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HomeMy WebLinkAbout1155 SOUTH DIAMOND BAR BLVD (89) 7fiA364C ��P'�L..Bi.a��8i„�py.�.��� ���PSld79 9 � \NC)RKE]LS'COA;Y}i.tiS:1T10N 7�}?CLARATYON IIn� � i narthy a%:irm ihnt i l�a-ve e certificaye oE cnr�sent tn self CE-97S 1?.- �nsure.or e cartificate��F Workecs'Compz::�atinn Insur;ince.p� ' _g f`i p����"�'g7��-�v���s-4��-�;,��-�!� G�€�i�3Z'ia(�3P&G a cert'tied c�pl'���ereof(Sec.3800,Lab,C.) \i��i�y,�.-�'�S11���� Po!�^ ..�m��am'__.. . . w3-� `� �._.__ ""'__ ._ _ _____-.__. � n certlfied en Y pF l.fsC.AAiUEl.E$ C�11�?7 � u py is herzby(urnicheu. ����' IQ�I 8U4£.pIR1G AND SAFE7Y i Certif'ied co Y is fiied mith!h� ._.._ . ��.,:,..r.,.,.,.e.:,.-".^-;.=.-,n.,._..r._.-��._..,-._r..,__'__..__'.:.- - - . . -..._ _' . _.-_ ,-- R �� �> 7 . NO. TT'VFE OF�APFLIANCE C�aQ F��`�� ..•BUI�DI�M1'G .W�.: T^��. ,:T4. p r�uunty buildin6�nspcciior . ��sr� nt. . [�;.�7�^ FOFt APP�iCAS1E i /7 I)ate+�.- . APPlic:an ���'T�1�- (PRINT OR TYP'c O:VLl": ftE55{�S__..Q1���.���y��l�C� ''' a o o _ ---- � _ � f� DN1� - — -- ------�---- LQCALt�Y C:i. TxiCATE.01�I�.X:C.i1C_ONFROIvi\4'O '.�.ftS� I R=OUIi'MENiT i FEE ____��-'•'--_------- -----_ - COi�1YF:N5.ATiQN[NSL'RAN<'I; _.-..�__._..'_�.__.-_'__'___._.�____.-_..__`T.� NE<�FSE.�T } (.�i15 SCL't16P. IiC'CC� nOi �le COmn3elCd 1� cilC N'pYX i:iV�lvO(� �,ABSORPTION UNi-�,8l�li___.___. I CRO$S ST. F O by� the permit is foi csre hundrad •':=l;rs {Si063 �� 3ess-) --�--"�-------�-�'�----- ----- �-1�-'- �isTa�crn7c. -raocess eev�- I.;er[i£y tFaJ ir,t}:,; �;erfor�nU�:�. :��tY.e e��^rk for wh�ch;h;s �_AiN HANQ�ING UNI' . _- I � � '_ ___'-_' ___.__ � �'� {� permii ie issur,d.I shall nuc��..plu7'xny person in uny m�nncr � %� u --_--~-�i. �iYti.yr � s��as to heco:��e sub.lect�.���e i5'r�rl:ers'(;em��:nc,ti�r.;,aw-s. 9CIL.ER,BTV-.-_�rQ�1... -------�� � � _ . 1- --- t� ;_----...._._�__.� _ I- tq — �.yj APPROVA�S DATE IVS�=CTDR551Gn'ATURE U Date ".E�pticant ____ �uIC_OMPR�SSOR.B7J �_�.� C{�� �_�V,__ ' .-' "-_" � ___" i _�_ I � B - - �ROUG � NOTICIi'CFJ YfJC�ti:.If,niter ma�.�ng:ha Ccxti`:c.�tt pf �VENTILA710N^aYS ��.��o�.h � FIt�AL ���� � Exempti�i�- rou :i;nu:u �ecrrma sub}ect to ahe No•4,ers' � � � .