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HomeMy WebLinkAbout1451 _ - -- --_.,. , �..., ._.-.._,..�.__. . .___._..,___.. .__.____ __._._._ _ _ _. �"'` � CITY l�F DIAMOND BAR���� ��� �a�c�` DEPARTMENT OF BUILDING AND SAFETY PRESS BUILDING PERMIT FIRMLY JOBSITE APPUCATION PERMIT /�/,�► USE ADDRESS ���� SSUE ;NUFMEBER ��CODE � APN LOT TFiACT DATE Y���`e'ONST. GROUP c � CROSS S EET ZONING SETBACKS "�""E""5 O° OWNER � G-+� FRONT RW C❑ o ADDR� S � 'L�� � .. REAR ❑ � CITY �-r ; ZIP o �� TEL2I� � � SIDE/SIDE STREET RW O o APPLICANT �'�� TEL.��:�� SIDE C❑ z Q CONTRACTOR. "�" :A '� SEWAGE o ADDRE�SS � ci � PUBUC PMT� �—�—�---�- DISPOSAL ❑ PRIVATE SQ.FT./100 GAL ,,�,, CITY��1rn itii�t�{�.-.r ZIP• TEL.�_ z STATE ' y LIC.NUMBER � ���-��� GRADING L� CU.YDS.EXC. CU YDS FILL y RRCH/EtJG/ , �, P� (!I TY�'E' SQ �" C.'ft3f� P.�, ''•' AAJ� �IR�IV/�tUA�"I , ¢ DE5IGNER , awj c,t �� f`�rfa e �' clUt ,Y! �W 1 �� �'�tS ; �'1 t t �St(A � ADDRESS LL 2 •%'� Z � � i C�TY �Z�P�_TEL. � 3 D� " `' ��� �1 Z %��' � � prR,�O�ppg�t�gE L it Li t ta '} �t(J i'�(-,(." l 1 � �E �7 r� lC� 7 ,O�cJ �E3 j � Cc�� �--_ o NO.DWEL. �D� NO. NO. ;� pORCH � y UNITS STORIES BEDROOMS � LOT DIMENSIONS � VAIUATION ADJ.ARE o NO.OF BLDGS HOW t�uAN�rl`v p�^��- .1FjTiOkt ��� : W ON LOT USED ,,_ ae C? _ ❑ C3 ~ LI�ENSE�CONTflAC70RS OECLARATION�I hereDy aHirm that I am li[ensed under provisions of Chapter 9 Icommencing Y with Section 7000�of Divisian 3 of fie Business and Vralessions Code,and my li[eMe is in lull force and eflect. 3 � W � QWNER-BUILDEfl DECLAHATION�I herehy affi�m ihat I am eeempt fmm the Conlraztor's L¢e�e Law far Ihe Idlawing �� reason(Sec. 7031b.Business and Pmfess�ons Code:Any city or county wAicM1�equires a permit m cunstruct -3f} o atrer,improve,demdish,or repair anV structure,Onor ro its rssuance.also reQui�es the appticant im such peimi� �. ¢ to lile a signed sta�emenl Ihat he is licensed pursuant to the provisions of the Contranor's License Law(Chapta 'm ¢ 9 fcommencing with Seciian)000)of�ivision 3 af�he Business and Pmbssions Codel a d+at he is exempt therefrom , '�4, . y and Ihe 6asis�or the alleged=r¢mption.Any vialation of Sxtion 7031 5 6y airy applicani t0i a permi[5ubjecis .-� W [he apphcant ro a civil penalty ol ml more;han five hundred dolWis IS500�.�: ;�� � ❑I,as ownei ul Ihe property,or my employces with wages as lheir sole compeneatio�.will do ihe work,a�d . , the siructure I5 nol imended or oHeied lor sale ISec.7044,Business and Protessions Code�The Cmincmr's Liceme ._�� � Law tlnes nm appry m an owner of DmDenY who hui1G5 or imDroves ihereon.and who dces such work himseH, �+-� or through his own employees.provided that such impravemenis a�e not intended or olfered for sak.�f,haxever, '�� m the 6uilding or imprwement is sold w�m��o�e na�d completian,ihe owner�builder will have t�e 6u�den oF D�vinp �at� � that he did not buiitl or ImD�ove fir ihe Durpose o�sale.� ;_�u. N fn ❑I as owcer�f ihe pmperty,am exclusively contractiny with licensed contr�ctors to mnsiru[t Ihe projeet(Sec. �.