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HomeMy WebLinkAbout1273 (7) '(''`` CITY 4F DIAMOND BAR PRESS ',��" ' DEPARTMENT OF BUILDING AND SAFETY BUILDING PERMIT FIRMLY JOBSITE [� �'"�' APPUCATION PERMIT USE ADDRESS �7 v ��� l i�l+a DATE NUMBER� CODE ISSUE TYPE OCC. 6 APN OT '�v TRACT�Q,Q�C DATE CONST. GROUP o CROSS EET ZONING TBA KS "p+aE�'+'S O° OWNER FRONT RW ❑ o ADDRESS S�� �` � � REAR ❑ ,� CITY �- IP���EL.'S�� SIDE/SIDE STREET RW ❑ ��� -- o APPLICANT ��+��' TEL. SIDE ❑ a CONTRACTOR i����'< < ��s� SEWAGE � PUBUG PMT� a ADDRESS �+� �4'��%l� DISPOSAL „� CITY �+��h ZIP�TEL `" � � �NA7E SQ.FT./100 GAL W STATE �1��.��, GRADING ❑ CU.YDS.EXC. CU Y0.S FILL a. LIC.NUMBER ct - y ARCH/ENG/ � TYPE SQ FT FI� p P9 -- At?J. l4RE�t1tALUATIQPf � DESIGNER � 1 � ADDRESS tL 2 0 � CITY ZlP TEL. (� 3 � PROPOSED USE Z 4 � � GARAGE o NO.DWEL. NO. � NO. � PORCH y UNITS_�STORIES BEDROOMS � LOT DIMEtVSiONS � VALUATION AOJ.AREA o NO.OF BLDGS HOW Qu�;�' DESCR1PT1OI�I.' FEE . : W OU LOT USED ��S'(v`..''i.L�..�Z' � �-O oc U s Q � �_..� ~ NSEO CONTRP.CTOPS DECLAqATION�I hereAy alfirm that I am 4censed unda pro�nyms oF Chapur 9 fwnxneMiip Y w�th Secnan 70001 0l Oivision�of�he Buaness and P�uiessions Cade,and my Icrose is n full imce and eHect W 3 � tt1 . - � OWNER�BUILOER DECIAflATpN�I hereGy afhrm E�a�I am eumpl imm Ne Camracroi's lcense law la��M Idlw�inq Z rtason(Sec 7031'.Business and Prolesmore Cadc Anv cily or oounty whi[A rpuircs a pnmif ta tonstrucl. ('} o alter,improve,demdrsh.m�eu&�am���+�e.onar ro�n isswnct.alm repwqs fie appliant�such pnmit Z 1— to hle a ngred stalement ihat he���censed Dursuant ro the Drwisans ol Me Cmttxlor's LittNe law(Chaptr (j� � 9 Icemmmung wrth Secnon 100010l pvrsion J of the&cmess and Pralauians Code�a th��he is eaempt thuefmm S�, y and Te bas�s im Ihe alleged eumption Any vidatian of$ecuon T0315 6y any app�icanl Iw a pe�mit wbp[ts � W the�pplrant m a civd penally of nat mon tlian tive hundred dollxs IS50011 a - o ❑I,as avner c1 the properry,a rtrv emplayees w�M waqes az tMr sak[ompens�tion.W�II do Ihe wo�k,aM Ihe structme rs not iniended or ofhred lar sale ISec.7044,Buanus and Professions Cadc The Cmtr¢tor's L¢ense s( � law does rot apply to an wmer of property who hudds or improves theenn,and who daes sucA Work himSeH. C� ,.