Loading...
HomeMy WebLinkAbout1388 (16) '"` - CITY OF DIAMOND BAR + ��� ����� t' � - o��A�rnnENT oF BuiLDiNG AND sAFETv PRESS BUILDING PERMIT �IRMLY JOBSITE �Q�r1 t O� pATE CATION�� -��'j NUMB R CODE ADDRESS T� —� �� ISSUE TYPE OCC. � APN L D�TRACT DATE �'"��� � CONST.' GROUP o CRQ�S STREET ZONING SETBACKS '"'�""E"'S °—° OWNER FRONT RW � o ADDRESS p ��� REAR � W CITY� ZIP TEL. SIDE1SiDE STREET RW C� o APPLICANT � ���� TEL SIDE 0 x ';a CON7RACTOR -- SEWAGE 0 PUBLIC PMT� o ADDRESS DISPOSAL Q pRWATE SQ.FT./100 GAL W CITY _ TEL. z STATE �.,; GRADING �CU YDS EXG. CU YDS FILL y; LIC.NUMBER y ARCH/ENG/ � T���. SQ .. ;'Fi�l ;:.� + :~..a� .A �'�C #JIA�I£? "' DESIGNER �"� 1 � � o; ADDRESS 1�3�; 2 L.�? • G� Z CITY ZIP TEL (;�; 3 �' PROPOSED USE 4 � E' ^J GARAGE �: o; NQ DWEL. � N . NO. � y UNITS STORIES BEDROOMS " '�' LOT DIMENSIONS �. VALUATION ADJ AR A n, NO.OF BLDGS HOW -• L�URt37lT'�F,{I'3�-_, ;.i . l�`,..�,.. �.. � �� .,...,.:�o,... •�' �N LOT USED �' '. w � � .# > tl❑CENSE�C�MRACTORS�ECLAHATIUN:I her�y atfirm that i am Iicensetl uiMer qmvisions af Chapler 9(commmoing � � - Y�� wHh Sectinn 70U0)of Division 3 of the Busi ss and Professions Code,and my lieenae is in ful�force and eftect ���� . >�'. � .:l':. %�= E L �e y dFfi�x lfi mp� the ntractor's license Law far the fdlowing � � Z`- son IS .7037.5,8usness�andpwiessians Cade:Any ciry nr caunty which requires a perm0 to consVcet {�}�" . 6°.alter,impmve,demufsh,�m re0air any�iructure,prior to iis issuance,also repuires the appGcanl}or wc��peimtl � - �--� m file a signed statement that he is licensed Pursuant ro the pmvisi0ns of the Contracfor's License Law(CM1apter - ��, 9�commencing with Section 70001 oi Division 3 ot the Business and Prafessians Code1 a that Ae id exempt therefram � ,a.:-and the hasis for tAe alleged esempdon Airy violation ot Sec�ian 7U3L5 by any app�rcant fw�a permrt suhjec�s j W< the applicant ta a civil penalty oi�rot more�han tive huntlred dollars(3500�.b� � � ""�' �- �,�, ❑I,as Mv�r of ihe property,m my employees with wagez as their aWe compensation,will ao the wmk,md " _ ,�^ the structme is not mtmAed or oNereA fw sak(SecJD44,BuSiness afM Fmfessions Code:The Contraitm's'licer�se . ����. ,Law does not apply�o an owner at propeny wiw tuilds ar impwves thnem,and who does such work himself _ � ,�� br ihmugh his own employees.provided 1ha�such impmvements are not iMended o�olFered Im 58k:��,howeuer ' - . � � ';��ihe 6wWing or imprmement is sold within one year ot canpletion,ihe mvneo-6uilCei wi11 haue the hwAen af pinvinp �.�;�� . _ � y`-.7044.Butl not build oi imprnve for the puryose of sale.l . .' . . �. , that he di . . . , ,.. . -�- - �y ❑1,as-owner of ihe-D�Oe[�Y,am.exdusiveW cOnUaetiny wiN�icensed-comractad W con57ruct lhe pro;ect�See �� ' :" � � siness�arid Pmfess�ns Code ihe Contractar's license Ww das-aot apply.co an�owner of prap9ny whn ",�',� - - - -- ��'�,6uilds or improves thereon,aiid who contmats ior aah prajects wit6 a rnnnxioqs)Iicrosed pwivant ro the ConVacror s � . ., Cicense law.) � QN • Q�Q._.... ' � .