Loading...
HomeMy WebLinkAbout1183 _ _ __. __ ,_ _ , _ ._ _ _ � �. . _ _ _. _. � t �� CITY 4F DIAIUIOND„YBAR , �' 1 •� ; �" DEPARTNIENT OF BUILDING AND S�IFETY PRESS ,� . . , BuiLDNN���R�nrrt �IRMLY JOBSITE ' ' �AAT�CAT10N C-�,,,Gl� NUMBER��CODE � C� �''�T)I� �J �y ADDRESS ISSUE � (�`� TYF�E 4 APN ,LOT � T#�AG'f` �+„`��� {;, DATE �-"' � ." "��(,, CONST , GR(7UP � CR05S T 11'� tI `` SETBACKS �g �ove�rr�s `-� OWNER ��t e f I��"YYJ 'J� t�,.,� ZONING �ROIVT RW Q o ADDRESS RE61R W CITY ZIP TEL.� SIdE/SIDE STREET RW ❑ o APPLICANT TEL SIDE ❑ ,m CONTRACTOR �� " SEWAGE o ADDRESS � - ❑ PUBUC PMT#` DISPOSAL ❑ pRIVATE SQ.F1:/100 CAL o CITY �.,�,.�/���: ZIP���TEL' �'' Z STATE - ' GRADING ❑ CU.YDS.EXC. CU YDS FILL y LIC.NUMBER ���;,'� � '` N ARCH/ENG/ �" � TYFti'E SQ F C �A��`C?R FF� � AiDJ. ARERIVAi. 7'1U�f' , ' : � DESIGNER � 1 �r �ip e � 1� Q� s � � ADDRESS � 2 , � �""� fcr� 0 � CITY ZIP __TEL � 3 � PROPOSED USE �` ""�- ��� `� 4 � l��' � GARAGE o NO.DWEL NO. NO. � PORCH y UNITS STORIES BEDROOMS � LOT DIMENSIONS m' VALUATiON C9'�7 + ADJ.AREA o NO.OF B�DGS HOW caunNrr'rY p��,��{�p�"�Q�y. ", ��� W ON LOT USED Q � � 4� � LL, � �. _ _ �.�: ~ �_ICENSE�CON'RACTORS DECLARATION.1 heiehy affirm that I am licr.nsed wder provisions of Chapter 9 lcoinmenc ng ...h � wrth Sectmn 7DC0)ol Oivision 3 of the Business and Pmfessions Code,and my Iicense is in lulfforce anA�efttti. ..� 3 ❑ ";� w LL OWNER�BUIL�ER DECLAflATiON�I herehy atfirm�hat�am exempi fmm the Comracmi's License Law 7m�he idllow ng g �eason�Sec.7031.5,8usiness ana Professions Cotle�.Any city or county which requires a permrt to connruci. '�(!} o aher impmve.Jemolish.or repair arry s[mcture,grior m ils Issuanc¢,also requues ihe apPlro 1 for sucYi�permit �.Z' ¢ to fde a signed st;temen!Ihat he is licensed Dursuant to Ihe provisions of ihe Contractor's Lcense law��Chapter �:�{p� K 9 Icommencing with Secimn 7000)uf Oivislon 3 0l ihe Business and Professims Cadel or�Aat he,ig:exempt[h'erefmm , '� y antl the 6asis for the allegea eremD�ion Nry violation ot Section 703L5 by any applicant tor 5-�peimit�Subiects � � K the apphcant m a cwd penalty of noi more than five huedred dollars�5500),I. � --J w ., ''� t 4 I p�a,�'!� 0" M ❑I,as owner of ihe property.ur my employees with wages as theiY�301e compensation'.wi�7 do tfie work and ;�� the stmczure rs not intended or of'reiea for sale(Sec.7044,Busness and Professions Code:YNe�ontractor 51¢ens¢ ��Q ,� (�"'!.� � Law tloes nat aOPb�o an owner ol oroDerW aho 6uilds or improves thereon.and whe does such work"himsell. -U ��� � or through his own employees,pro�ided Ihat such impmvemenis are nat intended a olhretl fui'szk'�lt,Fiowevei. �_� m ehe hmldinq or improvement is sold wlthin one year ot complelion,the ownerbuilder veill haue the burden ot proving � Q y ma�he ditl not ouild or improve for the purpose ot sale.) ' - -:2 �n ❑I,as owner��f the P�openy,am exclusively contrachny with licensea coniratlors to consiruct the prolect(Sec. ;.�,Uj,y � 7044.Businest antl�rofessions Cade:The Comractar's I.Icense Law does nm app�y Io an nwriEi of pioperty who ���� a hwlds or improves tie�eon,and who[omracts for such pro�ects with a contm�mr(s)licensed pwsuan�to ihe CmVactar's p Q License Law.l , 6v"�'RUC'T'��N � �� \a 1 G ..J � ❑I am exempt under Sec ,B.&P.C.