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HomeMy WebLinkAbout1315 -____ _ ______..__. _ , ��.: �''` CI�'Y OF DIAMQNI3 BAR PRESS � - OEPARTMENT OF BUILDING AN�SAFEtY FIRMLY -:� BUILDING PERMIT dOBSITE APPLJCA710N PERMIT r--- 3E DATE ^ �-� �IUMBER �� � CODE ADDRESS � �- � ��• ISSUE � TYPE OCC c' APN LOT T�RACT DATE � �"� �� CONST. GROUP � s�ac. ; . , . n ,. , ' CROSS STREET �-�' ZQNING KS .sa+r�ue�rrs a' OWNER �' " FRONT RW 0 °�: a � n u.,s>r.�� .�-�_ REAF? ❑ _:� ADDRESS ���_.m�Fa LL� ' ZIP 9>7ft�'�TEL.����.:.1�1¢ SIDEISODE STREET RW C� ,�j'�,; CITY " �� APi�LI t.c`� u_D '7t'�L'' TEL. �' ^ SIDE ,. , C� -_ � - � CONTRACTOR -- SEWAGE � PUBL,IC PMT# �;; ADDRESS _ .--__�. DISPOSAL �'.� CITY ZIP TEL. C� PRIVATE SQ.FT./100 GAL _: STATE GFiADING � CU YDS.EXC. CU YDS FILL o: LIC.NUMBER V' ARCH/ NG/ � T'1(PE �Q F�";l�ii�l�t."1'�}� F?� ;:' ;'�C?J.' �At�AiLUA71C1C►I -. �:� `-''• DE5IGNER � � a;: ,Z �' ADURESS, _ i.�: �:, �� CITY ZIP,---..,__ TEL. �,j►; 3 �.� �, s;; PROPOSED USE _ 4 �:� ti�tS���� ' �' S - '��'�.h��' �t2�._ �: GARAGE �E� NO.t�UVEL. ''ie�"'iQO.�'� NO. C-���'r �' PQRCH '� UNITS ST�RI�S BEDROOMS �� LOT DIMENSIONS VALUATION_ """` ADJ.AREA e7 NO.OF BLDGS HOW Qt1RNTtTY .C}I�.S°Ci�IPT�OI�I `: FEE : . ' ..:... '_:� ON LOT USED � �.� � ��� v �:� � � �.. �"" IICENSEO COMRAC70RS DECLARATIaN�.I here6y atfirm that I am licensed under pmvisiant of CAapter 9 fcommencinp y= with Section 70001 oi Oivision 3 oi the Business and Pmfessions Code,and nry license is in Fd�iorce-and eftect. : �, a:: ca J' - : . �...�.. 3t W; �,.... . .;,,. .,,: �...:�-� .n.,a-� °a �+_ JJNfB�6111LDEfl OECLARATION�I hereby affirm that 1 am eremp�trom�h¢Conlracmr's License Law tar me�ollowing � ° �, reason(Sec. 7037.5.6usiness and Praiessions Code:Any city or county which requires a permit to construct, :��:! ei alter Improve,Jemolish,or repair any slrucWre,prior m its rssuance,alsu requires the applicant lor such permit -�'�Z` �4 to file a signetl statemem[hat he is licensed pursuant to the provisians ul Ihe Controcmr's License 4aw fChapter ^.y�j: Q; 9(cammencing with Section 70001 af Oivision 3 0l the Busin¢ss and Professions CodeJ or that he is eaempt ther¢imm ,;-�.� n:: ane Ihe basis for the alleged exemDLon.Any violation of Section 7031.5 by any aOPlicant for a pe�mit subjecls -;�-; "'� Ifie appLcant to a ci��il penalty oi w1 more tban`ive hundred dollars IS50D�.�: ��: a� ' u.i F� ❑I,as awne��I the p�operty,or my employe&s with wages as Iheir so�e compensation will do the wmk,and . �.� the stmcturo is noi intended or oifeieA lor sale ISec.IOA4,Business and-Piofessons Code:The Cantractor"s License �,. L;j law does nol apply to an owner of property who builds ar improves ihereort and who daes sueA work himselt �+� or through his own amployees,pmuiAed that such impmvemenis are not inlended or offered 1or sale.If.M1ow¢ver. .��.�' Qi �he buiidirq or impmvement is sold within one year of canple.tian,the owner�builda will have ihe 6urd¢n of pmving �Q- � that he dld nm 6uild or impmve lo�the pmpose af sale.i U, V:1 �.i ❑I,as owner of the pmperty,am erclusi�ely mnlracAny with licensed comractors to co�struat ihe project(Sec 1jJ�: C.