HomeMy WebLinkAbout1345 (14) \�.
1`:.�
�`
'`� ��T�' OF D�AnflOND �AR
���� '•�"� �EPARTMENT OF BUILDINC AND SAFETY P�ESS
��^ BUILDING PERMIT FIRMLY
JOBSITE '`- APPLJCATION i7 PERMIT r� • USE
ADDRESS �r+�'� � ��'`��•�'� �� � DATE �`�a' /'��UNUMBER J CODE
ISSUE C TYPE OCC.
Y APN . LOT 7RACT DATE ���"'� � ��ONST. GROUP
� CROSS STREET '-R���?-�5 SETBACKS ��
°C OWNER ��+��'�� ��t3�� F� - ZONING FRONT RW ❑
o ADDRESS Z'-F 7�'L'7 `%��' E R`1 �- � REAR ❑
QC'—,
W CITY_ �� ZIP TEL. ' -s 7 �� SIDE/SIDE STREET RW �
g APPLICANT C��� �`�!-�'�•��' TEL. SIDE_ ❑
z
4 CONTRACTOR `�=' e1�"4'" ��'' ` �`''� SEWAGE
o ADDRESS - DISPOSAL � PUBLIG PMT�
_ � CITY ZIP TEL. _, � PRIVATE SQ.FT./100 GAL
`'��2 STATE
a LIC.NUMBER GRADING � CU.YDS.EXC. CU YDS FILL
- �
y ARCH/ENG/ ;�T:TYP.� a�Ct:.F1` �AG;R'�R::f�.';:... .AOJ; AREANI�LUATION ; .:
`=' DESIGNER "' ' ;LL,1 1 /)'[a f �/, c. ��
"[l:i;
o ADURESS _ .(,�,. 2
z CITY ZIP TEL. 3
---- :C'�:.
� PROPOSED USE DP-L�� < «-G= ��+r��i `Z` 4
-�2.--
� _ �:. GARAGE
o NO.DWEL. N0. N0. � ppRCH
y UNITS _STORIES BEDROOMS �Y
� LOT DIMENSIONS � VALUATION ,� ADJ.RREA
— ---
r �
o NO.OF BLDGS HOW ounNTrTv� .DES..RIPTiON:. ��E
W OU LOT USED "
� —_ ,�:c`3: --- -
W O :ff:
�Z
~ I16F.NtiEI];ONl HACTURS�ECLAflAiION�I herehy affirm Ihat I am licensetl untlei piavisions of Chapter 9 I�ammenaing —
� witl; ion 70001 nf�iwsion 3 nf�hr.Rnsmess and Pmiessions Cade,antl my li�ense is in lull loice and effect. �;��,���
'Q3 W:--_ —
�+ CfWNEH ISWLII6R OECLAHATION-I L•eieby allimi ihat I am exempt imm the Comractor's License law lor Oie Idlowir,g �
ir.nsnn�Sec.7031.5.Busine=s and Pmlessions Code:Any city m mumy whlch requiies a peimit to cunstruct. -'>(}'
oaltei.impim�e,demniith,nr repau any slmctwe.piior to ns issuence.also rzquves fhe apphcam foi such pe�mil �r�Z� —'--
� m hle a si9netl si��ement that he is licensed Oursuant ro ihe pmvisions of the Canvacmr's license taw(Chapter �;;�p: ..
� 9!cmninenuny with Scction 70001 nf fAvision 3 nt ihe Business and Prolessiais Code�or ihat he is e�e.mpt iherefron� .,.•�-
a antl thr husrs for Ihr,allegeA exemption.Any violntion of Section 7031.5 6y any aDD���aut tor a pe�mit subjects ;.;�.
w !Iw ayplicane ro e civd yenalty u(not more than irve hundred Aalla¢(S50U�) �"J� --- "—
a.
� ❑I,as nwne!ul ihe Oroperry,nr my employees with wagex as iheir sole compensalion,wiH da the unrk,and —�- ---
~ the stn¢ture is nm mtenAeJ ur uHeeed lur sale(Sec.71W4.Business antl Pmiest�ons Cade�The Cunvacmr"s License �
� Law An2s nni apply to an owner ol pmOertV who huiltls nr imDroves�hereon,and whn dces such work himselL �;:C�,�'—. -----
W or ILiuuyh his own e.npinVPes,pmvided IAat such imp�wemenis a�e no1 intended or ol(ered for sale.If,however.
