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HomeMy WebLinkAbout1778 (26) i ''"� CITY OF DIAI�OND BAFi PRESS �., °- ' ' DEPAR7'MENT OF BUILDING AND SAFETY I �.� BUILDING PERwAtT FIRMLY _ i JOBSITE � � �,,,4.. ,�-, � DATE CA710N � �,,,,�,�c�+ �i �MBER��-+CODE � ADDRESS ��� ��� � � — ��UE TYPE OCC. f APN LOT TFiACT.�� DATE CONST. GROUP � o CROSS STREET,.,�_�' �� - �/��'�`�'`=�'�_— zQNING S�T�ACKS "�"'�"rs � °= OWNER ���� FRONT RW ❑ � ADDRESS �`~� ���- REAR��___�_____ ❑� s ,�. CITY Z __TE � ` SIDE/SIDE STREET RW ❑ `_ �r r- ` �.. SIDE ❑ e APPLICANT - TEL` _. i � CONTRACTOR�L/Z �l . '� ' SEWAGE ❑ p�g� p(�T� �-- i .,a ADDRESS��z � �� �� DISPOSAL ,�; CITY - ZIP�,TELcr' ��L S --- - --------.W- � PRNATE SQ.FT./100 GAL� ' _' STATE •' d� LIC.NUMBER `��J ��% GRADING ❑CeJ.1�[��.EXC.�.�_CU YDS FILL ' y ARCH/ENG/ � N N�'E SQ F-'C' PS �tDJ: AREANAL ATION � ,��,�,�-. �, , _ " DESIGNER i �4. ADDRESS -- - - --- - — — L�L. 2 z �; CITY _� ZIP TEL. (�j 3 � � ; _. z �� W, ; �; PROPOSED USE�t'�.����'-1 �•r�i�+tr°' �#�.� ✓ 4 _____.. � � w; ��Y-- ,_ � GARAGE j Z; NO.DWEL. N� O. � NO. � p�jR� UNITS � STORIES_____..._BEDROOMS� � I `—'' VALUATIOId AUJ.AREA c. LOT DIMENSIONS —_ i o NO.OF BLDuS H(�W ��� D����i1PTION FEE + W'. ON LOT_.� _._.r._USED Q � • • r ,.f � y ,.� •, j c: . c? W � _' � --�- :�' - — .r:� L �COt�RflACTORS OECLANA�qN:i lwehy affirm itiit I�m 4tenvd un0e D��s af ChWtx 9 ItommnxirA � ;�"� with Secnon 1000�of Gnsan 3 of the&uinets a�d Prohes+ons CaAe.aM my tcenu�s ro�d1 force md eHeci � � ��� � ' B� � . .4�.L =,� � i �3'� �ER�BUILOEN DECLAflATqN I hereby alfirm tlut I xn aweyit Irom the Controtmr's Lcrose Law fer thz folbwinp � � ��C� � �' % :' reasnn ISec. )031.5.8usineos and Proles5ions Codo�Airy ciry o�canty wlxch repwra�p+mn ro crosuuct. (�$. '�. ��. -� o; alix.imp�we.Jemd�sh,«repxr arry s�ructure,prnr m in isaunte.alm�eAwes the apilinnt lor su�h�rmif � ,,. � m ' � H'- to tik a sqned statemmt that he u IKenseA purswm tn the p�wispns af the Cmbumr's Licmu law I�apta m �J�• .`:¢, �..�; 9lcammencing with Sec6m 7000)uf Oir�s�an 3 M the Buswu ud Prahsswm Cadel d thsr he rs ewrret tlwelran �. �J � � a �p;. and ihe hasrs toi Me atleged en+nption.Am/vialaaon of Seciion 70315 6y erry applipnt�a o pnmrt su6pct3 �� � . W�, tice appLcam L a c:��il pnaltY c'.:ut m�re tha fnn huMred Mkxrz(75(101.1. J . t a.� � # ; �„�,�:, ❑t.as owrer of 7h wapenY.a my emplvyees wnh weges u iM�sdt tompe�telion.wdl Co the woh.md � � �r tlx structure rs not�meMed or ol:eie0 la sak ISac 10d4,BuuMss aM Ruf¢ssms Cme:The CmVacta's litenx �� -'7 M�.d�T � _ �./ . �� � _ .V; Law tices riot aOMY�o an owner ol prapenY wlq Wdds a�mqrmm rAttean.md wtro doas such war4 hxn�eH, (). ��- � W.: a ihrouyn h�s own emd�es.OravidM ihat such imprmKmenn an not inunded or O1hRA Ia SaY.11.however. � .� d. `�% 1 '� � a0;. .the WiNing oi�mpmemm�is soM within ax Mea of comYM�wa the av�w-bw1AM wil hm�he EuiMn af povup .��. '����y��,,tha�he aia not Wild a improve lor tk purpau N saie.l . _ � �;..❑1.as awner ot Ine aapenY.�nt4wW{cuntractxx�wiN licena�cantl�ctors fn constro[t INx prqicl ISs. .