Loading...
HomeMy WebLinkAbout1668 '"'� CITY OF DIAMOND BAR_ `��� ��`� ' DEPARTMENT O� BUILDING AND SAFETY 'RESS `�' BUILDING PERMIT � FIRMLY D R'ESS ��� � � DATE CATION �, �l„�• �RM�R ODE ISBUE (' TYPE OCC. V' APN . LO TRACT DA7E ° �P ' � o COMST.. GROUP CROSS STR�ET � °-° OWNER k�J���1. 7.(.�� <r,.,_ _�,, ZOIVING FROTBACKS � O�►,rs o ADDRESS,�� !�`;�w�l� t \ `"C�`i'tr 1:�=�.— REAR ❑ ..�. CITY ZIP ' �- �1'EL.�' ' SIDE/SIDE STREET qyy ❑ o APPLICANT � TEL. — SIDE ❑ z 4 CONTRACTOR SEWAGE ❑ PUBUC PMT� q ADDRESS DISPOSAL W CITY ZIP TEL. ❑ PRIVATE SQ.FT./100 GAL � STATE ! � CU YDS FI�L y LIC.NUMBER GRADING C� CU.YDS.EXC. y ARCH/ENG/ �� '� � � TYPE SQ F'T` FAGTQR PS AQJ. AqEqIVALUAT1aN � DESIGNER "u�l�����' �4�E-�c,,,��,('��.- W 1 o ADURES$ � p W � -. s � r -�.... � F Z CITY ����.j—�= = ZiP ' q e d'� TEL. _� °1� ' t�- 3 � PROPOSED USE _ Z 4 " � '� � GARAGE o NO.�WEL. NO. NO. — y UNITS STORIES BEDROOMS � PORCH � LOT DIMENSIONS m VALUATION AOJ.AREA o NO.OF BLDGS HOW OUANTRY ()��`�'Fj1P1"QN �[► W ON LOT USED Q � �. u�.i � U o ,,.�'i x � �"- LICENSEO CONTflACiOAS�ECLAflATION�I herebv affum Ihal I am hcensetl un0er pmvit�ons ot CAapts 9 Icommenqnp F- � wnh Secbon�000;of pivision 3 of the Business and Prolessions Code,and my hunse is in full force and eNeal W � _ J Il( ��QrYNER BUILOER OECLAPATION I herelry afLrm�hat f am aempl Irom Ihe Contrxta�s Lxense Law(or Me Idlowmg = reason�Sec 70715,8usines5 ano Pmfemans Cade Any nry m aounty whrch rcqunes a permit to construcl. (} O alrec improve tlemoLsh or repau any stmcturt.prior to ns issuance,aim¢quues;he�pplicant far such permrt �.' Qro li�e a tigned sla�ement that ha is hcensed puamnt ta the p�rnision5 oi Ihe Conva[lor's hcehse LaW(Chepter m � 9 Icomnencing with Section 7000i���vision 3 al Ihe Business end Prolessions Code)or IAai he is e�empt therehom 4` d and IF.e hasis loi tFe alleged exemplion Any walalion of Section 7031 5 6y anY applKam lo�a peimil su6�ects � X rhe applreant n a trvd penaltV of noi more thar.hve hundred do113�515500)h �3 W � � ❑I as owrer,I the property,or my employees with wages as tAert sole camDensalion,will do the work,antl � ±he slmtture�s ooi mtended or nlfere0 fm sale ISee lOaA.Business and P�olessnns Cade 7he Confnctor's tittnse s[ r„� Law does rnl aCDly 1a an ownei al oroDerty who buiWs or improves theiem,and who dces suc�work himself O ' o� throuyh Ms own emyloyees,pro�ided that such imprevemen�s are not imcnded m olfered loi sak.If,h'owev¢r, "� = the hwld�oq or.mprwement is said within ene year of complenon,tk ownerEudde�will h�ve Ihe hurden ol O�ovmB Q � y �hal ne did nut 6wltl or improve fo�tne F���Dase nl sale.l Z h CI.as ewner ol�ne propuly,am exclusrvely connacvny wnh licensed canvacro�a lo construc�the pra7mt(Sec. yjj 0 7f146,Business and Prolessmns Code.The Comractor's license Law does nol appW to an owner ot property who S� � Iwdds or imprwes thereon,and wM conlraots�w such pro�ens wrth a comrutor�t)li[ensed pursuanl m the Contrxta's Lcense Law1 0 CONSTRUCTION � ❑I am erempt uMe�Se� ,e.fi PC�Attacn Ceiutmarcl. PLAN REVIEW O Oa�e Oxrner `�i•T��Ci�--�,1 _7 � N9RKERS'COMPENSATIIXJ DECLAR47ION I hereby affirm that I have a ce�iifrtate oi consenl to sdl-insure:a ' �-°"^""! • 0 a cernhca�e of YUwhe�i Campensannn Insixance or a mU(ied�opy theieot ISec aeoo.i�.e.� � - PLU MB W G � ❑ Certrfietl copy is herelry turnished � MECHANICAL `p ❑Certd�ed copy u filed witA Ihe Bmidmg Inspectim�eDerlm¢nl ar Ogpanmem � GRADIN +.