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HomeMy WebLinkAbout1265 _T�_.--=_.-----.�__________. .�_�_.�___._..^_�.�.___....__._ .. . , _ .. ... . .. - . �.� ... �"� , CITY OF DIAMOND BAR �"" � DEPARTMENT OF.BUILDING AND SAFETY PRESS . '" BUILDING PERMIT FIRMLY JOBSITE APPLICATION PERMfT USE ADDRESS 20920 PASCO CT. i��EE NUMBER CODE }� � 1 TYPE OCC. � APN LOT_.,_TRACT DATE � �CONST. GROUP I o CROSS STREET SETBACKS ' ..i+a�►Errrs �-° OWNER MR. FRAZIER ZONING �ONT qyy 0 � ADDRESS 20920 PASCO CT. R� ,O = CITY DIAMOND BAR �p 91765 �� SIDE/SIDE STREET qyy Q . ? APPLICANT ��F���I-I�ge 1 A�-TEL. 594-5100 SIDE � a CONTRACTOR _ PETERSON JONFS SEWAGE � PUBLIC PMT� o ADDRESS 31 9� F_ WTT.T.�W DISPOSAL W CITY �TrNAT uTT T. ZIP 9(1R�h TEL.�/9f3fi—(ln 0 PRNATE SO.FT./100 GAL i z STATE 528710 � y LIC.NUMBER GRADING 0 CU.YDS.EXG CU YDS FILL ', y ARCH/ENG/ uj ;TYPEi SQ FT FAC:TQR:PS . :ADJ,'AREAIVALUATION Y . ' " DESIGNER W: t ' o ADDRESS �;; 2 = CITY ZIP TEL. � 3 o PROPOSED USE Q' 4 " ,� GARAGE o NO.DWEL. NO. NO. �' pORCH y UNITS STORIES BEDROOMS s LOT DIMENSIONS m> VALUATION ADJ.AREA o NO.OF BLDGS HOW ' QurwrEnr..QESCRIPTlON . : ;FEE , :° `�s ,,.;; � W ON OT 1 USED � ,.,V; W S � ~ L ENSED CONTflALTORS OECLAflATION�t here6y alfirm th�t I�m licrosed wda pmvitiom of Ch�ptsr 9 Icummenn�q r ¢ wi�h Sec6on 70001�����ision 3 0�the Business�nd Profeuions Coda�nd my license is in full force�nd effect ;';W;: � 3 � J, W= � QJ✓NER�BUIlOEH OECLAflATqN:I hereby atfirm Nat I am eampt f�om Me Cantncto�'�Licens�Law Por tl�e fdbwinq . � Z mson(Sec. 7031.5.8winoe and Pmlesvans Cade:Any ciry or counry which requira�ptrmrt m ronstrmt �� o alter,impmve,demolish,a rep�ir airy strucNre,prinr to i[t iswance,alw reQuues tAt�pqlium fm nch permn Z: ¢ m file a signed statement ihat he is licensed purwant m�he prwisions ol Me Cantr�cmr'a Liteme law(Ch�ptv :.-;°�m;; . �1 � 9 Icammencing with Satian 7000)ol Uvision 3 at the&uiness and Profea�iom Codel a that h�i�ecmpt Ihereham ;:;:�; U a and tAe 6asis for the alleged eumDOon.Airy vid�tiun af Sceuon 1031.5 hy arry applicam ki�pemie wUjecu ;i:;�:: ' � � � . W the aDP��cam to a civil penahy nf mt more Nm fiu�huMred dollus(55001.1:. . � .., i:-�-F! ❑I,as awner ol tAe r rt m � �a� � � P ape Y. mY employen witA w�ges u thei�sde compenntion,will do the work,and � �he strucmre is not intended ar offered tp yle�Sec.1004,&uiness and Prokssbm Code:Th�Cmtnctor's License Q-�. V Law does rot apply ro an owner of property who huilds or imprwa Merem.��who das such work himsel� ,(�� � =W a through his awn employees,prwidN that sucA imprwements ut nm imeridM a oflered for t�4.If,hpvever, ` IAe Guilding or imprwemmt is soW within one yex ol canDktim.the awnerhuilder wili haw tlie Maden al povirq ���a:' y �h�t Ae did not OuiW a imprwe tar the purpose af sale.) �„_; � y ❑I.as owner of the pmperty.�m eic4uiveh mntractiny wit�liceroed cmmcta:to mnrtruct IM project(Sec ,u`, 0 7044,Business aM Professions Cade:Tlie Comrxtar's license lrv does nm�pply to an ownn af property who _.:�., . 