^..or.mpe�, uon �s;�>���s�nns of fl�a Laht>r Code.)'ou mus!f���r[I.: i--- - --' - ' �"- -' `�-` � '� w�i!h :omni� v.i'h tucn � SVAPO!9ATiVE COOLEa ! , y . . provisions or C;iis perm�t .,hall �e ;� - � �'A'LlDATION d �nad reeoRed. - __.________.._.._._...__. _.._.._.._____.-i iFUR1VACc: FAU�-GRAVI7Y .:. ; --J_--� :10E\SI'L'L'OVTR.iC'E'ORS DI:CI,:iR.4ilOti FLOOR�__�_E7i:,__�_._.._}'�---I� . _,heceby ufTirm tnat 1 an licensed unGar prr�vixions nf C�hapter '�,HEA�i ER: SU3PE�CEQ: Utit7 � '�'-� ' 9 (commencing with Srction 70Gb)of D�v�:sirn:3 of the Busi� J� ' � � ' . . ' _ _ _'_ --1---y nf:eu nd 1'rot'essioris Code.ar.d mY Lcense is in fuii force and `$ -1------�"'�� � 1 t"`��� � - __�_ALI-_'_ License Nm:4���__ '' ��ss C,i� -- ._.__� _ /�___..__ __1_�_,r."•"� .,«.c. ------- ` ' �q1. � � 1 , , . ,4: �f - • _...�'4�-- "",Y-e�-���'_____—-- �--'------- ---------.._. ----i:-..---I--� . C����.... � � V . ` =" Pian check fee 25°_ot above. ---�--- - messSandL�rofiesFcnsCodt�g�steredcpruf�sfonal3slsam`a __.___._.-__._...' YEPeI�:���'�C�-,.___..._____�_�___ am exent�t roin 1 ^ „ y _ . 3�T��6 )' Pxo1'e=5iona; caoss^ity (�e^Yinn 70�t. $us- .. - � �v������� � � a _ ' ."'___ _- '________'"_. ._...__.� I.ic.orRtg.Pva--- ---_-„i}utc� �'�l�iT1:..��.E ; �}� t--.,.__..__._._'__._._....y_"'_-._..__ .;:--,.__ � HOh4F.04VN1::R-3�]LC3FFDL'.CLAR.4TiON �P�ANCHGCKA?P�ICANT � � _--.__....__-___'_'_.._._..-___.'-�'_"-_'_'__.i I hereby affirm that : am exumpt fsam-!he Jor.tractor's N.:ME License i:air f�>r tl3e follo�a�fc€reason (Secr; .,'iO3?.5, 15usi- :_____-._�.__-_.___'____' .. ____,__. ... .... --; . ness r.nd VroYe�sions Coda): �D!7RESS �� � _ _____..__—____'.-___._—_____.__'._,�_'�_.,p, , . 1, as owner of the nrnx+cr.v.«�.; ur, the u�o:k ;nnd ciie s.ructure is not in,ende.i i offerec for SJI2 l5ection 'CITY n,��c r7�nr� 7EL,,�f��C,.�. p � �C g.�1.k.� 7044.BusinessandPrnfzs'.:lsrnde). -_-..Wt"'«�5��y�1'1CVCPi�.OJ�_ �4'-."'._.....i ' o a s • � � T.�nc nw'nar of the r,..,?,.rt}�,�m ex�:lUSiveiY�-nntzAC:i'1g OIVNER '�i�Q�M [Ln ,{�tl.-�e ���j� �r 8 F�T'i'�_i'K.-'V.] :vith licertsed �o =:,::t��xs to ce�r.struct tne Praje�t MAIL r� �/�- /� ,RC., 9 I �„9�,Q`"� '_--_-'_-'_'-'__ __' (Secrion7044. �cioessiinsP.ofCssionsCode). Af]�RESS2 /��-e�_..