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Home My WebLink About1070Q9 to"", CITY OF DIAMOND BAR PRESS DEPARTMENT OF BUILDING AND SAFETY FIRMLY .: BUILDING PERMIT JOBSITE r„ ADDRESS APPLICATION PERMIT )02'C) —' USE DATE ---�7 TYPE ER CODE DATE / ` 0 CONST GROUP APN LOT TRACT CROSS STREET ti OWNER ZONING SETBACKS MVFKM?XMM FRONT RW ADDRESS Gam' REAR ❑ IP CITY • EL. SIDE/SIDE STREET RW ❑ APPLICANT TEL. SIDE ❑ CONTRACTOR 0 ADDR S-' '� CITY 14 �l M 71P "T Ob E ❑ PUBLIC PMT A SPOSAL ❑ PRNATE SO. FT./ 100 GAL c� GRADING ❑ CU. YDS EXC. CU YDS FILL STATE LIC. NUMBER . LU TYPEWFTOR PS AREANA ATION 1 7 % O tADDRESS ARCH/ENG/ DESIGNER LLL,2 '7 8!go 54 CITY ZIP TEL. (D 3 PROPOSED U �' iS © 4 GARAGE NO. DWEL. NO. NU. UNITS STORIES BEDROOMS LOT DIMENSIONS m PORCH VALUATION ADJ. AREA NO. OF BLDGS HOW OUANTrrYj DESCRIPTION FEE ON LOT USED LICENSED CONTRACTORS DECLARATION. I hereby affirm that I am kcanad Wer pmvWwa of Chapter B (canmencust with Section 7000) of Division 3 of the Business and professions Code, and my license is in NO force and effect. OWNER BUILDER DECLARATION I hereby affirm that I am mmpt term tlw Contrsnor's license law lar solo following reason (Sec 70315. floods" and Professions Code Any city at county which require a perms to construct alm. improve. demolish, or repose any stricture, prim to its issuance. also requires the applicant ter such permit to file a signed statement that he is licensed pursuant to the provisions of the Cmtracta's Licame Law ithapta 9 Icommenang with Section 70001 of Division 3 d the Business end Professions Cartel a der he is evempt 01tfors and the basis for the alleged lsemption Any violation at Section 70315 by any applicant set a permit subpcis the apphcanl to a civil penalty of nor more than five hundred dollars 155001 I: ❑1 as awner of the property, or my employees with wages as ther laic canpensotien, will do the work, and the structure is not intended or offered for sale (Sec 7044, Busiest and Professions Code The Contncta's Licenses( Law does rot apply to an owner of property who builds ar unpaved Iheran, and Who dors such work himself or through his awn employees, owided that such improvements are not intended or offered lai sold. B, howrver, the building a improvement is sold within one year of completion, the owner -builder will have the horde" of proving that he did not build or improve for the purpose of held) "a '4 (� - u ❑I, a owner of the properly, Am etch swely centrscang with licensed contractors 10 enstruct the project ISK 7004, Business and Professions Code The Contractor's License Law dos nm apply no an owner of property who builds or improves thereon, and who contracts for such pmaictf wish a ontracmrlsl licensed pursuant ID the coo'..". e L'a'"'e Low) LN3 CONSTRUCTION 20 n O i ! ❑ 1 am esempl under sec , S. 5 P.0 IAtwh Certdcakf PLAN REVIEW -O e Z i Date Dww—ELECTRIC WORKERS' COMPENSATION DECLARATICN I hereby, dorm that 1 haw a certificate of meant to self-ersut, a e certificate at Workers Compensation Insurance, a a cabled copy th rCol (Sec 31100. Lab. C.I. ❑ Certified copy a hereby famished PLUMBING MECHANICAL ❑ Certil e t copy is tied with the Budding Inspection Deportment or apatnrnn. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION WSURAIECE There taction need seat he complied L g she permit is for ane hundred IS 100) a less I carMy that is the performance of de wok for which this - permit is issued. I shill col ampldy any person n[9rp mdQisir 3 f)f. a WOW subject to the Workers' Condemnation Laws of Cddarme ,, ' Date Ates 'Q '] E+= GRADING ISSUANCE SMTP PARK FEE SCHOOL FEES of Ea � MOTILE TO APPLICANT. p. afro making that Certificates d mpoon. you should hacme subject theanhlect a riakn's Compensation pewaions of the Labor oda, ivus] forthwith comply with such prwisom ado permit shah - 'he deemed rev ilreal 07 DIVISION OF INDUSTRIAL SAFETY PERMR cERTIFICATION � ❑1 hereby tardy That no errtawhon her 151 or more Mt In depth used, which a person is rpurW fo incased, sung he Bade is connection wndu Fidrii'�ioYwhgk3 W s4ig lima; 1�doi egMdlbng �Fyelra. ouftaming fMsetwrk, or demolition a Consenting thersol. wit 6e ii�8ne Bifid thanyadr=13B17k14niph"•(CkaP 32, Grp 2, Art 2. Sac 301. Title 8, C A.CI ❑As owner -budder, 1 will wt senator arrested to do work which would esquire 0 permit Nan Dee aralee d Industrial Safety, as noted above, wins such person has a permit 10 do such www from the division. ❑D"n'em of hdumat safety Poison ow. TOTAL FEES CONSTRUCTION LENDING AGENCY I hereby dRa thio then it a Constriction hrndinp panty fm 1w podo= t at de work fa wMch this permit a issued ISuc. 3097, Cid. Q Lender's plantsAV 3 Lender's Address COMMENTS c CERTIFICATE OF COMPLEANCE AND Al nMZATM OF ENTRY: I acetify 1 low reed tlds application and dm that so erfamat"m divan itcarts. h W. to Comply,wish al seer [arra aid all bWhal rn er'sc m, and arthome a apesemaove at the Dgatmed d eaNmp end wed a m der rtyLiffs a la which 1 p d IN dust permtl for de purposed nuking inaga um �^ � �in Iffum RECPT NO. � i' PAID BY � VAUDAT Signatures m Arm WHITE—Department Copy, YELLOW—Finance Copy, PINK—Assessor Copy, GOLDENROD—File Copy, GREEN— Applicants Copy Ilt Q lf,JSPLF.CTlC')k,. 13ECORD INS 7 . Uns"I W VON A Q -%SLA SAY& .... .. ......... .. . A top! FFYI. 1 7 1 MY 1 FIN 44 IMA SEE . . ... ......... wk. . . .. .. ..... .. .. .... .... . .. .... .... -