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HomeMy WebLinkAbout1622 � '"� CtTY OF D{AM4ND BAR PRESS � ',�' ' DEPAR'TMENT OF BUILDING AND SAFET�' BUILDING PERMIT FIRMIY J06SI7E APPLICATION PERMIT USE ADDRESS �a(��3 �!�Z{�S C.�(i DA�TUE �'� d NUM�BER��.(��CODE r APN LaT TRACT DATE C1-�--� "L `�£ONST GROUP o CR05S STREET K�0 W f} Cx?c`�� ZONING SETBACKS '''""d�'�'"S m OWNER ��i��"�dZ1 NY FRONT RW ❑ o ADDRESS r�a03 3 l�Jl�,�C)St�^�G �3h� REAR ❑ � CITY _U1 fl'1'tJ�%�J 43Y�fc� ZiP.,���o�TEL. �5�- SIDE/SIDE STREET RW ❑ o APPLICANT 1��:`111.'n,r�i►A--SS Ci,'nP. �u��',b'9��nSS?i SIDE � � CONTRACTOR (3L`l�f�'�Z t3�i,�i��SS �L�R�'. V'u.ttt131�J[,. ��GE ..,/�'�)5 K 1 H(SVtu- Yt�ll: 0 PUBINC PI+AT+� o ADDRESS�.r,� OISPOSAL ❑ pq1VATE SQ.FT./100 GAL w GI7Y Cl�'l�-'+� ZIP�1�_TEL.S��'7bSS� z STATE y UC.NUIvtBER a1���� G�iADING �CU.YDS.EXC. CU YDS Fill y ARCH/EN � ��� � �� A . RE�VALUA7iON � � DESIGNER � � i o ADORESS !t 2 � CITY ZIP._� (� 3 g PROPOSED USE � 4 � d GARAGE o NO.DWEL. 0. O. � P�� y UN�TS STORIES BEDR�JOMS oc LOT DIMENSIOfdS m VALUATION ADJ.AREA � NO.OF BLDGS HOW auaNrirv pgS�F�E?N FE� � ON LOT USED W U x fC ~ l CENSE�COMRALTOflS OELLAHATION:I herehY aHirm Mat I am IicroseO undn praawons ol Ctiaptr 9�cdmiriorq !'r � wnfi Secaon 70001 ot Division 3 0l the Busimss and Prdessions Lode.and mY liunse is in full forte a�d etfect. w Q ❑ J 3 11J �±- 0.YNEfl BUILDEfl DEC1AflATqN:I hervby alhrm that I am eaempt from ihe Canirum�'t tKenu law tor tl+e fo{Wwiiq �easnn ISec 7D315 Busnress and Pmlessons Code�AnY«Y or county which repuiru a pmmit lo canxhut (7 j���(_, �� l„� w.��i Oaltei unp�n�e,demd�sh,a�epa�r arcy s+rxtme,pror m ns rssuaMe,aim requins tl�e appi[ant 1m sirh permn 2 - � � F— to tile a sgned statement ihet he;s 6oensed O�zuanl m tk p�wisans ol the Connacia's lKtme taw�Chapfa m - � 9 lcnmmencing with Section 70001 oi Oivi:�wn 3 af the 6usiness and Prokssiora Code)a Ihai he�s eurtm�Nxehpm � ' �� �3 f` ! y ane the Gas+s fo�tne a�4geC e.e�lan.Arcy vdatbn ol Section 703I.5 hy any app�icam toi a perma�Wjats � ? W �he avDlir.ant ro a cird penahv ol�ut mnre Maa tive M1w�d�ed dotlari ISbp91.1. a � � ❑1,az ow��01 t1x proyo�y.m my einplayees wrtM1 wages as Ihex sole compoisaoan.wdl�ihe work,a� � ~ the s�iuciure�s na intrneed m of�ered tor sak(Sec.7NU.But�ness a�P�ofesswm Coee.The Cmuxim's license Q � law does mt app1Y�n an owner of Orupnry wiro builds oi imp�oves�neon.arid who das wcA work Mmsett, U � ••• m ihrovqn Ns own eno�nyees,provbN that zich imprmemem5 aa not ime�drd or otlered lo�sak.