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HomeMy WebLinkAbout1173 (5) �.. '"� CITY O� DIAM�ND BAR PRESS � `f. '��"' ' ['�' DEPAf�"!'MENT OF BUILDING AN�SAFE'PY \~ ��° , ��` r"` BUILDING PERMIT F'IRMLY JOBSITE � /�'� PPtJCATION PERMIT � t � CODE ADDRESS �1�lJ� C�}-� - � ��UE ,�'� [�_� NYPE ER � i � a APN t.OT _TRACT DATE �� �CONST. GROUP o CROSS STREET_ _ SETBACKS ZONING �"�115 °-°- OWNEFi /?7/C�/-{� L � �1/_-p��/SJ oi/1 G�� FRONT RW ❑ LL ADDRESS �-1 -��3`� G���,C7 ��f f'-,IN G��IcZ'� REAR ❑ �_„ CITY_�rlal�7<�ra.n i'��= ZIP TEL. SIDE/SIDESTREET RW ❑ o APPLICANT r'7�!/t%l-4oi(�'ct"c_ TEL. SIDE � a s a CONTRACTOR �s>t r�cr'...- f.:-°�fel:�i7�WC-T�aN �-�•y• - SEWAGE o ADDRESS 3�S i'yi v��;� P'�?w�✓E:�-z:: i"�/t'1 v� ❑ PUBLIC PMT� DISPOSAL �] PRIVATE SQ.FT./100 GAL ,� CITY_ i'"'"Jo�A ZIP` r �- :> 7EL.G.�2v i r "� �� � a LIC.NUMBER-�'L`_t} (t,`,� _ GRADING ❑ CU.YDS.EXC. CU YDS FILL � ARCH/ENG/ N ,�P� SQ F7. F CTOR PS A�J: AREANALUATiON � "' DESIGNER /<��l/�11�-1� �'!f�'l�/V l(V ..�'�— W 1 + �'� � �' AUURESS I� `i'� ;�.S � C- L�; �11�, (,a 2-� � 2 � c"'.a CITYN/aC�, f)T"5 ZjPGa y.� TEL.��si�" >{ft. 3 ol PROPOSED USE Z 4 ; �: � GARAGE � o. NO.DWEL NO. NO. �. pORCH y UNITS. STORIES BEDROOMS_ m. eo- LOT DIMENSIONS_ VALUATION � ADJ.AREA '-o�; NO.OF BLDGS HOW ctunivriTY DE$CRiPT40N ....-. . :: FEE ' . W; ON LOT USED �Q �^ � _ �y �: V t' ��Z d c'� A u c�«+ • CJ w, � �'"s lIC❑CNSED CON?RACTORS OFCIAfiAT10N.1 bereLy aflinn tliat I am licensed undei piovisiuns of Chapter 9�commenci� "1'—. � �����"� ���"-'�' � " �F � � �� ��val!Secunn 70:101 nf Oraumn 3 of the Business and Pmhssfons Cade.and my licensc iz in full forr.e and effece ;�� �L L �G_ �;�� r�1 ��.� o; �. 3r [] u1.. W: UWNtR�BUILUFH UfCLAHAiION:1 he�e6V alhim thal I am exempi imm the Caniracar's Lrtense Law fai the fallowing � . Q .Z,� rnason iSac 70:11 5,Businesc anri PrMessmns f,Me�Any cny or cmimy which rnquires a permit m construct. (7 � � o," uller enpmve,Jemu�isl,,ur repai�eny suuGwe,pnor�u��s nsuana.alsu myuires�he appliaant(or swh permit �Z� - b-�:: 1a fAe a sigred statement Ihal he rs I¢ensetl Ouuuant to the pmvisions of the Camractor's License Law(Chapter �� �� p�4� :i 1�c�nmeri:ing witl�.$r.nmr if1U01��I�rv�xinn 3 nl iF.e Business and Pmfessians Code�or Ihat he is eaempt�he�ehom .�� — ��.; e d:iix!:asis:u:'he alleye;l exemptiun A;:y via!atm:�I Srscr.70315 6y any appL•cam!cr a pe�mn suCj2c;s .� x�' the apphwnt ta a r,v�l pcnulry cf not moie ihar.fne hundred dollars�5500j.1. �� �' g �`a! yJ ��;� UI,as a�.vner of rt�e properry.or my emplayees wrth wages as Ihei�sule cwnpensatiun will do Ihe work,and � rv ij . me svecurtr.is im�imr.nnetl m nfferetl tor sale�Sec.704'.,6�siness anu Professions CoCe:The Comracror's L¢ense Q ""c'� ry.— "i �.� � 1 �~�? law Aues�wl a I io an mvne�ul y w p e�� UVY piapen hn M1utldx or m�roves�he�eon,anA who Jces such wnrk h�mself, �:U i � �' �a' `(�'� � ��'- ur tl�rou9��I:is uwn emyluyees,piovided that such nnprovemems are not imended ar ol(ered fo�sale If,however, �,Z` m3 rhe hutlding or�mprnvenem rs sold withm one year ol rnmpletmn,the a�une��huilder wdl have thc•6urden ol p�oving� :�¢�� �•� ihnt 1!e nid nm bw'd nr imp�mv ku�he purpoxe ol sale� :���� cn;. (� va; ❑i as uwnei ul Ihe pmperly.sm eydusrvely cur.