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HomeMy WebLinkAbout1191 ��'(' CIYY OF DIAMON� BAR PRESS �'� ``' DEPARTMENT OF BUILDING AND SAFETY � BUILDING PERMIT FIRMLY JOBSITE APPLICATION PERMIT U§E ADDRESS : � r.� ��'l /` r ��y_. DATE NUMBER CODE ISSUE ,._Q o'"1 TYPE OCC. � APN . LO.T_TRACT DATE l..L,�_CONST. GROUP o CROSS S EET Q-'� , ZOPiING SETBACKS ��� °=° OWNER �' � FRONT RW ❑ o ADDRESS � ' �� ' � 'r REAR ❑ W CITY va� ZIP�.21'L �. � SIDE/SiDE STREET RW ❑ o APPLICANT TEL. SIDE ❑ x a CONTRACTOR SEWAGE " � ❑ PUBLIC PMT� o ADDRESS DISPOSAL W CITY ZI L. ❑ PRIVATE SC�.FT/100 C�f1L = STATE y LIC.NUMBER GRADING ❑ CU.YDS.EXC. CU YDS FILL y RCNi N�� � TYF'E �Q FT FAG`1fflF� PS ADJ. AREANACUAtiON `� NER �'�.r _.—�Jr—`�-�. (W 1 R^— � ADURESS - � y`��'��`�G/ � LE,. 2 ��CITY �� e�d i r,G'-�' ZI P_LCL[���� (�j 3 "' Z 4 o PROPOSED USE _ �, d 6ARAGE o NO.DWEL. NO. NO. � PORCH y UNITS STORlES BEDROOMS � LOT DIMENSIONS m VAtUATIOtJ ADJ.AREA o NO.OF BLDGS HOW QUANTrTv DESCRIPTION �EE ' : W ON LOT USED _ Q � � ._ � � � � s ~ LICENSEC f.OMRACTORS DECLARATION:I here6y afhrm that I am 1¢ensed mder pmviaor.s of Chapttt 9(tommencinp � - y ��� Y r�r,h Setimr.]�C01 0l avisian 3 of!he Biamess and Pmfessions Code,and my license�s in(ull lome and eftect � �� ,� 3 3 �OR�� i.� 1 � friVNER�8UI1.0EN C�ECLAPATION 1 hereLy afhrm�hat I�m eMempt fmm the COMracwi e laense taw lo�Me follpwing = ieasun iSec '031 5.8usmess end Pralcsaans Code Any ctly ar county wh¢h reqwres e peimrt to cunstrucl, (� � '�� (` O alte�,impmve,demolish ar repair arry sim[Nre,D��or m its rssuante.alm repurtes[he applicanl lor such perm �.' != to hle a cigned ctatemenl inat he is�Kensed pursuam ta the prwiswns of the Cmiroaor's Laense Law ICha � � p�C '�Icommenc:ng wrth Section'O(10)o(�rvivan 3 al Ihe Ausmess and Pro�esdons Codei or th�t he is erempt therelr ,'� � � � � � a,,, and the t•asis for t9e allege�f:xemplion Any wolalmn al Section 7031.5 W arry appLcant.'or a permn su6�e s � s � �/� ��f i W �he apMmant io a ovd penahv ot nol more Ihan?me hundred dollars i5500)� -� � y�,�, / � CI as eaner cf ihe pro�xrty oi mp empbyees wnh wages as fheir scde compensaNan wdl do Ihe wark,and � �,•''--�s�11 !.� �J ~ IAe svucl��re rs not mtended er oHered fai sale ISec 7044.Business antl�Messions Code The Caniranm's L¢ense Q t r� r� c ^ � v Law Anes�wt ap01Y ic an owner of property who bmide or imD�oves±hereon,end who dces such warF hxrrself, (� �' . W or!hrnugh nis own xnplayees pmoided that such improvementt aie nol mter.ded ui offeleG for sak.If.however. z = tlr.6wIAin9 or•mprovemem rs soltl wilhin ane year of romplenon,the ownerhuilder wJl havc ihe hmden of provny Q e �'t `� y !hai hx did not build or imprave for the puryose af sale.l � ;� , C� v� ❑I a+mvner at me Groce��v.am exclusively cantracuny wrth hcensed cantracrors io constmn the prorcu(Se� p,( 0 7i14M1,Bnsrcss and Piafessions Cade The Canuacmr's l�cense Law does nol apply to an owner ol propenY wlw �S f ,�.� �•=f � � � 6 hudds o��mproves thereon and wha connacts fai such Oro�ects with a�ontracmrlsl hcensed Dursuam ta ihe Canuanar's /'� Lcer.se law i �'(a)�'��j(��[.