HomeMy WebLinkAbout162 (1113) � �,_.. .,
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'('� CITY G1F DiAMOND BAR PRESS
DEPARTMENT OF BUILDING AND SAFETY F�RMLY
BUILDING PERMIT
JOBSITE APPLJCATION `, PERMIT 1 U8E
ADDRESS � 2 1'�fl� S. Vall�.y Vista Dr. DATE NUMBER �� CODE
ISSUE TYPE OCC.
� APN LOT TRACT DATE � � CONST. GROUP
� CROSS STREET Valley Vi.sta Dr. /Gtwy Ctr �r. ETBACKS ��
°� OWNER p.K. Di�mnd Ber Venture No. 1 L.P. ZONING �RONT RW ❑
� ADDRESS R1fi W_ 7th St_ Stritp #700 EAR (]
W CITY T nG AngP1� �P 9[�17 TE01�/�i73--1(1'if3 S'TREET RW ❑
o APPIJCANT TEL. E ❑
:
` CONTRACTOR ��v r�ra xnhing Cn_ SEWAGE
o ADDRESS 1��.,Y]_��LS}- DISPOSAL � PUBLIG PMT�
�,�u CITY 7�*�d++s-t�r ZIP 917Gfi �L81 f3/3Fi9-diGf_) ❑ PRNATE SO.FT./100 GAL
a STATE GRADtNG � CU.YDS.EXC. CU VDS FILL
y L1C.NUMBER
y ARCH/ENG/ �.�. , � � .. r. , �ry "��'� S4 FT FACT�R PS .. -.AOJ. AR�,4IVALUATION
`=' DESIGNER W 1 ` . ' ' . . - ' .' ' • "
o ADDRESS �W„ 2
= CITY +: s :..xIP' TEL. ��� � 3 � t _. • . , �� .' � ;1
� PROPOSED USE � 4
�+ � '• ,� GARAGE
o NO.DWEL. NO. O. , .. . �
y UNITS STORIES BEDROOMS � m PORCH'. �# , ; � ; ,•;; , j
� LOT DIMENSIONS VALUATION ADJ.AREA
o NO.OF BLDGS HOW CJUANTITY DESCRlPTION �EE
W ONLOT USED �
W
H �
ICENSED COhfIItACTURS OFCLANATqIi.I Mre6y aff"vm Ihn I�m Gtensed under pravisimi oF Ch�phr A I�ommoncinp
� wnh SecTion 7000)of Uivis�an 3 al the Business md Profeasians Cade,end my litense is n lull force�nd dtett �
3 ❑ Ild
� NNNER BUILOER DECLARATqN I Mre6y dfirm Met I�m awempt fmm Me Contractor'e Lxenae Lrw Ivr IAe ldlaninp M
rcason(Sec. 7031.5.Business and Professians Cade�Any ciry or cwnty whicA requirn��rmB lo eonslruct. � l} ��Y' '�QQQ't$ � 7,� = .�.W
o al�er,improve.demdish,ar rcpair�m raucwie.prwr ro os icmance.�Iso rpuiros Ihe epplicem for wcA prmn cf1 M
1— 10 tile e sgned stalement Ihet he u Ikemed pursuant to Me pwisiore ol the Contteetar;a License 4w(Chapin � �} ��/$tQn�$ @ 7.,,,n,I = ,W
� 9(canmencinp with Secnon 70001 of pvuion 3 01 tl�e Business�nd Profeseionf Cade)or Mat he i�xempt Mrdrom
a ane me Oasis lar Ne Nleged eAempuon Airy viWauan of Section T03i 5 6y mY apDlicant br�permrt su6�eco �
� the eppl�cant m a civil penalty af not mae tl�en Fiva huMred dollera(55�01)
"� 13.
� ❑I,ea ow�i ol the propeny,or my employeea wilh wapes ea HNIf 901E COm�lEOSiM1On,WiII d0 EI!WOlY,MA
1k structure u nat imended or oFhred loi sale(Sec 7044,Bu:mes ind P�alessians Cade:The Cmtnemi�Litenn �
� law tloes nm eODly to�n owner of property who hudds or improves fherem.and who doas such work himseN,
�++ w Mraugh his own emplayees,povided�het auch xnamemenb ore not incended a aliered for eek II.Aowevai,
m me buWmp n imprwement x sdd wi1Mn one year of comple[ion,[M o�w�er�6uilder will han Me burden ot pmarq .b[
� Ihat he did not huild ai unprove lor ihe purpo�e a1�ale.l �
H
f/J ❑1.BS Ownl1 0l the property.rri exclmrvely contnciiny wiM Ikensed[ontisctors to eansLuct tla yrqact ISx.