�Atlxh Cernticaee). �� PLAN ����J �'` al p Date - pwner �. �- ELECTF'�I� 7 . y� � VUDRKERS�COMPENSATIDN DECLARATI�IJ:I herehy alfirm lhat I have a certi�icate of cansem la seif-insure,or a cernficate ol 1h'orkers�Compensatian Insurance,or a wrli�ied wpy iheieof(Sec.3800,Lab.C.). P�—uMB�NG o — � ❑ce<<a�ea�P��s i,e�wY r����nea g� �� •"�',u� ME N ICAL .C`�r3 � �a �;:��` � � . . G ❑Certi�ietl copy is fikd with Ihe Bullding In�Po�F-0e03ilm6ntoY'�� _Depariment �_- (�j(-?/�Q�(1�(�„� W � ,p� � �ERTIFICATE GF E%EMPTION FROM WORKERS C�MPENSATILIN INSURANfE�This sectmn need not he completed vCUAN�� � �(„.s�'� � If the permii s fcr one hundred(5100)or less I ce tify that Ihe performance of the work for wfi,ich this ,d'� perm�t is ssued,I shall nm employ any e,4i �in an a`�r so,p-�q��ome subjeci lo Ihe Y1brMers"�Compensa[iun �P � 'yA� �j( � Lews of Caldomia, w�6�.`�� �� �,1 �.��y `pARK FEE o � p Oa�e Applcant �..: SCH�Q� F��S � NO710E TO APPUCANT.If.after makmg Ihis Certrfreate of EKemption yau shadd become sub�ect m the IAUrYer's --+ CamOensation Dmvisions ol th€,�3h�rTy`odc;,yAn mu;t,fmttiu�di tahqdy,�w�t`h£.K:�rovisions or thu periliit shall LL he deemed revoked � � � ''�'' J .. � . . .n u�� . � DIYISI�I OF INDUSTflIAt SdFE Y i�HMh'�`E}iTI�IC1iTI�J�'""' � w d ❑I hereby cenify ihat no excavatian five(5)or more feef ir,depth into which a person is ieqwred to dAacentl, � will be made m connection with work author¢ed 6y ihis perm¢.a�that no huilding stmeture,scafkldmg,tdsewark m demolitian or dlsmantling thereof,will be mae than thir�y�sia�36)teet high.(Chap.32,6ry 2,Arc�2.Se� Z' 341,Title B,CA.C.I. ' ' . W S 3 ❑As ownerbuilder I will nol empby anYone lo da wark which would require a permit tmm�Me Uvisian ot -� � �� � - - � F— Industiial Sa1ery,es noted above,unless such person has a permit to da such work fram the div�sqn. ' "� , CC . �.'` � . , W ❑o,�,,;�o����,���sa�e�y�rm�,No. TOTAL F�ES � . � C�. 0. � CONSTRUCfION LEN�ING A6FNCY:I herehy aHirm Maf there is a wnshuctpn kidi�agenry(or the�peifuimentt a ol the work fw which Ihis permit is issued�Sec.309T,Civ.C.I. � , ,. ,,, .., � ........., . . � �e�de�s Name COMMENTS � a � Q� m Lender's Address . . �. '� CEFlTIFICATE�F COMPLIANCE ANO AUTlIORRATION OF ENTRY:I cerrity I read this dpplxauon'iHd steie . � � ti thal the information given is coract.I agree m camp hh aY sW1e, s a ci rd nsea relavng to�iuiMiiig � � constmctmn, ntl amtttAoriie a re sentative of 1 � t�ent of �nq d fet�anter Opbn the pioperry � for which I ave aDD�ed for th' a�rmit tor t of ineYi i Ibn H � / � t � � L= �. �. , __' . aro�e or ��� RECPT NO. �.��'�� PAID BY � � �� VAUDATION� 55g Applica nr nt � pmte �� � . WHITE—Department Copy,YEL OW—Finance Copy,PINK-qssessor Copy,GOLDENRO[?-File Copy,CaREEN—ApplicantS COpy 85106-11/89 - �� ,..�: ... � , �,. . . , ._ .. ,. ,,,.� < - .... � ,v..,,� ,:�.. ,,. ;. . , „-.; . .:�.�, n.. . e �. .. ,; .,. .. • : :..< , .. , , ` �� �s' ����3€v f��.�� _ : � � �� �t ��� �` . .�,��� .- . .. .. .. � a��;•-. � x �3; �e,ai���� �ces���„�5.,,� ��'����e�� �`�.�s::>:� �x,•�a�Sa��. . � " €i:� a�i €�'y � �'���s p €� � ��a�� a�,�- - � . . . ... - s � € _. �' ",�.�,t..,a n9 ��.r�'.��ta a'k�„��,�,r�a:.-� ?am� f,� ���t�i s�^�v'� ��i����f� t����� ��,5�t��1����'�"��a. ���� � �sa�S��j�s� � _� � �i�� ����i'� � a�� : �� ' ,�., * .