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HomeMy WebLinkAbout139 (17) '�'� � CITY OF DIAMOND 8AR PRESS `� , '�" ' DEPARTMENT OF BUILDING AND SAFETY F�RMLY BUILDING PERMIT JOBSITE .: ✓ � A TE CATION ��'_�5--_�- NUMBER / � � CODE ADDRESS � •� � ��r '� '�SUE TYPE OCC. :���� APN _ LOT�.�TRACT� '� � DATE �. CONST. GROUP `� CROSS STREET � � i�f�V � SETBACKS "�a"°'h'"E"'S °=:OWNER - (.�,�i�-�1 zONING FRONT RW ❑ o ADDRE S • • `'� ' /� �������' � t� REAR ❑ G^� CITY �� i � ZIP�:t1�.J�,S•-- TEk�� SIDE/SI�E STREET RW ❑ �a APPLICAN ��r�-A `Lln' , D�G�� TEL� � S � SIDE ❑ _, ` �, CONTRACTOR ��'v� u��` ' � � � ' �yyqGE o: ADDRE�S_$ C' ? • ��G� ISP05AL ❑ PUBLIC PMT# ,�;: GTY , C F C�+le�' ZIP � ��TEL. `��_ ❑ PRIVATE SQ.FT./100 GAI. = STATE a� ` � r �,(;, GRADING ❑CU.YDS.EXC. CU YDS FILL ;,�; LIC.NUMBE����ic�'�'f F/�,�i`7--/�L'/�- "�.� _...__.. - -� ARCH/ENG/ > . ' , � , �,a ^ � T��'� �� �' FAG"fiOR f�S ApJ. ARERNALUATION `—' DESIGNER ��'"/4�fL,:f�`mt/ � � �` W 1 ,a� �.� ADD�tESS � C� s ro4 -���' f � 2 •�; CITI�(�r , . � . � ".rIP____ .7✓ G�.�-5"f 3 : �g�� r :�: PROPOSED U5 �t!%�'�' �:' ^yl=Af.- -=� •�1� '�4 ;� GARAGE o NO.DWFL. NO. NO. � PORCH �" es �"� N UNI75 STORIES,_BEDRUOMS �y — r � l0T DIMENSIONS VALUATION ADJ.AREA o; NO.OF SLDGS HOW V QURh7ITv DESCRI ON F�E `W ON FfT USED a �, ,,,,� U "' LL' ~'� LICFNSH)CONIRACTOAS�ECI ARATION I hereby alhrm that I am licensed unAer pionsmns of CAapter 9lwmmencing .� -- '---- � wnh Secbun 7000��f Uv�aiun 3 of the Busme.ss anA Piotessions Code,and my Icense is m lull loae and ellect �•W � _� 'o s 3 [-] W s u.� fM'NF.N HUILOER�ECLAFAIION I herehy alfi�m lhat I am eaempt fmm!he Conuxlo/s L¢erse Law foi tAe IWlaxing - � ;1, reasnn ISec 70315 9usmess xnd PrMeszions Code Any n1y or caunty�vinch repmres a peimn to contlrixt, ��-(,7 � � � �,}, � r o. alle�,imprave.�;einulish,o�repav any sunr.mre,prior to ns issuanee,also reqwres Me applitanl far sirh pe�m�1 �� ,.,�/ Q" lo fik a su�neA xlaiement that�e is I�censed Dwsuant to the p�ovisians af the Connaciar"s li[ense Law(Chap�ei '`7, ,��G� oC 9 Ir.mnme�¢ing wnh Srtr.nnn;f100�of Drvamn 3 0l tAe 8usiness and Gro�essions Cade�or th�f he is ecempl Iheretram - �� �, anJ Ihe�asis tm tlir,alle9eJ evemplion Any vinWlion of Settwn 10315 6y any app6cant to�a permfl su6�ecis ,W� thc apphcam io n c:v�l penalty nl nm more Ihan irve hunAred dollais(35001.1. ��. ul as owuei nl�ne properry,m my em0loyees wnA wages as ihei�sale compmsar.on will da thc work.and' ihe suucWre is mt imentletl or ollere0 lar sale�Sec.7041.Husiness and Prafessmns Code The Contrac�or's License Q �j Law Auex not appty tc an owner ol prapeny w�n Guilds ar improves thereon.a�M who does such wo�k himself �G1. W oi tArmigF.his uwn¢mployees,promJed Ihel Suth improvement5 are nOt inlEndM af of�ereA for Sale If,hmveVef, "Z� m the hmlA�nq nr unyro��emem rs sol��arthm one year af completpn.the ov+nerhml�e wAI�ave ihe hwaen nf prormg ".'