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HomeMy WebLinkAbout145 (19) i , � '"'� CITY OF DIAMOND BA,R pRESS ��., �""' '` DEPARTMENT OF BUILDING AND SAF(�TY •" ���'' rCUL�1:�'. " ;`' BUILDING PERMIT FIRMLY JOBSITE ' " ' APPLJCATION PERMIT � USE ADDRESS � � � � � "' �� � DATE NUMBER�CODE " ' ISSUE TYPE OCC. s APN ___ LOT TRACT r�� DATE __ CONST. GROUP�-� o CROSS STREET /�rl�1�p��1�ij�l��f�iif�'.���,� zONING SETBACKS � `�'�"'E"'S O° OWNER FRONT RW � Q ADDRESS� REAR_ _� O W CI7Y ZIP TEL. SIDF S EET RW CO o APPLICANT �-� .� 1 TEL.�(�/��`t� ��E � � � 4 CONTRACTOR — SEWAGE o ADDRFSS___ � PUBLIC PMT fi� DISPOSAL [] pa�VATE S�.FT./100 GAL ,� CITY ZIP TEI. �,� a STATE GRADING �GU.YDS.EXC CU YDS FILL y LIC.NUMBER � T1�PE S4 F`T' FAG#`tOR F'�s � AD3. Xi�EAN�tLUA71UN ' : .: y ARCH/ENG/ y t�; " DESIGNER � ` " �� � 1 � ADDRESS ` �..C'� �.%(!�-- pl�j��-', �.� 2 W �� �+"� (.'l _G :�� = CITY1✓t��„�.�L,�,�ZIP �• ,�'TEL., � 3 L�; � PROPOSED USE �-� • � � `� � , � , �, o •i �X •< . .,_. _�.....�,..�..� �, GARAGE a NO.DWEL. N � N0. x ��: PORCH �, UNITS STORIES BEDROOMS � LOT DIMENSIONS m' VALUATION ADJ.AREA '� o NO.OF BLDGS HOW ,.QUANTirY -D�s(;R1 -. ION ;. �EE.. W ON LOT USED_ Q � �� � .,�, W 2 . ~ LIC❑.ENSFO CONTRACTORS DECLAHATION:1 here6y effirm ihat I am licensed under pmvisions of Cheprer 9(commencinp .A�ttt}���'� � � wi!li Stttion 7000�of Division 3 ni the 9usiness end Pmlessians f.ode,and mp ficense is in lull forte and effttt. '��:��, . ; 3 � <1,""�u: � �±- iRYNf R�BUILOEfl�ECLAflATIIXJ:I here�V atfnm thal I am exempt From ihe Comrectnr's Lianse law for Me fdbwing '�� .� � reawn�Sec.7Q31.5.Businesx antl Prnlessions Code.AnY ciry or�aunty which iequi�es a permit ta cansvuct. ��•-(,.�F: o elte�,�mprmie,demali.sh,nr repei�any structure,O��o�to its issuvnce,nlso�equims Ihe apph[ant ia�such permil ���+��'; QIn hla a sipned etatemenl Ihat I�e is licensed pursuant W ihe provisions of Ihe Cantractar's license Law�Chepfer ;".�• � ee 9 Icun�urcm�ing with S�clion i000)of Divisinn 3 of Ihe 8usiness and Protessions LOAeI o�Ihat he is e.empl IAerelrom ..;�• � � u an^_Ihe Uasis!a:�hr.allegeC cxem�t:rr Airy r;olation uf Section 7031.5 by ary applicanl loi a permit suhjecis �•-�i, ' W the apphcant tn a crvil penalfy ol not ma�e ihan five hundred dollars�55001.1. ����<�:: � ' o ��, ti ❑I,as nwuei nl the pmperty,ur mY employees with wages�as IAeir go�e[ompensalion will do Me work,and � M1IIC SIII:f,1UiP,�S 1101 intendeJ or offered far sale�Se[.7044,Rusiness ar�d Professians Cod¢:The Ca¢rer.tor's Littnse �:�Q� —� � v Law Jces nol apply to an nwner of p�operty who huilds or improves thereon,and wha Aces such wort himself, ;;.