`� n� �3�'3 ��s���: "1' . "(�� +�-fti��(��k"1,3 ^�x a�g �.� 4 � i ����^R� �� � .. � ��s�� ��k 3 €:'..�ts����: �€�a�� �}� � i � �� � s >, � , .aE _.�ri azis ���;.� ��! .,�� ,,i. ���� ;� 5; :�`�. ��� c;>�� ��s9 x �p ���t�s�ra'':°"� E k�_�`���m'���u�s�.i�s�,r��a�,€�_a���x����ii����i����F.�3�����$€��.���?�`;az�rY�hru�r�e��ea�s�����rv,.���v,a��-.� �^� �i��r�,�������?�?��t��.� �� � �„��.�'.s�`��������,� ..t.��+�5,�..>�'���� ���, ,. ! 't , . € , i,�„�::,, „,-..:�'",,. . �. j . .. ' ..... .................. . ............ _, .t,.,.. . ,., ,... ............... ... ..... . .. . t.,n .. ........... ._.......,,.,,.._... ..... .............. ............ ... ..... . ..,.,.. ..........._ .,....,__....... ...... - �.C` � [.:S € �j ' , � ., ,i' ., ,:.; ..s_. . i r - , s � € .._. .....,._.._.... .................... , i...... ,.., ........ .., ...... . ._.... „_...,,.,......,.__........., . ..... .....:.......... ..._.....,... . ,',._,b _:: , a .. j . . . . € "',�" `:.; 4. .. ._ .. . ....,..� E. ...... ...., : _. , ... ., .. . � ... ... ..........,......w.... ............,. ,........ . ................ .....,...._....,. . ,........,... ............ ...........,. . ..._..,.....,...... ... ........ '.. . .� ..._... :: ,: �. . - " P'.i }:� € M E... ..: . . .< <i �'�....€ . .., � i } � " .,i`.i - ........................................._...........,....... .... .....,. ... ............. .... .............. ... .......... ...........,...,..,...,.. .,...... . . .. .............�...� .,......,. .. .r.. .£,.:� .� ��.� � . ... .... .... .,s t ..�� t ,£�.1... .... , �. 3.,.:� 9'E,i'�.a., i .�� 3, i,.'.�,.5 .. ,' �� ,.., ... ................. ,......,..._.,......... ........... �,.......,,, .......,..,.. . ,....,.,.._..,....,.,........ .. .... ............ ... ..,...., ,........,....... . ,.,..,. ....... . .,. � .... '.':.. �' 3�'..,� t ..� ,.., y ..,.. .... .....� _; .., ` �........ £ .,. ...:. . > t ,.t,.. . €�� . > '� . E ... _. ...... .................. ................. ........._., .,......,..,.,... . .,.........,..... ......,........ ) -.�., ................ ...........,,... ,......... ................ .. ...............,.,.�...,... . ., t r, , i t��y�l. .. . ...E ��. �t 3 �'' € :'... . .... ._........... .............._ ...,..{....... .,,..,.,........, . .. _..... ..........._ .,.._ ...., ................,..,....,..,......_. ,._ ............... .............. .,;._ . � f :�... ,...:�.�''�� £ i..:'t E . � ..... � - . - .. ..........................€. , . . ,. ........ . .................. ... ..:......,, . . ...,.,,.,..,.,.,,........... . ...._...........,. .,....:..� „,...,..,.,.,,..... . .,,......._ . ......,...... „,,......,.._.,...,......_... .. E ..._._.,......, ..........,.._....... .. _.......... . . ; ' } 1, � I t ';j t,; + . `5' . . 5... ., t �. . ,.. ......... ......_..... ...... '�...... ......... ..._..... . ......... ................ . ..._....... µ......... ... ....... ....._._.,...........,.,.,....., .. . ,,,:.: . � .. . .,., .... ., ,.. .�.. ... . . ... _ ....::,:. .....',..... ........... ..... .... ........... ..:...,.... ....,.....,. q .... ................. . ...,,..... ...... ., ....,_..... . ... ... .,........... ............,..... ...., @z� 1. S t �. „ .!