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HomeMy WebLinkAbout135 - - . �� �"` � CITY OF DIAMOND BAR � DEPAR'TMENT OF BUILDfNG AND SAFETY PRESS i -,. BUILDING PERMIT FIRMLY I I JOBSITE �y � APPLJCATION PERMIT J� __ USE ADDRESS�I�� ���0 DAT� NUMBERT CODE ' ISSUE TYPE OCC. � APN LOT T_TRACT DATE ��—' �—�� C�NST• GROUP � CROSS EET SETBACKS '"""�''E"'s I� � OWNER, �t' 2 ZONING ��� � � �� � �� � o ADDRES / SIDE STREET FtW � W CITY�/�6�/� �'� ZI � ` TEL. � APPLICANT�l�E �i�-°T! _ _TEL 5'�'� LQ. SIDE � 0 0 Q CONTRACTOR d'JE SEWAGE � PUBLIC PMT# g ADDR 5 E � �� DISPOSAL 0 PRIVATE S(a.FT./100 GAL ,� CIT`���K. �7U� ZIP � TEL:��. z STATE -JC"� � O GRADING � CU.YDS.EXC. CU YDS FILL y LIC.NUMBER y ARCH/ENG/ � NpE SQ FT aFACTOR-PS ,.-::AOJ.-AREANALURTION � � � DESIGNER W � ;W; 9 � ADDRESS "LL` 2 o , . = CITY ZIP TEL. (�}: 3 ,.., ;Z: 4 o PROPOSED USE ' �, €�: GARAGE o NO.DWEL. NO. ?/NO. —' y UNITS STORIES BEDROOMS � PORCH ' � LOT DIMENSIONS m� VALUATION ADJ.AREA � o NO.OF BLDGS HOW " ��' nUANTIrY ;DESCRIPT'ION.x.,��� �; F,,EE , ` � ON L T USEO � ,';'t¢.�, _ � F"� LICENSEO CONTRACTDRS D£CLARAt10N:I hereby+ffirm ihet I em licrosed wder pwisims ol Chepim 9 Icommenc'rq r . - . Y with Stttian 7000)al Oivisian 3 01 the&uiness and Profeuiom Code.and my licenae�is in hA lorce ord effect ""� � . • ' ' ' ' � W'. 4 -�i: 3 � 3.W: �- QuVNER�BUILt1fR DECLA0A71DN�1 ne�eby�tiirm tha�I am ezempt irom the Contracta's Lrense Lnv Ia thc fdlamnp � , � � rtamn(Sec. 1031.5.Business and Profavons Code:A�ry ciry ar camty wMcti requires�psrrtdl lo conmu[I „(}< - o alier,�improve demalish,a repair eiry sUu[ture,priw tn it3 issuence,dso reQuues the applirant fa HcA pam� ��2� � � d to lik a signed statement that he is Gcensed pxsuan�m the praisian�ol the Connxwr's liceiue law ICh�pte r:�;:'.m:�.. - . - . , . u pC 9lcammencing wiM$ection 70001 al Oivisian 3 al Me&uinesc and P�aleuiom Code)a thet he u e.ampt rtwelram �`:::g':! . y an0 Me Casis lor the allagea e�npuon.Airy vidatwn d Sec�ion 7031.5 try�m oGVliram ta a permlt suhjecn �;�-��; � ihe applitam ro a civil penalty of not more Ihen Irve hurdred dollars(SSOOI.1: � "'�J" .,.� t¢ � 0 ❑I.as owner ol Ihe prupertY.o�mY emP�Yees wiih wapes es their s01e campensalion. will do IM work.pN :.. . ~ the strunure is nm intmded ar ofh�ed fw sak(Sx.706M1.Buvness erid Profesa�ans Code:The CanlrYc�or's litertse '�'�"Q.i� �,~j Lew does ro�aooly to an owrnr ol property who 6vilds or improves iherem.end wM does such wwk hvnttlf. :>;(�.:: .. W a thro�ph hi3 own employees,prwided�hat such improvements are nm inteiMed a alfertd Im sale.It,have�er •Z.:,, . = the build�ng ar improvemmt is mld withm aie Yer ot cwnpktim.Iha mmei�6uiWn vnli hna Ihe Mcden ol pfw np Q�. . y Nat he d�d mt huiN m improve far tAe puryote ot sak.) ���U` � en ❑1.as owner of the prope�lY.�eYcWuveh enmrectvy with licrosed canvaztas ro construct the aojtt�ISec ,,.W; ' ' 0 7044,Busirou eM Professians Codr.Tk Contrectnr's licenu Lew does nat apply to an owni of property who -,s.