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Home My WebLink About1650� � " �" � " � � � . .. I . . � � � . 1c � r <�.1 CITY OF DIAMOND BAR PRESS � DEPARTMENT OF BUILDING AND SAFETY �4 BUILDING PERMIT FIRIlIILY JOBSITE APPUCATION PERMR USE � ADDRESS 2950 OHAN DATE • NUMBER CODE ISSUE h�/� `�/� TYPE OCC. � APN LOT TRACT DATE I U �! f L.J CONST. GROUP � CROSS STREET ZONING SETBACKS i .sr�o�►Ems °D OWNER MR. CHIN J IN JOR �� o ADDRESS REAR � W CITY D MOND BAR Z�P 9 7 5 �L. SIDE/SIDE STREET RW � I o APPLICF�NT BOB KELLER TEL. 594�,5100 SIDE � z Q CONTRACTOR PETERSON JONES o ADDRESS 3190 E. WILLOW ST. SEWAGE � p�gUC PMT# DISPOSAL � pRIVATE SQ.FT./100 GAL W CITY SIGNAL HILL Z�p 90806 TEL.�L�$�09 z STATE 5 28 710 GRADING O CU.YDS.EXC. CU YDS FILL y LIC.NUMBER y ARCH/ENG/ ,uj'TYPE`' SQ'FT.PACT�F�:�PS AIJJ� AR�A/VAL'l1ATiON . `� " DESIGNER W` � � ADDRESS �� 2 Z CITY ZIP TEL. �� 3 (:�s � PROPOSED USE Z`: 4 � � GARAGE o NO.DWEL. NO. NO. �` PORCH y UNITS STORIES BEDROOMS � LOT DIMENSIONS a�; VALUATION ADJ.AREA o NO. BLDGS HOW ; ;aunr��m .:DES. Rlt?'T'tON '�`°< �� . •;; W ON T 1 USED W �'. � �: LI NSED COMRACTOflS OECLARAT�ON:I herehy atfirm ihat I�m Gcenud wda D�'�s��s ot Ch�pter 9 Iconmenunp r ¢ wiih Section 7000)of Oivision 3 ot the Business and Pmfessions Code,and rtry limtt is in full fo¢e nW ettecL �r,�,-. 3 J' ❑ W: � r �± QrVNEfl�BUILDER DECLAflATION:I herehy�Ifirm ih�t I�m eamp�Irom th�Coniraztur's Litentt L�w fa�tl�e fdlowmp , Z reaeon�Sec. 1031.5.Businese�nd Professions Code:Any city or county which rryuira�perme ro tonstruct �O', o al�er,impmve,demalish,ar repair any nructwe,p�ior m ns issu+irce,dw requues tAe�ppliunt lor sah permit `•Y� � to file a siqned statement ihat he is licensed pmsu�m m tk prwisions of the Cmtrutur't Ledse law(Chapte � � � 9 Itommenting with Settion 1000�al Division 3 0�lhe Business and Profeisiom Lode�a Ih��he is emmpt tlurehom &�� ~� �' d and�he basis lar thc alleged eumpuon.Airy vid�tion al Sation 7031.5 hy�iry a{pliant Por i permil wbjecb ��. K �he applicam to�civil penahy ol nat morc ihan tive hwdred dolbrs(5500�.�: J-� �..� a:; � ❑I,as owner at the pmperty,or my employees with waqes�s their sok compenp�ion,will do IAe wnrk,ud � ~ ihe simcture is not intended m aflerM�lor s�le(Sec.7044,Bueiness and Professions Cadr.TM Caitneta's Licrose - � � Law daes not apply ta�n owner of pm0erty who huilds or improves themon,�nd who das sueh work himtell ��, W or through his avn emplayees,prwided th�t su[h improvements are not inkrded m oHered fm teM.If,however m the building or imprwemeni is sold within one yeer of tanpkiion,ik owrnr�huilder witl hwe Ne hivden ol prwury ��,; � tha�he did not Ouild or impmve for Ihe purpose ol uk.) � ;�:;_-��; H H ❑I,as awner ot the w ert,am eeclusive controctin wiN licensed cmuacMt to construct the �'�U� D P Y N Y prqat ISK. :-x;W;: 0 7044,Bu:iness�nd Prole:sions Code:Tk Contncmi s liunte liw dx�not�pply ro�n owotr of property whn �`�; � � � � z 6uilds or impmves fiereon,and who comncu fa such pmjects with�comixmrU)licrosed pwswnt m the Cmtrsro: 6 �1e""�a`"� ,_,:._'` CONSTRUCTION 0 W O�am�.�mp��eH sK. ,e.e v.c.innrn c��ir��.i ; PLAN REVIEW �- Jo�« ar�« �� EL�� C WOHKENS'COMPENSATIQ!DECLAR/+TIpJ:I herebr�ifirm tA��1 Mve i cer6finh of cmfmt to sdl�insve,o �� / � a ttnilicate of Workni Campensation Insurance,or�cnofied copy thaeof(Sec.9800,L�O.C.L Izl� -LUMBING � Q ❑Certified copy is herehy turni:hed 'V,` �;�; MECHANICAL G ❑Ceru6ed copy is filed with iht Bwldmg Inspec4on Depximent m o�u�� 4;GRADING • W = CEHTIfICATE OF EXEMPTION FROM VJORKEflS COMPENSA710N INSUAANCE:This aection nxd iro�he comple�ed `ISSUANCE � d ihe ermit is for one hundred 5100 a less I urid M�t m�he y D ( 1 Y perlormarce ol ihe waY la whch"tlus - permit is issued,I shall m�employ arry permn m any manro�so u to haame wbjxt In Ik Ntrtui Compensatmn r:z,�;"t� SMIP = Laws al Californi�. �; o W PARK FEE 0 od�� ^�''�"' L�:` SCHOOL FEES � NOTICE TO APRICANT:If,atter mekinp Mis Catificate of Eixmption,you:Inuld hecome subjat m tM NhFer s � � Compen:etion provisions ol the tehor Code yau 4must�forihwilh comply wib sieh qwiiont a thi�pnmil�h�l _ � � be damed revoted. �,:�-"� fi'� ��'! i,� J � qVISION OF INDUSfflIAL SAFET�Y PEflMIT CERTIFrATIOJ: s � � W a ❑I here6y cerlily thet no eKuwtion tive(5)a mue feet in depth in0o vrhi[h�person u reQuited Oo ducad y$xr�`. s will be mede in conrrcction with wwt wthorced by tltis pton�.pd Ihn m 6uildoq sVueLn.tuflotliip,talfwark g� . d m demoldion m dismantlinq,ihrqol.w�ill he�mon�tlun'��hcry-siy(3b)kq hiph.(CIUD.3.2.Gry 2.M 2.Sa '�� ,�; W' 741.Title 8.C.A.C.I� �� a�l'o�� .E..3.: _ �<. 3 ❑As owner�huilder,I will nm empby myone ro do work which would require�permit Iram IM Divuian ol - � � � � � InAisirial Sdety,as noted above,unkst such qrfan Iut�i�pvmit�Oo do iueh wdk Irom tlr diirisqn. .,e��.' � ,-- .0 W ❑a�=��my�s��n��m;�Ho . . �:-:�r�r TOTAL FEES I � • � d � CddSfflUCfON LENUIIiG AGENCY:'I hereby alfirm tlut Uere u�mnrtrisoon Im�q qency for IAe perlqm�n z of ihe work fa wh'ch tl�is pumit is iswed ISa.3091.Gv.C.�. � . � �m�r:w� COMMENTS m Lende�'s Address � . �� Q CEHTIFICATF OF COMPLIMCE ANU AInFqPo2Ai�1 OF ENTRY:I caclr I IuN md tlio�pptir��rd�ue� � . � - H that ihe inlam�tion piven i�carect.I pra to amply wiN�A sub I�ws md ciry o�d'mrca�6tip 1n hiiddinp ' y constructian.�M�uthor¢e�RpmxnLtiv�ol Me Deprtment ot Biddinp ad S�M�lo mYr�qm Ilr popwry . . = in which I hm ed for this pnmil lor Ihe p i�q impstipn. n ' H � — -� � , . � j tj „�� ,� ;��p�� r � RECPT NO. • ' PAID BY ` � VALJDATION WHITE—DepaAment Copy,YELLOW—Finance Copy,PINIhA9sessor Copy,GOLDENROD—File Copy,GREEN—ApplicaMs Copy BS106-11/09 . .. . .... . . { ,a . �� • p � ., � i a � � � a � .. � y � � a srr aac�c � � `�=�oo��o�sTs �-- _.............................................._._ _ _..._.._....................................----_ _...�..._.......................__ __..........................................._._ _............... � FTGS%FCaf?MS.'ST�E1_ FtiA REC}FAl'S :_—_._...............................................-- � ._..�.......:..................................._._. _.._.�......................................�... ......................................,.......-- ---..._........................... ; �L�C�i�l�IG�RC�UN[} ; UNC?E"R �L.�3CJR d€3CT ;._____�_............................................_......____ —_...._..................................___-_ _�.._�....................................._. _._..............................._._..-�- --.._...................................._- �'l1fllJNC7 Pl..l.)M�iftJG UND�R Fl.(�C)f�G�}N[?UIT _................. . __.,__.._......_............_;........................._..._.. _�_............................................_._ ..__..............................._...._.___._ __._...................................._.-- :�_._.......................... . . . .. _._.__ ` SL.A[3 C:;RA�� ; ; �IREF�t�ACE FQIINC}A1"iC?A! , i ; ........................_..................�..______ ,.�.,.._.__................................_.._._.._ __...................._...............__. _..._............................................__.� TE�MP PCJV�i�R � ;�iREPLACE BCtNC7 �3E�AFJI ; _ -----......................................,.._.......__ .�__....�.............................._T-____ A _._..............................................�..,..______�_______._............................................ _..; b'VATEF�SEF?VlGE ;`MIL?NT. 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