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. �i ''�` � CITY �F DIAMOND BAR PRESS � `� • DEPARTMENT OF BUILDING AND SAFETY �� BUILDING PERMIT FIRMLY APPLICATION PERMR USE JOBSITE ���3� � f��� �`��� DATE NUMBER � �� CODE ADDRESS - ISSUE Q / TYPE OCC. � APN � LOT TRACT DATE /� �t O r O CONST. GROUP ` Fi••��� � CROSS STR�T SETBACKS """'0HE1AEH1S � ZONING FRONT RW � O° OWNER ``°� � o ADDRESS ��� L' �-���� �� j REAR ❑ W CITY� ZIP�TEL.`���"�'�� SIDE/SIDE STREET RW � � o APPLICANT t��-�'�'� �1��;:-u'���t.�-i� TEL.7 ' Z� SIDE 0 � � � CONTRACTOR � SEWAGE � PUBLIC PMT� � o ADDR S i$�� `v�-� DISPOSAL � „� CITY V="�'t5��� ZIP��� TEL. G"�Y Z Zf� � PRIVATE SQ.FT./100 GAL �' = STATE y. LIC.NUMBER ����� C'2.G GRADING ❑ CU.YDS.EXC. CU YDS FILL ; y' ARCH/ENG/ �• TYPE: :$Q FT :FA�R3R PS At),l,`:A�Et�NA UATION "—'- DESIGNER W � � iJ:l � ADDRESS rit': 2 r � CITY Z P . TEL. �(�; 3 � W Z: q ' o PROPOSED USE � �, .�'�.- •�: GARAGE � o NO.DWEL. NO. NO. "" � � UNITS STORIES BEDROOMS `�� PORCH � �; ae LOT DIMENSIONS �`. VALUATION ADJ AREA ; „ o NO.OF BLDGS HOW a���m''DESCRiPT'10�{' ' � .F� ~ ' " s W: ON LOT USED -Q.: � i: oc �:U `s W S -A�[.. ~ LICENSED CONTRACTOPS�ECLAHATION:I here6y afli�m that I am licensed under provfsions ot CAapter 9lcommencinA �' i Y wiih Secnon 7000)af Divi:ian 3 ot�he Business and Pmfessiom Code,and my license is in lull foae and eflett ��.CW�; -oy ❑ <W' ,`v; � QJJNER-HUII�EF bEC.LABA710N:I heieby allirm iha�I am esempt irom ihe Contractoi s Licenu Law for the fdlowing '� ;. Z� reasan jSec.7031 5.Bnsiness antl Pmfeseions Code.Ary cily ur tanry whi[h requirts a pxrmil to[onslr�et, �,(}• t. O eltr.�.imprwe,dcmolish,m iepaii any sinmtm¢,prior to its iswance,alw requires the appticam lor such pe�mil :�.'�.; p� 4 �to hle a signeA slatemem r�at he is licensed pursuant to�he D�ovisrons of the Cantracror's License Law(Chapie� �.�im':, pe �9�cnm �q witL Seclion 7000)ot�ivison 3 of the 6usiness and Wolessions Code�w�h�t he ic erempt therelrom .:�,a- �i a,, and�he Lasrs e allegetl^xemplion.Any violalimi oi Settian 7031.5 hy any applicant for a pnmil Suhjects :::���:� W the applicant�a a civil p y af`oi more than(ive hurdred dallars IS500)I: w"J�� a,. � ❑I,as awirer uf the properly,or`inq�mployees wnh wages as iheir sule mmpensatian.will 0o tAe work,ant t6e snuc�we�s noi intended ar otfered for iate�ISec 7044.Busineas and Pmlessions Cade:The Cmtracmr's license �;::,.q; � �fG�.+ / � ��� � Law Jues not apply to an rnvner nt pmperty wM'builds or imD�oves Ihe�eon aiM wAo dces such wark himsell, =:L;�: W o�ihmu9h his own enyloyees,proviJed that such improvemen�s are wt imended w Mferetl Por sale.II,however, �„��` � '�L,���j�� m �he bullding nr imprnvemem is suld within nne year ot completion.'ik,owner�huildn wilf Aave the hurtlen ot Droving ,;,-;Q�; � ihat he did rwt bwld or impiove for Ihe purpose uf sale.� ���• �'�'�� � y (J � N ❑I.as nwner of qre V�oueity.am e�clusively convaniny with licensed ronvaciots.to cons7ruct ihe prqect�Sec. �:;�(�; �' 0 7044.Business end Professions Cade:The Canlractar's Lieense Law does not ayply to�an owner nl p�operly who Qhuilds or impmves Iheremt aud who contre[6 for such Diole�ls wrth a contractoqs)licrosed pursuant to the Cmvaator's ���r��se1aw� �'CONSTRUCTION ___—.._ � ,s.e rc.ia��xn ce�on�a�ei. `PLAN REVIEW �I ain exempl under Set. o Dale �^e' ��'� ELECTRIC Q� WOpKERS'COMPFNSATION OEClAHA710N�1 heieM aftirm tAai I have a certificate al consem m self-insure.w " y� e cend¢ate af Wurke�s'Cumpensa�ion Insurance,ar a�ntilied coyy�heieof ISec 3800.La6.C.