Loading...
HomeMy WebLinkAbout1099 � '"� CITY OF DIAMOND BAR x"" ' DEPARTMENT OF BUILDING AND SAFETY PRESS BUILDING PERMIT FIRMLY JOBSITE APPIJCATION PERMIT D SE ADDRESS y� '" �VE ' y ��R ��OE 4 APN LOT�� RACT bATE CONS7: GROUP o CR05S STR ZON�NQ SETBACKS .�e►E�as = OWNER - � �qp� �y � � ADDRESS '- qE/� � W CITY ZIP TEt. SIDE/SIDE STREET F1W ❑ o APPLICANT TEL.���� SIDE ❑ : s CONTRACTOR ..Q Z � o ADDRE S Q �/�� SEWAGE � p�Jg� p��, DISPOSAL ❑ pRR/qTE SO.FT./100 GAL W CITY ZIP 1 �1� d LIC.NUMBER "G '�b"�J� GRADING ❑CU.YDS.EXC. CU YDS FlLL y ARCH/ENG/ � 'TYPE SQ F]' FACTOR RS ADJ: A EANALUATION � DESIGNER W 1 ,�0 o ADDRESS � 2 = CITY ZIP TEL. (je 3 - � PROPOSED USE ti Z 4 � � GARAGE � NO.DWEL. NO. N . � PORCH y UNITS STORIES BEDROOMS c LOT DIMENSIONS � VALUATION ADJ.AREA o NO.OF BIDGS HOW OUANTITY D.ESC 1PTION .. `:. . FEE W ON LOT USED ;� eG � ❑ � W � H LICENSEO CONTNACTOfiS OEClARA710N.I Mreby rttirm Ih�l I�n litensed under Drovisiom ot Chaplh 9 Icommmcinp YQ wnh Sccuon 10�01 ot avision 7 af Mr Business and Prolessnns Code,and my�icrose is n hlllan mA d4ct. w 3 ❑ Ilf � OWNER�BUI�DEN DECLANATqN i herebr alhrm Ihat I�m e.emp�Imm IAe Convxiar'e lKenx law tar tl�e Idbwing = reasan�Sec. IOJl.5.Buainn�and Prolesaone Code Any riry or cauMy whxh rtqunp i perm�l lo construct. (} o alrer �mpiove,damdrsh,w iepair ary strucmre,prioi q es eswnce.Ym�pures me�pp�ian[fm wc�permrt �C 6 �o fik a sqned�t�temeni th�t M�s Ikenaed purcwm lo tAe prwioims ol�Ae Cannactar's Liceise L�w�Ch�pter � � 9 Itammentirg wnh Seccon 7000�of Orvisian 3 0l tM1a Busness and Proleea�wu Cade)tt th�t he ic�nmpi tlwehom � entl the haeie loi Me alkged exemption.Any vidahon ot$«tpn 7031.5 br my ipplkim fir i pe�mil 7u6�ecli �� Q K rhe applir.ant to�[ivu pnaliv ol nol morc than frve hurMnO OaAart(SWp)). � W � ❑I,as ownei ol Ihe r rt m � � P� Y. mv employee:wiin wpes n thert sak compensauon.wAI do M�warY.4W � the alructun ic nm mterd¢d or oHered lu ule ISec.7044.Bus�ness and Prolessions Cadt TM Cmtrx�a's Llpnte � � L�w daes nol apply to�n owner ol Droperly wM10 6uilds or mprwes Ihe�eon,and who Ooes su[h xroiY�inseX. � •.. a tMoug�his own emqayees.prwiGeE mU sutA improvem�nh ae irot muridM a olhie0 Mi uk II.haweud. m tk bwlainq a improvemenl is wld witM1in one ye�r of canplenon,the owneo-hwlder wdl M1m the Audm ol ponnp y ilui he ditl noi Wdd a improue ler the purpeu ol salal � � ❑1,as owner of Ihe paperty.am arluswaly eontnenny wn�IcemM epnr�clon to eonevuct ihe prqut(Sec 0 7044 Business eM P�ofess�on:Code The Comrxmr's lKense L�w dou irot�pply b�n ov.nei ot prupe�ty who 6 Guilos a imp�oves�herean,and who conuacu la Such propps wiM i tonlrectml�l�K�sed patwnt ro the Cmtracrti a Licenutaw� ONSTRUCTIO �Q r e � ❑ I om uemp�wtler Sa. ,8.6 P.G.IAqxh Cerl�hulel P p �eie Dwner '�� � �49flKER5'COMPENSATION DECLAMTNN I here6y�fhrm th�I hrve a artifiae ol consmi w utt�Msue,x r a cenihcaie nl Workers�Campensation Insw�nce,or�certfieA capy tMnof ISa.3800,1�0.C.I. LUMBI � G - ` ❑tendietl copy n hereby 1wnrsAeG. �� E HANICA ,�y o ❑CxuIKA eopp n liled wilh Me Builang Insp�ctian Uepwmum a Dpxhnm Q GRADING W � fF11TIFCLTE OF E7(EMPTIDN fROM YWRNERS'CUMPENSATION INSUMNCE.Thia uction need iw�4 compknd SUANC - y it the peimil h Iw me hundnd(SI00)Q N�s.1[ertilY thal m the performs¢e d�he waM la whrh�IMs F permrt is issue0.1 shall no1 employ�rry