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HomeMy WebLinkAbout1527 (20) �V �"` ClTY OF DIAMOND �AR pRESS <��� '� "� DEPAFiYMENT OF BUiLDIWG AND SAF�TY FIRMLY BUtLDING PERMIT � APPLICATION �. P�RMIT ---__..._....---- JOBSITE �� s U�E ADDRESS��w�2 N� I�E� �_i �td DATE ..¢�-���"�� NUMBER 1.�j�•��:ODE {SSUE TYPE /52�7 �- Y APN LOT TRACT DP�?'E � "-�.�"`��,� CONST. GROUP p CROSS STREET��q)�y�'�"° !"��►<,c��.��.__ zdNWG �ETBACKS "'�'"E"'S aO OWNER L-"�cJ (��,J t�) !�a � —, FRONT.�. RW C.� o ADDRESS��i I �i I�. DE.L �'��� L_N REAR � W CITY/�l.f.ticv.u' �aa LIP ���' TEL. SIDE/SIDE STREE7 _RW ❑ o�APPLICANT�C��' �+r,u� TEL SIDE � _ � CON7RACTOR��•�(,¢v e+1Gia9� S�WAGE o ADDRESS.��2 C�P��+tt,.°-�2'� DISPOSAL � PUBLIC PMT# W CITY�._�,.M w=�f1.t�',��ZIP�7�TE _ � �'�lVATE SQ.FCJ 100 GAL = STATF � GRADING '� �CU.YDS.FXG. .CU YDS FILL y LIG.NUMBER�� ��p� — y ARCH/ENG/ � TY.F>E. 5�t FT FAG"T�7F� RS: ,AfaJ:..AR�A/VALUATtON: , •. " DESIGNER � 1 _ � ADURESS t,Wi.. 2 � - a CITY ZIP TEL. ,(� 3 � PROPOSED USE'^� '" ��' 4 � - �. GARAfE o NO.DWEL. NO. O. �. PORCH y UNITS ,5TORIES BEDROOMS �. � LOT DIMENSIONS VALUATION. ' G� ADJ AREA ` • o NU.OF BLDGS HOW ounturt.rv .DES•RIPTION , ' �EE � ON LOT� USED U � � ;� � LICEN3EU f,flP�iN{U:�OAS DECLABATpN�,I hcre6y atlinn iLet I am liansed unde�provisions ol Chapkr 9 I�ommencing .�� x wnh Se�:lion/U00)ul Oivisinn 3 at ihe Husiness and Pmhssians Code,end nry license is in full force and effect. s � W: _ o ❑ ;.-�" � �. �±-� fri4NER�8WtDER UECLAHATION�1 Miehy alfimi that I am eMempt Imm ihe ConUacror i Litense law fcr Me idlowing �` � rwson ISr.r. 70l1 5,Nnsiness enJ Pmlession.a Cade�Any cuy m aounly which iequires a peimN ro tonttrucl, 2r�; o' alter.irnp�u�e,Jemolish.ur repair any shucune,prior la its issuan[e,also�equi�es Ihe applicam Por sceh parmit ::`.Z- - 1- m hle a signed statr.mem tha�he is licensed pursuaN to Ihe piovisians of the Comracto�'s ti[ense Law ICAapta ,':�(�j7 - �� 9(r.nmmenr.inp•,vitli Sec�ion 70001 of Urvisinn 3 ot the Business and Prafessions f,ode�oi lhal he Is eve.mpt Iherelmm �`:�- — d. antl dre basis(ur Ihe allegetl:xempiion Any viplatign pfi.;Set!�q�;?U3,IS 6y enY 3pplicant br a pe�mit su5jects ;�.�.; � the aFPhcaN tn a crvil penalty ul nol mor¢[han bve_lfilndled�doll$rs�j55D01.1: :�a. �� UI.as nwner nl the.p�oDertV,ar my emDloyecs It1 wagps�bs�N2ir�so�e compenution,will do fhe wo�k,and - . Il�r snucture is not imended nr ntfr,�ed loi sale(Sec.7004.Rusness and Piolessions Cade:The Cuniractoi's License .�.:� ~� Law Aces nei appiY m an nwner of D�opertY who hwlds or imUroves ihereon,and who dces such work himself. -:{,Z, U �++ ar�hmuph ms mvn er�uluvees.�orid n th ls�e�i iqprpve�penls at pq�.ncended a�ol�eceJ far sak.If,howx�x� ,Z , m� tli?b�AJing w mprovemem is snld w II�,���y�r of_SomD�lion l�a3p��rhuilder will have ihe hurden ol piov np ��Q- � � rnai nc am no�nu ie nr�mpmve m�Ihe purpose al"saleT ' `� T y UI,as nwnr,i ul t6e p�oDerry,am exclusrvely rqnlru[tiny wilh lirensed tomrac�nrs m constmcl�he pm�ect ISec. '�;,�, � o IOM Busuess and PmGssians Codr TIB�Cuntrxtoos Luense,L�w luet o�ppp�y.�o an owne�nl pioperry wlw -'�^� Zt Lu Ids or�npmvr.s tAerem,aud whe eontracts lor suchryo�erlt witli�atont;uor(s�hEmsed pmxuam to ihe Contracmr s a i�e�set�w� a r, CONSTRUCTION _ �1�. t%" C) . .....,.; , ..,,,,_ --- W. f7;a���e:empt�ntler Sx 8.6 P.C.IAttach teni([etel "; PLAN REVIEW o na�o a,�ef i:.':.ELECTRIC _ 4� WOAKEflS COMVENSATIIIN OECLARpT10N.I hereby alfirm ihai I have a ceroiicate of consem�o seu���5��e.