HomeMy WebLinkAbout1844 (29)CITY OF a N ON H A6 pRESSIDIPAR'i'wA Ni OF BUiL.DIMC AND SAFEiY
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ANPLJCAI°90N _'" t' Ca NUMBER $
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ADDRESS 'Q N S DATE ._CODE
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APN _ LOT TRACT ___. DATE ..._.__ t ` ` CONST. __._ GROUP
CROSS STREET/i s'-- --- SEIBACKS
OwNER ,//F aiv ` Zt NINC, FRONTv.._._. Rw
o ADDRF SS.s,/f !//dN 5` ,_,,___ REAF?
O CITY D// , /9iQ_ ZIP TEl4 "_ IL3E/SID 'fR Ei-----_ RW
o APPLICANT _.L_ TELt I --• SIDE _,_.___..._________.
CON7RACTOR C-///%%2/lJ 1C/ `- ``".
4 _'' ' PUBLIC PMY # . ADDRESS ,T //.E,,Qr_YG__ /lo• S WAG `.:; `
o •/ DiSPf SAI ' > PRNATE ' SO. FT./ 100 i{1LCI'iY.%_---. ZIP-f - TEL. ____r _.__.._..._., _ _.. ,..._.._. .__
a S7ATE - • '.'_
LIC. NUMBER ' '$4S1. ___ GRADiNG L:U. Y'S. EX. CU YDS FILL
y. ARCH/EIVG/ ^,,,. - ----------- gn TaPI u t T A J. AiREIlNA TION.
DESIGNER LL C..fC4. W 1
ADDRESS - _•/%,- _ 1//C/D,, — 2 __._..._......._.. .__________ o;..
w' CITY Q ZIPti er`;(3 FI_. (rj 3
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PROPOSED USE ° ` 4
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GARAGE . .
NO. DWEL. NO. NO. Qp H
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UN17S STORIES__ BEDROE M$.._—.._. --_ - ----.-- _
LOT DIMENSIONS VALUAiION
WM _
ADJ. AREA .
n NO. OF CiLDGS H W UAi ri'Y C CGi1PT C d FE
W': ON OT USED _,_.._..._.____ '
C _._____
LICENSEO CONTflACIOHS CtAflATqN: I heretr afM1rm iha[ 1 Hn licrosd udm pmvidau W Chep 91ro+r qntitq --- ----•-
wnh Secnon 70p0) of Oiv swn 3 of rAe Business a d Professiens CaM. and my Irente is m IuN fwu nd elhct W
O.: J
3; lel
OWNEfl BIlROEfl DECIARATpN: I herehy affirm tlwt 1 am nm t from rtu ConVacmr's Lgenaa lxv im the fdbm .
easan ISec 7031 5. BusiKss aM Proles wns Cole. Arry cM a eantp which requirea e permrt ro conrnucl. !' o' dtei. impiove. Jemdish. a iepwr ar y straWre. piur b ib rswurce. aw reGuires tlre appkcant fa suc0 pvmn 2 '-"---'"
F-:, lo f k a sgned statement that he is licrosed pursunt to the prai eons of the CmVxtor's l::artie Ww IU1ptp m
9 Icanmenang wim Senwn 70WI of Oivisan 3 0l ma &nwss am Protasqm Co6e1 a Mat ne n eumpt tMrtlram .: v----^
y,:, and ihe hawa lor he aYag exmpnon A'ry vidation al Sxtion 7031.5 try airy appisa rt fnr s pnmil whjuu
ik aDW am ta a crvd penalry ol im mort ihen fne hondrad EeGara IS5001.1: a ' W
1. as v«re al !M propertY. a my emplq as wiM wqet a +nr sde mmpmaaCm. wA do 1M1e wvh. md _.-_—.-__—
i 1he structme s nat mtenUeG ar MhrM fa safe ISe[. 70G4. Buuness anL Prdesspns Cotle T e Cuntrxw'i Liam Q
Law dces nm a IY to an owmr o1 r wM WiNs ar mc. PP D W Y O a Y aan. M wha dou aucA waY himxtF: {i: ,_.__._..._...._._,...Y._...__
m nrough nis own emWoyees. prw OeA Aat sxA'impravmnenn re not inM+d a allend fm srix. 11. haxever.
aq ihe hwWing a imprwement s sold witl in oro vav of campetion. tM wmor-bui w M n ew tlro EvCan of prwnp . t ...., _.__._
mal ne Aid not 6mW a impfove lor tAe W x af s k.l iy:.
eN: 1. as owrer ol the propertY. am ercluvveYy tontrattiny rnM I¢enaed tm6xlns lo matrucl the propct I. .11A.
