HomeMy WebLinkAbout1487 - 2634 RISING STAR (2) 1
� '"` � CITY OF DIAM�ND �AR PR�SS
� ���� DEPARTMENT OF BUILDING AND SAFETY FIRMLY
� -� BUILDING PERMIT
JOBSITE '7� � 9 _ APPUCATION �FERMIT ,� USE
� ADDRESS � �J � DATE ' NUMBER ' CODE
- ISSUE -�^� � TYPE OCC.
� APN __ _ LOT �• TRACT DATE ��' - r � -� CONST. GROUP
6
� CROSS STREET — zONING SETBACKS "�"a'E"'E"'S
� ° OWNER � � FRONT RW�❑
o ADD SS '� . ' REAR ❑
�i W CI7Y � ' � �� IP TEL. 51DE/SIDE STREET RW ❑
� o APPLICANT_ � �, TEL. . � SIDE__._ ❑
a CONTRACTOR � � a SEWAGE ��
o ADDR SS j DISPOSAL � �'UBLIC PMT#
W CITY ZIP TEL.� � .o' '�' ❑ PRIVATE SQ.FT./100 GAL
z STATE '� ��" GRADING ❑ CU.YDS.EXC. CU YDS FILL
j y LIC.NUMBER ��7� �,�,��
� y ARCH/ENG/ � �YPE SC� F? FA+�TOR PS �4DJ, AREANA UATtON
`�' DESIGNER W �
� � ADDRESS LL 2
�•�ITY�r�'"�� �ZIP ..._.__TEL.��� � 3
i � PROPOSED USE _ � 4
� � � � 6ARAGE
' NO. NO. - -
-_r"��-"�'" � PORCH
� y UNITS STORIES BEDROOMS
� s LOT DIMENSIONS m VALUATION_ _ADJ.AREA
� o NO.OF BLDGS HOW RUAN7YiY, DES�iRIPTION �EE
; W ON LOT USED Q -
i W — U
� _ � �
� ~ UCENSED CONTFACTUHS UFCI AHATIOY�I Mrehy afhrm that I am hrensed urder pmvisions oF Chapter 9(commencing
r � �ti�nh tiecllon 7000)���rvision 3 ol tlie Business and Pwkssmns Cade,and my I�cense is in full farce and eMen ..w _—
� 3 ❑ w
� � fhVNEN BUII�FH OEf,�AflAT10N:I hne�y alfirm Ihat I am exempt fmm the Comiacioi s lmense law for�he fdlowing
� = reason�Sec 70315.8usmess ana Pmfessmns Code:Any nry ar counry which reGuires a cermn�o cunsiruct, (} .�
� o alrer,impmve,dertwlish,ur reVen any simcl�re,guur lu ns�ssuance.aisa ieQwres�he applaant Mr such permn ,2'
i=- In fAe n si9ned siateinem that he is I¢ensed pursuam to the D�ovisions of ihe Caroacmr s li[ense Law IChaD�er �
¢ 9 Irommenciny wM1L$ection 7000)of Drvis�nn 3 nt Ihr.Busmess and Prolessions Cadel nr that he is ezempt iherefmm '��
� � nntl Ihr.hasis for the allegetl^.xemD�ion Any violatiun ot Secliun 7031 5 hy any nppl¢ant!m a peimii su��ecis '� � �
W lhe aVVI¢ant!o a crvii ye.nnhy nl not more ihan irve hundred dailaa�5500)� �
� � UI us wmei c(Ihe pio�xiiy,nr nry employees wnh wages as thert sole compensallon.wdl do fhe work.and --
, Il�e�m!r.mre is r.nt mtr.nar.d or o�iered for sale(Sec 7044 Busness a�Prolesspns Code The Convacta's license , Q
� � law Aur;nnt apply ro an nwner af property who hmids or impmves the�eon.and wfin Aces such wark himsell. �•LJ -- —
W or�hmugh hn mvn einp�ayees.ymvided that sucA improvemenis are not mtended ar alfered fa sale.�L hurvever, Z
m the hmlAmg nr�mpmvemenl is suld within one yeai ul cample�mn.the awneo-6mlUer wdl have the hurden af provmg .Q�
� tl�u1 he did nol hudd m mipmve inr ihe pu�pose�sale.l .�U
� y —
rn �]I,as owner ut tlie U�uDe��V.am¢xtlusrvely coniractmy wim IaenseG contncmrs to mnstruct the prolen�Sec. :,,pJ
� l044,Busmess aM Vrofessians Cade ihe Contraclar's Luense Law does nol apply to an owne�of properq wha S�
� i. 6wlds o�nnViuves iheieon.and wnn conua[ts for suc�pmlects wrth a camracmr�sl lice'�sed DWsuan[m ihe Convac�or'S