��ncimy wnh i¢enseJ ccnuacm�s m constr�c6lhe pio�eu ISec ':�jj a; 7044,Busicess and Prulessions Cude.The Cortractor's license Law dces nul ayply to an owner ol yioperly who �� � ..a;� uw!tls u;nnu���es themen.and who coNrac!5 tor<.uch oro;eds with a centrac!or151 I!cense0�pursuanl to Ihe Comractor3 � � Q! Lcenselnwi �C � TRUCT��N ♦ 0 �"�`, ❑I ein exempt unAer Sec .H fi P C IAttxh f.ernficare) � H. /� ^ � �-C^' oa�r. _�viner `iTi"l�\i T"�Yj�� I `•-''� � .d� WDAKEAS'CQMPFN$ATIIXJ OEGAAATION I Leiehy allirm ihai I have a ceni!iea�e ul consem m s�f�insure,w . �';� u r.r.n�hr.ate et N6rkers'Cumpensa�iun Insmauce,oi a ce�tilied coyy thereo�iSec.380U,le6 C�. ��' PLU „rr7.�ro, � -q�� �Cendiad ropy isherehy tixr�isheA MECF{A(��(�AL _ 1 � � � o ❑cend,m coov�s�ned wnn me 6uduing�nsu��ioi�Oepanmem or_ oepanment 'Q GRA C7 -�:, f,FflTIFICt�E OF F%FR!PTION FROM INUHKEHS'COMPENSATION INSt1HANCE:lh�s secllnn need not he camp�etee .Q SSUANCE f � i � y. :f ihe Ve�mit is for one hundred(T1001 a less.I ce�ufy that m ihe pedormanre nf Ihe work foi whKh�ihis �j ��er n is¢suM.I shall not em0loy any peisan i any manner sa as ta 6eco�p suh�ect lo ihe N6rke�s'Compensation .. S` � 3 `/ ...�.. I e . I Ca!dnm a . / - � `'� .. 0 7�c/_c1 �` '?v , `? . ,l�� ������'�..! .� PARK FEE � �a� �� � �D���� � SCHOOL FEES W�� NIITI�F i0 APNLICANT:If,atter�jpking�Pois Ccrtilicale o1 Evemption,You should become a I t to the Wakers '�--�i COnryensauou pwvismns nl 1he La6oi Code,yon must fonhwnh comply wuh s�Kh piovisions or ihis permit shall �� LL; be deemed revok�d. ,... ---- �f � � ..J ;y. .t�..1(�.. ;,.Wi DIVISIUN UF INOUSTPIAL SAFF.T'(�g E�iMIT�kRi�ATI �A�,rb;? —_-_—,_ — �� ❑�heieUy cenily t6at nn a�tai���in'Irvn�5)or moie feet m depth inro wh¢h a person rs repw�ed ta descend. . �" will be made m�onneaion wn�wark amhor¢eJ hy this yermii,and that�ro puj�ding slmciwe,scalfolding,fak�woik, � a m Crtmalninn or dismantling thereal.will 6e more Ihan:ihirtq:sia�38�:fEet'high�Chap 32.Gr0 2.Art 2.Sec . _____ Z� 341.7iAe8.CACI. - '. � y:.i ,� ,= f^'. ' `•`'' ` ' ;..-• 6...V: !4 i���'.i .. .3� ❑as owner�hudeer.I will,nnt�e.mpldy:�•artyone:ro�Ad'worN which woultl repuiie a permtl tram tAe Uvision�of �1— Induslrial$alely,as naled.,36�uvei N��Ss such person has a yermi�Io do such xrork fmm the divisim � ..._ �.�.W ❑UvisiwullnJusuia15aleiyPermi�No. TOTAL F�ES � � f.ONSTRl1CTI0N LCNOING AGENCY:I herehy alli�m Mat iMre is a conshuction lending ageMy for�M pedormante �� Z u�tlrr wmk�n whrch[his permrt is issued�See.3097,Cn.C.). /"'� , ��� Lender's Nume COMMENTS � 1 � � �m leniler's AAdress Q CERTIFICATE OF COMPLIANCE ANU AUTHq11ZAT10N OF ENTNY:I oculy I heve med this applcetion end srote �i r, ^^� ery �ha7 thr.mfamahon grven is carect I agree to wmpty wilh alt stale laws and ciry ordinances reWlinp to 6uiNinp '.+CX � J{�. �- � Q y cnnsuncuun,and authonze a representative af 1he Ileparlmenl of BuiWirp and Safery ta mter upon the property '— = lur wlnch I have aDD- ' �s pe�md lo�ihe puryose ot makiny inspecibns. � .. �y,,, 7_cI_�+� �`� synatwe ot ant c�pAent pe� RECPT NO. `-'� AID BY � VALIDATION WHITE—Depanment Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENqOD—File Copy,GREEN—Applicants Copy 6510G-11/89 � _ � _ ��� x���,���,�.� ���, � ��� ���� ��� � � �� �� � t.. s`���� ���� �r:��`� r� ��� ���� � ������� �� � ��� � ��� 3�}�`����������.�������������; . _ � ��,����, ��nnx����'� �t����� � � " �� �� � �� n �'�n����i" ���y��� ��n����n� � �_ " ' ` � r . ������f�a���'� �,��.��i ���.k��9��.k€t � :v ��� ���. ���.�n '� �������#�� � � h�v�c���¢ � ... : T €7� ?- �d €p �%�&a�i4P ������� � Y��a ' ��,. � �E€ �Kh eha A 1€;t[ t€8���� y�,����F�'�s�+�3 s ' _ . . - � € � g y y,. : K�� '� � Ndk 8F '����y48�7�t�".� . . . ,.3� k������jt� ��A ��� p��'w�a � _ ���, 9 �IF ca ' s� aa� r: , � � . . - �. 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