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� � � '�'` CITY OF DIAMOND BAR � PRESS '-" ' DEPARTMENT OF BUILDING AND SAFETY �. BUI�nING P�RMR FIRMLY �, JOBSITE APPLJCAl10N PERMIT USE ADDRESS 20909 PASCO CT. DATE / NUMBER CODE �SS�E l� �1 NPE OCC. � 6 APN LOT r_TRACT DATE CONST. GROUP � CROSS STREET SETBACKS '�"`"E'E"'g I �° OWNER MR HURSMAN ZONING ��� � � � 20909 ----- PASCO CT. REqR � � ADDRESS_ W CITY DIAMOND BAR �P 917 �� SIDE/SIDE STREET RW O o APPUCANT�' r - ' TEL 5� SIDE 0 0 z a CONTRACTOR PETERSON J NES � SEWAGE � PUBLIC PMT* o ADDRESS 3190 E. WILLOW DISPOSAL � pRNATE S�.FT./100 GAL W CITY SIGNAL HILL ZIp 90806 TEL.2 988-00 = STATE 2g710 .., � GRADING C� CU.YDS.EXC. CU YDS FILL y LIC.NUMBE , y ARCH/ENG/ �."TYPE, SQ:°FT �FACTDR`PS . . .AD;1:AREANALUAT,ION . _.;-�r � DESIGNER `W � •t � ADDRESS 'LL` 2 o >, , . ' Z CITY .' ZIP TEL. (r}f 3 .., . � Z 4 o PROPOSED USE � � • • �' GARAGE ' = NO.DWEL. NO. NO. �' �R� ', u, UNITS STORIES BEDROOMS m, � LOT DIMENSIONS ;. ;; VALUATION ADJ.AREA yJ � .3...x::` i' � Z NO.OF BLDGS 1 HOW � : QUANTrn '-DESCRIPTION°;";- FEE . �;' ` . W O OT USED FQ `�u :U x �"' LICENSEU COMft0.CTOkS DECLARATION�.I hereCy alfi�m that 1 am licmcad u+dn pmvisims of Guptm 9 Icommn+c n9 y-,�':. � wnh Section 7000�ot Oivuion 3�01 Me Business end Professio��Cade.and my Ikm�e is in tu9 loice an0 eHxt ._,W.. � � . . . ��:W_, � � � � Q.NNER�BUILDER OECLAflATqN:I heretry alfirm�hat 1 am uempi Imm�he Cantracmi's l¢eme Law foi the Idlowing �•�, = meson I�c.7031.5,Business and Praleseiane Code;Any chy ar caunty whi[h rcyuires�permil to construct :�O�` O alter,imD��'e,demdish,01 repair airy structue,Drior to its iswence,�so reyueei tlx applicant la sich permit .:�:�"Z�;��� 1= io lik a vpned seatement�hat he is Gcensed pueuant�o the prwitions of the Connectw'�liceme taw IG+epta .�(p':�. - � 9 Icwnmencinq with Seqion 7000)ol Divisiun 3 0l the&uiness and Prolauaro CaM)a�w�he it��empt Maefrom ,;��.g�. � • d end tlie 6asis tar Ihe alkged ezemption.Any vidation ol Section 7031.5 hY airy�pplicent for�permil wbpcu •;��, . � W ihe appl¢em to a civil penahy al not mo�e 7hen five huMred dolkrs�5500�.1: , ;i;a3 � � .. � ❑1.es owner ol the p�apertY.d m9 emplo/ees with weqes u tM�u sde compnuauon.will do the rvoik,end .�'.. � the struc�ure is not in�mded or otlered fu sab ISec.7044.Busirrcss eM Professians Cade:The Cantnctor's LKense ,:a. . �,~j lew does rot aODty�a an owner ol property who builds or Imprwes thaam,arid wAo does such wak himsell sUs � W ar`hrough his own employees,prwided ifiei naA imprwemmu aie nm intended a o��emd Por seb.�I,havever. ��:Z' . m ihe Wilding a imprwemen�it wld withm one year of tompletion.the owner�buiNei will he�e the Gvden ol yovinp t�.Q•' . = thai he did nm WiIA or Impove far fhe purpose ol eak.) � :=i H V1 ❑I,es owkr ot Ihe prapert am eaMnrve [antrett a��� - Y. M wh/witA licensed cmvactwe to conslruct Me project(Sec ;,uJ�; � . 0 7044.Business aM Professians CoOe:The Canuumr's licenee law Aaa nm�pp1y ta�n ownsr of property who �j�,+��'. . _ � huilds or impioves therem,and who camrxu la wch propcu wiM�contr�cmr�s�licrosed punuent ro the Cmtrutor s � ���°^�uw� �;�'�' CONSTRUCTION � ❑I am eismpt uMe Sec. ,8.6 P.C.IAnsh Ceiaficatel '� �'�`. PLqN REVIEW p Oate � � ELEC : . s�e NAHNERS'COMPENSATIfY-!DECLAIiATIUI:I Ime�;allirm tlui I have�ura(a�u ol cm�ent ta seN�insue a f;��^�� � . � a ceitificate ol Ntrkns'Compensatian�nsuance,or a cerMied copy thereof ISec.3800.Le6.C.I. �� LUMBING . � ' �' ME ICAL Z ❑Catifiea coDY is hereW IunisMd. c :�:J o ❑c�er�a�ocr�s.