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HomeMy WebLinkAbout1630 (1111) : � � '"` CITY OF DIAMOND BAR pRESS �.. ���" DEPAR'TMENT OF BUILDING AND SAFETY � •� BUILDING PERMIT �IRMLY ' JOBSITE - c� APPUCATION PERMIT � $E � ADDRESS 1 U� SSUE C/� Q ��TYPE�R ��DE � APN LOT TRACT DATE ! —'�)� �'-� CONST.^�GROUP " CROSS STREET SETBACKS "�"�N15 °^ OWNER ZONING ��N.�. � ❑ o ADDRES� � �b J�'1'V'�'� 1�Pr �h' � REAR ❑ ,� CITY 1_7l�ht�IC V�117 1Z�k� TEL. SIDE/SIDE STREET HW ❑ o APPLICANT TEL. SI�E ❑ z � CONTRACTOR �N SEWAGE ❑ p�fg1.IC pMl'# o ADDRESS �3�� ��'��'� �'''"V� DISPOSAL ❑ pR�VATE SO.FL/100 GAL W CITY� � F%�- ��N�ZIP �7 �TE�2 'R� z STATE �b�.� � GRADING ❑ CU.YDS.EXC. CU YDS FILL y IIC.NUMBER Np� gQ Fl- FACTOR PS ADJ. AREANALUATI4N y ARCH/ENG/ W � � DESIGNER W .3O P�-Z� � ADDRESS LL 2 0 � CITY ZIP TEL. (� 3 � PROPOSED USE ��• � 4 c� ,J GARAGE o NO.DWEL. . NO. � ppRCH y UNITS STORIES BEDROOMS m � LOT DIMENSIONS VALUATION ADJ.AREA o NO-OF BLDGS HOW OUANTITY DESCRIPTIDN FEE W ON LOT USED q W U S � ~ LICENSEO CONTpACfOflS DECLARATqN 1 hrehy elfnm ihit I am kensed under Pron�wna ot CMp�n 9 I�o�M��q � � wnh Sectan 10001 0l Uvis�on 3 0l�he Busmess md irnfesaon�Cede.�nA my ir�nse q in fuA lo¢e ard dhct � 3 � W � OWNEFl BIHLDER DECtPNAiqN I herehy dfirm Mai I am esempi fran iAe Contnctor'i leense Lnv In tlrc lollamnp reason ISec 7031 5 6usmess snd PmFessuns Cade AnY n�Y or[ounry whch rpunes a pame lo con7buct � oaliei imprare,demdrsh.a repa�any fuucture,prnr fn�b nsw�ae,�ra�eqmns the�pphnM fd tu[h permn r io lile s signed statemenl 1ha1 he�s Miensed purswne to the piwiaans d Nr Contrumr'e lKerua law�Ch�p�er p] s 9 Icommencmg wrth Se[tion 70D010l Qvman 3 d Me Bw��ss�nd Pro4mons Lode�n Mut M n mmpt Merfrom '� d antl the 6asrs far Me dkged nemptpn Airy vd�tan d Salwn 7031 5 by�ny�pp6unl lo��permn au6�aa ` • � 7he appl�cant la a crvd penalty o1 rot mare Mm Lve�undred dollara 135001) '�' a < � 12. l ,R'� � ❑I.as awner af th poperry a mv employees wrth waqes aa�heu sok comcens+tpn wiN ao Me worc.mA � ifm structure is not iMmded or ofkred In sele ISec 7061,Busirces end Roleasiom Cade Th1 Cantncta'e liaense Q O D � -T� �rh� ' V Law does rot apply to an owner ol D�ace�tM wha DuilAs or imo�oves Merem.�M wAo Ccec tuc�wort hmtell. � 2� W o�thraugh his own enployees,provided Mot Suc�enprpvemems Ne nat inlentleA o�ofhreE foi sek 11.however, Z , ' 1 r-- �� '. �,JlJ O� ai�e hwldinp or imprwemem fs solA wMm ane yew al complehan.the owneo-6uilEa win h�ve t�e 6urden ol qovinp Q y Ihsi he tlid no�Wtld m�mprove for tlre purpose ol sak� 2 � � 'O � oO (] Vf ❑I.�s owner ol�he proDeny.�m uclusrvery[onvactny wim�[enseA con[ractora m eenstruct the pqaa ISec IL �,.JD 1 "1� 0 7044.Bus�Ka�nd Profesmane Code The Comikta�'s Lkenu Lnv das r�ot�pWy ro�n ownm et popeny who / � oudds o�impraves 7he�eon.