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HomeMy WebLinkAbout1403 (659) __._.,.____ _. — - —_ _ - .. ..._ ,. .�... .< . , _. . . - ,� . ._. . , ,�. � . � ��k -"` ClTY OF DIAMOND BAR �;� f r� � '-�' ' DEPARTMENT OF BUILDING AND SAFETY P R E S S •�: BUILDING PERMIT FIRMLY JOBSITE , "" APPIJCATiON USE ADDRESS � 1 � DATE $' `�G� NUMBER_�CODE c t APN LOT��TRACTv� DA EE S" �l�"�� pNST. GROUP o CROSS STREET ZONING SETBACKS '+v"°"'F'"E"'S °D OWNER ��' ��L1 FRONT RW ❑ o ADDRESS � REAR ❑ W CITY -�-^�'r" � � TEL. "�� SIDE/SIDE STREET RW ❑ o APPLICANT TEL. SIDE � z Q CONTRACTO SEWAGE ❑ PUBLIC PMT� o ADDRESS DISPOSAL ❑ pRIVATE SQ.FT./100 GAL W CITY ZIP TEL. z STATE GRADING ❑ CU.YDS.EXC. CU YDS FILL y LIC.NUMBER y ARCH/ENG/ c� c„ ,r� N�'E SQ FT FAGTC}R P� , At7J. AREANA�UATtON y i `�e-�-�P �/o e 1-�Pcdc,�.. (�n w 1 - 1 �`i . o � U SS tS�r"r� �9��v�a F�+.�i'�'-� (Wi., 2 O ►Oa l � CITY �0.-`�+�"�' ZIF�_��TEL. Q�`� 3 Z Z � PROPOSED USE '� � 4 � �� _,,,� GARACE o NO.DWEL. NO. NO. � PORCH y UNITS STORIES BEDROOMS � LOT DIMENSIONS � VALUATION ADJ.AREA o NO.OF BLDGS HOW ouA�t�v {��S�RIPTidhl F�E - . , ' = ON LOT USED � G $�' aWc ❑ C�i - W � H LICENSE�CONTRAC'T�FlS�ECIAflATiON:I-0.ere6y atfir t I a ¢emed under Druns�ons ot ChaD�r 9(commencinp � Y ,rvrth ecnon 70001 ot mn 3 0l the Busmess a Pm ns Code,and my Iuense is in full�orce and elfect. � s � 3 // /� / r_e`� �„� :,�•�yo•�„� ui � -EUIIDEfl WI r�af i�m thal I am eyempt Irom the Caniractor's Laense law for the fdbwmg z reasen(Sec IOJI .Busi ess and Prolessians Code Airy nty or county whkh requires a permit ro construet, (} i,f`, � o ahx�.impmue.Jr.mo6sh o repa�r any simcture,Drior to i�s issuante.also rzawrzs the aWtieam Por such permn �' ' .1 Qto hle a sgned statemenl ihat he is!icensed pursuam m the pmvison:ol the Conuactor s L¢e�e Law lChaptM m •(� .(li pc 9 Iconmenunn wrth Secuon 7000j ot�nision 3 0l the Busness and Prniessions Codel or Iha1 he is eMempt Ihereham 'g d ard Ihe hasis im thr,alleged!xempuon Any violalwn of Sectmn T0315 by any applicanl!a�a pe�mit suh�ects � W �he app6cart cn a aml penalty of no!ma�e tAar.(ive hundred dollars(55001 i � � ❑I us owner;1 Te properly,ar my emyloyees w�th wages as thert sole cam0ensalion wi!I do the work.anE - r tl�e structu�e�s nm�NP.nCea nr oHered im sale�Sec 7094,Busmess and P�ofessions Code:The Contracmr's Lcense e� � Law does nm apply to an owner ot o�oDeny who budds or improves theieon,antl who Oces such work himseH, G,3 •,• or mmugr hrs own enployees provided thac such improaments are not infended or offered loi sak.If,havever, Z m me hutlding o�improvement is sald within o�e