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HomeMy WebLinkAbout1493 (19)' CITY OF DIAMOND BAR PRESS DEPARTMENT OF BUILDING AND SAFETY BUILDING PERMIT FIRMLY JOBSITEAPPLICATION ADDRESS -I _ PERMIT SE DATE Q� NUMBER _CODE TYPE DATE '+ �! CONST. GROUP APN LOT TRACT CROSS STREET wA-e- lZy7`- lin • OWNERX. v ZONING SETBACKS waiep' WNrs FRONT RW ❑ ADDRESSI iie III ✓ REAR ❑ CIT ZIP O/ TE9P.L x0i SIDE/SIDE STREET RW El— APPLICANT TEL? APPLICANT SIDE ❑ CONTRACTOR r ' - ll ADDR�S ! �' � CITYjyA'rU o4'7' B ZIP ,TEL LILSTAT UMBER '— I 2 SEWAGE ❑ PUBLIC PMT # DISPOSAL 1:1PRIVATE SO. FT./ 100 GAL. :`. + Sr��JQS GRADING ❑ CU. YDS. EXC. y CU YDS FILL Cl) W TYPE I SID FT FACTOR PSF. ADJ. A EANALUATION ' 1 3 tea ARCH/ENG/ DESIGNER ���� ADDRESS /gJSa AW 6'422 "Llk tBLA"� ��% 2 CITY-4-U/M Zl�r� TET . 3 , _ y _ — ,_ — PROPOSED USE ' ' Z 4 �_ GARAGE NO. DWEL. NO. NO. UNITS STORIESJ— BEDROOMS N LOT DIMENSIONS PORCH . m VALUATION ADJ. AREA QUANTITY DESCRIPTION FEE NO. OF BLDGS HOW ON LOT USEDD�N%'PlKsJL a LICENSED CONTRACTORS DECLARATION. 1 hereby affirm that I am formed under prarisions of Chapter 9 (caronencirg with Sacnw 7000) at Division 3 of the Business and Professions Cade, and my license is in lull force and dfecs F - C7 W El OIVNER BUILDER DECLARATION 1 hereby dhrm that 1 am 9—al Ilam IN Contractor's License law for the following stn reason (Sec 7031 S. Business sed Professions Code AM City Of catty which fell A panic Am Canrcl aIle, ..prove, demolish, a ", any stroc"ne, prior to its asWnee. Also erguees the sPPIKwt fat such panni to file a signed statement that he is licensed pursuant m the provisions d Me Contractor's license Law [Chapter 9 fcommemmng with Section 70001 at Division 3 of the Business and Profession Code) a that he s straits Mrefnom and the basis fa, Me alleged erzmphon. Arty violation of Section 70315 by any applicant fa a termini subects she applicant to a evil penalty of not more than five hundred dollars IS50011. 1:11, as mm, of the property, 0' my rnFloyets with wages as Mar sale compensation, vi do me work, and the suucloe s not intended ar offered fa sale (Sec 7044. Business and P,olesswns Cale The Contractor's License Law does mt All to an ower of property who builds a enprwes threw, and who does such work himself, at thraurh his own employees. provided that such anprovements we net intended a offered for two If, however, tho burdmg a improvemenl is sold within ane Yea of completion, the owner bwlda wit have the burden of Waving Mat he did not bukl a wprove for The purpose at safe I ❑I. is owner of the prOi am ascklsiveN eonbaneg with licensed contractors to canitirct the poled (Sec i 7044. Business and Professwns Code The Convector's License taw does not apply to an owner of property who builds or improves threw, and who contracts lar arch protects with a contracta(s) licensed pursuant m Me Cmvaetol Leense law L E7 Z m A ' M -j CL Q 'U - Z Q _ W ! 