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_ _. . ... _ _ ,... _��.,�.:... _ _ _ _�.. ..j '"� C1TY OF DIAMCDtVD BAR pRESS � .� � DEPAFiTNlENT OF BUILDING AND SAFETV �'�RMLY ��° BUILDING PERMIT � � ► "'� p� APPUCATION . PERMIT �- �C-� USE ADDRIESS =��� ^-►�'�� IQ-cl l�-��"'�'�� � DATE _ NUMBER�,Z.�CODE ISSUE ° TYPE OGC. � APN LOT T_��T� DATE �_ "� x �CONSL GROUP `� CROSS STRE�jT ^m"- �� �"` �"` SETBACKS � ZONlNG "�+°"E"�"rs `r OWNER .fe/�-r�t=�'�j -�i°�/�,�I FRONT RW ❑ o ADDRESS �t1`} ._'7`Pt"r/'li�if� �'h'��=����., REAR ❑ ,� CITY____,,, Z!P f'r'� STEL.�"� SIDE/SIDE STREET RW ❑ �� APPLICANT� ..�°-�Z�'��,�i� �Ee`/tr`{ TEL. SIDE ❑ z m CONTRACTOR� Q SEWAGE � PUBLIC PMT� o ADDRESS s�— DISPOSAL ❑ pR�VATE SQ.FT.1100 GAL W CITY ZIP TEL. = STATE GRADING C❑ CU.YDS.EXC. CU YDS FILL a LIC. NUMBER y ARCH/ENG/ f� TYPE SQ Ft" i�'AC`#iJl� P A J. AFt�ANA'UAT10N' �' DESIGNER W 1 '='' "�� o ADDRESS � 2 z�CITY _ZIP TEL. �_ 3 � PROPOSED USE � ' � ''�.=^-� r ' ''�� �.v�,C �'--� �� `ti � � GARAGE o NO.DWEL. NO. N0. � PpRCH N UNITS STORIES BEDRObMS � LOT DIMENSIONS m VALUATION t �.. ADJ.AREA o NO.OF BLDGS HOW QUANTITY p�$���p�"((�y ��� ; W ONLOT _USED ¢ � W ❑ � H LICENSEO CON7RACTOflS OECLARATION:I here6y aflirm Ihat I am licensed uneer Drovrsians of Chapter 9(commencing I'^ . � wnh Sernon 7000)of�Jivision 3 of the Business and Pmfessions Code,and my I¢ense is in}ull force and eHect. , W; o ,,,i 3 ty! �±- QJJ ER�BUILDER DECLARATION:I hereby altirm thai I am axempt fmm the Contractor's License law far ihe fdlowinq Z reason ISec 7031 5,Business and Professions Code:Any tity or county which roquirea a pe�mi�ro cunstrucc (�_ o alter impmve,tlemolish,or repair any structme,prior ta rts issuance,also repuires tAe applicant(m such permil Z� Q io hle a signeA statemem that he is lirensed pursaant m the pmuisions ot the Coniract�i'S liCense Law(Chapter (��, p� 9 icommencmg with Section 7000)of Oivisron 3 of;he Busine5s and Pmfess�ons Code)a�that he is eKempt theretrom '�S. y and the hasis for ihe alleged exemption.A(ry vblation of Section 70315 6y any applicant tor a permit su6jects � �- x ihe ao0lir,am to a civil peraltv ol rot more ihan fNe huridretl dollars IS50�I). ��� W � ❑I,as owne�at the p�operty,ar my employees with wages as their sole compCnsation,will do the work,and ihe sirucmre is notin[ended or oflered for sale(Sec.7044,Business and Pmlesmons Code.The Comracror's License eX, v Law tloes nal apply to an owner of pmperty who bwlds or improves Ihereon,and who dces such warM himself. 'CJ- � nr throuph hls owr.cmployees.provideA ihat suoh impmvemeMs are net manded o�olfered for sale.If,howeuer. .� m che 6uilding or impmuenem Is sold within ane year of completion,the ownerhuilder will have the burden of pmving ��._� y that he tlid n�1 6uild or impmve foi Ihe purpose ol sale.l �� ti ❑I,as owne�of the pwperty,arn ezcluswely pontructmy wrch licensed canVacmrs ro consiruc�ffie project(Sec. �.