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HomeMy WebLinkAbout1005 '"� CITY O� DIAMOND �AR PRESS k �"" ' DEPAI�'TMENT OF BUILDING AND SAFETY •�^ BUILDING PERMIT FIRMLY JOBSITE ,� ;% APPL1CAl10N PERMIT �� USE ADDRESS ';'^ r/r�C"� DATE NUMBER � � CODE � ISSUE �� q�,� NPE OCC. i � APN LOT T DATE '�"' CONST.�(3ROUP � CROSS STRE T :J_5/ ;�l.���i� � _ SETBACKS �� °= OWNER�,���� .t=%f:�A.?ir9 � � _ ZONING �ONT RW � o ADDRESS— REAR Q ,,�„ CITL�li� iic���-�'�` /f � Z�p 7��.� SIDE/SIDE STREET ,�RW � e APPLICRNT _ _TEL.�. SIDE�._ 0 z a CONTRACTOR "'==-- °�'- ' '�'�`�f°'� — SFWAGE o ADDRESS / __ � ' � • � �'UgL1C PAAT� .._y DI5P05AL (� pRNA7E SQ.FT./100 GAL .� CITY .'�'cyi �:> LIP ` �� ? TEL.`���5� ..� = STAT ' 1� y LIC.NUMBER "�`--�-.� 1���! ��:-�/�� GRADWG Q CU.YDS.EKC.�CU YDS FILL _ .Tl�'�: �Q:_;. �A.. ... lr�S �,: ..A.t�i'11 �.`:A�LU11tl ';.>:: y. ARCH/ENG/ {!?> °" " DESIGNER W t ' j� :�L]° o ADDRESS__ r�;;,: 2 _, CITY ZIF TEL. '� 3 �; PROPOSED USE '�� 4 '. ____ a�.• GARAGE o NO.DWEL. NO. NO. ` x '�`. PORCH �,:, UNlTS STORIES BEDROOMS_ `�,: �. LOT DIMENSIONS � VALUATION AW.AREA o NO.OF BLDGS HOW :° AUnrt�fiY C1��'.,+C� .�'=[U � �EE;. ,. .. ., ;: . � .,. W` ON LOT USED_—_. W' '.: ~` LIC❑ENSE�COMflACi0fl5 OECLAflATIaN:I Mrehy affirm that I am licensed wder pmvitiont e�CAapter 9 Itommentinp �V�W� . Y� with Ser.tinn 7000�of Urvision 3 0l�he Business and Prolessions Code,and my license is in full force md eHect e'�` s. 2^�: .o' ,;::�1: .. 3( ❑ ;.�y,{.. ,�—'�, (IWNEN�NWLI]EH IIEf.LAflAT10N:I herehy alfirm that I am exempt fram tAe Comracmr's Lsense I.aw for d�e fdbwing •���. �_�� iensnn ISec.7031.9,Business an�Pwlessians Gode AnV ciry or camp which repuires a pttmit to consVuct, o ahei,imp�ova,deiwlish,oi repair any structure,prior ta its issuance,alw rtquires the applicant lor smh permit ;;;��� �� ro lile a sgned statemen[Ihat he is hcensed pursuant to ihe prmisians ot me Gonvactor's liceiKe law�Lhep�a 'i:��c �K �� 9lcammenung with Seaion 7000�of Oivision 3 0l the Busineaa and Froleui0�re COde�a Iha�he ia exampt thnefrom � �d� and the 6esis for the alleged emmption.Any violatian of Seclian 7031.5 6y iny applkan�fof�a permit Su6je[ts y;.�,i� K� ;he appllcant to a rnil pxralty ol rwt mare th:n!rve hunErzd dollaa�S500L1: �^�� - — W :n:. ��' ❑I,as owr•er ol tlre property,or mV emPlayees with wages as Neir snle compmsation.wtli Gn ihe v.ro�k.aM ". - the stmctura is nm mtenGed or offered fa sale ISec 7044,Business and P�afessans Code.The Contracta's Licrose �^.Q�. e~jj. Law Anes nnt applY ro an owner ot D�oOenY wha buihls ar imp�mes thtreon,ana who dces su[h work himulf. :'� ar thmuyh his v,vn employees.provided ihat such impmvements are not intended w atfered lor sak It,howeuer, '����� �m;. the bmMing or improvemem is sold within one year of canpletion,the avner6uilder will have Me�urtlen Ot p�oving ?=�:'q,�, ��" �Lai he d�d not huilA or impro�e far Ihe pwpose aF Sak.l ��1. H� �'y� ❑I,as nwner ol ihe properfy,am exclusrvely camractiny with liaensed contrxtors to conauuc�ik projeci ISec. �<:�f,�� -- „o; 7044.Busii�ess and Piafessians Caae�,The Gantretmr's License law 6ces nol ayply m an mmer of propetly wM :'"�� ��6y Luildx a�imqoves ihe�ean,and who cantmcts Ia wch projeds with a comrmtor�s�licrnsed pursuanl m the Cmtnctor's •�-:. �----.--..... '� ; uce�sc taw.� ?�• : CONSTRUCTfON — �� o". � ,,.-� ,�a � �.�' ❑I am exempt ur�der Sx. ,B.6 P.C.