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HomeMy WebLinkAbout1687 '"� CITY OF DIAMOND B�4R PRESS � � DEPARTMENT OF BUILDING AND SAFETY Ff RMLY �� BUILDING PERMIT JOBSITE APPIJCATiON PERMIT USE ADDRESS 22812 E. Hilton Head #43 ISSUE „r TYPE ER_. CODE e' APN LOT TRACT � DATE ���CONST. GROUP �; CROSS STREET ZONING SETBACKB �"� °" OWNER FRONT R'W C) LLs ADDRESS 22812 E. Hi ton ea REAR � 4; CITY Diam. Bar z1P 91765 TEL g�0-9311 SIDEISIDE STREE7 F7W ❑ �� APPLICANT TEL. SIDE C] z: o? G�NTRACTOR Nn�k P1�ph;n� SEWAGE �� ADDRESS 11610 Seaboard Cir pISPOSAL � PUBLIC PMT� ua CITY Stanton ZIP 9068C�E�895-1246 ❑ PRIVATE SQ.FT:1100 GAL _� STATE 511971 GRADING � CU.YDS.EXC. CU YDS FILL V9 LIC.NUMBER �; ARCH/ENG/ f�3 TYPE 'SC1 FT':�lG"t'ClF� RS ;,°.AC1.! 11�1�A1�'AI..UI�"laN " DESIGNER `� 1 �y ADDRESS � 2 �o CITY ZIP TE�. {�: 3 �: PROPOSED USE Z 4 � �� � GARAGE �; NO.t�WEL. NO. NO. � pORCH �5 UNITS STORIES BEDROOMS — a_ LOT DIMENSIONS �' VALUATION ADJ.AREA c.ai NO.OF BLDGS HOW LlUAN7tTY '[��,,�y`,(,a`���'��[� +; ���,;,! �a ON LOT USED ;� , ,.- -e--,+ � ac V u� �p 7M l�1 (�, f" hCENSEO CONTRACTORS�EC!AflATION:I hereby alfiim that I am licensed under provisions at Chapter 9 kammencing .,�_ a� with Section 7000)cf Division 3 of the Buainess and P�okssions Code,and my licrose i$in tull�orce and etlect. , w �F ❑ w _` �;; WJNER�BUILOER DECLARATION:I here6y alfirm ihai I am eaempi Irem the Contrxtor's License law for ihe tdlowing — �C reason(Sec.7031.5,8usiness and Pro�essions Code�Any oity or[ounty which requires a p¢rmit to cunstruct C;}- �^�'� f e� aher impmve,demolish,or repair any flmcNre,prior lo ils iisuance,also requaes Ihe applicant for such peimit �-- �� lo file a si9netl smtement Ibat he is licensed pursuaM W ihe prwisions af the CantraGPor s License taw�Chapter �^�,((y�. p- 3 icommencing with Sec�ion 7000)of Oivision 3 ol the Business and Pmtessions Lodel or that he is exempt therefram ,��.��� . . o:: antl the 6asis lor the alleged eiemption.Any vioiation af Sectim 10315 by any appiican�tm a permit subjects i��I - " �° � �� Ihe applicant tn a civJ penalry o!nat mo!e ihan five hundred dollars fS500).�: � ur F? ❑I,as awner of the pioperly,or my emUloyees with wages as their sqle wmpensa�ion,wiil do ihe wark,aiM �, the simcture is not intendetl er ofteied for sale�Sec.1044,Business and Pro(e;sions Cpde:The CoMractor's liiepse Q. �;� Law daes no�applV to an owner of property who hulids or impruves theieon,and who dces suah work himseH, C)' �+� or through his own employees,provided that such imprwemeNs are not inhnded or olfered 1ar sa�e.If,however, _�' , 0o the Ouildinq or improvement is sold wi�hin one year of cpnpletion,the ownerbuilder will have Ihe hurden of Drovi�q ,�d[t .