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Home My WebLink About1447 f - - - -- - ---- _ _ -- --�------ -- -- - - -- - -- � - ;- -_ _ _ _ � ,�:,�� ]% �,�� /�� -� � �. � CITIf �F DiJ�IUIOND �AR (/�" � PRESS ��.. '��" ' DE�ARTMENT OF�UILDING AND SAFE71° �� BUILDING PERM9T ��L� JOBSITE -`� p � �, APPLJGATIOich, -•� � , PERMIT �^ USE ADDRESS `�� `�..��`�`,e_.,��.�,�o� DATE " '`� ��NUMBER @I�CODE ISSUE ',--�,�F� � TYPE OCC. Q APN LOT TRAGT DATE �'` � _ CONSt GROUP o� CROSS EET S�TBACFCS a' OWNER � °�--� ZOt�ilf�lQ .,wr��ars FRONT RW CI � ADD SS�� o-'�-� `�F'`,� REAR ❑ ,� CITI� {,��;Y ZIP T SIDElSfOE STREET RW � ��, �I APPLICAN TEI.��'+`"<=��-�� SIDE _ 0 I � CONTRACTO _ �'` �'� SEWAGE ' o, ADDRES�,�� Y��=•- �- '�'`+- DISPOSAL � PUBI.IC PMT# d CIT � ZIP��. TEL�`'�� Q P��VATE SQ.FT./100GAL � STATE a� , w� LIC.NUMBER "-��°� . ��} � GRADlNG I�Cl➢.YDS.EXC. CU YDS FILL ', �, � ARCH/ENG/ ',� �'��'� �� FC �A t�"S ` A�J.?�t��A�1lAL.tTAT1FJI�1 ; ', = DESIGNER ��'— * � � 1 � _ � LL# `:: i � �� " �"2 �: 2 ' z CI � ZI TEL. � 3�, � $ PROPOSED US - �� 4 .,. � � �i,� ,�,�--- � GARAGE �: o NO.IUWEL. NO. NO. �: pORCH y UNITS STORIES BEDROOMS Cq � LOT DIMENSIONS VALUATION DJ.AREA o NO.OF DGS HOW �UA�1�'iTY E��S�F3IPTI��1 . ' - '}?E� '::: 'a � ON USED a'< \ �� r^ C�� C�C� °� � C,); �q �' �i LICENSE�CONTRACTORS OECIAHAiION:I here6y afflrm lhat I am licensed under pmvisions ot Chapta 9(tanmenconq ��"`� r - �� ' l"5"" � with Section 7000�oi Oivision 3 af the Business antl Pmfessions Code,aritl my license is in�uU to�ce and eflect `�� ; 3 � �j; � QVVNEH-BUILOEH�ECLARATION:I herehy aflirm Ihat I am eKempl trom the Contractor's License Law for the4oilowing Zy reasan�Sec.703L5,Business and Pmfessians Cade:Any city�or county which requires a permit to canslruct (�: `� ,� � C altar,imprwe,demolish,or repair any structua,prio�to its issiance,also requires ihe applicant for such permit '�i � � ta file a signed statement that he is licensed pursuam ia the pmvisions of the Comrador's License Law iCM1apter �p�i � � 9 Icommencing with Sec�ion 1000�of Division 3 af the 8usiness and Pmfessions CoAel or that he is eremp[[herefmm ;;;}�:�j � and th=hasis iar the alleged eiemptwn.Any violation of Se[tion 7031.5 by any applicant Por a permi[suhjects �- �y ihe applicant m a civil penalry of not more than tive hundred dvllars(55001�P� �1. . � ❑I,as owner cf the properry,or mY employees with wages as their sole comDeisation.will do the wark,and � the stmcture is nat intended ar offered for sale(Sac.7044,Business and Pmfessians Code:The Contractor's License t,�'�, � f � V Law daes not apply to an owner ai properfy who huilds or improves thereon,and who d�s such work himseil, .:.,.f�..� -- - � or through his own employees,pmvided that such impmvements are no[intended ar oifereC far sale.It,however, ��, m the huildmg or imorovement is sold within one year oF completion,ihe owner-builder will have the burden of pmving !}`'��, . . y that he did not 6uild or impmve for the purpose ot sale.) �,: y ❑I as owner of the o ert,am eMclusivel contractin with licensed cantractors to canstmct the raett Sea �� P�D Y Y A P I I 111` . j o 7[144,Business and Pmlessions Code:The Cantranar's License Law does no�apply m an awner of pmperry who �';:. � , z huilds or��mD�o�es thereon,and who contrects for such pralects with a contracloqsllicensed pmsuant to the Cantractar's ' � L1e"Se�a""� ' .