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HomeMy WebLinkAbout1772 (23) '"� CITY OF DIAMGN�"��AR� PRESS '� ' ` DEPAF�TMENT OF BUII.DING ANCS SA��TY gu�w�N�"�ER�r� _ MLY :� FI JOBSITE . PERMIT - � tl E ADDRESS . � IuSUE A'f10N i �l_ � TM�R CODE ! APN . � �, _; .,�L , --; LOT; ._. 1'�iA�T� DATE `� ... �.�� : .C01JST , , , ,,.. GROUP o CROSS ST'AE� SETBACKS '�`"�"'s °= OWNER� �OPIING ���.r. � � � AOD SS � 'S � �'`�7.�. FEAFi ❑ ,� CI7 ZIP 7 L SiDE/SIDE STREET RW ❑ �.� o APPUCANT TEL SiDE�._. ❑ z e CaNTRACTOR SEiMAGE » o AODR S � ,,�. DISPOSA� ❑ PUBUC PMT� „� CIT ZIP_`2�.�..'a�TEL�'�-��� CI. PRNATE ' - SQ FT./100 GAL s STATE , . , ... .. , � ;e: u+ � GRADING ❑ CU.YDS.EXG CU YDS FILL y LIC.NUMBER � � `� `��r✓'� `� �--� y ARCH/ENG/ � TYPE SC� FT FAC"�R A . AREANALUATION ¢ DESIGNER � , o A�ORESS"._ ..�;. !�L 2 z CITY ZIP TEL (� 3 � PROPOSED USE � 2 4 � � �, d GiaRAGE , o NO.DWEL. NO. NO. � PORGH y UNITS STORIES.�BEDROOMS � LOT DIMENSIONS � VALUATION ADJ.AREA r. c NO.OF BLDGS Hf)W Ou+4�1'RY p� {°,�{Jp��( ' : F�� W ON L T USED ,a _ ¢ c� � � IICENSEO CONfHACTORS tlECIAqATION:I Mn6y alfi�m that I am 4aensd unda proviame d(A+ipbr 9 I�omwr�ei�0 � ¢ w�fh Secnon 70001 0l Oivision 3 af�he Busineas and Prukssms Code,artd mv li[mue is in tuN face mE eNact � � 3 � t1 � QNNER�BUILDEP OECLAflATpN�I hereb�atlirm Mat I am eiuump�Irom the CqMrxw's licmte 1fiv ta M.e ftllaniqj rwsun ISec. 7D31.5,BusirRss and Vrofesswnx Cade�,Airy cny or caunty which rpuirp a permii ro canshuct d}. O alte�,imp�ove,demaFsh.mr repait aM mucture,qior te iIs uswnce,also rpuirts Me qpplictnt for�h pmmn x. �= in fik a s�gncd s�aieman m�i he is iicrosed wr:wnt m�Iw prwisims af Hie Canvumr's Liceme taw IChmpe ; � s 9lcanmeaing with Section 700010l Oivisian 3 et the&uinan+M Profanioro Cadei a�t M ie em�thadrom ',g u. ana the�asis ia Me aMeged ewrmotion.Any vitlation al Sxmn 7p�1.5.oy aM applwant for�pnmi�suqec�s �- � the app�rant ia a cnd penalry of rot more mm tiw hundred doNpri ISSU01.1: . � W � ❑I.as owner ol the P�oqer�Y.a nN amployas with wiges at tMir snle compnn0m.w�l do tFe worY.�3M . , me strucwre rs no�imenaeE or afleied lor sak ISec.7044.Busiinss anO�Prolasans Code:ihe Cattrocmr's Uanse . e� � law does rot aPWY�o an owner ot D�Y wM huiNs w impa�rea Awem.and who does such werk himreM. G�l `u �r Ihraugh his avn employeet.Prev�ded that such imyewmenlx are�nat inteMeA a olhretl for�ahe.II.ImuKwr. .Zr - _ �he;bmldin u im rnemenr rs sold wMm one er of can h � � P�Y M ���w�Lc mal cpbuilda wiM hm Me huden of V�a+MY "� �j. tha he did iat 6uiW ar�mproue bi the WNo�a1 vlo 1 .,; , � . w! ❑I.as owner of che' t;`amle Wna �wntracnnyw.. �� usmrs b cOHstrtic.t ths�prqut(Sec ({�.., � - � - . . . , � , .,. . 