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HomeMy WebLinkAbout108 (5) ��, ,�. '^ C1TY 4F DIAMOND BAR PRESS � � ' ` �� '~" ' DEPARTMENT OF BUILDING AND SAF�TY F�RMLY �^ BUILDlNG PERMI7 �Jp jg Tg E > � APPLICATION PERMIT `JSE ADDRESS ��7� �-3 • �������--�'✓�. . _ DATE � � � _NUMBER � 8 GODE ISSUE � TYPE OCC. � APN ___ LOT� TRAC � DATE �,� �� CONST. GROI:P `� CROSS S EET__ SETBACKS ��'� O°f OWNER L _ ZONING FRONT � � ❑ I ��ADDRE S "" ' �_ � - �.��� REAR ❑ �I CITY��j _ZIP �� � TEL. ���S.�l I SID�. E EET RW ❑ Q�F�PPLICAN� � _TE�,� '- SIbE ❑ 4.. �'CCNTRACTO � �� _—���- �_.�_..l�2sf�.L SEWAGE ❑ PtJBLIC PMT� pADDR �S,_�l�• x-- � .�� �-�-�,� DISPOSAL ❑ PRIVATE SQ.FT./100 GAL ,,., CIT.�� C� ZiP� TELt1.L_�Y1� i z STATE G � uC.tvunneE� ����J�! � � GRADING ❑ GU.YDS.EXC. CU YDS FILL y,ARCHi ENG! V; ��� SQ Fi' FACTOR PS ADJ. AREANhL N �'j DESIGNER__ � � � /"�J rc — _ �'i ADDRESS____ (i 2 � c�, � � CITY_ ZIP TEL._ � 3 � PROPOSED USE �+T--tZ — �-`-t-Z_ Q 4 i -� „J GARAGE � �I NO DWEL. N�. NO. � P0� y UNITS STORIES SEDROOMS� m c� LOT�IMENSIONS VALUATi`JN ADJ.AREA a NO.OF EiLDGS HOW aUAN7�rY pESCFj�p'TI F�E � ON LOT_____ USED_ ¢ � z' � G ac _— U _i _ � w � x � I ICEN.F9 CON1fiFCTOPS f:F.C:ARATqN�herzhy a�inm ihat I am licxnsed�mder pmvisions of Chapter 9lcamnencing Ir- � n Secru i�GOL;o"O�wsmn 3 nl ihe Busm.ess and Professions CaAe,and my I¢en;e�s in!ull Imce and effect � � � � — W �- fb:"JFH?Jll'JCB;ECLf.RAT10N I herehy a!lirn Il��at 7 am exempl Irnn�the"ontracw�'s lreense Law•fm Me followirtg — Z :as. ;Se� ?f.?1:� iusiness ai;tl P:dessiors Cade anp aty or cminly which reqares a pe�mit in constrlxl. (} o zl�e� r�,rm.r �.e��aad• nr rrpart nny slructure,prmr�n 1(5 IbS�dOfR d150!lQLIfQS II!P.dFCI1CdP�IOf ci�ch permn 2" — Q v�dr.a:rpea a;samert Ihz;�e rs�icense.d ou:suant�o�he prm�sions oF the Cantracmr's lrtense Law(ChaDtei m � � F�on:mei.awq.xrh Sxr..�r,u]09�j ni O�visron 3 0!ihe 9usiness and Pmfesnons�odol or�hat he is e.er.�pt therelwm � d arr.t^r nass I;� the allr,qed erem0��on Any roiannn al Sr.clinn 7D315 hy any applinnt!or n oF�mrc sub�ecis � x ��r a;�•i�:er;•r a r,il pei al�v:1•�m more than`rvx hundreC dollars 13500�! a � .. � � �.�� az Jrv��e•n�!hr��cC�rry �r�ry�emnlovees with++ages as!he:r so!e compensatcn.wdl dn t�e work.and � tl��trnrune,o mm��terdr.d o�n�l:rrd!,r sale�Sr.c.7944 �us�ness nnd Pralesx�crts�nde TIIE'C0�«TC:OI S License Q � Liw��la?>��,I,r;�l�•;u ar ownw c!�mOel:y vthe h�alds nr imCrwes Ihe:eon.and who dres such wark himtelf (] _ � • r��cin;:;his r.�emylvye�s yro.ideJ!hat s�.ch imp�ovemeNs a nM intendM or oflercd fm sale I!,hwiever, � m !Pr r i.nn•r r:irp�av���ent:s salA H�nhin m�e vea�cl compieuor.,!he mvner�Wilder will have the hurden nl;mmr.p Q � il�a;I�c A:r�mi hu�li nr nnprave for fie pu�posr.o!sale I 'S y ❑�� es nwn?:i.