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HomeMy WebLinkAbout1398 '"� CITY OF DIAMOND BAR PRESS �, `����� ' DEPARTMENT OF BUILDING A�VD SAFETY ^�^ BUILDING PERMIT FIRMLY AODDR'ESS �L7� S > � � APPIJCATION _NU BER � �� CpDE .�1 UV���..�� DATE ��C� _C�� � IS3UE TYPE OCC. ! APN LOT TRACT DATE ��Cl '�: U _C�NST. GROUP � CROSS ST E T SETBACKS ��� °-' OWNER �C..� ZONING FRONT Ryy ❑ � ADD SS > REAR ❑ W CITY ZIP TE SIDE/SIDE STREE'f �'W ❑ g APPLICANT TEL. SIDE ❑ a CONTRACTOR ��- � SEWAGE o ADDRESS i2Z o � - � DISPOSAL � ��BLIC PMT� W CITY A ZI �� TEL. �wC� ❑ PFiIVATE SQ.FT./100 GAL x STATE y LIC.NUMBER �'�^4'�BR� � GRADING ❑ CU.YDS.EXC. CU YDS FIIL y ARCH/ENG/ �----� . - .--�, � TY{�E SQ F'T EAG"R}F�P� �►1Q1..AREI41VA1.UATION � DESIGNER�- �.���( � W � jE-�(� i �. � '! o ADDRESS (� 2 Z CITY ZIP TEL. �r 3 o PROPOSED US ����Z� ��a �1.1.)4.�1� `t�Db� Q 4 � � ���� J GARAGE o NO.DWEL.� NO. NO. � pORCH y UNITS STORIES BEDROOMS , s LOT DIMENSIONS � VALUATION °" ADJ.AREA o NO.OF BLDGS HOW Qunlu�rtY ��$,��ipY'���y �� W ON OT ' USED ����.L°� � °� C) W H � E4SED COMNACTORS DECLAflATION�I here6y aflum Ihat 1 am Gunsed under prouisians af Chapler 9(�ommmcinp � Y wilh Seclion 7000)al Orvismn 3 of the Business and Pmkssions Code,and my Irtense is m tull iorce and efkct. W � 3 ❑ Ij � CNJNEN�BUILDEH�ECLAflATqN�I hereby alfiim ihai I am eaempt Lom the Conlmctor's Lreeiae Law tar 7Ae fdlowing z ieasen ISec 7031 5 Business and Professians Cade Any city m counry which�epui�es a permit to cunstrucl. .C} O alter impro•de demol¢h.ar repau any simtture,p�ior to its�ssuance,alm requiret the applicant for such pe�mil '� ¢ to file a signed atatemem rt�al he is Lrensed pur5uant ro the prwsans of the Contracqr's License Law IChaqer m p� 9 icammenang with Secuan 7000�of Divismn 3 0l the Business and Professions CoAe�or mat he rs eKempt[herefrom S� Xand the hasis fcr�he alleged ecemptian.AnV violation af Section 7031.5 by any applicanl far a pe�mil suhjects �" W !he appLcant!n a cwd penalty ol rpt mare ihan live hwdred dollars IS5001) -�� 0. � ❑I as owrer et the propeny,or my emploYees wrth wages as Iheir sole campenution will do the vrork,an0 tf�e strucmre�s not�mended or oFtered for sale(Sec 704A.Business and Piafessions Code T6e Contracror's Li[ense � v Law does rnt apply ta an owr.er al pmperty who huilds or imprrnes Ihxeon,and who dces such worM h�mself, (� _ ' or tF.roug"his cv.n emploYees,provided that su�h impwvemenis are not mnnAed o�ofhred lo�sale If,haxeveC Z _ �he CuAding or��mpmvement is sold wnhin one year of[ompletion,1k awnerhuilEer wdl have the 6urden of prownp Q y fiat he did net huild or imCrove for the purpose of saleJ Z y ❑I.as mvner of the O�oGerty.am esclusrvely conhacuny wrth hcented conlracmrs m construct the project ISec �� 0 7!144,Busir.ess aM Pmfessions Code:The Contractoi s license Law does not