HomeMy WebLinkAbout1821 � ''� CIyY OF DIAMONID BAR PRESS
� � '•�" ' DEPARTMENT OF BUILDING AND SAFEI'Y
� �-=� ` �UILDING PERMIT FIR�d.Y
••JOBSITE APPLJCATION PERMIT l USE
ADDRESS hl C� R;tt�+r S� DATE .__NUMBER ✓ - CODE
ISSUE /'/'T��._c��j�--� YYPE OCC.
� APN LOT TRACT DATE / ��_CONST.�GROUP
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o CR05S STREET ZQ�iING SETBACKS a�fO1E�"'�
�-° OWNER Vineyar�, Tri� ____ FRONT RW �
� ADDRESS 61.4 /Ritter. St __,_ REAR_ ❑
,� CITY Diamond Bar ZIP�TEL.860-5447 SIDE/SIDE STREET_ RW �
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e APPLICANI"_ TEL. ---- SIDE _ -_ ❑
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a CONTRACTOR No k P1 im i n� -�--�-- SEWAGE ❑ PUBLIC PMT#
o ADDRESS 1 1 h10 SPahnar ('.i DISPOSAL ❑ PRIVATE SQ.FT./100 GAL
„� GITY Stanton Z�p 90680rE�895-7.246 _
= STAT[ GRADING ❑ CU.YDS.EXC. CU YDS FILL
y L�C.NUMBER 511971
y ARCH/ENG/ {/� ��� �� � �ACTCQR PS A[?J. AREANA UATION
y DE5IGNER -- -- w �
� ADDRESS LL, 2
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Z CITY ZIP TEL. (►,j. 3
o PROPOSED USE _ � Z 4 -
�, _ __ n GARAGE
o NO.�WEL. NO. NO. � PORCH
y UNITS STORIES__—_BEDROOMS
� LOT DIMENSIONS m VALUATION_ ADJ.AREA
o NO.OF BLDGS HOW ttuANTiTY DICSCR1Pi'!QN �EE
� W ON LaT USED —_ � � �
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~ EU CONTRACTOFlS OkCLANA�ION.I herehy afhrm tAat 1 am I¢ensed under provisiana of CAapter 9�commencinp •�
+� wn�Sr.ctinn 100q1 ut�ieismn 3 0l ihe Busmess and Proless�ons Code,and mY license is in lull lorre and elfed .w
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LL ffN ER�BUII UEH OECI AHATpN�I hereby alirtm ihet I am exempl Irom Ihe Contracroi s Lrtense Law fm the fWlavinq ' _ .ee.��
Z reasan�Sec.7031.5,Buainess and Pmfessmns Code�Any city nr coumy wh�ch�eqmies a permit to cunsUucl, . e�41�
O aUe�,impiave,demohsh,n��epan any�in�cture,D��o�w ns rswence,also�epunes the applicant tor such permi .Z
Qta hk a signed statement Ihal he is licensed puauam Io Ihe pmvaians af the Comraclar's Lieeme Law lChaOt .Q� _
s 9(canmennng wnh Sectmn 7001)1 nf Diwsron 3 0��he Business and Pmkssmns Code�or Iha1 he rs eaemD��hedm :,�.
a. anU ihe besis�oi�he allcg.J ezenrylwn Any wo�auon ol Section 70315 by any apphcant Por a p_rmn su6�e ��
� ihe apel¢an1�o e rnd penalty oi not more than five hundred dnllars(5500��� �a
� UI,as owrTi ot Ihe pmDerty.or mY employees wnh wa9es as thert sole compensation,will do ihe work,a
il�e s�mcwre u rat mienJed or otlereJ Por sale ISea 7044,Business and Professwns Cade T�e C.onnacmr's laense .