perton in my menner eo n ro Gcomt w01����Mbrkers"e�a�� . gM IP = Liws ol CaliMrnu. � � PARK FEE � �1e ���BM �- SCHOO� FEES � N(ITILE TO APPIICANT M.itter meking ��f�l I�Iqn.ypu sAOuld hetome su6jecl 07 tl�e Hkikr's � Campensat�m p�ovisrons ot the lahar �� rtlg�omqy with neh pwuions u Mis p�mit�h�A � he danred revoked. ,:al� J � pVISIQI OF INOUSfRIAL SAFETY fERMiT(�qTIFCATIW: � w � ❑I hereGy mnily tha�no excevtt�on�ye�5)49��^y�e he inro wniUi� rson ie u�re0 b�aceM, vnll he mtle in conneaian�itl���alN{e�mofe IM�����)Mt ihinp�n�ture.w�flold�inp.h4ework. . a demahnon a drsmmtli 7M� I.�Oi� tlu ph ICh�p.7,1.Gry t.M1 2.Sec .. Z� 3A I.Title B.C A.0 I - W 3 ❑A_ �!��'' a owner�6uildei.I will p�I oY�yye�^q jpQe y��itA �}�nq��fe�ymm�kam IM avuion N � Indusirul SdetY.u noted�L�nf(sa iueR prloht�s'�rmrt aµ�e yor���Frcm 1M Owuion. .. T� �;E{� ���1^ �x��� ���i �1 Y W ❑Owiswn d Induslrial�Kr�Mpp�i f.U r. �- �, TOTAL FEES � � CONSiRUCf10N IENpNC dGENCY:I herehy dfirm M Ihen u�tanttruction Medinp pxxy 1ar llr Mn�a = al the work lor whch Mis pmmit i�itwed ISx.3097.Ciir.C.1. � �.iaa;,N.me M NTS m �Mdl��!l�lESb ` � CEFfTIFCATE OF C IANCE D TIW Oi Y:I prlily 1 Mre wM Ili w�pli��im�d�lah ab � Mst tlie inly n is M. ee omply h W aWe hwt Nd eiry ordurncn n4[nq q hsldinp y cansuu�tm M wrt ru ie nlbve d�e nenl A BuYtlinp�nE S�Mr b w�ls�y0n p Mqiaty = la whc aue WO. IOis p� lor prpot� n�kinG intpxUons. � ,` �r!Y � RECPT NO. AWD BY VAUDATION Sgne�u d am a A�pm p�pe WHITE—Department Copy,VELLOW—Finence Copy,PINIG—/lsaessor Copy,GOIDENROD—File Copy,GREEN—AppllcaMs COpy 8 51 06-1 1/8 9 " *�..+�*.. -- - �./'�.__ ,.. ... - .. . .. . . . .. . ... . � � .h... . , . � � . . �������� �"�� ������.�`�"��� � � ��. ��°�������� � , , �� � r� t �;nte�it-'.� �� ��,(.t��mm's�k?s°�`i�.,,>tmn�„€; ��> �j�y�gre�s�u.�y:;•>>��«E;,,.�.x,a���,.�u#; �x���:��q�`. Ksas��p, �� .,§.., -tt ,qd:; �€3�i�ai�g! '�}'��;F.��€a� €�� � �ty� #N I� � �T � � e � �� 9 `.s. �,t� ,� € � �'�' �, �" ,.�, t t� °"� � F F���&. P 3 � s'��`�,� t�i �.� 7w v`#'�€" �,a�t r � *.,, � �x� +�_�. � ' 'ro� �` . .,�� �r,: �d�x��.� .-S;i& �.€.,.-Eh9n��°�€-��':$i��¢a�;.H�vM�'.nitx�.,��>.U�$,.�S"S�§x��.,�v_�€��'��:�.t,�... �.�.,,..I`�..�`�„�i.3ti��6 3z � . . . ... � .�; . �" �.`.��`„ .�d�d�' ,SM'�'m , � ��&,�,Yt ., . I 's5 z�.� . i . .. ���(�':i.,f��..+�Jf;��„�7 . . .. . .; � � i _,. �.� . __. ._.__. __.. .. . . _ __. ..... ( f ����i� {�3 �?".C'.J __ ___� . . ..... . . _. ___..... . . .. i . .I ." .""._.. ___._ ,... ,_.. . ... . .._ .. __._ i{ i^� ) s .._,_ . . .., , . . _.__................ . .. . .... (� ._. . .. �1_. �:. . E � .,:�E �' �Y .. , :,i � i3 i�'±E"l £ 3 4Ji��i��t��V 3 3 ..... ,.:+ ....__..��.................... , ......... . . .......... ...._...._.. ..... ......... } g` . .. y. /� _p•.g^ " '}- ' ,p•.. .. ..... .. . ........... . ,. ........ ,... .... . . :...�3 s'�. .., .. y(�.:t�il..�. .�F...F.✓LFI�S l.✓�..J{�i/�4��F t .�... ' .n ,-£YE. 1 ! • •. . ........:..........................................._..............................,..._��._».....................................................................................:................_.......... .. y _ _...........,.............,..........................._ _.._,..._................................_................,.............., ......:...y� �� : •:� •`.3:; �.`.���::;(...�.. � : :' 3' ���'��f'?p_�tC,��"' T�C.Ji.JC�I.