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HomeMy WebLinkAbout1820 (26) � �...,��,��.� __. ��.�...��� �. _._. . _.... ,....��.�...�..�-..�.�..r�.�.,,�._�...�:._.- ,.�.,._.��� ..�..a �.�... �; . � s - .���,.�..._s��..�.-�--. �"` � �ITY OF DI/AMOND �AR PRESS �. - �EpAarnnEwT o��u�co,NG ANu sA��Tv FIRMLY BUILDING PERMIT JOBSITE APF�lCATION PERMIT- � ] U3E ADDRESS 1.121 Hour lass P� E _ NUMBER / CODE eC APN $ L07 TRh�C7` DA EE---I��G���i' `'" CON3T. GROUP e:a CROSS STREEfi .. , . ., SETBACKS :.,..... . ' ��+rs :.>,,, �' OWNER��o ,Inhn ZOAfIN�i FR�NT RW ❑ L� ADDRESS_�a�A.@ REAR ❑ �;; CITY Dia. Bar zIP 91765 TE�.. 860-553 SIDE/SIDE STREET RW ❑ �� APPLICANT TEL.� S9DE � �a 7P_ ;� CONTRACTOR Nnr7r ����� SEIIVAGE C� pUBUC PMT aR r; ADDRESS�.��eab�a�.d Ci r 895—�46 D�SPaSAL ❑ PRIVATE SQ.F-T./100 GAL� °; CITY Stanton Z�p 90680 TEL: ������� `� SSATE 511971 GR�D�NG ❑CU.YDS.EXC. CU YDS FILL �w; LIC.NUMBER �'YPE SG� �T` �'J4�f��`w '_': 14E)J� .f�EAltIALIJA�"I N ' ' ARCH/ENG/ � 1 �°""' � en DESIGNER, �� F�QDRESS LL�. 2 � �c CITY ZIP TEL. {!� 3 NJ j , � �� PROPOSED U9E L � '""" 4 ` `'' _, � GARAGE �� c;, NO.DWEL. NO. NO. r � pORCH �;; UNITS STORIES BEDROOMS . r�_ LOT DIMENSIONS m VALUATEON ADJ.AREA c� NO.OF BLDGS HOW t2tIANTi��: ��4`a Fi�P"P`���F :"�EE ': ? ON LOT USED ,,� �_ � �1� �. ~- L�ENSED CONTBACTOFS OFCLAB0.TqN�I herehy affirm tha4 I am licensed under Omvisions ot�ChaD�er 9 Icommencing ��..�,�, y= wnh Section 7000)of�ivisbn 3 of�he Business a�d Rafessio�Code,and my ficense fs in full(oroe and eHect. �.,�; - 3� � � �;_ OWNEA-BUIL�EA OECLARATION�I heieby aflirm iAat I am exemD�from the Coniracmr's License Law fw�he fdlowing � �� reason(Sec. 7031.5,Business anA%ofessions Cade�Any eitY m coumy which requireS a permil�o ronStrutt.� �C,'3� � V � e:7 alter impiove.tlemolish.a repai�any siructure.Oriar ro iis issuance,alm�euuires�he applicam Fa su[h permil ��..'� . �;� Iu(ile a signed statemem iha�he is licensed p�rsuent to Ihe prwisions af the Cantractor's license Law�Chapte�b�,-��j�. � ` p�_ 9 fcommencing with Sec�ion 7�OC)ot Division 3 af the 8usiness and Pmlessions Code�or tAaChe is exempi�herefiom �,�� Eti ana the 6azis for the aAegetl e¢emption.Atry violation ol Sectian 7031.5 by any applitant}o�a pemdt wbjects ��- -� - � �- 5'� Ihe aDDliCarc to a civil penalty of not more Ihan five hu�red doAars�5500).�: �.� LN ��� ❑I.as owner ol Me O�aPerty,ar my emO�Wees wiih wages as Iheir sple compensalion.�will da ihe worN,antl . ��� r- the svucmre ia nm intended ur oftered ior sale(Sea 1044,Basiness and Rofessions Code:fhe Comrenor's License Q: , �,j law does not apply to an owner ol proparty who builds or impraJes thereon.-a�who does such work himself („�� --- ��� or through his ewn employees,pmvided that such impr¢vemenis are no1 intended w Mlered Mr sNe.If howe�er, ::'�_� e� tL+e omlAing or improvement is sWd wRhin one year of completion,the ownerhuilder will have the burden af prouing � �,� Ihai he Jiil noi 6udd or improve fa�ihe purpose a1 salc.