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Home My WebLink About1053 f '`� � CITY CJF DIAMCIND BAR pRESS �� , DEPAFi'TMENT OF BUILDING AND SpFET�' ��^ BUILDING PERMIT FIRMLY JOBSITE APPUCATION ,.-- �.�`�4�� PERMIT USE ADDRESS 4'�a�� F f�w.► c:�C�. DATE � ""_��NUMBER �.�� CODE ISSUE TYPE OCC. o APN .,� L T�TRA� DATE `-"� � �`��L� CONST. GROUP �, CROSS STREET�� '� �c��G.-�,R °.° OWNER r�m'Y1.�=- `''�— ZONiNG SETBAC4CS ��+TS "�.____ �.��1� FRC3NT RW ❑ o ADDRESS ��,�.�` .� ��3tlh-� �f� REAR ❑ W CITY��'-��u a�� d��+i,_ ZIP �__�.]r�TEI.��f-�1� SIDE/SIDE STREET RW ❑ a APPLICANT��i�i�'j��y� TELS�i=.g'�.;� SIDE ❑ � Q CONTRACTOR_-�� SEWAGE o ADDRESS DISP05AL ❑ �BLIC PMT# W CITY ZIP TEL. O PRIVATE SQ.FT./100 GAL z STATE y LIC.NUMBER GRADING ❑ CU.YDS.EXC. CU YDS FILL y ARCH/ENG/ � �� 'Q ��°� �D.J. AR�A�VAL:UATtON: �' DESIGNER LU 1 o ADDRESS � 2 Z CITY ZIP TEL �r 3 � PROPOSED USE� ' ''L "�` �.7�.-� �t:;�t-t.!�'� `� � o�------- � � � � ��.�r.��.?.�r`L..�' �i.C.d,F'�J ,,,� GARAGE = NO.DWEL. O. NO. � pORCH y UNITS STORIES BEDROOMS � LOT DIMENSIONS �` VALUATIQN ADJ.AREA o NO.OF BLDGS HOW QUAN1`IrY D�SCFiIPTIt�t�l .. ° �� ." W ON LOT USED ,a j � � ,.�� ' � �y W ❑ a ��C,�-> C Cd' ~ IIf.ENSFO CONTAACTORS'JECLARATION�.I herehy af!irm tha�I am licensed under provisions ot Chapter 9(commencing �^��, �"�'r � wrch Secnon 7000)ol�ivision 3 ot the Business and Prafessions Code,and my license is in lull io¢e and elfect .�. - � o � 3 {� � �ER�BUIlOER DECLPAATION�.I here6y a(firm Ih21 I am exempt(mm�he Comractar's License Law far IAe imlowmg � - . a reasen�Sec.7031.5,8usness and Professians Cotle�. Any c:ty or couniy which requires x permit to conttrutl. C!3' � -�, •�-��:`�- �?f'�� ^� O alter ��mpmve,demollsh,nr repair any stn¢ture,prior m ns issuanre,aiso requires Me appl¢am toi such permit �'�� i- to tJe a signed sta[emenl Ihat he is licensed pursuam to ihe pmvisions of the Conirxtor'S License Law(Chapter �.m � �+G � 9(commencing with Secuon 700�)ot Oivision 3 0l Ihe Business and Pmfessions Code)or Iha:he is e�empt iherefrom -Tg. . n, antl the hasis lor Ihe alleged exemption.Any violation ol Section 70315 hy any appliranr fo�a permit su6�ects �, K ihe applaant ro a civil penalty of not more than five hundred dollars(5500).1. ��.� w � ❑I,as ownei oi the pmperry,or my employees with wages as Iheir sole compensaiion,will Oa the wOtk,and �he stmcture is not intenU>d or otfered Im sale ISr.a 7044,8usiness and Prolessions Cade�The Cantroctor's lieense ��.� � Law tloes nut apply�o an owner oi pmperty who 6uilds or improves thereon,and wno does such wark himself, (.;y- � or ihrough his owo emplryees,provided that suah improvemmts are not intended or cifered for sale Ii,hawever, ;� m �he buddmg or impmvement is sold within one year o!complevoq the owner6uildei wip have ihe hurden ot proving �.. � :ha�he tlitl no7 huiltl a Improve tor Ihe OurOose ot sale.) :T �7 ❑I,as ownei of the pmperty,am exclusrvely contracuny with iicensed r,anua[rors to[ans�mct Ihe projen ISec. �.