� iPF pioDerb,m^.e�cWsrv?Iv r.o�tracnny wtlP b[ersed r.omracrors In censtmet the promct�Sec l�yE — G '0%«7 Bi.siness arr P�ot•snanc Cctle.7h¢Contiactar's License Law does not apply ro an mrner of pmpeny wl:o '� � ':�•ntls ci unpmvNs ih�ron and whe fonVacls tar Such pmlP[is wilC a con�ra[�Of�sj I¢ense7 Dursuani to Ihe Cnnlrittor'S — `"""`°`"� CONSTRUCTION o --- ¢ L� �e,��:�e���p;untr.r Sec .B 6 PC;Anxh Cem6care) � PLAN REVIEW _ ___ _ p',r,a:c JNner_ ELECTRiC � LV,1RNifiS'f.Ok:PFNSAiIOh 7ECLRRA7IW 1 heiety a�hrm that I haue a[ertA¢ate nl consem to seN msve,or — i ir.rnl�tn:r,o!'Nr.rNris Cr,i:persalim Insnrarre,or a r.endietl copY tl�ereof(Sec 3800.:a�CI PLUMSING Q��� ,,,�_j MECHANICAL Z��_Cerefien moV�s herelry fmnished Gi �y'f".er.il�e1:usy is IJed.�itli the Biniding Inspeaio:�.DeGanmenl or_ Departmem h GRACfiNG w � •_CBTIF.CAT6 Cf fXfYPT10N FB0�11'VOFKERS COMPENSATION MSURANCE TMs settion need not 6e compkled (� �SSUANCE t .f � i ;6e pernn;�e I;.i ;nc hmidree:510�71 ar iess I cernly thal the pedormance of ihe wark for which this �, rmu u s e�.I shell nor eir.play any person m any man�:sa as m hec e suL�ect to the 11Urkas'Canpensation SM IP _ �aws::f Caldorn ,�' � /i�/� f � � �.'�( w PARK FEE d ;:�,'[ ADd;ca �+ � 1Y'.TiCE T(7 APFIICANT If.after mak;ng this Ceridrzaie of Eannpuon.Yau should be me sub�ett m ihe Wale�'s �- SCHOOL FEES � 7umpersahon pro•avnns of 1he Lahor CoAe yau muxl forMwith r.omdV with sur.h avisians a th�s permil shall 'i- hr Jeen�eJ rr,vokrJ T ��CV�I51(Ih10F INi]U5TRIAL SAFETY PERMIT CEATIFICATION w � C�I herr.ny ixr.4y�hat no er[avatian Frve(51 or rnore het;n Eep1h into whrch z person is reqwred to deuznd, _ � •.v.11 Ar.made m r.onnen:un wrth work au�ha�¢ed M1y ffiis pema,and that r.o 6uAding structure,scalfoldmg,lalstwwk, nr Arr�,nlninn o�dumantling;hereal w�ll he mare than tMrry�sir�36)Fr.el hqh (Chap 32,Gry 2.An 2,Stt w :'°' ,"'� `'"`' ClTY OF DlAh1iND BAR _ _, a _.�;,.,�wne��mlCei,i will�o�empby enrone to Uo wo�k Wh��n��b iequiie a germit hom ihz a�u�a� BUIL�ING AND SAFETY �... Industr�n!Salely,us noted ahove unless such permn has a permit to do such wmk irom me dxivion -- g W �:=��risior.�rf Indusl�ial Safery Peimit No ' TOTAL F�ES �"� . � s � CflNSTRUQION�fN111NG AuEN(Y I he�eh Hum that therz is a comhuclnn 4ndi � y a �apeircy for ihe perlurmance�l = ol thr.work fnr wn¢�h ih4s permn is usueE ISec 3C97,Civ C.) p �eneer s Name__ (;�MIV�ENT$� = lender c AAAress 00 � CEKfICICAiE OF COMPLI0.NCE ANO AUTFpqIZATKY!OF EMflY 1 urtrfy I have reed tAis appliwtion a�state va chat the ndor:nauon qrvr.n is m�ren I aryce ro compH weh all state laws aod ciry or�nanca relati�ro 6uiWi� ` ymnstrur.im�.antl authori a iepresematrve of Ihe De�enmem ol Bmidinp a�d Sakty fo m tt ymn Ihe properry far wh¢h 1 ha�e appl i Ras peimqtl far Ihe pu acof ekinq inspeCtans / � � � %�I � �! �' �''tL � L E ' Sg�aim:�t np �am m Agent --- ��� RECP7 NO PAID BY VALIDATICN WHITE—Cepartment Copy.YELLOW—Finance Copy.PINK—Assessor Copy.GOLDENRO�—File Copy,GREEN—Applicants Copy .. 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