HomeMy WebLinkAbout1358 � '"` CI`fY OF DIe4MON� �AF; pRESS
.� �� DEPARTMENt OF�UILDiPiG�ND SAF�TY FIRMLY
BUILDING PERMIT
JO851TE , DATE CATION ,��� s, �7.y NEMB R L�� +� CODE
ADDRESS � �� ' R `---=
iSSUE TYPE OCC.
r APN LO�. TRACT DA7E �`��'�� CONS7 GROUP
� a CROSS STREET a'°��=J�j� SETBACKS "p"°'�"'E"'S
°.° OWNER CL._ �1r�r� ZOt�lNG �ONT RW O
o ADDRESS �'�''"� REAR �
W CITY A�TEL. SIDE/SIDE STREET RW �
Q APPLICANT ,��f�`,.- � TEL. � SIDE O
d CON7RAG70R SEWAGE
o ADDRESS � PUBLiC PMT�
� DISPOSAL `❑ PRIVATE 5Q.FT.1100 GAL
W CfTY ZIP TEL. - :
Z STATE � GRADING ❑CU.YDS.EXC. CU YDS FILL
y L{C.NUM ER ��;L�
� ARCH/ENG �, TY�� � FtAC•I7t3R;:�S.. ":: �iI?;J. AF�11�JR�VALUA-ION " :. ;
" DESIGNER -�' 1
� HDDRES� #.� 2
0
� GTY ZIP TE . � 3
2
o PROPOSED USE � � `�
� in/ �; 6ARA�E
Q NO.GWEL. NO. NO. • � PORCH
y UNITS STORIES � BEDROOMS
� LOT DIMENSIONS �` VALUATION '- ADJ.AREA s
o NO.OF BLDGS HOW QUAt3�(TY j3����j�'[Qj� ��
�: O�V LOT USED �
� - c3
w
~"-: L NSE�COMRAC70R$OECLAqA710N_I herehy a(frm tliat I am licensed under pravisions ot Chap�er 9(rommmci�p P"�_ .
�: wdh Secfion 7000�o�Oivision 3 of ihe 9usiness and:Prafessions Cade.and my license is in full lorce and eHect �_
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� P.VNER-BUILOEB OECLAflATION I he�eby affirm Mat I am eKemp�from the Contracto s License Law(a the fdbwing �
� . �eason iSec 70375 Busness and Pmfessions Code Any cny or county wAith reqnires a permn to conslru�t �}'--
�o alter,-mpmve,deno��sh,or repa r a y slmcture,p�or to its isseance,alw requles ihe appiicant ioi such permit '�'
1-- m fik a signal s�eiement�ha�le�s lirensed pursuam ro�he pmdpons o1 the Cantrauur's Lkense law�Chapitt Q3.
�_ �. 9(aommencing wtlh SecCon 10001 of Oi�sion 3 M the Busmess and Profestions Codel or�hat he�s exempt therelm �.:
a, and Ihe basis lor the alleged esempGon Any vrolanon af Seclior 7031.5 hy any appliwnt br a permu sub�e�is ;�'
� � ihe appiicam to a cvil per.alry ot not mare than five hwd�ed dallars{3500).1: '°�` .
�; � ❑1 =s m.ner oi the properry,cr my employees wiih wages es their sde compensa[ron,wiP da the wo�k,aM �
- ihe stmcture�s nm imended or oHered for sale ISec-7044.6usiness a�M Professions Code:ihe Conireclw's Urense �.
� �. La� tl r.m ayply to an mvner of OroDenV*ho builds ar improves thereon.and whn dces such vmrk himuit (,)„ -
�-- -� or through hrs ohr.empluyees,pror�tletl tha�sucA imp�ovements are not int�nded or after�d fo�:ale.11.howeuer '
m. �he b Id ng ar�mpmvement a sold within one year W comple(mn,the owner��ilOw•Ni�l have the hmden of provirg g=� _
��- iha�he Cid nui huiM or im0�ove tm the purpose af syk.) _•�- -
C/Y.
v) �❑I.as ewnzr of±he pmpedy,am eMNusively contractny with liamsed cam�acmn to construct the p�ryect ISec �'�
_ �
�__70d6,Business and Pmtessions Cade�Tlu Contracmr's Licenu Law does nat apph�10 an awner of praperry who :��- _
6-:-6uiltls or�mprwes t�ereon,and who contract5 Mr such piaKats witli a tomrac�oqsl�ice�sed pursuant to the Cmiraciw s __
❑Le°���� CONSTRUe;TI � � ��
p__. �.