' ¢ L¢ense Ww.l CONSTRUCTION
0
� ¢ ❑I am exempl under Sec. ,B.G P.C.�Atixh Certifitate�. ' PLAN REVIEW __
p Uate (Tvner E�'ECTNI�
� WDRKERS'COMPENSATI�N DECIAfiA71DN I herehy aflirm�hat I haae a cerufiwie ul cansem ro sell-insme.nr � —�"7
e centl¢nte of Workeis'Com�censation�nwra�e,o�a cenified capy thereof�Sec.3800,Lah C.) PLUMBIN�,
� �; ❑ce�unF�i���Y�s i�e�en�i���:nee � MECHANICAL __._ �_,__
G .CeniLetl cap4�s 61etl wn�the Bwidmg Inspectiai DeDanment or OeOanmem <C GRADING ] ! �+^
� � CERTIFICATE OF E%EMPTIUN HiOM WOflKEflS'C�MNENSATION INSURANCE.This seclion need nol be com0��ed ISSUAr NC 1 ��A`��C....+�
y tl the permit is tor one hundreG IS100�a less I cendy that�n the perlormance ot the work for whKh'this u,.• �
- pe�mil is ixsued,I shall nol employ any person in any manrer so as to 6etome suhjxt to Ihe rkers'Canpensatm �`M�P �
j a �aws nt ir� : � W' PARK FEE
o �ate "oo�'°°"' ' -' �E.�L SCHOOL FEES
W NOTICk 0 APPLICAN.If,aher mekin9 ihis Cerdl�cate at fxemption,you slwuld hecome su6�xt to Me Nbrker'a
� Compense�mn provisions af ihe Lahar Code.you must lathwith complY with such pwiawns a mis permn shall �
LL he deemed revoked.
J n
� DIVISION OF INDUSfflIAI SAPEiY PFBMIT CENTIFICqI�%+:n�T� .
W ;,: •. ` ':!-;%�
�d� UI he.rehy cerlify�hat no eacavalwn Ine(51 oi more�feei in�depth mto which a persm is requimd lo da�end,
o�C will be maAe m mnnection with work autlwr¢ed hy ihis peimit,and Ihel no huddinp Simeture.SCalfoWmg.�YsewOrk,
� m demoliuon ur dismamhm theieal,will he more than ihirtY-��x(36)leet Mgh.(Chep 32.Gry 2,An 2.Sa
1,y�, 341.T�tle 8.C A C.I. � @ '� � ^a �;�.�.a�. ;,
.x ��F��"� I : ¢ ��"Id
3-�❑As owner6udder,I will not empby anyo`ne to do°iwori'whkfi wou rpwre a pwmR from Me Oiuuion o1
1— InduxVial Seleiy,as noteU above,unless sucA person has a permit to do such wo�k fmm the diviaiun.
I � .. ..., ,�..' i !i�,•, •' :: .� �:'', —
�w �Q�isian al lndusnial Safety Peripi�'�o.� �� TOTAL FEES � �/�
I d
CONSTHUCTpN LENUING AGENCY�I'heie6y alfirm�hat.thue'is�a coriSb.ucW��enEi�'apency lor the perfamunu L:
x uf thx wark lar whuh Mis perm�t¢rssued�ISec'3h97,Civ.C�. .(�
I o �e�der's Name C�vIMENT ��1 a. �y � , F � � i��,� '" - .'
mLender'S Add�ess �, �
a �. , � _�.-�..'
f,EHTIFCATE OF COMPLIAI�CE ANO All FqR12Ai � EN7HY I certiry I have reed this apptiation a�M st�te
y Ihal Ihe infamation �s cor ect I lo c p wrth all stah laws and ciry ordiiw¢es rele�inp to huildi�p
y mnsVutt�on uthariie re senta e of t tment ot BmlOinq anA Saery m mm upon tAe ry
= for whrt a p d fo is r ' r ihe of ing; � s
� �i/' Y
;� ,✓ ��� t'� /
Siqnatire ai npdkan i ayent J p,h RECPT NO. ° PAID BY � %� �' VAUDATION
� WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicants Copy
8S706-11/89
,...._..._. _ _ ... .. ....._. . _ ... ....... ... . _...
. ..
_ . _. ..
, � .y �
� '
, : _ .
�J
� .
� 1��
,, . �
,� � ;
, �01 °� _ �
� {, � _ °
� � �. ��
; `� � ^ �_�
° _.�.__ � ' _
�' -
;,: ,
� _
,
� � .
�� `� �w ' , , :. : _ .
�� ft� � :�
� ���� �°�
�. ���