�Auxh Cenilkme�. � �: P N RE � ._ . '� "_./. C/ _ ;p? Date Owner �'� ELECTR C ,�i NARNERS'COMPENSATION DECLARA710N:I hee6y alfirm ihat I have a certificate of cansmt ro adf�insure,a t;��;,�� .: a cenih�ate nt Woikeis'Compens�tion Insurance,o�a cxtilied copy ihe+eol�See.3800.L�b-C.�. B W G _ '�'` ;:;�MECHANICAL �x: ❑Ce�lilied oopy is herebY�Wnixhed. 4� �o� e�tdied copy rs tJed with the Building Inspectinn Department a Deparlmem. ���1 G ING ;W.: '::. . �^7 � � CEflTIFICATC OF EXEMPTION FflOM WIIRKEflS'COMPENSATION INSUflANCE:This upion need m�he campktd i � ::y�' it the permrt i:for one hundied(5100)or less.1 cerofV Ihat in the perPorm�nce of the wak�a � � ;�,ISSUANCE /K 4 � � � ( permit is issu¢d.1 shall rot employ airy peraon in any mance�so as to beca subKcl a thd Nbrk ' nwT :�- laws ol Calilomia MI °�� �: ,� � C.�� � EE � A". �� �1e��~ �� �"SCHOOL FEES �W�` NOTICE TO APPLICANT:I�,aher making this Cer�itkare of Exenp'n,you subjett ro Ihe Nbrker's . ���, Campensatian provisions a(the la6or Code,you musl lathwu to ith su[� wisions a th¢perme shaN � ����.' he deemed rtvokcd. ;�p qVISION OF INWSTflIAL SAFETY PERMIT CEBTIFICAiION: W ��'�' ❑I Aerehy certily that no eMcavatpn five(5�w mwe(ee�in depih nto which a pmsan u required ta descend. �p�C�,- wdl he made in cannectwn wiM wo�k auMwued by thu R�mil,and that iro huiWpp structurc,scalfoldinp,t�isework ��a'' or demolilion or dismanlNrg Ihereo(will q¢'ilpre�Qn�q,�t�AR�(38�fee�M1ph.(Chap.3.Y,Gry 2,M 2 Set _ �W 361.Title 8.C A C.I- F��I i� :�:� if� x �i .�'°�a�4,:s� , �3�� QAs owner-buiider,I will not empby anyane to da woiY which wald require'a prmil Irpn Ihe Oivbion d 5 :p' �'.� Industrial SaletV,as noud ahove,unkss such perton Aas a permii to do euch xork iram the dirision. ��F , ;� a W ❑Urision o(�ndusirial Salety Pkrm " TOTAL FEES � � F,. CONSTflUCTION LENUING AGENCY:I hereby afliim tM1at ihere is a construction knd'aq apeay lar Ne pafomwKe �� '�' �_. of il�e wnrk far wAich this permit is issued ISec.3087,Gu.C.1. O ��, " '�. Lender'sName " CQMMEMS �'� Lendn's Address `. ..�.' .'`.•.'"" S.:r-� ;� � � `m `� a. CEf{�IFICATE OF COMPIIANC�1CN�"A1ffA0Rl A ��E!(iPV:'I���dlti�p'I �ead dws�pp6qlqn and sl�e °� -�- �hat ihe�nfamatian given is arrec�.I agree w wmply wuh all sute lews and eiry adinmcas rehfinp m huildinp bh� .y consvuctwn.and au ri[e a represemative ol the Orpmtmmt al&ildinp md Sehty m e�r upon 1k paperty - 'F �= Iw whKh I have a d for thit per " r I�q�{wse al maYinp in tp„pf,,.... :�. H �' / 1 i?; *�. _. . 'nawre of Appkant a Agm� ��� RECPT PIO. � PAID BY ��� VALIDATI f �- WHITE—DepaAmeM Copy,YELLAW—Finance Copy,PINK—Assessor Copy,GOLDENROO—File Copy,GREEN—Applkants Copy �BS106-11/89 . r _ _ { _ . _------- _ __, _ _ �_ - . . - r: .�.�_ �_�_ , , _ � � � U C3 ', � E -'Ya "°7 �f P �f +""€ J „ .: ^� d -'% �� �^: � i = ; . � ' � :=� -� �.. ,,,;:t "1 ' [ �;�' -J 1 ., r � . p. � � . � ( C:) r=f�, t � '�� , a �, � € ' ? j( i j - -. ET"E �' � : ,G''(-,- 'I �- � . � i ! i �., � - � �i � (i ,p i'r I � �t� ->'� �- t � I � �F ��, � i ' � i .e.:... � d „w,,1 i � �Y'-��a .C, . . '\, �, �� , ai) ( 3 ',� � f 3 ; . �` � c � �, ; � � € � � ,. ��� i ��� � _ � � � ' � � � , � � :; � �� i E ' E � � E � � E � � � �- ,� : � ; ; ; � I ; , ` _ ._a._,. , . a _ � E � t - � ... i � � # � � , 1 ' , ' � I ' � � � � � 'i � € � € i { ' � i � I � [ s , , ; ; � , I ; � ; i r - �-_:__. , � ( � � 1 : ; ; ( ; i ` ' ` i 3 ' '; , ! 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