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HomeMy WebLinkAbout1459 CITY� OF DIA�VIOND BAR pRESS �\ I DEPAR'TMEPIT OF BUILDING AND SAFETY BUILDING PERMIT� FIReIALY JOBSITE APPUCATION PERMIT USE � ADDRESS 3220 FALLOW FIELD � . DATE NUMBER� CODE ISSUE � - / �`J TYPE O C. � APN LOT TRACT DATE ( � � CONST. GROUP o CROSS STREET SETBACKS ��� °D OWNER MR. EUSSERY ZONING ��� � O � ADDRESS 3220 FALLOW FIELD � REqq 0 W CITY DI�IOND BAI�p 91765 7��, . SIDE/SIDE STREET RW � ' g APPLICANT ROBERT KEL.L.ER TEL.5A4-51 Q0 SIDE � z Q CONTRACTOR PETERSON JONES SEWAGE o ADDRESS 31A0 E WZLQW DISPOSAI � �B� �� .� CITY Tr_ue�,_u�,��ZIP�g$g�EL. 0 PRNATE SO.FT./100 GAL . Z STATE 5 2 8 Z 10 GRADING � CU.YDS.EXC. � CU YDS FILL y LIC.NUMBER y ARCH/ENG/ �° NP��'� �_�� PS : •" :;AAEANALURT'ION=';. �.�� `—' DESIGNER W± 1 � • o ADDRESS �; 2 = CITY ZIP TEL '' . , . . „ ' , C!3, s � PROPOSED USE Z'' 4 o :p. � i:;;;�; GARAGE o NO.DWEL. NO. NO. • ' y UNITS STORIES BEDROOMS = �� I � LOT DIMENSIONS �': VALUATION ADJ.AREA o NO.OF BLDGS , HOW = QUANTI?Y ;YDES �F�ION �. �, v�i° ;'.' F�`��=i ..�. :. .' . .,:,:;s, ;;; W ON LOT 1 USED � �` � �O o courAacroRs DEcuAnrnN:�he�eby afnrm un�,m Ycen�ee�naa provi�a,:d s� �a[= Y �ar � ¢ wuh Sec6on 7000)ol Oiviam 3 of the&uiness��Pral�ioo�Cod�.rd my licros�u in htl tmce�nd dfx� g,,�; 3 � WW� LL OWNER�BUILOER DECLARATqN:I herehy afFiim that I�am eumpt Irom the Contracrol's L'ceroe liw Ia tlM fdbwirq = aasan I�c.7031.5.Businns end Proteuions Cade:My ciry or canty which rapwe�.�perma W conmuct. - ' . o slter.impwe,demdish.a repeir��ry rlructu�.pin W ilt uwence.Yw repuin Ne applicint la�uh pnmil ���: Q ta lik e signed ttatement that ha is licensed putwnt b the pwitions d the Contrxtu'i literoa liw(�qa ••m': ¢ 9 Icmnmencing with Sation 7000)ol 6vision 3 d the Butuett nnd Prohaipn Code)a tlut M p umpt tlrrNrpn � a ond�he basu lor the alleped e�npoon.Airy vio4don of Sectiun 1031.5 6y�iry epplicmt fw�pnmit pbjecu ��;.: ' � � Ihe applicant ro a civil penalty ol mt more Nen fna hwd�ed dolprs IS5001.1: J' `., ya: . � ❑I.as owncr ol ihe pruperry.a my pnpb�ees with wtpes m tl�eir sde cmipenvcon.wil do tAe wmk,W : r the strature u not interided ar afined tor sale(�.7044.Busiimss end�Proteuions Code:7M Camncmr's licwe ,q� � + � � - . , , . . .. -- � law does mt apply to on owner of propeny wha huiNs ar iaipoves tlmeon.�nd wha don such waM kmall. ' ' a IMough MS awn employeeS,prwided tlut tuch impwemenu afe not inknded n olfered lor sde.M,how��ar, � �� . . Z': m the 6uildirig u imprwemmt is sold within ane yeur ol completim.Ile own�r�builder wtll hm IM huden ol pwinp ,Q.: � y rtut he did not huik m improve lor Ihe pur{pse of s�k.� 2 � � • y ❑I.]S owner o��he ;�'.. property.am eu4nnaM contrectiny wiM licemed contrictori ro mnWut tM prqcl(�. 0 7044.Busircss erd Profassions Code:The Cantrxtor's License Lwv doe�not�pply m n o�vro�ol prapary�who .