apply to an owner ol Oroperty who 'g. 2� Ewlds or�mproves thereen,and wha can[racU Im such projects wilh a canbactor�sl licensed pursuani to lhe Cm7qtW�'i �icense�awl �QN TRUCT � o �___�N _ � ❑I an e�empi unaer Sec ,B.B P.G(A�ta[h Certificale) N REVIE � � �,(j � o81e °ixni ELECTRIC � NqPNERS'COMPENSATION OECLARATiON 1 heieby aHirm ihat I have a cerificate o(cansent to sel4insure,ar c a cemLcate at Werkers'Compensation Insurance,or a cenified coDY�hrreof ISec 3800,lah.C.I PLUMBING Z ❑Ceru'ieo cnpv rs hereby�urmshed 4 ,Y„a MECHANICAL a �o CerufreA copy m hled with fhe Building Inspecfion Department oi Oepartment � GRADING _ Z ` � CEflTIFICATE OF E%EMPTION fBOM WOflKEBS'COMPENSATION INSUflANCE:This se on eW not co ted A_ , _ �� � y tl �he permn rs foi one�unCretl(5700),w-�eYss 1 eeruTj'v m th rm of wwk 1 whk�t� permit is issued.I shall mt employ airy p!'rson in any mamrl so a t a ampe + SM�P = Laws al Cahforma. �--..___.__- - - • �(� p Date �` � "��' App6cant � �J„F PARK FEE JNOTICE TO APPLICANT il,allei making th�s Ceitilicate of pM;�", slrould 6eiqme s�ect ta the Nbrker's � SCHOOL FEES Campensauon prmrrsians of the Labor Code,you must 1 �v.ijh_Eu�ly, i1h;�sdCh pimiswm or this permit shall � 'i be Aeemed revoked •� `� J � qYISI�N Of INOUSiNIAI SAFETY PERMIT CERTIFICAiION� w � ❑I hereby carlrfy that no e�cavatpn Irve(5)ar more IeM��eplh into-tvAicM-S�pcl5oil�s repured to descrnd, � wdl 6e made m connectwn with work aulhar¢ed hy this p"ecfiiC a�tli2Pho`bliilding,avucthie,uaHoldinp,laluwork, ar demolamn m Cumantling ihereof,will be more Man"tKn(��s�z 136)teel high.�Chao 3.2.Gry 2,Art 2.Set W 341.Title 8,C A.GI x ,. � 3 ❑As ownerCuAder I will nol empby ammne!p,do•work:WhicA wquN repuro•-a•pnmil Num the,Dvnian al � � Indusfral Safety,as noted a6ove,unless wch person has'�a permirto da=ucM1 wa�k hom Me d"maion� , � .... .:. , : ;.. .,_: ..� .. � , W ❑a�5,�o����n��a�sa�.�y��m„No. .."... � TOTAL FEES � � � � /''_ j a � CONSTRIICfION LEN011�AGENCtl�I here6y alfirm that tbeie is a comtrutGon 4ndinp aqrcy fw tl�e perbimanca 1 x ot the worN lor whkh ih�s permtt is issued(Sec.3097,Civ.C.I. � Lender's Name COMMENTS p=p Lender's Add�ess Q CERTIFICATE OF COMPLIAFIC UTIpRIL1 ENTRY.I caery i nave reaa cha a�w�an snd sua �a ihat ihe inlor tion given' re p m mmply wn state Isns and city ordinrces rdeti�p to 6uitlinp y twn. d auNoi rep n tme�x 6uildinp rid Sakly to mpr ippi tk poperry iw whrzh r Mis d makingi tions. spna�xe a lbu� r �p� RECPT NO. / �_��PAID 13Y 6���Ll VAUDATIO�� � HITE—�epanment Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicaMs Copy BS106-11/B9 �" ✓'�:.-fnA':''::5.. �..P"l��w'�h-�i2^ '..�',Rr�':5::,.�Y!' ,i�Y::.;a'..i.:, ...I .. , '.��.i. .� "�£r?ir. > . . �. �' r. +�... ,.. . .�. .� .. � .v .i.n. .:. .n ..• ..,n .:, c,�:.� ... .>., t.,. 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