0 7044.fiusiness eM Prdessone CoGe:TM Com�acror's Leense liw Ioes nat�pply ro m avner M p�apeny wM
4 6uBds m improves Ihaeon,end wha comracu br such pm�ects with i contncwr�el licrosed qrwant m tle Contncta'�
�'°e"��'".I CONSTRUCTION
� ❑� i PLAN REVIEW
i�m exempt uMer Sec .B.&P.L IAtuch G�Micate.
� °ate °in"" ELECTRIC
� WOfiKERS'COMPENSAT�IJ OECLARATION I M1ereby�Mrtm!hn I hm�urlilirau M cartsent ro�Mf��sun,a .�� '—M d��y,�.,� �
�aertiricarc o�Nbrken'Compensauan Insurame.a�cmnhee copy mereot Isec.9800,kh.C.1. PLUMBING C l7S./• O �J'.J V
Q ❑Certrfied w0V�a Mre6y lamshed �j' MECHANICaL
o Gmfied mpy rs liled with Me Buildmy Inapection Oepenmem or oepe�tment. '�'C GRADING
W �/�
� CE IFICATE OF E%EMPTION FflOM WORNERS"COMPENSATIdJ INSUMNCE This settion need iw1 be tompkted � �SSUANCE � `G.��
y it tM permn a for one huntlred(5700)a less.I cptdV�h+i in me pertormana al�he werk tpr wAkh Mis
permn is issued.I ehel nat employ eny perwn m eny m�nner ao�s to hecome whjxt ro ihe W6rkai Compensnion �� SMIP
�' Laws M Calitomu.
W
0 0� n�iK��, � PARK FEE
W NOTICE i0 APPIICAM k,eher making this Ceru��cne of fumptian,yau�hould 6etome suhjxt p kie VYorker't u» SCHOOL FEES
� ComDensauon povisiona ol tlie LWar tade.yuu mus�tv�hwiM emply vnm fu�h poviauna a this permrt fldl
mus
�+- he dttmed rEvaYed,
e DIVISI OF NWSTRIRI SAFfTY PERMR CERTIFICATON. . GITY QF�+ D'�M�,�� �7�R
� hereby arldy thal iro�xavaton Irve 15)a moro leet in depth mw WM�n,ce���s�.n���d�a��a, $U�LI3�Nfi +4Np SAFETY
� uvAl Ee matle in conneetion wit�work eutAarveA 6y t�a permR,�nd tAtl m dxtlmp strutture,fulfddinp.IYsewark,
� m demolinm a dismenWnp�Mroo1.will be more than Mi�ty-sii(781��hqh(ChW 3.2,Grp 7.Art Y.Sac .
W 341.TiNe B.C.A.0 I
S "
3 ❑As owner-builder,t witl not�mplaY r�M�ro do wark whkh wauq rp�in�permn hom M Oivuion d
H Industriel5dety,p mud�hove.unlesa weh yerian Aaa�pumt m do tueh work hwn�he drvisbn.
�
W ❑°""����°"rn°'5.��"�"�. TOTAL FEES �-- ��'
� COWSfRUCTqN LENONG AGENLY.I hereby�flirm tl�n Mere i��mntoruction Yndinp pencY for IM perbmi�nee
x of tAe warY fa whKh Mis permrt s pwed ISee.3097.Civ.C.�.
� �ender•e wme COMMEWTS
m isnder":Addrees
` CERfIFCATE OF CUAPLIAl�E ANO AUiIORIZATpY OF ENiRY_1�tily I Nve ntl Mu ppl'ration�d�ta4
�a Mat Me mlumatan pnn is mrrect I ypee to wmply NitA aN shaq I�w�md ciry ordinonca�eunp to 6uidinp
y canstratwn,and wthoii�e�repnsentawe ef Ihe utment d BuJdi�p md S�MY d�rr upon IM praperry
� la wMch aD kE tor tAi rmit Iw the Ou of matinp in . ' ,••
�f 6 =—'— RECPT NO. PAID BY�y l,(L�,t�_VALIDATIO�
ature af Applc�m a Apent �e
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