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HomeMy WebLinkAbout1191 (5) . _ . ��, � , a . „. .... � �� • CITY OF DIAMOND BAR PRESS ��`' ' DEPARTMENT OF BUILDING AND SAFETY � BUfLDING PERMIT FIRMLY JOBSITE --� APPUCATI�I PERMIT USE ADDRESS G�. D n /� � � , DATE NUMBEFi CODE ISSUE Q TYPE OCC, � APN LOT,�_TRACT DATE ���^ ! CONST. GROUP o CROSS S EET a--� ZONING SETBACKS �� " OWNER � FRONT Ryy ❑ � ADORESS � r RERR � „� CITY d�` ZIP �/74/ SIDE/SIDESTREET RW ❑ g APPLICANT` TEL. SIDE ❑ � 6 CONTRACTOR SEWAGE o ADDRESS DISPOSAL ❑ �BUC PMT# w CITY ZI L. � PRIVATE SQ,FT./100 GAL z STATE GRADING ❑ CU.YDS.EXC. CU YDS FILL y LIC.NUMBER y RCH/ NG! V� TYPE SQ FC E/�tGT�E�P . A�l: /4REIKNALt1 ON . :. =' NER �t- Jr W 1 o ADDRESS L, 2 2 CITY l���'�di f-.t'-..� ZIP��� - (� 3 � PROPOSED USE z 4 � � �ARAGE o NO.dWEL. NO. NO. � pORCH y UNITS STORIES BEDROOMS s LOT DIMENSIONS � VALUATION ADJ.AREA o NO.OF BLDGS NOW Qu74NTtTY DESCRIPTION FEE : . W ON LOT USED � G � W � � � �� ~ LICENSED COMflACTORS DECLAHATION 1 Mre6y affi�m thai I�m Gcrosed wder provi&ons ol Chapmr 9lcommeceing y1�' ~'� � � wnh Secbon 7000)oi�ivispn 3 of the Busmess and Protemons Code,aM my license is in full larte and eflect � b� 3 J Q J l � PNNER-9UILDEB DECLAflATqN�I hereEy athrm tlqt 1 am ezempt from the Comnnar's lKense Law lor Ne fdbwmg x reason ISec 7031 i 9�iness and Pmlesswns Code�.Any cey or eounty wh'rh requires a permA to consttuct. (,'y o��. � � o alter,imprave,demdish,a repau a�ry strafiue,pnor W iu issuanee,alw repuves iM1e appic�nt for ush perm � ) � Qta Ide a s�qned siaiemem tAat M1e is licensed pursuant�o ihe prwisions of the Contracfir"s Lice�e�aw IChaD� Qi / r ! YI � � 9 Immmencing wrth Section T000)af 6vision 3 of Me Busmess and Professiais Code)or Ihat he is ertmpt ihetN g d and tAe basis io�the alleged exemp5on Airy vidanon ol Section 70315 6y�nY appiinnt to�a pernut wb' s .' / 'S `` �� x Me apphcant:o a cinl penalry oi rwt mom ihan five hundred dallars(550011. --1 � W - � �il,as owner ol tlx propeny,a my emqloye¢s witli Nag¢s as ll�ert sok campmsatron will da the wak.vM � v � � �!he snucte�e�s nat imended ar athreA fa:ale ISe�.7004.Business and Ponfessuns Cade:The Cmvactor's licrose � �� L � V law dces not app�y to an owner ot praperry wha huiHs o��mpm�es 11!ereon,s�who rbes sucn wurK nimselF. (� LLi�:�"C•�` �• ' or[hmugh hrs own employees.providrd�ha[such impmvemen[s are not mtrnded or olfeiad for sak II,howevcr. Z � � � 0o tne buddmg ar:mprwement is wl0 w�thin oM year al comple6m,the ownenbuilAn will Aave 7Ae 6vden ot p�winp q � Ihal he did nat 6mN m im0�ove for the purpose nf sole-) 2 � '- � � "' U �i] CJI.as ownr.r of ihe propeny.am axclucrvery comracnny vmh Ircented mmracton to cans7ruct the prolKl ISec .�,[ - 0 7(144.Bus�ress aM Protessnns Code.Tbe Contrxlor's Li�anse Law does nat apply to an owner of O�W�nY wha � � d` , � � Z Wdds or imprwes theaon,and wha cantans kr such pmjects wnh a wntrac[or�s)licrosed pursuant ro dN Cmvazta'e /.�q I �''} Q �censeLawl i�S!G9!'iT$�_S1,f+r/�'tl�� ( ��O e • J ••• ❑I am e nda.Se� 5 P C tA Ce k�e� � ' C��irf�0Y�7'a � (�� ~ ��(.