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HomeMy WebLinkAbout1170 (11) � 'r y y ' . . . . . _..--. . �lj� [/1 /1"'D L / � .. . ��.I � �� '"' CI� OF DlAMOND BAR PRESS ' ` �G? DEPAaTMENT OF BUILDING AND SAFETY � � BUILDING PERMIT FIRMLY JOBSITE /�� r'" �j APPUCATION PERMIT J��� U E ADDRESS ��v, � ��IV �T E /J �� �TM��R–L�—CODE ! APN LOT_�TRACT�'� ATE � � CONST. GROUP ;, � CROSS STREET �T�/'�-�'��:5'� SETBACKS �� °^ OWNER ��'i.Q,/GJG �LL ZONING �O� � � o ADDRESS �S2Sfj .�OC?OQ E • 7��G REAR � � W GTY �N��S�Q-Y Zp TELS��� SIDE/SIDE STREET RW 0 g APPLICRNT TEL. SIDE � x a CONTRACTOR SEWAGE � PUBUC PMT� o ADDRESS DISPOSAL � p�NA-!E SO FT��00 GAL W CITY Z!P TEL. = STATE GRADING CQ CU_YDS.EXC. CU YDS FlLL y IIC.NUMBER y ARC /ENG/ f/� TYRE Sf�F� �R P'S "`AE>,J.; �l �' :,-::: = DESI ��E�� �,��o� w , la s.so ,, � r�8a o0 � ADDRESS /o?.t/, .di; �� �SL✓!� .. U�.. 2 IZ 7��O LZ°� ��� S7. O , z CITY �/'4. �� ZIP i76 TEL.S9 �'7 � 3 a PROPOSED USE � tP���� Q 4 � C ;:j GARAGE o NO.DWEL. NO. NO. � pORCH y UNITS STORIES BEDROOMS � LOT DIMENSIONS � VALUATION � ADJ.AREA o NO.OF BLDGS HOW �7UANttt'Y DESC�F�'IC�N. `�E :;., ,: r�°.. W ON LOT USED ,� � W ❑ � = H. �"" L�ENSEO COMHALTORS OECLANATION:I M�ehy affi�m that I�m Gcensed imda provisan of CM1ap1�r 9(taimencinp f CM1ap1 r � wi�h Secam 7000)or Oiv�sun 3 oi tha Busmesa and Vrdearions Code.and my lidnse is n tutl faee an0 efhct W. 3 � tI � OiNNEH-BUILDEfl DECLAfiATqN:I Mreby�Ilirm tlwl I am exempt Imm Na Contrxtor's Lceine Law fu�he�d�orring reason�Sec.7031 5.Business and Prolessims Code:A�ry ciry ar cwnry wM1ich rryuirei�prmu b canstrucl, �(�j Oal�e�,imDrove,demd�sh,a repart airy slructue,pror ro itf nwarce.alm�eQures tl�e appGtant for wch permY Z Q ia hle a sgned staiement that he rs limaed piasuant m the paisons d the Cmtaew's liurse law lChapter �,jp � � 9 Icammencing w�th Senwn 7000�of Uviaim 3 af tM&nurcm and P�elesswns Cade�or Nrt M's exempt tlwrahan :':g: y and the oasis loi tne aneged eMempoan.Airy vidatlan al Sec9on 7fY,11.5 6y xry appiicam ia�pmm�ab�cn �� K �he applaant to a crvd penalN al mt mom d�an fiw hurdred doYars IS5001.1: '4 W . � ❑I.as ownei af the prWe�tY.n nM1'emplqrees wiH�wagn a tlrrc ade eompensation.wil dD the wark.and � the structure rs noe mtended oi aHered 1m uk�Sec.7064,Businesa and Professians Cade:ilu Cmuamr's Litane �,~„-, Uw does irot aoo�Y!o��er of propetty wM10 WiWs a improves mmeon.antl wha�aes weh wak himxll, :`��. �++ m tkaugh his awn emplayees.provided dwt suth impi6vemeeti�aze not inteided a olhnd fM�de.L'.hawere. ' �, m Me hwHmg a'improvement is wW wiMin ane yex af conpinion.IM axwr-huddx will have tM Mrdm ol painp .