� Law does not apP�Y ro an owner a!D�operty wha builds ar impmves thereon,and whn dces suth wark himself, L� --
W nr thrmgh his awn e.mployees,pmvided ihat such impwuements aie noi miended ar ofhre0 lor sak II.however,
m tlin M1mlding or improvemcii rs soid wnlun one year of canplenon.1he owner�huildm will have the 6mden ot pmvmg ��' '
� that ne eie not hmld or impmve for the purpose af sale.� '�,U
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�ia ❑I as nwnr.r nl the propeny,am exclusvr,ly conuacUny wrth hce.rrsed cmvectors io conslruct the prolecl(Sec `(J,�
70M1.Busmess anJ Piolessmna Cade The Coniranar's Licanse Law dues not applV ia an awner ol property who `g
a buiWs a�imprmes thereon,and whu cantracis Por such pm�ects wrth a cantqctor�sl IirenteA puuuant ta t�e Contracta�s
7 '¢ Licenselawl ' CONSTRUCTION
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W ❑I am exemp�uiider sec .6.8 P.0�4ttacn Certifiaatel. PLAN REVIEW
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o Oata A"^e�
� YYOflKERS'COMPENSATION�ECtARATION.I heietry aflirm Ihal I have a mrtticate ai cansent m seJl��nsure,or p��MBING� �+�.:�
a cenAicate of WarMers'f.ompensauon Insurance,or a cend�ed copy fiereaf(Sec 3800,lah C i
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4 ❑CeruLed aopy is hereby lurmshed. � MEC�"�AN��+AL
o �Leriihed copy is liled wnh�he Bw�diny Inspectimi OeDanmem or Pepartment <C. GRADING _�_
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Z CEfl11FlCAiE Of EAEMPTION FIIIA�SPORRfRS"tOhTPENSATION INSUNANCE Thu section naed nui 6e mmpkiW UANCE, j�"�d
� A the pnmrt is loi one hunAred IS�00)m less I[eruly iAat m ihe pedoimance of the wak lor whwh thrs
y yeimil i5 ISSY¢d,I ShBII Wl 2mPI0�2�V Pe�50�i�d(ly I�10�I¢f 50 d5�a bMORiP SIIh�N��0�IN YWIkNS t'anpens�non � $MIP .
� Laws nf Calilnmia
�.
p Da1e �P��dO� LL.�SCHOOL FEES
W NfITItE TO APVLICAN/�If,after makmg ihs Ceruhcate ot Exempunn,you slauld b¢aame suh�ect to Ihe WMker's
�
-� ComDensation piovisions ol the Lahar Code,yau musl fathwith comply with such prwisans a M�s permit shYl
� I�e deemed r¢voked --
Q qVISION OF INWSfHIAL SAFEiY PEHMIT CEflTIfICAiION.
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❑I herehY ce���y ihat no euavaton frve�5�or mae leet m depth mto which a pe�son is requuod to descend.
�a�e wdi he made in connectwn with worl authar¢ed 6y Ih¢pe�me,a�lha�n0 Muidinq slnxlure,scallddinp,I�Isework, '
'a ur demaXtion or dismam6nq tMreof,will be more Man ihirty�sv(36)feet high.I�P�32,Gry T.An 2,Sa '
'W" 341.Ltle8,CAf.1
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3 ❑As mvner�6udde�,I will nat emp6y anyoire to do work which would iNmte a permn hom ihe Urision of '
1— Induslnal Sale1V.as noled abov¢,un�ess such person has a permd�o do surh vrorM 1rom ihe diviswn. "
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W LJOwisionollnMrstria15aMryPermnNo TOTAL FEES
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� f.ONSTHIK.TqN LENOING AGENCY I hereby ailiim thet Ihere is a conshution kndi�apxrcy la Ihe perfarmmrce
z of ilre wnik fa whkh ihis permit is issued(Sec.3D91,Civ.C.1. n n
� lender'sName COMMENTS 1t- ��''Ff
p�p Lender's Address
a CERTIFICATE OF COAIPUANCE ANO AIRHp11ZATqN OF ENTNY:I tertify 1 have read tAis application rd at�h 'i,�} 4 / (� �
y that the informaban ryven is correcl.I aprte to mmply w�h all slah laws and ciry ord�wKn re4tinp to huiHiip W V LC. i �� ���.P����������� ���d -- (�
yconsvuciwn.and authoiiie a repmsanletwe of ihe Oepanment al BmWi�p end Sefeq to enmr upon Ihe praperry
= fw wlilch I have applied fo�th' r A In��sy a�making mspectiona
~ X � r ll 5 ��'� � �'C
"``� RECPT NO.1�_PAID BY ' VALJDATION_
Sgnatue ol Applsant o�Agem �°tt
� WHITE—DepartmeM Copy,YELLOW—Financa Copy,PINK-0.ssessor Copy,GOLDENROD—File Copy,GREEN—Applicants Copy
j BS106-11/99 �
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