�. '"'"�:` ,. Q ❑Ce�G�red copy is neren�turnanee - " ECHAN �� c ❑C.enilieA oopy is fded wrth the Buiiding Inspectim Departmmt a Oepanmem. ��'d;��GRADING � z v, . CEflTIFICATE OF EXEMVTION iBOM N�OfIKEFS'COMPENSATION INSIIMNCE�This seotion need ncl 6e compkied j� ����� y iF 1he Oe����it is for ane Aundred IS1001 a less.I�enify t5at In�Le pedo�marce al the wak for whkH this ermit is issued,I shall mt em an rmn in an manrer so as m he[ame suh� (�to Ik �F R,�COmp¢n I `�' n n�ov v a� v i � SMIP �: Laws of Wltlornia. o , �� `�^�: o � o Oate �`lV �� xw����^?-_-.,'-.�"`L_ 0�'I :�t1:SCHOOL FEES u� ._,fr..,. :��: � NDTICE TD AP%.ICANT:It,after meYing is GertilKSie qYEaempj�n,you slauld hecame subjecl m 1 e Wdke�'s —+ Cumpensaunn piavisions of ihe Labor Cadti�Ynu�mustl..fatAw+tA.;Lompty with such prwisions a this perme shall � �+- he deemed revoked. J p� pVISION Of INOIISfflIAL SAFETY PEBMIT CENiIFM:ATION� . d ❑I hereby wdify thst no emav�l �A1d I animors91ee1'�Fiv„7uh into wM1kh a persm ia rpuirtl to darend. � 1,� s will he made m cmnectan with ww.e���tt�nii�tl 6yiYhisFykrmilf�eiM•511Q no OuilOirq atrutture.sCaffddinp.IaiseworA, . n- u Jemoliiinn oi dismantliy thereol,will be mare ihan tNrry-sie 136)feet high.(Gisp.3.2.Grp 7.An 2,Sec ; W� 34i.,,�tle 8.C.A'C.1. _ „"-r-�+a:'. ..,... ;.,: ,}� :.: � � ;�:;'�,�::;; 3 [�At owner-huilder,I wi�l•Ml:emp'IOy-rou�mip„�o 8d waik''Whlrli"ivouN'reqmre a permrt(rom mr tivisan al ^ � ;. .. .. ..... . �...:..;. � ludusiiial Safery,as notrD a6ave,,unkss 3uch person�TiaYapx��t`o;do_Such_wor4;f�om ehe divubn. � �:�'�.:.;....:.......: . .. ... . ........... .... � W ❑arisiun ol Induslrial$�tery Pzrmit Na. ���0�`/�� CCCC � f.ONSTBlIC7qN LENDING ACENCY:1 here6y aflirm Mst ihere is a wnstructbn le�ding apency fn Ik perto�mante ���� f GCJ A O� t 2 a���work for wheh this permit is issueA ISec.3097.Civ.C.1. oi e��---._.._.__.__�.. COMMENTS --- c p�p Lender's Address � 4 CERiIFICATE OF CqNPLIANCE AND AUTHq4ZATI0fl OF ENTflY:I urtily I have iead tliis�ppGcalim aid sh0e Va ihat Ihe mtamatan given is carect.I eg�ee to wmpiy wilh all statr laws and tiry adiuncei rWinp to htiNinp � y consiruction,and authonie a_ rcunt�tive of�he Oepartment BuiWinq and Sahty m mev iyai tlm pape�ry = lor whmA I hrve appl' ta i's peimrt pxWse of ki mspections. 1-- r X�� � ��/C, G� RECPTNO. 1 1`'1 PAIDBY ���� VAUDATIO' SgnNure or Appicant m nt Doa � WHITE—Department Copy.YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicanis Copy BS106-71l89 � „ r� ,... , � , _ ,�,���� _ ... _ , , ��;�,�a ', , ; , ; ; � ���� � �� 'g�x= ' ` ��,� � ,:.� ; , ' ' � �: �� �� � � a ����� : i � �����, ' „� . ...; ,_. . .. . , ; ,� ����,� ; , , j �;��� , ������ f. �.� � � � �t�� . . . � �: � �' ( � — .� _ .__ _� �� b _.._ i , ����� �� � '- pr��a ��i� � n��t ��� � m6€ � ��s��s ,.' . .... . � , . �. ��� ��x ds � . , � 9&X . � . . �.. 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