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HomeMy WebLinkAbout1247 (13) '"` CITY OF DIAMOND BAR pRESS t�•' ' DEPARTMENT OF BUILDING AND SAFETY BUILDING PERMIT �IRMLY JOBSITE APPLICATION ` PERMiT 'J E ADDRESS a�4 3 �I'���� ��� � -_ I°ssTUE �� TYu E�R—�Pl�CODE s APN LOT TRACT UATE � ��� CONST. GROUP e CROSS STREET Pl�'t1+1%INDu�c.� — ZONING SETB14CKS "�''Oi�"'�"rs = OWNER S�C �UL I°�� FRONT RW ❑ o ADDRESS ���U-3 51�4"1��-Tb k10u-D 20• REAR ❑ W CITY J����►� d'�-- ZIP�6'� TEL.S"t+�'�g��S SIDE/SIDE STREET iiW ❑ U.�H o��[ o APPLICANT Chi�l't� r�� w-ss eoxn. TEL-53"�� -e SIDE ❑ _ 6 CONTRACTOR �=���-J►'Z- ►'��is la�s Z.er2.p. P�U�"���� SEWAGE ❑ pUSUC PMT# o ADDRESS 7�'Z 5�1 PVtSL-� Oti- F!�-H'rJo DISPOSAL � pRNATE SC).FT.J i00 GAL „� CITY WY'1'LNu'1 ZIP�` I�lu�i TEL. ��a� e STATE y UC.NUMBER a���L GRADING ❑CU.YDS.EXC. CU YDS FlLL y ARCH/ENG/ � TYPE SQ FT FACT�R P AOJ. AREA/YALUATION � DESIGNER � � � ADDRESS . LL 2 ' 0 = CITY 21P TEL. (a 3 � PROPOSED US� R-L-,P1-�'I�CL l='�U 5'f«Jl WYH��'i-S1:92.111Ct: Q 4 �, J GARAGE o NO.DWEL, NO. NO. � PORCH y UNITS STORIES BEDROOMS � LOT DIMENSIONS m VALUATION ADJ.AFEA o NO.OF BLDGS H�w ounNSRv D�SCRIPTION FEE W ON LOT USED � � W 1"� � ICENSED CONTRACTORS DECLANATION.I herehy aflirm ihtl I�m kansed uda povisions el qupin 9 Icommmnnp Y wiM Secnon 70001 of Oi�ision 3 0l roe Businest mA Pralessions LoAe.+nd mY Ikenae is n hll lorn md Nlan. s � o � � ONNER�BUILDER OECLARA7qN�1 here6y�Ifirm tlut I am exemot Irom t�e Contncroi's LKeme l�w bi Mr ldbwinp Z reason ISec 70315.8usmess and Pmhesbns Cade:Any city or canty which reqwru a permtl ro conftruct. (y � [,J¢G(; � � O al�er.impmve demdish.a npau any sllu[ture.O�a�m�s iiswn[e.Nw ipmne Ne�ppf¢am kr w[��ermn $� 1= m hk a e�gned n�temem tA��ne n licenaed purwim to�ha p�wiaans ol Me Contnc�or'o lcense law(ChaPtx �p / �f ¢ 9 icommencing with Secuan 7U001 of Gvi:ion 3 al IM Busircst anU P�olasons Codei a m�1 M q aemq IMehom � � and Me 6asis lo�the alleged uempuort Any�alelun o1 Seclwn 703�5 by�ny�pplium M a permn wCpcts � G �� ' �"� ihe aPV��ram io a uwl p�naNv at nat more then Five Aurdred dolla�s 1f50011- a W � ❑I,as owrer oi�he property m mY emDloyees wit�wages es Nert�ale compenaaoon,xvA do the worM,�nd tne evu�mre�s no�mienaed or oHerM far eale(Sec 7p44,Bunneaa and Prolesswns Cade TM Cmuactor's Liaeue � � law dces ml�ppW ro an owner of property wAo 6uiM5 or imOrwes Mereon.m0 who tloes su[h wu�M hxnsalf. W or�hrough h�s awn employees.O�ov�ded�+a�ma�improvements ve rwt mteMed n Miered fer ak If.M,wver, z = me e��im�a o��mpmement ie salG wilhin one Yor of tomaetian.tM o�wie��buiNa w�ll�ive Ihe Owtlen ol povmp a y �ha�he did noi W�U or improve lor the Wryose al s�k.l � rn ❑I.