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HomeMy WebLinkAbout1059 (8) ,--•. .�-� ,, C . s' 'r'` CITY QF DIAM�ND BAR PRESS �� ',-' " DEPAR7MENT OF BUIIDING AND SAFETY --� . BUILDiNG PERMIT F�RM�.Y JOBSiTE � � t �.. /� APPLJCATION , PERMIT � ;r^� L=C-�CO E ADDRESS�;;n �, �'�, �'fl G� iQ-n 1,��"'�'�-�i QATE _ .,._NUMBER_5.C_.� ISSUE TYPE OCC. i APN ;� :LOT " T ;G`� QATE � '= '__�.�CONST. GROUP o CROSS STRE, T ;J��-i4'� z(A�"1E.`[" �^!� SETBACKS �� °D OWNER �i�A ii 20NING �ONl. RW ❑ o ADORESS '-�f1.`� -�`/��/�/��l�^ �/��"���" REAR ❑ W CITY ZtP �'/'7 • TEL.��"�73� SIDE/SIDE STREET RW ❑ g APPLICAN7 �1���Z�"�X �h`f�/ TEL. SiDE ❑ � CONTRAGT'OR SEWAGE o ADDRESS� ' �� DISF�bSAL 0 PUBLIC PhAT# ;� CITY ZIP TEL. ❑ PRIVATE SQ Ft/100 GAL. � STATE GRADING CI CU.YDS.EXC. CU YDS FILL y LIC.NUMBER y ARCH/ENG/ � TYPE SC3 �T FAC'R3F� PS AU}J. AI�E:R!'VALt3AT�4N " =' DESIGNER � 1 �"">"" I� o ADORESS (,}.; 2 = CITY '" �� ZiP TEL. � 3 o PROPOSED USE C��'�L`�' 'y-;�,_L r�C+-'�� �' '� � 4 � � GAflAGE � o NO.DWEL. NO. NO. � PORCN y UNITS „ STORIES BEDROOMS c LOT DIMENSIONS m VALUATION �'r � � l E �`.- AOJ.AREA o NO.OF BL'bGS HOw caun�uTrrr DESCRIFT[ON F€E W ON LOT USED Q � W O � 2 �"" LICENSEO CONTRACTOFS OECLAH0.TION:I hereby affirm that I am IicenuA mder pmviuons af Chapter 9�commeirciup � wnA Secnon 700tl)�af dvis�on 3 of tM1e Busine:s and Pmfessions Code.and my license is in fuN force and eNect. W 3 Q' w �±- 04VNER�BUILOER DECLAqATqN:I he�eby aflirm th�t I am eaemD�fwm ih�Contractofs lkense Law for the idlowing reason ISec.1031$.Butiness and Pwkssions Code:Any ciry or counry which requires b permit to conSMuct, �} oalter �mprove.'Oemol�s� ar reQair any mxmm,priar io i�i issuance,aiso requires tAe applic�nf for suc�permit Z 1— m hle a signed statement Ihat he is iicensed pursuant to Ihe provicione of the Canlre�lor's�Lice�se tzw IChaptn Qa ��9 Icammen�ing wiih Secoan 70001 uf Oivisian 3 0l ihe Ausineis and Prohuio�rs Code)a that Fe is eMemp[therekom � p_'and the basi's"`or�the alkged exemquon Any violati0n ol Sectian 1031.5 ty any appliWm�for a permit eubjects �� '"� tne appOcanf'io a[i�d D��v of not mare tnan tive huntlreE tlollars(55001.). � �a W 0 ❑I,at avner of the pmperry,oi my emplayees with wagas as thrir sole eampmsatian,;will do�he woh,and� - ihe strucmrc''�'s no't in�ended or ofkred lor ule(Sec.704h.Business and Prolessions Cade�.Tfie Cantracmr'i Liume q V law does mi.,apply io an ownac ot praperty wha huiids ar�mpmves thercon.aiM wha dtltls such wmk himaell. (� , ' ar through his�awn'employ[e5,Drovided thal SUth�mprovements are nIN inunded ar affered far sak.if.ha.vever. �Z = ihe hwlding oi imdrovemmt is sold w�ihin one year ol Wmpletion.the owner�6uilde will have'the burdea of Drw�iq Q y ihar he did not hudd�or improve for ihe purpose af sale.l .Y rn ❑I,as owher af�he property.am e:cWsrvery canvacuny wit�licensed canuacrors to mnstmct ihe pmject ISec. - {jj 0 704a.Business anE'PmFessions LaCe:The Comracmr's Lieense law tloem not apply ta an dwne�of praperry wha �4� Z hulids ar improves therean.and whu conmt6 kr swh pm�ecis with a tontixto�lsl��eensed pursUant to Ihe ContraCtoi'S � t"e"�t�w.