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HomeMy WebLinkAbout1060 (5) � ''"� CITY OF DIAMOND BAF� ��:.,, ' " " DEPAFiTMENT O�BUILDING AND SAFETY PRESS �UIL.DING PERMIT F'IRMLY JOBSITE �_�� ���y � APPUCATION PERMIT ���(� USE ADORESS �-'`=,G..✓'� �1�' t.�i �9"`�'1•+�-�::.-�r DATE NUMBER �ODE - ISSUE ��• � t � �. TYPE OCC. � APN _ LOT TRACT DATE rt `"1� `���-� CONST. GROUP � CROSS STREET_�.�9.:..r.s.,��y „'r,�',��c?_ _f?�.a'i� SETBACKS "'�s'°'�''"E"'S =D OWNER 'T'1� ! ZONING FRONT RW ❑ o ADDRESS t��y��� C_'c*.�=.v S��t;�i!•r-J' REAR ❑ W CITY�.•�.�,�3=-�o,'!��:z.,. ZIP ����1 TEL����'4 SIDE/SIDE STREET RW � o Af'PLICANT TEL. -- SIDE ❑ eCONTRACTOR.�^�i,s,�:`-: �er.�:��..;.s:�_s•�Ps.�„f� �,::.�:�.j;;.:.s.e,_- SEWAGE C] PUBLIC PMT# g ADDRESS�������� ��-�=�v ��.� r'���b� _ DISP08AL ,� GITY�� �.:+��=�� �'.�� ZIP l��.:��� TEL4�%'�'��1.��4• 0 PRIVATE S�.Ff./100 GAL a STATE y LIC.NUMBER �.% ���'�Sr r` GRADING ❑ CU.YDS.EXC. CU YDS FILL y a,RCHiENGi � T1'f�E. .SQ FT FACTC3R PS: . AOJ: AREANALl1ATION " DESIGNER W 1 � ADDRESS � 2 0 = GTY ZIP TEL. (�r 3 � PROPOSED USE � , v : � � � f� .'�` Z 4 � �� ,,,�: GARAGE a NO.DWEL. N0. N0. �. PORCH y UNITS STORIES BEDROOMS � LOT DIMENSIUNS � VALUATION ADJ.AREA o NO.OF BLDGS HOW QUANTITY DESCR.IPTIUhF . • :: ,:: . FEE W ONLOT USED Q � V w x ❑ �: ~ ,ICENSEO CONTflACTOFS�ECLARATION�I nere�y afhnn ihai I am licensed under pmvisions of Chapter 9(commenciiry � F'. ¢ �rvuh Seaion 10001 nt Uioixion 3 nf�he Rusiness er.d Piofessians Code,and my lir.ensr.is in full tm[e and e��ecl. W'. 3 � W' DIVNCN�kIiIILUfN Ilk(:I.AHATION�I Le�ehy atlirm Iha1 I nm exempl hom the ContratmYs laensr.law lor ihe lullowing �reasnn jScc 7U31 5,Buxines�nnA Pm(essiont CaJe.Any�ity nr rnuNy wh¢h�equires a permil lo consiruct, (� o el�ei ;mUmve.tlemolish.or reDau any str.icmre.D�ioi m its rssuance.also repuires ihe apphcant for sucl�permil 2�� — � iu fAe a signed slu�emem that he rs IicenseA D���suam to the yrurisions of the Conna[tnr's Gcense�aw IGhap�ei m � _� ��4e.�"'� '(;�j� ,> � 9 Ir.nininw;nng wiPi Senion 70G01�I Divismn 3 af the Ousinr.ss ar.d Professions Code�or 11ia�ne is eunpt the�elrom ,C- � a and the basis fo�tlrc alleged exemption.Any vmlaunn nf Sectmn 7031 5 6y any ay;�licam for a permit suhRrit � �' ���.y"' x the apphcam m n r.:vil penalty nf nm more Ihan flve hm�dred dallars(55006C �—J, ���� �j ���!��� W �1 (S. � L.J�.as ownar nf ihr!,mperty,m my empluYees witli wnges as then sole rompensanan.wtll Au the work,and � r� n:e xuna!;ne is nm intr.nuetl o�oflerec fai sale ISec.)OG4,(iusiness anG Professmns f.a1e The Comracmr's License �Q V��l'dw tloes noI ayp�y to an uwner of p!oOe�tY who bmlds or improves Ihe�eo�t and,who dxs such work h�mself, ��-�(�' , W o!ihrough his awn employees,pmndeJ thnt such impmvements are not mtended a ollered Mr sale.If,however. � � . m �he�utlNnp nr mquovenieni�,c snlJ wi0�in one year af wmpletion;the owner-0uilAw will 1a4e ihe Awden ol p�winp .�:?�.- � � !I;nl I!e AI�I mn LwIA m na{;mve fur;he OurOose�t sale,l !;�, � �ti. ❑I.us uwue�ui tlrc pmpenY.am ertlusrvely camracnny w�ih 5censed r.a�vaclors to cansim�t the pro�ttt�Sec �.{j} , � 7044.Buxiresx and Prolessions CoEe.Thr.G�m�actar's Lmense.Law daes i�ut ayply Io an awner ol property who S� ¢ hnildx ni�imprnues eheiRnn,a�id wliu tonirack lor suCli pro�eCls WIIh a tonira[ta1�s1 licensed pursnanllu Ihe Conlrattor's �, �'rP"�'�"w� CONSTRUCTION ____ � C�ain r.xeniui wder sec. ft.6 v.c.