Loading...
HomeMy WebLinkAbout1669 (25) � ' �>�� l���f �s��_ "'` ''�` CITIf OF DIAMOND BAR PRESS .;,�,� `� '���' DEPARTMENT OF BUILDING AND SAFETY -� BUILDING PERMIT FIRMLY _... JOBSITE � APPLJCATION i�_C?_('�l� NUMBER '�CODE ADDRESS �--b����'�a-�'k��'�' � S UE cb TYPE occ. � APN LOT TRACT DATE ��- �'`��Z� CONSt GROUP o CROSS S EET � ZONING SETBACKS "'°"�'"E"''E"'S OD OWNER FRONT RW ❑ o ADDF�ESS � � �° c' �" REAR 0 ,� CITY C��n,��-v{' ZIP TEL. '�� . SIDE/SIDE STREET RW 0 �o APPLICANT TEL. SIDE � x a CONTRAC70R � -- SEWAGE O PUBLIC PMT# , o ADDRESS �' � DISPOSAL [] pRIVATE SQ.FT./100 GAL W CITY ��ZIP TEL. z STATE J � <� y LIC.NUMBER GRADING � CU.YDS.EXC. CU YDS FILL ` y ARCH/ENG/ �V .'�,��` W, TYPE. SG?F"1'' 'FACTCaR'F�S . : d4DJ::ARER1VALUAtION 1 DESIGNER ,W; - � ADDRESS •.a ..."-�°..� tt 2 � �. CITY ZIP TEL""�-- (�; 3 � z — ,� � PROPOSED USE � ' ��" 4 � � � � :,�,� GARA6E ° ; a NO.t�WEL. NO. NO. "'" ' y UNITS STORIES_. BEDROOMS � �'ORCH � m.. VALUATION ADJ AREA ? � LOT DIMENSIONS ' a NO.OF BLDGS HOW ouaeuT�rY .D.E�aCF31FxTIC3N.: :: : FE� � � ON LOT USED_ a"'c U` W ^ Y "y � � .`.�,'.. 1�,4����.A...+E..� Y_/ �•- LICENSE�CON7flACTORS OFCLAflAT10N:I hereEy aflirm that 1 am IicenseA under pmvisions ol Chapter 9 Immmencing ��..��;. , Y wn6 Sxnnn 711[I01 ol�ivisian 3 al ihe Busmess anA PmMssions Cade,and my license�s in full imce and cifecl. - � � 'W` - 3 �.11.!. �• � NEB�HUIL�ER UEC.LARATION.I herehy alliim�hat I am eaempt imm�he Conlractor's Licenx Law Por ihe fdlowing � ���- Z reason�Sec.7031.5.Husiness and Pmfessions Cale:Any city m cnunry wh¢h requires a permit!o tunSUUCt, �--C3: � o eliei,impmve,tle.moiish,ur�epeii eny svucime,pnor to i�s issuance,also iaqui�es Ihe applicant kr such permil `+��Z>� p /- to file a signeJ s�atement that he is licensed pursuaut lo the prauisions n1 the Contraclor't Lirense LaW(ChaDier y�m.�. � 9 Icammencinp with Seaion 70U0�of avismn 9 of the Business aud Pmlessioiu Cade)or that he is exempt lhereLom �-S`; � y anJ Ihe bxsis�ni Ihe alleged exemylion.Any violatian ot Sectinn 7031.5 6y arry epplicant lo�a permii Subl�ts �-�, W ihe applicant tu a civd Uenany ot nm mnre than five hmd�ed dullars(5500�p ::0.' � ❑I,as nwner ol!he pmpeny,nr my employecs with wages as Iheir sale compensatian,will do Ihe work,and �-; the simcmre is nnt mtended nr of(ereG lo�sale(Sec 7�44.Business and Pmtessions Code�The Contocmr's License � V Law Jocs imt apply Io an mvnar nf D�opetly who uuilds m improves the�eon,and who dces such work himsell, �;�:���. — W or�h�miph his nwn emDluyees.D�ovitled t�at such impmvements are no�mtended or oBered for sale.