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HomeMy WebLinkAbout1009 (5) '!'� � CITY OF DIAMOND �AR PRESS .., ��" DEPARTAAENT OF BUILDING AND SAFETY F�RMLY BUILDING PERMIT JOBSITE � APPUCATION PERMR ' � USE ADDRESS ���� .'J��� �i� �� DATE NUMBER CODE ISSUE 3 TYPE OCC. 4 APN LOT TRACT DATE` '� CONS1: GROUP o CROSS STHEET a��sy� SETBACK$ 'AP"0"�"�"'� a° OWNER ��it�` �t.�f►�+w3�_Y ZONING �O� � � o ADDRESS 2�t30,� �r.C_s��e�_u GZ� REAR '� W CITY�tw+3.+i� ��2. ZIP d ' � TEL. � - '��� SIDEJSIDE STREET RW CJ o APPLICANT ���� �i-���JE:� TEL. ���'u���� SIDE O � a CONTRACTOR SEWAGE o ADDRESS DISPOSAL � �B� �# W CITY ZIP TEI. � PRNATE SQ:FT./100 GAI. z STATE .-� GRADING �CU.YDS.EXC. CU YDS FILL y LIC.NUMBER ' . ^ r y ARCH/ENG/ X�:. �-'���: a�:H ' 4' DESIGNER � 1 . o ADDRESS �„�' 2 _'CITY ZIP TEL. � 3 � PROPOSED USE � �- �` 4 � � GARA�E - � o NO.DWEL. N0. NO. �, P��� • = UNITS S70RIES BEDROOMS � s LOT DIMENSIONS �� VALUATION � ADJ.AREA o NO.OF BLDGS HOW � =13��i1 5.:... 1� ._. �::� � �z..,.. �� .,; , , ° . .W ON LOT USED � �p� �• �z��, � � W. ❑ . . . �- . . H : LICENSEO CONTflACTOflS�CLAflAT10N:I M1erehy atfirm that 1 am licrosed udn pmrisioix ul CtupMr 9 iamnent�ny "� _ ..¢-. wuh Secuon 7000)of Div�sim 3 oi the&uineas a�Prcfessions Code,and my liense is in iuA tace and eHat �. � 3 �'' 31�s W:-�LVNEH-dt11LIlEH OECtARATI�J:1�erehy affirm that 1 am exempt fmm Me ConGxW'=Li[ense l�w-tar�he ttlbmep - � � -Z_: reason�Sec.7031.5.Business and P�olessions Code:Anp[ity or cwnty whith�epdra a pamu to cautruct #d�-: - �" � � . � - o el�e�;improve,demolish,or repair airy structure,priw to its issuarce;also requwea Ihe applicant for wth ppm�1 �S� . . . - ` Q- to-fiie a signed statement Mat he is 6censed pursuant ro the prwisrons of the Contrxturs tke�ue law ICAapitt �; - - - - - - � - .s:9(cammenung with Secilon 7(1001 of arisiun 3 0l the Butiness ana Pmfettroa CoAel a Rwt da is e�renqt tlinelrom � . ��n i� a- and�he 6asis for�he atleg�e�empfian.Any:aidatron ot Sectipn 7031.5 hy a�ry appfxam far a permit sub�ecti ";�:' � " - K the aDVlicant to a rnil penally af not mo�e Man live hund�ed doNan(55001.I: -'—�:: w 1' �� �-. �I.as mvcer o1 ihe property,m my empbyms with weges.aa-their ade canpenaatian.rriN Eo tha waM aM - _ - ~- the struc�ure u not imeiMed ar olfered iw sek�Sec:7044,Businass ard Prohsspns Code-The Cantrxta a l¢ense - - � - V-law daet ncl appiy ta an mvner o(property who 6viMs m im�uoves thnem�,aM who�es wch waN MmseN ,�: m or Ituough his own emVloyees,pmvided Ihat such imprmemenis are noi intended p o�hred for sab.If,however m the bmlding or improvement is sald x�i�hin ace yem of campietion,tM1e ovmer-builder wdl have the 6uden al povwg �;. _ - � . - �-- �hai Ae did no�6uild a impmw tor ffie Wrpase of s�te.� `. .. N �- rn�- ❑�.as awrar ot me propeny.am extlusiveN wm�ac�iny witA IicemeE ronvactws to wnauun the projat tSa. ,,,�� . -.o_-70q4,Busirceu ar�d P�afessians Code:The Cantrxtor's licentt Law das irot applY ro an owntt of praperty wAo .'