��rl'N�_✓'_"_____ ' cc �r:�ucno��,������hc:no�avcY r.i= � re�.Nc. � � �3 9 2,G�� r hr�et,,. ,�.. •ly�s9o_!� 4 f��e . _ m [hn� there is a construction lendino ttgcnc}: --- . ... A���..---����---�-----�-� r�c the rfonnance o;[he �eork rrn u�nicii (his -CONTP.ACT r (;Z� I G�8 8 6 perm!t is �!��, :; a issued r - 3097.Civ.C). �--�.{.�.+.. _'/—� .. _._ .�,/� _A(..�.._r..___._.__9 . . Len .'s�'.ame �y 'rl J� l� �DV11.!"�V}� � - ---- A D D R-_ ,�, rondc.'s.-;Edress —_.� CIT`��KC1'�,� TL-L_t(�b V �.._.._s 1 cer.iFy that i liave read thi< aps�iic;�tiun ar�ti atate ti�ai. dia g-rq7G -! i,r /�� aboee inYonnation is cor=ect.I agre:vi com�3ly with xli County LICENSE' � f� �CI.r�SS�4-~L.f_ __,-g 4_.� -' . _.,._._..__ ,- ..�-. oru�nances unQ S:a:c laccs ra�;u!aUng Heatin�.Yentilat�g and .. -..-,. ._ . . ............. . .._.._. ..... � ... .,�.... ..... . ,:,...,..... . .. . . . .Air Ccnuitio;.in�;,und he;e6��xi:thorize repre5�atati��es uF this SE�.E RGb�L:RSF.FOR FkP1,AN,4TEIRY I..".1G'JAGF.' . i:ounty fo anter upun Ehz i�Bo�re-mcn4iur.ed pruperty ;br . t �+2C'I[)Il� 1'�01i' / �.,�.��r re,�____`�—{�—�-�'�-- !1'SiL' �_�..�____ ____..��..___._._.._.,_.. 3NSPECF43�`5 fUt3"ES _—___ —'__'--___._.________�__.. il6b'N�!4-I3L"La'3�;k i3��:Lf:1'�.t�13(,°�d a__..__�---____._._�----��_._.---...___ ___,�.__-----.— - .._.., - . i k4c:euy a;ii-n�;ireY i a:r e�c�rctfro:n.lieC:�nt:•9cfc''� _..�._..__�.��"--'__.....__.__._.. _ l.iee�<e.ia�s� fo.� di'�e •olfon�in;reax�;z(Secrior. 70.i1.5: Ilusr;�eaa cr,Q Yrope:si„re; i:oxc;: .?:r�; c.•:y r,r c�u-r.t�, .. „ _..��__..-�_ — �.-"�"_..._.�.�..._..__._' NltiCF.' YL'�7Fti!'�;. � PCt'Y]Yf:' io COY:SPri:_'. CltYr� d(rT,•.'/Oi'2,' . .� . .� � . . C27'f](iSif.:.OP:Y°p¢ir.�arU'f'?;ucr�re.yreor ry IIS ;dS{tiBtiC?, �. ._ ���__.__�_._...�__..� ' GiSG fCt�'L']/C'S�IYff qF%nl.':.4�t f0? S:.'C�: j;f�»:fI Cn�'f:f2 r . . ' - . � � yi�pn„{..BFCIf',N:..":'i :ffCf .42 S r':f'C�l.iPG' (;ur5I1nR: !G 'r'iC a._.....,..___..__.__._.______..__��.�-._.__-._....__�-._.__.._.._.�._._. ,.,u;siurs.,p,•:rs:r L'om�alrr,r:s P.rren�n Law/CFn�:re:9 lcon;tr.er•�iri<:�+s'+i7e Sec:ion 'Qi)fl,! oj. ., : 3�f tnr , •<,,:;>�� �_...�__�..."_..�...—..__—.__.___._.____._.._...._.._,__....._�..._ l4t;sir.es.c� m;ri �:•o)essrcn� f.cae/ - tr.r.r ht• is exrrti;, , . , ';t,r2r":n;m aad the be."s.;`�;r::xe r.