� , . _. . c. -.: - . - �F , � ,8.B P.C.IAnach Certifinn „ �'�i am exempt unAer Sec.� � c om� u°"°� ;: ELEC7R � =4.� NURKERS'COMPENSATIIXJ DECIAHlQION�i he�e6y affirm that I have a cerGficate of emsem to sNl�insme.a ,� � - - y- a cenificate of Workers'eompensatian inswa�e,or a cerufied copv ihereof(Sec.3800,tab.C.I. '-PLUMBING ,, c '� ❑cgetiee copy i:her�furnished. �,w�.MECFIAN�C•AL ,;`p, C�f.ertified.copy is fikd with the 8uilding Impection bepariment rc �Deputmem �k�- _ _ _ _Z � `-; CEPTIFICAiE OF El(EMPiION FHON WOHKEBS'C�lAPENSATION INSUMNCE:This section need rat he campktad (�`E y._ if the permit is for one hundred IS7001 m less.I certify ihat in the perlormance ol the wak for wAich'th�s . -� permit�s issued,I shall mt employ airy person in any manngr so s�come wbject ro the VWrkers'Compensation �": SM�P 'r -_ �-�- i�s oi esi�ro���. �� ��"� €��r ;� � PARK FEE F o � � : _— � o"e �`d"��A{� �'SCHOOL FEES W�. NOTICE TO APPLICANT�.If,after making this CertArcare of Exemptron,you should hcaane subjttt to Me VkrMe�s ��`�` Cvmpenwtion U�ovisians of the Labor Code,you must fathwith comply with sueh prmisia�a this permit:haN {::�+-; be deemed revoked. -�:'%"�-�� �� OIVISION OF INWSfflIAI SAFETY PEPMIiv TIOfi:° , d �?µ. . . - --�- . .. _ .. �. ❑1 hereby cetlAy that no excavetan five(5)��ieet in depth inro which a persm is requfrcd b dntceM ��:�� will 6e made in can�coon witM1 worY autharued by this permit,and�J�at�o�JA�'nQ svycture,s[altoiding,�alsewark m demolition a dismanlling there4i,��L¢��.Jhan i�i[�;5��.1,38�'h4L1Ai�li!ICAaB 32.Grp 2,Art 2.Sec .�W�. 341.TitleB.C.A.G.1. �c� �_�, . �-1 ti- t�;„`.:;'t�`3 . • x �4 �...`v�°v.., a. : a t. t :: . -"��� ❑As awner�buiWer,I will irot empby anyane Io do xrorM whcA wouid require a pnmit han IAe Oiwsion al � ��,,,r Indist{iel Sefety,as noled ahove,uniss such person has a permit to da such veak from Me diuisron. . - � oa��s��o,��,�,�sa}ery��m„No. � TOTAL FEES _,; � CONSIitUCfqN LENOING AGENCY:I herehy affiim Mat thert is a wnso'utvon kadinp epenty ta the pataimence �� �� :�2 ���wmk fa whicA mis permit is iswed(Sec.309),Civ.C.). ' � tender'sName COMMEN S s � ��, m Lender's Add�ess �1 - '��- "t CER7IFICATE OF COMP�IANCE AND aUTHOPoZATION OF ENTRY:1 tdtily I heve read tlxs�pplk�tim rd s4te .O , - �-. va mat roe informatian qiuen is carect.1 agree to comply w�h aN stete laws and ciry ordimncm rehti�q fo Wild'uq � .-�y construciion,a�authorue e repreuntative ot the Depatment of Buildinq mM Satety m enHr�pm tlie prupnry ..-= tw wM1ich 1 have appfied fa Niis permil lar tFe pupose of nakinp inspeetians. � H �� �'' /� � ��%' � � ((��C+4��G� > sy�at e o auent � RECPT NO,�. t PAID BY ��VAUDATION WHITE—Department Copy,YEILOW—Finance Copy,PINK—Aasessor Copy,GOIDENROD—FNe Copy,GREEN—Applicants Copy ..