1 CONSTRUCTION 1 r ❑ I am etempt under Sec . B b P.C.IAttach Cerbleatel. PLAN REVIEW °oreOwnerELECTRIC J PLUMBING MECHANICAL f MRKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of ""sent ea "'1 .sure. a a terbhure of V*,ki Compermatm Ins Ancef, or a catdKd copy threat (Sec 3800, Lab. C.1. i ❑ eenulKd taps is hereby IwnrslKd i❑ Certified copy is filed with Me Building Inspeenw Department o Deportment. Q GRA NG i CERTIFICATE Of FyfMPTION FROM IpARKERS' COMPENSATION INSURANCE. This wt. need tot De connotedN`^ I the permit is for one hundred (SIDE) or less 1 certify slut in the performance of Me work fon which this - perm s sued, I Mag rot employ arty person in arty manner so as to biome sublect to the Nhrkai Compensalm Laws of Callorme > y-r� > Care i' Applicant ' N(1TCF TO APPLICANT. n, after iriakmp ths CertflKate Yif feemptwn, you should became >t6Kct m dere Yiwker's Compmsatiw provisions of the Labor Code. you must twth-Ah comply with such provisions or this Forme Shap W LL Q S 1 7 PARK FEE SCHOOL FEES be deemed revoked ' DIVISION OF INDUSTRIAL SAEF rill �tg41FIOAACN r a ��1� Kt t4;le lJ � Of hreby tertAy that hwtwn Ihg ISI ac mea Teel in depth into which a genes is required to descei will be made An cwnetlm with work aulhaited by the permit, and lost no building structure, scafloNmg, tals"ork, a demabnm or dsmwtarq threat, will be more than thrty, sie,(36).hel high. (Chap 3.2, Grp 2, Art 2, Sr: 341. Tide 8.0ACI CITY O. D.;",',.,. to c:r- M . = ❑As owner-bwlde l'`wii moi,!mDloy.wym La �a work wtiK .Id rpuire a paint hoe IM Division d - Industrial Safety. as noted above, unless such arson has A germs to do such wok Nom tae drinon. ❑Di'e'm of Industrial Sate" permits No. TOTAL FEES It KY Won +KY he the FactormarKs CONSTRUCTION LENOMIG AGENCY. I hereby affirm that dwo is A twSbrcim8W of the work fee which lois perms i; issued (Sec. 3091, Civ C.). tender's Now lender's Address COMMENTS d URTIFICATE OF COMPLIANCE AND AUTMRZATIDII OF ENTRY. I c waft' I have mad this sem lcatiw and par ti that the .lamas. given b eared I cyte to ply with a1 state laws and city ordiruacn mobling m building o sOfwthonire a aprtRntahrt Oepalmwt d BuiWag and SahtY m wain spun iM papery pal' a this ge 1w ice d m.trg nsprowl. /L- e - RECPT NO. PAtD BY VALIDATION BS s . Signal., d t er Agent Oele WHITE -Department Copy' YELLOW -Finance Copy, PINK -Assessor Copy, GOLDENROD -File Copy, GREEN- Applicants Copy (fi t ii .S.PEC I.101 �C i + � �• _.��+'\ '!r {,.re •*ia' '{! r,r r�^yy �. yy`,. m 1•-.y..4.r. rsww.w.+a+ .,-....y r•p�+..�.w�.•.*^�a+-a.n+.,....�*.�.r w...�0}1-rlsC f �?1 ., i l u:v �. l�fi F�'��' p ► ... r . r r;Fi„r( j ! . I ► FLO/OR JOISTS , ---..................._..__ .-El_CTC_ t I Iv G Jt.D Ili; DER FLOOR U€J:� r t. ..... r ,0U ;i) PLARilDINIGGC)NDU 7 j — --- -- SC aC GnADEf lia�'�P t!; �Uhlr)F.TIUrti :._...._...................... I.. .................... -- ....ti_•.-- -� _ _-- — ----' _ —___ - - '- —__.........._._..__......_._.........__....___ - - - - - t. . A FtFtcf'LACE•I3.. D FA.:h. ........_.......... _ VIA,H : SEl3L'I €= _.__..__......,__._._.._....._......................................_............_...:....... - - - _ �.____...........__......._._................._...... _ I Ir•700l SHEAl11rdG I ! 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