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_ . .__ ... _ ... ..._...._ ..--__...._..._. .. -- _ :{ �-7�.� , �'�. �0--�= CITY OF DIAMONa BAR PRESS � DEPARTMENT OF BUILDING AND SAFETY F�RMLY BUILDING PERMIT JOBSITE i APPLJCATiO PERMIT $E ADDRESS ! � � S S`�1�'4��—l� DATE �v NUMBER 1 � I�CODE � APN LOT TRACT DATE ��` ��"�^�� CONST. GROUP o CROSS STREET �N�NQ SETBACIfS. ��s °O OWNER FRONT RW ❑ o ADDRESS `! t✓v4-C F�EAR '+ Q ' , W CITY � . " SIDE/SIDE STREET RW 0 o APPLICANT..�t_^.Z� �,S�,S� SIDE ❑ : � CONTRACTOR ` TE '`� SEWAGE a ADDR�SS 0 � L DISPOSAL ❑ �B� �� ,� CIT�-n [7�� • ZIP �L .' `:. d PRNATE ..,6Q.FT.1100 GAL i�J - ' �' ' .�� � ' ♦ �. . a STATE � ,. •t _...._..__ _ y LIG.NUMBER T3 '��U 'Z�.S� GRADING ' I�CtJ.V' :EXC: �• '-! ` � CU` S FlLL�" h ARCH/ENG/ e� � N TYPE SGl FT S ADJ. AREANALUATiON � DESIGNER a'�=`T���*-� � 1 i ` o ADDRESS � 2 = CITY ZIP TEL. �ry 3 � PROPOSED USE �r Z 4 � � GARAGE o NO.DWEL. � NO. NO. � pORCH y UNITS STORIES BEDROOMS� e LOT DIMENSIONS�d � VALUATION ADJ.AREA c NO.OF BLDGS HO D �UANTriY D SCRIPTION .. , �EE` . :: W ON LOT 1 USED I F f4 � � ❑ � W � � C IICENSEO CON7RACrORS OECtARATION:1 hrc�y NNrm�hn 1�m kensed un0er proYuim�M CMp�m 9lwmmnxinp F� � with Smtion 70001 0l Uvision 3 of the Busmess and Professiom Cade.�nd�ry licenae ie n fup k¢e�nd dhct W ,.. � � ❑ � • , , , � OWNER BUILOEA DECIAflATION I he�e�y allirm Mat 1 am uemp�Irom tlr Cantracfor's Liunse L�w Iw Me fWlowinp � rt�son ISec.7031.5.8uainess end Pioleuions Lade:Any aty or eanty whKh rpuiras�permn ro cunnrucL (� o alur �mpme,demdrsh.p repair any Nruciws,p'wr la i�a ssuance,dm nqWies the ipplkYnl la w[�permil Z 6 m tik a sgree s�atement that M fc ticensed purwant lo ik prwqion�of Me Cmtr�cmr s Ucen�e L�w IChaptw .�p � � � � ' .. � ' � - . � p� 9(cammmnng Nnlh Setlian 7000)��ision 3 d Ihe Busircss�nA Profutions Code)p h��M u�pmp��Mnhom � � antl tl�e hasis Im the alleged emmptan.Arvy vwlatian of Section 7031.5 by airy spp6um for a qrmil w6Kcti � � ihe appl¢am m a civil qneBy ol mt mam ihm Irve hmdre0 dollan(i500L1 . a W � ❑I,�s owner af tk properh.a m'I emDlayeez wiM w�qe�u Meir wk eompenutian.wiN do Ihe wah,rd die uruaure�s not intended a aifered la s�le�Sec.10M,Bucinesa wid Fdecsiona Code:The Cntrxmr'�liemse q v Lew does nm�pply to an owner ot pnperty who huilds er improves Therean,�nd who daes auch wor4 himsNl, (j ' ar though�iis own unplayees,proviGed tlut tu�pnprmementt ue npt in�enGed a o14reE lor sW.tl,howew�. ,� = tlk bwHmy dr imProvemEnl is uld vritl�in ene yer at cnmple�ion.tk Lwner.buildei wip hm the burden ol prmiinp ��.e,[ '� . . . � 6at he Oid nat'hudd a�iriiprave br Me purpase el s�k.l � + .. : .. . s� .,..j . 