� ��V � �EN71FIC4TE�F EKEMPitINJ fROM N9RKER5 COMPENSATtON INSURANCE:This sec�mn neeA noi Ge campktN C,UAN� �, y rf the permu�s lor one hundred IS100�or less,I cendy 1ha1 in tAe perlormante d the work(or wh[h tAa },,,. � permrt is rsSuM,I Sball rol empby a�ry pe�Ion in anY menror so as fo b[[omr w6�ttt to Ik Wor4ers'Compensation SMIP � laws ot CaliPomia A;: ,y W --- o :"�'., _,,i ,;;--.�;, W PARK FEE p Oaie ��� ����^���' "I t1- SCHOOL FEES � NOTICE TO APPLICANT If,atler making this-Cenificate ol Ecemptim,you slpuld 6xome s�A�ect to the YWker's � Compensaoon yavis�ons al�h[Lahor Code.you miat fortlnvrth compty xMh sutA pfowsans d this � he eeemed revoked �m���� T p� OIVISIONOf INWSfflIAL SAFETY PERM1¶�y1�Ai�ICAAf111 y k�.;;�;�? W ' SS: ' o ❑I hereby cendy ihai no e.xnwtnn tive�51 or more feet in depth into whKh a percm ie repuired to desttnd, � wdl be made in connection wiM worY auMarued hy ihis permil.and mat no hudAinp srtuclure,sea(IolAinp.INtework, or demo6tinn a d�smantling lhereof,will be mm than thirry.stl 136)(eet'ligh_(C�ap 31.Gry 2,Art 2.Set W- 347.TineB.CACI. .. . . . ' ..,.. -. <... .. x . .. . , .' . . .... : 3 ❑As awaer-hudder.i wdf not'empbY arpne-to Iu typik�wriith��wouN�rcquin�a permrt Iran Me 6visipn of . . . . .. .. .. ..'. .- 1— Intluslrial Satery,as noled ahove,unkss 3uah person has a permu to Ao sucli work irom the Iiui�pn ,E . .... . .. .. .« .. W ❑a.,s�o�o,���=,�,a��hh�,m��No. TOTAL FEES � �c�'" d � CpVS7RUCfpN IENONG AGENCY.I herehy aNmm tlot Merz u�conihuuien lendip aNncy kr dle pnkimrKe x nl tne work ta�whwn�h�s pnmrt is issued�Sec 3097,Liv.C.I � lender's Name m Lmde�'t AUCiess COMMENTS t CERTIFILqTE OF COMPLIANLE AND AU,T„FIOpIZAT Or'ENTPY:I artily I hm rtad this applintpn yd auy �a th�t me��ormaUon q is curect 1 o ply�w��all snle laws�nd ciry ddiwKes�tinp ta huilEin� � � � �� = canslfu[1qn.antl nI a 2pleYmaM� ' mtl11 O�BIIIIdi11g�$'�h(Y�p p���ry��a�ff(�r for wh¢h I h��M�s�mit la��lie se kiny inspeebons. . � "' � X � ��` le r� " '� � �I � : _.,,. . .._ f m� o��ce�t �agem • � RECPT NO.--�F-�—PAlD BY �� . 1h4L.IDA710N' WH E—Department Copy.YELiAW—Finance Copy,PIMK—Pssessor Copy,GOLDENROD—File Copy,GREEN—Applicanls Copy � '" "' 8510611I89 �.�---- -— —'-_._..._..._._.._ ....,..�...-»....z...�,..._,..-.,..�:.�.:n���--�-.;•-..-,�:m,,^��r-c. � -.:-�-,^r^�..,.,.,.,^^�nrn-�ae,.r+'.1.,..,.m...,...:��....�,,,-A-....,....�..�,�..-,�...�...�-,e..,,....,--- �-----��-•--�^�^ ,....,..::�.+.. .,�,..:. ., ..;.<. . , . .� „ � . .�,`� ,. ,.. „ . , . . , ... , a �-.r �• . 4, •''mf��'Yti;:`%„da.:...•:.x�,..... _..,.......�.., ,.�. . , _.._�. . .. ... . . . . ..., . . . . : . .,.. .�',:,...,..- :._ . ..:„:�:: .,:•. � . � , , . . . . ...._.. .. ......... ... .. .,.,.... .. . .. ,. , .... .. . . . . .,. ... . .. :....... .... . .. .. .. .... .:, ... ,. . . . _ _ _ _ . � � .. ... ........ ... ........ ... . . _. . . __ ... ___ .. _ . . . .. _ _._ ... ___ - . .. . . . . . .. .,.. ... ... .... � , . .. � . ' �. . , ' .._ . . ... ;.. .... ... ...... .. � .. . . �.... ... . .... .. ... . ... . . . . . . .. ... . ....�, .. .. ... . . ... ..... . .... ......... �� . . . . . . ... . . . . . .. . .. ., ..../�__ .... ___ .. __ .. ..._ _ __. _' __ ' . ... . . . . . .,.. . , . . . � � . .�. ...���j��/'�. ._ .