HomeMy WebLinkAbout1407 (14) �
�\ �"� CITY OF DtAMUND �AR PRESS '
DEPAR7MENT OF BUtLDING AND SAFETY
BUILDING PERMIT FIRMLY
JQ6SITE APPUCATICIN � MIT � ----
ADDRESS ��'� S'�'��S j'��'�"c`1� � _.,_ SSUE ����TYPE�R ���.CODE
` APN . l07 TRAC7 DATE __ R=-�CC3"'"�'l v CONST. GROUP
o CFfiOSS STREET�i��G 'W'ttGt�C,�,
ZC�NlNG SETBACKS ���
°� owt���__b�v;b + T,�� t��,ot`�l ��taNT �r �
o ADDRESS i'/7 �Q G.S'L�RPsU� � "c!�{— REAR ❑
� CITY�`Ca v?'1G�n r.� E3/�/Z ZIP l �$� TEL. �"`"�- �'Q"� " SIpE/SIDE STREET Ryy ❑
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� APPLICANT -��"�.e Gr �;✓�.- '��. SIDE ❑
Q CfaNT R
o ADDRESS . SEWAGE C� PUS�tC PMT�
,�{! DISPOSAI ❑ p��VATE SQ,FT.I100 GAL
� S ATE ., z���.`�TEL.
y LIC.NUMBER '""�-� GRADiNG ❑CU.YdS.EXC, CU YDS FtLt
� ARC G/ � TYFE SQ FT �AC�R�� �t . AR�AIVA!»UATIC�1d
� QESIGNER�.�,� LL( 1
p F�DDRESS �"'"~---.._.,._ � �
z CiTY ZIP TEL. �e g
� PROP(JSED USE i " �F-- z A
a � GARA6E
�
Q NO.E3WEL. ' NCl. NO. � PORCH
� UNITS STORIES BEDROOMS
� LQT DINiENSi(JNS � VALUATiON AQJ.AREA
� NO.OF BLDGS NQW titJAN�trY C?ESC IPTf�N�I �E�
W ON LpT USED �V�
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i�EN5E0 CpMRACTQflS DECLABATIOH:I i�erehy affirm that i em Iicmud w�der pra»�s oi G6�9{commentirq ,�^"
� wnh 3e��wn)000�of Omison J of fie Business and Prolessmns Gade,and my Ixense is in full lorce and eltect LJ �
3 ��
� � BUILOEN pEf!ApATIQN I Aerslry alfum thaz!2m exem�q from the Cqm�acmr's t¢mte Law ter tAe Idlowing
Z reasnn iSec 70315,Business nnd Prafessrons Cude Any ciry or�oix�ry which requir¢s a{qrmrt to cansnoct. � g
o ahec improve,demo6sh,a repau any sinKWre,prmr to its icsuanen,aiso requires the gpplicanY for tueh permit .Z� �
� ta fde a signed statemeni ahat he is iceensed purs�nt ta�h¢prwris�ons of the Cmvxmr's lxe�sse Law(Chapter '��
� 3(cammencing wqh Secuan]U00j nl�iws�on 3 ot ihe Busineas and Pmfessiorrs Code�a�ha1 he is exempt tM1eetmm �
� and tAe 6as�s�nr Me akegw!c�empuwi Anp viWatwn ot SeCGon 70315 bY any eypliCa�t tar a pttmlt sa6�¢Cts � .