1 .. . , � , � � ❑I.as awnr e1 the piopenY.an e�¢luervely comnni�ry witA Ikeroed contranon m eanstrmi iM prqect(�. 0 7084,8usiress and Prolessions Code The Contr�cloi s Liwnse liw does not apply W m owr¢r ol pnqerly wlq � � blilOs a improVes Ihereon,�ntl wllo COnifit6 Fai 7Uch pfO�Etls wiM a eant18c10r1f1 IiCM�6ld p117wn110111e CMItriC�Of's LKense Law� CONSTRUCTION (� C � ❑�am eaemv�umer Sec ,B.6 P.C.IAwth Cernfiuul. PLAN REVIEW • 0 oa� o"�� E T yV19RKER5'COMPENSATIpY�EClA11ATpN�.I here6y�tti�m�Ni I Arrc�certlficatt al cmfeni to uN�meve.a � � a ceruf¢a�e of WorNns'Compensaum Naurarce.a e celAied mpy IAreol 15ea.�800.LW.C.I- P�-V�B�NC.1 6 �cru�a��,n n�Rer rW��n�e. � MECHANICAL ,p ❑ f.enird copy is hleE wiM Me Buiidinp hnpecUon O'Parhmm p owx�m,. Q GRADING � CEIITIFCATE Of EXEMPTqN FqOM NQRNERS'COMPENSATION INSUIIANCE:Thie�e�tion ripd no1 b twrykted SUANC y d the permi�i�br one hmdred�f100)u kse I cvofy�lui in�k perlamrce yl tlie wak for wnch Mis � permn is fawM,I sAell u�emqay�ry qrmn in enr mmnei so as 10 Irtane m tlr Nhrkri Campens.�ian . y^M� s Laws d Ca'arnia � ��� - v � - PARK FEE o �� 1— � • /�kv��um 'LL SCHOOL FEES � NOTICE i(1 APR NT M.dxr nukinp Mis Car01c e of Eynnption �hould 6ecame u6j�ci ro Mx VNorker't � Caipansauon prowsions oF ihe Lehar Coda.yau m �hw y wiM wcM porewns w A�is pimit sh�p � Ge deemed mWad. ..,� �,�. .I�., J �. .,: � qV1510l1 DF IN0.15IBIAl SAFETY PERMR CERiIFCATqU'..•• .} i?� �; , J �.::�:v;i..tr1.. o ❑I herehy r.eiulY�Mt no esavatnn liue(5)ar nwe het in depth�w wiicA��erssn e npiir�d b daead, � wAI h�mWs m cmnectan with worY rilhuped by di�perme.�nd MY no hwdinp tWctr�.tcAkMinp,iMtowah. a dmwNim a ditm.mFnp 1Mreof,wil ht mnre t1Nn�hirry�iu J381 ket hiQh (WD.3.2.6ry T.M 2.Sec W 361.Title 8.C.A.0 1. A i I r � 4 '��${�Y • 6�t1.�la U � ❑As owror-huilder.1 wil not�mplry myone 10 do wnrY wiuch wouW rpuin�rnmit hom W pirnqn d . � Industrul Safery,�s nOteA�Eoin,unkss WN pnt�n Nf�prmit Po!o fucA worM Mom 1N ivuipn . OC 1 �..:�:• p.� ..';.�. .., . �� .. ❑QVIfiOn 0��IIQYSl1M1 ��1,i• l��' !1.:. ,� .' L'�',�.�1 � � �'`""`m°"°� TOTAL FEES D � CWSTRUCfIOM tENqf�pGENCY:I Mre'�l�NirrirOi�t tlyrrL 1 EOrild4itibtl YMxqipl�x.�br�r prk�mrc� Z d Ih work for wli[�tlys oermn i7 i1wM .3097.Ciu.C.I. �� � i.�a.r�aaa«:: COMMENTS_l�/`L� /'M— 1�� '� CERTIFIGTE OF COMPLIANCE AND AUfIqPoZA7Q1 OF EM7RY.I arely 1 M�t ntl qi��lian mA ttwe va thei tAe informnion qrven s eorrat.1 aprx to eonPM wiiA YI�tah Iwr�md eiry rdiiunns�hq Y 6uidinp � tomvucnm.and rnAorix�nOn ere aF/r Uporlment ef&�7dinY�nd SaYryr b w��qm Ihe Neprry � ta whKh 1 Mw�pplyd lor � �mn M Nr pupose d nrkinp iiopchm�. X .n.. 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