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HomeMy WebLinkAbout1367 (1088) -.... . .-.�.,..._„_.... .__.__...._--�-_____. ___. ... - - .. '"` CITY OF DIAMOND BAR PRESS DEPARTMENT OF BUILDING ANQ SAFETY 1� BtIILDING PERMIT FIRMLY �� / JOBSITE A�LICATION PERMIT SE ADDRESS _ ��uE ^ ._NUMBER CODE TYPE OCC. �..`" APN lOT TRACT DATE �� CONST GROUP o CROSS STR T SETBACKS ��� °' OWNER � ZONING �O� � ❑ o A�DRESS REAR ❑ W CITY ZIP TEL. SIDE/SIDE STREET RW ❑ p APPLICANT T SIDE ❑ z � CONTRACTOR � m � SEWAGE ❑ pl,1BUC PMT#� o ADDRES � ` ISPOSAL W CITY Z�p 7� ❑ PRIVATE S(].FT./100 GAI. � STATE �,�"�G �" GRADING ❑CU.YDS.EXC. CU YDS FILL y LIC.NUMBER � y ARCH/ENG/ � N�'E SQ �T' F�►CTt�R PS ADJ. AFiEANALUATiON � DESIGNER � W � � ADDRESS �,�„ 2 = CITY _IP TEL. `i 3 � PROPOSED USE�'"""� � 4 S • '�,J' GARAGE o NO.DWE�. NO. '"''J _NQ � pORCH y UNITS_�STORIES_I�BE ROOMS m � LOT DIMENSIONS VALUATION ADJ.AREA o NO.OF BLDGS HOW QUANTRY DESCRtRT10N �E W ON LOT USED � . Wx ~ t�ENSED CDNTRACfORS OECIARATION:I hnby dhrm Ihit 1 xn Gcensed undr pravi�ioni ol Ch�pmi 9�wmmenanp �p wn�Setean i0D01 0l Drvison 3 et the Busmes�xM Prohs�iom Cod4 on0 my liume q n MI krce xi0 Nfxt 3 � � LL PNNER-BUIlOER OECLARATqN I hera6y Nfirm M�t 1 om uemp�Irom th�Cantrxm's licenk Uw lor IM Idbwinp _. reexon�Sec 10315,8uvness md Pmlessmne Code �ny n1Y a ewmy whrth npwrea e parmu te cnns[ruc�, (' � o elter.improre,demd�sh,a repeu airy atruclure,priar ro ns ueuance,Yao repuues tAe pplrc�m far ush yermn 7,' 1= m hle a s�gnetl siaumem iMai Ae ie kenuA pWtuam m il�e pwisions al tlu Conuecmr'�lexue l�w It�apter �p � 9 I�ommennng with Sauon J0001 of 6vifion 3 d tl�e Business Nd Proleu�om Codel a MM he u eMempl thenhom '„„C . , , d mtl the basu lor Me allegM exempoan Any vidnwn al ScMon 1031 5 by a�ry oppluani kr�prmtl wbpcts � • � . � ' . 1�� W Ihe apphcant to a civJ penalry ol m�mon ihm fiw hundrod dollirs(f50011 a � ❑I,as owner ol tM properly,a my employees w�t0 wapea u Iheir soN tampensauon,wiil/o tl�e warY,ad the suucture is mt mtended m Mfered far uk�Sec 70/4.&wnns md Wdasaons Cade TM Cmva�a's L¢mee Q W �8W daes rot apply to an awner ol property who huiNs a imp�wse IAerron,md vfio dou eYch worY hxnsell (,� w Ihrough Ms own employees,prwided Ihat tuch imp�oremmte xe no�in1eMW p oilared l0i SiM If,howare�, � m Me UmMmg m imOmwment ie tdA wilhfn one y�w W cdnpetan.tM avnerEmlda wYl hrn Ihe WiOen ol qwmp � IAat he did not huild n�mprow lor Ihe purpofe al t�k.l = h � � ❑I.u oxrner al the proPerry.