yeai of compleLon,tM owner-builder wdl have Ihe burden ol p�ovmg 4 � �hal hP OIC not IIUib ol ImPfauO i0f the purpO3e ol 5ale.l � � y H ❑I,as ow•ner uf Ihe prnperly,am eM[lu5ively contracuny wnh Lcenxd comracmrs to construat the p�o�ect ISec ((j 0 )044 Busmess and Pmlessions Cade TM Comractar's L¢ense Ww Cces not apply to an owner of praperty wlw S,�„ 6 �mltls or im0�a�es thereon,and wha canhacts for such pra�ecis with a coMrxlor15)licensed pursuan�to Ihe Conlra[1oi s �icense�aw 1 STR N W ❑ I am exempt under Sec B.fi P C IAt�ach Certilxaie) LA W � � H _ �ace �^°� ELECTRIC � NANKERS'COMPENSATION OECLARATION.1 herehy aflirm-�ha�I have a certilicah af cansenl ro sell-msure.w �� , Q,b a arhhcare ol 1Wrkers'Compensation Insuran�e,or a ceridied copy Ihneal ISec 3800,La6 C.I. PLUMBING _ ❑Ce�t�l�ed capv�s r�reM f�n�sned. J MECHANICAL 6 o ❑ .^.eruhed coDV is liled wuh the BuJdmg Inspecuon Oepartment m Oepanment �L GRADING Z �. � CEATIFICATE OF E%EMPTpN FflOM WOHKEflS'COMPENSATION INSURANCE TMs settian need no�6e compkud �SS�J��J�("�; � y if ihe permrt is la�one hundred(5700�or less I cartiiy Ihal In Ihe perMrmance o)Ihe work l0�WhKh�his I_ permil is rssued,�shall mt emptoy am/Derwn m any mancer sa as ro hecome su6�at W�he lWrYai Canpensatnn lo � � �" Laws nl Califnrnia � � g �;�:� a; :••, PARK FEE 0 oaie ^�d�'+ `:' • - -- k�j„ SCHOOL FEES �P� 1l3 �l'f� W NaTICE TO AVPLICANT If,aFter makmg mis Ce�u1Ka[�,N�ol Efj,lmD�iM:YW���°"K subpc�ta the NMker's � CompensaLon provrsims af tle Lahor Cade,yoU must fvthwilM1 twqlV with:�cn a�aan:a this peimrt shall � � be deemed revokeA a , � qVISIOfJ OF INDUSfRIAI SAFETY PERMIT CER7I�ICSPQJIs ,. ('"3y R�;���,�'°'�� a ❑I neie�y cenrty that no excavatnn five�5��t h�Ore`leet in deptT in��(c1Na persan is mquired ro dascend. � will he made irt canneclion wah work autharited by tlu peimil.anA Ihat ra dxbinp stru[[ure,seaNaldmg,ta6ewwk, � a- or demohvon m d�smant6nq thereof,wdl he mare Ihan tM1�r1y-si��361 test hiph.IChoo�3 2.Gry 2.An 2.Sa. = 341.LiteB.CACI �.�•^.. :- - � •� . _ .., . 4:1' ....�•��:�.,......, ,... . ,. ..... .. ... . 3 ❑ps owner�6utlder.I w�ll na�employ'2nyohe,tU�do:uiojk.whkh wauld`rqqWtt��a,pemiJ`fmm tle Diviaion of r Indusmal SafetY.as noted above,unless sLch pelso'n Fes a perini to do su[h worM frdn Me divizion - � � � ' � y�j ❑Owision ol lidumiel Safety Rrmil No. . . . _. ..�.�.�.. ..�..• •, .�....�...• � CONSfRUCTION LENOING AGENCY�1 M1erehy alfi�m iAa�Uere ie e constrmtion len6np�ageneY for ihe perfa�mrice TOTAL FEES �� � Z of�IK work ta whKh mis permit ia�ss�ed(�.3097,Civ.C). 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