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HomeMy WebLinkAbout1232 (11) CITY O�F DIAM4ND BAR pRESS DEPAR'TMENT�F BUILDING AND SAFETY F�RMLY BUILDING PERMIT JOBSITE ,�t ADDRESS ���`T� W���� _ �� ��� ' "' � NUMBER CODE ISSUE ,,. TYPE OCG. �' APN LOT TRACT DATE CONST. GROUP o CROSS ST E SETBACKS w"af'E'�'S OD OwNER ZONING �ONT RW ❑ o ADDRESS REAR ❑ „� CITY��� IP TEL. SIDE/SIDE STREET RW ❑ � APPLICANT TEL. SIDE ❑ ` CONTRACTOR � ' SEWAGE � pUg� p�7'# o ADDRESS DISPOSAL W CITY �ZIP TEL. �'' ❑ �ryATE S(].FT./100 GAL � STAT� GRADING ❑CU.YDS.EXC. CU YDS FlLL y LIC.NUMBER �, ��� NpE �,cp � FAGTOR P3 AOJ. AREANALUATiON � ARCH/ENG/ W � = DESIGNER � ADDRESS U�.. 2 0 w CITY ZIP TEL. (� 3 � PROPOSED USE p 4 ca � GARAGE o NO.DWEL. NO. NO � PORCH y UN�TS STORIES BEDROOMS � LOT DIMENSIONS VALUATION ADJ.AREA � ON OTBLDGS USED QUANTfl'Y qESCR1PTiON FEE W C � �"' LICE ED CONfBACTORS OECLAPATpN I Mreby�Ilirm Mat I am femWd uda provisons al Chopw 9 Icemn�rcmp ¢ wnh Secnon 70001 of avision 3 al tlie 8usinns md Prolesaions CoE1.Nb mY�K�se�i in�uY lom wid effet[. � � W � OINNER�BUILUEN DEf1ARATqN�1 hwMy Nfi�m Aat 1 em uempt trom Iha Camreclor'�LKmu law lor du Idlowinp mamn�Sec 7D31.5,Buanns end Profeatana Cade Airy c�ry m eounty wAkh rpui�a�Peimn Ie cunslruu, (7 o �lie�.�mpavr,hmduh,p repau ury Mructure,pia m�s owance.�so repuvet tM1e yplinnt M tuth permn x 4 10 IAe a sqned�leiement tAat he is hcensed purment ro Me pwisans a1 Me Canrtectp's Lrena 4w�pyptm� � p� 9 I�ommen�mg with Se�uan 70001 0�avision 3 0l Me Bmineu mA Piafessiore Codel a M�t he i�eremp�durdrom d �nd tAe bavf 1ar tAe�IkgeA exemDtion Airyr yidauon M Section 70315 6y any�pplKam bi�permn wb�ecn � W the aDOhant�o a ervA penalty ol roi mare then live hundied daAcre It500�.1 Q � ❑I.�s axne�of the popenY.u my employees wM w�pes at Mn�sak tompenntpn.wii Ao Me wolk �n0 ihe mucture u not inhnded or dhrcd lar sala(Sec.7044,8ucina�md Prdessions Cade TIN CMhiClp���ICl11�6 � �j Law does nal apPly to on vwner o1 properry wFo buiWs a mD��9 Mem.��+d wl+a does such work Mmrll. � W o�mioup�his awn emploYaes.prwided Mat euh�mpwianents wa no1 intrnded a oH�ie/for u4 II,howaver. x _ �he huibmg a�mprawmam�s wld wiMm oro y�u of comDhnon.the owner6uilder wil hwe the Mrden ol qwinp � y ��ai�e diC m�Cwltl a impro�e lor the W�Dose oi sek 1 � rn ❑I.as owMr ol tM papertY.