� � Na�he did no�MaN m im0�ove tar tM1e pu�pose at xk.� "�. � y �� rn ❑I.as owne�ot me prapertv.�exclusneh cuntracuny with licemed wntrxtors m canahuft tM prqect(S« .#ji 70Wt.Buaness antl Prafesmns Goae:Tlie Gom�xtor's License taw does not apyy m an wmer d papertY wM �� z hudds or improves thneon,and who tomracu M wcM1 O�I�s wM a cantr�clorlsl ucrosed qraunl to the Cmtretor'S . � ��°°^u'�w, CONSTRUCTION r S� 0 ^�• W ❑I am eaempt unaer S¢c. .8.6 P.0 lAN1eM1 Ceru&ale1. � PIJRN REVIEW O�J 1 � F-- � °"e O1Mn°' ELECTRIC � WOflNEflS"COMPENSATIW DEClAflA71UN:I hereby iHum tAat 1 hM i urUfiea4 al consenl Io SNI•nWe,a a rernlica�e of Worlers'Campensatwn Insunnce.or a eenilied mpy tMeallSet.�800,LM.C.}. '� � P�.UMB�NC.7 4 ❑c�mue�ovv�:�renv i��sr�e. � MECHANICAL o ❑cera�ea�op�,�:��ka wim me e��d�nq m,aa+w,oqa�mem Q o�p.rm,.m. �Q GRADING W z CERTIFICATE OF EMEMPTION FROlA VrORNEHS'COMPENSA710N INSURAWE.This xction�.a��e����a � ISSUANCE I •�Q � w• y :f ehe permn is ror one hutlred IS1001 a iess i ceiuty tlui in me perfamnce W �e wak la w�iN�tl�is 7� � permit rs issued.I shas rot employ am permn in ary mame'm as m he�dn whjet m tle Nhrinrs'c�,o� � °�SMIP • C..-i = Laws ol Calilornia 00 odie ���� � PARK FEE W NOTICF TO APPLICAM:N,aher maki p6an,yau sMdd Mcane suhjett ro dw Wnker's �- SCHOOL FEES � Canpenution prmisias of the Lahor� can+ply w�M nch pwnan a Mis pmmit�lutl � he tleemed�watd J � pVISION OF INOUSfRML SAFETY PERMR CEHTIFICATION: W d ❑I hereby cntrfV�hat no e qp�IS ar more m whrh a pueon s npurd to dunnd. c will he made in connetion wiM�k►�u�Mv��pe�pro hiWiq mudus.aalb�/iip.(Ynwat. d u demolibon m dismantlinp� �711�4�oe 3B)het hqA(Chep.3.2,6'p T.M 2.Sc : W' 34l Title 8.C A.C.1. . 3 ❑As_ �ipuI6��x � . aw�rcr•builder.I �ryr �"1'�^!! �'�� 16L�h Wdk n a P�m1 han IM Oiwon d � �.. inmsvi�i Sahty,as��huvF.�aen��aptid*f do Inm th d� � ���:.Z}':.�� n:":� ::f�-`,t=�i'f � ' W ❑Onlslpl Y�IIIEUSUbI ���' TOTAL FEES � ��������:� her�y alfirm thfl Mm u s rnetruelm I�g ppity lof tlN plrOom�Mrs � O� z ol�M wa�k la whith thu permit is issued ISet.3097.Gr.CI. � i"'^e'�3 N'"" COMMENTS m LeMer's Addrcss , ' , '6 LENfIFICATE OF LOMFl1AlCE AND AUTltlMZAiKI!OF ENTAY:I�Wy I luw md A�ipp4Mai ad Wt . , ! va the�Me��amation 9�n earreet.I agn m condY wn6�I sot Iwvs ad dN a�di�rn[�nYCM ro biildwq ' y consuucuon.aad wdaue�n�entaeue d tlr Dqrtmait d dilinq ad 9�My to rr yr 1M pnpmy = ta wnich 1 appl ob oK�it far�he p ose d m�kin7 in�pectimi ~ �11� .�'ZZ'"`� RECPT NO. ��PND BY I. ��� 5pn�we d ant a O�Y VALI�ATI�I`� .. 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