� ` �' , ,��� � , , . ..- , , ' .. 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