+m�McWsrvely connactu�y xntl�Irensed cmlrxtma b�mslruct tk pqxt�Sx (�j o T044,Busness�nG Profna�ons Code The ConuKmi a liunse Low daa not apply m m awner d qaparry v+ho = 6udde a�mp�wes thneon.md wM wnin�u M wch p�aKcts wi�h a ronn�ctpls)lcensed puwonl ta tlr Cmu¢toi'f a �cenm uw.� CONSTRUCTION 0 � ❑I em e�mmpt uMr SK .B 6 P G IAna�A Crruhcatel P�N � � °a� °ixni ELECTRIC � NpiKERS'COMPENSATIW OEClARA710N.I AereW dhrm d�it 1 hwe i mMk�le o1 consmt m xN�neure,a s ceru�iute a�v�b�wers'Compansaum�nsurarce,a�c�utied capr iMreot ISec 3800.lih.C.�. PLUMBING a ❑crm�a conv n�rnov�u��nea J MEGHANICAL o ❑CauleA capy n hkd with tlie Bwldnp Impeeum Qpxtmem a DWxmient. Q (�j /� = CEfITIFICATE DF E%EMPTION FROM 4VORKERS'COMPENPrATIpJ MJSURANCE TM aeron need xot N tenqlebd ISSUANCE V �'O q Me Dermn is lor one AunEnd Ii1001 a N».I eerldY th�t� Me pnlammee ol Eie work la wAih this y permn ia iosued.I�hall rot empby my permn in�iry menrc��o �hec �u6 tlr W1xMae'Cmqensnwn SMIP �� ouws o�cmeomu, PARK FEE p Oah �� ����+ Applionl � xonce m arvieaxr n..iu�meknp�hie Ce�ulicne d E �� va: �a a� ro n.�w�'� SCHOOL FEES � Coiryieouuon prons�one o1�he L�6or Cde.ynu must IorMwiM y w sueh pw�aons Ihf permil�h+l . � 6e Aeemea nvohM. � � pVISIpY OF INOUSfW0.l SAFETY PERMIT CEpTIFICpAs7I,�W �W ❑I hereEy p�lAy�hn ro ercavalb"nxiue�,er!fiqesltl�in 1[p1h nto whirh t prsan s nqmrtl ID Wcrd. . �+ rrip 6e m�M in cmnec�m wtth ror�aiAw/lja6 Yy 1MiY:1R�•h.ad iMt ro Yyild'up nunve.tcdlaldup.I�:ewak. � a demoMtian a i�tmaitinp IMeaf,�jwal ie mM`1h�n iAxry�sn 136)het 1�.(CIuC 32.Grp i.M 2.S�e � 341.Ltle B.C.A.0 I. �r� 3 ❑As awm�buil0n.I wiA not employ r�on rh WdYd rMuu��peflM kMn 1M 6vilpn M ' �— InAisbi�l S�MY.�s rorod�ov(�r�e�wcl�yers�i M�s�10 b�uCM1 Nak ham IAe dvqqn � ❑Oreim d IMirnul SaFery Rermit No. f TOTAL FEES ,�� � CWSiIIUCTqP1 LENOING AGENCY.I��Y.dtirm N1 tlwe.�,.11 odot60cfim MndmY yercY lor Me Mrkmina � d Me worY la rhiehy�;pnirii,f n 4w�(3e[:JU97.Gir: �. , t.+. � ,, .r..:':"("f s u�der:Nwre �.�" ...==:='� �• `�.3 .�r, �:' COMMENTS � l.neer:nmle:s �C CERTIFCpTE OF COM�LUIlCE AAIO NRI�tlZ4TQ1 OF ENTIiY�I ranly 1 Mr irE Nii�ppGolm�nd a1Ne tia �hat tle mmw pven's carra�t 1 Mpe�ro tandY witk i sYR Mrs md tM ar�ronns�tiq io Mwld�^Y y crosln�t . �u iie■ nlWw M h n1 d 6+M�^Y�d SWW IY rYM�qn w1 pap[rry lor wlxc I pplr ta tlwa d mk�p. . s. � X , � I �'~�d RECPT NO.��RAID BY W1�tDATIOM1t Sqn e d Applksn a Apem Gr WHITE—Department Copy.YELIOW—Finance Copy,PINK—Agsesaor Copy,dOIDENROp—File Copy,OREEN—ApplicaMs Capy BS1 06-1 118 9 . , '4 , , . 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