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HomeMy WebLinkAbout1393 (1077) �LEc�'' '"� � ClTY OF DIAM�ND BAR PRESS � DEPARTMENT OF BUILDING AND SAFETY BUILDING PERMIT FIRMLY JOBSITE APPLJCATION PERMIT SE ADDRESS } �"0... ��uE NTUYM�BER CODE ! APN LOT TRACT DATE � ' �CONST. GROUP � CROSSJ�TREE � I •l��„�� L �" ZONING SETBACKS ��rns °•- OWNER l�rrrtn�/� !'_.UT��'�.. �p(�T qyy � � ADDRESS �� REAR ❑ W CITYQ�+��C/O G� �p �T TEL9 �3 SIDE/SIDE STREET R'W ❑ o APPLICANT TEL. SIDE ❑ 0 z � CONTRACTOR � SEWAGE � o ADDRESS £ �� F DISPOSAL O �B� �� W CITYC lV u i �/ ZIP�jST T�� ❑ PRNATE S(�.FT./700 GAL �°-- z STATE y LIC.NUMBER 3�I D/7 GRADING ❑ CU.YDS.EXC. CU YDS FILL y ARCH/ENG/ � TYPE SQ FT FACTOR PS ADJ. AREANALUATION � DESIGNER ' w `�1;� • ':�. o ADDR S Le f y�„ 2 = CITY � � 16– ZI 4 TE . � 3 � PROPOSED USE �'c� Z 4 � � GARAGE Z NO.DWEL. NO. NO. � PORCH y UNITS STORIES BEDROOMS m s LOT DIMENSIONS VALUATION ADJ.AREA o NO.OF BLDGS HOW ouaNTmr DESCRIPTION fEE W ON LOT USED g� � � — �-�- � ur �o`-�- � LICE EO CUNTBACTOflS OECLARATION.I hareby dLrm ihn I�m Lcensed un0er piaviAom ol Chapter 9{commenunq Y wnh Secuon 7000�oi pvrsmn 3 e�the Busmess�nE Profnsans Coae,md my iKens�i�in full krz�md efhc� � 8C� ¢ , � �ER BUIL�ER OECLAflATqN I here0y�Ihrm Ihat I em mmpt Irom Ihe Gomncmi's lKense l�w kr Ihe tdawmq W � D ��� � reason ISec 70115 Busi�ss ond Profesvans Cade A�ry etty or caunty wAKh r�quuea a pnmrt to consbu[I, \,.-•�, '� .�� 0 O �Iler �mp�we,demahsh,or repa�r any rtrucNre,pnor m its usuence.alw rpures ek�pphcanl lor wch permt ►- Io hle a signN statemem[ha�he is IKenied pWSUM1 10 tl1!pIW1510115 Of Ih!CMIffiCf01 i LN�OS!UW(CA�01lf � �� �� � 9 icammennng wn�Secum 1000)01 pviswn 3 M Me 8usiness md Professqns Cadel ar Mat he q��mmpt thaetrom d, mn Ihe h�sis lor the alleged aemptmn Airy vidnion ol SecGon 7031.5 hy wry�pphum for�perma w6Ncts (oQ� � x tlie�pphnnt lo a cnd penalry ot ro1 mom then Ine hunJred doGan�25001 I � W l � ❑I 85 owne�at the property,a my empbyees wim w�gea m Men sWe tompenialmn,wdl Eo tlr work,�ntl I Oa b�• t�e str�cture is nal intended o�otlerM Iw sele(Sec 70d4,Business and Prolessans Cde The Cmuxia'��cence pp � V Law does noi�DPIy m an owner af praperly who budds or imymes therem,�nd wAo doea sucA wark hmsll. �� W a through hrs own amployees,prov�ded Met eucA unprwemenu ne nm munded w dfered lor iak II,howenr, A ��� _ �he hw�d�ng p improvement is wIE within one ye�r ul tqnplelpn.IM pwner�Owldei w�A hive IM Cuden ol p�Uuin9 T� y �hai he tlid not bwld v imo�ove Mr the purpase of uM I tq ❑I,as owner at the pioDeny.