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HomeMy WebLinkAbout1183 (9) __._ a..,,�.�.. __ _.�__ ___.��.._..,�______.�_, ,. _.__ ___. __ _. _ _----. . __...... _� _, r _ ._,__ ., ,�_._._,. _�_ . ._ ;.�- . ,. _ ,,,,��-. ,_ . _.:. , _ ,� _ �'�' � �"�� s CITY OF DIAMOND,BA PRESS 1� '�•" ' DEPARTMENT OF BUILDING AND SAFETY BUIL.DtNG PERMIT FIRMLY JOBSITE j2 � ) 9„�n � �� APPUCATION .�! PERMIT USE ADDRESS <�� t'1(J DATE ! �� � NUMBER�_CODE � APN LOT TRACT D 7EE ��" � ��� O ST. GROUP a CROSS $r� T m 5 ZpNING FR��NTCKS Rw 0"'E"'s �-° OWNER Y�1 I P�I'1`l� �Q(� �D,� o ADDRESS `� REAR ❑ w CITY ZIP TEL. SIDE/SIDE STREET RW D o APPLICANT TEL. SIDE I� z � CONTRACTOR S�WAGE o ADDRE5S1� ���.a�� �+�$...-- DISPOSAL O PUBUC PMT� � ❑ PRNATE SQ.FT:/100 GAL ,� CITY_���-'�" ZIP 9��TEL�� x STATE .y� R�-� GRADING ❑ GU.YDS.EXC. CU YDS FILL y �IC.NUMBER �� y ARCH/ENG/ -•" tl} TYPE SQ FT CT�iF�F�S . A1�E�1NJ�4` , TION:.. ., , w 1 `- , C7 7� OR s o `=' DESIGNER W I W o ADDRESS LL 2 , F� GJ�] �� z CITY ZIP TEL.� (� 3 o PROPOSED USE �''"�- Z 4 � t�� � GARAGE o NO.DWEL. NO. NO. � PORCH y UNITS STORIES BEDROOMS � LOT DIMENSIONS m` VALUATION � � ADJ.AREA o NO.OF BLDGS HOW QtJANTITY DESCR�P�FIUN� �EE, W ON LOT USED ¢ y.� � W ❑ � � ��: UCENSED CONTRACTOflS OECLAPATION:I herzbv aflirm that I am licensed under proviaims of Chapter 9 Icommmcing h �g wnh Secnon 1000�of Uvisian 3 of the Business and Praiessions Cade,and-my Ikmse is in full farce and eHect. . W� 3 � W � OWNER�BUILDER OECLAqATION:I heieby alfirm that I am exempt Irom the Cantruror's L¢enu law fw tM fd�owing reason ISec,7�31.5.Business and Pmfessions Code:Any city ar counry wF.ich requires a permit lo con�[ruct. ($� o aher improve,demohsh,or repair airy struc[ure,Drbr m iu iaswnee,a�so�equires tM appicmt For wch permit .2 �— ta lile a signed statemeni ihat Ae is licensed pursu7m ta the D«isians of iAe Condacia's liceiue Ww ILhaptn m� � 9 Icommencing with Section 700D)al Divisian 3 of the Business and Prolessions Cadel o�that he is ex�mpt Ifieve6an "�,C� . d antl me�asls fw the alleqetl 21IEIIIDtIOM1 Afry�1012000 M$KG00 103L5 try aay applicam fo�a Dermit su�jec[s -.� � x �M aDD���am m a civd panalty af not mo2 than five hwdred dollars�I5001.1. : Q W . . . .-..... � � ❑I.as owrrer of the property,or my employees with waqes as tlieiraWe compeasa�ion,will do Me work,and . - r ine scucmre�s not imen0ec ar offeretl for sale 1Sec.T044,Business and Professbns Cotle.The Contracta's iicen:e �..Z� � � V Law does not apDly to an own¢r oi pmperry who huilds ar imOroves therean.and who dces s�cA work himsvlk � U� W or ihrougn his axn empioyees.Orovided ma[such im0�avemeni3 are not iniEnded w otf¢red fpr Sak.��.however, ',-`�T� m the bwltlmg or impravemeni is sold wnhin ane yeai at completion,the ownerv6uilder will have the Muden al p�oving -rF,- � tha�he did no7 hwld o�im0�ove far the purpau of sak.l �.