Loading...
HomeMy WebLinkAbout1229 (51) k _ .. . . _ ... . , ._. . � , � � x+ r '"` CITY OF DIAMOND BAR PRESS � DEPARTMENT OF BUILDING AND SAFETY FIRMLY � BUILDING PERMIT JOBSITE t � 'p� APPUCATION���15 �n�MBER CO E ADDRESS �l"��� �1��C�� T�• ISSIlE ` (�, � "�Y� �,"�p- . c APN LOT3 TRACT DATE �--1�"l�CONST��I�ROUP e CFiOSS STREE7 SETBACKS '"""°"�""E"'S °-' OWNER K-� ZONING �0� � 0 o ADDRESS P � REAR � � CITY C-O�I�N A , Zip�a TEL. -� SIDE/SIDE STREET RW ❑ o APPLICANT A (�A P�1A`�C � TELS SIDE ❑ x a CONTRACTOR SEWAGE o ADDRESS 1'J� • DISPOSAL � �B� �# W CITY ��� ZIP TEL. � PRNATE SQ.FT./100 GAL z STATE n, 1 y LIC.NUMBER ��-``�C�� GRADING G-�J CU.YDS.EXC. CU YDS FILL • y ARC �`T�(PE FT �G�R /4E�:i4R�R11C LUR1'!"QM'":�. ..: `=' DESIGNER � �� W � 1 -�S��C� �!C Ga S � �o o ADDRESS �� � � 2 = CIT � ZIP � TEL. (�, 3 � PROPOSED USE �R f' � 4 � �' � GARAGE e NO.DWEL. NO. NO. � PORCH � � UNITS STORIES BEDROOMS � LOT DIMENSIONS � VALUATION �t���5���C % ADJ.AREA o NO.OF BLDGS How auai�rrr,r DESCRiP�'�0l�F:: FEE :,.. ; ::. . W ON LOT USED �+S����� � � 4 yCOL ec �>.DC) W x r^ � � ) IICE EO C�NTflALTONS CLAHATION�1 hrzEy atium ihet i am ticmxd unde rywiums of pupter 9lwmrrcirq �i� "���' ��" ��C ��if � wnh Secoan 70001 af O�v son 3 0l iha&uiness and Vrafrssiwrs Code,xN mr lir.mse u�fuN Iwce end etfect �W 3 � i1 LL WJNEfl-BUIlOEH DECLA TpN:l hereLy atfirm that I am eaempt from ihe Contractnr's LKema Law Iw the fd'a.v�rq ' ,l- J� Z reasan I�c 1031-5.B �nezs and Profesaans Code AnM tilY ar cwnry whrh requiret�pum�to tDnitru[t. ,'� 1 2�7�/' �t•E,•�. • ?•,,Cj v o alter_improve,demdah a iepair aM 4rutiurE.pior N i¢uwan[e.alsa repuues C�t 7(qGcan[fw w[h pwmi� "� f- ro 1ik a sgned s�ate nt IAaI he is Ixmsed purswnt m ihe prwitions of tlw Cono-actor's liurae lnw(CM1apm ��'� f C � Sys��oJy �,�c,� � 9lcommencmg w�h S tion 70WI af dvisan 3 01 Me Business and Vrohaions Cade)a that M is enmpt tlrrefrom ,�.; d and the hasis tor aYeged e+empeon_Arty vidafian d Secfinn 7031.5 hy airy applinnl(or�peimit wCjetu .� � �/p�si� ����'�P`, '3.�(_) x the appluam ro a c"il penalry ol w�mae than five hundred dotlars(55001.1: �:� � W fo„ ❑I.as avne�f the Praperry.or mv enplayees with wages as dxit sak cunpmaoon.wil do the wmk.rd � � , Os strucmre�s not mtended or olkred fa sak I�c.7094.&umess and Professiona Code:TAe Cmtrxtar's Licrose ','°� � �GC,` / � .rE, J�.L1C'� v law does rot apply Io an owner af Oroperty wM hmNs ar�mproves Nvem.and wl+o dass such work himulf, W cr Mrouyn his own empicKes.P�wided thaf suM impovemants xe nat intaMad a allertd fm tale If.howr�c. "�.y� . = the huilding or imprwemmt is sold withM une year of complenon.Ih mmer��ilM wN Aave Hw budm af proving y ihat he d�d nat huild or�mprove lor the purpou M Sab.) ���, Vi ❑I,as axner ol the propeny,am eve4wveH comractiny with licwed con�roctws ro mnslruct IFe prqect(Sx_ � fl 7044.Buv�ss antl Piofessans LoAe:Tte CanirEclor's Litenu taw Aaes nol applY�����O�WK�Y wlp � hmids or imWwes Iherem,and who cmliacts la wch pro�ecis Mnih a eontrxmrlsi d�sNpurswnt ta W Cmnxlor's lwx"se law 1 . �`iT�� � ❑i,m ua��p�m,eH sec. .e�Pc�anxn ce�erearcl- ' pLAN REVIEW • --��-' o Date Owner �� �� � } NOFlKEFS'COMPENSATqN DECLAflATIpJ I heraby allirm tha�I M1aue a calificau ol cmeml m sdl•m�un,a a cenAitale ol N4rkni Compensation Insuance,ar a cceffed copy tlweQl ISK.