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HomeMy WebLinkAbout1585 (23) '"� CIT O D ��G ��`1-I CD� Y F IAMOND BAR pqESS �-�' ' DEPARTMENT OF BUILDING AND SAFETY BUILDING PERMIT FiRMLY JOBSITE Z��3a C};AN OE�-� L• APPLICATION �,--� PERMIT � USE ADDRESS I1�t� cw�n e3r'Ff2 DATE ��1U NUMBER CODE ISSUE TYPE � APN LOT TRACT DATE CONST. GROUP p CROSS STREET_ �v�-v�t! l� - ZONING S TBA KS "R0'�"�"s °° OWNER .FRONT ' � RW ❑ . o A�ORESS 2 3�3� G!�4 Al l��l.L E (.• REAR ' � ❑ � � � GITY Dt�. B�t/L ZIp917 6.1"�TEL8La63�'� SIDE/SIDE STREET RW ❑ o APPLICANT Sa Y-+e TEL SIDE CJ 0 x - i ` CONTRACTOR SEWAGE o ADDRESS ❑ PUBLJC PMT� DISPOSAL � pRn/ATE SQ.FT./100 GAL w CITY � TEL. Z STATE GRADING ❑CU.YDS.EXC. CU YDS FlLL d LIC.NUMBER N ARCH/ENG/ \ � NPE SQ FT FACT�R PS ADJ. AREANALUATION V' DESIGNER ��� � W � I, L'O o ADDRESS �y 2 Z CITY ZIP TEL (►} 3 � PROPOSED USE L� Z 4 � � GARAGE Q NO.OWEL NO. NO. � PORCH y UNITS STO �E� BEDROOMS s LOT DIMENSIONS m VALUATION ADJ.AREA o NO.OF BLDGS HOW ovarmrv DESCRI ION FEE - W ON LOT USEO Q � U W S � �"" IICf ALSEO C�NTflACI0A5 OECLARATqN I hrehy dfum Mat I+m kensrd Wer pmmsiom of Chapw 91co'mmncirq ¢ wnh Saoon 10�1 ot dnsron 3 d the Bus�nrts�M Prahssans Code,v�0 mv kmsi b n IuA lor[e md eHet W � ;� .� - � w ��-=: - . � -1' - � � �- PNqEfl BU40EB DE0.MATqN I here6y�ifirm th�t I�m ertmpt Imn tM Contruta's liertn Liw 1or tl+e idbwinq = n�mn ISec 70915.Busi�rcss nd Piofesfronn Code Am[M or ianry whKh reouirts�pernM ro cmmuct, (� �� o ahe�.impwe.dcmahsA.a repan nry ilrucive.pmr ro ns nwence.�w re9wef Ue�ppk�p�t lor zuc�permA 2 4 to fik f sgned rtatement Ihat he�s kmad prtusnl b the prwimn�01 Ihe CmIIxtu't L[tme llr(diipld m � 9lcommerc�ng wim$�cnon 70001����m i d�ne&nineu mE P�oleniom Lodel�m»N u em�p�therelran � o, a�M tne Das�s ia Me�ne9M em�puon.pM rB�tan M S.enan 70J15 Ey im ipplasnt M i perma wAircn � W Me��xant ro�cNd penutY o��mt ma.M+n fM huMred doox:IS50011 a � ❑I.n wvrrr ol the paprrty.d�M d+iMM«s M�w�grf n t/eN fde to�nDMvrion.wdl Ua�he Nak.aM ~ the ctrunw�n rot imeMeE a MIenA la sak ISet 10W.&ISMess wA Rofrssm�Cude The C�n�cld's Ueeme f,~j lnv Arei rM�pp�y ro M amn ol property wM hdd:a mpores IMeon..M wM!as sut�wort Mmsen. U ••• a�Mough hn own e�leyeef.paded tAat sucA impraemenb�n m�intenEM a MhrtE M tak M,lio.vr�er 2 m Ik 6uiN��g a impaement n soW wNhm one yer o�tanpktan.tk arrr-MnNn w�N Ant tht buden ol povup .Q � Aaf he d�d rrot Mnb a mprme fa Re purpo�e ol sak� 2 N �� H 1al I.a�wvrcr oi�he qapeny.