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HomeMy WebLinkAbout1801 .a...._....�..�.,.:a.,�...._._ . �� � _. ,a _�-- _ �-- �1 L. �Z1— �SS '"� CITY OF DIAM�ND BAR PRESS OEPARTMENT OF BUILDING AND SAFETY F�RMLY 8llILDING PERMIT JOBSITE APPLICATION _ � PERMIT O SE ADDRESS �O3S'/ SIIHNNON aT� ISSUE TYPE ER �CODE � APN LOT ZS TRACT DATE CONST. GROUP o CROSS SIAEET �CiQrv/� �R,ES7- SETBACKS • "�O�"rs °�° OWNER//I<C/�1.� A•�T ZONING �OM• � ❑ � ADDRESS �bBS-� S f3/1NYdN �7= REAR � ❑ W CITYII/!�I?1/�'u� ��9Je ZIP�TEL 6�7 y SIDE/SIDE STREET RW ❑ g APPLICANT/�l�d�lA�G Ti/l1J715 TEL. �' SIDE ❑ x ` CONTRACTOR SEWAGE ❑ PUBLIC PMT� o ADDRESS DISPOSAL ❑ pRNATE SQ.FT./100 GAL W CITY IP TEL. z STATE GRADING �CU.YDS.EXC. CU YDS FILL � LIC.NUMBER TYPE SQ FT FACTDR PS ADJ. AREANALUAT10N y ARCH/ENG/ � ¢ DESIGNER S`Q�� w � , D � ADDRESS tL 2 0 = CITY ZIP TEL. (� 3 ¢ PROPOSED USE z 4 w � GARAGE o NO.DWEL. NO. NO. � pORCH y UNITS STORIES BEDROOMS � LOT DIMENSIONS m VALUATION ADJ.AREA o NO.OF BLDGS HOW QUANTI7Y DESCRI ION FEE W ON LOT �ISED Q _ ❑ p W H � LICENSEO CONTRACTOflS OECLARATION.1 Mre6y dhrm that I�m htmsed yMo provuions ol dupter 9(�ommen�inp Y wnn Sruon 70001 of Ohi�on 3 oi the Busmess md Professions Cade,�nA rtry license u m lull krce md eHect xQ 3 W � NER BUILDEA DECLAflAT�N i harehr dhrm Ihet I om emmpl Irom qie Cealncmr's Lccnu lsw la Ihe Idbwmp rcason ISec T031 5.Business and ProFesvons Code Any nry m cwnry whch roguinc�prmit p wnrouct. (�} O �Itei impiove.demohsF. or repa�i�M i1ruC[ure.pror to�ts nsunCe.Wso rpmi��IAe�ppIK�M(or saA pxmn Z F— �o hk a ngned suiement�Aa�he is IKensed purtuam lo ffie prwiuons al IAe Cm9xtoi's l'crose lsw ICh�ptn m s 91�ommencmg wtlh Sm9on 70001 0l Gvrsmn 7 01 Ihe Buamest md NO�estiont Code�p Mel he n�mmpt Ihnefran g � ann ihe 6ess tor��e�Ilryea e�emptwn My.�ae��on a s�um tmi.s�r any�ppl¢em la i permn w6pcn � x the aoPhc�m m�cnil penaltv of not morc than!rve hudred dollais 1150011, a W � � ❑I,es owner ol Ihe pmperry,a my employ�as wuh w�pn js M��rt Ide[nmpensavon,Wdl do Me wod.Md � tM suucwre is nm mteMed or oNered toi ule�Sec 70A4,Busmefs md Pmlassana Code TM Contr�cta's Lrcmu Q V Uw does m�7pp1y m m uwner Of Dropeny w�o WiMi or'inproves theitan."IM Wtio"UNs fif[�1vo�Y nAnuH.