m thc umlCing nr imprnveme.nt is snld wit6in one year al cwnpletiun.the owner-huilder will have the 6nr�an of pmvmg ��-'Q" — _—
� ihnt he Aid nut GuiIJ ur impmve far the pnrpose nf sale.) ��2'.. I�i
h ❑I,as uwne;at the prnpe�tY.am extluslvely tonfiaCtmy Wiili li[PnSed conVeCt0i3 to[anstru[I Ihe p�a•,ect�Su ���' ��"—� i
o 10a4,Business and Pmlessions f,oCe:The Cunlraclui's License Law does not applV to an awnei oi U�operry who ��•�` _�
¢ CudAs a�hnyioves ILereun,and who oantracls kr such prajecls vriih a contractar�s)LcenSeA pursuam to Ihe Centraclor's ��
LicenseLaw.l •��,�� CONS�RUGTIC7N ___ .� � � �
� U I ain exemp!u A-e�rf se�. B, P.C.lana.e Cernt¢atel. �� :���PLAN F�EVIEVJ _ ��S�y_ t%' �%
p �ate_ ` fhrnei ��(.:. EL�Cr��.�i
� WORKfNS'"OMV NSATIOM OECLABATION.I hereby allirm ihal ave a r.erllfiwtd al tonsenl to sell�inswe,or �.^.��� � �
a cerlificate of Nqrkers'Compensation Ins�ronte,o�ace�tifietl cupy Iheieot(Sec.3804 La6.C.�. ♦^��'P�-U���NC] __ __.
� ❑Cerutied cupy Is here6V lurnishetl. '�j,� MEri�"�AN��a/�L __ _ ___.__
o �.��I:e.niheA cnpy is�i�eu wnn u�e Oui�dny�nx�eci�oii Oepa��mem o� _oepa�urcem '�:;GRADIPVG --
W
Z CERTIFICATE OF E%FMPTON FflOM WOPKENS'COMPENSIlTION INSUHANCE This sec�ion need not be mmpkted 0�.:�S'�`VANL`E �•� � ,� �'�
� if the permit is fnr une Imndre�l IS1001 or less.I cenify�hat in Ihe pedormance ol Ihe work loi whkh�this
y pernnt rs issued,I shall ru�emplay any peison in any mannei sa as tn hecame suhiect W tM NOrMeis'Compensalion �-y����; S`M�P — � j �1
o Laws al Cal�forma. . PARK��E __
W'
p Oate AOOliwnt _ ��:�..
� NOTICE 70 APPLICANT�It.after making ihis Cenifica�e ol f.mnD�bn,yau s1wuW hecome subject m ihe Wwker's '� .S�if"��QL FFECJ _
—+ Cnnipensaunn prrnisions al the labw Cvde,you must knhwith co�ply v�11L��y�h provieions or this pe�mit ahali
LL 6e Jeenred revaked. .�%:, ' �'.i ----- —
� qVI51LYJ OF INDUSfHIAL SAFE7Y PEBMIT CEflTIFIC0.ilOW: `i ,�`!c�`:. � �* —
d
� ❑I Ircre6y�ertAy ihat no e�cauatmn Irve(5)ar mme leet m depih inro which a pe�son is iepuired lo descend,
x will be made in cannectiai wnh xrork aulhor¢ed Iry IAu peimit,and thal no building simcture,scalfdEing,fdsewruh,
� or deinnlition ur dismantlinq the�ea�,will he mae t�a�ftlqrry�sin�(36hieet�•�EY�ap.3.1.Gry t.An 2.Set � __—
Z 341.TitleB.f..A.f..1. .Fr..� F� S .a;�'.;�. .
�y .. ._ . '!e. !�i
a ...
� ��As nwnerbud0er,1 will nol empby airyane Po do wmk whith wouM�equire e pttmit fmm Ihe Uvision of
H Industiixl Se�ety,as noted abore,unless such peYsan_M1as a pFrmit�p,da Spch Aw�k fram.the�division.
� .; : . ;, .e� . ,�', •_ �—�
� ❑arisimi uf Indusirial Safet PormR No � � ' ' �� - ' �yf r��
� " TOTAL �E�S •'
� CONSTRIICTKIN LENI]ING AGENCf�I herehy aff rm Mat tMie is a conshunwn lendnp agmcY for Hce pe�fo1mance _ _ ��� ,� „
x nf thx wmk lor which ihls peimil is issceA ISec.31197,Liv.G.).