�. � that he did not 6uiitl or ImDmve for Ihe purpose ol sale.l �: 00 G7 ❑i.as owner ot the pmperty,am exclusiveFy tanVact�g with lirensed contractors to construct the pmject(Sec �}��, �y 7044,Business and Professions Cade:The Cantracta's tice�xe law does not apply ta an owner ot property who �;"fC'; :L' 6uilds or impmves ihereon,and who contrac�s loi such pm�ecl5 with a caMrxtor�sl�i[ensed pursuant to Ihe Contractor's �_ �icense�aw� ` CONSTRUCTION e� F� ❑ I am exempl under Sec. ,6.6 P.C.IA��h Cenificale�. �� � PLAN REVIE�IN " oa" °i""ef ' ELECTRlC _iC V�URKEflS'COMPENSATION OECLAflATION:I here6y affirm ih�t I have a certificate al consenl to self�insure,or �� � '" a:ertificare ot Workers Compensation Insurance,or a certitied capy ihereol(Sec.3800,lah.C.1. ' PLUMBING � c•a ��; ❑Certitied copy is herehy turnisned. �, MEC}iAN�CAL o:i �C.ertilied copy Is filed wilh the Buildmg inapection Oepartment or Deparlmem �`.GRADING �� /Y-� �� CERTIFICATE Of EXEMPTION FROM WORKERS'CAMPENSATtON INSURANCE This section need nm be compkted �. (SSUANCE �•5.��`v �n it the permit is tar one hundred(5100�ar less.I cenify Ihat in the periormence ol the wurk Im which'ihis �.,,, � _ permit is issued,I shall nm emphoy anY persan in any manner so as to hecome su6�ect to Ihe 1Abrkers'Compensation SM IP �' Laws ol Caliiomia.���,,y j�� ���f�,+�� �. "ea ✓t ��°`� ��PARK FEE pp �ate �7 Appicam � 9x., SCHOOL FEES �� NOTICE TO APPLICANT R,after making lhis Certifiwte of ExemDtion,you slrould 6ecome su6ject ro Ihe Nbrker's -•� Compensation pmvisions ol[he Labor Code,you mual torihxrith comply wit6 suth prwisians a this permN shall ��- he deemed revaked. Fi'^ �'� �':;. ":, � ij ccUVISIIXJ OF INDUSTflIAL SAFETY PENMIT CERTIFIGATIIMh �u � A �� ❑I herehy certify that no e:cavation live�5)or mwe feet in depth into whrch a persan Is repuired to descend er_ will 6e made in connection weh work autlwr¢ed by Mis parmtl,and ihet no huildinp svuclwe,scaHolding,falsework, ��- or Oemalition or dismamling ihereot,will he mo�e.then th�ny;siM�361 leet��high�Chsp.32,Gry 2,Art 2,Sec �� sai T�n�a.cn.c.i. �� @_> : c �' 8w�...»� :e -a= ❑As owner 6uilder, I wil not empby aayo�to do worM wAich would reQuire a pmmit from ihe Uviapn ot f._ Industrial Safery,as noted abwe,unless wch person M1es a_permB to.do such work imm ihe Jiviaim. '� 7E :" .�' n`.; "' _ n:$�`�';�; f�. . �y ❑aY,s,o�o,��d�s«�a�sa��rv��m„�, ` �� TOTAL FEES � �1 i��7 C� �,� CONSTRI1CfpN LENOING AGENCY�I`Temby aiKrm 4hat there is a eonstrucuon le�ig ipe�rey fw the perfoimmce :G of the work lor which this permi�is issued(Sec.3091,Civ.G1. �� Lender's Name COMMENTS � - � �� � � y'�' ��`' �� Cp lender's Address p . �/ � "� CERTIFICATE OF COMPLIANCE ANO AUTIIOfl12ATIq4 OF ENTFlY:I certity I heve reM this�pplication and atsle g ,ry.� i�,r _ _ ��,r,f• ! � en ihat the iniwmalion given is cnrect I ag�ee to comply with all state laws and ci9y ordi�ances rabtinp to buildiip �.�e.l d.- � ��f..9�.���L_ �� i d,� """°�-� ��� canstruction,and authori:e a representalive oi the Oe�wtment d BuiWinp and Salety m mter�pon Me properry � � . _G tor which I have applied for is permit for tM pwpou oi makinp inspecfions. �� � � F,- ,! .,y,,,� ^, X �atme�t npd�cant or�agent-` �� ����� RECPT NO.__��PAID BY VALIDATION WHITE—Department Copy,YEI.LOW—Finance Copy,PINK—Assessor Gopy,GOLDENROD—File Copy,GREEN—Applicanfs Copy E'�5106-11l89 . . _�.; �;.:,. . .., ;ss, �..-;..;., �. . , � , , , ;sr,» , > , , . , ,. � wi:�.fi>.'.. :s>... . . . . . . . ... -,:,a ,;;�a; ,;, '.;r>. . .�a vd,,. ._ .^.-> `:'.:: .-' ,,,, a. , .,. .��<' , .. .::;'. . 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