• or through his u.vn enployees,pmvided Iha�such onp�wemems ue nm Intended or oHertd 1a�sak.II,howaer. z ' m ihe 6uiWmg or impweman is seid withm ane year al cmqletwn,the owneo-huilder wdl hm the bmAen ol qmmp Q y Iha1 M Ofd not Emid a impmve tor the Durpou o�sak.l � y ❑I,as awner of ihe proparty,am exclusively conuactmy wiM haensed cmlra[tors m construct 1he prqect(Set {L 0 iM4.Susmess anG Praless�ons CoEe iM Camracmr's Licenx law das irot apply m an awne�of O�oqny who � Z budds or improves Ihtteon,and who con7racls tu ach pro�e�ls wnh a Cmuacla�l�)�icrosed pursu�nt ro du Cmuutar's Q License taw.i CONSTRUCTION � r I am exempt mMe�Sec. ,8 6�C.IAttx6 Cerohcarc). PLAN REVIEW p �ate �^K LECTRIC � yVuORNERS'COMPENS0T17N�EQJ1R111�W:I herctry aMirm that I hrve a ceruricate o��onsent m sdt�ineure,or � PL NG a cernficate of SMoiMai Compensazion Insvanca nr a cerrified capr thneof(Sec.3800,La6 C 1 c a ❑ce�,�n� mpy rs nere6Y�urnisned J MECHANICAL p erulied copy is likd wiM Me Buiiding Inspeelwn Depxtmem n Depximant Q GR W = CERTIFiCATE OF EMEMPTIqY FBOM YWHKEHS'C�hiPENSATION INSURANCE:This uctbn nad�rot 6e compkted SUANC � A Me pamn is lo�one hundnd�5100)a less I ceroly that�n the ped of Ne wnk Id wncA"I�is H _ �Efllll!IS ISSYEII,�SI12��I1D[llllpl0�'8��Ef5011 111 3fly Illiflll2l SO i5 IO bS su6�ect m�le WorkMs'�dlptII35EUd1 SM�P � Laws of Calikrnia. � �/1 j PARK FEE � J' j� 0.pphcant � . � °"` �- SCHOOL FEES •.. NOTICE TO APPI.ICAM-H.aNer making Mis Ceru( E � ydu�uN hecame m Ne WorYd's � Canpensanon provuions af ihe laba Cade.yau m�d6 r�ii such prwuans a��s pem�n�h�ll � be deemed ravWed ;�y .G � ¢ dYLSION OF INWSTNIAL SAFFTY PERMIT l�Ni1FCI1TIpY: W � 01 herehY cenrfy�hat nu evava�wn Irve�5�a mor frel� d persm u�ayuued m MeeeM. � will be made m camreclm with worY wthoraed���d.�nd�� reluro.ualMEinO.fYiwwrk. ar OemoMtion a�dismanting ihreof.wil Er r7y��ix 36)leet hph.(Chap.32,Gry Z.Art 2,See W� 341,TiMe B,C.A.C.I _ ,.. �.", .'.,•.�'. 3 ❑ps mvner�hmlder.I wiN nm empby im-io�do�v�tt6�sp=.wauld�,eWirC"a pFN!�t.kan tlie Divecn d � Indusvol SafetY.�s roted a6o.e.unks:s�.pertonhef-i��ut mde.sudfa�ar�fipRtl�di�nan � .-.• "i :—�•'..:.,..; ;:.���._/ ' W ❑Ovuron ol I�urnial S�fery Permit No ���-- TOTAL FEES ���� a � CONSfAIICTON LENOING AGENCY:1 here6y alfirm Mal tM1erc is a eonstutum M'dmq apwicY 1or�M OrMm+nte Z af ihe work fd wAich Ihs pdmn u usued ISee.1097,CN C 1. � �'�N� COMMENTS ��� mlender's Address a CEflI1FCATE OF C PLIMCE ANO AIRIIQtl1ATRM!OF EN1AY:I«r7iFy 1 Nve nsE tlis�pyicnian+nd�nh ' v� that the��orma� giwn c wrM.I apee m comply wilh aY s1�Y Invs ad ciry ordiwxes M1dq ro h�il8^0 y crostruqm.a aiM�ae�iepRnntaore of the Oprtmem M BuddinY rd S�MY m mW upon tlr pepntY = fu nhkh I A appled for Mi�perma far th pupo�e d mrYiry uupcuons H � ♦ synai o�npperrt w Aqm� p�y RECPT NO. 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