`CONSTRUCTION ' q ` ,� '�,, � ❑�am exemo�under Sec. ,a.&vL.lanxh cenificate�. .'PLAN REVIEW -_4 � a--{f-�^- q oate ownei E�.EL'�RI � � �.�,�—� ''�, ? YJORKEflS'COMPENSATION OECLAfl4T10N:I here6y aflfrm that I have a certificate of cor�sent to self�inswe,ar J . �� a certilicate n�Worker.c'f,ompensation Insurence,or a cer�ified copy ihereo(�Set.38D0,La6.C.�. B � �� ❑Cernfi py is here6y turmshed. . ' � . ertdied copy s filed wiih the Building Inspection Depanmmt or -p¢panm¢nt �..GRADING �I � CERTIFICATE OF EXEMPTqN fflOM WOAKEflS'GOMPENSATION INSWftANCE�,-Tbis section neea not he campkteo : SSUAN� - '� � , � A the_permit u far one hmdred(51001 ar less.I cenify thal m INe periormance ot-the work for which'this — , _ ` I �� , � permit is issued,I shall nm employ any person in any anner so as ta me subject to the YWrkeis'Compensation �; S`M� � ��i Laws af Ca6fornia. I � ,— r `' � �'.�—�—__. � RK FEE Oate.�i� �� Ap ' �-� � NOiICE.TO PPLCANi:It,after makirig this-Ceriif�cate, f fze ip�, au: " ;he ep�su6ject tu`tAe YVarker"s `�-::SCHOOL FEES � Compensanon provisions af[he Labor CaAe,you must for i L�m�l ravreions a lhis perihd sM1all , ur he deemed-revpked. �+, �� . � . J , � qVISIpN OF INOUSfflIAL SAFETY PEflMIT C�T1�IC��R - '�—" .�� . :'. .... a ��:�7-� � ,.\-�"'�'., �Iq ❑1 heFehy cert'rfy 7hat no�excava(ian frve�5�oi mue(eei in depth Inm whicH a person is required ta descend, � l , � will be matle in connectwn witM1 work authoi¢ed bY thu permrt,.and that 6uildinp suuclure,swifolding,falsework, � or demoftion or dismantlip0 thereof,will 6e mwe�n rty-�*�J�Q �t high.�CAap.3.2,Gry 2,Art 2,Sec E � I �� 341.TiNe 8.C.A.C.I. . �� '� � = F�,��;� � '�,� 3 �As ownerhuiNer,1 u.jll not r.mploy anyon¢to da woh whith would eguire a'��ermit hom tlre Oivision of - . - . . . � � � Indusfrial Sakfy,as�noted above,unless s¢cN'persan h s a.pprrtutAd'tla s dl�,�yoili frum Hre division.'� ��,�., --` � �.., ,,. ,... .:.. .,-: �„ . �ii � ,. -�. .:� ' ., t � ,^: � ... .o � _. ' . '"':; . - . '�, �y ❑Oiuismn ol In6�striai Salery Per.mit No � TOTAL ��C ES�� I � CONSTRl1CfI0N LENDING AGENCY�q�e6y aihrm'tiiat ihere is a constructwn lendi�apenry for tlx pe�famana � � �, Z of the worM for which Mis permn is asced(Sec.3097,Civ.CJ. � � �ender's wame COMMENTS I �,�q Lender's Address . � . �i �,+ CERTIF�dTE OF COMPLIANCE AND AUTHOHI2ATqN OF ENTRY:I cenify I have read�M1is appliolion aiM st�1e - � � I �n that tRe informa6on given is cmreec I agree to compty.wuh all state laws a�ciry ordimn[es rWling to 6uidiig . � eonsvuction,antl auitrorize a iepresentative of ihe Oepartment d BuiMing mid Safety m mtn upon�he pro�e�ty � � . . �, � which I have applie is pe�mtt for the purpose of m'a ing inapections. � I � � �" a��\�`� RECPT NO.�PAID BY ��--VqLIDATION I� ��""` Signat Applicant o n4 pate � ep itrtrent Capy,YELLOW—Finance Copy,PBNK—Pssessor Copy,GOLDENROD—�ile Copy,GREEN—Applicants Copy � BStOB-17/89 � - s�..S r �.: r � ; :-� . . . _ . . .. , - .. . . .. � , .. .. . - .,. . , , . �-:r:'.r' ;, �.:;: , "-,.x , t :- .- . . 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