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HomeMy WebLinkAbout094 (5) ,��� , '�'` � CiTY OF DIAMOND BAR PRESS ' ` � '•" DEPARTMENT OF BUII.DING AND SAFETY \�� BUILDING PERMIT LY .!OBSlTE ,, � / �,� DATE CATION t t ��c� NUMBER CODE_�� ADDRESS � �7 � L-Iy' L ` -�...'=`=-A--- ISSUE TYPE ` ' OCC. 6 APN ____ LOT�TRACT' d DATE �1��.��— COlJST.V � GROIlP� o CROSS ST�ET ;� � F �BTCKS � Q"''E"15 I ZONING °� 01NNER___1".�1 � ��ADDRESS�� 2 �ig'Tit"� 1S�/L�-{.� ; REAR � __ ❑ W��ITY�C.�,t'�N-'La- IP � �': TEL��t..�.� SIDE! REET i�iW ❑ o APPLICANT � �°�`�EL: � '���' � E ❑ � CCNTRACTO �` h ` � .�-�=��t� SEWAGE ❑ PUBLIC PMT# o AUDRF���S � =(�," �' . I JL���—'--��,.— DISPOSAL ❑ PRIVATE SQ.FT./100 GAL W CITY���11I� ZiP��'�� TEL:--����� z STATE / � �* w GRADIIvG ❑ CU.Y�S.EXC. CU YD$FILL � LIC.NUMBER=7" �4� ' ARCHiENG! � �p� 5� � ��C�R PS ADJ. AREANI�LUATiON �' DESIGNER � � � .4DDRESS ti� 2 -�^ = CITY_ ZIP �— TEL. (�] 3 � PROPOSED USE ��.�� '���Z-^ Z 4 v � GARAGE o NO DWEL. NO. N� � PORCH � y I UN{TS STORIES BEDROOMS � LOT DIn�ENSiONS � VALUATiON ADJ.AREA o NC.OF BLDGS HOW � QUANTtTY [��SCRIPI"IOA) ��E W ON LOT_— USED_— ¢ � r�i`T cr/„2- r i) ��rJ� l� � --- o — �I � ; ICfh.eC COhT9AC?OFS']ECIARA::04 I heiehy afhni ihat I am licensed under provitmns ol Chapter 9lcommencinp U � .vnh S:<c:�ar 7:1 i01�i C��•.•�smn 3 id ihe 8usi sss and?mfessians f,ctle,and my license is in full iarce and e!4ct w 3 [1, w � u- .T:NNf.H P.:lllf;E=Df.�i.ARA?!ON I hc:ehy afhrm Ihat I am r.xr.mp�Imm tke Contracmr's L¢e�se lan lo�Me lollowing •ea;��• 'iui 'U3'S Busu�ess.�nd P�alessmns C:de Any uty�r eounty wh¢h reqwres 2 peimit ta consVuc�, (� ci;ri �in�m•.r Ir.rmiis5 r, repau�ny strunure,pimr to¢s�ssuanre,a'so reawres the appl¢ani lor such pe�mil Z �-- Q t:':le a sq�re:l atamner+�Fz�he ic ucansv�pursuam to the J'�vismns af the Cantracmr's Lrtense Law 7Chap�er (p � 'r ror.rrer�cr.�g n�tn Se���r,n 1000'�ni Oivision 3 0�[he Business and P�olessions Codei nr IF.a;4e is exempt Iherel�om � — d �nA t^.r.uss Ic� the alloqeA axemclwn Arp vmlauon uf Sec!ion 70315 6y any applicant!a�a perme snh�ecls � � air a.��i.�ar•to a aril pma:ry n�cr,�mare thar f�ve h�ndred doliars;5500:�. a — � �_�. m .Hrer�1�`4C;iaFefly,U�my empleyees wuh waqes ns rhev sole campensauon,•nill da!he work,and -f — � �hF.qr�u!r.e s�u1�r•end=d o���Ilerec foi sale i5e�7U44,8us�n¢ss ane Pmfes:+ens CMe The Centractor's licPnse r.[ V �'_� �� � '•�GC�Y�n�r arv�rer of pravertv who 6�+IAs m inipmres thcreun,and who dces such wmk Ivmxll, C� — �i u il.uu��'•�hs rv.•?rpluqces i:m�•me�e•ai s��n improvemenis are not mtended ar a1Lretl!or sale If.however. z m�•hr�u��id�nq m;ricrr.er.me�t is sold wnhin are vear nf cumpienon.?he v.vnerhudAer wdl have!he hurde.r.nf pmving d, - -- �'•hat ha'ol nn;:ualc r imprcve Ier the T�:"v�se o!sale I x h v�I i_I as irarr n;�e��aper.ry,am z�dusrvely mmiacuny wnt hu•nsed�omraclois to construct the pml��ISea W o I�%�aC 9•isress anA Pio!essia�s Cnee The Cant:anor'e L¢ense Law does nm applY��an awne�of D�auerty wAa �„S Z�Iro:lAs;tt im�.rovts f�+er.