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HomeMy WebLinkAbout1652 � � �__._ CITY OF DIAMOND BAR � �. ��'" � DEPARTMENT OF BUILDING AND SAFETY PRESS + "' BUILDING PERMIT FIRMLY JOBSITE APPUCATION PERMR USE ADDRESS 20917 PASCO CT. DATE NUMBER CODE ISSUE / /� TYpE ' pCC. � APN LOT , TRACT DATE C�� � ( J CONST. GROUP � CROSS STREET � MR. HARPER ZONING SETBACKS ��tts �° OWNER FRONT Ryy Q � ADDRESS 20917 PASCO CT. REAR Q i W CITY DIAMOND BAR Z�p��9� 1765��-T � SIDE/SIDE STREET �W ❑ g APPLICANT M-I1��T �17 ELYAU��.594-5100 SIDE � z a CONTRACTOR PETERSON JONES ' o ADDRESS 3190 E. WILLOW SEWAGE � PUBLIC PMT� DISPOSAL � PRIVATE SQ.FT./100 GAL W CITY SIGtTAL HILL ZiP AfIR�F, TEL. 2/9Rfi-� = STATE 528710 y LIC.NUMBER GRADING � CU.YDS.EXC. CU YDS FILL y ARCHiENGi =�jj T=1(PE: SQ FT -FACTDR-PS :ADJ.-�AREANALUATION ,. .�:� tl � DESIGNER W 1 o ADDRESS W �I � 2 Z CITY ZIP TEL. Vr; g i o PROPOSED USE Z' 4 . " � GARAGE o NO.DWEL. NO. NO. j:', pORCH y UNITS STORIES BEDROOMS � LOT DIMENSIONS m: VALUATION ADJ.AREA o NO.OF BLDGS HOW QUANTI7'Y `QES(✓Fj1P'T'�O(V :; F�� W ON LOT 1 USED „Q .¢++ €CU; . s -(L ~ L CENSEO CONTflACTORS OECLAflATION:I herehy aHirm ihat I am licensed under pmvisions ol Chapter 9(rommennnp � with Section 7000�of Divisian 3 of the Business and Pmfessions Code,and my leeme is in full force and effat ;�;� 3 � -�; W LL OWNEH�BUILOER DECLARAT�ON:I hereby atlirm that�am exempi imm the Contraztm's Licentt Law for the fdlowmp �. � Z reasan(Sec.7031.5, Business and Pmfessians Code:Any city or county which�equiru�permit to construct, ��}' � O alter,impmve,demolish,or repair airy slructure,prior to its issuance,also requims Ihe appliant for such permit �.,.��� Q �o lile�signed starement ihat he is licensed pursuam to the prwisions ol the Conn�cmr's license Law(Ch�pter ;;;�;; ' � � 9�commencinq wi�h Sectian 7000)of Oivisian 3 of the Business and Pmfessions Codel or that he is exempt Merefmm ;�,_;;gt , � a and the basis br the alleged eaemption.Any violation ol Sation 7p31.5 by any�pplicant Por a permit su6rocts �,; K ihe applicant Io a civil penalty ol noi more ihan five hundred dollars�f500�.��. �.,.1� �' "' a; I � � ❑I,as owner ol Ihe propeny,or my employees with wapes as theii sole compensation,will do Ihe wnrt,and � � the strucmre is not intended ar offered for sale(Sec.7044,Business and Pmfessions Cade:The Cmtnctor's License �Q�. I W Law does wt apply to an owner of property who 6uilds or improvee ihereon,and who das such wmk himxll (�_ or Ihmugh his awn employees,pmvided that such impmvements ue not intended or offercd for sak.If,however, ,,,..�"�, � �, � m the building or impmvemem is sald within one year ol completian,the ownerhuilder will hrve the hurden of provmp Q� y Ihat he did nm build or impmve lor the purpose of sale.� =i . h ❑I,as owner of the pmperty,am eMolusively camroctiny with licensed ronhumrs to conrtmct ihe project(Sec ;�W; ' �� � 7044,8usinees and Pmfessions Code:The Contnctor's License l�w does nat apply ro an owner ol property wha •�". . I . 