� 7044,0usiness and fmfessions Code:The Contractor's License laW does not apply to an owner al property who `�_' 7^_ 6uilds or improves iherean,and w�o comracts lor such Drojec�s with a canlracror(s)licensed pwsuanl ro�ha Conuaotor's / � / .�r. ���.�se:�� � ONSTRUCTION __,� �—��' . (.�'� F� ❑I am eRe t und Sec. ,8.8 P.C.(A97ach ertiFicate�. �. i�.:P�,,,/�N RE�/I�w �� oa�e owner ELECTRIC _� WOR RS'COMPE TION DECLARATIDN:I hereby affirm Ihat I tiave a«rti�icate o(consent ta seN�insure '-� a certihwte ot Workers'Compensalion Insurance,ar a cerlified copy thereof(See 180Q 1a6.C�. � PLU���NC.�. _ �� ,,,,�„� MECHANIGAL 2 ❑Certffied copY Is here6y lurni�ed. a: ei ❑certi�ied coov is tiletl with the 8uiiding Inspeqion OeDanment a Oevartmenc '� ,�,yf�/���Nr.a ` /' �"- CERTIFICATE OP E%EMPTION FROM WORKERS'COMPENSATION INSORANCE:This seclion need nnt be compkled ' S�A�.CiE..�� l. �'� il the permil is for one hundred(5100)or less.I cerUfY mat in the perfoimante ol the work for whkh IAis u�� ermit rs Issued,I shall not em I an _ P PM Y Perwn in anY manner sa os to 6ecome iu6ject to ihe Work¢rs'c���t�� -�MIP t.� laws ol CaGfomu �x� � � �'"t � PARK FEE �;� Date "��""" '�'r ' A•1� SCHOOL FEES �'•� NOTICE TO APPLICANT�.If,afte�makinq this Cenificale af EKanptian.yau sMuld became Subject to the Wwker�s --! Compensation pmvisims af�he Lahor Code,you must 1ortUw�ih camply with such prwisqns ar Mis permit shall . �+- be deemed reuoked. �, � — �'a �.; pVIS1�N OF IN��STNIAL SAfETY PERMR CERTIFICATION: '� ���:'y,: u.i �- ❑I here6y cenNy fia[no exavatian livx(5�or mom�eet in depth in�o whidi a persm is reyuired to descend �� wili 6e made in cannectian with work a4thqrizqd,hy Mis permit,and,dut no building sduclwe,uaifold'mp,fdsework, n� or demolition or dismanAing ihereaf.SV��(pe�nae„thdn t�iny-six,(361.,het Aigh.,IChaO�_32.Gry 2,Art 2.Sx �� 3M17.TiHe 8.CA.GL • ... r,-., 3u y �.r':'.. ! _ . . .. . ...._; .... ... ._. � 3�� ❑ps ownerbuilder,I will not empby anyane to do wark which would rBquire a permit hom the Oivision of �..-. Industrial Safery,as noted a6ove,unless sucF pefson has e permit ta do such work fmm Me division. . �: 4N ❑Rvainn af Indusirial Safery P¢rmit No. TOTAL FEES \ � � ,� � n_ Ly CONSTflUCTqN LENOING AGENCY:I hereby affirm that there is a wns7utGon lendi�g apency fior the pntammce �� oi the wort for whrch this permit is issued�Sec.309T,Crv.C.I. . �' Lender's Name COMMEN7S Q� Lender's Add.ess � - o� CERTIFCATE OF CUNPLIAAICE ANO AUTNOWZA71dY OF ENfRY�I eerMy I hare reaA Mu apptication aid stah u.r mat me�nfwmation given is cartn.I ap�ee ta mmply with all stau laws�rd ciry o�dinanca rdatMq ro 6uildiip � a v� consnucfiai,and auNai¢e a represemative af the Department o1 Buildinp and Sa�ety fo enbr uqxi tlit praperty _, for whkh I ha appled for ihis permh lar�h p i ose ol rtukinp inspactiau. r _a�� —�' �"" — j�—'�� .RECPT NO.��r.,�._�PAID BY �r VALIDA710N Si ture ut or Apem . � mh �, . _, WHITE—Department Copy,YEL�OW—Finance Copy,PINK-0.sseSsor Copy,GOLOENR�D—File Copy,GREEN—Applicanis Copy _. ,_., �...�,... «.� _ , �s . . �_. 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