HomeMy WebLinkAbout1492 - 2634 RISING STAR DR (2) '`''� � CITY O�' DIAIUIOND BAR PRESS
<� °�•"j DEPAR7MENT'OF BUILDING AND SAFETY
� -� BUILDING PERIMIT FIRMLY
JOBSITE APPLiCATION _ PERMIT USE
DATE " � NUMBER ��� CODE
� ADDRESS � � �� ISSUE . -%- _�; 7YPE OCC.
� s APN __ _ LOT TRACT DATE _ ' F _. � CONST. GROUP
p CROSS STREET �au h�`ati v� STY`�14'_�S Zp1�ING SETBACKS '�'1°�"'E''"s
i °° OWNER o FRONT RW ❑
p ADDRES5��2. � � � � �� �'' r• REAR ❑
� CITY��'�mts nra ��rZIP TE '� SIDElSIDE STREET RW ❑
i a l APPLICANT_ TEL SIDE_ _ — ❑
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� CONTRACTOR � -- SEWAGE 0 PUBLIC PMT�
I o AD�RESS �'l' '� �-�^�\�In -___..- DISPOSAL
� W CITY��n ri a _�ZIP q(Zl42 TELC'G�z:7�3T � PRIVATE SQ.FT./100 GAL
� z STATE �
� LIC.NUMBER � D''wS� GRADING � CU.YDS.EXC. CU YDS FILL
� y ARCH/ENG/ � TYF'E 5Q FT FACTOf� PS ADJ. AREANALUATiON �
�� � DESIGNER � �
(1 � l�DDRESS � 2
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� �. CITY ZIP TEL. _ (� 3
� W pROPOSED USE - Y� d � 4
.,.,^"`'",y�S-�y_(f �� 1� c'�ci� Sh�v��l GARAGE '
F- -�'3V�L. NO. NO. —
z UNITS I STORIES_�_BEDROOMS� � �'ORCH ) e �J � - _ �� �/ �I
`� � VALUATION � � ADJ.AREA
� � LOT DIMENSIONS ---
� o NO.OF BLDGS HOW ouar�rrrr �ESCR(� 10P� FEE
! W OyLOT l USED��t�t'-►'\ 'L-�-- :�
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� .I NSED CONTRACTONS�tCIARAT10N�I herehy aNum that I am licensed under provinons ot Chapter 9 Icomme�rcing � -
wnh Secuon�aao�or o���5�0�3 of Ihe Busmr.ss and Pmfessians Loae,and my hcense is m full faice end eftect �
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� 3 ❑ w
y � U�YNER�BUII.UER UFGI PHATION�I hereby alli�m that 1 am eiempi Imm the Comrxtor's Lrtense Law far the Idlowirg
{ Z reasan�Sec 7031 5.Rusiness and Proiessmns Code Any�ity ur counly which iequrtes e pe�mn ro tonstruct, �(}
� O AIIP.I impmvr.,demohsh,ur repBir eny slmeWi¢.pnOt tn ns�ssnan[e,aim�eqwres ihe applican(fo�soch pamn � —
� m Ide a siy�ed staiement that he is I¢ensed pursuant to the pmvitinns uf Ihe f.amraCtnr's t¢ence law(Chapter -,m
I� � 9(cnmme.nurq wRh Sec�iou 7000)ul Urvismn 7 of the Ausmess and Pmfessions Code�or that he�s eaempi therefrom ��
a and thr.has�s Im the alleged exemption Any violation al Sectiun 7031 5 hy any app6cam lor a permrt suhjects '
W !he apPl¢ant tu e crvtl Oenally nt nm more than frve hundred dollars�550011 �,
i
G �I as nwnci�I Ure propeny m my employees wiM wages as Iheir sole compenution,will do tiw work,antl
�� '~ the si:ermre rc nnt imeneed ar oNercd lor sale ISec 7044.0usrness anA Professans Catle The Caniracror's L¢ense e[
(,~„� Law Jues mm�yplY In an ownr.�of pmperty who LuiiJs ur improves Ihereon,and who Eces such wark himself. Sy
'�++ or through ha own emplayees.{uomtle0 thal such impmvements are not intended ur oilered foi sak It,however, Z,
m the hwlAmq nr improvemenl is sald wilhm one yea�of complehon.the ox•ner-builder will have Ihe bmden ol prwmg �e( �
� tl�at he did nm hudtl m impmve for�hc Wrpose ol sale.) �U
y
� UI,as uwnei ol lhx yropeny,am exdusrvely canVacnny wilh Lcensed com�acrors ro construtt ihe pra�ect(Sec „�J,(.
