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HomeMy WebLinkAbout069 '"'` � CITY OF DIAMOND BAR `�-�`-�' DEPARTMENT OF BUtLDING AND SAFETY PRESS� BUILDING PERMIT FIRMLY JOBSITE APPLJCATION PERMIT ��9 USE ADDRESS��� ���'r"�/'�%F'F �-.�'. DATE NUMBER CODE ISSUE d TYPE OCC. ` APN LOT TRACT DATE' �� �3 1 "� 7 CONST. GROUP e CROSS STREET SETBACKS '�fO'�'�'"s � OWNER G'o 6.Ps��v.�rT 20NING �ONT RW � � ADDRESS �y?' /��/ ��"'°�'�'-t''��� ��''� REAR 0 W CITY ���+-l��='� ZIP�Q.TEL. / -• SIDE/SIDE STREET RW O o APPLICANT TEL. SIDE � a � CONTRACTOR`� ���-�= �'��T�rt'" SEWAGE � PI,IBLJC PMT� o ADDRESS � " - �ISPOSAL W CITY T.�'--�'�/�/#/��i�f/�'" Z!P /7D/+TEL. e'"` r' 0 PRIVATE 5U.FT./100 GAL z STATE y LIC.NUMBER -��3��� GRADING � CU.YDS.EXC. CU YDS FILL y ARCH/.ENG/ � TYPE SG1 Fi' FAC"�R PS ;::":':ADJ::AREANAtUAT10N . : _ � DESIGNER e ADDRESS (j� 2 = CITY ZIP TEL. �. 3 � PROPOSED USE � % C � 4 � � GARAGE o NO.DWEL NO. NO. *,,,,� pQRCH y UNITS STORIES BEDROOMS � LOT DIMENSIONS �. VALUATION ADJ.AREA o NO.OF BLDGS How ; : Quawri�r 'DESGRIPTION":.': ; _;,:: : ; ;: :FEE.: ::;:':::::.:::. .: ::: ` . W ON LOT USED �.�E.' a � Q � ❑ • W ••{ � 'r LICENSEU COAtfRACfORS OECLARATIOW:I Mre6y�ftirm tl�a�1�m licansed unda provisims of CMpoer 9 Icommencing . Y with Sauan 7000)of�viion 3 0l the Busineas ud Professions Cade,md my licenee ia n full lorco md diec '� � ❑ � dc�e9 Y. , �+- OWNEN-BUIlOEN DECIARATqN:I here6y affirm that I em tumD�Irom the Contratlor'a lcenu Lew far the Tdlavinp z reason(Sec.7031.5.Businass e�Profeasions Code:Any eily or eoumy whith requires a pertnit Ia can�trutt. �(} '7/p o �ter,imprwe.demdish,a repair iiry pructure,pior to its isswrce,Wso requires�he opp6unt far sKh prmrt �� � W Fle a sipned atatemem lhat he is 1¢enaed punuant to the pwisions d Ihe Cantracmr'a lixnse law(Chep�x ,;� � �, � e 9 Icanmencmg with Sectian 7000)of Oivision 3 of tlx Buaineea end Pmfeuioro Code�a�het he i��xemp��hxefram ��.;� Xend me Oosia fir Ihe�IlepeC e�emprion.Airy vitlotion of Section 7031.5 OY+M ePPliunt for�permi�w6pni �;�. f S .•.,� O W tM1e appLwm Io a cbil penahy of no1 mora than liue hundied dMlara(3500).b �'� � ❑1,as owner oi the praperty,w my�mplayees with wegea a their sale compensa0on,will do Me work,nd � Iha elructwe is nat iMendod w otFered for sak(5ee.7044.Buein�aa anA Prokseione CaOe.TM Conusctor"f lians� � ��� WLBw does nm apply m m awner al property who 6uilds or impraves�h�reon,and wla dae�suoh work himsell, �� ur through his own emplayees,povidad that suc�improvemenh ue nm inunded a Wtered for uk.H,however, �� �� = Me huildinp d imprwrement is wld wilhin one year oF canpletion.the ovmer�hudder will have tM1e burden af provinp „ y Mat he did not huild m xnDrove br M purpos�d nle.l � eq ❑I.e�owner at the pmperty,em ezcluvnely wntraniny wiM�icensed contrxmra m eonrtrucl tM prajxt(Sec. .:�j. Q 7094.Business and Pmfessions LoOe TM Lanir��ror'�litenae Uw Ooes not�ppry Io en owrer M qoparty who ;',�. = Euilds ar imprwes therem,md wha conlwcta for tu[h p�ojecn with�contnetorlsl li[enaed prsuenl to tl�e Cmtnctar't ` �'��"u�°`"� CONSTRUCTION 0 � ❑I am exempt under Sec. ,B.6 PL.