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HomeMy WebLinkAbout113 ,�. ��'"^ ''� ° � � CITY OF DIAMQND BAR � pRESS �� '�' ' DEPAF�TMENT OF BUILDIIWG AND SAF�TY \�� -� BUILDiNG PERMIT FIRMLY .lOBSITE -ry � /� �'1 APPIJCATION PERMIT USE ADDRESS � �C• L � �J L/�. DATE �� _NUMBER � �� GODE ISSUE 'TYPE \ l. 1 OCC. a 4PN ,__ �.07,.� TRACT DATE �1�� �gG CONST.�GROUP�_ � CROSS ST ET .�,ov��v,s SETBACKS `=I OWNER -��/7 ' � ZONINC FRONT _�,...��'`��RW ❑ a�ADDRESS_i�1.�c= Ll�- 1���1 �+� REAR.�- �� ❑--- �I CITY�'� Ir_`� ZI f TEL � .d�� SIDE/ REET RW ❑ o�r'�PPLiCAN�r ` —�. �_TE /�'d�•: —. E ❑ z Q!CONTRAC;TO !'�� � ���' �'��-✓�dt---' SEWAGE o I ADDRE�S ,�' � �I�.�_— DISPOSAL � �UBLIG PMT# _ W!CITY�_Ls_� ZIP ..�,7_�TEL...�7� � PRIVATE SQ.FT./100 GAL ziSTA�E � f� �I LIC.NUM1fBER_ "T/ �"'�� � GRADING ❑ CU.YDS.EXG. CU YDS FILL �'_"rARCNiENG! � TYPE SQ F1' FAC'TA�pS ADJ. AREAlNALUATION `–' GESIi�NER� � � � ADi7RES5,� �}- 2 - a C;ITY__. _ ZIP� TEL.. (� 3 o PROPGSED USE .�'►`��–'����..^ Z 4 -- � - � � GARAGE $ NO.DWEL. NO. NO. � pOR �„ UNITS STORIES BEDFi00MS _ m o� LCT DII�AENSIONS VALURTIi)N ADJ.AREA o NO.OF BLDGS HOW QUANTiTv DESCRIPTI !V F�E W ON LOT_____ USED ;t � • - � � � � W � � S ~ I E ,-I;;;;UNTRAC�ORS BECI ARATION I herehy aiLnn ihat I an licensnd under provrsiar.s oi Cnaple�9 1�ommencing x ••�Sec^uc lOJCI=�Graision 3 o1!he Bucmrss and PrMessions Cade,and my I¢ense�s in full force end elfect � � '�� W I � � � ?R^Jf.N 614�E+�C:LRRA';ON�he�e6y alhrm that I am exempl from:I�e Com aemr's Lcense law'ar the falbwing W —._�__ x ^�'Ser. 'Oi15 'r..isn,ess drJ?rntessions Cnle Any uty^i cr,unty whch�equues a pe�mit m cnnstruct, (') ' � � . o �i-�po�•e t�rnAish � re0air zny structwe,piior 10 ils issuance also�eCui�e�tne apphcanl lor uxh psrmit Z Q �c��r�le a sgreA siatei.^.snt1nav ne rs iicansatl pursuam tu thr pmvismns o!the Contrar.lor's L¢ense�aw�CAapter p� � 9�r.nrt�mennr�mch Se�,ucr 700Q'.n�Ow�smn 3 al me 3usiness and Pro(essiar.s Codci or Tat he is exempt therelmm � — d a�;:i^r hass I�i Ihe aile9e0 exemouon Pr.4'violavou ol Sr.cner.IG31 5 hy any aaol¢ar.i tor a permn suhle[ts � � ihr u.i�l cer:o n crvil perallv of��m more than 5�e hur.dred 9ollars;55001.1 � W � L� ,+ • �1"IIP]�9�Pl:V ni mq en;lnyees a�iln war,es as theu snle camcensaiioa,w�!I de Ih;xrrk ard :he�bw�re icrno�i�tended or o��eieJ lar<ale ISec 7044,Gux�cess artl arofes:rons Co-fe Thr Contrutor s lir.ense Q � a�:•=.v�+^t a;f'y i�ar m��nc of piopeny who Gudtls ur improves the�eon and who dces suc�work himself (� �. ' :i'i':'f.�Il1i1 1'11'.N"C,T,��IG�YeS ;f�V10PC tfldi Su[h:II1pfUVETPn15 dle�0;�IIiCnA¢tl Of Ot�¢feC tll!Shc¢ II.hOWlv¢f, � I _ •lie'irCirn c�rni�,^.r=��ent s s:tld�tuhin one yeai nf comple:mn.ihr.mvnerhullder will have Ihe Aurder.�f pmrmy .Q I y 'lia:hr,tii)rci;i,iidl or i^ip�c�e�u-ihe purpose ol saie.i � V+�i�� �s o�.r�¢�o':In:prnpenY ��n eKdusrvely�or.traainy wnh li„ensed emnac[ors ta cans�mct 1he pialect ISec �,�j,� �—"�-`-- o I TC45 9,sr•e;s zrd Professms:ode The Cnnvxtor's license Law does not applr to an owne�ot�mcerty wha � Z!I.i.f:ns nrt,n;roves•hr.�aar an;�who rom�acis Im such O���lects wdh a�entractaqsl I¢ensed pursua�t!n Ihe CoMrar.