Loading...
HomeMy WebLinkAbout13702 (7) ; �� --I�� CITY OE DIAh40ND BAR , � COMMUNITY DEVELOPh1ENT DEPARTMENT ilE �,.... 2I660 E.Copley Drive Suitc 190 P R ESS (909)860-3195 Pax(909)R61-3117 ^"' I3UILDING PLRb11TAPPLICATION FIRMLY o DDRiESS_'_'�L��I�����—�v��i`✓Y DATE'CATIOP �` � NURBER #/ c� ISSl1E TYPE OCC APN LOT TRA DATE CONST. GROUP � OWNER ��_CA � 1a1__a c� 0 o ADD S_��L- I�_Q ZONING SETBACKS z CITY tg'P���_ TEL�Q��� FRONT RW O o APPLICANT� TEL. SIDElSIDE STREET- RW Cl ; � corurRacr Qp 1L_p p. f� Ct Y C I SIDE ❑ •-• � ADDFj�$S '����� -, � PROPOSEO USE � cirv[11p D— Z1�91�0�4-0 T tih5:�)-10�1=►��) �w ARCFi/ENG/ �z �ESIGNER NO.DWEL. N0. NO. � ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. cn cn DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION � OWNER-BC�LDER DECLARATION SFR�A00,'REM I p I NEAEBY AFFlRAI UNDER PENA�TY OF iERJUR�TMAT 1 fM EXEMGT FAOM TME CON'RaCTOR4 LI� G3r3g?�C3'p^R F W CENSEUWFORTHEFOLLOWMGPEASdJ�5EC.7o7158u51NE55Av�JPa0FE55ION5C09EA4VC1ttOR (� t U (�/NTYWHICHREONRESAPERMITTOCONSTFIVCT.ALTERM>P.O�.DEMQ�ISH,ORREPA�RANYST9UF W P��iO�DPCk NFE,PRqR TO ITS ISSUM7CE,AL50 REOUiqE4 THE APPLICAhT FOR SVCN PEAMi7 TO FIIE A SiG�ED ♦ W STATEMCNT h1�T HE 09 SNE IS LICENSEU I`URSUANT TO TNE CROV�SiONS OF TME CONTRACTOFS ll- w , � ' � � CENSE UW(CMAPTER B�COMMFNCINC wITH SECTION 70001 OF Orv1510N 30F iHE BVS�vE55 AN�CP.O- u' POOL'Cp3 � FESSiON5CO0E)ORTMATHEORSNE�SFxEMPTTHEREFRp�apNOTMEP45:5F09TNEALLEGEBFXFMP. V TIONANYVKKATIONOFSECTION)031,SBYANY�VPLICANTi'09�PFRMITSU9JECTSTHEAPP�:GNTTO Z pn.Fl�rf A CML PENq�TV OF NOT IAOi1E TNAN FNE HUNDREO DOLURS(t50C�.). � UI.ASON"�CROFTNEPROPE�7N.ORMYE�.IPLOY[ESW�THYIA3ESASTHCiR50lECO��vENSAT�N, � COTTP/CiTI -- Z W'LL DO THE WOFiK.ANO TME STRUCNflS IS N07 INTENDED OR OFFEP.EO FDfl SAIE ISEC.70��.BUSI� J NESS nND DROFFSSIONS CODE:THE CONTRACTOAS IICENSE UW DOES NOT IPo�y TO.w OwNER OG � VRpPERTYW/qBURD50AIMVROYESTHEREON,AM1JNMODOESSUCHWORKH:MSFIFORHEASELFOR � [[ TNRWGHH!SORMEFOWNEMPLOYEES,PROV!7eDTXATSUCMIMoqOVEA�ENT5AREINJTI4TEN`JEDO9 m ' QO�FEREDFONSALEIF,HOWEVE0.TNEBUILDIVCORIMFROVEA�ENTIS50L�WITF1'.NONEVEAROFC04�LE- Z TION,THE OwNER BUIIDER N4LL HAVE THE BURDFN OF PHprvRlG THAT NE 0�1 5Hc D'D NOT AUILD OA � rtAPROVEFORTMEPURPO5EOF5QE). w CllA50WNEROFTHEGROPERTY,RAIEXCtUSNELVCONTtUCTiNCWfiHLICENSE�CONTRACTORS Q TO CONSTRUCT THE PHOJECT(SEC.70u,BUS��:E55 A'.'D P90FE551045 CODE:TFIE COYT9ACTOP.S LI- VTIUdh0�1 A�J AREA W CENSEUriDOE51YJT�PP�Y70ANOwr+EROfAPqO�ERTYWFNJBV!LDSORIMPROVESTMEREON,ANO � WFIOCONTRACTSFORSUCN7HQ7ECTSWITH�CON7R�CTOR6)LKC45EDPURSW4T70THECOY�MC- QUANTITY DESCR�PTION FEE � TOFSLICENSEUw). � ❑I AM IX�I.IPT LRRIEN SEC. B 6 F C.FOR TH:S FEASON � � U � � DATE OwNER � Z w � LiCENSEDCONTRACTORSDECLAfiAT�ON � W . � IHERE6YAFFIfiMUNDERVEN�LTYOFVERJURYTMATIAMUCEN5E0UNDERPRpwSqN50�CNAPTE9 �� {r/��{��,y � 9(COMMCNCINGW(THSECTqN70o0)OFDMS�ON30FTYEBUSINESSAtiDPRO�ESS�ONSfAJE,AN� � � �Ll%+YSl' . � �'/UCENSEISMFIAIFORCEANDE�FECT. ` . . _ : _ . 