µ�j 0 7044.Busiress anU Professions Code:The Contractor�s License Law does not apply te an owner af Dmpeny wha ��� ¢ huilds or impioves thereon,and whe mntrotts lor siKh pm�ects with a contracmr�si iicensed pur5uant ro the Comroctor's 0 °`�"5e�a'"' ONSTRUCTIO � `"""� �� . �'.-�� W C�am PyPm��,��ne�s� a�ac ia����h ce�nr�are� PLAN REVIEW —.�--- � p Date �+�ef ELECTRIC � NARKEAS'COM�ENSATION OE�LAflA710N:I herehy afhrm ihat�have a certificate af consenl m selbinswe,w a rernfwte of Worke�s'Compensalian Insurance or acer.p'ed c y tl�eµ, c 3800,ta6.GI. PLUMBENG Q ❑Certifed copy is hereby furnished. �'u���:;'��, �a b� ,,,�,j�_ MECHANICAL � � � � � � � �k� ���. ,,,�+ o ❑Certihe�copy is hkd with�he Building Ins tio t o�� ��Department �a.� �N(�j y� W �}q/-�.�, x CERTIFICATE OF EREMP710N�� 5 I S section nee0 nm he como�eted � -. �SSUAN . i�`C 1' � ��t the permit Is lar one hun a t!� nce ol the work far which this i,.,, - H � p rm�t Is issued,i shall iwt em y rwn t� nne��to 6q;ct�Yp„ �ecl lo Ihe WarMers'Compensation � SMIP �'7 �� � Laws ol Califomia. �`�� r ff ��:�: o � PRRK FEE � od�e ��� �- SCHOOL FEES � NOTICE TO APPLICANT:H,aher naki i�e�ol�pn�p�� spndd hesome*�ubject to ihe Warker's —� Compensation pmvisions of the Lahor d, mUSt�orRrivith�Cdfip��"WitH'S�ichzpF6vislods ar this permit shatl ' �- 6e deemed revoked. �",1 i f� ` - 11 .... -'._+"t! y i:_ '�:,.7 ,L' '� DIVISION OF INWSTPIAL SAFETY PF�R��Eljijf ' � �'�°"�i."�.!`.ttClti� �3� �- ❑I herehy certity Ihat np exc l�u�on five t�r ryV� e},i�.�dq t �T a rson is re uired to dascend � will 6e made m[onnecnon with��u��h(t p�k�ld��,a il m�g st�cwre,uafPoWing,falsewark - oi demolitinn nr drsmmtling therea.wdl he more than tAir�µsix f361 feet-hiqh.IChaO�32.Gry 2,Art 2.Se� � W' 3d1.T�Ne S.CAC.1. _ 3 ❑As owner-builder,1 wi9 not employ anyone to Oo wark which wauld require a permrt from the Uvisan ol 1— Industiiai Safery.as roted above,unless such persnn has a permil to do such work ham the division. � W ❑avision ol Industrial Salety PermitNo. 1 OTAL FEES � � � � , � CONSTRUCTqN LENDING A6ENCY:I herehy aHimi Mat there is a tonstructian 4idi�agmcY��Pdfarmance � a ot�ne work for wnich inis permit is issued(Sec.3D9T,Civ.C.I. � Lender's Name COMMENTS m lender's Addmss � '¢ CEBTIFICATE Of COMPLIANCf ANO AUTlIORIZATION�ENTNY:I cnoty I have read tFis�pplc�lion and sute ti that the�nformation given is camct.I agree m comply wilh all stale faws a�ciy ordinanaes rebtin9 to 6uiMinp y construcuon,and authorire a represemalire of tlie flepa�tment of Buiiding and Safery N enmr uFqn tle praperty = for which I�ave ap is perm�lor tAe ptrpose ot meking in5peclions. � � �Y t�_=.=__ �� �� �� �_".1�L _1_I�'�� / � Sgnatwe M Applicant o�Aqent Qe� RECPT NO. w . 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