{,�{,�. 0 7044 Business and Professions Code.The Cortractor's Cicense law tlaes not apply to an owner of pmperry who � .�- ¢ umids or impmves therecn,end wha romrocts foi such pro�ects wi7h a coMractor151 licenaed pursuan[m the Contractar's 0 L1e°Se`a""' `'CONSTRUCTION � ❑I am exemp�under sec B.&Pc�Auach Cemticate�. PLAN REVIEW pDate . OWne ' ,� 1 �p^� 3 WDRKERS'COMPENSATION OECLAflQTl�4 L� hy�al�rm- t I have a certillcate ol conseni m setl-insure,or . - /� �S"' `� O a ceni�icate af Warkers'C�mpensano��i'rsYia�UC ayger�i�d;opy thereat(Sec.3800,La6.C.6 LUMB� },�.'' `-'� >`3 _ ❑Certifled copy is nereby fwnished � � ` � ;_�,,.y MECHANICAL ¢ ,,,.+ `o ❑ Ctnihed capy is hled aith the Budtling Insoection Oepartment ar_ �epartment ^+,�I.(',.�(a/�p�N(�„� �.i }/ -*� j `r'� Z �ERTIFlCATE OF E%EMP170N�Il�f''a�]RN�'�MP , INSUflANCE�.This section need not be completed �'. �SSUANC�. /'! � P7l,�l.• ��.;'�'! � .I ihe permit is lar one hundied'�1�0)o es�I cer A in the periormance of the work ior whKh this ,,,_,_.�,;...�--"' y ~ SNIIP � yermit is issuetl,I shail not employ any person in any manner so as ta become suh�ect ta Ihe N4rkers Campensation = Laws nf Calitom�a o �.:,..,.., ,:� .',: '_ nam�n��_ �.�:.,;i k�LI', PARK FEE o �a,e •° � vonce ro aPrucat��•ir�angr anQk�ngi m�ec�iEa�a�c;aw��n �,,,1�S1wuN became subjat m Me Nbrker's � SCHOOL FEES —+ Compensation Orovrsiont'u�"tflA^L'a£o��CodE:'y�u`�husi tartKw`i1M�'ro��mply�wrth such provaiorts or this permit shall � 6e deemed revoked. � GIVISION OF INOUSTflIAL SAFETY PERMIT CEflTIFICATION: w o ❑I herehy cert8y 7na[no excavation live�51 ar more feet irz depih into which e person is reyuired to descend, � will 6e made in connection with work authar¢ed by this permit and that rto huiidinp atructure,swffo�ding,falsework. - o� demolition or dismantling thereal,will be mare Man thiny-six�36)tcet high.(Chap 9.1.Gry 2.Art 2,Sec _' 341.Title 8.C A.0 i. W S 3 ❑As owneo-huilder,I will nm empby anyone to do work which wauld require�permit hom Me Gvision of �— Industrial Safety,as nafed a6ave,unless suth person has a permit to do sucA work hom ihe division. . '� 'S, � ❑a��s�o�at��a�:«�a��ten�,m��No T(3TAL FEES � �''"� � CqJSTRUCfION tEN01NG AfiENCY�.I�erehy aflirm tlnl there is a wnstruction lendinq epeMY tor tlu performmce � 7.�� a �I the work for which this permil Is issued(Sea 3097,Civ.C.�. � Lender's Name COMMENTS � p=p Lender's Address � ¢ �ERT�FMATE OF COMPIIANCE ANO AUTFIOflIZATION OF ENTRV:I��cry i naK�ea m�s applicalim wd sta0e rn that vhe information gi�en is carect,i agree m compiy wnh all nate laws ami eiry ordnances rdeting[o buiNlirlg y construction,and authonze a re0�esemative of iMt Oepartment ot Buildinq and Satety fn enter ipai tlie praperty � lor which I have ap lied tor M�s perm¢for the pwpose of making inspections. � w.'. C� ( ��' + siynamr�pgent �� RECPT NO. 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