�J�x,��:,,}.�... .... .... _..,......... . . .. .. ... .._ . .. , _ .. ., ,. .,. _ _...... . .. .... . . .. . ... . '�F : _ .... . , . . . . � . },� . � yp A l A� ; .. ,..... ..,... .�. ... ........... .... ... . .... . . .....,.., ...__""_'. . = L E E �... r � . , tY�[� t Iz{s (''t7��".� s .... ........ . ... . .. � ..._.._ _.� _ . ..._...._._.� ... r �:,: } - .i,._.��- � _ �` t t.5°���1�J �. � A a.€ . . . ,. ...�. .�..... ......... ......,... .......... . ........... ........_. ...,. . . � _ ......._,... .. . . . ; ,, ;,,,,;;,,,� �ti� -� --_ . . . :.�..�i .:w.�. ... ���E„��-(� ..,`�; . t��i�; t., l:Y�.;.S.' g�.�.. " .<r . . . . { �� ,- ,, ... ...... ..... ... . � .. � . . .._ _....._ _ .__. _._.. . . .... � ._. ;.. :�,` .�.,��.=i t ,tF:.-;.r�x._1;��:�:. ;- +. ._.._.. ... . ......... _ _....... . . { y, ( } $ ;. .. _ . ..... �. .. '.,.fh E�3 il.-� � - ��� €Yi 3-�f.`��.=. . - . .�.. ... ........................................................ ._........... ............................ ..............r.... .. ........................... ...... .., _ ..........,....................... ......_....__"_............... ........_.........,............_....�,...,_._................_...., •-,.... .�.r: �..� ..;� . :.,`ti.� .,.. ..lx., . . y .� �..�E .. . :. :.} . 3 _ :. . .€ �� . . . . . ..I.� :. ..:x.... � .. ......... .:�. ...�..v i :..:. , w e 5 a+_.... • ... � . �i:;�� UE � . . . � �' ..... .................. ............. ..... ,... .......,. ... e.. . . ..'....... ...... . , . ..... . ........�.. ..�. . ........ .... . . .._..... ..___ _......... � �.,r + • 3 �r ra . �f... .�.�.. .,E : -. � } <: i.: �:' &``. F1'.: !y:: .i x >:. 1"... _. . .. ...�Sv'.'Y:'..._. ��i��€ .���L',e� i�ii '..'2 ' .. _ .. . ....�......__._.._._...,.,... .. ......... .......... ........_,�..�.....v..,.,_. . . __......,........ . . , ......... . ......._.. _..._....... _..... .-_.. �-�. ' .� • ' ,?'�� " : ., _ , 4. t=.. , T:_.x€ � .t..3:. t.��-:flr.it� _ .__. .....___ ......... _e... ..... _ _.... , ....... __...._... ..___.. ___ _ . __ __ _ �. ....... � r , ; f C E ,�; � _ _ _ _, _ . .:. 5 }� t �� : t� � �� if _._ '__. . �.�.�, �+� ._ ... ...r_. _._ _._._. . .._ . ._ . . . .. _.._.. �...� .'. � . �:a,.?�1 '� � .i�i , C) E' ' i€� �`�� �'>. I q... __. ._ .___. ...._...__ . .. ... ._._...._..... ... . ..... . ......... .__..._F. . .... . �. _ e t a:z � i� ..' v1 � a:i �I �° �fi a�i.t'�1 E✓f��"a . .___....._. . __._._.. _.._.. ; __.. ._ ..�.., . ....._.. ........... ..�...._.. ....... . ....... .._ __. . . ' -�si,;.�,--; � �, .: _ .. . - . ..... . .... . ...... _ ..__. . :-:. .•:,--� , ; - .,' � �=i'�Fai.. �hlT�. , _.... .. _.... : ___......._._.._...........:.. ........................ _.........,..,...�....,............................ _ ....._.................,... _..._._.__......... .._._...._................. : _... �.,5-,.,�.f �.,r.€�'.. ° ; - Lt�,' �'k- 1f�i=�lr:; , .,.�... :............................................_......................... . . ......................,.........,..._...... _�____..._............_.... _.._...�._ . ��,� ,...r .Y ...>s..r: :-� . ,.�....................... ....;......,....... ............. �.:....... . _ _ _.,._.........,............................. : ;.:_:..... _.. . _ . . _ .. . . _. . - - ,�..,...:� ����:_ : , , ��;'�„; ��:* ;,..... .. ..:.... W..._ s � " ;:� v • ,t F ;t���, ... . _.;... ........