6 huilds ar imprwes themw.�nd who coniracu lor ach pmjects with�cantrxmr�s)IicmeN piosuant ro the Cmtruror's 0 �"°°:``�"'� _>'::CONSTRUCTION Q ❑�am«^o��^�n s�. ,e.6 v.c.iA�n cHur�.�.i ;=. PLAN REVIEW � Di1e °wine ELECTRIC � � NUHKERS'COMPENSATION OECLAqATIQI:I hneb�affirm t�at I hm�urufiens of crosmt ro xll�insve u ,; B'NG . � a certificate of Nbrkae'Compenatim Insmance,a�catified copy thereol�Sec.3800,lsb.C.�. c���- c z ❑c«��e�a�o��:n�«n�i�,��m�e. `� HANICAL Q :J' C ❑Certified copy is filed wilh Me Building Inspection Oepytment w Depxtmem Q: GRADING W Z CEHTIFICATE OF EXEMPTION FROM WOpNEflS"COMPENSATION IN$UflAI$:This tecuon need not M compkrcd � ISSUANCE � il the permit is for one hundred�f100�a les�.I aroly tha�in;he cq performance ol Ne wak fp whch"this � permit is issue0.I sAall mt emplo�ury person in�iry m�nrcr so as to become subjxt�o tlr IWrkai c�,,.��.��, •-•: SMIP . . = Uws of Calilani�. � W;, PARK FEE p Oaie Apyli(mt � NOTICE TO APPLICANT:tl,�fter meking tl�is Cndfk��e ol Ea,np4on,yau sho�dE hecome suhja�ro�he Ntrter s �-:�SCHOOL FEES � Cmmpema6on prwisions el the Lahor Code.rou must forthwi�h co with such � he damed revoked. "�' prwi�ions ar ihit perme shyl � �. .. W qYIS1UJ OF IHWSTRIAL SAFETY PERMIT C�R7IF�'A11j)N' 9 7..�'� � . � � 0. ❑I he�e0y certily th�t no awv�tpn fnn��)w mue fM in depth inro which�pusm n npuired to dnceM � will 6e m�de in cmnectian with work authnced 6y Ihu pertnR.�nd that�p WiWinp ttrutun.snffoldinp.�yHwork. . . w demolition or dismantlirq Ihermf,will he mu�than thirry��';-� ee1 hiqh.(qup.3.2.Gry 2,An 2,Sec W aai.r�n�e.c.a.c.l. :;',? � 7 f:!�� . x . � 3 ❑As owne-buiWer,I wiA nm empby aryene to do work which would requin�pamit hom Ihe Llvifim A � Industrial Silety,as nated�6ove,wkss such person h�s�pvmit to do mch wak Irom�tM divuion. Te . .�. �.` -.:��.:� �.I: W ❑prision ol Industrial S�lery I�ime Ho� '� � ✓�- � -�� ' TOTAL FEES � d � CONSTRIICfqN LENOING AGENLY:�I�herlhy��Nirm,tlW UeRq Y�aiutrapm ymkp apmc�}p tlr perfo�mr� Z af th work la whch this permn'iriifud"�See.3097,Cir.L.1. 0 � lmder's Name m ���,e�r3 aea��u " COMMENTS 6 CERTIFI'J1TE Of COMPLINCE ANO AUTFOMZpT(►1 QF EHTflY:I cvtify 1 luv�nad tlws epp4utipn ad roa ti thn Me�nfamatian given is cartn.I�gn to mmply wim�II stau lawf and eiry ard'wnce rd�tip to huiNinq 1 . y constructan.and� har've�representative ol the ppart�nt BuiNinp ad$dety m mter iqon tht poperry = t«wnicn�n. �ea ror mi:permil the � ;,,q�po„z . . � � . _ � • niiue cmt or nqem p� RECPT NO. �u' � PAID BY � VAUDATION � WHITE—Oepartment Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOIDENROD—File Copy,GREEN—ApplieanU Copy ��r:.-r,:�-ar.:�-�7.'%^:'x.�f,F�^.T*,��'r9:f•-�rr:,.:"F'�.o�,?..,,'�---.:��'^"�'...`+-a-;^..,e-�+.�!?is^�'!�R'9�. -m••a,rv.y vr . .. ` � �...-'�'�'�'�„ -a�� . - . ���. � .,. - . _ . rms^.rm• ... ...:'�.b _ ;�v[,T..=`�'T^�]^d7^-':;. .n;".,;.;�,Anst}-��: ����;:��;���� � :�� �"; � ,.r «; 4 -' .Yn'.�7 . . . � . 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