�pr's y— ����«°Y�:;°w� coNsrRucT�orv � -- -- ��r�� I�m r.e:opt urder sa ,R&PC In��xh Cernlicatel, PLAN FEVIEW �I'-"'�- °i""�' ELECTRIC �I J.L'HKERS COM'FNSA�IfYJ I]ECLARATIOq' I heru6y aNmm ihat I have a ceru!icale nf cpuenl Io sell-insure,or —�� Q Ii�rrLcate cl Vmrkers Cainpeuwuon Insuance,or a cenilied copy�h.weof(Sac 3800,la6 C I PLUMBING �:_1 •«n�i��n�opv��^P�oe�t�H�ishen � MECHANiCAL � c I�Ca�uher coov�s�nro wnh me eoiuing�nspecnon Deoanment or oepanmem � GRADING � — �i CEFiT!h1;4T['u�E%EMPTI�N FROM tYORKER$"C01�1PENSAT:ON INSURANCE�This setlion n¢ea nol 6e mmpklW ('� ��SUA�ICE :OC.� y j i? I�r�ern:is'or anf hmiArt1�SI00�ar less I ceiufy that in Ihe pej/ormance of tl�e v�nh tor whi[h�his �r. - — �;��ermu is issucd, sl:all: 1 emplaY��Y Pe�wn�n any manner so as�o� e suh;et�m the N6rker" ompensatim SMIP _ =I I,ws�',"Irfar . � /p/ �i! � � PARK FEE p Unte_ Appl¢an — � RO'ICE?0 APPIIC.ANT N,after makmg Ihis Ceru6�aie nf E.empoon,you should he�su6lect to Ihe NbrkeYs �- SCii00L FEES Carnpr.nsatmn prm�rsians of�he La6m Cod¢,you m 5I lorihwith m�ly wnh sueh aviswns ar this pc�m�l shali LL Ce decmetl revnk� _�_�_ a � (NVISI(NJ 0F INDUSTRI4L SAFETY PERMIT GEBTIFGATION _, � w � ��I hcrehy ierelv�hat no crcauatmr,frve�51 or more leef m Aepih�nto wheh a persm is repwretl m descend. � vnll Er.maJe in r.orne�!inn wnh wnrk aut�mueA try thrs permrt,and thal no hwldmg s��ueWre,scat(Ntlinp,falsewprk, m tlrnio6unn nr drsmantlin9;herzo�.wdl he more than thinyaix 1361 fer.1 high �Chag 32,Gry 2.Art I.Sec _� W ?A1 T�:lefi CAC� C.iT� �7= r�p.,�,�,�ID B�1R _ — 3 �]as r.wnerr.mlde.�.I win no�emokv anyone io du wo�k wAich wauld reauire a pxmi�Imm me bvision m BJtLD6Nt; pNp $���TY 1— Indusine:Snlr.iy as coted ahove unless such perspn has a Dermrt to da such wa�k Imm me drv�aion — � W ❑�„s���.�f�„d�,�„a;5�.��,m,�Na TOTAL FEE� 1 _,—�' � • 1�� �y LONSTNIICT10N tENf11NG AGENLY I hereM1y alfirm Mat there is a constructian IeMing apency tor Me pertom�� Z al:he work fni wnch�h:s permn�s issuetl ISec 3097.Crv.GI. � iemle.r't Name COMMENTS _ ,ende;'s Addrcas m Q CFHTIFA;ATE OF COMPLIAMCF ANII AUfHON12ATpN OF ENIFiY !certilM I have read this applicatim and statt y tha�ihe mfo�mairon q�wn rs cmrecl.I agree m comply wtth ail sWte taws aM uty o�dinaxes�eleunp ta 6uiltlury ' � consrmcUun ar,n autho a�epresematne nl the Deparlme of Buikmg nnd SefNy to m ywn Nw papary I "�— � loi wlnch I haw ap .d r�his permit for the purpose al np inspec s X �� ��� —I RECPT NO. PAiD BY VAUDATION $ignature ol Appli i Agen� � Oele WHITE—Dopartment Copy,YELLOW—Finance Copy.PINK—Assessor Copy.GOLDENROD—File Copy,GREEN—Applicants Copy _ , .. .. , . ,. .. �. .. . r , . ' .�� ,. . .. . . .. . , � c , • Y . Q ` , , ///��� f� .... . ... ., .. .... , ,.: . �',Z�"�� � :.: ,,';'' . . _ — ..._ _ ___._. . _..... __ _.. ._ _ ._.. . - _ _ __.... .. . . . • . . . ..... . ........ .. .... .... ... .. ..... . . . ... . ;>" � - - . . • - - - . . , ;.:. , .. e . .. �,,:,_., ,: . ... . , . .. .. 3....:.S-r- a......,K. ....... . ......... . ....... .. . . .. .. . ....,......,... .... , . , .. . . ,. .. . . ....... . ... . . .... .... . . .. . . ... . .. . ... ,... .... . . . . . . . . . . . .. . . . .. . . .. . �!. . .. ' '� . .... .. . ... ..... .. . ........ ....... . .... ."__._...._ .. _. ..... . __ _ _...... ...... . _ _.. ... . . . . ':: :'�' . 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