�Lr): � ' ur Ihmuyh his own zmplryr,e.s,prwided iha�sach imp�memen�s are not inffinAed a ollered loi sak.if,however, ::.;:�;. �m� tM Auiltlmg or u•�ipnNemr.m is sold within on¢year at canpletion,the owner�builder wi�l have Ihe 6urden nf pwving >5:4; � y ttial he did nut 6uild o�nnpiove for Ihe Durpase of sale.l s�::=. j� �%i ❑I,as uwirc�uf the pmpeity,am exclusrvely com�actiny wit6 licensed�antractnra ta mnstru�t�he pmject(Sec '���� - 7044,Business and Pmfessans Code�The Cam�aclo(5 Licentt Law does not apply In an mvne�01 pmperlY wha '-,�,5� a Z hnilAs m nnpm�ez t6ere�m,xnd who coMrxas for such pm�eets wiih a comroctm�sllicensed pwsuam to�he Cnmractnr's .{ �Q I.¢enselawl `:�;;' CONSTRUCTION � ! O "_— i ~ n i am exempt mxlxr Sec. .B.6 P.C.IArtach Certilica�el: '� ":� P�1N RE�/�E�l�/ 7 � u"`— °�""e1 s�ELECTRIC �� �. W[WKERS�COMPENSATION�ECIAFATIIXJ:I heretry affiim tha�1 have a certi!icafe of consem ro seH-insure,a ;VF�^� a certdicate of Woikers'Campensatinn Insuranee.nr a cenified ca04 ihereaf ISet.3800.Lah.C.1 '� PLUMB�NC.7 � r � 4 ❑ce�����Pa«ur�s ne�ee�i�x���nea ��' MECHANICAL — .�' � o L�Ceni6etl eopy is filetl wnA tAe BuilEmg Inspeetim�Deparlment w Depanmem {t,�'GRADING . .;, w '= CEATIFlCATE OF EXEMPTION FflOM 1NOBKEFS'COMPENSATION INSU!iANCE:This set�ion need na�he camDkiN ���SSUANCE � d tha pr.rmn is tor one hunAred�51�0)ar less.I cerufy that in Ihe performente o�Ihe work tar whKh this y pemiit Is issued,I shall mt employ any Dersam m��ry manne�so as to hetome subjeat ta Ihe Nbrkers'Campen38tion ��"� � ,��. � � Laws af Calilmnia. SMIP __ '��� � �o °:� 'PARK FEE _ � ���„� AP°����� '�'.SCHOOL FEES � NOTICE TO hPPUCANT:If,aher makmg thls Cenilica�e ol E�emption,you sMuW became suhject ro the 4Wrker's j � --� Cumpensation provisians of the laho�Code,you must b�ihwith[omply with such pravispns a this permil shall � � �e Aeei�reU reuoke0. � . � qVISIIX�I OF INDIISTflIAI SAFETY PEHMIT CEflTIFICATION: _ . W °- UI�ere�y cenHy that no excavaiion tive 151 ar mme feet in deoth into which a ce�son is requiied to descmd �� a�e will hr.inedr.in cwnecfiun with work authw¢ed 6Y m�9 Perme,and Mat no huilding suuc�we.scelloldinp,lalsework �y°�t�� ' a nr dr.muf�inn oi dismanlling ihereol,will h¢mare than thirry�siK�36)1¢et Aigh.(ChaO�3.2,Gry 2,An 1,SeC F , Z� Yil.Title 8.CA.C.�. �r ���� 3 — ��: ❑As owner6uilder.I will nm empMy anyme ta do work which wauM require a permit fmm IM1e Oivispn af : g� 1— Industna:Safety,as noted aMve,unless such pefson has a permit to do such xrork Irom the drvision. � � '::. � � y�j ❑IMrismr nl Indistrial Sefely Pomwt No. ��TOT w� �^� , d � f.ONST1iIICfI�N LENf11NG AGENCY:I hae6y affirm Mat tM�e ia a consttuc6nn kndinB�MY la the pnformmce � f{ C ?; Z ol Il�e work fa�whch Ihis permn is fssueA�See 309),fiv.C.�. %�• .� Lender'sName �+� COMMENTS >'�: p�p I.enle�'s Mdress ;�f. 4 CEATIFICA�E OF COMPLIANCE ANO AlITH11111ZpTi[W OF ENTfl1E I cerMy I luve read this appliraiion end sule '�. t y �hat the udnrmatinn given is correct.i aryee to camph/with aA s�re i�5 a�e arv omi�w�����ro m,�u��re � A � � ).' y construction,anA eutha�ire�iepresenta�ive af the Depanment ol Building and$efety W m4r�pon tht propeity r -°` = la which I have applied r.Mis permtl fai Ihe pixpose al makinp inspeclpns. 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