� �-_.❑i am excmD�undzr Sec ,B.B P.C.�Atttth Ceriificarel EVIEW -
�` oafe �'"'"�` = ELECTRIC
¢;' NTIRREflS'COMPENSATION�EfAAFATION:I herehy alfirm that I have a certiticate af-consent to sell-insure.o
T.' a re nf caie of lMorkers'Compensation Insura�ce,ur a cnidied copy Ihereni ISec.3800_lah.C.1. �PLUMBING -
a ❑ce<<�r�Pa�a�r�s ne�e�r���snea. J':MECHANICAI
0 .� Certified copy is iileA with the Bmid�ng�nspection Depanment a � Deparbnem +�`GR /�y� .
W � � ` < ( /� � .
x LERTIFICA7E OF EXEMPTION FPQti1 WllBKEHS"COMPENSATION INSIIflpNCE,This section nctd�wt be rompkied �-�SSUANC
y_ if the qe�mil fs lor one hundretl�5100)a less.I cetlily Ih�t in the periormance af[he war lar whkfi th�s �,,;,,._ ---
- rpermit-is issued,i shall noi employ airy perwn in anY menner so as to 6ecome su6ject to the Nbrkers Canpensation �P� �j� _
Laws ot Calrfomia. ..€�"? -
O � �' ;� � K F5E
p=:Oate- - -- - - pWWc.mN'�-_ •'-'
�: NOiICE TO APPLICANT�If,after making this CectifKate of�iremptan,�you stwuld hemme subject m tl�e Worker's �--.SCHOOL FEES �
-�+� ComDensatmn Orovisions af the labor Code,you mun lorlhwrth comply wlth such prwisfons a Mis permit shall z -
��_:6e deemed revaked. - � � -
�� pV151IXY Of INq1STflIAL SAFETY PEPMIT�Ef�HHLATII�Q't� ; ��-c.+ �i � � � �i'� �.
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-- ❑I hereW certify that no eMcavation five�(9Fo�inore leet in deptA mto which a persm is requi�ed io desce�d 1..- - � �7
i �_�_will 6e made in connection with work autlwr¢M hy ihis permrt,and that iro hyilding;strueJwe,saffattlinp,falxwork
_ - ai demo�dwn a�di5mantGfg thereo}.will he more Manriluny-st�36)iee[:h��Chep:3.2,Gry 2.Art 2,Sec �--`
a- 341.Title 8.C,A.C.1. s--.,,; , t„.;:-'� - t.
W ��:� E � ��^'
S . '' .;. .= -.
3 ❑As owrn`-huilder,I will nat enplpy_fl�ryu�re,tnpu worl[�whKh would tequne a pe�mi��rom ihe f)vnion af ;
�--� Indusmal Safety,as nmed a6ove unkSs§biHpersen has a permit b da such work imm ihe Eiviebn.
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� ;.. I
yJ oa�'S'a�����s«'a�sa���Y����No. TOTAL FEES � ~ Q
�
�. CONSTRI1CTqN 1FN01NG AGENGY:1 hereby aHirm Ihat there is e tonstruction k�iig apmcY tor tlie perlamance
x M tlK vrork la whicA this permi�is issued�Sec.3097.�v_C.�.
� LeiMer's Name COMMENTS - « � L' G�L�
m- Lender"s Addiess •
Q- CFNTIFICpTE Of COMPLIAACE AN�AIffN01tlZATlai OF EHTflY:I certily I Aax read¢M1is appliqfian and ma , - -
�- lha�the informa6on given ii ca�eq.1�gree ro comply With all tute laws d�M City artlin�rices rehdp 10 4riid�p
y- consvuctian,aM wthoiue a repreumarre af the Department of Buildinp a,M S�lety m enar upan Ne paperry -
_- hu which I ha�applied for this permit lor th Du e ol�np inspa� s. ^" - -
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sqnatwe p�k t o� mt � ;p�te . � -RECPT NO. ,�� PAID BY � VALIDATION
WHI7E—Depariment Copy,YELLOW—Financa Copy,PINK—Assessar Copy,GOLDENROD—File Copy.GREEN—Applicants Copy
� 85106-iV89 . . . . .. .
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