� ONSTRUCTION�-� �"c�a . �'�.� o � F ❑�am e=�„o���ee�s�. ,a a Pc.ia,��ca«rf��e�i. PLAN REVIEW 0 oaie �'�� ELECTRlC � � WORKERS COMPENSATION OECL1RATION:I he�ehy alfirm that I have a certilicate uf canea�to sNt�insme,a a cenicate of Wuike�s'Compensatian Iniuranee,or a ��°"';�ied the[ �800,ta6.C.). PLUMBING � ❑Ce t f ed iopy d Aereby fumished. �,x:n�,�y �r,. �,; � �. MECHANICAL .., � � � Q" DING� c ❑Canrfiea copy is fdetl with Me Budtling Ins ti t o � Oepartmmt. W � CERTIFICATE OF E7(EMPTION ��5 sectiun neea no�Oe tomdered '� ISSUA� '`J���`'+ � A me permit is for ane hw � y�a� i ^� n[e af ehe wpk lor whkA�iMs �F.,. ➢ permit is�ss�uue4 I�shail iwt em r n nne�jo to �e�t a ihe NMkers'Canprtnmtion gMiP ��� = Laws of Cali�omu.�, ' �•� '+ ��� o w PARK FEE p Ilate '�° �.�SCMOOL FEES � NOTICE TD APPLICANT:If,aiter maki '� of� stwuld tr�a.�e!,g�bjen ro Me WorYar's —+ ComPensahon Oraviiians ol the Lahar mtk�� atAvrMi tarM1ph*KJiih s4eAs�rbiiakhs a tAi�pnmu shaY W hedeemedreJoked.' �: ?S; 1"' F�? ^^ "1J s �� . � .. '.:r.� ;.� .. N.' � OIVISION OF I�I�U51'AIAI SAFETY�f �Ay�►A 1��!Q�'�"� ��.� . w ,.� I i �t�� � f�ll'�.1V1 � ❑I nereby catAy that nn eaca4Qttod five er'ryP(eI�ep�F}dipt1p ��L,.on�s r uired m dtacend, � will he made,�n t7nnpttpn witb+$1 (p1t1�pffh�d�6�d�lilf i up st utiwe..safloWia9.����k. _ m demolnion'or�ismantling rfierea�,wdt he more than thrtty-si��36)feet high.(Chap.7.1,Gry 2,Att 2.Sec W- 341.TiNe 8,CA.C.1: S 3 ❑As awner-6uildr.t will nm empkY a+Ya�e to do wort whiah wnuN repuiie o permii ham die-Divnian al � Industrial Safeiy,di'noud a6ove.unlas aueh person Irea a permit ta do such wak hpn tM dnisron.� � °� ,.i . . , .; .. � .� W ❑a�'s'�°������'e��,ery��m't No. TOTAL FEES 1 � � d � CON5IHIICTI�MI L�NDING'A6ENCN�.I heretiy aHirm that there is a mnftruction 4ndiag�eney tor ihe perlamirice = af the vrork"1'or whrcli fiii pamit is iswsd(Set.3081,Cn.C.1. � � Lmder's Name. �I �- ., (��MMEN�. p�p Lender's Addiess "� CENTIFCATE'bF COMVLIAACE AND AlRHpUZATfOi qf ENTRY:i�cati}y 1 Mve�md tlw!'�applieotian yid tyN � mat�he ml'orinatqn given ia epneet.1 aqree to comqy wi9i aA�sLk laws and ciry wdirwn�es reqlpq ro Ouidiny y construciwn,"9nd authmize a rapiesenta6ve of the Oepxtmenr oi&iildinq anA S�lety to en'ra iqen Ihe poprty = ta which I have is perma�-la the pu�pose of ineking fntpeetidic -' H � : X � "i` �� �� �L= RECPT NO. .��L PAID BY_�_leti.�,_ VAUDATIQN ,-�Siqnatue qt AppliCmt ar Agmt - Wp _ . . � ,. ..._, ��x� � r. ������������� �� ., �� � ��� � _ �°�� ��� � �. ,� � � �• :'�`� .�- ��,:; . _ , o � ;�' ;s� ;; �.;� 9- �' � �.:�: "�>. - __ :._.............. _..__....... _ _ .. . ......_..__._ �._.._.�.�.... ...........�.__._ ; . � . �� f�r Z� �... 5G. , .�: �;�-� ��� ___-__G'._,_ _. .. _ _ _ __ ........_.._....... _...._W___ ___— _ :�w;. � �� s ,> � �-,�;� �� !��i:� � ,.'. ` .:..�. �, F. ....::���...__.._� 'rG__l� ��. 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