7064. Busine.ss aM Pralessan Cade: The tonuttior's licsue Law Gas na a to a w mn ot poqny who o csue
a:; h+bs ai mpraves tAnem. aM wM contqen tar weh Oro ets rs•M cartreerorU) M vd purwMl M he Cmueeta.s """'-"—'
licenst law I ' cion s ::r+ ioi ._"__ ,a •; ` a
1 am exemp unda $ec . . 8 6 V.G IAtlxh CerClie Nl. . PLAN RCVI W -
e': oa e owr x ELFC•TFiIC —•--
NpiKERS' COAIPEN54TIpY DEQAlIpTIIW I Aertby tNrm hat I hew a cerrile ai crosent o reM irswt, a:
a endicau of 1W kes' Compenntm Imuance. a a cxofied co tMrad ISa. 3800. lah. C.I. PL,URA IN.Y _
CNu roY n r ev t n,.e. • MECHANlC:AL _.._.. ' _
o; Camied capy a ikd w m me Buibi g msosnm oeprmrnt a_.__, ue v mm, . (e iADIi11G
W . _'_ CERTIFCATE OF EXEMP710N FRUM 4ANKERS' COMPENSAiIOPI MISUA0.Wi: Thh uction nrd r.t he iompltrod . ISSUANC .
y; A he permn u fm on nmoaraa IS 00) a ku. i ceroi mn in tlr p lpmlr¢e pf tlr wpk fa whsh hp . c . ------ 7 r
pe(mit is issuM. I shaY M e^pNY ury' Omm M+M iounner so u m h[ame iM 1WIu'i Canpem tion OM P -'— .[ i; d.l.'_ aws af Califom . . W:
o:; J PARK FEE ___._...._._ oa oen aoow
or ce A ANT N. alln maYmg mu c no,e e w a » m n w.a,, LL SCHOOL FE S
Cwnpensa on Ww sims ol Me Lahor Cade. Yw muM tO tliwiU 4.u 9'M, wM;;'h swumio w thia M shdl . / p
he dremed rroted. '' _
n /-//
DIYISION OF INOIISTflIAL SAFETY PENMIT CERIIFICA71Q1: , .... . ... ... ---- "
0. I here6y celily Ihat no extewtqn fi e 151 a maa Mt in dptA nip whKh Y pequx is wpured W dpcsid, ,
wiN he made in cm c m wiN wart utlnved M tlis P R. and INI iw huNsg truciu. adh ltinp, lalsanak, ` ` w T— ,/
a Aemoin m u ersmnmop ikreal. wx M"r'e.,Fa'n' nwry.q 381 Nft Kiqh) pRp. 1.7. Gr 7. 4n i. See ' / CJ- "
341. Ltle 8. C.A.0 L .'.; 7„; ;;" .
f .,. ,; ,3y .G h
7C • — _ 3 AS owner OmlAfr. I wiN n0i enObY nYaK IO 00 vpY wMtA wpYl rlpWt Oerm1 hda tls Oiv4bn d.'..
r— Indus n l S MY. u rorod above, unkss woh Wr1on Ms 0 ro do sud werlc hae.Nr. di aan —
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a. a i yi s n ntt ., :. ,--y —
iOTAL FEESyCRlSTRUCfnIVIEHMlGAGENCl: 1 Anehp Him tlW tMe u mntr eAon k og apray ler 1r prkmuna
x of ih work fa which Ilns pmmt u iawd ISs[. 7097, Civ. C.1.
fstemer's r me _..------ COMMENTS -: J-- (,-f ( %YI.J.t.J --' . ,{ .
m tmdn's I10dess _ 11
CfItTIFfATE Cp L1A1Cf Alq AUf1 12ATIM FIIIRY: 1 wtify I heue reN tlrt e e v ad suY
a.s thn M1e nlam oan 9 o can ct. I rw a adY wip N sqM 4wt m1 cilY ddirxte nOoE B m b iNA
y cm tructm. and auMaia a rymmtaew d tlr O rhnmt d Buideq atl Seitly te am y n tlie prqerry
fa wlach I hre Mi or Ih pupo d nrkry iRsps onc
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PAID BY r VAUDATIO
WHITE—D9peRmeM Gopy, YELLOW—Finane Gopy, PIfdK—At3lsaor GOpy, GOL ENf;OD—Fib Gr py, GREEN— ApplkMq GOpy
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