�m n[Mimrh�cwrtrutny wim ISmsH tmnxtori to tmishul�M pvlat(Stt. {ViJ - - Q 7GU,Bufircis iM Ro�rsspns Cnde Tlie fnnvxiei s Leenu liw does�wl�pdy m m o�nn d popeny who � 2 �MS a imprpyry Ihlredl.iM whC[OntrKls la W�A DIORfit M'�ill i tMffY/M(f)���Ntuml ro IM LMir�[t�f a �K°^u�"� ONSTRUCTIO 0 W ❑I�meam mda a B 6PC.IAnachtnuficm� PLAN R V�Ew 0 o+u �'�—�� �� ' ELECTRIC TNARRERS'COMPfNS4TqN OE0.ARATION I liereb�inrm a I nna�ennfcm d�amm �stl�.nue,u �nrtinate o��tate.�Conpematm iiname,a i ee.M�M�opy me�M�See.38�,l�!C� PLUMBING � O cKorre��r��r�.ur r��:rRe J MECHANICAL o ❑r�mrn�eov n ia�e�;M�e�����o�ve�i d Oeprenem. Q G RADING = IYNTIFIC4TE Of E%FMPTION FROM WORKEflS'COMPENSATION MSUR4NCE.This xclia�rced nol h[anpkted SSUANC �= 1 Me perm�rs�a on�uNrM 171001 a ksl I cemly Mat in tlia perinmac[al dr wat lar wh'rh this h � pmm�n naeC.I t�sl rol empb/an�perwn in iny mennr so�s ro bcmr u�C�t ro pe N6rtri f.onpenmion S M I • o ��d��� W PARK FEE o °'h aPDN"M u- SCHOOL FEES � NOTICE TO APPLICAM�M,dte mekinp tlns Cerpfcttt ol fmnpuon.Yw sMi1d 6ecamc s�b�ea b U+e N6rkn'f _+ Lempenunm pevisiens oi t!r labar LaAe.1'W must futhwrth rnndY wnM1 suA pwnimi a lhis R�shM "- he eetmM rewteE �,. n i"'''1 > � dYlSldi OF INDl7STRU+I SAFETY PERMR CERTIFIGTM)N".,:�4i•�t.: � +.� /s' �.+'�.__.- a �i ne,eay cNw�nu�m e.ew.ie�rNe 151 a no�t�M e�n�ro wMcn i ve.sm n r.yaro ro e.�eae. � rvi�6e maAe n eonronion�++A wa►wtAorvM b�tlxs penna.,eN Ma1 m hdMy twc�v�.mrM�uq,Nsewat, a demoWan a dmnmtl�nq tkrrof,wi Er mat ilun tA:ry-m 1761 J�.(f]y0 7t.Cq 1.M Z.See W ��.T�a.�.�� (l p 1 � `� �� = 1 I�.�u 3 DAs a�+iw�Dudder.I w�l nd empley x�yMe do wort which waM rpuin�pr�m han dt 6vmon d 1— IriAi:trol S�hry.�s mted�Eaw.mbs�uch persm An�pnmt p Ao tui�wat han tM d�i�ien � ,,.... ;.� '�;rtiii W ❑Q.isimdMAum�ISahryRrmnta.'-r�; r.�`� ;-;'�.:,,,.�.v�.: _� _.. T4TAL FEES '' toNsrmreraN ienoa.c ar,ciuer.�nMer•+�*�r,n��m�e�.�e�mn w�.�r b.eK�,ro�,K. , � 2 0l Ih wai fa wheA Tn Pd�it isstiN ISe[:�f197.Ln.G�. � �"""'N""" COMMENTS m t�.•:aea�s � c�nnfrnrt a eo�uv�aw nun+o�az�roi a�[rmrt.i cruh�wa n,e e�s+oN�,non re�ae �n IMt Me elwmaoen gvm e armt 1�pe�ro tarpi/wrth d tMe Iwvt nd eiM adn+rca nYu^0 k biYM y� cmmunion,md'uMai've�npeuMmve d de Dqrtmem d BuNrq and S�My b mrr ya W pqnry = far whc a�e�oD��d fd tl�if Pn n In Mt R�Do�t d mal:i9 in+i�cbmi H X g���� RECPT NO. PAID BY � VAUOATION Sgnaru�d MdRA�a Apm 0.a . WHITE—Department Copy,YELLOW—Finance Copy,PINK—Ass3esor Copy,GOLDENFiOD—Fle Copy,GREEN—Appiicanb Copy 85108-11�89 - ' —�--- ------- —- ---- --- -- -- ---- --- ------ - _._._..-.�:_ __ r .� _... . . ."'-..""."";CA (!) � � I �Zil �� '7i .�ryCG� � (tl�olC''` _���" U'�� '" '7 'rY 7.7 I-I�(fii�{� _,!��k � _. m m i C3 i . �I E �, '� '�'r"- 'r r, , :�i� zi � I i r ��,-.,�. r�i , . r, .... m `� _ - I � -(7 � •�� A ..��U� i .:-t r- r � C.. 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