�m�xWsinly eoMqtluiy wiM htensed eonlixtors n tonYrucl Ihe pq,ct(Sec W � 70dA.Busness Md�OIeS51Una COde The COnVNPoI'7�ICanae LiW EMS Iq��pply IO M OwnC1 01 PI{qE��y wla � = Wtlds a impraves the�eon,�rd who contracts lo�wch pa�¢ts with��ootrxtorl�l bcensed pusuant lo Ne Lmttutar"� 'Q lcense Law 1 CONSTRUCTION 0 FW,,, ❑�om e.emv��ma sa .e 6 r.c,�an,�n Ce�mK,u�. PLAN REVIEW p Uete �'^�� E FiIC � WORKERS'COMPENSATIW�ECLAflATION I Mn dh�m that I hwe�t�rbfinte ei ton��nt te sell�wsre,v e cernhore af Nbrkers tonpensavm In��n'i��'�x�f�e�E6�ry thereof ISe��600.Loh.C 1. � ���� 6 ❑Grtifie0 eapY����Y���sheE ����,f�'�`,".�t�';,.�,,.'°1 � MECHANICAL p ❑Cwnlyd capy�s 6kd rnN Me 8mldmg Nspecam Depenmem n Deparmrnt 4 GRADING w z CERTIFICATE OF EIIEMPTqN FR�1 ERS'C�1'ENSATIdJ INSUp4NCE Thn Nc�ion need not M eampk�ed SUANCE � �' il the permit rs In one hwWedf.t��I{Sy {"/erM1]�q1".; 1he prkrmrce ef tM wpM la wl�ich Mie y rmi[is issied.I ffiatl mt em lo n m�m�nemf" 4come R V� / � wblat to the NfaYari Canpensatim S = l�wa al CWrfan�s W o PARK FEE � �h �� n� � � �`°�'�� � SCHOOL FEES W NOfICE 10 APRICANT �'u r m�ki ihia�Cb�iRra�e'eYfYinpubn.�'tU4�W Oecarc eubiect m IAe MM1u's � Compensauon povnims�;. `-�.�oi'CoAi.wYD� urt�;sanylY euch provispix a IAis�xmi1�hi � ����d� �.. .._. u. . ��''r J p� pYI510N OF INqJSiplAl SAFETY PEflMIT CElffIfCATIp'1 o ❑I�ereDy urtrfy that no ercavatnn liu��51 a more leet in CepM n4o wMth a persm u tpwreE b Wcad. � wdl 6e mede n cametim wiM work�uhoreed by Eut pe�m�.W dut m 1uiWmp ftrutture.ftaNddin4 IWeMrorY. x demotluon a d�smantinp Ikreol.wdl E¢mars Man 11ikry�tn 136)het hiph IdnY ]2.Gry 4.M 2.Sa � ]41.Ltle B,C A.0 1 S 'Z` ❑As owner�hmldor.I will rot�mpby anyph ro do wvrk wl�ich wouN npuin�Mrm�t fiom b Ovrqn d � k�dunrrl S�htY,n noted kove.unkss w�h perton hn�permn m da tuch waM fram tle dryiaioo. � ❑Omswn d Induatral S�FeH Mmt Na. � CqJSIRUCTqN IENWJG AGENLY:1 heieby dlinn Aut tlrre n�wnstruemn Mnl�q percy la�e plamnn TOTAL FEES �pZ� � 01 Ih Y�OfY IOf NhKh 1�IIS plIIIXt N Iiilid�.�lC.�).n.'/.�.�. ---1 G COMMENTS �� � I�� ! _ w�a.r:H.� m t«�;�neerca. � CERTIFICATE Of COhML AND AIRNORIZATIOM OF ENiqY.1 vMy I Iw�ntl Yis apdintion md�4h (/! tAe[the nlpmeton m�at I re1M�I suu Yw�wtl eiry rdiurca�Ytxq p Mtl7inp y wnstructan.ud wtb �npnae � t ar t d idinp�d&My d w�c�on/r Irapnt► � �ch 1 hau�ppli or Ne pn w p me d �kn ' s. � — I r�� mtve Appfunt a/�pem p�d RECPT NO. 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