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Home My WebLink About1044 (8) � , • � f'°� �,� � -� CITY O� DiAMO, ND BAR PRESS `�� - DEPAR'�MENT OF BUILDING AND SAFETY FIRMLY ;;� BUILDIHG PERMI7 � APPUCATION �RMIT � j'� USE JOBSITE � , � ��_^. ISBTUE ��L�TYPE ER�CODE ADDRESS y ; .,:. ,i..::•, �.- APN L _'fR�1 �'T " " � T �� CONST. GROUP o CRQSS SM ET" i � � ZONlNG SETBACKS ""�""E"'S °O— OWNER FRONT FaW ❑ p ADDRE �'- C�� C� l.� .� REAR ❑ � CITY � ZIP TEL.�� SIDE/SIDE STREET RW ❑ a APPLICANT �'EL. SIDE ❑ z � a CONTRACTOR -- SEWAGE ❑ PUBLIC PMT� o ADDRESS � -.— --- DISP05AL ❑ PRIVATE SO.FT./100 GAL W CITY TEL. = STATE ,�,, GRADING � CU.YDS.EXC. CU YDS FILI y Li�.NUMBER y ARCH/ENG/ �; 'T'YF�E S 'FT Fi F'S °.�1DJ. AFtERNI�LUA'CIC)N': "—' DESIGNER .— W 1 t .7�r�� ADDRESS L�: 2 0 z CITY___ ZIP TEL. (� 3 u, � ;Z q _.._..,. ,:.. � PROPOSED USE � p_.y t��, � GARAGE ,� °�, � z�NO.DWEL. NO. NO. � PORCH � UNITS STORIES BEDROOMS � � LOT DIMENSIONS m VALUATI(3�N ADJ.AREA o NO.OF BLDGS HOW QUAIVTITY ,p�,,�G'�j��Q� - �� W ON LOT USED �. � v. _ ❑ tr ~ UCENSED CONTRACTOflS DECLAHATION:I herehy atfirm Ihat I am licensed under provisians af Chapter 9 Irommencing �.�, — Y wrth Section 700D)of Olvision 3 of the Businets antl Pmtessims Code,-and my licrose is in full force and effect ,.� 3 � W W 7WNER BWL�ER DECLltRATION�.I herehy aHirm that I am exemp�fwm the Comraclar's License Law lar tM1e lallowing � � a �easar(Sec.1031.5,8usiiress and Protessians Code�.Any ury or county which requiies a permR m�ronstrucL '�(�.; o alter impmve,tlemolish,or repair any rimcture,prior m its issuance,also requires the aDPlicant for such perm�t �j F- to file a signed staiement�hat he is licensed purwant to the provisions of the Contraclar's License Law IChapler �.y,n�� 9(corimendng with Sec�ion 7000I of Division 3 of Ihe Business and Pmfessions CaAe)or that he is erempt Ihertfrom . 5,�:; d, antl�he�asis for the aileged exempGon.Airy vrolation of Scc4on J031 5 fiy any appli[am for a permit SuEjects I� �' x the ap0��r.am to a c�vil DenaRy ot not more ihan hve hundreC Aollars IS500L1.. �' -'� W Q: o ❑I,as owner of Ihe p•operry.or my empinyees with wages as thev�5al¢compensatiort�will do the work,and ~ the suucture Is cot intended or ofleretl lor sale(Sec 7044,Bus nesa and Pm�essions Code.The Contractor's license �, � Law Aoes no�apply to an owner of pmpeny who bu:lds or mproves thereon and wha dces such wark himsell, �� U�. W or throuyh his own employees.D�ovided iha�such�mprwements are n6t mtended m o1f¢red for sale.If,howevei, '�Z:' _ �he 6uildmg or improvement is sold withln one year nf canplenon,the owner-buildei will hgve the burden oi Oroving �Q; vj that he did not hoJtl or impiove lor Ihe purpose of sak.� -� H ❑I,as owner ol the Dmperty.am exclusrveh comractiny wiih licensed comractors ta ecnstruct�he pmject ISet ��j,�. 0 7044.Business antl Professions CoOe�.The Contracmr's License Law does noi zpply to an owner oi Dropetty who � �' � hwld:o�impro+es thereon.and who contracts for such D�alec;s with a coNfacrorls)licensed pursuam Io�Ae Conuactor's ��e�:;eLdWi '. CONSTRUCTION � a 6 ec w„�ce cemr��a�ei. PLAN REVIEW ❑ I am exemp:�nder Sec. -�y�r— 0 oate. owner E T ____��,�CX(,J � WORNERS'COMPEFSATION OECLARA710N�.I hereby affirm that�have a cerMica�e of�cansent to selbinsure,or ',� P � ' � P � a certi�lcate ol Workers',".ompensation Insurance.or a certilied coOV ihereot(Sec.3800,Lab.C.I. . � ��' - � �� ._>t� Z ❑Cenitled copy�s herehy fixnished �[ C1�.A.I�1_G9L.; � c ❑CxrtifieA copy Is filed wilh the Building Inspeclion Department or Depanmem � GRADINC C `/ �.