�I,however. :.�'Z�.; m tLe bullJing nr impmvement is sold within one year ol campletion,the awne��6uilder will have the hurden of pmving �:iQ7 � tha�he did net huilJ or imD�ove tor ihe pwpase af sale.l �'_�- � y .w.,�� _ " � ❑I,as nwnr.r nf ihe pmpeily,am excluxrvely coNrading with licensed contracmis m construct Ihe pwiec�ISec ;{�}= � 7044.Business an�l Piofessions CoUe:The Cantracm�'s License�aw does not a�ply�o an owner ol property wha ?�.�y` � ¢ builAs nr imp�oves ihereo�.and wlw cantia[ts lor such prajecls with a contractor�s)li�msed puisuanl W Ih!COnlr2tt0(S �icense�aw.l ;:`:C�NS7FiU�TIC�N W �I am exempl unAer Sec .6.S P.C.IAt�ach Certiti[alel. � `��"�.PLAN I�EVIEW _ ' e Datu �ne1 '��"' LECTRIC� -- �T (��1��`) � Vr9HKERS'COMPENSAiION OECLAHATION:I he�ehy allnm tha�I have a certifkate ol cansem to seu-insure,oi �;.;,..:PLUMBING _ a r.end¢ate nf Woikers'Cnmpensation Insuraxe.or a cenified copv�heieat ISec.3800,Lab.C.I. Z ❑Certitied mpy is hereby I�xnished '� MEGHAN�C��- 6 ""'�- o ❑CsniLed mpy is fileA with the Building Inspeclimi�artmenl ar oepanment. �.�.'GRAL7ING — W ........ .,....""'C_..� — . i = CERTIFICATE OF EAEMPTION fflOM WORKEFS'COMPENSATIbN INSl1MNCE:This sealion need noi he compkted �� � ISSUANC4.—•��••" � ..� �'^�7 L� E � d tl�e enmt is fnr one hundred(5100)oi less.I tertdy iSat in Ihe perlormance of Ihe wak far which�this � y r ��:...�•.....—.�.. _ permii is issued,I shall ip�employ any permn in any mannei so as to 6ecome su6jecl lo IAe 1Wrkers'Carpensation - S`M�P ! = Laws al California. `.W' � o ... ,.,:,.... LLJ:PARK FEE � oa�e '`7idol!�'d"�- ` tr� SCHDOL F�FS W NUTILE TO APPLICANT:tl,afier making this Certilkate•a1::Ek,emptipn,you shouH hecome subject m the NMker's ���!!!^� � J -� Cumpensaliai yrovisinns nf the Lahor Cade,yai inus��'ia�hivith��camplp�with such p�ovisdns w this cermit shall �+- he deemed revoked. � � � qVISION OF INDl15fHIAL SAfETV PENM�T,f�E�AFICATION� W j:'3 r (� i^a,.�:'4 ! d ❑1 here6y certrfy Ihat ip ertavatwn fine(5)d'ma'e�feyi�xin d¢PtH'mtu?which a person ia required to des[e�. 0 s will he made in cm��ecuon with wark author¢ed by Ihis permit,and'SlizFnO�uilding stmcture,scaltoMing,IdseworN. � d ar demoliuon oi dismantlirg tM�rof.will he more than thirtr-sia�36)leet high.�Chap.32,Gry 2.An 2,See _ i W� 341.TitleB.CA.C.1. ,..,;..-... . ... .... .. . . . ' ��, . . ... . , - . _ � ...-: . :.��.. . .. .� . . � 3 ❑As owrerbuAder,I vrill noti�empfo�'ahryre.tq da woik,whlc6 xrould_require'a'permit from the Oivrsan of r InJustriaf Safety,as noted a6oue.`unk'ss siich`person�hesa Oerinil:Io do Sucfi�worN;lrom the divisioa ,..