�' � °81e °i""" ELECTR�C � YAflKEflS'COMPENSAiqN DECLAflATIqV:i here6y a(firm Ihat I hm a cernf'rate d cmxnf to xll�in�un,a a cern�aarz ot Nlarkers'tampensauon ms�r�rce,m a cnu�reo capy mmeo�(sec.3soo,tae.C� LUMBING •Q 4 ❑CertffieC copy rs henCy lumished � MECHANICAL p :J CerNred capy rs�dM uxlh[he BuiW�ng InspetUan Dputmem a Depxtmem � GRADING W ZV„ CERTIFICATE OF EXEMPTIDN FROM WORKEBS'COMPENSATION INSUHANCF TM1is sectian�ed not 6e cwnpk�ed SUANCE _ � � • y d the permrt rs lor one hundmd(5100)a iess I cer�iiy:hat m tM1e performance af Ihe work fa which tAis � permrt rs issuM.i sAaA mi emplay aM Oe�wn m any manrer so�s m hecome su6�ect ro the 5tiurkers'Canoensaiian SMIP � Laws nf Califorma- o � PARK FEE p Oale "�o'��^� �: SCHOOL FEES � NOTICE TO 0.PPLICANT N,after makmg th�s Certdrate of FxmD�ion,you shauld 6ecome suh�ect m the Wnrkn's � Compensanon prwiswns ol the Labor Code.you must M�Mrith wmply wn1L su[h prowsnns or tM1is pemirt shoN � h deemed revoked � J � qVISION OF INWSTRIAI SAFETY PEHMIT CEflTIFICATI� (�'�'•;i � W �� .4,-, '2 ' o ❑1 here�y cenily fhat ro ex�auatron liue(51��Ie�M i�yd�b{,Yy17W whith a penm is requned ta desceM_ e wdl 6e made in cannectan wiM wark wMaeed�tlut;jemxT,and�tlut no WJd'xq sVutva.saHoldin0.I�Ifawork. . d w demo4liun m drsmantling Ihercoi,wdl 6e [han thirry-sia(38�feet hgh.�Chap.3.2.Gry 2,An 2,Sec ,. W 341.Ltle 8.C.A C 1 x 3 ❑AS owner-hudder,I will not cmploy anyo�y�do Y��heh� � uire a pemt hom tlr Divoion d f-. intlustt�al SaFety,as noted ahove.unkss sucti;V;tiMs a�er to do wch xnrk from the UNoion. . . f � , W ❑��,�a������5a�ry��m,���. _...,_. .:,:_ TOTAL FEES �O�j a CQISTIIUCTqN LENOIAIG 11GENCY:I he�Uny-iltir�Ua1•UKae�s a�taietructbn i[n�np; br the prlam+nce z of the warY la whc�this permn is i�d�.3097,Ciy.�C.1 r_;;�'•� :J"�' ' � Lender's Name ^'�'� �" COMMENTS m lende's Addreu 'a CER�IFICATE Of CON�LIAM�ANp AUTHN92ATp�1 OF EMflY�I cetily I have read tlwt�ppinum aN stioe y �hat the infomuuon grven n urrece I ayee to wmply wnh all slar Is,ws ad ciry wdinances rehdq ro huildiiq y [onslructqn.and auMw¢e a ropexnt�tive af tAe Diyartment d@�iMiiq and SaG1y m mtr iqm Iht paprry ' = for whxh 1 have apq�eU(or tha perma for ih pupose ol makiiq inspecuoni F V A j sy�,n.e ar aop�.�,«ay�n p,tr RECPT iVO. S PAID BY�__VAUOATION WHITE—Department Copy,YEL�OW—Finance Copy,PINI�l0.ssessor Copy,GOLDENROO—Fite Copy,GREEiJ—ApvE�cants Copy .�:. , . _. .. .._.. ������ �,��' � ` ���� �� `" .. gg $��'"� d�R ."'w&�,`?°°m , Y`..�';{`4a3's��� � ��*"�� 9 X��....Y�3N`e�'.'��... . . "����'�.•.�,n�'''�'�:v.9.,��`` • • ; r���S��" r•�. '":��-�,�: � . 's��e��: _ . _ �_�. . .. .-��, v�+x � " ms°� �C�.��3 }� p :^a."��+fi,��" �•g } ,� ' �b��.'��, `�'F 'a�`• �`° �;�'�'�.�.�: u"�„ ":� . `t" �: �.� �:' �'-�'� � �'�i�; . • , ..B• . . . -.._..M-, .s.� ,, ,,� , . -- - — - ;.,. ,�_.. ,.., ............ ..._,...._.3;.,..f^..., _.........., ............._....�...�..._.....,.,. ..,.....,.,......._......._.._.__'_ _ _ .� .� �_� . ., i.. . ' . . _�._. .,......�.. .. ... . � _...�.._.:�. i�,.; ...-.�,. - . . «,i , a.. ..�.....: .....�.._.._� � : . 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