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�� . . ,�_ �..�. . ��;. ,. tr:i:. . ,. . +� �.� �"s �..,_ _ ' :� .�- , ; ,,: � _ �.�. � ...__. � . _.. _ _ CiTY QF [�IAMOND BAR � DEPARTMENT OF;B4ILQING AND SAf�ETY �RES � '� �' BUIL ING PERMIT „ FIRMLY JO�SITE � . � PPUCATION y `y PERNUT � USE > APN RESS ����-�I � , �C' �'1��'�1 ~--' t_.. jSSUE � ~�, TYPE ER_�,CODE LO TRAC DATE �' ' � -~ r CONST GROUP o CROSS STREET ZONING �oM�KS .' .�weu,e►ms =' �WNER�. � ,9.,. �,..,, RW C� � ADDRESS REAR ❑ W CITY . � ZIP TEL. `r - •. ` SIDE/SIDE STREE7 Ryy ❑ a APPLICANT �',�.�_��/�.�! GC� ' TEL.�' -� x ���� SIDE (� ,� CONTRACTOR � � ��"�' SEWAGE d ADDRESS Y � ZIP o1�s'D TEL. /- DISPOSAL. - � ��;;; � Pl1Bi,�,IC; � � PMT� W CITY � C�. PRIVATE ' 3Q.FT:%100 GAL = STATE y LIC.NUMBER�S�- �S",�L'n"]� GRADING C�'CU.YDS.EXC. CU YDS FILL y ARCH/ENG/ � �'YP� ;SC� E"'1"` �#�.F�'�S ' Ap;►,AR�+AC.UJ4T�L)IU '.. '. � DESIGNER �saS" k�:l � �j�'�; �, ,-.� o ADDRESS � 2 �� z CITY ZIP TEL. ;�; g � PROPO�E,,[�USE k s '' - � 4 __.. _ .. _. o „��;;��„��.�{3 ,`+4,.. � � "�,,,a": GARAGE o NO. DWEL. NO. N�• � � pORCH y UNITS STORIES BEDROOMS � LOT DIMENSIONS � VALUA710N - A�J.AREA o NO.OF BLDGS HOW t�uAKiTr#'Y;-[���. : F��O�1 ' �.�.` ,� ON LOT USED W � ,e , r cc� �'�' UC❑ENSED COMflACTOR$DECIARATION:I hereby affirm that I am licensed unda ptmisions of Chaptar 9(tommenciiq M,�-� � with Se�tion 700D�af Oivision 3 of;he Business and Professans Code,and my Ixense is in tull Porce and effect ,..�-. 3 � -� � �+- 04YNEH-BWLDER�ECLAflATION:I herehy af�irm lhat 1 am eMemO�hom the CoMrocror's license law far me IWluwinp � z reason�Sec.7031.5,Business and Prafessinns Cafe�Any ciq or coumy wNch requira a permit m cunstruct, �� � "'�'k-� /'� �,�,�,- (1 L �^"%'=y O alfer,�improve,demolis�,or repair any Biructum,prior to its isauente,also�equires the aWliCanl lar suCh pefmll V•-" �l.� Qm file a signea statemem that he is licensed pursuam ta the p�ovisions of the Cantradar's Lieense taw(Chapter �: � �' ^^� -y p� 9 I�ommencing with S¢c�ion 70001 0(Oivisian 3 0l�he Business and Pmfessiuns Cade1 a that he is ezempt tlrerelram q�: a � ard the hasis lor the alleged eiemption.Any violation of Section 7031.5 by any epplicanl lor a permit subjeps ';.��; ` W the applicant to a civil penalty of irot more IAan five hundred dollars(t500j.�: �..�,,,�.� ` �-'� �'l-� .�� � 0.: � ❑I,as owner of the pmperty,rn my employees with wages as their sole cnmpensalion,will do the work,and � ihe stmclure is mt intended or offered for sale�Sec.7044,Business and Professions Code:The Contrenoi s Liunse �, � � � Law does rwt apply m an owner ol pmperry who 6uilds or impmves theieon,arid-who dces such work himself, {,�j �.-%� � � �ri =W or thm�gh tds own employees,provided ihat such improvements are no�intended ar otfemd lor sale.If,howeuer, � the buibing ar improvement is mid within one year of campletion,tM awner-builder wi11 heve the 6urden ol provinp �,;.�:�,� � � y Iha�he did not huiltl ar Improve far the purpose of sala.) v7 ❑I,as owner of the property,am ezclusrvely controctiny wilh licensed caMractors to construct the project{Sec ' j�j'�; 0 1�44,Business and Prolessions Code:The Contriqor's Licease law does not apply ro an owner ot Draperly wM �_;i�.