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HomeMy WebLinkAbout1082 (5) .,...._.i..+�Mtl�...eeM••- '"� � CITY OF DIAMOND 8AR DEPAR'1MENT OF BUILDING AND SAFETY PRESS BUILDING PERMIT FIRMLY JO SITE APPUCATION (��, PERMIT L nR� SE ADDRESS • � � DATE �-J,_�NUMBER CODE � APN LOT TRACT ATE ���-�C� CONST GROUP e CROSS ET � ;SET9ACKS - •��� =° OWNER zoNiNa ��nrr Rw ❑ , � ADDRESS � R� ❑ �W CITY-' ' � ''•` �P TEL. - SIDE/SiDE STAEET RW ❑ o APPLICA�NTr' ��r' TEL. - SIDE ❑ _ ,° CONTRACT,Or�R� k � � SEWAGE o ADDRESSQL(�I�i) a1re� % , /• ❑ PUBUC PMT/F .,� CITY ,`.li�r.�7" ZIP�.b,.4_TEL ��j J_� DISPOSAL ❑ pR�VATE SGl.FT./t00 GAL „ C_ ,2 � � LICT UMBER.��l 9 D/ CS� GRADING �CU.YDS.EXC. CU YDS FILL y ARCH/ENG/ � 'TYPE SQ FZ' FACTDR PS ADJ. AREANAL ATiON "' DESIGNER �T- /7I.�/t W 1 o ADDRESS �/+1� .r t� W 2 •O z CITY ✓ _ ZIP TEL.� t3r 3 ¢ PROP'(3SED t;1S� ' Z 4 ..0 � :•..:: :. �. . ..'; � GARAGE o NO.DWEL. NO. NO. y UNITS STORIES BEDROOMS � P�CH � LOT DIMENSIONS m VA�UATION ADJ.AREA o NO.OF BLOGS HOW ouAM�r DESCR 10N FEE W ON LOT tJSED � �L � U � �w . � � �. IICENSFO CONiHACTORS OECLARATION�I kre6y aflirm tl�n I un Y�rnud uder pwuian:�Chaptr 9�wmmencinp � Y wn�Sxuon 70001 ul Oimsion 3 al Me Business and Prelessuns Code,and my Icqoe ia n hll 1m[e�nA dfat W � ' ' � ❑ ' � � 0.VNER�BUILDEH DFQ0.pAiqN�1 her�bY dflrm�hai 1 am uemp��rom�M Conlrxq�'s lkmu lwr toi Ae Idlow�np = reason�Src. 7031 5,8mmess eoE Pmhsaions Code Any diy or cwily whRh rpuirp�a permil m ewntru7. (} 1 �� o airei impirne,0emd�sh,a npa�r nry str¢ture.prai to us eswnce.�Iw�puxes Ne,tpplium toi w[h�ermn Z Q �a hk�siqned natlrien[the�M is Icensed purimnt ro tk pwisuns of the Lannx�a's tcen�e law IG�p�x m p� 91[ommencing with Section 70001 of Oivision 3 al tM Bunnett aM P�abts�ons Cade)er M�t he e�umpt Ihuehom � ' d and the 6aas kr the aMeqeO eaempuon.Airy ridetion o1 Sanon 7031 5 6f my�pphcmt for�pmmit w cu K rAe aDV��canl m a civA penal�y ol noi more IAan liue Aundred tlolWrs�550011. � a W � ❑I.as owner of Ihe RaOvry,o�my employtes w�M w�0ef�S iheir Lab campenaaPon.wdl do IM worY.�nA the strucmre rs na n�meed or ofierM lai ule ISec.70A4,Busmess md Proleaswm Cade ihe Cantrorbr's LKenu a � L�w dces not pply m 1n pnne�of p�operty wlro 6wlds or imDroves Merem,ind wla Arcs su�h vrorY h�mseq, (,) �+-� m thiough his own 4mplayees.Orwided Cut sucA imprnvert�ms xt noi inllndeA w oNercE hi�eb.If,howeyer. Z e�0 the Cwking a impmemint i�told within one yeu Gt comD�s���.1he Muner�huilda will hwe Ihe Ewden ol p�minp q y that he d�d nat EwN or�mpmve lor the purpose o1 de) _ Va ❑I.as owner ol ihe pr�erty.Ym e�[45nely Conlrunny W�Ih Lteined COnVKbrs lo tOnsirutt Ihe prqM(S1c W 0 704L,Business an0 Prohssons Code TM CoNoctor's license l�w does not�pply m�n owner D1 properly wM � � IwiMs oi imp�wes ihneon,and who wnvzna lar�ah pmpcts wnh�eonlrxtor�s)IicrosM pwtum�ro Ne LmuutaY �O �� �"°"5°�'""� CONSTRUCTIO i � 0 0 ��++., ❑I am emnpt urder Sx ,B.6 P C IAtuch Cerofkihl. P EW $-- GOate . Uva� � ..____�'__......_. Q yWORRERS'COMPENSATIaJ DECUIRATION I here6y�ftirm M�t 1�we a urulsHe of emsml b sMl�inave,a a cernlrcaie of KbrMne Canpensanon Inswsma,or�anulied wpy�hneW ISx.9800.L�b.C.I � ❑R�G�rufied oopy rs henby fwnisheE ,r�j MEC�.�H..A�-N�I 1. W t'Jr�"e7ufed copY ie fAed wnh��e BmlEirp Insp�[nm OeP�rlment q qOntnem � q�]�ry(j � CEflTIfICATf OF E%EMPTION FpOM WpqNERS'COMPENSATNIN NiSUflANCE�Thia utlmn nIM npt Ee tamqetM ISSUANC � y A Ihe permt ia tor one hundred ISIOD)a kss.1 arlify�he�m Me performance of ihe wak lor whrh thie ' F permn is isaud.1�Aell rot empoy N+y perwn m airy manner�o is 10 m� �to IM Nbrkeri ampem�tion �1F7' � � Lawe ol CalAorn�a � _�..t.-f V W PARK FEE � �1e ������� � SCHOOL FEES � NOTICE TO APPLICANT:M,alter maMing M�s CeroFinte el E�enpnon,yw hemme�utyen m 1M NtrYx'� � Cvnpensatlm qmisrons�ol the L�6m Cods,yw m sl �µ'��yr, cmiply Nlih IY[h pfPli�9�6 a diie prmh d�Ml � hG dCl111ld RYOF2A � h•u } M � OVISI06 pF MIWSfRIAL SAFETY PERMI ERT •.iS:l• . C W o ❑I�ereby cenAr Ihet m e�cawlon Frve I5)a more kn m depth nro wAch�oenm i�rpuired m Muerd. 1 /� � wtll h mede�n cannectian wiM vrork w�hor¢M by tlw pdmit.xq tlwt no 1udAi�p�tncfuie.wlloldinq.N�ework, � «demairom u diemantl� �her � �yj�I�yp� py�th�'�y�yy�,,�ry' Mph.�up.32.Gry t.An 2.Sc W 311.T�tleB.CACI. � he�r'11 � J IJJY'Mt 2 3 ❑As owncu-bmldei.I w/1 nat�mpby rryune to Ao Myrk which xwW rpwit�pnmit hpn tlm 0'irisqn d H. InBi:tml SaletY.st noud ehove.unkss wch pnon Ms�pomt��1¢¢ylorl��ron 1M�ivyqn. � C'���-°Y �... Gi/',r�:o.�� i.�K� "' ❑�"`�d`d",�u`:�` �`m" Q. 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