��0 La�.C.I. MBING ��� �Q = Y.'"z +':� K'�� '',1 ❑Cnoliee copy is hereEy furnishe0 �;,,� •c ,-y CHANICAL � r���o Q _:E�'�% 1 . c Cernfred capy is filed with the Buildinq Inspec6m Uepxtmlhl ar�`.. _� OeDxmrm. ZW �� ��� CENTIFICATE OF EXEMPT�N FAOM WIXIKEflS"COMPENSIITION INSUPANCE�TAa seeron neM roI he ComNeted . 7 /'l/'1 � if ihe permrt rs tor oM huMred(S100�o kas I cerirfy ihal m��o�e�he work lar whicM1'Nis ' C�`—/�`�= y pentit is iswed.i�all rot employ erry pe�son in s'ry ma���te�as auFdle� H6rteri Campewim �� SM� ."7 D OLaws of CalBwnia. �3�'`' a' `'' ��'PARK FEE � °at `�PD��'�� � SCHOOL FEES � NO�ICE TO APPLICAHf if,aher meYing this Ce�tiica)B,oJ F;WiWtion,-ypr•sM�dd'6e�dne'aub�[ei'.m the NVxlru's —� Cw'Wensauon prwrsiau al Me(a6or Cade.Ywf.miis(�rtthwAh.iamply w`nh'soeKpraiiwg.7,Elu'pemii�sh�ll �'- be deemed rzvoked. . . ... �.::�. ..:_'_� � �....._ . . J pc OINSION OF INWSfNIA�SAfETY PERMR RflT61CAilOM: � � o ❑�herehy cendy that na extavation Irte�51 a�e feet m depth inN whirL a pxsan K requrtl Io tlpCenO. ee wiA 6e made in cmnection wiN�wrk aNirc¢ed hY this R�mn.md tlyt m WiNiq struclv�.xsilaldinp,irxxork. . • d' rc demd"aion ar drsmantXng thcrmf.wAI he mde Mm thury-m 1361 hat high.�qyp.3.2.Gry 2.M 2,See ' W' 341.TitleB.CACI. x 3 ❑As awner�hwlder.I wiP not enplaY�nyon io da vwrk wltith vwuN requile�p�mit hpn tl11 O�n6ian d I r—. Indisvul SalelY.as noled ahove.unkss su[h cersan h+s a perRit m do sieh warY hwn tle diri�ioa f W ❑�,�,a����Sr��e�sa�ery��m,��. �TOTAL FEES � � CWSTRUCfIOH LENDING AGENCY�I hne6r aflirm thet tlert i�a mmtrucnon 4�dinp pa¢y 1a iM prfammee I = ol ih wwk(a wlxch thia pe+mi��a iiwd(Soe.3097.Civ.C.1. �n p,.� � Lmder's Name COMMENTS ��/' � l-���.��� i mlmder's Add�ea 'Q CEHfIFICNTE OF COMPLI E AtJf OF ENTNY:I e�ply 1 Mw md tlis�ad fhh I rq ihat the nfrcm�mn rs .I to w i sdle hws Md dry � tWinp Wldp I y crostrucron. ¢e� sm� Oep� t d&iHnp ad S�MY m r ya prapnry = tor whKh 1 h d lor ' perm i se d ' iropecLoin. I ~ x ,G� �" D � ' ������� �a�� RECPT NO. � PAID BY VALJDAT WHiTE—Departmeni Copy,YE'I.OW—Finance Copy,PINfhAssesaor Copy.GOLDENROD—File Copy,GREEN—Applicants Copy I BS106-17/8 ` -��. --�� _ _, _ , �._ i --, -i � , i � I ' ` � � I. I i__ I '.... _._ �_._� ..�.���_� � ; � �. , ,--� _i I , � � 3 � ` � � � � ' � � i � '{ � � 1. � ; � ' ; : j � , � � � � � � � � � � � i i � ' � � 5� '� � I `� I: ,e I � E � �, � ' � � � !. j � � ' ; � E I I � � � '' � � � � � � � � E � ( ( � 1'� � k j � � E � i ; , � ��� . � I. � I � � � � � , � . � � i � __ � � , i I � , � { � ; � ;r , �-�-�- �- L . .;-- 3 -��--�-�-�-'-.� � E � i i �G I ; � � ( � � � , . , _ 1 � , , � � . � i � ; � ; � ; ; j � � , ; - , � � � i� ' ' �,� � , �a�� ' I � � ' ' � i i ' I �I ; � � i : ; � � ; : � � � � ; � i '__;__-� � ' � � � . � � �,. i j � � ; � �_ j ,, i,. I � I , '.._ i � i .