� =.�°::pLUMBING � y� arc'endicTie ot Nbikers'Compensauon Insurance.or a w�tilieJ mpy thereof ISec JBUO.Lah-GI. - . — _ __ 4 LJ Certihed cnpy is herehy(u�nished. ;�•_ MECiHp1N�CiA�.. �__ ,. o ❑fe��dieJ mpY�s liled with the Rm�ding Insyection Deparlment o� oepanmem. �"{Q�'GRADING ___ W -.(r:. ) = C6R71HLA7E[IF EXEMPT�ON fFOM 4YOAKERS'CUM1F'ENSAT�ON INSUAANCE:This secnun nced not he[nmpleted ISSUANCE_ 1 � � � � � il Ihe ye�mil is Inr nne hunare0(3100�o�lese.I cerli�y ihat in�he pedorman[e ol the wwk fo�whicN this � -- h . yermit is isa�ced,I Shall not employ airy person in any manner so es Io become suh�¢[t lo ihe Wurkus'c������ ���; gM IP = laws nl Calilanria. •W � o �g. _ ) PARK FEE p Oate��l�� �� Applicant /tJI�ih+"'C!�(��"�A `�. W N(YfICF TO APPUCANT�.Ii,alter makmg this Cendkate ol Eumv�ion, u snou�d become sub�ect to me Wakers ���$CHOOL FEES J -� Cumpensalmn pmvisions ol the Labor Cade,yau must tathwith camply with such p�ovisnna a ihis permi�shall � � 6e deenwd revoked. -- — a � qVIS10N OF IN�USTflIAI SAFETY PEflMtT CEPTIFICATION� — � o ❑I neiehy r.enify�hat no eMcavanan five.151 0�mwe hel in depih into which a p¢rson is ieQuired m dac�d. ee will Le matle m mnnecum wnA wark awha¢ed hy�his perma,and that no huilEinp slm[turq scalPoWinq,hkework, � n' or Demohhnn or dismanlling thereof,wdl 6e more�han Ihitly�so��I feet high.IChaD��2.Gry 2.Art 2.Sec __ W� 341,Tille 8,C.AC.L _ 3 ❑As uwnerhuilder,I will no�empby anyane lo da work which wouM�epuire a permil fram tM Uviaan ol � 1--. Indusvial Sale�y.as nmed above,unless su[h pennn has a Deimil lo do such wark from Me divisian � ' �'-�-' '�i W ❑�.,5,�„o�����„e�sa�e�Y�,m�f Na TOTAL FEES ,��" C9 C7 ,S; � � CWSTfll1CTI0N LENOINfi AGENCY.I hereby affirm that ihere is a wnatruction kndiiry apenty for the perlo�mance Z ul iM wnrk tnr whah mis permii is issued ISm.3097.Civ.C). � �e�der's Name COMMENTS m Lendei s Address ¢ CEflTIFIf.ATE OF COMPLIANCE AND AIRHONIZATI[N OF FN111Y:I cMi(y I have reaA 1M1ia applic�tion�ntl st�rc y ihat the infamation 9�vm�is oarcct.I agree tn wmpiy with all stale Ixvs aM ury ortliiunces rehtinp to WiNi�g y canslruc�ion,and authorixe a repre5eni�live of the Oepariment oi BuiWinq aM SafetY�o mta Won the WURrry � = lar which I haMe apD�Kd tor Ihis peimit loi Ihe Wrpose of makinp inspeelions. 1--� � Siy�e�ure o� 'a��y"''h'- ��Z�aa� RECPT NO. J �� PAID BY VALIDATION AvplKan�oi agem WHITE—Department Copy,YELLOW—Finance Copy.PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicants Copy � ' 65106-11/89 �... ... �, , �"; � ._� � �� ��� ���� �� �� � � ' � �° �,� :���� �� � � � �,�� a� � � ; ���€ "_ � � � � � � � F� �'� ' �� � a � � �� � ��� � f � <, ���,�����r x����� �� e� � � ! rr d�� �� " ��� � ��` �, ��"��� ��� �,� �x� ��-, � �, n �� ...+����ai�a���a�°���� ���"� ��'��. s � � k��� ������ ��` ��� . � , - � � � .. ��� ���� ��'�"� < �a�' �_ �„��_ U�p�� ��r x"�����:����� . � � � � ��� �Q�b� ��q�y�&' ���� ��ASF � [ ' \ ' '... €h� . �i . 8a��3 € h _ IIk q `� �' /-� `1, �� � . ,,�, .. ..��d��'A � a'���t»<���... � : � . .. ........ , . ...� �`-- - .,..... . ; , �, `i ._.._ ,. .. .. .:.. ! . .. ' ��� ���. . . � '��. � '��� .. ,. � &;� .. �. . �E ' ' ; ' . ^� �P�B� �i , . ', ',. � , ; ,,. � . �: � _^� � ''. [�7€.h � „".. . ... 3 ._ ' . ,... ' '.. . ,'. _ \.. �: .. � : ., . , ......... f , , �. .. � a � ,]� ... �.'. '.. . � ,, .',. 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