�� -� - -- W oi through his own emplorees.provided�hat such improvements i�e not ieunded x o11�nd!or s�k tl.howeva. Z = the hwtl�ng a impravemem is sdd within one yen ol complehon,the owner-6uildp�w�ll h+w the Dudm ol povmg Q y tha�he d�d not 4uld o��mprme for Ihe purpose�f sde) U an ❑I as owner ol the pmpeny.am udusvely comqeuny vi,eh licensed eontnnore ro Con�imct th prqect(Sx W 7044.Busii�es�aM Professions Cade The Gontrxw�'s L�unse taw 1as aot�pplY ro an nn�^o ol poputy who � ` !nilds or imprwes Ihereon,�nd wAa cantoclt lor su[h qop[If vnlM1 1 ConualorUl ficMxd pxuun�fo Ik Cmlr�etlr's Luense Law 1 , ``ONf,+�'� C'rION W r ❑I am exempl unAer Sec .B fi P.0 IAItxA Cdultitel � D81e °ixne ELECTRIC yWOqKERS'COMPENSA710N OECLARATION 1 he�tEy Iffrm tlut�Iwe/cu�ikate�I confeni to wN-inaure,a a cenif¢ate of Nkrkeri Compensanon Insunnce,ar�tnEfied topy 9ureol ISoc.3600,la6 CI P�UMBING 4 ❑Cernhed copy ie AereGy fixnished J MECHANICAL o ❑ce�n��e�wy�s filed wnh ihe BudOmg Mspetom Ueparimem ar o.o•«�, Q GAADING W � CERTIFICATE OF E7(EMPTION FROM WURKEBS'C�MPENSATION INSURANCE Thw eci�m need rot he eempkted UAN y d Ine permn�s kr ane hundred(51001 a lese I�ucly Ilut�n trye ppformsee d Ihe worM Im whch ehs � permn is i55ued,1 SM1all rol employ Nry pNwn in any manntl fo�1 lo haome WE�st b!he Nbkers'Canpemanm �F7 Q laws oF Ca6lomu P K FEE p Oate �,ppGqpt�.�^.. � � NOTICE TO APPLICANT N,after makmp m`u CMdtate of'.(ump�ion.ynu sAoul!hecome wh�ee�m Me rihrYer'a �- SCHOOL FEES � Compens�fwn pwma+s d ehe L�6or Code:,�mo�dnt I�rl�with pomplY with wch�roupwm p ffiis p�me thYl � be deemed ieroked . p� � Y . � qVISIQJ OF INWSfRiAI SAFETY PENMIT CERIIFk'ATIUI. � 0 ❑I hereOY rertAY IA�I no ecteval�nqMs,16 a�17re1��1¢�M i�6dc�pM��po wluch�pnm q rpuu�d b detend. � wdl 6e msde in con�ctwn w�M worM`}�Rljoryx��Ey I�jjs pe�n 1.iN lhee�Po Miildnp�lrutlae.ualfoWmp.1�I�wwrk. a demaut�an or dismmt6np tlereof.1vNl be ma�Man Mnry-a��361 het Aqh lChp.3.2.Gry 2.M�2.Sa W 341.TitkB.CAC1 - S . .. . . . �� ; 3 ❑As owna�Wddei.1 wdl nof'employ�rqonr lu do hn�k wfikh wai4 iaqun��pvmt from Iht arispn d �.— IriArstrid S�fery,n mtsd aha�a.-uhNs�eu�puwn lus t rFrm���w tla sueh Yqrt hom 1M dnuwn, � . . : . _": .. � . ., �. �� op""�d�""`u��"Y"""""° TOTAL FEES CWSfAUCTqN LENDINC AGENCY�1 Anehy dfirm tlW IMre it a twrseYcuon Yndi+q pency 1er IM�erlamance Z ol Ihe wwY ip Nheh thn perml u iswd(Sx�097.Cir C�. � Leidar"�'"" COMMENTS p�p Lande�'t Ilddresa s CERfIFIfdTE OF COMPIIAACE AAW AlR1qUTATIUI OF ENiHY i arMy I hm md Irf apOKuMi�d sple Vi that Ilm mfpmiuon qven n cnnct I iprs m camply wnh MI apoa Iw��wq ciry udms¢as nleunp oo YiHmp y consuucuon.ana wmoiue a npn�nuuve M tM Oprueent d BuA�inp ai0 S�fery b�au+iqan�M papeiN � For wA[h I h� �ppled fa Mis ermi�M N�e ra d nrtiip inpctm� X f . 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