^„4'�. z builds or impmves thereon,and whu coniracls lor such Drolects with a contractorlsl licensed pursuant to the Contracar's � � � �� oLicense law.l C ONS R �� ¢ ❑�am e�empt uneer Sa. B 6 vC.IAttsch Cenitioate� ; PLAN REVIEVY � �+ c Date Owner f'�ELECi� - ..�� �y �4'� C � WOHKEflS'COMPENSATION OECLRRATION:I heieDy affirm Ihat I have a terUfkate of tonsent to seJbinsure,w � �.� a certdicate of Wurkeis'Campensatian Insuranee,or a cer�ilied cupy thereot�Sec.3800.Lab.C.). � � M$�(V � �IIECHANI�,GAC z ❑Certified caOY is here6Y��nished. ' ' �;�r� ¢ �-y E w �zs�C.ertitied copy is filed with the Building lospection Oepartmem or pepariment �'..GRADING r � CEFTIFICAlE OF El(EMPTION FROM Wl1FtKEHS'COMPENSATIINJ IN5UflANLE:7his senion need nmt he comDleled � ��ISS�,���y --�r '�� .=r-�,. y if the permit is lar orce hundred(51001 ar less.I certity.lhat in the peifarmance ol the wak for which�thb -; ��j � � � � peimit is issued,I shall rot empby arry perwn in any manner so as ro hecome s �ecl to Ihe NbrMers'Compensation "' f,`(��P�$ /�,.. Laws af Calitornia. /' �, f p Oate �—I�-`/ G3 �� ���''�:� ?Y � �'� y� �.�,y .(�„�: PARK,FEE JNOTICE TO APPLICAM:If,aMer meki�this Cmtifk���pcp�,,�„s�� n�����,�,,,.,�,No,�,•, .�.t=�:SCHOOL FEES Compensauon provisions af the LaUor CoAe,you must Mihwtlh comqy with suth provisqm a this penrit shaq :. - 'i be deemeA revok¢d. � � dU1SIW OF INWSTRIAt SAFETY PfBMIT CEflT�I��f1�N� � ,e;�'e 6q; �.� �'e � ❑I hereby certily tM1a1 no excevetion tive(5�nr more feel in depth into which a person is�equirEd Ia tleECend, � witl 6e made m connectian whh wor4 autharuetl by Mis permit,and Mai no 6uitliaq suucturc.swffddinp.I�Isewark. ' a demalfion a tlismantlinp ihereol.wi,ll he mae(han Mjclrqsi� 1361,1qtl,high.(Chp,3,�.Gq 2.Art 2.Sec W� 341.TiNe 8,GA.C.1. , �I `,,. . ... .� .._. .... x o, ,_,.. : :, .�r' . �t'.,� 3 ❑As owneo-build¢r.I will nol empk�-anyon't�to-��do wwk whkh"would teqtife i parm`mt from tAe pivuion at � 1— Intlustrial Salely.as noted a6ove,unkss surk�perun hes a permit m do sucA work Irom Mre divisiun. � � �'- W ❑Unisian of Induslriel Sakty Permit No. � TOTAL FEES d�.�,�j � CWSTRUCTI�1 LfNDING AGENCY.1 Mre6y aHirm Mot.there ie a eorttratiai k�inp agaicY for the prfom�te x M the wark for whech Nis permt is awed(Sae,309),Civ.C.�. .... . . . .. oLendei s Name -�� �; . .. , .... . . .. . .. ' �. . . : � m Lender's Add�ess COMMENTS Q CEFITIFICATE OF CUMPLIANCE ANO AUIFqWZATIW OF ENTHY:I certify I Aa�e naQ Eds yypkniaa mp styte � . . . . c/s ihat ihe fllDflne[pn 91K0 IS COffEtt.1 iBfGE 10 fAlll�wttA qil stale lewa an1 ciry ordiiwrea rehoup m buitlinq . � �y constructan,iM autlwrae a representatNe ol the ppertment ol Buildinp md Sekty to anyr�qqi yN popeny . . . = fa wh¢h I Aaue a ied lor this pnmil tor tk purpu,9e of mdcinp intyxtions. . . ... 1— —+ // e X � 7`��--��-� sq�.n„e d ap�icmi a pqe,n p,� RECPT NO. PAID BY , VAIIDATION WHITE—De artment>C PY __ p opy,YELLOW—Finance Co PINK—Assessor Copy,(`,OLDENROD—File Copy,CaREEN—ApplkaMs Copy BS106-11l89 _ _� � , _ �,.�, __ _._� . .. , ���� �� ��� �... _ __...� .. .. _.. �.. .�...,.....__r . ..__�...__ ._,:...m w.. E� a � 1 ��� � �� ����� � ,������. 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