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HomeMy WebLinkAbout1541 " . '..` �.�� -"� � CITY OF DIAMOND 8AR PRESS ` DEPARTMENT OF BUII.DiNG AND SAFETY � � BUILDING PERMIT FIRMLY . APPIJCATION c PERMIT y � $E JOBSITE ' ' DATE �'7'1 U NUMBER�.=i.��ccCODE ADDRESS � Nt' ISSUE N� ` APN LOT�TRACT �c DATE �!�—�� CONST. GROUP � CROSS STR ZON�NG SETBACKS �, . + '�'''E'"s m OWNER +'N �rJ i FRONT '� i.� ' i�W � o ADDRESS � S rC N REAR �' � = GTY 7JP TEL SID�/SIDE S?R�ET RW D o APPLICANT TEL � "51DE z . ` CONTRACTOR P '`�' SEWAGE 0 PUBUC PMT� o ADDRESS � � DISPOSAL ❑ pRNATE S(].FT./100 GAL W CITY �� �' ��� ZIP TEL. = STATE ul3 2 �� GRADING ❑CU.YDS.EXC. CU YDS FILL y LIC.NUMBER_j� � NPE s� FT FqCTpR P5 ADJ. AREANALUATI�N y ARCH/EN W � `=' DESIGNER W � ADDRESS V- 2 z CITY ZIP � TEL (g 3 Z � PROPOSED USE p a • � � GARAGE o NO.DWEL. NO. NO. � ppRq{ ; y UNITS STORIES BEDROOMS s LOT DIMENSIONS m VALUATION ADJ.AREA � o NO.OF BLDGS HOW �UANTITY DESCRIFTION FEE W ON LOT USED V Z � ❑ .�... W `, H LICENSE�CON1flACTOflS DECLAHATION�I heiehy Nhrm IAN I�m icen�E wda provwan7 ot CMpt�r 9 komnM�s��O � Q �. _— O s wrt�Sacnon 7�001 0l Oivrsian 3 of�M1e Bunnesi ind Preh:siam CoM.md eN�unae u e ful bm�nd dfxt {� � r../_ � � 1' . � � �H�&AIDEiI DECIARATDN�I hs�eLy atfirm tl��l 1 am eYempi Irom m�Cantr�eioi�Lrsnw lsw ta tlis fdbwinl ,�/ N O Q � � reamn ISe� TO�I S.BY9�l39 oM Prohawm Code AnY utY a ewnry whKh rpuun�prmn eo eonttr�t {� o �I�ei imp�ae.demahsh.a rpw aM rtra�we.pia w iu nsumu.�m rpums tl�e ippku�t tar tueA pml Z / 1= q hle a s�pned itatement ihat he it Wtenud punuam ro ihe prwisiens of tAe Cmtr�tior s lxense Lwv IGh�pler p� � 9 Icommenang with Soc��on 70001 al Gvisan 3 0l the Bu�nen ud Prohaa�on Cade)«1h+t he u uempt tlmeFrom � � end Te bacis loi Ihe�Ikged exempnon AM vid+non o1 Secuon 7071.5 br sry�WlKant tw�permi Nb�ecn j �.�j W me appivant to�crvA penaliy M rot mort tnen li.n�mdntl daoars IS5WI I a � o ❑I.as oxrner al tk Prapenv.a mY�dM'ns wrth npes a Meir�oM comoenunon.wll da ihe wuk.aia , � the atructure rs not mtanded m alfered lor sde(Sac 706A.Busine��md Prokssions Code TM1s Canrxqry L'lanse � d �'j lew Aoes nm apDty ro m ownn al praperty wbo Euilds or impwes�hereon.�nE w�o loes sueA woh Mmpll, 4+ a tivouph nu own employees.DroviAM M��fuch im0im'emenn ne na muMM d WNnd far nle II.hewevei. m Or 6mNmB a�mPrarement ia uld w��hm ote 1IWr ol eanPletiqn.ib wvner-IuddN w+ll Wv�ths 6urden d'por�µ � 7ha1 he did not EwM u inY�ove lor the pmpoee of Hk� � � � ❑1.as ow�r ol tAe paperiv.