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HomeMy WebLinkAboutBLDG-2019-02300_C OF O ems. ....:.ter•:jam%:ter n'pr..^r.�.�F.i:.;..ar»'/,f..g/`•X .dy.;c'sL��'�'a`.0.:'•>ir y <,i'c:,s5�'u:L rr'• ..:.,,�,,'>�,J; L� nw,,tv y�� ���X r f`' ., fr1�/.*_<i�;":^:r%r�`�r s r / • ` \j�,.<�!' %` FH.vr.7Yf . .... s Y v ... r r . . . Ab • • • : •' • • , • • : • • •' f :in, • �/ ♦ , cjTY C) 1= ��.. C--�Ir_ L7 R,1.A NA Iv 'I-IZ f- i'.it I'� 130 South Main Street APPLICATION FORAPPL Ap ��I�N�v� � z 3 �' I..) _L DI N Cyr I'E.RM.IT rf DATEICATIC]!2-- AP# BY VALUATION CALCULATIONS 9st FLOOR 1Q V SFTRACT I� Lh SF�,rc�fi 2nd FLOOR SF 3rd FLOOR SF F-fodi S Ue- E *�tp 7S STORAGE SF R Ye UA tr4,00 hereby A rm that am licensed under provisions of chapter commending DECK&BALCONIES Sr with section 7000)of division 3 of the business and professions co de,and G my license is in full force and effect. OTHER,. SF 4 LICENSE# CITY BUSINESS N AND CLASS TAX T NAME VALUATION; R A MAICINn C ADDRESS FEES T CITY STATE/ZIP PHONE U 13UILDINQ PERMIT $ R PLAN CHECK A PLArd REVIEW R MAILING C ADDRESS SEISMIC 1°1 FLAN RETENTION F_J NEW OCC GRP.! CONST. 0 ADDITION DIVISION: TYPE: 0 ALTERATION NUMBER OF NUMBER.OF © OTHER STORIES: BEDROOM$: 0 SINGLE FAMILY ZONE= C7 APARTMENTS 4_3 certify that I have read this application and state that the I-1 CONDOMINIUMS HAZARD YES above information is correct. I agree to coMpty with all city 0 TOWN HOMES AREA? NO and county ordinances and state taws relating to building I] COMMERCIAL SPRINKLERS YES` construction.and hereby authorize representatives of this 0 INDUSTRIAL REQUIRED ? NO city to enter upon the above-mentioned property for insp- O REPAIR PROPOSED USE OF BLDG- tion purpoSOS, p DEMOLISH PRESENT USE OF SLDG: ' ��GIIvCRtP"I`IO�N Signature of Applicant or Agent Date Agent for 0 contractor G7 owner Agents Name Agents Address Street City State Zip 1. 1 am licensed under the provisions of Business and Professional Code Section 7000 et seq.and my license is in full force. _._r 2. I, as owner of the property, or my employee wlwages as their sole compensation will do the work and the structure is not intended or offered for sale. 3. 1,as owner of the property,am exclusively contracting with licensed contractors to construct the project. 4. 1 have a certificate of consent to self-insure or a certificate of Workers Compensation Insurance or a certified copy thereof. 5. 1 shall not employ any person in any manner so as to become subject to Workers Compensation Laws in the performance of the work for which this permit is issued.