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HomeMy WebLinkAbout1574 '"� CITY OF DIAMOND BAR �-�' ' DEPARTME BUItD NG PEIRMITND SAFETY F jRMLY JOBSITE /�, /�, APPUCAT�N .. O PERMIT S SE ADDRESS �''@ �/ '� SSTUE p�n TYPE ER�CODE � APN LOT�L_TRACT3�F/ DATE '-�4 `7CJ CONST. GROUP a CROSS STREET �+� �✓' � SETBACKS ���� = �INNER G F�- ZONING �O� � ❑ � ADDRESS v G a�- REAR ❑ � CITY ZIP TEL SIDE/SIDE STREET FiVy ❑ � APPLICANT l� «; r�•- 'T'El7 3�/" SIDE ❑T_ � CONTRACTOR � ' � SEWAGE ❑ pUg� p�# d ADDRESS DISPOSAL ❑ pRIVATE SC?.FT./100 GAL ,� CITY � ZIP go7J� TE�7�)�'�-27 ;e STATE y LJC.NUMBER �o�FT�S F� C�- `�Z- GRADING ❑CU.YDS.EXC. CU YDS FILL � N ARCH/ENG/ � TYPE SQ FT FAGTOR PS ADJ. AREANALUATION � OESIGNER W � o HDDRESS � �w,,, 2 � CITY ZIP TEL. („�r 3 � Z 4 � PROPOSED USE � "�,,,,� GARAGE � NO.DWEL. NO. NO. � PpRCH r„ UNITS � STORIES BEDROOMS � LOT DIMENSIONS � VALUATION ADJ.AREA o NO.OF BLDGS HOw ouaiurrry;DESCRIPFlON FEE � ON LOT � USED ' � � � � tILENSED CONTRACTORS OELIARATqN�I hen0y tlf'rm hn I�m IienseA uMn provivan�of CMgur 8 kanmmcnq � x owth Secnon 70001 a1 Oivnwn 3 0l the Business and Protesawns Code,�nd uy license is n IWI Iace md�flect � ❑ W �?- OWNEH�BUILUEH DECIAIIATIDN�I herehy dhrm du�I�m anmpt hem�M Comrxtor's lcNue Law for tlie lolbwiny � mason�&c 70�I5,8usiness�M Pralesfwns Code Any cey p couMy which rpwni�qrm�q contlruct, � /� ahe� improve,demWsh,p npart�rry nructure,qior n its qwan[e,Nao rpui�e tln qqlk�n�b�wcA pernil � ro hle a 7gned aUlement ihat�e is licensed pxWan[to tAe prwisions ot Ihe Canh�[ta'1�inn�e liw�Chapler m � 9 kommenung with Secuon 7000)�1��:im 3 M the Busiiwa and Profaaront Cadel d 1�+t M u eemp�tlurdram � end Me bess 1ar the allsged e�emptan Airy videtian d$ation 7D915 by pry apkant fa�prrmi siApc�� � � the�ppl¢an1 io��ml panalty of mt rwn ban fiVe hund�eC dallere(35001.) a W � ❑I.ae ownr of the papertY.a my emplayees wnh wapes n Meu�ole compenuuon.wJl do tl�e woM1,wd Mie struc�ure�n noi m�ended a aNereA ta wk�Sec 7044,BuHness and Pidessions CaCa:TM Cnnnactor's liemee � �,~j Law does mt apply 10 sn owner of Dmperty wlq builds or xnprwes tlinem,and wM10 das luch worY hmsNt � or tlxaup���s Pxn emplayees.pronded IAet Euc�mp'ovements ue not inknded Or OIMM Foi f�k.IF.Iqwrvn. Z � �he buddinp a�mprwemenl is wN with�n one yer ol canpknm.the owner�6wbn Mvtl�we tM burden ol pwmp � � tha�he did no�hwld m imprave for Me pwpos�of sak.l � ❑I.aa awner ol the piopertY.