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Home My WebLink About1174 (5) __ _ �. �._,.._ _<.M � � ri .. _,. . _-��- ,�-._. ,,,�, , ;.._ „._,. - �.�._.� .�._w - , ;. . - ,. ��.f. ,� `— �ITY �JF DIAMOND BAR PRESS �� '�" ' DEPARTMENT OF �UCLDING AND SdFETY -� �ur�iarN�P�Rnnit �IRMLY JOBSITE _�- ,,- , � APPUCATION {'� (; PERMIT � L USE ADDRESS � C�� G b DATE �~ " r � �NUMBER ��CODE ISSUE TYPE OCG. Y APN ` � LOT TRACT - DATE � ��1^�� CONSL GROUP �' CROSS STRE T�! "`' � SETBACKS "�"7°'�"�tl5 °.° OWNER P` �yr' ZONING �RONT RVY ❑ o ADDRE, t"�'T REAR ❑ W CITY ZIP TEL.�,"_��_� StDE/SIDE STREET RW ❑ a APPLICANT �t TEL.' �"`� SIDE O � CONTRACTOR � r � S�WAGE o ADORESS 13bC1 '� 'St DISPOSi4L � PUBLIC PMT� W CITY '�� ZIP � I p TEL. Z ❑ PRIVATE SQ.FT:/100 GAL z STPTE N LIC NUMBER ��-�✓�+$ GRA"DING � CU.Y05.EXC. CU YDS FILL N ARCH/ENG/ . tn TYPE SQ F1` Fi4C1kC;11� �� 1D.I. na�va�.0 �r�Q� r' DESIGNER �� 1 �� (� CL � �' `�-�-" L3:$ I ADDRESS 4c. 2 = CITY ��-" ZIP �'�� TEL. '�3�, (� 3 � PROPOSED USE ' C`� , � 4 a Cr' �_l� `�°'"F�Cy4G�'�'rit•�_. � GARAGE U a NO.DWEL. } NO. �' NO. "_"j. PORCH UNITS_�.1— StORIE �BE ROOMS � � LOT DIMENSIONS I�D'��"'1' ��'��"' m VALUATION a ADJ.AREA = NO OF BLDGS � HOW � tw c��JAN7irY ��$� IPTlQI�F , �'E�, W ON LOT USED ��+ ,� J p9 � � W ❑ a' S �� "� LICENSE�CONTflACTORS�FCLAPATION:I nerehy altirm Ihat I am Icensed under pro�rsians of ChaD�er 9 Icomreencinq k-^. Q wuh Secuon 7000)ot Oivision 3 of the Business and Pmlessions Code,antl my Icense is in tull force and`effect. .� � � �� ' o ...: „ �, ,. � ❑ �' ,j�,("� _ E' =f'�. t'_ u- OWNER�6WLDER OECLARATION�.I herehy alfirm that I am exempt Irom�he Contrecmr's License L�w`ar ihe folla+nng , , reason ISec.7031.5.Business and Prolessions Code:Any ciry or county which requires�a permit io canstr"uct. {'�: Oeiee� impmve,demolish,or repair any strucWre,p(ior to its issuance,alsa requires ihe applicanl for'such�permt .2h� F- to hle a signed statemem;hat he Is licensed pursuant to the pmoisions ol the Comractar's License Izw��hapter �`p� , �' � � 9 Icommencing wi��Section 70001 of Uvision 3 of tl�e Busines5 and Pmtessions Code)or thal he is ezeMpt 7herefrom �-. y and the basis for the alleged exemption.A�ry violetion ot Section 70315 hy any appllcant for a perrtdt suEjects ��,' x the applir.am to a civil penalty of nm mme than live hurdred dollars�55001.1: .,_a, uJ d ❑I.as owner ot ihe pmpe�:ty,a my employees wiM wa9ea as their tole mmpensatinn,wnl do the xtii�k antl —�� - the s:rucmre is no1:mendetl or offered tor sale�Sec.7044,Business and Pw�essions Code.ihe Caniracior's LuLnse �,-�, Wlaw Aoes not aDdY�o an owner ol Oroperry who huilds or imp�oves tAereon,and who dces suoh work Mmself i,�--. .—_.,,,._-�__ - y or[hrough his awn enployzes.prooided that suc�impm�emenis are nat intentle�a otteied far sale.�If.howev�r. -��, m tte 6wlding or improvement is sdd within one year ol canpletian,the ownerbu�lder will have the hurden ol pioving '�.Q� � thai hx dltl not 6uild¢improve for the purDcse of sale.