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HomeMy WebLinkAbout1374 (16) . .,,���,., . ,.�.,�,.�.,�.,:�-.� _ ���;����°�� , r"` CITY t�F DIAMOND BAR PRESS DEPAFnMENT 4F BUILDINGi AND SAFETY F�RML.Y BUILDING PERMIT Jt�BSITE �/ �+/,,,, — ADDRESS /V. SP'G�-� � ��� � NUM ER� COQE ISSUE �TYPE I�CC. ! APN L 7RACT� DATE �"` CC)NST.___�,.:,:.,,_1"'aRC�UP e CFiOSS STR ET � zONING SETBAGKS '�"'�"'$ m OWNER FRONT RW � o ADDRESS ' R� � W CITY ZI TEk.. '"'�` SiDE/SIDE STREET RW 0 Q APPLICANT EL SIQE � ;¢! CONTRACTOR ��� SEWAGE (� Pl1BUC PMT# o ADDRESS DISPOSAL Q pRryATE SCI.FT./100 C�AL W CITY ZIP TEL.�_ = STATE CaRADING I� CU.YDS.EXC. CU Y0.S FILL � UC.NUMBER ` PE SGl FT FI�1G?i�1� PS : AflJ. AR�IW LUATIC?N !� ; y ARCHIENG/ �/�� �. � � DESIGNER �' aDDR�SS f,�. 2 = CITY ZIP TEL. („�► 3 � PROPOSED USE A J'.4 � 4 �, � GARAGE � NO.DWEL. NO. NO. �' PORCH N UNITS STORIES BEDROOMS oc L.OT DIMENSIONS � VAI.UAI'lON ADJ.AREA o NO.OF BLDGS HOW 'AU�NTt�`Y' L'�.�5 :RIPT[�'3N '; F=EE„' W pN LOT USED � � �W � LICENSEU CONTHAC1DflS OECLAHATION:I herehy dfirm Mtl I�m licensed under prwidone of CMPur 9 leomnmcinp -,� x wuh Section 7q101 at Oivisan 3 of ihe i md Pratee' :Cade,��my Ikwne ia in hAI fa�c�vdd dtect s � �ER�Bl11L0ER DEC1Ait N�1 Mrebv dhrm that I m��empt Irom the Cantruroi t Licenu I.sw fa tM�lalbwinp Z reason(Sae.7031.5,8 ess end Vrafaeions Code_Airy c�ry ar eeunty wheA reqwrca a perme to tanstruct, {S'" ; o alter,improve,demdisA,a repeii my�ructae,qbr W'0.�16fW11Ce,llf0 IpYIR3 HIO�WMCML IOf iYCA PCfllnl 2,". � la file a sgnad stetemenl that Ae is NcenseE purw�m to�the p�wiaona of tAe Gonastu'�Licane law�Chptar � " - � � �� °� � 9�canmencing with Section 10001 oF 6visim 3 0l t�e Buaness oid Prafeuioro Cadel a tlret he s uertq�t piarelram �: � md the 6asis lar the akeqed erempuon.Airy viWation d Saeuon 7031b by eny�ppliunt tor�pe�mu tuhjects W th aPW�ent ro s civil penaltY M nat enre ihan tive hun�ed doNars 1�5001.)�� � ❑I,as ow�r af the property.m rtry empiayees wiM Wagts M Meir 6de Compe�Mlion.Wltl b the Nrort.end tle structum ic not immded a oflered ta�ak�Sec.7044,Bucinesa md P��exsiona Cade:7Fre Cmtntta a Litense ,�j Lsw Eoes m�vpply to�m owna�of praperty wFo Ouilds w unprwes thereai,��d who does tucA rrork Mmadl, W u tlrcauph his awn employees.Drwided that wcn mprovements ue not inMn/etl a Mhad M wb.II.;howrvn, ���,_ � p� �M buiWmg or impwement is sold within ane Wer ot cempbtim.tk awner•IunNar will Awe the Nrden ol povinq � tM1at Ae did not 6uild w improm iar Me purpox d sak.l 'i H vs (�I,as owner of the popertY.om ercluaively contrxtiny with IicemM wntrxrore ro tonstruct Ifs pqect ISee. ' — 1[I44.Buainess md P�ofessions Code:Tne Contrecta i Lkenu lew dces np�pply m m wmer d propeny who - e = huilds d impraves diereon,aM wAo�mtncu lar wcA pmjeels witA a wMreemr�s)licensed putwnt ta du Cmltulor'S : . 