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Home My WebLink About1399 (649) -._._ - --- -- --_ _ - ____ - - .�..�- '('` CITY OF DIAMOND BAR �%�_ � � � �, '•�" �' DEPARTMENT OF BUILDING AND SAFETY ESS -� BUILDING PERMIT FIRMLY JOBSITE � APPLICATION �.� ...�'�NU BER }h�G� CO E ,Z � � J �� f DATE ADDRESS IS�UE �- C TYPE OCC. � APN L T TR T DATE �? "-� � �� CONST. GROUP s . ..,.,......,,...:.,...:e.,.. � CROSS STREET - SETBACKS "�+o�"E"'S � ZONING �ONT RW ❑ = OWNER o ADDRE S �Z � � REAR ❑ W CITY � " ZI TEL. SIDE/SIDE STREET RW ❑ o APPLICANT TEL. SIDE ❑ 0 z a CONTRACTQE `� EWAGE ❑ PUBLIC PMT� o ADDRESS �� '� �POSAL /1,�1 ❑ PRNATE SQ.FT.!100 GAL „�, CITY �i� /r��L7�'t?ZIP TEL. = STATE °7 GRADING � CU.YpS.EXC. CU YDS FILL y LIC.NUMBER �.7�'rJ �� y ARCH/ENG/ (n �� $� �T ��mR PS `. AQJ. AF��ANALt�ikT10N � DESIGNER � 1 � ADDRESS L�L. 2 i CITY ZIP�TEL. (� 3 � PROPOSED USE � y �� ' � 4 � � � fiARAGE o NO.GWEL. NO. N�� m PORCN y UNITS STORIES BEDROOMS � LOT DIMENSIONS . VALUATION ADJ._AREA o NO.OF BLDGS HOW QUANT�TY I��SCRIPTIUN . FE , � OiV LOT USED � W C ~ ❑ � LICENSFO�ONTRACTOFS�ECLAHATION.I AeiehY affirrt:that I am Ikensed under provis�ms ot Chapur 9 Icomme�xg Y wrth Sect�on 70�0�of Di�ision 3 af the Busmess and Pratesvons Code.and my 6cense�s in full Force anA dlect � 3 � �1 _- OWNER�BUILOER�Ei LAR4TION�I heie6y alFirm that I am eKempt�rom ihe Lontraz�or's Lmense Law for Ihe idlpxinp � � = reasor iSec 70375 Business and Prolessions CoAe Any cqY or tamly whwh repuues a pamn lo cansiruct, � `�' �• C� � _ �'� o alier �mF�ove.de.muhsh or re0au any stmnure,o�mr to its issuance.alsa rrymres Ihe appl�unt fa su�h pcmtl z — , QL f�le a signed s�aienent that he rs hcensed purwant lo the D�ovisions nl the Contractor's L2ense Law�CAapter m I � �1 � 9�rnmmencin,w��Secnon 70001 al D'ivisian 3 af�M1e Business and Pmlessions Code)o�th�t he is erom0>>he�e�mm g 3 � antl tlie Gass tor Ihe alleged exemD��o� Any violatro�i o(Sectmn T0315 hy any applicam fo��peimil Su61e[Is � r� `� W Ihe ayolicart m a crvd penalty of not mo�e t�an live huMred dollars 1f50011' � � C / ',lr�} o ❑I,as avr�ei ci ihe prcpeity.or my employees with wages as the�r sole compensadon.will do ihe wo�k.azM 1�� '-') � � v` ~ Ne svuclure it no!mtenaed or affeietl Im sale ISec 1044.&lsmess and Pio(essions Code The Cantracror's L�crose Q � j � Law 9oes no!ann�Y ro ar rnvna ot 7�operty who 6wlds or imDroves�hereon,a�d who does wch wark himsell (� , ._ ••• or[hmuyh n¢own emplayees provided that Such impovemenis are not�Mended or olfend for sale�f.howeveC Z _ !he bmld�ng nr improvement is sold within one year of rompleuon tM1e owreo-6udder wiil have ihe hurAen ol p�ovinp Q y �hat ne diJ eoi budC a�improue for ihe purpose ol sa�e-1 � h ❑I.as awner ol[he Gmpeny.am exclusivety cantractiny wrth licensed comraators ta wnstruct the po�ect ISec {JJ 0 7044 6usiness and Pmiessans Code:The Conhacmr's License Law does nol appir Io an owner af Oropeny who 'g' � Cmlds or;mprmes Iheiee�.and who�antracts Mi such pm�ects with a contncmrls)lieenaed purcuant fi tAe Controttor's License Law i CONSTRUCTION 0 "' ❑I an exempt unde:Se[ B B PC IAt�a[h Cero6otel PLAN REVIEW H 0 oa�e �'�e1 ELECTRIC , � YWRKEflS'COMPENSATIpJ OECLAflATION I heretry affirm ihat I have a ceAficate of eansent to sell-insure.w � �� C'X--� a cerlihwte�f Warkers'Campensairon msurarrce,or a ce�titied copy theim�(sec.3eoq tae C�. LUMBIN�.a.