_ _.,...� .. _ .. .f -5 __..._....�.._..... _. ....., . ........, ,. .-- , 7 �i'. .1� : � ���p1t.,f_iJi'e�3�r7 k . .. _....... .. .... . ..,.. ......... . . , . ... ..,.. .._._._ ...., . ... ." ".... .. . ._ . �, : 4� �r �� ' . . . . �"�E � e'3. ��Cr+�el � . .. ._... � . ... ... ., > ..... . ._...... _ .. . ...... , ,. . ._.-- .�.__ . ......... .. . ... .�, ...... . . : . ._ . . . .... . . . ... - �-� . .:., t'�s..F�9t�����a . . , , }3i�.�i�.�l-��.�m��. r ��v;'��.. � . ;......._..._.........._........................_,........................................ ,.._........__.,. . _..................................-.......................__...._.._...... ... ......................._.__........ ..,................................. .._....---._....................................................... ....,.... .._.... ..... ....... .... : ,...� ,t ,.. ,.. .,..:. . ._........,... � i�;trA.i_C::�,.C�.i...�t�i�:i. , ,, ._ . ... : .� . - . . . , . i'ii-``,�.....�. ..��.,.��F'���.i... :... ..... ....... ..... .. ......... .... ........ �_._.... . . . . , .:.... . � ...,.,.... ,__.._._,.... ......... . ,.. ......._".... ..,..... ...... . . .... .. .. . ............. ..�.. . � . . 1 ! .e... ,--�i: �w . ,�< .E-•. . ' . _ .. .: � .E € r . . <rb,. "_t)r.a:..,t..t.a ,, , : .... . . . ... .: � �.it�:. �.ai . t'�: � . �..,, . ........... ........._.._.,......._... . . ..... . ....... .-. .... . ..... :. ... .... . . .. , ._......,....._.... . . ,... ........ ...,......... . ..._.. _ .. ....___ .........._._ _____.. _. ..._ ........... � ... . . . � i . . ...... . _ .... ......__ ..... . .... ._ W._...... ... . . . ..... . . . . .....�:� �t� �9� " ----- -. _ .._- __.._ __... � '� . #� .;.� �'.aP�.�a„A,er __.. ... ...,,... . ..... ._.... ..-__'_. ,__ . __...... ._._- ___... ._......._ ..,.____,_ E�:.�� ?8�. ' . : �...g °a, vPti�:�i��.€� :m� .._..__--""-_. ._...... .... . ......... .. ..__.__.-----____ ..... . __........._. _. __._...____. ..__......... .. ............_—__......_._. .......... . .. ........._..... ........ . . .......... . ......_.. � ` . .� .........__......._._...._..._...........................................................................__......"-'--'_....................................................................__.__..__..__...................,..........................._.....,_.� ................................................................................_._.._,...._._..._....,.....................................,................................. i ' .��t=€�`�"1s:"s'�;TM�K�1�?�____..._.._..._..._._. ,•� : .., . ., . .-�— _ __..__.. _._..-- � __._....... . _._.___--__.--_ ._.._. ........ . ......_- -- _...— _ �._. ; c:[�~'• €'1�'�.J :��r.:� .�. _.. . . ..... ,�,,.. � , , .. , ,,. ; _..._...._...__.._,.,_...... _._....____...____.. ,.�_.._.------_.�_�_. .. .... ......___..... � .. .. , � ._>..w.__..__,.._.......w._.,._............................ ....................................................�..._...._.._.._____.........._.:_. _.___--_ .................._.___.__............ _.. . t. i . . �. ..' . . . ; ............. ; _.._........__..v.._.._�._�_`__._.........,................................._.........._............, —._...._..�_._.._........ ............................... _.... . , . � t � , t , � . . , _ . . _