6 huilds ar impmves thereoq and who comracts for such projects with a contrutar��)licrosed pursuant to the Conir�ctor's Licrose law.l R CONSTRUCTION � � 0 �u' ❑�am exem t uneer Sec, 1 PLAN REVIEW P ,B.6 P.C.IAttxh Certifinte I o Oate ��« -:. ELECTRIC � � � NORKERS'COMPENSATION DECIAflATION:I herehy aHirm that I h�ve�urtificate of consem m self�insure a � c a certificate ol Ntrkeri Compen:ation Insurarce,or a cntitied copv thereof ISec 3800,lab.GI. •- �< PLUMBING Q ❑Certified capy is here6y turnished �;J; M AN�L+AL I o ❑Certified copy is tiled with tAe Building Inspection Oeputmem or Depertmem. �Q- GRADING W Z CERTIFICATE OF EREMPTION FpOM 1YOqKEflS'COMPENSAl10N,INSURANL4'�Thit uctian need not he compktN � ISSUANCE � if ihe ermit is lur one hundred 15100 or less.I certif ihatNin�ihe � y P I Yl. perlarma¢e ol the work loi which�ihis ' � permit is issued,I shall rot employ any person in any mannerlso'as to become;sutljat to the Nbrkms'c�a����� •: gMIP = Lawt of Califomia. y db' � W PARK FEE p Oate Appliant JNOTICE TO APPLICANT:N,aher m�king this Certilicate ol Emnpuon you stauld?6etame:ubject ro the Worker a u=.SCHOOL FEES Compensation pmvisions at ihe Lahor Code,you mun�'aihwiM.comply with�iu`c6yp"�mi�ions or this perm�shNl � be deemed revoked. d„j��le U J .. � qVI5I0N OF INOUSfflIAL SAFETY PEflM1T CEflTIFICAiION: . W ' � ' �,�.s. i , ',C�,'', � o ❑I hereby�certAy ih�t no ercawtion five(51.or�.more teet�ii�depih into which�persm�q«puired ro deumd � � will be made in connenion with work authaved by�thu permA,end,th�t�p 6uildinp stmcture;.s�afbldinp,f�luwork. or demolition or dismantlirq�hereof,will 6e�more than Mirry-ii.;1361•fxrfiipli'�Chap.3.2.Gry 2,An 2,Sec Z� 341.Title 8.C.A.C.I. � . ..- • ' . W 2 V ' 3 �As ownerhuilder,I will nm empby anyone to do work wh¢h wwM reyuira�permit Irom Ihe Diruion af � F— Industriat S�lety,as noted above,unless such penan lus a permit to do 3uch ao�k from ihe dirision. � � "-� W ❑Urisim al Indusirial Safery hrmit No TOTAL FEES � � , d � CONSTHUCfION LENO�NG AGENCY.I hereby�fhrm bat then is�wnstruttwn kndinp percy tw the perloimrKs � Z ot ihe work la wh¢A this permn is issued(Sec.3097,Civ.C.1. = lender's N�me COMMENTS pp Lender's Address � Q. CEHTIFICATE OF COMPLINCE ANO AUfIqRIZATpV OF ENTRY:I catiFy I luv�nad thit appliufian rd n�b (n Mat the infamation giwn is cnrecl.I�pree to mmply wrth�II suh I�ws md ciry ordiiunc�s rNn'vp to birildinp ' � I y constructian,an thorue�«pRsentative ol the Oepvtment d BuiNinq md S�kry m mtri ipon the popeny = tw which 1 pl¢d for Mis per � lar the kinp inspectqns. ' � �.. . . � .. ... ,,,,,,� /�� �` �� RECPT NO. v� PAID BY VALIDATION � ' Sq �Wd[snt or Apent Wh WHITE—Department Copy,VELLOW—Finance Copy,PINK—Assessor Copy,GOIDENROD—File Copy,GREEN—Applicants Copy ` , ,.. � - , .� .. . ' . . ^ . ' ' .�.'s' . . - . � .p . . •,7.i: ;�•,k:hvl' :��:, !F -;>;5•...., .n� , �.. .P1�il?-... �';,'. C4 � :b. 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