� y �+7 ❑I,as owner of the pmperry,am ezdusrvely contraetu�y with lirensed caniracmrs 10 constmct the prpject�Sec. : Uj a 7[14a Business and Pmfessions Catle:The Comracmr's license Law does not apply ta an ownei ot propeny wha -�S�� = hudds or impmves:httem,and who comraou foi such prqecls with a contractorlsl lieamed pursuanl to ihe Convacld's - �� .� 'Q Lirense law.1 STRUCTION ...�p� W ❑I am e:em0�under Sec. ,B.6 P.C.�Atlxh Car�iti[atel. �� PI,.A �_ ""'y"�"i o °ate °`"�� ELECTRIC � . t-1 S�_ ' 'rWRNERS'COMPENSATION�ECLARATIUIU�I M1erehy allirm that I have a certiAcate oi cansent io self�insme,w a ceniticaie of Workns'Compensalion Insuonce,or a<ertd'ud copy theieof(Sec.38D0,lah.C.). -�P�-UMB�NG Q ❑Certified capy is here6y fwni:hed- '�"'"g '��q 7,�� .��- ME ICAL � •�� o ❑ C.ertified copy it tiled with the 8uilding Ina�lecnak6epatltnen�� Oepxtment <C. GRAD W G W Z CERTIfICATE OF EXEMP710N FPOM WORKEflS'COMPENSATION INSURANCE:This settion nred not 6e camp6rea I� SUAN � _S P�� � if Ine permil is fof one hundred(51001 a�es:.I cerufy Mat�n the performante of tlre waY tor which�this �t� /^� � imit is issaed,1 shall not em I ' r� pe p oy am nin an r so�Grh�ome sub�ect io the Nbrkas Campemarion � (P �7A1 1 d( = Laws of Calrfurnia. ��„�;,e �� �j�' � pARK FEE O p Oate Applcant l[. SCHOOL FEES � NOTICE 7D APPLICANT:If,after making this Cerufica�e of Erem�tiun,you shauN 6ecome suhpct to Me NWker s Campensation provisims of t1�.�i,4Qr'65d�,'y,�n�u�t?airtlix(ith�omply;,�witRlpcE:jnwisions or this parmrt s1wN W be deemed revoked- � � JI .... u..:.i �� . � aVIS10NOF IN�US?RIAL SAfE� HNIfl`CEfl71�N11TI0N':'`�~ w n- ❑I nereUy cenBy thet na eaxavatqn five�5)o�more leot in depih inlo which a potsm is rapuired m duwW. � wil�6e maUe m cannectpn wiM wark auMarveA�y Ui¢petmi[,aiM That no 6utlding stnK[we,su7ffoldir.g,telxwork. oi demalition or dismantling tbercol.wiil he mae Man thi�ry-su 136�feet higb.(Chap.3.2,Gry 2.Art 2.Sx � W- 341.7itle B,CA.C.1. x 3 �As owner-huilder,I wdl not emphy anyore to do work whih would rzquire a pemiit Irom IM1e 6visian d � � � F— �rdustriaf Salery.as noted a6ove,un4ss such persan has a 0���ro do su[h warF tmm tlm divi�ian. . � � W ❑4v�s��a����,,,��s�ery��;�No TOTAL FEES �—..�� . � C� d � CONSTHUCf10N LEN�ING AGENCY:I here6y�fFiim that there is a wnstrucuon bnding agnKy for the pmfwmana = al the work ta whkh Mis permit is issued(Sec.3097,Civ.GI. � Lende(s Name COMMENTS O� 4 m Le�Mer's Atldress . '� CEfffIfICATE OF COMPLIANCE ANO AUTIpN2ATIW Of£NTRY:I certify I mad Ihis appie�lion and shb - , fn tnat the infumation giren is carect.I�gree ro wm ' all staie a ci rWtig ro 6uil�iq � y construclion,and authorue a re untative oi tmam of "ng hty� mter uQon the praperry � = iw which� ave app Iw IA' rm�f9r t M maki i �1iDn f— X '' r � FiECPT NO. � �� PAID BY �� VAUDATION' Sgnatue ot App{iqn n, 1 Oa� - , . WHITE—Oepartment Copy,YEL pW—Finance Copy,PINK—ASsessor Copy,GOLDENROD—File Copy,GREEN—Aoolicanls Cram� _. � _�.,,,�.._,____. . _--.___..� ._ ______- - -- ,� ;-�_._,_�.�-___ _ _.,_ _ __ ,�...-- , t � . .-: , �k� � �' ��� ��. .� .,. .. 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