+m eccWu.eh tantrknny w�ro�ceneed con4umra m Consnxt,Me popct��Sa ��i , . iD14.Bus�nesi xitl Ihatessions LoCe iAe Comncta's i'emu Uw das not�pWy m m vwroi et papMY wM � ` bu�Ws a��mprwas thnem.end rAw oonlncla la sxh p+aRcn w�M�wenacmrp!Ikm�N pu�suam M Mr Catr�cm'� „ �ro�u uw� CI�NSTRUCTION � ❑��m erempt under Sec .B.6 P.0 I►wch Cemiunl. PLAN REWEW a 0 o��e oW^w ` ` ' E�.:�C7fiIC ' ' yWORKERS�COMPENSATIqV�ECLARATIOAI I hereEy�Ifum N�i 1 hwe�ardhnle al eomwt 10 WF��wn.a 'UM � e ttrMicrie al MJorkus'CampensaUm Inew�rci.a�cadirtd tpr�henof ISe�8(10,L�h.L 1- .. , � � ❑cK�d�e��v�:�enr t�+�:ke � � ,,,,� MECHANICAL W ,�Certiled eopY�s��ke wim nie ewtlirq�n:oecnon dputmem ar •' �qiumrm. "�L� �RADING � CERTIFILATE OF E%EMPTqN FROM Wl7RKENS'Ctl�1PENSATlp1 N15UMNCE.ihi�'ctpn need nof b cpnqkad , y d ine permn n lo�one nundred I3100�a Ins I cenfy Mel m IM perlam�nce el IFe warM 1or w�iCN Il�u I.VA._N�r, peimit rs usued.I sh�tl rot empky�nY pxsnn in�nv mannr so as ro Meane m6pc�n Nr NbrMi Campen�im W '�F— S i„w:m cr�ro,��.. P�1RK FEE o �_ °7t `'D°°''�°' SCHOOL FEES W NOfICE i0 APPLICAM N.�Iter makinq Ihit Cw61em d Emmption,ya sMuld heem�e euhKct te Mi Waka's � Canan,anen pravn�a�a d x.l.bo�Coae.ro+�m�wi�ad�wim ca�M�lth aefi Rovisms or Ihrs pmit 0��4 � hedxmedm�okM. i�; �"� G�,c � qVISIQJ OF WDIISTRIAL SAFETY PERMR L4HTIFICAiIUM d."'^='�- --, a � ❑1��reey eeifily�n�t ro���v�tion I�w 151 a av�l�et m dpth wlo whieh�yrsm r naun�d M IkwM. � wJ M mede x�eanne�lm w�worM u�haved by Mis Rrmn.Md tlal ro huildrp Nuclu�.wlfoldmp,(��s�worY. �' 791�,1T�Ne B,C.ALiimm�Ynp tlrreaf,wd1 Oe�ty�llwrry�wy36)�Mf�ICIuO 9.2.GN 2.�Z.SK x r I i� � ❑Ik owna�daldar.I wil ro�mqky�ryaa W do wak r+hieh wdiM nyun�Pamt Mem 4t�vY�On Ot ►.. MMstrul Salely.n roled Ihow.mNss Iuc�.D�(S4n hIs i.06,rmit h dD W[A Wmk hom Me Yimm � •.. . . � L. .� . . . .� ,� '.,, � �� ❑an,�,���.�s�hn���� ... _ • . ... ' . TOTAL FEES . O v CaiSIRUCfqN IfqOR�G MGEMLY�.t bfeU4 Mlirn�'Em Mt n�anttr¢uon MedinO+Y�Y fa Me Irbmr�a � al�ne worM for wMch IAia pmiut n i�aed 4Sec.3097.Gu.L.1. � � u�raw� COMMENTS � � �r�ndmes: � LERfIFILATE OF COMPIIMCE ANO AUTIpfYZRi�I ff ENIHY:1 qlily I Iuv1 IYd tlw�Upkalim rld Aw oa Ihtl Ihe ntamiUan ONn's earect 1 prw ta eaniPM wiM tl sur Iws�nd d�r�dioric�s nM6np 1e Miid"np qwnstruttm.rwl e�nDnnnt�ow d IAe O�WAeent d Buil6np d SdMY r�nW qan M�nY � M whch I h rd far fii mi�br t d�inp i�tpe[tws. `'S � � � � G RECPT i+10.'�_PNO BY J ! ! VAUDATION — Sqmtun�I�ppMemt r Apem 6u WHITE—Department Copy.YEI.L04V—Finanoo Copy,PINK---Aasesso�CopY,GOLDENROD—FMe C�opy.OREEN—AppllceMs Copy 85106-1 i189 � _ ���. . , . , .. . - ,. . ..,., . _ . . . . .... t�a. q,�;. � � G �, « - e; $' ` M , g� _.A „ �, �,:"`�` �_����.; a, a s Yy �,:.�S� �[, i . R:+�" Si S a..�`3R7�X����ti�9' ..tfl� aR�.� .. ���'�4�`6��&,d"��L<.:J°5�. ��x.,"�.,"�.�a��`i�.� ' . 3.'4:�r:yae'•:eraro�..:.ee,,ee..,.ea;.r rc .t.a • �� � ` � M1 . . 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