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HomeMy WebLinkAbout10332 ,� _...__�� ,-- _ —^— - �:.' C MMUNITY DEVELOPMENT DEPARTMENT Pe�� ��p/��O �., ' 21660 E.Copley Drive Suite 190 . , • ��r D PRESS (909)86a31f5 Fax(909)R6I 3117 �""� BU[LDING PERMITAPPLICATION 7�04FIRMLY . r JO��TE - %2'J �Ej3 A�vya,c/ I� APPUCATION PERMIT � 1C o ADDRESS DATE NUMB�R 1� Sj p ISSUE TYPE OCC g OWNE��a�Business �Properties OATE ' CONST. GROUP p ADDRESS rea an on Road ZONING SETHACKS � �Ry Walnu,t�Ca.�9�a89 ��.909 598_900 FRONT RW o APPLICA��'S HtQ• &� TEL ' O REAR ❑ SIDE/SIDE STREEf RW ❑ CONTRACTOR Zim s Heati�n & Air Conditioni g SiDE ❑ ¢ ADDRES� r4747�SIairie Ave. 2 pROPOSED USE �� O ��yBe 1 ower, a.ZIP TE . � - � � ARCFVENG! � DESIGNER Davar & Assoc. NO.DWEL NO. NO. RDDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � pESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION � OWNER-BCILDEA DECLMATION SFRUpD/REM O 1 NERE9Y IIFFWM 11J�ER 7EW�LTY OF DE0.IURY T11AT I AY E7cEMPT FN01A TNE[YINiMC700.S L4 GBfipB/CSfpOR W CEHSfUWFOqiHEFplOWWORE�50N(SfC.7Wt.58USWE5511NDPROFE55pN5000E:hM/CRYOR (n � U CpI,NTyyNAp/pEOUIqESAVER4ITTOCONSTRUCT,AliEN,IMPROVE,DF4qU51�ORREMlRANYSTRUC W PatiolDxk � � TURE.iiVON TO RS ISSl1ANCE,ALSO REIXIIRES THE MGLICANT FM SUd1 PERMIT TO FlLE A SIGNED w ' � - STATE�IENT 71u.T ME OR EME IS ULENSED M1RSU1N7 TO TME►ROVLSiONS OF 7ME COMRACT00.S LL � CENBE UW I�rER�(CO�EiK7M0 WI7H SECT�ON 7000)OF OMS/�N 7 OF T11E BUSNIESS/�N�PRb LL' POOVSpB FESS�OHS COOE�OR TMAT HE OR SHE IS EXFIIPTMEREiH01�1 AND TIE BA515 FOIi TNE ALLEOED E%EMv. 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B.�O.C.LORTW4pEASON � /7� ISW�N�. / � 3 � Ou J" LL �+ATE .OWNER U \ � LICENSED CONTRAC70R5 OECLARATON W .1r O�%LcS'/m= N J � I HfHEBVAFFU7AI UNOfN iEN�LTV OFPERIURY TNAT I W LICEHSfD UNDER GROVISiONS Of GHAPiER Ur i . . d �(COhMtENCNO WtTH SECT�170ao)OF�MSWN 10FT11E BUSINESSAND VROFESSqNS COOE,AND Z � X W LICENSE IS W ML FORCE AND EFFECL m , 0 UCENSECUSS C-20 �,�.No. 371002 � _ �- onrE 11 14 9 6 ��w,�� Z im s � �i' � � ��� ' U W � WOfiKERS'COMPENSATION DEGLARATION � � INEREBYALFIRMUNDEpVENALTYOFPEiWRYONEOFiHEFOLLONNIdDEC(AiiAiqNS: Z � G __III�VEANDWM1LWIMTAMACER7IFlCATEOFCONSEMTOSElH115UREF0lIN9RKER5 � ,�-d COMPENSATION.ASPHOVDEDBVSECT10N7)ooOFiHELABO(i00DE,FORIHEPERFOfYAANCE w OF THE YYON(FOR WHIC11 THIS VERWi L4135UED. .� G X 1 HAVE AND YnLLAUVfTAM WOFiKERSCOMPEN5AT10N MSURANCE,AS NECUIR£D BY SECTION Q J7o00FTHfUBORCOOE.FORTNEVERFORMANCEOF7HEWORICiOfiwNICMiN6PEfY1T15 L55UED.W N�ORKEHS'COMVENSA710N PISUitANCE CARRIER AND POIICY NUTABERME: CONSTRUCTION - � - c„�„Eq CNA PUW REVIEW � POLICYMAABER � I ♦ ELECTRIC o �sEcnw�eareEm.aFr�oFnEv�rswaar�Mra�oalx�R�mJa+tFs� PLUMBING Z I CERTICV TMAT NTHE VERFdWANCE Of TME WW7K fOR WHIpITH14 GER4R lS ISSUED.I MECHANICAL C7 SWLLLNOTEMPLOYNfYYERSONNN7YWwNERSOASTOBECOMESU&IECTTOTME � NOR1(ERS'COMVENSAiqNU1WSOiCAL60R �IAlAAf1REETM+�IMFIS/qLIDBECOYE INSPECTIONFE '� S SUBJECT70TMEYqfiKERSCOMVENSA VISiON50FSEttION]7000FTHElABOR ,��eoMatrwi s� ISSUANCE � pDA � APpLIGWP. �����J SMIP � WARNMx]:FA0.UHETOSECUNEVIOW(ERS' N RAOE�SUNLAWFI1l.AMDSHALLBE ENERGYP/C � sua�cr�we►w�orenrocr�xu�venur�s C ENESUPT00NEM1NDHE0T110U3AfA �ERGYPERMIT DOl1ARS({1oo,0o0),NADDITONTOTNECOSTOF ENSATION.DAMAGESASVROVIDEDf-0R�N � SECf10N770eOF7HElABORCOOE.INTENEST,AND�7TOiY1EY5iEE5. 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