�• . � 'L- 6uiids m inprmes thtteon,and wFro contrxts for aueh projats wilti a conlreCloi�9)licenaed pursuant to 7he CmCoctor S - a �10e^��'"'� 'CONST�i�CTION � ' j •r� f��- "'J� ❑i am exemPt uMer Sec. .B.&P.G IAttxh Crr�ircaul ' - f-j ; t— _ . -o- Date Owre� .::a... s� . �- WORKEflS'COMPENSATION OECLAqAT10N-i h¢relry aRum ttat I have a arfificate of cmtent ta seH�nsure a - �� a��4 , - - - a cenificate ot Workers'Lnmpensatinn Insmance.a a cnrified capy thereot ISec 38W.Wb-C.1. �� ��� a ❑cau��a���n��env r��a. :MECHANICAL o ❑C�tifiea copy is filed wiih the Buildinq Inspec�ion Oepertment a Oepximem �':GRADINQ � a CEiiTIFICATE Of E%EMPilmt FHOM WORKEflS'COINPENSATION INSUfIANCE:This uction nee0 rot he wrtqkt�d SUANCE - .,�- •:� -�'� . . �� if the P�mit is for w�e huMred IS100)a less.I terWy Met in�he perlo�mrce ol tlie wak for whitF ths ' . y �permit�s issued,I ShaB n0�0mploy airy pe�SOn in elry nlennPt m as l0 6ecome subje[[10 iM NbfYftE'CmpeMatron �''') � : � Laws ol Califania- P � � �� o P o Date �Gm �•SCHOOL FEES - W NOTICE TO APPLICAM:N.alter making Mis CertAeero of ' shaid heeome whjat ro da Wakxs . -� Compensa0an Provizons af the tshor Code.you N wd�prabions a tlis perme�hill . . . . . . - . sud :�� he deemed revoked. �%-::��"�'- - - J � OIVISION OF INaiSTHI0.L SAFETY PEflMR CEflTfF _ W � ❑1 hereM cenily tAa�no e�cavation tivs(51 ar mwe leet in depih j�yg,�a pasan u rpuired b deecad - - o�e wiR be made in canmction wdh xrork wtlior¢ed � pe��tluiY�ls tVu6t4re.steffddinp,(ehexark . - , .� a demotilion-m dismanNing thereof.w�l he ry' (361d ��1��.2.G�2.An 2 Sec . W` 3M11.TitleB.CAG1. a . - . . - � 3 �Y , ❑0.t awr�erbuilaer.I wiA not empbv amone to do wmk whfih-xuBd Seqyr2 iyn�ii lram ihe 6vbm d F— Industrial Salery,as mted a6uve,unksa sucA� Cpeinyt�deiadi w,4KY_h9m�E,N�'bion. . .. � . . xs- -: � ,C..f� �, r �i� .`.rii " F!,_ . . . . W ❑Oirsion ol lndustrial Safe1Y Rrmit No ry . •,:,�.'i� - . . -/- � - , � TOTAL FEES � : .�. ��ISTNIICT�MI LEN�NG AGENCY:�M�Y�Mlflll Mi�IMft 1!B�MCYN��O�Y��W� - � . - x 0��h!WOII(fM WhCh 11115 pEflNt lSISSIIBG($!L.�I.�.IV.C.�.- . �e —�.r Lender's Name - - g � - COM ENT5' �� �- � ' mLader's Addresa - � � � . - � '.. � 4 CEIRIfICAiE�COMPLIAI�E AI�O AUlFqItl7ATOi Of ENiHY:1 wrify 1!�w ruA tlis fppitnion md sts . - . -va ihal�he infamaliai 9�n a corrM.I s�te m mnWM with*suh Itws ad ti1Y adiemtas rdNiq to hril�p - '. - construction,and wMmue a " of tAe DepBrtmMl ol Buitlir9+��Y m�W��O��N . -e ; . y ta whit I ied M mil pupos!d md�u�G mspectims. - 'x-{.: � Aav' I IL r d _ , �/ �, or� �- - � � � � si�.mre ot uoohcmi a ��'^Q'��e RECPT NO.–�A41D BY /,t` 1 VALIDATION �, ` + WHITE—Department' py.YELLaAI—Finance Copy,PINK—Assessor Copy,GOLDENROD—FBe Copx GREEN—Applkanta Copy BS106-17/89 ._......�...._�_.._.__ .._..___ ,._,__..._...._�.^...� �.__ r �w .. 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