�lrr.ed axevt!»icn.Any . ' ___�_,.._..�.r�.�_�_.------'--.'-.._.____._..___-_ .�:�irzr�u:�cj Sec�i:ny ;✓3i:5:::y an;.�ef;oi:�¢ni ic,a�2nrrir . . .. � ;uhjerts the app:icr.,,;a�a cii+rr pe;xa7[y ep�r°ne r�:cr?tttnP ---..-._�___...._�......�_.�___�_._.___._.-�'--'--..__...._ ._ -. ... ficehundrnc�doU�r;3i:i5�3C•�.: . . .. . "� � l.as u�i�oer oi iLe gr:��rerty u�i::..du:he,.sork..and � �_�. _s.��..�...'-- ���_..._._.._ t:�e sinzcta:cc is not irztendcd ar�Ff'ered eor sa7c. � - /a��. 7;1K4. �rtsi;acss an.G F;'<�fessir,+cs Codc:--.;he Cr.n� �'-------- _-------- irr[cror, :.ir�e>n•e Law� does nov e»pi}� ?o art owr.er�f _..........._.__. . j,^rr:pvr�y v�:ae�t>�e.'r.'s ar irrrprov2c?hrrarsn.anA wdro riJrr .. - a�ack i;r� r�2ntrnrs --.�....�____,. �____.___._... _._-'----�--`-_-"-� s!tcr wor�� 'rr6.:.ce[f p.ror,��ea r'r.r.r p r v � .,� :ct i�.renu�cd or offerrd jn::;afz. Ij', h.aw�cer. �he� __—_—_—.--_.__ __.._,.._ F,�i:dir�g or L;i,rsro,+er^er.t i� sr,id x�ith�,q are Y'ca: of � cmaptc�-ioi,, ihe nw:eer�6u;lcter iviCi 4ave th�e PJurdel! r.J Prc>�er.g rhal' he di,.^ nct huil6 or rqi,ryuvc jvr thz _.._� '. .. , . .- � ---- __-- �t:;p�:��v�.afe.' ' i i�.:2s o•x�ne±of fiu prcper"v:''a�i�-e°:C?:�sivelY con- --�-- -----`--------.__�..--.___..._, '-- :.acting w€Yh:ii�znse�i cc!ni�ac.3rx�.,.ocoa,s±ru�i fii��p:u;er.+ l3c<:tron�S:i„t:: Bustnzss ana e'rn�vsgie::is r;'6;??�:'ihe=�f�:�.: _�_'r.___�'______..�.�.„_...�_.........,_.____. i::It':^Y-F ��PFISK e'.rµ'.IOCS ii0:C�]t)I'J !J G•It ilH�t3C',' :';` -o�:�r-rr.r' .e�i�e bui!ds or irrzpres•e.c;hereoas, ar,�a ;ana �. "— � --------"------..�Y.._._.��._.___._._,�_..- canrrar;s far surh , . C��+i��3c witl,a ront.¢cfc:'(r/ 3%rerrsad . .. rl:.'�:��iri Itl Te1E J:�3:9tY4CtGY£]1fPN5:EQ.Vj. —�--��-..-..�.______-__.-__...�..��..,."__"'_",_.'__._...�ti_.�... : �•:. _--.__.-----..._____ :ai�vrein�ic c�:scr Szc. __.��e_.._ ._._.._ �______--��._.__._�__._,_.._.____._ =i Ek?'.C'.�cr this;tiasan.�_.� —' .. .. , . ., .- . ,-'- ... -"_'-__..._..._._ I?aTe-----•- --__...___.... --_� _--�________�_�_._�_�_�_-'---'--- ^rwi;es---- _��.�__. a. __—.__._�__eNsp�'cti-Cea'�'IVQ'Y'Eg ---_-._..__._.- , . . .. : � . . . .