'C L'cense law.) � ' . -..:��.�CiONSTRu��ON � ❑lam�mn wderSa. . 6PC. sh � " h) EVIEW � �u � ! �� � ��.�CiTR��i �� � 44aiNEHS'COMPENSATION OECLARATKIM1i:I here6y�ffum tqay I Nve� r u�te of canemt to mM-4iwe.ar � e rerMiaate ol Nbrkeri Compensnion Inawmce,a��nfilied eapy thned� .3800,1�6.C.I. � PLUMBING � CJ c.�i�e c�vv��n.�env+��+snee. "�j!MECHANICAL c ❑CmbfieA copY i�ided wid�the BuiNlnq Mspecum D�pptmem a Oev+rmMne �C:(�RpDING � � � CERTIFIChTf OF E%EMPTqN FflOM WORKEHS'CQNPENSATION NSURANII:TAu f�cbon n�eA not 6�campleted N(�� _ _ .� N tlro pemut ia for aw hundiN Ii1D01 v Ins I a�tilY dut in tha qrbrmmce d tlr wak M which'Mi� , peimit is iswed.I shaN not emplay�ry perwn in nry memiai aa a ro hecame wblat to Ihe MHkas'e�o���� ��� SMIP .�.�. Uws ol Glilanu. ' � �,,, a PARK FEE � °at ` �K°°' �`SCHOOL FEES W NpTICE TD APRICANT:fl.Hkr mekinp Mii Cwtifkrte pi Ea�n ' auhqcct q�he Wwka'i � Compensation povisims ol IM Leba Code.You mua�fErMwi16 `� Y .:�h�s ar Ihi�permil diM !e daemed nvoMed. 'z�.�,:.�✓ . a � OMSION OF NlDUSTHIAL SAFETY PERMIT CERTIFICATION:, , o ❑I herobY�MNY Mel m excawdon fi�e(51 a mae�'kel in IeD�A into wFwtA�Yonan il nWurotl W�ptad �e will Ee m�de in cmneqion witli wak iulhar¢d by tlis ,p; a�.'Mut ro Yd�inp��{�,�ip.I�sevmrk u Mrtal@ion a dismentlinp thereot.wNl be maa dwn, i �61'Zwt�+ �Vpy Gq 2,Art 7.Sec - �' 341.Title 6.C.A.C.1. . $ ❑A�ownerbuiWer,I wiA not�mPbY+�Yoro ro do,� b_ H r�7Wn�,pwmi�Mm�,^:�livaian d . . � i�a�ni s�mY.�:�a,m�.�w:�v��#+�rt���'`no�;w�a�t a�uK� �1 �F__., � �Omslm d I�dusaiW Sihty Pormn No. ��-�'e�-�.�.."�"�"I °�'�•�`�:•.'� :��">-�:1 1� � �������,��:��.�.��.�.�.�.�,���.���.� TOTAL FEES - � � � ol tM waM ta wMch Nis permit y oae0 ISec.�91.Cir.G�. . � ►•��_�� eoMnnenrrs p�p tmder's Addmsi � - '� CERfIfILATE OF COIVPIW�CE hWD AUTlDNZA7IW�,ENTHI:I valy 1 Mro mA IMis pplicnien rd p+u . . N tl�et tl¢nlam�uon pum q wmct.1 pree lo aondY y�idi�B abte Wrs mA thY eMdwao nYuiq to MM4np y ansm¢ten.wd ' �rconunumn d tlN d�rumn d B��c rd S�tetv a�wr qm Mr lmperq � � M which 1 Mve d for fA'a mi�Fpr dr pNpor d' ' in� ' �. X s�, ni«ny� , aa g �, , RECPT NO.__(���PAID BY��_YAL.iDA WHITE epartmeM Copy,YEI.LOW—Finance Copy,PINI�Assessor Cppy,40lOENROD—File Copy.OREEN—AppliCar�ts COpy 8S106-11/89 � ' .. ..,.,, ., . b �:,.,,,, - �;, :.u: �--- .�, ..-,.. ,.�.,. . - .� . .� , . .. .., . ��. . , : , � :. » . � .,,,.;� , .... ::� . .- .,. , . . �. . . .. +�.„.. . .�. • . .s; . . _ .... .. . . . . � . � . . .. �� . . , ,' . . . 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