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HomeMy WebLinkAbout1616 (1113) . _ ... . . . .,_.. ._ , _ _ ...�.�....._. �����`� CITY OF �IAMOND BAR � ��'' � S�'I � OEPAR'TMENT�F BUILDING AND SAFETY F RMLY � l� BUILDIN RMCT DD ESS � ��b A� �' v4 �'�3 � T�ON �^a ,�L�`�"'�MB R � CO E � APN lOT TRACT DPTEE 'd ��O TCONSL Ca�R �pUp o CROSS STREET ZONING SETBACKS ���++� °" OWNER ' t r '� af FRONT RW ❑ o ADDRESS I 370 14��r U��.4 p6, REqR ❑ � CITY���ho a R ZIP � TEL SIDE/SIDE STREET qW � a APPLICANT���R���S er,M,�� TEL� SIDE ❑ z ` CONTRACTOR Su�@�i�2 elec.��;«j A4ve���5%rU SEWAGE o ADDRESS 17o a W.Avta k,+e••� �>/4) D�SPOSAL � �B� �T� W CITY�o�l I� l�e�r I� ZIP ��° I�.TE�.`a 9S-?3S1 ❑ PRIVATE SO.FT./100 GAL z STATE �7!�g _� •[�S GRADING ❑CU.YOS.EXC. CU YDS FILL y LIC.NUMBER y ARCH/ENG/ N IYPE SQ FT FACTOR PS .ADJ. RREANALUATI�N = DESIGNER W � 3 o ADDRESS � 2 � CITY ZIP EL. � 3 � PROPOSED USE Z 4 � W S� � GARAGE � NO.DWEL. NO. NO. � PORCH � a„ UNITS STORIES BEDROOMS s LOT DIMENSIONS m VALUATIfJN ADJ.AREA o NO.OF BLDGS HOW OUANTITI( pESGRIPTION FEE W ONLOT USED � . � "' ❑ � � L- LICENSEU CUNTRACTORS DECLARATION I herc6y dfum Mn I am km�d ude praviaons al Chapw 9 Icommm�mp � Y wrth Sectlon]00��d Oivimn 3 oF the Buanesc md Professians Coda�iM my Icanse i�in fuN Ivm�nd tflect. W � ❑ w w OWNER�BUILOER OECIARATpN I heie6y altnm�Aa�1�m mnp�hom iM ConV�cmr's Lseroe law fa�he Itlbwinp = reasan(Sec 7031.5.8umnesa ane Proleufons Catle Airy rnY or Cpn1Y wA[h rpuira�penmi ro canalruct. (9 ' � O altei.imp�we,demdrsh.n rcpa�,m n��cme,a�o�to m uawnce,Nw rpurea Me�pple�m lor suh pnnn Z � lo hk a s ned ristement that he is IMensed � • • � ro pusumi�o the prwiaiens ot Me Cantrxmr's liceme t�w�Ch�peu �p p� 9 Iconmennng wrth Sauon 70001 0l adaion J d the Business and Propasmns Catlel nr iha�M q uxmpt�MMion g Xand Ihe 6asn fai me aAepM samDmrt AM rw�+Lan d Seceon T031.5 by xW eppliunt Im�pdmrt W6pcu � W the aDD6cam to�c�vil penalty ol mt mae lhan Rue lundrod dollars IS50011� a � ❑I,as owr�er al the propeny,a my employees�titA wages p 1Mu 7ob tompenwtion,wiN do IM wak.md ihe siruc�ure is no��ntmEetl or ofhrM 1p sele�Sac T044.Bu�nos�iM Rotasaqns Gad�TM Cmu�enr's Lcenn q � taw Aoes noi�Ooly 10 n uwner ol propertr wha builds a wnproves IMrem.and wha does�ueh worl hunsell, U ►� ar tArauyh his own employees,provided Mat sueh m�prawmenla ue not imeiMed p ollered loi tele It,hpurrRr, � a�D Ihe hwMmg a imp�ovement ia add wnhm om ynr d compleLm,de awner6mldn wil Aaue IM1s bwden of qonry y iM1at�e Oi0 not Gudd u improve for Ihe puryox ol s�le.l � rn ❑I,�s owrer at the properry,am ncluuvety contruuny wnA IKemN emvacta�ro eananuct ihe pa�ect�&t Q 1M4,Busnrss md Profession:Gode�TM fnnlncmr's Lr.eiue law does rot apply m�n ownei o1 poperty who '� ` luAds or improves Iherean,�nd who eoittrxta Iw wch Proroct�wnM�eonlritmr��)heensod pnuanl b IM CmtqcM'i 0 `"`"'�`'"'' CONSTRUCTION �W,. ❑I am e.empt undar Sac. ,B.6 P.C.