7044.Business ard Professions Code ik Contrxta s LKante lIw doK�hel��pply te in ownr ol papMY wAo - '� x hudUs a��mprwes ehwem,and who contrxts la such pmpets wid�i caitrecdorls�licwisd pua�wit ro tlr Cmtnctv's �� ��- 't Licanse Law.l I . . e ;,z'� i �. . `h�' � ., ,. .,. CioN^JT��0 e C2�'�6..CT �. o ; . � . d9 7' � ❑I am e�empt unda Sec. a;'�:��. .�'.� �'".."� ..° 8.6 P.C,IAwth Cereliqbl PI,NN R�VIEW C O81! '.:1:�. NI.... " �'"/� 4.. `:.�' � �� . ELECTRIC s 11URKEflS'COMPENSATqN OECLARA710N:f Mr'!y afMm ihal I hwe�cer01iu1e ol cmt6nt to�M�a�sue.a a cernficate of VhrMs'Compenfalwi inlur�ee,ar 7 exMieE ty/tAreof ISet.3800.UE.C.l. P`-U����� � c�„t�a�wv�:n.�anr r���n.o �; MECH�NBGAL io ❑certdke copv is fika�mtn m.Buik�nq�napctlai OewmMm a opxmi.m. :.'Q��CaRA�INC W _....�.-,�.. � CENTIFICATE OF EXEMNTMIN FflOM KUNKERS'COIIWENSATWN HISURAII(k:TAia�atian npd mt he ia�nA � MN��'�'� a � y it iAe permn�is for ona hwdrod IS1001 a less I urulv IMt in the pafamree d tlr waM ter wlicA tlps - - , �'''`/ �, perrn�l is itwed,t sh�ll mi n�qloy�ny pe�wn in aM�w w x ro Boeame wbNet en the Wvkys'Cae¢nialm SMI r - . )� olaws af Calilorna. . �AR�F�� p Oate Apqiunt -�� � tqTIGE TO APRICAM�.M,af9er���u��:c�m�.��e�.,�s�e��t m�ww�wt«�s � - SCHOOI. FEES -+ Cpnpensanm Wmiuons al tAe Lihor Co6.you muri lulliw�h raa�M witl�autA Pro+�rc tlYf P�NM �+- 6e deemed avaked. pa��,;::-.:�� t. � pV151p10F INWSTNIA�SAFETY PEPMR CER'TIFICATMNi '�,. .. :: , . .. � �`� _ b,"" �" � '_ ❑1 herehy urtify that ro eumtion fire(5)����n MpM eto wNM�puem is nyWntl m incrd, � � wiN 6e made�n cmnes�ion with wak�ullv¢ad M Mb p�mM,and MM no 4iwlAip sWctun.wdNtli^0•Ia�wvaiY. e ' e r M II �- �eemoin�o��a�,�a��m.�.oi.wn nr��hsn in.b�n 1361_�euf INph.1�0.12.Grp 2.An 2.See °�^ � u �� 341.Title 8.C.A.C). .-:, i ; �,� � . . .. s ����'�� � i J { ._>�:'r � - _ . . . . 3 ❑As awner-btiWer.I wiA not emplaY mY�ta Oo wnk wMdi weuN ipuur�ptnnit kpn�IM..OMim at - . t- I�ustrulS�MY.as mpd�6ove.uMms wch peRon ha�VxTit ro do wch wak Imx tlr d'wiaian. . . . � -..i �:... .���� .�..� . .�. .... . W ❑Omsion oi Induthul SaNN Mmn,Ne... .. ,?+ . ,. � .., . . . �. TC9TAL FEES � �� cONsr0lUcrnx lEdoNYc nGEPoev�n�nb,��,�fiim ew mw.u�o�.ruttion M�p p.er sa tlr v.am�ence Z d the worY Frc whr�iliis pumt il¢4�t�.3087 ISv GI. o Lande•:N""° COMMENTS '� �- mtenlm':ndd�ess . �,�. s CERTIFCATE Of CDMPLIANN�ANO AUfHdYUTDI 6 Et1INY:T nrfily�1 hwe m1 tlui ' ' ad mr vs rhn ihe inlvmitlon 9�h cantt.I�prw ro� wiN�I sm�Wa aM eilY a8neiaa�rMetliq q 6wMN y can�truct wthaae�rq�e d a4M d '' ad So/MV N wM yen dae pa6eeN ,.i�� :�_. � ..... .-�-�� ���f��. = fa � 1 h�ve � 1a tlou pMmi�M� d .. . ve � . � . . . �y �;: . �+ _� � f RECPT NO._s:��WUD BY ����� VAIJDATION Spn�tun d Applic�n[a Aqpn ..4., 'i�. ,,d,,,:t, - . 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