� ' . .. ,.._. . . . . � . ....... ..... .. . _ .. . . .. .. . ' .. ....... .. ... _... ... ..,....,...,. . .. _._._._........._. ........_. � � .. .- : .. �.-.-... . / . . „ . .. , , ... .. ...�.. ... ....... .. ... ...�� /��'.. �j7/ . . . . . ' . .. . ' .... ..... ,..,. ... .,..., . . .... . . ..... . ....... � � , . . " .,,.:; : . . . ....: �/�/ � �""' . :. . ...., '.. ' . . . .,._..... ... ....... ... ...... .... . .... ...... ... .. .. . .. .... . ; �.. - . . . .. ,.. ... . . ... .... . . . ... .... .. ......... . ._.. ;� .. . .. . .......... .... ................ ... ..... ...... ......... ............... ........ ... . ........ ...................... .... ..... .... ......... ........ .. . . ... ................. ...... .......... ,.. .. . . . . .... . .... .. .. . ... . ..__.. .. .. . ......, ........,................._.. ..... ..._ ..... ..,.. ... .. .. ... ... .. . ...,...... ........ _,. . .... . ...,.... . ....,.._.. . .. . ....... . ..... .._........., .... ..,...,. .... . ............. . .,.., .... .............. ,.... . ... . .... . ... .. ..... ....... . . _.... . . _...... ........,.. . ..........._......... ._..... ........ : . _ .. . .. . . .... .......... ... ... .. . ... .. ......... . .... ..........,.... .,..... ...,......... .,... ... .,,... ..... ....... .. .._.... ,.. ............... ....._.....,..........,...,.... ...; � .,, .. . ... . . .,. __. ..... . . ........ . _. _... _ .....__ __.......:. _ ......... ...... ... _ '__.. _._ ... ..... ,.. ........ . . ._.._. _....._._ _ ...... __..,.._ _. ..... ... .... . ... .............. .. ...._.. . ... . .... .. ... ....,.... ....,... ... ....., ... ...._... ... . .... ... .._.. .. .._... ..... .. ...,... ........ . ..,....... ......... ............ ..... . . . ..... .. ... .... ..__._._._ .. .._,..__, . _.. .....__.. __. ..._. _.._. ... ...___.... .__._...__ _............... . ......._...,__ '._.... .._.. ...... _..._._"__ ..... __.....__ . .. ............. .. .. .... . .. .... ....... ..... .. ... ,...... .. ........ ......,.........,.................. ... . ......... . ...,. .,.. .... . .,...... ............,..... ...... .. ........... ..,........... i ' . ........ .. . ........... .... ........... . .... ...... . ............ ................ . ............ ............._._�..... ...._. ........... . ..... ...... . .. ..,... ...... ... . . . ..._.. ... .... .....�. :' ' ' . . . . ..... ... . ' .:.:.:..:�::_:�::-�._....M-..__,. _ :r..,...m...: ,,,....�.. :..::;::.�;�.::. :.:":Kr'�... .. ;. ::��.�,.:`� .. ;':. S:•. su'�..�:.:'�.:. ,i. - ' . . ..... .. ..... ... ...... ............. ....__.... . ....... .... ....,..... ........._......., .,..,...... . ., .........,...... .... - -_-x . � . _ . I ;i ._. _ ..::, .,...... _ .n :':'�:.`:......:_�.Z€,i��� ;�..:t• ;�: .;.;::., . �_� _ . .. .. . ....... . . ......... .......... ... ...... ... .._.., . .............. ......... ,........ ..,... .... ............,..._. ............................,,_......_. ..ili�. .3:::.:: �+.r .::.� ,,,,.�,; r ..:.:u::...- . . ,. . .......g ,:' � . -. . . . ..... . ........... . _.......__ . ..........._ ......... ........ .. .....,._. _......_. ... ......,.. .......,.. ......... ....._._ . . _..... . A. �' �' „�rm _ _' _... _ _'' _' .' .'__ � ..F:�. '.k< ... .... ... . ........ _ ........,. ..,....... ...,.,.... ... ._........._. . .... ..., ... . ,..... .....,..,. . . ..._..,,. ...... �s`:.:::�::�,�i;:`.'.�:aa. ._ `3' _