�� .�n�„"��`, � ��C../ r C I an eae nEer e 6 PL.IA Ce tei � �-���Tp 0 oat� '��' °in"°' ELECTRIC � NAflKERS'COMPENSATION�EIARATION I he�eby affirm Iha�I haHe a catif¢ate oi consem�o sdf-visure,a �Q a cerlAicale ef VJorkeis'Campensalinn Insurance,qr a cerufied caCY�he�eof(S�380D,Lah C.I LUMBING � � ❑CerllfieA capV�s her¢AY�u�nished � MECHANICAL o ❑;erldied coDY�s���eU with the 8u0Aing Inspecum OeDartmm�or Deva�tme�t f,d_, GRADING � CENTIiICATE OF E%EMPTION fROM WONKERS'COMPENSATION INSURANCE.This sectian need nm be compleied SUANCE � I ?�' N if ihe pe�mrt is for one hundred(5100)nr less.I cerlrfy ISa�in�he pedormance ol ihe wad kr whkh this � _ permit�s issued,I shall mt employ any perwn in any manrer so as lo hrto�subject ta ihe Nbrkeri Compenution S`M�Q oLaws ol Ca6lomia w PARK FEE _ � nd1e APDu`a^' LL- SCHG'Ol FEES W NOTICE TO A?PLICANT if,after making thrs Cernficate of EremD�pn,you sAould 6ecome s�ect lo the Worker's � Compensauan provisions of tFce Lahor Cade,you musl iwthwrth wmply wilh such prmisnm a Mis pe�mit shall LL- be deemed rerokM --- � OIVISION OF IN�IISTNIAI SAFETY PEHMIT CERiIFICATION:, {�?:�"� — W ..ro �',1': �, , �- ❑I here6y cerufy tha�no eecava➢an irve(5�;pr hiorR.lekt,h'a'm�Meo wn�cn a persan u repmred tu destmd, � wdl he made m connecLon witA work aulhari[¢d`�(y thgpeirmY.an�that no 6uilding strutlure.sraHaWing hlsework, � m tlemol�tion ar drsmamin9 iMreot,will 6e mMe Ihan Ihirry�six�36)feet high �Chap 32,Gry 2.Art 2.Sec W 341 7itle 8.C A,C I S ^ $ 3 L,ps nwnM�bmlder I will no1 empby m r� Gv ymd�Y+MKhM�- �re a permit hom Me Grieian af �.-. Indusuwl Safery,as noted ahove.�nkss s�p��hxs t�er�R ta do suth work irom 1�n divesion . . � ❑pvision a1lMusirial Salely Perm�t Na ' � � � „�� TOTAL FEES �f/S G� CONSiRUCfpN LENOING AGENCY.I herdry-atlir�'ffia�•IYieu�is`b�2'a�m.erucuon.kndiny; Y far the perlormaMe Z al the vrork lor whah this permit is�{Sued(Set 3097,Cry.C.I� : , .• ' o '� .� lender's Name , ---- - COMMENTS m Lender's AGdiess Q CERTIFICATE OF COMPUAAICE 0.N0 AUfHORIZAT10N�ENTPY I cMity I M1aue read Mis applKatian arid s�at u7 that the intamation given is carecl I agrn ro compl�wnh all state laws a�A cily ordnwrces re4tinq to Wildinp ycanstrutlan,and autharire a rep�esemative of the Oepanment of&nldinp and Sakty m enqr upan tle praperry � for whic�I haue apDl�ed lo�1ha permil for tAe pupose 01 mekinp inspxtions. � H V n Sgnnue ol Apo�kxn o�Agent pm RECPT NO. PAID BY�__VALIDATION WHITE—Oepartment Copy,YELLOW—Finance Copy.PINK—Assessor Copy,GOL�ENROD—File Copy,GREEN--Appflcants Copy � BS106-11i89 . �, „ .. . ,, . • . � .. . , , . . . . , ,. - . :.� ...: .,�.•. . . .. a. . . . . � . . .. .. ...:. . :. . . :. :: .......' . .. . . . . ......,. 3. . ... .. � . . . ... . . , . . . . _._ . . ,... ; � ... . . . . ... �.,i •. .. ... ,:. :.:-�:,.::::.: ....:... .,., . _ . . _;..... ...._�._.. ...�. .., ............... . ..... .... .... .... . . . .. ..... ....... . .. . . .. , - - � -- - � ... "" . � ... .. � . �.,—. . _ �x�� ��; .__.._ ,r x _ .... ..,... :�.._...._.�: _ ,, a,, . 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