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HomeMy WebLinkAbout1049 p��° ��� ����{ '('� � CITY OF DIAMOND BAR PRESS , DEPARTMENT OF BUILDING AND SAFETY FIRMLY •^� BUILDING PERMIT DDRESS�3��� � �� � DATECA?lON _ - '�JNUMBER ���`�j� CO E � APN lOT TRACT DATE � - � �~��h ONST. GROUP � CROSS TREET SETBACKS "p"°"'E"E"'s °= OWNER�J,.��" ��� ���-'� ZONING FRONT RW ❑ � ADDR SS � REAR ❑ W CITY ZIP—y��TEL. �'.. SIDE/SIDE STREET RW � � o APPLICAN - TEL. ��� SIDE � � x � CONTRACTOR SEWAGE o ADDRESS _ 0 PUBUC PMT#� DISPOSAL 0 pR�VATE SQ.FT./100 GAL W GITY TEL. z, STATE � 4J. GRADING ❑ CU.YDS.EXC. CU YDS FILL y: LIC.NUMBER----.— -- .�— -�---- •— y. ARCH/ENG/ 7YPE: S �T . .Clt'�Fi A A /Cl.li/tTlON. � � DESIGNER � � c , o ADDRESS tJ„ 2 � = CITY ZIP TEL. (� 3 � � PROPOSED USE � ' � � 4 � L...C�%_>l r.i i.�''�'. / � GARAGE � — - J S = NO.DWEL. N0. �NO. � pORCH � _ UNITS STO�FiIES BED�ROOMS m _ � __ � VALUATION ' �'� ADJ.AREA 0o LOT DIMENSIONS � X � '��—_ � o NO.OF BLDGS �� NOGJ r7� du�t�tTYtY D�S 1P'�1E�N �EE• r W ON LOT j3'?'L�—.� USED s � W ❑ V H LICENSEfI CONTRACTOBS OECLANATIOM 1 here6y athrm Ihat I am h�enud u�m pronsions ot CAapter 9�cwime�ciip � -wnh Secuon 7�00)ol auision 3 at the Busmess and Professions Code,aid my 1¢ense is in luli face and eHett �w � 3 � b LL QJJN B�B11110ER OECIAAAT10N�I hzreGy afhrm that I am erempt 1mm ihe Coniruior's LKense law for the Idlouring � reuxon(Eec 70315.Business and Pmlessrons CoCe�Any ciry ar ooumy whMh requirrs a permn to wnrnmt, 1.�� ' ' o alter,impmvr..Ee.mrAis�,ar repair any structurz,Orioi lo�Is uwanu,also repuies Ihe appticant lor such pe�mit •� — Q ta file a s�gneA statement tAa1 he is IKensed pursuant to tAe prwiaons of Me Conhaciw's lianse law(Chapin ;(�: ec 91�ammenciny with Section 1000)uf pvision 3 of Ihe Business an0 ProfeEsioix GOAe1 w��he is exempt NMNian „�.� p� and the 6aas far the allegrJ eismption.AnY vidation af Setlion 7031 5 by arry appliCant iw a peimit Suhpcta .� K ihe a plir.am to a crvil penalry of nor more ihan Irva hundred doliars 13500�.�. ��'�..�' ---- - W � I,as nwner of the property,or my employees wnh wages as tlrcir sde mmpensalion,will do tAe xrork,a�d � — ~ t tr�ctwe is nm imeMed ar ofleiai fm sale ISec 1094.Business anG PioFessnns CaCe:The Contrectar's license � � r,~j Law does not applY�a an awrer of prepeny who 6uilds or imp�oves tAeieon,a�who dces such woik himuH. � � �++� or ihiough Ms awn emqoyees.OraviAeE IAat such imDrwements are nm intended m oflweA lor sak If.howevz�, ���� m the baildiw�o�imp�ovemem�s sold wnhin one year of compktroq the ownerbmWn witi hava�he hurden ol proviig � � ihat he did not hwW or fmp�we far the D��rpose of sek.i � ` y F h ❑I,as mvner at the praperty,am erdusively tantretlmy wah I¢ensed contrumrs in cortslrutl tM pro�ect(Set �j� 7044,Busirmss a�Professions Code.Tle Cankactoi s License lew dces irol apply to a�owner ot propeny wlro � � = buJds oi imp�ovqs therean.and who contracit for tceh pro�eals with a mnl�atlor�s�licrosedpusuam to 7he Coniruta's '---� � a License law� CTION ���r�f Z_.7 � W ❑� �AN REVIEW " �1�f-�_}„� � I am e�empt in�Aer Sec .8 P Attach ndicat . � �`' � o nai� ^ •- � � � � ELECTRIC � WVRK RS'COMPENSATION OECLARA71pJ i heratry�Hirm ihat I have a cerEficate nt tonsenl lo sel4msae,a ,��� �' a cend¢ate ol Warkers'Compensation�nsuronce,or a oe�tifiea oopy merea�ISec.3800,tah.C.