� �� H v� ❑I.as o�vner of[he pmpenV.am eaclus�vely comractiny wtlh I¢ensed conttactors to canstruct the projeq(Sec. -{yy. 0 7044,Busmess and Professions Code:The Contractor's License Law does not apply ro an owner ot Oiaperly who --�'�"� '�� 6 �wlds or Impmves Ihereon,anA who contracts for sur.h pm�ecls with a camrxtio�Is)licensetl pursuant 1a�he Comottnr's , �.- License Law.l -:�:��t"G'QN'iJ"'"RU� � e j � �� \ .. . k "� C I am exempl under Sec ,B.6 P.G(Attxh Certificate), , P�,/� � r p Dare_ Dwner :�,.:(.E{.TR�(i� � � VuDRRfRS'COMPENSATION DECLARA710N:I hereLy affirm ihai I have a certilicate o(cdnsent N sell�insure,ar ,.�- �*''S^� a c=.r,hcate of Workeis'LomDensatian Insurance,or a ctr[ilied capY'hemol iSec,3800,La6.C.I. - t'LUMBIN � �/t../ o �: Z Cenified copy�s,e�eb�r��,gnea MECFPAA}ICAL Q o ❑Cenited copy is filed with the Bwlding Inspection Oepatmsnt or Ikpartm¢nt �� GRADING � W �-'�„ :EATI�ICAT[OF E%EMPTION FROM WOPKERS'COMPENSATION IN ANC�.ihis s �n cred nm be campleted - ISJ�UANC� � � y f �he DermR is lor one hundrea(5700)oi less I certify�hat in h ue oi nc of ihe work br which thu �,,., .. . perm t s ssocd,I shall iwt emplay any pe�n any m�nn�q as o e s �c 1 thc Nbrkers'Compensatian �I P .r� � �"" Laws ol Ca!�y�+ia � � � � � 0 oa,e l�'�C1 3 t APa�;��;f,�i �� PARK FEE � NOTICE TO APPLICANT:II,aher making tfiis Cenfcale al ExemDaor,you shauld�come subject m the Nbrker's �»''SCHOOL FEES � Compensation o�avisions of the Labor Code.'pou must 1o�ihwith comply with such provisions ar tlns permil sha�l � 6e deemed revoqed. � J � � OIVISION OF INOU5IRIAL SAFETY,, , I�CER,,� ,., � �n„�.>��u� � , v- ❑I herebVi cenBy that no ercavalion fiae{5)or more feet in depth inm wAich a person is requirM to descmd, s w'I he made in canneuroi with wo k authwized Uy[hu permit and..that np 6uilding structwe,scaffolding,lalsewo�k, ' o- ar demaldan or d tligg•It�p�oY' 'tt'�Sp h�u7e tliar ihirtysrc,l36j;fe6i�..6igh(Chap.31,Gry 2,Are 2 Sec W� 341.Title B.C A.C.I , �:' S '::l �:�..:.:. .. ....:: . �.,.. '� , 3 ❑qs ownerb iWer,I w�l��not employ an{�dne to da wo�k which would,requiie a permit Irom the Uvisan of • H.- Indusirial Salery,as mtetl ahmx.unless such pelson Aas a perrttit�o do sucA wark irom Me divuinn. . '� ; W ❑Oirisim ol L�dusirial Safefy Peimit No. .� � . .r � CONSTRUCfION 1EN01NG AGENCY�.I here6y aHirm that theie u a consbuction lending ege�y iar the perfarmairce TC71'AL FEES y of the wurk for which this permd is issued(Sec.3097,Civ.C.I. � . � � � Lender's Name COMMENTS mlender's Addmss . d �'�� C�^ CEATIFICATF OF COMPLIANCE ANO AUTHORIZATIOH OF ENTAY�.Vi certity I have rmd tliis applicatim and slak , . . v� �at t�e infm ion given is caract I agree tu comply w¢h all state laws ami tiry ordinances relating 90 duiki� yconstrucnon,an aut r a re ntatire ot the Oepanment of Buildi�md Snkry to enW upm the properry = fir wh¢h 1 appl d Mj it tar the Wrpose of makinp inspeclions. r X � � t= � ��.�- �� Siymmre ot npp�aa�t o�49ent pare RECPT NO. PAID BY VALIDATIO WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicants Copy � BS106-11'89 ��^�x ,�g" :�a �tr?q'N�Yf` t °" �`l r�s:,, a y�;� d6 , ,� y � ' , . r,�,.u�-s. ,.,<;�-^ � ; .,�j ' �Fakj#y"' : ',T�v:rT�'G,t" a kJ -7�"��,�„��:�`� . �"'��.��'6 y.. . .. . .. .F ' ._'__ - ... � � - , � k � � . ., .. � � . 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