1i144,f3usmes5 and Prol¢59ians Cotle The Contraamr's L¢ense Law does im�apply to an ownei of prupeny who '�
�Z bwlJs ur�mpiovNs tlixiaon,and who mntacis(o�sutL pm�ecls wnh a comractor�s)litensed pursuanl to 1he Coniracloi s �
+ � UcenseLawl CONSTRUC710N � ��c=:��,�_
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'� ❑I am exempt unJer Sec ,B 6 P.0 IAitach Cerlrf¢ate�. ' PLAN REVIEW
o ua«_ ow�rr_ ELECTRIC
� Y y Vr9NKEP5'CUMVENSATION OECLAflATION.I htveb'y alLrm Ihat I have a certd¢ate o1 consem to sel4insu�e,ai %
� e�e licate uf Nbikeis'Cnmpensation Incurance,o�a cei�i�ied Copy ihe�eof ISec 380D,Lah C�. PLUMBING _ _
0
4: Ce�ii�ir.dcopY�sn��Pny����5n�a 'J MECHANICAL
� ,o ❑CenAied cnpy a filed wnh the Buildng Inspec�ion Depanment a fleDartment � GRADiNG _
W. / ,
!Z� CERTIiICATE Of EREMPTION FHUM WOHKEflS'COMPENSATION INSUHANCE-This sechon need�o�be�omnk� �(,) �SSUANCE i
� d�he permn is Inr one hundred�5700)nr less I ce�ufy ihal�n Ihe pedarmanae ol the wak Foi whKh this J
I '� ye�mit is issued,I shall no�employ a�ry permn in any manner so as to h e cnme su 6�ec t to t M N 6r kers'Canpensa lion S M I P �^'
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i o; Laws or c,���o���a. � PAHK'�EE
j ��p. llale ApDlicam lL SCHOOL FEES
j •W NOTICF TO APPLICANT If,after mekm9 ihis CerOhw7e ol E:mptian,yoq slwuld�6eGame suE�a1 ro Me Worker's
� "-J� COitlP¢n580Un ywvis�ons ol the tahar Cude,you mus�la�hwitfi,[cdleply��dtlh Fiich praiisians o�this permil shall .
•�+-' be dcemed revoked.
� ��� DIVI OF INOIISfNIAL SAFETV PEHMIT CFFlTIFICATION: �
1 1y� .
�a' I herehy cer�dy that nu eycavaiwn Irve(51 oi more feel in deD�h imo whph a pe�s�a�rs reqmred to descmd,
,�' wi b�made in connectwn with woik auMa¢ed hy M�s pe, M,ia�tha4: ���Idinp;iG11E�e�sceltolding,I�laework, .
u�deinalilion ur Nsmamlinp the�eaf,will 6e mae than��y�s(Z�136k�fce(�fiqn.l��Z,�N Z,An Z.S� —
x 341.litle 8,C.A.C.1 �
W
S
��3 ❑As owner6udder,I will no1 empby airyoire to do wark whkh,wouM reqmre a pnmit Irom:tla Ursan ol
�F— InJustrial Salery,as noted ahave,unless such penari has a�pelmii io.0o such vrork�fmm ihe divisiort' `�� —
<� .. „• - : .. . .'. . ..�,�.:,
� ;y�,� ❑Dnision af Industlial Safely ftrmn No •" `���-� ' ' � -- --— TOTAL FCES
� CONSTPIIITION LENOING AGENCY I hne0y afhrm mat 1Mr¢is a conmucGan lendi�apmcy fw Ihe pnfoimance �
; ,Z of ihr wark Inr whah ths permn is issued�Sa.3D87,Civ.C 1. '! / /r �f�
� LenAer's Name CO MENTS � % ' ' ��� �j�r� �`�� I ) �' .'�� � .L{- I• °'
p=p LendRr's Add�ess 1
� ..(" 1'l eJ_(' .. l"L.. t..%[
�Q CEPTIFICAif OF COMPLIANCE AND AUTNOPoZAIIpi OF ENiRY:I csfify I Aave�ead this appleation and state
H that ihe mfamauon grven is careci I agrce ta comply with all state lews a�d ary ordinancn rehtinp ta 6uiNiiq
y constiucuon,anJ authorize a iepresent�trve af the Oepartment of Buildinp a�d$efely to enter upon the praperry
� = tn�wtnch I have aPd�b Itlf imil far Ihe Purpose ol makinp mspetlions _
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X p���io ��� ap RECPT NO. /� PAID BY �� _VALIDATION�/ �
�{ WHITE—Department Copy,YELLOW—Finance Copy,PINK—l�ssessor Copy,GOLDENROD—File Copy,GREEN—Applicants Copy
! 65106-11/69 �
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