� �; ��� ❑I,as owner of the property,am exclusively conirxliny with licensed cantractars lo ron4mct ihe pmject ISec � � 704h,Buslness and Pmlessions CoAe�.The Contracror s Licenst L�w does no�apply ro an avnei ol prop¢rry wha ;.,��;'��� ea 7L �uilds or impmves thereon,antl wha contracis for such pmjects with a cvntractorlsl Ilcensed pu�suant to the Contradoi s r:C �icense law.; �-�'CONSTRUCTIC►N ''� ❑�am eaempt under Stt. ,B.&P.G�AttxA Certifica2�. � P�„/�� R��/�E�/ �:C 5:? o"e °'""" "' ELECTRIC :�c W9flKERS'COMPENSATION DECLARAiION:I hemhy�ffirm Iha�I have a ceriific�te of cansent ro self-insure,w � t` - '� a certilicaro o�Nbrkers"Compensation Inswanee,nr a terNied capy themof(Sec.3800,Lah.G). "PLUMBIIVG ��� ;� ❑ce�e,�en�oov�S nerenv f���5nea _ � MECHANICAL � �C.ertiiied copy'�.s tiled wilh the Building Inspectiowsepartment or Oeputtnem �. GRADING �!� f.EHTIFlC0.IE OF EXEMPiION fflOM WORKERS'COMPENSA710N INSURANCE:This sectioc need not be completed �. ISSUANCE V �� �,� if ihe permit ie lor one hundred ISI00)ar less.I cerdfy tAat in the performanee of Ihe wo�k 1ar which this _ permit is issued,I shall not employ a�ry perwn in any manner so as ta 6ecome subject ta the Nbrkers'Compensation : �.:-� S��F3 �:' Laws ot California. a� �. }'ARK FEE _ �;� �ate Nppllcanl � NqTICE TO APPLICANT�If,after making this Certificaie ot Exemptan.yau shauN hecome su6jeci ta the Worker's . ' SCHOOL FEES -•� Compensatlon provisions of the La6or Code,you must forlhwith comply with such prwiiions or this permil shafl . �'- 6e deemed revoked. � }'i a�_ aVISION OF INOUSTHIAI SAFETY PEHMIT CEBTIFICAt10Al� �n+ �!� ❑1 herehy certdy that no ercavatinn five 15)or mtte(eei in depth imo which a person is repured ro des�end, - pie will le made in connection with wmk auMpr¢ed hy this permit,and that no buildiip avucture,ataflddng,lalsewak, �'� or demoGtion ar dismamtiig thereof,wAI he mae than�M1NIY-61Y(36)feet high.�Ch�p.3.2,Gry 2,0.rt 2,Sa Wi ?41.TMe 8,C.ALJ. 7:: �= ❑As owmr6uilder,I will no�empky aayare to do vrork which would�equire a permit ham ilm Oivision ot '-' F.- Indus�rial Safety,as noted above,unMss auch person has a permit to do sceh wwk I�om tho divaion '�E /� y�',�j ❑Oirision ol Industrial Satety Permit No. rot A 1 eCC� 'f�4�� a� CONSTHUCTpN LENOING AGENCY�I here6y atlirm-Mat there is a rmistructian IeMinp agen�y iar Me perlom�ante �� � G� C7%�-(�� � �P of the work for wAic�Nis permit is issued 1Sec.30.97,Civ.C.). . .. Gi LeiMer's Name COMMEN����.__ � . o;� Lend¢r"s Address � � � ' r<t 3 '°�� CEflTIFICATE OF COMPLIANCE AND AUI'NORI2ATIpl OF ENTRY:I certity I hare rcad this apdir.�6an and sUa � � � � u5 that the infwmalion given is correct.I apree W comply wi1M1 aN stlte Isws znd ciry adirences relating to Mibiiq �� constructian,and authori=e a rep unlative ot the M1irent of Buildinq ard Safety to teNer tOm tk pmperry ' � nre F� �ich I have aP�1�r��mit_��,�ip ol mekin9 impections. � . . � ' � � ,,� �'�� signatwe af npdKant o��gan "' p� RECPT NO. PAID BY VAUDATIQN WHITE—Dapartment Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy.GREEN—Applicants Copy B5106-11/89 .��.�. , ,... . _ . . . .. , .§� , , : ._,,_.,;.. . �. , �y� m� a����sgFb g ^�x �w �, � u�c��t�j } �� �: ' �3��z Si i@'a �� �f..m��� �i:t��k�� ��`���� �l ��?�m.� �x3i'�5='�m�.�.�. 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