��.hmrever, Z . � the 6uiW�nq a imqravemem it sdd w�fi�n one yea at tm�abon,Ne awner�Wilde wai ne:me oureen ot aw�mq <[ y ihai he d�d nm hwld a impmve foi tAe puryost ol sak) �S y ❑I as ow�r ol the pr�erty..yn ezcWsrveM contractuy wiM Ikense6 contrxbrs to rnns4ocl iM prqpil�Sec. �,�j} � 7M4.Buvness a�Pmtessions CoCe.The Comractor's Lirmse Law does no�applY ta a�owrm�ol Oreprty w1w '� 2 W�Ws o��mprwes tfiereon,and who contrx�s ia sm�Dro�ecn wiM a aonnxmis)licrosed pursuam ta Ihe Cmtrxtoi s " L1fe�s=�eW� CONSTRUCTION c � ❑t am��emo���e�s� .e e Pc�anxn c��u�cmt PLAN REVIEW c od1e °""�' EIECTRIC � WSJfiNEAS'COM17PENSATqN OECLAPA710N:I hereM eH�irm that I heve a rernficete al canmi W sNf�u�sue,a a cend�nte oi Workers Compensatan Insua,rce,or a mtilied cipy thereol I�3800,Lah.GI. ��N �,.. 0 a ❑ce���ree,00v:ne�e�Y��,�,�:t�a � MECHAN{CAL o [�"r.�����<e.00v�5���ea w�m m.a,��a,�����n«�ae„�,������G.�(33(4�3 0.,,,���, � GRADING w � _�„ CEHTIFICATE OF f%EMPTIdY FRLW WOHKERS'COMPENSATION iNSUHpNI,4:Tfiis union rieed not he cp�pined gSUANCE y �<<�D«md is fm nm hu�Mied�51001 a less.1 certify Ihat m ihe perkrmirce ol the wak fq wMCA Mis � pe�mn is issued.I shall not empby airy persan in�M mmner so at to baome su6pct to Ihe Nbrkas'Campens,tipn S`��(J � taws nt Calitarna. Q(,.I.1,j�((�!1-[e �,(,� p Dare `1-a'1 -�i 1 a�;�,�, i��=1�t�. t3u St�,ub 5 ec��p . W PARK FEE � NOTICE T�APPLICAtiT:N.a17er maki�fl��s Cnfii�lr��l E*qp6ui,laa-should 6ecome sutgat ro Me Nkrkn's �- SCHOOI FEES —+ Compensation pmvrsianz of the Lahor CoAe.you mmt furtfiwN4'�co�w�tl!r.eh povis��as or thn pemnl�IWI �+ he deemed revo�ea. T _ Q UVISIpJ OF INWSfNIAL SAFETY PENMIT�NTIFMATION� a �d he�e6y cendy tM1e�iw ercavatpn frve�5}m�e leet�in deptA into w�icA a portm is mpnr�7 ro decpM, � II he maAe in canrienwn wim r.nrk auttmrv�d I�y.l�R�.+�'d daf�q�suucturt.sWloNin&fYuwmk. � a Aemolrtwn m dismanni�g�n�«oi.wai erar.�h,��a�n p.(96I.f.0 MY� (�+P 3 t.Grp 2.An z.s.� W 361.Title B.C A C;. 3 ❑As owner-6uiMer.I witl nol mq4y-anyurt W..de..wnk:whitA�xaWA rpuue��ptxmt hom tl�e Oivmm d F. InOustrial Safery.as ro�M ahooe.unkta�s�xh permn lus a pNmil ro do wcp wak hem 1de divubn. � � i:..�.. .. .. . . . .. ..,, '. � ❑Urisim d I�dust�ial SakN Vermi�lb:"'- .. .,.� . ��. _ . • : ; �+�a��,��E,�����,m��,�.�,.��.��,�.�.� TOTAL FEES Z al Me wark la which Mis qm�t is isweA(Sec 3081.Crv.CI. a lender's Name COMMENTS m tmder's Add�ess � CERTIFICAiE OF COMPl1AtxE hN0 AUIIqIM2ATIR1 OF EN7AY:1 eplily I IUN rq1 IMis appkaiion mtl um V� mat Me mfamalion 4ren is ercrect.1 qce to moplY wilh aN spq Iws�nd Crtv ordiwaN r1VYq to biibiiq y �onstructwn,md w�Mrve a repexnuwe o1 Me(kprt�m d Buitiiq atl SMy o wYi�qm tl�p�eh = fa wtn�h hove a�li�d M his permn far ihe pryose o+wthq in�[em:. � !* _ ! " ll '� �, �rI`J(J REGPT NO. � ��PAID BY � � VAUpATION aMe ar Applica�l a Aqent h1e � WHITE—DepartmeM Copy.YELLOW—Finance Copy,PINK—Asaeasor Copy,GOLDENROO—Rle Copy,GREEN—AppllcaMs Copy Bsi os-t v89 .. ..:. .., :,; . , . � . � . :\. . . .' ' ,'i. . �, -� . 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