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HomeMy WebLinkAbout1283 (14) . _ .� - . , . ��� � 7�� . �"` �ITY O� DIAMO�'JD BAR } � ' " ' CDEPART�AENT OF BUILDING AND SAFETY P�ESS �\" :� BUiLDING PERMfT FIRMLY JOBSITE ���� i+PPL1CATiON ��PERMIT "`i`' USE � �j s C �.'�'",[.y�,c.✓i=� DATE NUMBER �•� � CODE ADDRESS � � f � �g��� .� L� L�� TYPE OCC. 4 R P N . L O T_,�,__T R A C T'��� D A T E �� C O N S T G R O U P_ � CROSS STREET__ � 2�NING �ETBAGKS '�"°vE°'E"'S °-' OWNER -�?/�r'�.r3��c: /�v,'�/�� FROIJT" .. RW ❑ o ADDRESS r-� % -� _/._ �`�'c=-.• .�r�'-� _ -�,-�,, • .., �r�= `. 9 REA�t�'�' ❑ 1L f 0 � W CITY_!� �-5 � ZIP TEI:��'�._�_� E Slf1�%�I�E STREET ' " �R1N ❑ o I APPLICANT� �/� S ,��� dTS TELs%?P,7,�:�73 �,---- SI�E_ ❑ ° CONTRACTOR.,t'?��!��':=' �`'��`.� � �--- �a --�-- I SEW/�GE ❑ PUBLIC PMT# o I ADDRESS �I 7r �"��'���'�'�:'"-S `"��'�'�-: :DISPOSAL W CITY�'�/�' ✓�'`'�� ZIP�1�"'!�'_TEL.�=�_�7 ''�-r7 ,� —____ C PRIVATE SQ.FT./100 GAL a �C NUMBER ��� -�'` ��"� � �GRADING ❑ CU.YDS.EXC. CU YDS FILL �'' TYPE SCt�AGTOR PS ADJ. A�ALUATION �� ARCH/ENG/ � � ¢• DESIGNER__ _ - � 7 �'� � "� ���-� , �� ADDRESS -- !L 2 ��LGS e1 , , .. '�G.f� -- �.�' , -- G � �� . �� CITY ZiP�_ TEL. � {"� 3 �O�[," � L� �.� � `C:'. LLI �_ � �� �` PROPOSED USE fll�t'�s"� �-G-�`l s�"✓e't" Cs':,�:� .•� 4. �'s — — — �, `?l� , � � GARAGE -°'�}" � �; NO.DWEL. NO. NO �� � ���� _` UNITS STORfES BE�JROOP,AS � �"ORCH �'• � VAIUATkOI� � .�_ ADJ.AREA �; LOT DlMENSIONS — —..__�— _ __ �:' NO.OF BLDGS HOW I �U�M�TY D�SCRIPTlON FEE �:, _.._ ._.....- . . _-�--�- _� � ON LOT — USED_ . _ ) :y, + ac U _.it' ���;���,��"' t-R 1��,�°.�L'�"`", �' ' o[ ��' ICE SE�CiINTpACTORS`�ECI.ARATION I ne�eM alh�m tlial I am licensed unaer grovrsiars of ChaHler 9�tommencmg J ------ ---- �j'�, wnh Secua�� 7100i al�ivision 3 0l!he 9usinest and Pmfessimis Code ard m�I�ense is in tull Iwce and eflect I' W � 3;I❑ ..._._,__..�..._____..__�______ ..,. .�"""`_l+ W __— -�_ -� �ChYNER-Ri�ILOLF UE�L:JiATICN�I heirCy alii�m thal i am.evempl Irom ihe Conttac�a�'s L¢ense law fo�the'dlow:rr��� �,, 'reasur Src 70?1 5 Business and°mfessinns Cade Any cny m rouniy wh¢h reqwres a permn;o cnnstricl i� Q} � _ C:! a!�^i •�Cmve.:leme8sn,or reVau any stmctwe,pnor!o as issuance,alsa requires thr,appLcant far such pe�mie � 2 ��• ic�ile a sig�ed statement�ha�he x hcensed O���suanl tn Ihe provismns o1 th.