� i . - � ,x " .... ......,.._. .. ...._.,,....,.. ..:.... ... ......... ........._..,... .,.... .,.... .... ... ............... ......_,..,,............. ....._.....,.... ...,,...,._.�...... .. ... .. ..... . ... ... .., �.. , � , -..� i . .. ...:. .€..��., ..: �;: . . .. S i�.. . . .....,._. ...;........:. '.`..... .......:.... . .....'...... .,..,,,,.«.._.... ......._...... '....,,..�..::, .,..,..,-.,..,,...�.. .........�. . _.... . ......... „ ,.,.._.... ............ . ....... ......,...,.,... . . . � ...t, - f �v.. . • : . � ..., " �„� „e. i 1 } €<j; � � �::.� '..;. ' �� ._u...,.......,. .... -..r .,.. ,.�..:.:. . ...........,..,,m.....__'.__,... ..., , ...;:.._......,.,...�,..,>..... ..,.�.::..d,µ...,,......,:...... ........_,,.,........ ..... ..........,..,.. .....,.,.. .... .... ...... ...............,.,,_,._ , ..-:�'- c ir',:rt :.::�,� : i �. . .'�.� �, ...,.. ,..,.,.. . � t 1' , a...�.�, .,�... . ..___.._ .,.., ,...... � ......_.... .........,. ............................ ......... ....__.,......, . , .,....._......, ..............,... . , ..... ... .. .� E � •;: - .;� �. ".. . . . ... . '�. . .., . ::i ,�„ �. - ......... . ............... .............,., ...'.,.,...,.,_..,.. ...... .............._.. ...........,..,. ... ...,. ,......... ._....,.._.__,. ..,,.,,.�........ . ..... . .,.,_........... ....,.... .. . ,. .._ ..... .,. .,...,.. _ € . E -: ::: .��. , i E .3,. � € ,��:,. .._._ .......,... �....... ......._......_.._... .................._..,...... .. ......, ................. ,.....,... ... . ...........,..,.. . ..........,.... ,... .. .... �.:< .. .. ... . .z.. . • �.,...�. {.... � .�, . � 3 . .._ ., ....,.. , .,....,....................... i...,... � :. ..,,............,...,..,... ............_.. ....,.........,. .,..,.,...,.......... .........._.... . ......._._.. .. .....,...,_... .,..,..,.....,... � , )5�. ., . .,. . E .. . � . � ,t.. ,:�.� , .: . .._. ....�_ _ ............. . __ „_.... ......... ........�,... . ...._�...�....... ,, ..,.. .�_... .._............ , ......,..,._.._.�.. ..._._�..,.. , ._... ..._.. <.. ........_... .�...,��. . ... ; ..... _ .. ,.. . .. .. ..... : _ . '��.�.I'� .. E e-:f,. �.. I . _ . ...................__.�___,....� ............... ....�......, ..,._.�...._. ..... . ....�_..... ... .....,...... ..._....... ......,.._.... . ...�......._..... . ., _..........,..�. ... ... .. s. . ..., , I 3 . ............� .. ,,. .�.� ...�..... ..... .�. . ,....,._.,,......-�.... ....... .,,....�...... .._ ....,_.... ......._........ ...,..... . .... .. .......�... . . ......_ .. ��. . ..�.... . . . ..., V . , � ,,,� ; i , . .:��: <, . ,.. .. ..�. ...., ..;,;.,�. , .'..:� : � a � ..II....,.. � :'��'��..:� � . rv _._........_ .__...,_,..... ............. .,:,.. ......,. .. .. . ..... ... . ... .... .. ... ....._........ . ......,...,......,........... .,.,.__:,_ ' .... .....................�_. , j ,. ...... ; . .. ..... ___ -_._ . I � .,,,. ,.�,, t. � ..i-l%.. I { .� ........ ..._.. .... .. ... ......... ,.,..... ..... .. . ... ... .. . ... .. ..... . .. . . ... .. ;, € �� ...t �i���_ € r �.; 3._�. E ..� � . ........ .. ...._.. . ............_ ._ __.. .......... ...�.......; . .. ..,._...,... ,....,... . . .. .___._...._.�__.. ._ .. �,._ ..... ; ._ €, . , ;_.� , . '�. �-�.r �r� ' , . . ........ . . ............... ..,...........