+�_ . . 6 huilds or imprwu therean.and who contrecu tor wcfi p�ajens with�contrecmrlt)bcerwd pcwml m tla Conucbr's `"�"�°`""'� ' CONSTRUCTION � ❑i am e,�w��e�,s«. .e.e P.c.ian.m ca.�,ui. •' PLAN REVIEW ' oDah � own., '��: � . . � � WORNERS'COMPENSATqJ DEQARATIUI:I Iweb��Hirm Ilut I hna�rortiliutt of toipmt W sdl�iuire,p �; a certi�icate af 1Morktti Campensnian Mwrorce,m�caufed mpy ihe�eol�Stc.380p,�sh.C.1. ': PLUMBING 0 Q O c�mroe��:ne�enr r���m�e. ICAL o ❑cuun�a�n ra�a w�m ab e��a�i��o�u��« o�a�.m. Q' GRADING � CERTIFICATE Of EIIEMPTION FflOM WOqNEflS COMPENSATION P1SlIflAN(I:Thq�ection ropd not he coipleup ��..ISSUANCE . y il the permit is fm aro huMred(5100)a lesf.I cerofy tlut in tlro performann p1 the work foi wrhicA'tlq • . permit u iswed.I sh�ll mt empby�iry person in ury rrume�so�s m Mcmr wbjetl tn qr N6rteri Coopmalion ::� S`M�P .. . . = L�ws al Glifmnie. o Oate - r"'n F�.� �'���1 . . W' PARK FEE � � NO710E TO APPLICANT:H,after mMiiry`tlas Cadficite of F�iption,you sMdd hecmK iuhjai ro Er 1WrM'i u= SCHOOL FEES —+ Canpensetim provisions ol the LiEa CaM.ydu'm�nt Iortln�iN w�ply with suth pauont a tluf pemW Nrl .,;„..;;: • � he deened revaked. � J W mnsioN o�iNousrRua sacerr r�ruur c���: ����A a p ❑I hereby cerVly that m eum�ian fne(5)a mon leet in dep h nm w1iN�pptm is�equind to detcmd. � . � wiA he made in camiet�ian with wwk autM¢M N Mq pennil.rd tlyt no 6rN�q alruttin,wlklinp,(�4wworY. ., . . .. . � u dnnditim a divnantGnp thereal.wil he mare tlun thrry�m 138)��JI�+O.31.6rp 2.M 2.S�c : . . � Z� 361.Title 8.GA.C.1. ..r ' .J [3:�:� s .. � W . _ �- h-��,r {.,� 1:�'.t.,.:��� , ,�__ ,{ 3 ❑0.s mvner-6udder.I will notSemploy rrypip�b do•work'whrh,rwld-��pmit han tlie ti�vo�d . � . . . . . . H Indusniel Safety.n notd Wa�.imleu wth�0ermn�Mf�permil Oo do wdi worY from tly diviooa.- -, ' . . � �J'�� r: `" ❑a"m'��'�'°��,`"�m"�. TOTAL FEES ��T � � CONSfRI1CfI0N 1EN01NG'A6EN6Y:I Mre6y dfum tlw tlen n�mmtraum M�di�q pesY la IM prlorm�w . Z ol the rwrk fu which tlris pmmit is usud IS�c.3097.Gu.G�. � i"d��'N8"'° � COMMENTS � m lender'i Adbeaa ' � . . , . . Q CENTIFIfATE OF Cq�WLW�CE AND AUTHOItlUTIDI OF EMTR�f:I nrfily I bM md Mit�rd mb . . . � �a tlut the inlorm�uan p�m u carat.I qee ro co�oply wilA atl sute Iws md dry adirrn rd�5q m hr'I�iq. . . . . � ' . y comtruction.aM ' �rtpe�mltdn d tht OeWUiwn d 6elfnp nd S+MY ro nls�qm Ib Omqrry � ta whah I � lar Mp 7ermn , d^�dCoV�pso�n � ' X �''� I— /� RECPT NO. � s�nu.d m�a rpea mu WUD BY VAUDATION WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assesaor Copy,QOLDENROD—File(`,opy,pqEEN—ApplicaMe Copy . BS106-11/89 . . .. � � � � �. �� � ���������� ������ . p � , � y r � � s �, . � 1 � o SrT BACK j F�oC3R,loiST5_._._._._._ . __. __._......_.._._._._.� _ __.._.._._._..___�, _ __._._.._ ..-.--_ --._._.._. 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