----- _, 2 Ce�ti��ed covv�s here6y fumished J MECHANICAL 6 - ��A..// 'p ❑Serulied cooy�s filed with ihe Buiiding Insp¢tion�eDarlment or Departmeni � GRADING 1� f"'''� Z �EPTIFICATE OF E%EMPTION fflOM 1NORKERS'COMPENS0.TION INSUHANCE 7hia savon need iwt 6e compkteA SUANC�.� L � � ��` � � d Me permil Is�or one huntlred if100)ar less 1 cerlify t�at m tne perlormanre of IM wdk�ol Whkh tlia �.. y permrt is icsuetl,I shall rot empioy airy Dersnn in arty_manner so as-(o�6i�ame subjec�W the'Abrkers'CanpenuUm SMIP _ = Laws of Calrfomia F'. y �; o : �:.•�':._<�,_`.. ' W PARK FEE p �are 'ApPlrtill � W NOTICE TD APPLICANT:II,alu�making Ihis Certilicale o(Eremption,ya thould hecame suEjxt to ihe Wnker's SCHOOL FEES _ � Compensanon pwnsmns af the Lahor Cade,yau musl faMwith tomply w�M w-9ch provisnns a ihis permii shall 'i he Aeemed reuaYeA .� p'�;�',�"�^';4 J - � qNSIIXJ OF INDUSTRIAL SAFETY PENMIT CEfliIFCAT1014: W a- ❑I here�y cxldy thal no excavauon Irve�5)or more leet m 0epth inm w�kh a person n repwrd ro des[md, � wdl he made in conneclnn with wark authorvetl bY thu permit,and Ihal no huildiny strvctue.sWNdCiiq.�Wework. a or demol�tion o�drsmanting�hereof,will he inMe�han thmy-aiv(36)feet Ag6 IClwp.32.Gry 2.0.n 2,Sec z 331,TiNe 8,C A C I ' ' , ' � W —� 3 ❑As ownel-budder,I wdl nol empby�anyoice to do urork whKh would require a pnnxt tram Ihe Oivisian N �— Indistriai Sakiy,as nmed aboae.unless wU persnn Aes a permn ro do su[h werk from ihe division. f � ❑6vis�on ol InAustrial Salely R¢�mif!b. � � �� W TOTAL FEES a CONSTPUCTION LENOING AGENCY�I�eieby allirm IFat there is�wnstruc0on knd'xp�penq 1a IAe perlammce i of thx work tor whkh ihis permt�s issued ISa 3497,Civ C.1. - , � Lender'z Name �• 'n L � �' = COMM NTS • ' m Lender's AE6ess � �I i A,�; Q LEflTIFICATE OF COMPLIANCF AND AUTNpiIZA71d'!OF ENTNY�I cerlily I Mie rad ihis pplk�tim+nd�bb ��—�t �a ihat�he��wmation gi�e��s curttt I agree ro wmply wan�i:mn i,w:.�a Gry a�a��nMu w a��e yconstructw.and aWlronm a repaunlatwe of IAe D[penrtrnl o�Buidinp rd Sahfy eD enlx upon Me paperN = tor wh¢h haue applied s parmR fe Ihe purpos�yf�rNlkinp inspe�uons. ' � ' � ' ' ' ~ j I � �J�� ` ' RECPT NO. 1 � PAID BY�� .�VAUDATION Sipnaiwe of Appssnt m Apem � 4 WHITE—Department Copy.YELIOW—Finance Copy,PINK—ASsessor Copy,GOLDENROD—File Copy,GREEN—Applicants Copy BS106-77/89 „ , � .. ... . ,. ; ,,.�.,.<.....,. .«.. �....: ., :,��.:: ;�:;: .� - .... �. .. . - . _ ..- ._.. . . . .. . . .,, .. � ....:. ... . . .. .. ..... . . .... ... .... . . •.� ::. � . .. . . .. .. . . ._ ... . . .. .. .... . .. .�....�...i 'i'.'; . � . . .. , .,.. , .. : . : . . '' .. � . . . . . . . . ......... . . . . . . ... ' . . �......,. .._ . .. ...... .. , .. . ... ' :'... .'. '.. 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