�M who rontracu fd euoh qa�ects with�conl�xlultl Ftens�d pursuant b du Cantl�[tab . • 4 L¢ense Law I TRUCTIO -- w r-1 r 1 y�y r ❑I�m�iemq uMer Su .8 6 PL.IA�isA Gerul¢ml L r1 ��-# •O b � °ap °ixne ELECTRIC iYAHNEHS'COMPENSATIQY OECLARATpJ I MreEy alf"vm Ihat I have a oerMrca�e o1 crosem�a sell-insure.w P a oernhcate of NqrYers'Campensa�an Insunnce.or�cvttlteC copy thereoi ISec 3600.l�D C I z t ❑� Ceruhatl copy s heroM1y lurmthed MECHANI /4� n � - O �Cornlyd capy a fded wim Me Bmkmq Mspecnon Dpxtmmt p Oepxlmso� Q GRADING W = CEN7IFICATE OF E%EMPTHIN FPOM K9HKEflS'COMPENSA110N INSUflANIF This mciqn ired rot he compkted C,`UAN� � • � � = d tM permn rs lor one Aundred�l1110)a kaa I cerUlY that�n Me perlormmce al ihe wak Mi whnA t�is y mu n rssued.I shall rot em I a SMIP per oy �ry perwn m anY manner so aa m Eecome w6�ect m tlr Nprtars'Canpensnim o �ws ai c,i�ro,�. ,. W PARK FEE p Oare�'L� � �o�K•�a • ' � �W.. SCHOOL FEES � NOTICE TO PL ANT It.�f r m�Amp mn Catfca�e ol'f�ein n,qou�slauldLeeome yyy Kct m Rs 1M1brWr'� � ComDenseOan prorisims e�Me Lt6or Code.pu muat kr�w' fempN vnM'uA pw1ySns p Ihie pnme Ndl 'i Oe Ueemed�ew1eA �° � J p� dYISION OF INDUSfRIAL SAFETY PEAMR CERTIFICA7q1N �u {V°R�, ❑I haeAY cnuly thal no�wvatnn Irve t51 a t{�ded'�I�iwh�`.pe a rpmred ro bcend. � wdl Ge made m eonnect�on witA woik wthor¢ea br�if�end rwi�o�udduq nrupue,wlfoldmp,IWawark, a demdmon a d�smantMnp thereol,will M more ity-m 1781��hph.{q+p 9].Gry J,Arl 4.Sa W J41.TitleB.tAC) "; , S j '' I 3 ❑As awnd�hwWer.I xnll not�rtqbY iryone Jo W'Md�k'.,yihdh rxouk IpuiN t pelml�ari`tlk Divum M �— Irbus�nal SeIdY.rs noled�ho�e,mksa wch penomll�9��erOrt SOYk 7u��wo�klrom�iM diunian , � �j.,;,`.`...i�•' .� � � ' W ❑Orv�swn al YMustnal S�hry Pe�mn Na TOTAL FEES 0. CONSfRIN:fIOJ tENDING AGENCY I Mreby dUrm!hn�Iwn's�mnttruc4on bMmp peney Ia IMe Mrfomiance Z d Ihe rrar4 fa whc�7�n pnmi s icwed ISa 3097.Cn L.) p LeMer'a Wme COMMENTS ��� �D��-a� p�p L�nder's MA�ess � fFtiTItCATE OF COMPLIRNCE AND AUTI�IIZATIai OF ENTRY 1 vtily 1 hr�rpd hs pplintun aiA�pb Va �ha�he xlormetron given 6 eorwcl I pree Oo Wmp�y wrth MI tule bw�wd tiry urAinsnc�s n4udp le lwWnp ycanstruc�wn.md�uthor¢e o rqnunt�lrve ol tl�e Qpertment d BuiWinp�d jdaty,b m�n iqon 11s/eperry , � lor whrth I Mw�pped Fa tMs pxmm la IM prpnse d nNinp i��pectons. � . 4 . r- /�. sgnnwe M •n a Wem ,p� �� RECPT NO. �' P1410 BY ��,�VAUDATION WHITE—Department Copy,YELLOW—Finance Copy.PINK—Asseasa Copy,GOLDENROD—Flle Copy,GREEN—Applicants Copy es�os-ivae ..n -,.,�. ,e�.-.+>" • ' . ..�'r�..•?i R! .... - . Y.. - .e• • , -� , � � .e�`:.. 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