� � t6a�he JiJ not hwi�nr�inproue(ur Ihe purpose o1 sale.) �,� y eiJ ❑I,as uwner nt ihe pmperty,am eeclusrvely controtuny witA hcensetl mntiaciors to constmct iM pio�ect(Sec. �{,V � 7�44,Business and Pm�essions Catle.fhe Cnntractor's Lreense Law daos noi a{ply ta an awnar of ymperty who g ` � - ¢ hudtls m impwves'thereon,and who comracts loi such pm�ens wnh a wmraclor�sl I¢ensed purniam ro IAe Cnnuactor's ���:r^sF�„w� CONSTRUCTION .� C�T- �J.-S� ��=�"'� A o �''7� . —�y��,.�, ���'❑I am eMempt urder Sec .H h PC IAltxh Ceruhcare) PLAN REVIEW `T �• ��� /� _ �` Oate Owner ... ��.�CiTR�Ci .��� � 4YpRKfRS'COMFU1SA710N OECIAHAT10N I hereW afhrm iha�I have a cerufiwle of[onsent�o sell-inswe.or f�LUMBING �e�- �� a cerulreale of Wnrkers Comp¢nsavon Insmarce wr a ce iLed capY�h ISec 78o�,lah C L .�_ _.__ �� ❑� '`�.� � pi�Y-� J,� /�) ,��j MEC}iANICAL rufied r.opy u heiehp fwmshedr,,,,?, �� � p �CendieU copy�s hlaa w�m ihe Bwldiny Inspecunn Depanrt�eix �"7�'��""ti� ��p5rlmem d G�R�DING . W � Z CERTIPICATk OF E%EMP710N FHOM W9AKFR5'CUMPENSATI�N�NSUMNCE 7hrs secfion nreA not 6e compkted SUANCE ' � �� il the pe.nn�t�s lor one hundred(5100�q less I cerhfy ihat in ihe pedarmance of ihe wak far wAKh this f t� y permn�s irsued,I s�sll rot mnploy any Uerson m any mancer so as ro ame w6Wt1 the NhrMeri Cmnpensatwn �� SMIP l ( � � �ews o�Ca itom-ia '� f �.: �'�""�""'9 ,,,. • PARK FEE � o � ,�� _�j� �� � 0 o„a � aPpres�' Ss_ J � LL„ SCHOOL FEF�V W NfITICF TO APP�ICANT N.afier makin9 Ihls Certrlicate of EremP��on,you slwuld becamt suDjttl to the WaXe�s � Campensauon piavisinns ol the La6or Code,Vou must forthwi�h comph with suah provisrons w�h�s permi�shall � 6c tleeme�ievoked � frNV,ISIpJ Of INIIUSTflIAL SAFETV PEPMIT CEflTIFICAT10N� /+ V p� p� 0 LJI liere6y r.er0ly tlial nii ercavalian h�e(5�or mae feei in de0�h mto wluch a person rs reqm�ed�o deacend, �+��,i {�F UTAPl�OiVD �.i�f1 ee will he maAe m connectan wilh work au�haaed bY�M1is yermR,and ihat na Wildmp sduc�ure,sca}fafOmg,(Nsework, il'�1'�G^ a�L S'Ar�T'1/ ' �- or demolninn m dismantling therrof.wtll he rtqre than Ihirty�six 1381 feet high.(C6aD�3.2.Gry 2.Art 2.Sa _ W' :Sa l,Title 8,C A C I 2 � ❑As uwnerhwlde�,I will not empky anyone to do krork whfcA wauM require a permlt hom the Orvuun al �..- Induxinal Sahfy,as noled aMve,unless such person M1as a permit to do such xnrk Irom fhe divisian. � W C�Uvisior.of InMutrial Safery Reimil No. TOT19L FEES �,, a � CONSTflI1f,T10N LFNDINfi ACENCV�I hereEy aMrtm Mat there is a consnuetinn kndiig apeMy tor the pnfo,mMce = of the woiM Im whKh this permn is iuued�Sec 3097,Crv.C I � LenAer's Namc COMMENTS m lende�'s Addiess _ � CEN'fIFICATE Of PLI E ND AUfHO�IZ la1 OF ENTfl cerMy I have re+d this zppl'ratim md��eh � 1 v� ihal the mfa unn give �s arect I aryee M omply wnh tak laws and ary ordinaMes relalep to 6mlGip y conslmcunn aml amha' a iaDresen ine o Me Depar�me af BmMinq mid SafelY�m�er yMn Ihe O�operry = tm wh¢ have uppl' ,r[his perm ki i DW Wx of m ing mspections. ti / ��� �✓' ��' X ( ' Sren tme kam�nt �� ����oate�� RECPT NO.---J�LG—/PAID BY VAUDATION�.— WHITE—Department Copy,YELLOW—Finance Copy,PINK—ASsessor Copy,GOLDENROD—File Copy,aREEN—ApD��cants Copy � \ . . .. . . .... ............... . .. ....... .... .....,.,.;... ....,...__.... ... .. 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