�� � i � j � � . ; i j ' . � ) I�.� � � I " i �' I , �'; � t � � I. I � � I � i �� �� i � � ! . . I � � � ���i t � � '{I '!. E ��id � i � ��) � � � � � � (3 �.' .�-i C•.I,c(' :f: � 1..., � ' �(7 .T� � � i � � j � i ! .�. , {�'!J = Zi�11S�(- I_ � `J S�� CG: `'� €�.,� i � ' � �� €n� Y:��LC3 f� ��i �;7 47I �rj �LCI ��F,,. � , . �' ' a� uE ca c9 � � .� 1 c u� E �ui�� u, '�i ' i ; � , ys� �f�- ��`+i���,� �: [A•CI�� �'��ij�]'.��.z� �1 a'- iu-'o-I � i ` ! ' i �. �' ; '�I»,tl � �' t] T_' C1.CY -CC tit ZE Cl {j�� x.� �' F-E�.tA� ': � i � ��u.�u.��Q � z O �;z � {� t ur�� � �'� `a' I�I� I I � ': � '• �wc�'��-.t-+ r= C7�scCi�{r� us�a. €�.I�- ¢ w � �i� �t�-��i., � r LI.I: r.� w i cu c��a x �:.-,i�i c�l L� �:�I eJ^� ' C77.:-' J r� i C� � pp ` a G( �i��l�'� /'�Y-�L�.J � � �!Q V �..jl�;�� ^.c..* � 'QS`.� Q �r` � � I � ' � ' � 4 6wb�. J y ��� .C'L Lr .....tS..Z (L��j,1 .� �i(�I�.Q LLilU �:..'c,' � s�...i•�. Il! 4U :? 3 u_ u_ � �u.�u.,� as�u'. ��oa �u. c��n. n.t7 c3 u.,.., Q��i,u� � r.a w i � ;��__ _,.! _ � ,._ -�- p i, �.,_ .. .._.. _. ,__ _. �� , ' � ' . _"I i �� � , � � I . 1 I � P I I � i � � � ; � ; i i ' ;, r� � ' � ' ,I, I � � i� � { i ,I � ' � , � j k ' � � � � �, � 1,.T�_ `� � i I S ��� I ' � i f � 3 i � � i E � � j i I � I � � � I �� � � � � � t ,�� � � � � � I i � � � 7 � i t � � I i ` � � ^ � ! � � ! � � � � � .I � i � � � � i � � `' ; ` � .�I � I ' I- I � � ! � � f� ��� ' � • � i i � i i � � �� �� i � { � I i i , ; � � i , ' � � I � �_�_1__� I I '_.� � _ F � �- �.._..�� I f � ! j � � i � � i ���� � � � j � � i I E �.�..E . I � � � � � E � � � � � � } � i � � . .� � i i � � � �, I i � � I � � ' i . � ( , .� '. E i � � 1 I . I I � � i I i i t I � , I f�- ` � '._:-'_. ..:.._ 3 �.. .. ..) • � I I . � . '_� L f 1 ; � i�_I_ � � ��i� � 3 .�.� �j � ' i ,� � I ' � �� ( E � E € � I � .. I � �.' � � � ' � i : � � � �I � ' I � ! � � � �I ��, V i i i � �� � � � � , � -�; IS.� � � �.-�.-i � ' � _ � -� I 1 i I � � t;1.� ;+�3 � �� C'�"�� 7 f=�1C9 � l 'rw� i I ' i � . I � � �t cCl i� �� �'.i�'� � ;c.)� € r�? . -t ? � ;n iv �� C''� � �'J:���' ����- �.��.�c� ' it-�F �'mi? i-^ ` � ' � u� r i� x c? � 1 � • T;�� .,.tl��kAi�� ��L7 ����LLl�...S��iCiI.�1Gl�'�� 1� ""j1L��lr- (_) r i � � ( I ?, I � �� x"�`ic>°- <c' fa€w ,r > w .� r � ->�r € .���{ ����u{c`}3 j r I� � � � ( t � � M-- � - � � ,�-�c� r��t��v>�:� � � w¢�i� . III�,> , F-i�-- �-s�,���,.s,-' { :� � � � � ; c.z n d .�- �.� C,i p- CG:tn � U � i��. �� !t_`i �:'. CC:C,i c�. �:..� �� ..a� I �?' ( � . ' cn ��� �� r�. �u. �,> u< <S v '� , , _ � ua r- a. j ' c`-i ui � � t-� 1!;�ai� � .�E,x r��"x C1 � � �� r -!�> is��- w s� �t�d x �: � � � , �.i .�� ,� � �. f ��� O � � '�. xir u�l�luaEw u�¢�� � � �i r� i �w rr�u_.,:!�+ L�ict3 il—i:' ?�-u..�Cr' C"€t.,_�tL='f),u -, E..��Ct#U)�V7.us 1C,� a.,t! u. a. � �__ �^ � _ � .............�__.. ...._.._ ........_.__.__..__ �... 3__._, � ..._, �._.. .._.J.._;�_�__.�.�._�...._ � . . . �_ _�___.��=. ____� � .�.. _ _ _, }_____.