-� 7014,Business and Professions Code:The Canlractor's License Law does imt apply Io an awner of Dfupeny Who �:-'�" ¢ builds or improves iherean,and who�omracis tar such pmjsts with a coMractor�s)licensed pursuant ro the Contractor's L1Ce�5e�aw� CONSTRUCTION ��� � O �p� � ❑�am e�emo�under Sec. B.6 v.c.(nuxh Cerutiaie� PLAN REVIEW �� d -�Y""� o ea�e �, ,:� r .,��,o,v�e� ' ELECTRIC � � WDRKERS'COMPENSATION'��IECLl,C({ATION>!k�ere6y aftirm Ihat I have a cerfifiwle of consem m se��-inmre,or .�'�. PLUMBING a certificate af Warkers'Compensation Inswance,or e certified copy theeol(Sec.3800,tad.C.�. ¢ ❑ ee,dr�ea�o���n.�en�r�,���nee. � MECHANICAL ,2 "`'�°"'" "4 GRADING p ❑Certified copy is 4��'wilfl"the upildi�Inspet,[y`ron��»rtmenl or Depar�ment _, u� � ➢l3 f 6 ,�e,�; Z CER71iiCA7E OF E%E��ON PROM WOFlREHS'COMPENSATIpJ INSI1flANCE�.lhis mnion need na�6e cwnpkted � - SUANCE ��� � if the Qermit is ior ane hundred�S100j or less.I certitY that in the perlo�mante of the wort(w which�ihis �,,,;, `� SMIP � � � pe�mit s issued I shall not employ pny p�rspn in airy mannet fQ'as��tP heeame subjeet to Ih NbrMers'Cdnpensalion = Laws of Wldomi0:1"�; ,,.. � .,,' ,�- o ' f4K FEE p Oate �.,Y�-^,_,�;.-,:' -���c�� `7 a R - :�. ,.• NOTICE N APPLICANT N after maNinp this Cen;' re Qf E�npdoR YW S���3P�ieet' t�e w«�mrS �'M^.SCHOOI FEES � CompensaLon provisiuns ol the Labor Cade,you�' 1 iMfMvRI'f�ELmp(y wiHratichRrO�Iisqns}kLt��permrt shell � he deemed revaked. .,m;q� ���;,� t,4;'� J � � qVISION OF INWSTRIAL SAFETY PERMIT CERTI '�,^ra`� � ❑I... ��_�� � � �Fj � #.'� herehy cenity Nat no ezrevatwn tive �n p I i��d�� �h, pvr m i wrd 10 descend � will 6e made�n cannecibn with wwk author¢ �6y�H`is permrt aiM� �Idin�rir e pW fYsawolk ar demolrtion or diamanding 1Mreof,will hp., eQ�ihan thrtryy'�s�u l�)���(�+p 3.4:�Art 2.Set W- 741.TitleB.C.AC.1. ...q5�+�'I `�...:���, . . s ( r^�i 5�a t ''..,'y 3 ❑qs owner-6uilder,1 wiN not empky�aGya�ne to�po�wMC�wOYa'Poq(I�H�i ydlnjl'�10111 dk 4�IF�l� H Industri�l Safety,as nohd ahove,unks3 sucq person A8s a�atnuY iq�dqhuth Nv�li from the diVls�oii. , � � � f.;; � � '_,�. ..J;'.! -' � ��, ..,^�`-r� .�. W ❑Dnrsion of Industnal Sahry Per ¢}Jo .� -� -- TOTAL FEES � �«� ��� �, CONSiFlUCfqN LENpNG AGENCY:�I'I�el'e6y aflirm�Ihat 7F&i is e�combutiim 4�Inp'ageiky peI Z of tM warP for whiCh this perm�t iz issued(S�.31197,Civ.C.�. � Lender's Name C �VIMENT$ � � 9 Z ����� m Lender'x 0.ddress �"„ ^�uncCATE OF COMPLIMCE AND AUffqfllZATqN OF ENTRY:I cmtify I h�ve road Ihis applieNion sd rt�h '�� '-.'.-.-.�-.•-.._ '---�.en�e[t.I apree ta amply wNA�8 suu lews and ciry ordrwaas iNwq to Euildnp : _......._.......................... •-`.n.,,,tmem of a.kinu ra S.k1v m.n�n upm�he papAy . . ................ ......_ + .. .._........_..... ........._... ......,..,...... � ..._........ , _ _ � � PAID BY�� VAUDATION' • GREEN—Applicants Copy ,.,�r""r.+�._ -..�. }.;,;i' .5'�:,..: . ' :� �.r -..-:' ,, d '.�,t.. ..4.,nt` ... '.: � ). . .$'.' . . .. �. . . , . . :.. . - >, , d .,., � � ,. . e. , ..:.. �: .:.•..: '. . .. � � ..iw�.,e '..:: � .:T�.:� :,v,' � ' ."�,. . . 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