�m nclusrvely contnclny with hceneed wmwctws m r.onstruct the qqel ISec �j 0 7D6a.Business and Profassans Code rne Com�uw<<�erree taw eo.s no���iy ro an avn�r ot p�openy who � s 6udd�o�impmves therzon,�nA who contncts In wch pro�e[t�wnh�conb�cW�1s1 Ycensed purm�m to Ihe Cmvlctoi t 0 L1e""`""' CONSTRUCTION � ❑i am a.emn���a.�SK ,B S P.0�At1iCA CerblKYb) A VIE �-_JLD �� O 0 oa�° °'""" LECTRI ��1'7 . 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WOHNfRS'COMGENSATION OECIARATION I Mreby allnm tAai I�ove a terolcwe of eonseni io Wl�mswe,a �y uhraro ol WorYe�s'Lompensa�an Inwnnce,or e mtihed copy Mnaa1 ISec 7800,La6 C I � PLUMBING � MECHAN ICAL Z 18 CerBlied caOY is here6y furmshed C � o ❑Lerufrtl:opy u hktl wnh tne BudEmg Ineqcuon D�pyon�m a O�putment 4 GRADING W . � n , _ � CERTIFICATE OF E%EM7TION FAOM WOqKERS'C�IPEI�At10M•�JSUHANCE TNs�ecuon neeC not he tompkted SUAN e�D ,O� y :1 Ihe permit is fa�one hundretl�31001 �4�.r�wruf�,Mlal je Me perlormmn d dw Wnk lo�whrh ths pe�mn rs ntued.1 sh�ll mt�md%'��Y p���m�Pv�w+ir su 6e to heeo�ne sub�ect�a Hr Y.brbra'c�����«� � SMIP , � laws ol Lddorm� � � W PARK FEE p Oale ����^� — SCHOOL FEES � tpTICE TO APPIICAM M,�Iler mekmg M�s Lerul�c�e�Fx�, � u YpuW 6ecome whiect ro tlrc Nbrlw': t'�` —+ Compensanon prwmons al the 4hor loY�mulf wnh�'omply wM�uA pauan�a O�is permit t1iNl � Oe Otemed rEvokM �'�3 Y . �` dVIS101¢UF INOUSTRIAL SAFETY PERMIT CEHTIFICATKIN� � W r` ..,.�.`' .:,.�� "� „J o ❑I lierelry cenAy IAat no eacwnp�yue,•�5�'qcwpta'het in lptA'u`Ita�hicA I p�rsm n rpwrod to�omd. � will be made�n cannecuon wiN w'il,{pulldr¢ed'6y qio-paiQ�(.,�nd.�aYYio A�ildmp mu�tura.teAlddinp,hls�wo�k, d tlemo6uon a d�smmMing t�endl4 yvJL peimore.•Yian�niny-su 1381 M��qA.�pup 31.Gry Y.Rrt 2.Su W 34I.LtleB.C.AC1 �y,.t:-."' s 3 ❑as ownm�eutlder.I will mt xnplov�nYone w tlo xa1 wtxcn wauk rpwro�lumit Irae tlr avuian�I � i�MustrHl S�kty,as nohd ebove,unkse weh person hes a permn m do wch xrork hom tM Mei�wn � W ❑o.�.,�a���s���.��.�Bn R�m��No. TOTAL FEES ' "'7 3 y . 'C� � CQJS7RUCf10N IENpI�M'i RGENC'!�1 e� hrehY Ufiim tlw�tline n�mmrtu[wn IpMinp percy lor Ihe�eAo'mnu Z ol th wort Iw wh[A tl�is pelmn i isaued ISec.7097.Gr.C.) /� ,�^ o � �.�aer.�ueme COMMENTS � —l(� /T� O ' m lende�'s�ddress ` cERTiFCATE OF COMPlW10E Atm AUTNOPoZATOJ OF ENiHY.1 crMy 1 Nre mE 1¢+�ppicNim mtl�ue tn Mat tl�e n�amnan piwn e carect I pree ro romply wiM W sub Iwrt rd titY ordiiuws�liq l0 4ritlinp y [On91tlClpn.�Ild�IMoIYe a ipmenutiw�f tlr Oprfinem d Buidinp ad$aFety b Inw p�tl�e pnqerry � In whKh I H y ed Iw Mu�ermn ler�h � or d m�Yinp wtpx,bns. D RECPT NO. R41D BY • VqLJDATION ure d Apycml a 6qen1 ��0�� 'N WH E—Department Copy,YELLOW—Finance Copy,PINK—Aaeasso�Copy,GOLDENROO—FUe Copy,GREEN—ApplleaMs Copy 85106-11/89 , ' •:, r�vT.,:.F,�f', ___ _.._ _- . ._,�. ..�pi• , . ,t� � . 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