� �ender's Name -- — .COMMENTS
m Lendr.r's Address
'� CERiIfICATE OF f.OMPLIANCE AN�Ai17HOW2ATIU1 OF EN7HY�I cerlify I have read Ihis appleition anG state �—
tI� ihat ihe inta �� i iven is care �ee to wmply wrth all slaR laws a�city ardi�wr¢es rela6np to huitli�
y cnnslruclion, d au mize a r unta e o Oepanmem of BuiWinp end Sofny m enter upon tlx properry
= lur which I ve e0 a�for Mi permu f r p se o}makiig insyxtions, • _
F— • �
� ��✓ �7 G�� ! �
� sqnawre of APplkent oi Apent e RECP7 NO._ PAID BY �' VALIDATIO
W T Department Copy,YELLOW—Finance Copy.PINK--AssesSor Copy,GOLDENROD—File Copy,GREEN—Applicants Capy
6510R-71l89
_
����� , . � i
; � ' �
,
��� ,
���a� '
�;. � '� �
��i�i�. , � ��' I
� ��
iti��iy� - ' ,. ��.. - �' � '�. , , ,.
�� �flda� y � : i . , :._.. _. ....! . � . �. ,
,.,:... . ..� . ,..., � : : ,
'NE��?� , . , . , ' .
�KRFy: � ' . ' , , ',, ,
� � E,�, � , . ..
• �r s� . .. ! ,... ,,..... . . . ., ( :
i :':.y�$j ....� t .
.�. ���a�k' . ..Y...... _ � .,_„�._,..-.,.�. �. > . ....... [- F��I i I i - ' •
���,t�€}'# ' " '. �'. .. �ti�p ''. '�. �'. .
aup� ��. .b�l,��i '� �
HI�:sqM . : , P �,�, ' '�, . .
�"Aa
� �� _ �'. � � #���� , ' �
Q�$
�p 3� �$ '�3��' � -
,�3 �
�:F�ssx ���y�7�+, . `��� . . E �
':. i� �.> �j3, , � ��� - .
�� aY �YPB�'- �' - ��� �� , .
- ����� AR��2} ..I � 3 � �.. :I i '., I E
I
d
«��'$ ��.n� � � . I ��. . � I I
� A� �'n� �k#�; � �� �� E fi« .
, �;, €g; *dc�t �.. ' � � k i'. i .. '�
_ .
� ,,... �t ._. ..- , . � .. 4 y�
E
,� �8� € ._ _ ,....� .{�R��� , F .
$ � �
' �� '�. ..». ._"."':. < , � -... >
�. .. ��� 3.. .. I
MY . �:. .� �.
i
�t= �r��� � � ��.
� „ � .� -�� . ' � .
�,
Y ,„
k� .., � # . - ; t ^\\\����. '., ., '. . I .
.. � � 4.P. ���'��� ., , � � . , ,. .
� H�;iN � � : - I
d4 ��� �{- � ,. � '�, @\ �.���� , � . �.
t
� kl �� � - �� � \7 �� i
� S�
wxa It�dl&.� . � �'�� � . - ��.. ' , - '. . .
` i,,;�d N�R�# ' .. ,,: +�.:_ . y ' � .,� ' i . . . �, ,..
: �� � . <_. , .__; .... . . . ' ... �
__._ _ .'_.. ......
. s�F� � �,�� �.° � " . . �. .
�r�P �
,-: att ?�- - � �� � - � �
v . : � - . . ` ..
�
��x�;( E �'. : .
. . , ._.. .._ . .
� � . �,. . ..,.. fa� ���� r � ��x�st � t
. ��� � �a�� � �n�'����" �����,�
��� �'_ '��, `���" �.'� �" ��� ����
� _� ���u�� ��, ������u ���i��,��
���� �
��`#� .� � .. . ' . . . .'`.%��d�§#Y���Hq� �k��..�� � ��£� 3��
�"��
N iA� _ .:`�� „{ �s��� �� .p:8:
��'�� � �' idv� ��"�x � F � t
1'�N ` �� . � ;���;�t��?A,����� ���(��y� � �{
��'^� ' � -.������� ���� ,� k�..�-
��� _ �. �' ��', '' . . . .ii���������F��Y��i�kk��p���Y'.
'�' i����t �:-: .�:. '�; _.� -� c.= �.� AA����J�u�:��.��1*�,'�.i
-�': ;., r - .�� . ._-,:. . ; _.. .� .:.' ���F�;�aa«u.:F�� .
�:`L�'.`» . � - • ...... .. ....� __..:. . .........�.... . �.......... _� , .. .... __.. . .. _ _. ..�.