=G_n;ra[tar's L¢enu Law�ChaO�er ; pp ' "' ' -• • p�; 5�cummencmg wr.h Sccliun 70�0;nl Dinsmn 3 0l ihe 8usiness a�id Prolessions Cadel a that he�s axemp!thsretram ' R` ---'—�' p;, ar.c Ihe:is:�s�n iht alleged^aempvon Ary vmlauon of Secuun 7031 5 iry any apqli�anl for a we�mit sah�ec!s � � �'� �hr npplican;tn a cr:n penaAy ol not mo�e than five hundred dollars 155001� � � -�-'-'—""" c:� � __...— f,., �i as owne�cl the praperry oi•rry'employees wnh wages as Iheu sole:ompensatmn,wtli do Ihe worA,and ;he�rdcture�s net mienAeC rc otlereC Im sale iSr.c.7014 8usiness and�rokmsions Code The Corvtracm'r's License I i Q �;� Law r.nes not applY:�ar.uwnr,r nf property who huilUs nr�.mproves thereon,and wM tices such wark himtell.�; (,) --- �;� oi thra�gh ms a�an enFlayeev.pmv:aed�hxt such impmvements are r.at imended or ofle�ed for sak II.Anwever,�` ,�! p[i ihz,y�_i.tir,r��u imprmerier.��s snld w:thin cne year af coniplenoc the qwcerh�ilder ovill haire�he hurden ol,movin8 i e{�- - --- �� II'al�e OiG�at IIUdA nr imprnve loi the puipose ot sale.� �� � - G'f 09 ❑I,xs nwner of thr pmperty,am e�Uusnely co�vacuny wi0�hcensed ccniraclms ro cansuuc;ihe prmec�(Sec � �,� %f44 L+osir.ess and Pmfessions CoCe The Cunlra[ror's L¢ense Law dces nat ap01y to an owner o�D�oDr.rty who i � � _ �� �n:dds or,mpmves:herr.on,and wno cenvacts far suah pro�ecls�rth a caniracrotjsi licented pusuarl tn Ihe Conliattor3 ._�...__.--__,___� •�. �i�Pos��aw i � . CONSTRUL,TI(JN •< �r'. � ,�.��� �:s i - :�I Li I xm e+enpl�ntler Sec _.B 5�C laftach Crruficatel I PLAN R�v��������� �� �; ua« a��e, _— + ^`� _ ; "�LECTRIC,i , �-�t� _6� 6Lt]NKFRS'LOMPENSATION DFCLAPATION I herehy atfirm tha�I ha�re a cnnhcate ol consent tn sell�msure er' �L���g��� '' a�r.�ahcxte�f'dmrkers Compensauon Insurarme,or a certded copy�hereol(Sec 3600,La!C 1 -_----._ c•a ;� C cP������a�oov�s hereby hrcnrshr.d f � MECHA�VICAL e:i I:.,"ernlieA ropy it f�letl witli the Bmidmg Inspetliai�e0artmem m OeDartmem j�4: GRADING 1 _._ ��' f,ERTIFlCAfE�F E%EMPTION FPOM WONKEflS'COMPENSATION INSUppNCE TM1is setlion nPEd nr,l he camUlxted� i (S`5`(�A�y�� '1 � ��� rf:he permn is Por one.hunOred IS10D!a �ess I certdy ihat m Ihe perlormanc�of the wcrk 1ar whKh Ihis � � _ permu is issue.0.1 shall noi employ any person in any manre�sa as m hecome w ci lo tM NbrYzri Compensalion W�;��'�:� #"-1� C:' Laws n(CuLloim/y //�"��� � - e'] Oate ft/i � � Applican� ���4...,... � �/��� F�E __ s� ,✓w �''��-...., .--:.... "� H�nCE TO APPIICANT�If atter making this Certiliaate al Exemoti�R�ymi shnmU hecome suh�nct to the Nforkei's �- �CH�OL FEES _ -�: Compensabon pravisions al the laha�Code,you must lorlhwn�comply wnM1 suth proxuions a this permil shal� �'- he deemed reroked. a•� " ��_ ONISIpN OF INOI1STwIAL SAFETY PEflM1T LE1i19F�1CA DN: �.