�s owrer of tne o�openY.sm eMOWsnery wmuniny wun&enaea contncmn to cons�run�Ix paiat ISec W 0 1044.Bus�ircsa and Roless�ans Code.The ConVxtar's Lic�nse law does not�pply ro an ewner o1 prapeny who '� z hmltls a�imprmes t�neon.eM whn contraau hi such O�I��s wIM�contrxtdlsl IiemsM Dwsuam la p�e Gmu¢mr'7 4 �1Ce^���w� CONSTRUCTION 0 � ❑i am ecemo�unAer Sec .B.6 PL.IA��h Gndkipl. � P�N REVIEW 0 oe�� ���� ELECTRIC � NqflNENS'COMPENSATpN pE0.ARATION I Mieby affirm lhet 1 A�re�arNlK�te nl eonsem ro eNbmsue,a te a arnh�aie a1 Nbikni enmpenseoon�nsunrce.or e�n�i�Ke eopy tnerm�Isec.3soo.��6 C.I. - PLUMBI � ❑c����iKa wvr��n��enr�w��:n�a J MECHANICAL G Certlred copy is hkd wnh the BudEmq Inspecuon Oepa��mem p D�v+«em d GRADING W x ER?IFICATE OF E%EMPTION iROM WfMKENS'COMPENSATpJ WSURANCE This ucuon med nm G wmpkicd �S"S`VA I � � � :I the Dermn rs lo�one hundred Ii100)��s.I cnlrfy that n Ne prlwmv�ce of W wa4 lar which IMs H perm�t u issueA.I shall rot empbY+�ry perwn m my m�mer so�f lo IMcome suG�ett 10�Ae Worlun'Canpensuian $MIP = L�ws ol Cal�fornia. ��y �,M"?j � 0 oe,e �`:� F'.':�oi�isi� '. PARK FEE � NOTICE TO APPLICAM�M,elter makinp'A/�i�Clndcaie nl Fremption,yw slnuld 6etartr�uhKcl ro 1M1e N6rYs's SCHOOL FEES � Canpensation pranvana al fhe l�6or Cod�,you mual talhwilh mmply M�III ttlCh PlWYq��v IMt pem�il��N w- he deemed rwaked. J � pVIS10N DF NIWSfRUIt SAFETY iylyl��ERT� R�;j,+ d 11 1 ere6y caiNy�Ae�rro uuvluon irvel5)a nere Iset m de{nh nro whKh�oenon k rpuhed m Mscend. � dl h made m cnnnenm witA wo�Y wthorvM bY tlus prmn.mA Iful nD Ouibinp.stiuciwe.KeIhlAinq.hlflwork. a demalrt�on a b�mant6np tMml.wJl ht mae,�.Mi�Y�i��36�Ipa1�dY��h.i1�V�32.6rp 2.Art t.Sx . = 701.LtleB.CA.C1. -•`+ 2 C''` `�.�`e.`.'.' '....,y... . ,� -;•.�r 3 ❑As ownx-6wldei.I will qq'�eiryby,iiyone.l0 Io•-wdrR"wtiich wwild rpwn�yeimit Mm M(Sveon d f. Industrnl S�lety.u natea�6oSe:U(Ihs weh pnm Ms�pxmit b Oa Wcl�xrorl han tlie Oivifian � � ❑°""'��`'°"�'�'S''`"�.`m"� TOTAL FEES � CWSTRUCfqN IENDMG OGENL7:1 MreM'dFimi Nn tlrre u a wnN�oon YndmY�qemy for�prlo�m��ce = d tho woik fp whsh Ao permit u u�wd(Se�.3097.Cir.C,I. � ��.':n,� COMMENTS m �mee�s natrese - 'e CENfIfG7E OF C0�IPLIAICE AND AUTHdtIZA71W 6 ENTNY.I osely I Awe'pd wis pplintian ad rnk V� Ihai Me nfametron pven p[anq.1 pree m ennply w�h M�Yn Uws�nd eiN wdiiw¢a n4➢np m iuiti�p y constructwn.and autlwrve i rpn�enuwe d ihe Oprtmem d BuNinp md Solery lo wir�pon tlr Faputy � fa wnrh ve epqied Ip tl�is pnmii lu�Ir purpuv d mekiip inryatqn�. � �ua d�oo�kau a�/qem �^ /��a RECPT NO.�P14lD BY �� VAl1DAT WHiTE—Departmern Copy,YELLOW—Flnence Copy.PINK—Assessor Copy,GOIDENROD—File Copy,OREEN—Applicants Copy BSt06-1 Va9 , . ... :.... �- . :.. - „ .. . . . , , . -� . . . . ? � . . . . �:,: � �;�a;� Q� �� :�,.. � �r�. � ��t�� � �� ��.���° ��������������� -� �� ��=���f�����"������� ��:� v��� ::'m �tz: �:�:.� :r.s�ik:.�, .�g:€=.�i� x•� ,ci:;�x?i3i';�?':Yt''!%:"g'°�'��I. :=.�:7':. �'A��aa`.n �'a;::'IRt.�. ..,,.s. �T-,.y:� .�:ti,�� �.r� z�p�s�.=� �€ € . 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