��ka w�n�n�a�aa�m:��oev+�m��,i a oW,�m�.�i Qs GRADING� . - •'-� • - W � � � CEflTIF�CATE OF E%EMPTION FROM WOHKEfl$'COMPENSATION IN$UpANCE:This fettion nGd rot 6e cmWkttd ISSUANCE ` � ♦ �� y il �Ire peimit is Iw one hundred�5100)a kss.I cerlily�hat in tAe pe�famence af �he work la wMcA tha �'�� permn is issued,I shdl mt emqoy ary permn in eiry mmror so ae to hecome wbject to ihe Workeri Campensauon -r'� SM�P � � �" L'aws ot Cal�dmnia ++ �.��� o Ueie � . r " p�i�?�4�'J ' - , 'u,Wj; PARK FEE; -, . . ,n 4 W NOTICE 10 APALICAM:N,aher making�hi�Ciitilicaie of EmmDtion,you shaidd be�ome eitject ro the Mbrkns U,=: SCHOOL FEES � Cqnpenvtlon prwisions ol the LeEar Code.you musl fatlnvilh ca�ly with sucA pwitotn a Mu peimM1 ihap ;gr,i�a.: . . � . . . . � he deemed revoked. ,.�,H�PL i;..:}. .. J . s:�. _ � .. pC qV19QJ OF INUISfi41AL SAFETY PEHMR CERTFU1i1Q1� Vd ���� `� � y es � . F � . � ❑I here6y�certdy.M�t no mcevation�p51�a�inort ipt in.depth inW wlich�p�rson�q repuired W detcerd ��-.. x wiA Ee me0e in connectian witA worY wlhnved bY ihis Derm�:'��-tlut m Wil6np�Uucun.ttalloldn0.lyr�wwk .;��.� . . �- w demohion a dismmtFrp thereol.will he mae tlun tArry-�u(�1 het.hqh.�Qiay.'3.2.Gry 2.An 2 Sec rj.r,< z �a,.ru�e.cac,�. „ 4 , ..' _v r; . = C1T S �`,� �`�•�`_-� ' ' �z ' 3 ❑0.s owne�-buildn�.I wiU not ert9�?YS�"Yane.to,do jwork•whch would�eq�we�D�mt han tla�vum d r— i�,:v�u se�e�y,as mad enove,�wi wcn annn nas.v�ro eo wcn�a►hom me a�vi,an. � . ,yu�';���� . W ❑Mision ot Inhisnial Sdery Permit No. • TOTAL FEES � •� � C(rISTRUCTUN LENOING AGENCf:I henW rtlirm INl tl��u a comtructim Mde�O�Y��P��s � = ol Ihe work lu which Ihis perm�is itwed(�.3091,CN.C.�. � � � i�^^«s�^� GOMMENTS m �tt1AlI�5 AEAR55 ' '� fFflTIFILATE Of C(MIPLIAItE AND AUTNORIZATOV OF EHTAY:I arfily 1 have rtad tlis epp6uum rd sim . V� tha�Me uilmretqn piven q cnrM.I pree to cortdy wah W sted lawt aM eitY ordiuncn iWtoq ro WNi^0 � ,, y corntrunion. auMoi've�reprwenum�e ol Me Deprtment d Bu10inY rd S+h1Y ro mte ipm Ih poperry - � fu which I applied lor fhis rmil for t m d makinp inspee0au. � /����« RECPT NO.__.�L��L PAID BY ` ��--�� VALIDATION . Sg toe a Apmt � . . . . WHITE—Department Copy,YELLOW—Finance Copy, PINK—Avsessor Copy,(30LDENROD—File Copy,GREEN—Applicenta Copy ���'��� �' -���,��� ��- �; ��. ������������ ������ ,��" ����`� 's`z '��'�"�� � `"`� ,L'�� , '�" � c� � � � , s :�< � 3 ���� ��d����'"���'S � - �� � � � �� '� S�� �' t '""'�� � �� ��:� ��� � '� "� ��� �g " � t�. ���1,�«;._��.s$�.s � � ����a���� "ft� ._ .�'� ,� - ����� � ,�a� �• =;7 , „ � : _ .�. , �, r i { r� .( i ( « � ' f�i..�✓+r..f)'!.I\.�IJ��i � � .... ,_, . .. _ ........_. ._......... ..._.__,_ -.._,... .__. ......_... ... ............ ... .._.....__.__ ... ......_.. _ ...... ........_ ..'.� ....._...... .. . _..�.�.................. . (' ..... . � ._......_ � � \.-✓..."F � .;���':" E..�z... � -� j p-i�!� g�,�[ yy . , .. ._.._ ..___._tv.�.�.. ' � �I 4 ri�it .(�ri��3 ...... . .. __.. ; . (. 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