�Anah GrofkaMl p�.�v�E o °"e 0"'"" ELECTRI � 'MIflKERS'COMPENSATION OECLARATIW I M�e6/aHim Mn I haue i teiUfic7fe ol eawnl te tNl�intue.p a aenihuie M Nb�ke��'Compenwtim Insuance,er�ce/tdiee eopy Mieuol�Se�7800,t�E C.1 PL MBING c ❑Cerufrd copy n hemby lumuhed ,_�j MECNANICAL `G .ertileA topy is likd wiM Ih�Buildnp Mspection Dlp�rlmmt ur p�pumrm. 'Q GRADING � CEHTIFIGA7E OF EIIEMP7qN FApM WORKEflS'COMPENSAl10M MISUMNCE�TAis ucton not M cmmpleled �U NC d Ihe perml u fd one hundred(5700)a 4ss I eeruly Ihit m Me a mn Me rk ler rhKh tlq � y imrt is uwed.I ah�ll rot� rwn m� manner w n ro 4c {,`M� SPB ^�D�W�^Y M M lat Nr iarf'CanpentWion laws d CalAornw � �`�-C1,b ,,�i��„,v,; ^ -: W PARK FEE o a�� "'. . � uor�ce ro aPr��cnriT n..�n�mx��o ma c.�niKai ar e.c�� �a � �i m a.maw�•� u- SCHOOI FEES ' —+ Canpensauon pmnsmns W Ne L�bor CuAe,pu mwp•'IaiAv/� v wiAi weh paveqm nr tlns perme�Iwtl � he dr.emed reuoked � � ONISIOJ Of WOUSfNIA(SAFETY PERMIT I�pTIFCAiION y,� ('� t� F � ❑I Aarchy nrtAY�hal no�rcrvauon frve 1511{�he��de�ih n� i�,+Rrson u mp.M tu descrd. � will h mede x�cmnecuon wilA work�uEwuedlF/ N�mn.�nd tlul m Iuildinp Wutlue.tpfpplan4 Wsew�ork. a demolnwn a Msmantlinp iMreol.wdl Ee ma�Man MII�y'9Y 1361 het hph.ry]uP �2.Gry 2.An 2.Sat W J61.iitle 8.C.A.0) .t .i x %.'':":' {:: '.. ` �.''t • � ❑As ewnerW�Wer.I witl no�arobY,�W�e�ro Iu rrort wlucF�YreWd trlNre i Oelri+t�hon te Di�nion d f.. Indixrnl S�htY.�s noted�how.unkss dah pirlDn'Me�prmn Ao�10 meh wak ImntDd/i'veion. � �� �a."`��"�"°'.i S''.""`�.°� TOTAL FEES casrxucnoN ieNdNc�xcr i n..�nr,en,m wn u.�.�..�,��,��a�.o,.ry ro,�.�,K. sa1 the work la whrh tl�ii prma s uewd(Sec.3087,Civ.C 1. J LlIIAN�f NYlil! GOMMENTS A C C�. [�Q � �fndlf'E�IlA t CEflTIfPATE OF COMP HYtlL1TIaY E tily I 4w rad Mis pp6eNim�d p�e ��/�� V! Illal tl1!n10r pVan M I IH 10 R 1MY� Ci�Y OIdMW�tp 1�I�fi110 b�11���Y I��/� ) y �onstrunion. autlnue n a d/r ' �d$�hty r Mnp�on Me Nopxty � lar wnen I e pphea 1or mi per Me Opnc X mtue d �� RECPT NO..�,��PAID BY�'� �/ kqKait w�m Ate VAUDATION WHITE—�epartment Copy,YELLOW—Finance Copy,PINK—Assesaor Copy,OOLDENROD—Fle Copy,(iREEN—Applicanis Copy BS106-11/89 .,, �,�.,__ �.... •..:. � .- • :,,,.�, .-;: y.....-. ._ .,. :;.�..... ._ _ =vr• � -- , ... . ... .. .. . .. . , �_. a .... � .��,� �.-. .. ` +i• tE .e"•, �;. ;s:-Y. , _ ` �k ffi'�„,��.. 3�� �x.�� �>'`a�'��..a 7".`�,!'��ti::��s� ���<:,u��R ' ��' gj e ., �yg � �»`�� .�"o.�`�''°'5 y ,� ' _, ' . ' �. w . . .`5^.,.a��K����� � ���#y'B� .. $�u°S.sA'6 q.$�6 b�e� � . \ • � `,V'. 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