� 85106•11/89 ..... _�. _... �- ...., __ �. , � � � � � � 1 .('9 .._� � i j z" � C r �; "'t= � ,, ;'. . . � t =t � + � �� � _ I t `.� � r� rr ��,,� �� �. 7. b� b ��, �. +�. ( � i i � I 7�� j� �� � -t,�,� � � 1 € i -.s '�. � �� i� C" .°a.r. l .. I � � �"' i � � � .a, ,„£,�,- i�� t �� :.�, � r � �� �.0 � , i l � i t t� k. ;""�S. C"1�'- Pt' � �.,- � a .n .. � r ( ,y »�:�� 4 � ;: � i y � � ��' �' � . . "r � > � E �.,:.`�' - ' E 7 j ...� �7 �1 r#" _ r -� `�. � � - � � � _ !�{�� � �� `� i � 1 � :i t 3 i . _. € i i �L � < � 1 j a& ' � � � � l `� ' ' � � ; � �'� t , � � � � ' ; � ; � � , � � � . .�� .. � . ; f � � } - ' � 7 I � �i ( = -i . _.-s � ; �...; j i !� : ` ' ` i ' �� �; ( ( i � i � - ! � . � � � i ��{ � � � . � . . , � � ( . E � ( � l � I ., '_� 3 E s 1 d w � E _ - . � � � ° � € a � � � '. [ i f _ � i ( � ' ' i � ` � : ' j ���� � i I ( � � . , j � : ..' � i i r � . € � i � ` � i_. � C,� � � � '--j�---}-- + : � . . , � � � ; E - { . � �� i - � . : ,,.. ._.'' : � � 3 j `( i � � ,, � . � � �E� � �_.. � . .�� � :: . ! � j i ' i ( 3 : � . �: .... .�:, ., � � , . _ � . : � , : � : . � � _ , ,�, ; , , . � � , . �,,' : [ ' � ' � �� i �� i €, � � � � � � , 1 ( � j � ��� ' � ' i i € \ � ��� i . ` � � i � � � i �� iy r ��-• ' � ' � � � ' -, � C 7p � _� , _ _ _ � � � - � � r � � a �._ ( l 'f j � t � ' l � � �,�, �, �� � € ( � i ( j J I ( i i ' , �: � ' { � � ' { � i -.:� �... ' $ � E G a � � � � � � I ` ' j � F � � � � � ( I�� � � ,� °P-�'-���:���`�`� 'F �= � �� " :� ;� � i 1���� � i � E ( ,� �� �r , � ;a� �( ri r ; � � �.�� ( � � � i_ � � E � t I � ; > r € ( . 2 1�'�r^� .� r r7 u� fi3—; � � ���-�^��.��.� ' t "', ' i � 1 ;� . � � � � � i � 1�-.�t {�? r 7 �'� �s*E� �..� -S I.KK� `�� `� ; �? �"` : ��.,. I V'-� � t � ( � 7€ i ; $�, ,.r f , � f _ - � � Za:� �l7 � �. �:t' r .�. � �� .Ep � � j � [ � �� "�# i � ��r, :`�.� �:°� �r,�� f . l �, ��� . 't . � . { �1..} . � �t. �I 1 •,f;�l�i : �� � ; �.f� � ,,�� � �,� � � _ � �� �. � � � f = � � ��� . . t ( E f F � i ; � ( 1 �' Et �. ��� ( 1 � � � i t i (�,(, � i �� � �� i ` _'� ' ( ( �� i , ; � � ' � �. � �i ' �; 1 � � ( j ( ` � ,._ ( � i ;'� � p I � � ' 1 , � � � I ` � t '�,�_� � ' f�- - ' �- { � � � ' ' � �.� �r'�� 4 f � � � E i i „(� � � . �f� r "3 4 :� � - E � . i � � -i. � a �� i - r r_. ,� j i.-� t :a . ; � , � . ? � � 3 ' � ; , .x �.' � � � � :' � ' ' �:� � � . k ; �, � � � � e- t�..... � - l E � � � . _ _ . _ � ��. .� . .,.r.,., �_..: r - 7 i i � a �`° ,_( e... � i ( ( 3 � � ' � f � A 4. ( ( � .. � �� {', i i lr € � �' � �,� i � � � � � � �� € � I r � ` € 1 t �: � � � � � � � ; , � � , ( �� t ' - � ' ��; ... � 1 �_. _.._ . L._..L _...1.__. . .....__ t.._1. . ` � __ '-� � ( � , __._ _ ._.�__. � ; �. ....... : . 3__ ._.�__.. [ . __.. _... . ' �