{y ��-���W � � '.o=;�7044.Busicess an0 Rolessbns Cotle.Tk Convx�a's Lwnu law tlon no�+pph m an v�+wr of papmy wAo g. wM�..��N� { =t�:d,�Ms o��mpoves tnereon.�M wla cantruu la such proptta wnA�connectpl�l ucr�s+d pa�rfuxn m rtr Cmrectar's i '4=.License law I (�''��S�R�J(;(f�� { �;:O i am e�en,n,ureer se�. .e.6 vc.wnxn umeras�. PLAN R�VIEW _------- 4; cryyp��a-S �/' � ,G.,�Oa�e _'—UaMf � ��GV t fl.�V...i � ?� � . .�1..`...% ,y��: WIXiKERS'COMPENSATqN OECLAMIIW:I herebr�Hirm iNat 1 hna�cerMiuto ol emunt to sMl•msve.r �� � - e._. � , r"+ 1 • a arnfica�e ol RVxkCs Gompenu�wn Inaurarce,a a urvlie0 wpy tM1ered ISee.3800,lah C.1� � t PLUM@I.f�.l,a..__, �J'C�� a, „�....�..,.�,...._� . ` ❑c��n�a o�v�:n.��nv i�.,Nsn.e. �_ d a �MECFiA,NICAL� ��'••C�C_1 �, � .W eu1Kd copy�s IikA wi�h Ar Bu�rg Inspcnm OepxCmnl a , � —awa��. ((�++C��.GRADING — — '���_ �C IFICATE OF E%EMPTqN R1pA 4ARKEHS'COMPENSAl10N MISURANfI.Thie�Uan nMd not 6e campNted � r�C. '�^ � �.e� il ihe Dmm�is to�one huWe7 IS�001 a kls.1 cxufy tAai in M Dulormr+n af tlw wort fa whrh this ---�� . ,J ' •� �.-'`�� ..y peim�t�s issued.I shaN rot employ�nY D�rmn in mv mruri m a a Meome. t ro tlr i Ca^De im � 5`M P - -- —_---------_-- � o U�:�c� �. V y —�n,. �� , ` � ,� W PARK FEE _ � raT�e ro aeei�cnNr:n.a m���m�s c�.uie�o a w��a+a ��u��,wt.•: SGHOOL FEES . ,-� Comce�s�nan pm�Nms al Ih la0a COE�.YW mus[Ivtliwnh cm9M wiN ach pauau a�M P�^M�M �':� he deemed revokd. .Yd .�,� pVIS1al Of INDUSIBIAL SAFETY PEXMR CERTFCAiIOd: — � — .;..e ❑I herebr cotdy thal no ett�r+u0n trvt I5)a mort"�al(im4plh inb;wl�sA�paitan w ropered a iueend. �: p0 tan ..u��, wa k mah�n cmneclm wiM'AorY 7utAauM M CNS p1111N1.'YM ppL:m Op�71�ftlR71f�.ICd�OkM9.hli�Mat, :- , a emwM�an a C�smantlinp thrml,wi1 he mare niao MirN�a.;i3sl;(��•luw.3.7.G�2.nn z.sa i i �;;'W�. 341.Ltk 8.C A.0 1 . � I i= _ .''�;': ❑As awne-hiaMer.I will mt enObY+�W�M ta do wa�t wAirh wail rqu�u�0�han Ih Onem d ; � ;�1��. I�ustrul SaMr.as rop0�hore.unlas wch p�Rd�Mf a p(miK b do n�:ywN�frow 1M diwmn � ; ;�; ❑�5����v��ry���. ;., . TOTAL FEES ' /� coNsmucran�exanc nceNcr i n�mr,M�n�,�u..u.�m..v�wr:a•a!!re��a«� �` `�;���. ot tAe wort fa wAich tlds Vamt u uiud4Sc 3097:Gv:.:C f. . . .�. . ... . . , ;�; i�:N,m. - COMMENTS� , , _. , i `%m: �«�:nea�.0 _........ . .... . . ... ..: . ._., . .:���- CEffflfl'qiE OF CpdPLIMCE AIYI AUIFOIUipi OF ENt11Y:I arMp I Iwv�ral Ilw pp'sniai rd ttw � .';:.�� XW Me wlam�uen gn�n n ennel.I aprd m ram�y wiN M Iwvt rd eM adlMtM n11Mq to hYdp -- � I �:.va� cmmrucuon.and authain�rpnam�re d Buiip+M SautY b wm�Pn tlr pr4ap M wM1r � kr tlw �lar� d � �: y � ����. ! �� �a � RECPT NO��� � WUD BY VALJ�ATION�,�✓• I � T —Departmem Copy.YELLOW—Finance Copy,PINK—Asaesaor Copy,GOLDENROD—Rle Capy,GREEN—Applican�Copy � ...85106-11/B9 ,.��,:- _.... . _ _. _ �, � �i( � 3 . 1 i ; i � 'S 3 3 t .- '^'9 . T I � �.' 'C : r <" - , y r- L z i � i � � ,,. v' t' �. � � c:, J I � e,t l 7 . ,� �. �£.: � r � �:)X:��. � � �� � '��, C�:) ; � � � � �� .��.r� � � F ' F "€" i � . j ` 3 .r.� � � -� _ i� � . � �'�. , . 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