W the apphcaitl m a civd pmalty af not more than Lve huMred duitars 1S560j.�: ,,,t
� ❑i as mvrxr af the a or �•
W%�Y. mY emWoYees with wages as ihtir soie compensaam�.wdi dp the work,ar�d
the struuure is not mrentled ar afleied fin eale�Sec.7044,Bnamess and P�o�essions Coda The Cuntrena's Ocense q
� taw Jces npt apply m an owner ot prapeny wtw hmWs o�improves therenn,�d wtm dces sud�wnrk himaett. LJ
mw oi thmuyh h�s awn employees,pravideU that such imprwemanis a�e nat mtended m attered fm sak li,howerer, ��
�he M1uddmg nr�inpmoement is sold within one ytar o�complqion,tlrg owneo-Wddur will M1ave Ihe bwden of D�ovmg :a
� rt:ar he�d irot 6uilU m im�ave tnr jhe putpass pf sate}
�+ ❑I.as ownei n1 Ne pr�erty,am exclutwely wnu&¢liny wtlh htensed cumracars!o Wnstrucl Ihe prqect{3et ���
0 70qd,B�srne>s ami Frolassions Code.The Conhacwr"s trceme i�w tloes nat appiy m an owner ai property wha �
4 h�dds m�mproves theieon,anC who ron ne fa zuch pro�ects w�m a cnm�ac�uqs)licensed quisuam to�he Contracta's
licetsetaw} r- � . CC}NSTRUCTIC3N
F U I Tm exempi urAe�$eC � �'�1d+��s n rc.�a��n c���e�ea. � :. PLAN REVIEW _.�
a o81e oWOef E�ECTRIC
� Y.t71RKF�,S CON;PEqSATt�,i pEC(pRA I Xeretry�a(fum thaz i bava a ce+ti(+eale of consent ro saif�msure,u '�� —
a�erlihcaie nf VJarker.s'f,nmpensetmn Insunrca,or a ce�tilied toVY iheieal�Sea 39p0,la6 C�, M ,��fy�J-
c
Q �Cern62tl cupy rs here6y fmnjshed ,,;� MECHANiCAI
W ❑c�G;��+e��r�t�w��me a�������cs�o����� o��sR. .d. GRADlNG
� CERTIfICATF OF EBEMPTION FflOM WOAKEflS'COMPENSATION INSUHANCE TAis xctinn neal not he tompleted A �"q
�
�t the pemut�s tnr nne hun�ed{31QA)e�kss#-tertiEy±)N9t�p:tAi`pttfarmsnet af the wak kr wkeh ffiiz �•�
F, pemn is issueJ.I shall rot empby am Pe�son in an'v�nn(�s'u:as(o tl'eco�}c sub�ect io ihe Wnrkas'Compensation 4�.^M�p
� iaws af Cedforn�a ; t•...,,..»,:�a_
p Oata �qppLcant � PARK FEE
� +�Di10E�o Avvtm.aut x,at+er rra�ar�g m�s Cernhcaie ut eeemption.. pt'qdd 6ece�ne sub�ect ta fie worker•s �- SGHaO� FEES
—� Compensauon piavisions af the Lsbar Cotle.�yu��u3o IortqvuitfR omp�y�iie,v{"sucM1 pm�gans a this permit�hdl '
� t�deemed�evakeA. [.g�;;? � � �.,�,.J t�:
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Q �IVISIDN OF INWSI'flIAL SAfETY PEAMIi CEflTIFICATIpN:
W
Q ❑1 herehy cerlily that no excava�u�Jrve{5�ramnrg feet in�depifi into whidi b pc�Son js reqwrzd to deuBM,
a vxll 6e msde m com�ectwn w+m.aari aumarued hY-mu Rrtrul afd d�ac iio'G��dinp�dmc4rg.sallW4�n9,falarxork, �
ur dqmoi,tiun m damantping ifiereai.y+jii be�moie<itw't�tkjrty:six,+36p tega hgh'Ipu'p.,32.Grp 2.Art 2.Se� �
w341.7itle 8.C A.C.1. .. .•.`... .'_
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3 ❑As owner-hmWer,I wdl not empby anyom to dp wak wAKh wakl require a permn frpn the pivisim ol
t— tr,dusurei Safery.es rtated aWve.unku such peracn Ms�pemmat m Co such+Am�¢traa ne divisia�
'�
� ❑av�,�«�����,�e"�m�=�, TCITAL FEES
�
� CON5THll(:TqN LEN�ING AGENCY.I here6y aHirm Mat there is a tnnstruction km16p apeefxy fa Ihe petlurmerKe
y' of tM werk for wb�ch th�s pettiqt u isaueU{Sx 3497.Civ.C.}.
� lender's Name GOMMEIdTS
m tenrkr"s Address
� CEftTtfICATE QF f.QA1PLtANCE AND AUTRiOWZAT�i qF fMipY�1 cpt7y!have nsA tl�app6ati¢n p�G srik
v� Mat 1he infamatnn�veo w ca�ecl i epree to compfy weh a!sha iawc sM nry aumancet re4ting to deMFng
y [ongltuqion, dulhorue a rtpreunlitive Me De�artment af&ulEny uM Stfety m en�er ipm tlr yropeiry
= fer wA¢b I applced br Hra permrt tar af making inspeebms
~ X � ���,r` ��1 a � , _� 1.�.. � �
Signatme M Apqicmt oi ppem p�a RECPT NO. PAIO BY � VAUDATIOI�r'y'"�
WHITE—DgpaRment Capy,YELLOW—Finance Copy,PINIG--ltssessor Copy,GdLOENROD—FIIe Copy,QREEN—Applicants Copy
BS1 06-1 1 784
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