�. ' � PLUMBING _ Q ❑CendieJ copy�:nereny����snee. .�� MECHANICAL _ _ � o ❑Gertahetl copy u fil¢d wilh the Building(nspeclim Oepartment a Oepartment. �"�L GR � CERTIFICATF OF EI(EMPTION fNOM WOBNENS'COMPENSATION INSUAANLE:TM1is setlwn need not he tompkted ISSUAN E '�7���� y il IhG peimn rs lor one hundfed�S1Q0�or less I ceitily thai in the pnlorman�e ol tM wak Ia WhKh'IAis �.. � permn is issued,I shall w�employ a�ry perwn in any manrei m as m heeane v6�x�m�he Nhhris Campensation ? JC� e �aws n�tautomia � pARK FEE� � o na� App�uant � SCHOOL FEES i � NOTICE TO APPLICANT.II,afur making this Cartileaie ol Exempinn should 6ecome su6ject m tice Ytlhrkei's —+ Compensanon provis�ons ol�he tahor Cade,yw�,., Iof;tl�yvithS{'t�iriM s¢h prwisons a this permit sheA � he tleemed rewkeJ. i.;� �c''''M �;,�� �:� T � s • � pV1510N OF INWSTAIAL SAiETY PERMIi CERTIF TI � , W � ❑I herehy cenAy that no excavation live(5�a mae Poet in dpth inl0 whkh�persan iz reQuired to destend, � wtll 6e me0e in camiecuon wiM wark autha¢ea hy fhs peimu and np avu[ture,xaHofdinp,fs�e�rurk, w demoldim ur d�5maniNng theieoi.wiC h(yr�PeTl�an I�i�Iy�iw Im�.ICIuD 32.Gry 2.An 2.See W� 341.Ltle 8.C.A.C.) �•@�H�,4 uI x 3 ❑As aw�rer�builder.I will nol empky anyone to Go work whkh wouid reQuirj.,a;y�q��Irom Ihe Oivqion of �— Indistnal Safety,as noted aho�x,unkss su,5h�pf M�h'0?!m!!,W da�"sLr�?4qk f�pm Yhe'tlivision. lt ;�';" , . ±,�. y rs,'_,_...,� l W ❑� �� , �`",.' ���.�'' .' L.4 TOTAL FEES Qnsim ot Industrial SafeN Perm f{4. . ... � CONSfNUCTqN LENOHJG AGENCY:1 here6y aflirm�ha�tkre is a rnmhu�tion k�diq peiey lor tlie perfartnante � 0�^—' 3 ' '_____ z al ihe worY Iw whch Nis permn a issued ISx.3087,Crv.GI� � � tender's Name CUMMENTS_ ---- mLendei's AAAieu — �— -- — Q CEf(TtFICATE OF COMPl1ANCE ANO AIRNOItl2A7pN OF ENTRY:I arMy I!uw n�d thie�ppferoon ud p�r � r/J that Ihe inlormation gven w tmett 1 apree ta[omply with aA staoe laws and Nry wdin+nca rMruy Io huiHinp y constructwn,and aNhorue�repre5mlative of tM OpYtmml oi BuiNHq and S�My m m�r upan tle papxly = for whi�h I�ave applKd for Ns permit la the qryase d mskmp mspecGons. .-�. � X �� � � .�, Sgnature d Appli[ant a Agml p� RECPT NO._ _ PAID BY VAUDAT , I WHITE—Department Copy,YELLOW—Finence Copy,PINK—Avsesaor Copy,GOIDENROD—File Copy,GREEN—Applkants Copy BS706-17/69 P '� �, .;...._.;._ ,......... ...;__„ ._.__.. .,_, _ _._", y _ . .. . .._ . .__ . _ _ . ............._._ ; p n " ' ; �� ' � � _ . . � � Y� . , , -i� �� �� � . � � . 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