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Home My WebLink About1140 (5)CITY OF DIAMOND BAR PRESS DEPARTMENT OF BUILDING AND SAFETY .� FIRMLY BUILDING PERMIT JOBSITEIlylAPPLICATION ADDRESS E3_70 vI PERMIT SE ISSUE /r _ TYPE ER ' CODE �� D APN L TRACT DATE y� CONST GROUP CROSS S BEET OWNER E ADDRESSREAR CITY IgZIP TEL. LZ" Z APPLICANT s w_QeDa TEL. ZONING SETBACKSPAPFANEWWM ❑ [:]FRONT eff RW ❑ SIDE/SIDE STRE RW ❑ SIDE ❑ CONTRACTOR ADDRESS CITY rn-v 42U%►- ZIP TE SEWAGE ❑ PUBLIC PMT # DISPOSAL ❑ PRIVATE $Q. FT./ 100 GAL STATE LIC. NUMBER GRADING 13 CU. YDS. EXC. CU YDS FILL co W TYPE SO FT FACTOR PS ADJ. REA/VALUATION 1 `t$' ARCH/ENG/L DESIGNER R �O nC� ADDRESS �. a W LI. 2 CITY X9V h0F ZIP2iL7i4 TEL ZNJD 3 PROPOSED USE :]:::E; 4 GARAGE NO. DWEL. NO. 61 NO. UNITS STORIES BEDROOMS LOT DIMENSIONS NO. OF BLDGS HOW J PORCH CD VALUATION ADN. AREA OUANTITYJ DESCRIPTION FEE ON LOT USED El ICENSED CONTRACTORS DECLARATION. I hereby affirm that I am licensed under provisoas of Chapter 9 4commenciap with Section 1000) of DIwslon 3 of the Business and Professions Crile. and ma license d n full Poria and often. W ❑ W OWNER BUILDER DECLARATION I hereby athrm that I am exempt from the Cenlaptl s License Lase for the blowing reason ISec 70315. Business and Professions Code Any sty, or county which ragusra a pend as dmnruct. alter imeow. demolish, or repair any structure. prior Is is osuance. also regures the applicant for such perms pursuam e provrsans of Me Contractor's Lcanse Law (Chapter to file a signed statement that he IS licensedt sh 9 Icummennng with Section 70001 of Division 3 of the Business and Professions Cade) a that k is sm mpt tharehom and the basis for the alleged examphm Any wotehon of Satan 70315 by any applicant far a permit subjects the applicant to a crvd penalty of not more than We hundred dollars 11150011 ❑1, as owner of the property as my employees with wages as their sok compensation *if do the wart, and the structure is nm Intended or offered Iur sale ISec. 7044, Business and Professions Code The Contractor's License Law does nor apply to as owner of property who builds or improves Mason. and who does such work hwself, i or through his own employees prtrded That such tapmvema^ts me net intended To offered bo sale R however, the budding or improvement is mid within one yea of completion, the ownerbodder will have IN burden of proving Mat he did Int build or uW." lir the purpose of sale 1 1 ❑I, as owner of the property, as exnusially contracting win licensed contractors to construct the project (Sec h 7044. Business and Professions Code The Cmirac[or's License Law does Int apply m an owner of properly who build,m improves therein, and who contracts far such projects with a contractals) kenaad pursuant to the Contractor's License Lawl C7 Z m rZE =I IL Q Z 1< gV ONSTRUCTIO r5 i i ❑ I am —rept under SEC . B B P.0 IAIIEh Certificatl PLAN REVIEW Di1B owes, V) ELECTRIC PLUMBING MECHANICAL WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certi icate of coastal to aYbaswe. or ' a cennccare of Warkas' CDmpeneifron Insurance. or a certified copy thereof (Sec 3800. Lab C I ❑ Certified copy is hereby banished i ❑ Certified copy is tiled with the Building Inspection Department or oapathrenl. � CERTIFICATE OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE Tlus section need not be completed Q GRADING UANCE I The permit is for one hundred (111001 or Was I evial Thai in the patoahnauca at the work toe which this - permit is issued. I shell become employ arty person in any manner so as to becasubject to ilk WDtters' ConNiensmmn Laws at Caldurma a E late ale WFWK IJ- smtp FEE SCHOOL FEES of Et � NOTICE TO APPLICANT . after mating dors Cerblcme of Exemption, you Elandd become subject m ilk Mbrlm'a 8 Compensatiat pmwsans of the Labor Code, you most fardn nth comply with Etch provision or this point than be deemed revoked p.ev.w DIVISION OF INDUSTRIAL SAFETY PERMIT CP11FII� � 1 11 ❑I hereby candy that no axavatein Tina 15) or more tat as depth Into which a person or ra4tured To descand, will be made In connactae with work sunburned by The peso. and Mat nb building saunas. Ksf%Ming. Iakervork, as demaldron or (lismantlrrg tlieieo1 _st11 be we Man thcty-six 138) Mt high (Clip 31. Grp 2, An 2. SEC - 341 Tide 8. CAC) JU 29 199.3 Dais awnar-builder. 1 wig not amplay aayooe to do work which would ragUre a pant from the Dwain of lidustnal Safety. as noted above, wits. such person hes a pernot to do such work from The Tkakan. ❑Dwaiw of Industrial Sillily , rm, xa :...F' TOTAL FEES • CONSTRICTION LENDING Adritt 'hhlreky Afkin ahH' Test iia Tor the pertamrsn ^_ of The work for which this perms is issued ISE 3097, Car. III Lendeia Name COM Lendeia Address � c CERTIFICATE OF COMPLIANCE AND A ffHMZATION OF ENTRY I astTy, I have raid This Ippbtmlm ad atak 0auildup D that the information gwen is Correct I *Win to comply, wish aT Etto laws and cry adihsrcamkp M b on Constructi, sad ".us a reptsentmwe of the Department of Berilduy and SEfmy Y seta opt Te property e tar whish 1 ave sopled for thi permit II The papow at making inspsta^s. �Ze� . �a.+� RECPT NO. PAID BY D VALIDATIONaLl Sgnmure of Appicant or Agent Oat WHITE—Department Copy, YELLOW—Finance Copy, PINK --Assessor Copy, GOLDENROD—File Copy. GREEN— Applicants Copy ' BS706-71/89 P!TS! T:__� -_ _ '----�-----'-' - -- ___ ' � ^ ' . -- --- -'� _^_�__ ___-_^-^ �_-__--'--_-=_`-�. ^ R- --~- ~'-'- '----- � ml 14, ' __-__'..... ... .... P!TS! T:__� -_ _ '----�-----'-' - -- ___ ' � ^ ' . -- --- -'� _^_�__ ___-_^-^ �_-__--'--_-=_`-�. ^