�nitxn Cenifcate�. < PLAN REVIEW __. o u���--- ow�e� ELECTR�C� ----- � 'vVORKLRS�COMPEN$ATION OEGLAflATIIXJ�I herehy afhrm I�at I have a r.eniticate ul consenl 10 selhinsure.a ' � e cenihceie uf 4Yorkers'Cnmpensannn Insurance,oi a ce�tihed cuVY Ihe�eol ISec.3800,La6.C.�. ^,PLUMBING„} `.� _ C � ❑f.endieA r,npY is Ircre6y fiKn�shed. .��� ANICAL ___ _____ ;W pG[:endmd tnpy is ttleA wuh the BwWing Ins�ecuon[kpartmem or fknartmem ;��GfRADING �^ ,._.. x� CERTIfILATE OF E%EMPTION FHOM NNRKERS'COMPENSATION INSUNANCf This sec�ion need no�he completed /�'J���ISSUANCE„� t �✓� ��C_..�� � d ihe peimil is for one huntlred�S100)or less 1 cenJy�hat in Ihe yer(armentt of the wmk 1or whicH this r y� w ma is issuad.I shall not em lo an ersan in an -��"� �'� F �,r p y y p y manner so as ta hecome suM1�em lo�IM �ra' nsation � ��_�J ___ Laws nl CaLimma ,,.+ n r� '"� W PARK FEE c. 1 ,,. .,r'", p Oa�e ��� ���o ADPlica i . . . ��.. NOiICf�0 APPIICANT II after inaking this Cerlilff f pt�.>�ou � uecume sub�eci io the Wmke�'s `���SCHOOL FEES � Cnmyensatiun pmvisions al Ihe La6oi Cade,you m�t.�jcot�y�y. Y sxh povisuns or this permit shall 'i he deemed revnNM �` u 4a'`�"`� y aVISION OF INDUSfAIAI SAFFTY PENMIi CFN�IFICATION�. W �a- �JI Ircreby ae�uly Ihat na eaavalinn 6ve(5�nr fev pih p a person is requhed ta dzcrentl 'a�e wAI be maae in cannrcuan wuh wo�k auihor@ y per a�that��slmUure.scaifoamg,falsewak �— �x demolmnn n dsmani6i9 iherea[will Ge��t�y-six�3611eei high.�ChaD 32,Gry 2.An 2.Set Z� 3�11,Ti�le B,C.A.0�. W Y �. .'L .., — �.3 ❑As nwnerboilJer,I will wt employ�.,apyaiqAo.-0qaibor}�SMck�yiJWl�ieq�e r�ferfill'imm tAe 4visan ol 3 1�.. In:hstrial Safety,as noteA ahnve,unless S�Yh�B�On�1a�'d permii�Qq su[h wark.fry7�/:ttlR dlGisiort .� �—1 t,,_�`t.�: r.,��.i•:!.�..� .�.:-�i:.i .: - •' � .. W LJ dvision of InAusirial tiafety Permii N0- '���� �� C(XJSTPUCTmN lENfllNfi AGENCY�I here6 affi�m thal�he�e is a cons6uc�ion Iendi a TOTAL F�ES y ng pmcy for ihe perloimance �C 1 Z nf thr.work im wiiich Uiu pennit is isaued(Stt.3097,Civ.C.1. � len��s Name COMMENTS m lemW,r's nANess 4 CCfiTIfICATE OF COMPUANCE AND AUTIIOHIZATHIN OF ENTNY:I cerlify I heve rtad tM1is epplicetion nd stah �/a that the inlamaum given rs cn�ect 1 ag�ee ro romply wi�h all sute lawa aml airy aidinances relating to buiNi� y consm�mm�,and awhou:e a iep esemative of�he Oepartment af Buildinq anA Satety m mur iqon IM paperry loi w6ich aG2 aD o�J�3 m- r vWwu of kinp inspq,lrons. r � �� ...%�/.�7 '"� � ,.. �- �5�--�,_�'C.:� �� �J,��j ��t��?� " nature ot npp�Kam nr m pa�a RECPT NO. PAID BY VALJDATIO WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENfiOD—Fi�e Copy,GREEN—Applicants Copy B5106-11/D9 . .._. . ... . . . . 3 �i �+�`�"��e�n������„r�`�na�� � �, ; , .. ���Po a �� �.����?�;;�� a�,wn�������x�a _ , ' xi €r a g� � t� � ` 3�3�p�MqR E"ri #Hy�,�jv��°"� �• ��'�x �PN�'� �'A��F���'iRi(`�y��h1?� ' � - �i� ,.,�y q� . ��p � ��n� ��' ���`,; ���� ���� � � �� m� �tt�x,�s x� ��� �,'�"rx�"nx; , � � '�'� ������' ��"��n��'�����an���� ' �� � � �m n pcs i �r#�e�� �s7.� < � ;������� ���b��y�`����"H%Y;€�'"��Y�aY�yP � ��. . �.; � 3 r €� ��������������v� 3��y��� . :, , . € . , � �� ����fi��� �q�ih�,��n���".�a�n s�[ I ' . . ,� '. .. '� � �;' �I�� n �, ����� . %7C��`�� . f , ���. , �, , ' . . �It�.���... � .. �k�9�i'��' �G Y� � . � _. . � . � �� E E .. ��w7#]fg �' �� 4i€q��� ",t��` t d�g� L : . �S . : _�M,���...'�_.,_ �m�i r,t'��_�k��3t�a��Sn� �, . � ....... ., - . V�BS=.'� _ . _ .� €€4�n� � _ ...I �� 1 €A.»47� . ,, ��. 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