�.. ......._ .......... .._.._......... ........._....., ...._.... .........�.... ..._.........,... .............. ..... ....,.. ..,....,_,.... ....,.......,... ��.. # _.; ., ... ........ . .. ... .,..M.. .�.. . ,. � ,..<, :. ��,.. . . , : ...... . ............ .. __......... ._............... , ___. _._. . __..._.....�... ___.. ............... .. ...:�..... ._...,_..._...,... ................ ..._.... .,...... ......�_..........,..,.. . ... .........._ .._.,..._.... .. ..., . � . � .....:........ ..........:..... _........:. .............__ ...ry,. .. ............, . .......,.. .... is�n��«�s ac pa��v� � < ,.... .. .... ...... .... .. , .........,.,. : ���i P 3�N� �s� � GH�'��� � Q{���� 3 .,_._.._.:...... " ..,.... _'......,._... .................. :.___ ____. . .,__�_ . .,.._.,... ��.u�.,,s;*3s� s4���:�b�,€..��%. �. �' �i. ..... . .7 ................ ................. ._ .. ... .. ...._,.,�. ..,,:_..... .,....... E ..+: .�.�. . . _ .. ...� .i . . . . ; .. - . { F � . . t ..> - t .d �. €'� ,a,�.w.����-� ..�:F : � . . . .. . .. _ _ . . . . . . .. � .,�,..: . ,,;,. . . . .. : � . .......................... ...... ............... .......... . ...................,.........�...,. .............. .,.....,....__.. ..,......_.._.,.,......__...__..._.... ..... ......._,.........�.� . .. .. ... � .. . �- "� . . . . .. .___ . ............... . ........... . ............... ................. . .........�__..,._...,..,,_.. .,...,. ......... . ........,......... ._.._._.�,...... ... . � - . . . , . . r� . . .._.._ . .... . . ... . . . . . ... . A t ._• . . . - -�. : ; .°._ >__=_.. _.. ._ _._. ._ _. ..: _ � . . , . .. ': . .... ............ ..................,.. ........... _............. __.�,................,.,,.......... .... . ............ , .._.,_.....,.___.._..�.....:........�. .�-.....�. ....__... ...„......_,..,....._.�.._M........��. ,_.... .. . ,...........,..�:�.._...._.....�.-.. .... �, ., . � . . _ . . . , . . . ..., _.i ,.,i.,_, .., .,..V . �. . €..i . E} 1 ��,i; .;...,...., , .._,.,..,..,............_...... ' [ ..._........_.__.__.......µ...... ........... .............. . ................. ....................._.,.,.,....,,,..,,...... .. _ „ ....,............ , , .,.. .. .. .. .,........., ..... .,.,..,.,,.„..,...,.....,.M..... �..., �� f, Y-.` ....,.....,..... ..,.:.: .:,,......... ..... ...; .., ..,'a . � '..a .. ....,....�............ .......... ......... ( ��� ������...���������� ���`"� ..,.. ..... . _.... . . .. ....:... .�:,.. . ,. ,. .. ...�I ..._. ......... . �� �.�� r���. � " �. .,..., _w..__....: ..... . ..._... ......... ......_...... ...._..,,..... ...,.,........ ... ...... .....,.... ._....._ ;.._... . . . . ��� ;��� � �''��.�.� -����a � .,._. ......... ... .......... . � ����� �� ��� � � � ....,...,_...._________�, ..... ........... ..__ � _... ..... > .. � �� �������t;��� � _ i� � ��'�� �� �� � ��� .. _. .._..m._.__ _.. _ __ __ _.._ . ......____ .._._...... . .._.. _.... ...., � � � � ���� �' � � _...._._ �,:.._: ,. � ....': : ����� � � � ����� � ���1��' � �A �� __. .... . _.,_........._. _,. ....... ..... .. ........... �¥ � ��� i����' ��� ,� ' fi��?� � ������� �� � : � __� �� � � �� . � � � �`� �� _.... .:... . = � €�� � �'��� - � � � ... ..__.... � . __... _ . ....,.., __. -... __..__..�...., a3��"t��:�t�S�,����.����„�. a��� ��'�3