� _ NJ '.' . .' , " .' ��- ❑I herehy cenAy ihat no ezcavauon frve f5)or mnie hel��itl'`deptli ima whrcn a person is requved to descend. ei= will he made in connecnon wnh wroh author¢ed hy th�s peimrt,and�hal no 6uiduy slructure,s[zffoldinp,falseu�nrl�. C°- m demoliunn m drsmantling Ihermf,will be mae ihan th�ny-si��36�laxt h�gh (Chep 72,Gry 2.Art 2.Stc .i, 341 T,tleR CAf.I 1.,._,• � ��_ zq. �' °'+. �:s.��f -�� ❑As owner-hwlder I wJl nat ertp�oy inyol�¢,to'8o wdd whi�T`�vouW rtduue a permrt ham Me Oivisbn ol �.- IiMustnal Salety,as nmed ahove,unless suc�person hes a peimii ro tln such wark Imm the drvision :ie ., ii� ��vismn of Indusdial Salety Rr.,rmil,No �. -. .•. . ' . . -�-•-'� ��.''. TVTAL FG�� ���I C.ONSTBUCTqN LENOING AGENCY:I Mer �� . p i Iw the lurmmcc e�y affirm Mat there u'a cunstrui,twr.le dlry�pe�wY per :,� al t�wad for wh¢h Ihis permi(is�issoeA l$¢c 309T:Ov.�C.l..' -� - �:.�i Lender's Name . __.,_ i COMMEhTS ., �� LenAei's Atltlress iio •'= CERTIFICATE Of COMVLIANCE ANO AUTHORIZATION OF ENTNY:I a*hfy I have:eeC rdxs a�picrtian awl ataoe �.7 :hat the mfamahon gi�en is correR I apree ta[omply witn atl slate laws ard ciy ordimnces relatinp to hulding i,� construmm�,and authonee a repies��a�ive of�he Oryartmem of BaiWinp and Sahty m enter:Qm the pr�Ty ..0 fm whKh I hare ap0lwd lo�Mis oeFmit loi the pupom of msk�ty_gypecficns. � _ , p� �' / ,� �s�i�.".�'� "r . e'_""��-��*.e,/.��,.�t-',�r-'°'G.J-,,/` ��,i ;'�!J 1 Y "!� � �� Ivl��� � �� �����e���p�KN�o ��� �"_ ��� I�RECPT NO� — PAID BYrt. VALIDATIO WHITE—Departmant Copy,YELLOW—Finance Copy.PINK—Asses�r Copy.GOLDENROD—File Copy,GREEN—Applicants Copy Ei5106-11l89 , . ... . __ _ �-2�'•-�c� � �w�.J . . _ .- . 7 ZG�Fa . . � .. , . , . . .. .... � ► /f�� �� ° � �zA-�a �1��,,�'�--`'`�`�✓ . _ �.... . g,z�'tJ � �' `' .. ...._ . . . .. ... . _ .. _ _ .. .... . ... . . .... . .. . . _. . _. ... ... .. . _. .. ...... . ... .. ....... .. . � _. ..... .. _. . .. . .. ...... .... _ _ _ ....... . ...... .. .. ..... ...... ... ... ... _ _ _ . ..... ... �::.�,��.._....._.�___..::�.... , :. ,.;::.:.:r .. .. . ...... . .. . . . ... _ - _ .. .. ........ :��:.� :ra� ::.: .,: . , .. ..__............ ........ ... ... ::�:: �:.:: ..:.:;;:; :. ...... ... __ ,, .:.:. . ::. : �� . _ , . ...::. ... ,. . :_. ............ . .. . . �g;��.:.� r� . , �..b N _ _ _.... ---- ,. ....