� � , W ❑Qy�s��o����r,�e�sa�e�Y��mn No. TOTAL FEES 1`�- �.-,C._� � f.WSTAl1CIqN LENOI�IX'i AGENCY:I h¢rehy atlirm Ma�theie is a constructqn kndinp apenry fa ehe perlomunce �IX = ol tiw work for wh�ch Mis permit is issued(Sec.7097.Civ.C.�. � lender's Name C�MMENTS — m Lender's Addiess Q CERTIFICATE Of PLIANCE D AUfHONIZATION OF ENfRY_I urtity 1 have read 1Ms applkmfon and stah Vi ihat Ihe intm q � rect.1 a tu comply wilh all srote laws aM ciry adi'wica relrtiiyg ro 6uikinp y ennstrucuon, �: � r re ative the Oepr�mem ot BuiWin and Safety Oo ente iprn ihe poperty = Iw wn¢�I 'd thi rmu lor t pupox ol a. — � , .���`�z� c� `� � r��� � �. u� of npp�k /�gent pon RECPT NO. PAID BY_ VALIDATI ��__ r e en Co y, LOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicants Copy BS106-71/89 , ,_ . �'��� • _, _ , _ _ , � � � � � � ��� �M�� � ��E'� . i : , � z � ���� , � ��w� ,�.�,�a - 3���; � � , � ' ��..� ; ��� _ .. . � , , �� • : ' ... . � Y,. ���; _ _� ��� _ �,����; ����, �._._ :� � ; ...... _.e ; �� �-. ���� ,�� , ���� ���� ���� ���� f,�E: � �� � ' � ��� ,�� _ ��� �� ; ,�� �. �� �: ��� � �� ��e� � �,�� ���� � � ; �R. �H��. ������ ��� �; � ��� � ; � � � '� �>��, � , m� ,`s� '��,�� � � �: ��r" � z.�x � �;; � �;..�, �.,, � _ . ��� ��:x� , � , �� � � � , � � ����� � �,� I � e � 3 � ` �.,� ,; ���� ,. . ; �. '��� f; �,—� � s � ,�� r .r_ , � � ���,� ` . �:. _... ` . '� � � }��,��� � , , � ; _ � � �„�, � �� r�� � �: � � � � � � �a> 4�� �� r ?aea�4 t y. � � .�'�� . � : - �, � ��. ; zl��.� , : � . ��:_ , , . � d� !7 t�"�#� �� � , �� .� '. .�„� d� ��.; ' �'�""'_�,'�� ��� '. . . ll � � 4�� *ifi 7 � , ; . . - � i� � � � �n�€�� ';„� ,�� .\� t €�� ���€ � � ,� �_ _ , �� �. __ e. �. 1.,__.. ��.. j ����'� , � � � �` ��r ���� �_^�- 3 "'�=' � , ' � �,� � � � � �� : ���5� ��. . .� i . _ � ��A�' W._,. " .:_' .- . ..... ,�y.—.. F''�, ... �� ° � � ���_. . ��.",; ���� �_� " . '�. ������t�H��� ��������"�� ��"�""�'�, � �dtl��", . T -.� �.._� , ' � ,q jz1��������y�d��� ��� F��F'����� � d@ � �� � `'� i I k�a�l��h� � � �`q.' ��: iP��' , � <c`- �, ,. : � ? :������h�i�,� '��X� �NG���� �NA�4t� c�t��_' 4• '� �� o-�a�sN �������g�. ����'. ❑� �� ' . '� � i �� � yaJ���k�� ��'�, c �� �p � � �� - F ������'�#������" :�� �� ��. � „ � E� � �� ��� � � �=- _ '� � � �� . � 4�: � �� ��� �� �. . � ���, � �� � � : � � �q������ �� �� �� ��i�7c€� €� ` € � ���d����d«b!� ��tk����h�Vp� � .. � �h�: , �.�- �. ` . ' ' ; ��ER������'��� y (1�������� � ?�4.�.. .. ... . .. �.: .; .. , ��.,. �. '�' ... .. ': � �� �' ' � ., ....a���.R������?f�,��az�������i�������s�` � � ; _ ._ . .__ ..... _ ��, , E_ . . .d . .. .