� s.r d l�� CfRTIFlCATL OF EXEM1IPTION FROM WINtKERS'COMPENSATION INSURANCE:This section need nat be completed Q. ISSl1ANCE � it ihe peimit is for one Aundred�SI00)or,�ess.1 certity that in the performance ot ihe work tor which'ths / y permrt is issued I shall not employ any perspn in any manner so as to hecome subl�t to the N6�ker5'Gompensatmn �- �� l(/:�� = law<.ol Caflomia. � ' � �� 0 oa'e ��a��- �:: SCHOOL FEES W NO710E TO APPLICANT�.If atler makmg ihi�yC rt ynu shauW hecome suhject m ihe Nbrker s J - Compensation provisions ol Me la6or Code,you musl larth.vith comylq witfi s�zh prwisions w this permtl sh�ll - LL �e deemetl ievokec. ' J •t�� .. �OIVISION Oi INOUSfR1AL SAFETY PEN T PIC � �� °� �� W . n-',❑�ne�en�cenily tM1at m excavati ine p or e e�ifi ro whicn a oersan is repmred to descena. s 'w�ll be made in conneaion with vrork authorized 6y tha permit,and Iha(no building stmtture,staflalding,falsewnrk '� ' f .. � m demolltion or JismanUing�6ereof,wilP be more than ihirty�si��36)ieet Mgh.�CAap.32,6rp 2,Arf 2,Sec W aai.r�ne a,c a.c l r + �h.•,, �5�i,. = CI i°'�' r'� �• ,.�t> �'r .,.�-,;� : 3 ❑As owne�-huilder,I will��i��Oy�n`"�ib''i�d�q�wprk�vASch,�udl�"-redllkL a parmit from the Diwswn al p_ Intlustrial Salety,as noted ahove,unless such perso�n has a pefmrt t�d�a 5ch work yrom 70e divisiun. � � .,..�.�... W ❑dvision N Industrial Satety Permit No. ��Oy p� C�CC � CONSTFUCTION LENDING AGENCY:I herehy affirm iha7 the�e is a corishuction Imding agency 1or the periaimence 1/'1 r G�7 f � Z of ine work for which this permrt is issued ISec.3097.Lrv.C.}. � ,�-, / �7 --"��,.�.. � � lender's Name . . . COMMEIVTS � e p�p Lender's Addiess ` 'a CEft71FICATE OF COMPLIANCE AND AUTHOIUZATpN OF ENTRY�.I ceivfy 1 have ned this applicatian xnd state � rn that 9he infamation given is correct.i agree to compty whh atl sta�e Yaws aiN ciry onfinancas relating to huiNiiq �y construcuon autM1orize a reoresematrve a tice�rtme of BuildinA a�Satety tn en�ipon tlie pra�oxrty .� = ioi w' ve a ied fo�Mis permit for t purpese maki in 'tinns. /^�^^� � ��.JV� 4Ol �� ` �(� — nature at oican ar pa1e, RECPT NO �___(.__L�__�`__PAID BY ` VALID/�KTION WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROO—File bopy,GREEN—Applicants Cap'y 85706-11189 . ;�,; ...-� ,,�`� . �¢ �� , � $�� -#$ �$ � �¢��nq� � . - h¢�'';A �' � ,�`, R2,�� e,�y�s.�„�'n£#s�£dK��.�£ ��''i �'� ��#?�,4t:'f �a�..'^, 9� E&q� � d'§ ��f� "yg �f i'&^r � � �'' ��3�p.�� a .=,.�es r sR�.L:��r� S ?5ns°"�� 3:.�.- .`xA �mf�"i .,.� ._ s�a .�=2��4�i�1�?�f��"��'�?%�S�€��. ..��3ss�e��a�i�d��'�A�,;N '�te��Psat�m�`T��f��i�`Ct� �#KR q�^ �"`.�s"��a�'�'"`t�ei �� 4`�� pi^ ,�� i��8�3�€'� 6 .,:§e.a i .¢�7',... �r€��.:��`i�s°�b�3��'�z"r� a� o''..�� s'£,5a�€��9 9;g1��;1�6��'e,�s,r a� `t'$�- z S � .��, f A:�r� �„r7.: �"�,a�.^ �� s �>,• ��a_Lf�n �� x� saa�' A€s.�..,.:��• �� ._..,: � .� e;,:�r, .��.�".z,.s�� k a,t-U'�d i��i�':-_te��i r��..��K,,�...�;. :'�.4� ��.� �.� ..�;..� �€€ ��,. ��"a i,:�..; „�sin€ ,�r.�zuE�.�¢�;s�',.,.��.��'A?'2�^�a�','�u,M ��.�..��>,�;��?z�a�c�§t#.eS$i��u�.t�.�.s.�.�'�^�:�Era�t�?ed�.�J��h�i�,��'?43��t�1�sM�n�'k��'.��?�.a�� .�:��'� � .� .�� . �� • �� 5',, ��r&�ai'��tl��"� . � ,�:a �i� �a�� rr �'� ��,:,�� ...z .,� ��. 3 . , ,;.. ..: . 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