(Atlxh Cntifrtero�. ��P�N REV�Ew � °ace °u""°' ELECTRIC � WOHKEHS'COMPENSATIW OECLAAATIW:1 herehy�ffirm thn 1 heve�rntificate al eansem lo sell-inawa v � 0 a aeni�iate o�workers'Campemation msurairce,a e tertiFied mw mneot ISat 7800.��h.C.I. ` PLUMBING .�7�i��� Q ❑CenifiedwpyiEAere6yfurnnhed. � MECHANICAI, G� d_.'—"` o ❑Cenified capy a tiled with the Buildinp Inspectian O�pulment a UYpxpnem. � GRADING �:.��� ' W �' �� CERTIFIGATE OF EXEMPTIQJ FPOM Y4pHKFflS'COMPENSATION INSURANGE:This lecdon need nM be cotnpkteE 15SUANCE �' 1 y il tlu permif is for one hundred(5100)a kss.I artify iM1�l in IFe perlormance al tlq wpk lor whkA thic . � pe�mii ie issued,I shall not employ any perwn in my mmner so�s m 6ecome whjxt to ihe Nbrkeri c�a��,�� � SMIP � � � L�ws al CNifania. �W ' � 0 oa« /'c'��?���' MdKem ,�. PARK FEE � � IlQrM.E TO APPICANl�M.�1M mekinp Ihis Certifitate of Eamplion,you slnul7 hecaire� �ect m me Wuwer'o . SCHOOL FEES - BL0118 � Compens�tlon pwisims a(the la6or Cade,you must forMwiM tomply with weh prwuions a thb permB thaA 'L be dcemed revaked. � � pVISION OF INIXISTHIAL SAFETY PERMIT CENTIFICA7IRJ� � o ❑1 herehy cenrty thn no axovation five(5)a mva het m depih inro which�pBR011 q qQmlLd b�2CEnA, � wia m m.ae�n connenion w�m won eutnoraeo w mn oeima,ana m.e no euiu+nu.wcu.e.tenrmaina,wsewo�►. ClTY OF Dlhh?G PvJ BAfi or denoNion a divmantGnp Ihereof,will be unre tl+en Mirryaix(38)feet hiph_(Chep.3.1.Gry Y.4n 2,Sa W ��.rnea.ca.c.�. �UILDING �,P:�] SAEET.Y . _ 3 ❑As owner-builde�.I wil nm mpbp xiyaie m do rrork wfiich wauld rpuin�prmi�hom ihe 6vuion al � � � ' " C Industrial Sofery,os mted�ho�e,mlea>>uch oerson h��peimit m tlo wch vrork irom Iha Iai�an. � ' � ' � ❑�,5�a����,�.�s.�ety�.���►�. TOTAL FEE$ � � S� � COVSfRUCfpN IEN�ING AGENLY:I hereEy dfirm lhat thro it�mnstruetian kndinp yNmry 6er IM pntpmence '� ' = of the ruork fa whsh Iks permn i�iatuad(Sec.3097,Civ.C.1. . � Lend"'"""° COMMENTS m lmder'a Maress t CEHIIFICATE OF COMPIIANCE AAIO AUTIIOPoZATIRI OF ENTAY:1 ar41y 1 Mr�nd Mis�pplic�tan nd aup vJ Uut tne�nlormatbn pven q tarect.I pree to umply wi1A dl ttab I�w7 md eiry adinmces�tinp to huildinp . . yconsvuclion.and w�horue�npiaunu6ve ol tlr Oepartment of BuiWinp end Salety M mw iqm�ho peperry � fa which I�a`e� �d fvr tl�is permB ta the makinp im�ecDons. : Spnatwe ol Ap km�n Apem ��py��T RECPT NO. 6 �� PAID BY ��7 VALJDATION WHITE—Department Copy,YELLOW—Finance Copy,PINK—pssessor Cppy,GOLDENROD—File Copy,GREEN—Applicants Copy ;-�s'�..�: �,� �ra���.1�i'���.�.'�:.� a- ,...: . � a,+��;}g �. r'�..; .. 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