=cr artl wnc r.e�traus br such pro�ects v.n"a wntracmr(sllicrosed pursuam io the Contrector's a!I�.�^s�Lav:� u CONSTRUCTlON o{�- � ��i�m�:���r�:;,•:,P�Suc B F PC;Anach Cernficatel PLAN REVIEW ._ � '"'" ""'"ef ELECTRIC — _ � P.9P.KFRS'COb'VEhS�iION DE�LARATION i herehy affum tha�I have a tertificale of consent to self�fnsure,or a rer��6rre;I.l4rke.rs Cr.mpersaim�Insurarx:r m a cernLeC coOY��'ereol(Sr.a 3800,Lah C? PLUMBINu ¢ C ce�,���.t�::�m a herehy furmsned � MECHANiCAL _ o �..".muhed reCY s'iea v:uP;he B:ultlmg Irspectmn OeOartmsnt ei Oepanmem. � GAADW G — j ���^'� — � :ER�IFlf,LTF 7F LKEM11P110N FflOM WONKFAS'COMPENSATION INSURANCE This seninn r.reA na�he tompktM C3 ISSUANCE ( '.lf_5�--_ f :ie per:nn�s rer one hmtlied;5100)a less I cetlAy Ihat in IA¢;,edormance of the uuo�k for which IRis E.,. �I I:e:nr is issued !s"aR;mt r.mp!oy any peison�n any manner so as Io ome suh�ect io Ihe Warkers'Compensation CJ`��P _ }""i Laws nf p�alrf,a . '�-�-,�/t o �/ /` �__ �•- 5���`—x� � PAFiK FEE p I 7ai,. " /�W� ACPlaant_�Ye�1��� �I NfITIf.F TO..PPLICANT If aher mmmg�his Cemficate ol Exempnon,ynu should come su6�ect ro Ihe NMkrr's� SCHOOL FEES _ ��Compe�satmn pmvisinns el the Lahor Cade,yau must tanhweh wmply with sueh pmvisons ar Ihs pe�m�shall � te AcemeC�evakql — a ' � �NISIOAi OF INDUSTflIAL SAFETY PERMIT CEHTIfICAT10N � i _-- — W : � LI herehy cemty tliat�m eacavauon fi�e�b�ar more leet ni Aeplh iMo whl[h a peitm rs rcqwrvd to descend,� � will tr,madr.m rnrneamr.wnh work authoi¢eA W thrs permn,and�hut m buikmp svuclure,scaffaldinp,falsework,� W�r,r de��nlivan nr drsman!Img iherenl,will he more Man thiny-si:(361�et high �pap 32.Gry Y,Art 2,Sec' :�a, T�,P s c a c� i --- --- � DIAEv � _ ; � �_�A own�r�wlAer.i will nm.emDbY anyone to do work whi[h wuWO reuwre e perma irom IAe ae�:�m m ; ��iy_g�N� A p— Inlusrnn:Sahty as noud ahore unless mch persan hes a Oermtt la da such wo�k from Me drviaian. --- � � ; W C�fLrisur,ullrAuxnia15alelyPermitNo �—_ �r_f�' � � � TOTAL FEES �v, � COWSTRUf.TYJN IENDING 0.;ENCY I hereby aMirm that tMre is a constr�Kuon lendinq epeMy lor Me perlarmana Z cf Ihe wo�k loi wh¢h Ilus permn a issueA�Sec.3097.LH C 1 � lender'i Uame _ � COMMENTS � ie�ae�s aaares: m ! 4 CERfIFIGATE OF COMPLIRHLE AN�0.U7FqAIZATION Of ENTiiY:I cen�ty 1 have read this applkaiian and spk E �n�fiae!he informauon giae�.is mirect I agree ro campN wnh ali siaie laws aiM nry oNmances�¢htinp ro bmNirig y consfmcbon,anJ authacRe a re0resentame of the D¢I�anment a�Buidinp aM Sale�y ro moer yqn the papenY for which I have aDW� �o�m�s permit tor tM pu e maNmg�nspactqns _ � �/ � f — d Sgnature o1 ApO�� ��or pgm� pa� — RECPT NO._ _�__PAID BY VALIDATION WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GO�DENROD—Fle Copy,GREEN—Applicants Copy ..,.,..._;r.,.�.. ,--.-,•f-;�-r;i,. _ _ - - _ 1u . . . � ......:,�:. �...�.. .... 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