>•�:; - . Z builds or impwes tAerem,enC who cuntncu fa s�ch projetts with a cantractulsl licrosed pu3u�n�to the Conu�c[or's ��. a License Law.) ' r� CONSTRUCTION W ❑I am eirempt under s« e.e r.e.wn,�n li,�n��i ;' PLAN REVIEW � �1e °'"'" �* ELECTRIC : � WORKERS'COMPENSATION OECLARATIpJ:I hne6y affum tA�t I have�ctttilicete of cm�mt to seH-insue u a certircate o�wortai Compensatmn Inwarce.oi a canfied copy mmeollSa.38U0.L:A.C.1. V "` PLUMBING a ❑c���i�e�uor��r��eav�w�wua. �J; MECHANICAL o ❑Cv�ified capy�:r�a w��n uk a,;w��io,��oen■mum a o�um�m+ �;GRADING W z CERTIFICATE OF El(EMPTIpJ FpOM WOHKEHS'COMPfNSAPON INSURANCE:TNs����a�,n���ua Q,. �SSUANCE � il �he permit is lor one hund+ed(f10p�a Im�.I urufy Mat in the perlormrme ot ihe waY la which IMs F � y permn is issueA.I st�ell mt employ ury pawn in ury mannei ao as lo hecome tuaett to ihe Wateri Cm�pematm �, SM�P � . . � � S Law�ofCalifarnie. •W' L�IAI'J'L�-"Y6I f'1r� o LLJ PARK FEE C'ITY C1F � 0 o��e a,µ�,m �� � rroncF ro aeRcarrr n,ain�mek�n�m�,Certificate af Erempuon,you:n�ea n�e�m u,�wa�. � S�HQOL FEES ' �'' �� -� Campenn�ian o�wmons of�he lebor Code.you must IorNwith co�ly wiM such pwisuns a thn permn�hdl �<.�; �../1 � �.� . . � �+- he dmrcd revaked. �.a J � pVlSlal OF INOUSTRUIL SAFETY PEIIMIT CFfl71FCAT10N: W d ❑I hmMy ctttify lhet no eauwlion Ir,e(5)or mae teet in depth inlo whiM�pemm�rpured ro defcend ;:_ � �� � � � � will he rtwde in cannectian witA work autlwr¢�d by this pemiil.md iNt no Wildinp tiruttin.uaftddinp,falswwk. . �- u demol�ian ot dismanlGlq thntol.wiA he mae Men tAury�tu(�1�t hiph.(CheD.3.2.Gry 2.An 2 $ec � Z' J41,TiEe 8,CA.C.�. .��',• � W y , " S ^�,;.:s � 3 ❑As owrrer-huildei.I wiA nol empbY�b to do�wrk which would«quire i pimit han tle Oivinan al p... I�ustrial SaletY.as nated ehove.uites tuch perwn h+a�perrtn ro do such wwk hom tle divuion. !'„"'�- . Tc , . y�j ❑Drvision of InAistrial S�lery Permit No. � CR1SfRUCfUN LENpNG AGENLY:I heleby�ffirm tlut tlrre u�canihuctian knd'pq WmcY for the D�lamarsa TOTAL FEES �Q�. � � Z ot�ha wak ta which Mis pdmn is nwed(Sec.7097,Cn.C.�. � �rnen's Name COMME ��+ r� �I � Z� ' � p=p lende�'t AdMess ' Q CEMIFICATE OF COMMIAfCE ANO AUTFAPoZATMN OF ENfRY:I catily 1 ha�a read d'a apptiu4m and suh � N thet Me»fv � qrven u corrett.I a�a t0 mmp/r wilh ill Sbte I+wS�nd nry ordiiuncef rWteq ta 6uddinp " y cm�tr � ard nn a r t ' DepvurcM d Build'uq�d S�My m mtm ipm the praperry , . � . � fa which I Iw`e � 11i � mu fw Me d mat" � tian. . � $qn�tve d Appicn�a Apmt p�d RECPT NO. •--�D� h PAID BY VALIDATION WHITE—Department Copy,YELLOW—Finance Copy,PINIh/\ssessor Copy,GOLDENROD—File Copy,OREEN—Applieants_Copy _ __ _ _ - – �„�.'r'�:--�'' .�--� �— . � • .,� _ . , �����" �` ���a� � � �:� , � : � . ����°'��;���'��`�� ��;����� .. �.h7��� ��'������ :s? 4�� .°'�' � --"C �:�. �.�" -�.��" � c , '�,.. :..� -g ._. . � ����'� ����.kl ��� � � � y t � °�°` � � i� ��, ��"'�� 3 �� � �.� �� ���,r �� � 4� � t r -� �; � �:� � . -a� ,���'".� $ a�_.�:a,���s n� �� �'�:� �' �... . � � i �r} : � _.__ _ ,� s . �r` 3 � � - } [^ � � y�rt C€7� 7 , .. . ..... ..._.._.�'_._.t_. 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