�a�tluarvely eantnctu�y witA I¢emM eenuxlors b wntruel Ilr poNc1(Sx � 7044.Business end Prafesaons Code�,Tk ContrxWr's Liunse taw dou no1 iqdM m an owner ot propany wlq � budtls or�mproves Meieon.�M wM cmtro[u fa ueh poKels wiM�eentractor��l liunied pur�wnl b IM Contrstu'a L¢ense Law.l CONSTRUCTION O � ❑1 am eumo�undn Sec ,8.fi P.C.IAtteh firMa�nl PLAN REVIEW � °ae °"""" ELECTRIC � N9flKER5'COMPENSATpN UECIARATION I IMieEy rtfirm�Mt 1�we�cu6&pe al tmtmt�0 7NFnave,0� a cernhute ol NMknf Conpenaatm msunnte,n�ar�ilied mpy thned ISec 3800,l�b C I. PLUMBING O p ' � ��aKa roov+:n.��iWM:n.a J MECHANICAL o ❑rendbe copy i:hka wnn tn.9u�enp�mpacuon o.yanmam a o�p.e�.m Q GRADINC3 � CERTIiICATE OF ENEMPTION FROM WORNEqS'COMPENSA710N WSIRANC£.Thia srcfio�need noi be cw�pleted SUANC � y A q�e permn is bi ane AunAied�i100)p Msa I farofy IMI n Me perlxmnce ol 1M�mY 10l wAch Mrs � � permit u omed.I shall rot emplor�ny perwn in rrv mmner a�u n heco�e �m Mr r4e:Compenveion SMIP = l�ws ol Caldomu ff/�I� �� � �a .,;-,,� PARK FEE o O�n - �L! � �uncE�NT M,Nt�r m�kinp Ihi�ar�.�f�,�i,�;' ,n,,,��,,,,, n„w,�,.,�. �+- SCHOOL FEES y� Mpenwuon prov�sim�of dr l�ha Code.1O0 mu5t MMwllh`twrply wMi ash qmiwns a IM�pmmn�hsA � �demrzd rewkM 1 GVISIAJ OF RJWSfRiAL SAFE7Y PERM FCA 9 �a ❑I Ame�Y cendY tlu�m nwauon��w�e Rdt ie����whch�pe�sm a rpwrtl to Mscrd. � Mnll 6e mede m comroaan anth woA wtlwr¢ed M Mw oerme.xd tla��o Yuiduy suucturo.tcMbldin4 iMaework. a demaknon a dismaiKnp tlmeol.wd he imre pwn M'ery-si�138)be[�ipli ry7u0 lt.6ry 2.M 1.Sec W 341.Llk 8.CA.C.I _ ,. . _. . . . S- ..! . -�" �_-}. .: , ' '. i,� 3C ❑k owne�-w�ae�.�wd me�)■a�er+�mn�am�.wa�Maidr ww�u np�w.��r�n�ron ne uw�ion r {— IMustrWl S�kry.y rotrd�bort.-dnkn fuEh pnon Irs�'emw to�0 fu�h Murt fiom W iui�pn. d � ❑°'",�d"�'""��.k""`m„"°. TOTAL FEES LONSfRUCf10N lfI1aNG AGENCf.I MnhY aifi�m!ut tlm it t mn�Cruetion Ynd+q qentM kr Ihe�rbim�np � of th wqk lor wAch f�rs oermt s iuud(Sec.309T.Gr.G.1. . �± tw�e"N'm° COMMENTS p�j lender'i Atldreu �� f5 � V �� ` CEHTIfIfATE OF COMPLIMLE M�AUTNOWIATQI�ENTIIY.I aroN 1 Iw�md IA's�ppfralion rd Me Vl Ihet Ihe�Monna6on pium s wrM.I�pee Io aeiqly widi al shte lµf�nd dry sliiuneei nYhiy b hiitliro - 1 y cawrucfm.�nd�u�hnue�npnanuura d iM DMvuem d BuiWi�q wM&hry Y ra�r Ypan fN popnry � hr wh¢h I pplyd M imit lor He nnkinp iupcean. � � � /�ti /O RECPT NO. ���-'� PAID 6Y �U v�V14UDATION HITE—Oepartment Copy,Y —Finance Copy,PINK—Aasessor Copy,C,OI.DENR00—File Copy,(3REEN—ApplkaMs Copy BS106-11/89 l ... _ _ . , . .. . .. , '4... 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