1 � . o , � � L�CENSs/C,L�ASS �n't��_UC.NO.� �3 . � , V DATE—�j,J_1t�"'�� CONTfiACTO�M.►� �(� d I��I ,� �V(T W ,+� ���13u v� �� �- � �. (. � WORKl�.F �,I�Ct��1Tl��� � l.i! ' /�'.-. - . ' � ' � � IHEREBVAFFlRMWDEqPENfyTVOFGE4NFiYONEOFTNEFOILOwINGOECLARATld:S. U � - �� � . � � - .� .. , . � �INAVE�NOWILLM.IINT�W�CERT�tiCATE0�f.0"15ENTTOSELE-INSUREFORYARYERS = COMPENSATqN,A5PF10'JIDEDBVSECTON]��OCFTNELA90FCDOEFOqTHEFEAFOR"A4v�E U � (�/�OFTHEWOfiKFORMh1ICHTNISPE9MITISISSUED w 0 �) W _/�IHAVEANOMnIL�ANT�MN'ORNER5C04'PENS�TIONMSU9ANCE,RSREW�PEOBYEECTIDN Q � 3700 OF THE U90R CODE,FOR 7ME GERFOPl1ANCE OF TME WOPK FOR WMlpl TNIS FERM;T IS ISSUED.MYYR' K!ER' 'COi!�NS�T�ONINSURAHCECARR'ERA40POLICYNUA�?ERARE CO,ISTRUCTION j c�amEA_�N�_�em�', PLANREVIEW � va�cvr+u"a=eq_L��_R-I,,.�— C�-`� ELECTRIC � v p /.� ((�� � 0 (f�nssEct�a+t�EmraoreEoumL�rEooFnfvero.rTafanoHEivU�DDatuu��mta+tess4 PLUA!BING � Y 1,,.C�_ � �'�_�(`- �LL`i W Z 1 CERTIFY THAT M THE PERFORM0.YCE OF THE NVHK FOF WNiCH TNIS VERAUT 5155UED.1 MECHANICAL ��t�t� � C7 SHALL NOT EMPLOV ANV CEFSON IN PNY MANNER 50 AS TO BECONE SU9JECT TO THE � � WORKERS'CO�d�ENSl1TpNUW50FCAlli RNIAAYDIGRfETHATIGiS�ULDPEC�"'� INSPECTIONFEE �� � SU&1ECTTOTNEWORKERS'CO�.'PENSATh 7ROVISIONSOFSECTION?,,, FTHE.�1c 'R � caoe.isNwiFoa n+coinc�rw sEvaov�sarus. , ISSUANCE i � ���� — ��_ SMIP p DATE:_ APRICANI _ W ENERGY P/C � WRRNINQ:F�ILUPETOSECUREWORKERS'f.UMPEN5AT10NCOVERAGEISUNUWFUL,A'JOSN �t �y SUBJECT I�N Eu�LOVER TO CR;tAMAL PE4ALTIES M!D CNIL GINES UP TO ONE HUNDRFD THOI \ND FNERGV PERMIT DOLURS�St00.o0o�,INADOITIONTOTHECOSTOFCOMOEN5A7qN,DAMACESASPROViDFDFc, " J SECT�ON37080FTHEU.90RCOOE,MTEREST,ANDPTfORNE'f5FEE5. FIETENTIONFEE: Q a CONSTRUCTION lEND1NG AGENCY Pt76ALT FEE: � Q INERE9YAfFIRMUNDERPENALTYOFPERJUPYTHATTNEREI$ACONSTRUCTiONLEN'JMOAGCN^.Y n- FOR TNE PERFORMANCE OF THEwORK foq WMICH TH:S PERMIi IS ISSUED(�EC.7o91,CIV.C�. . . Z W � IENDER'SNM1E S F— IfNDER'S ADDaE55 - --- � TOTAL FEES i-j � � ICERTINTHATIHAVEREADTHISAPPIICATIONANDSTATETMATh1EAROVEINFOf1MATqNISCORrtECT. w IAGREETOCOMFLYWITHAILCITYANOCOUNTYORDMANCE5AN75TATEUWSRELATM�3TOBNLDMG � CONSTRUCTION,ANOHERE9V�UT110R�ZEREPRESFNTATNESOFTHISCOUNTVTOENTERU'OVTHE � A80VE�MENTIONEDPiIOPERTY�OflIN5PEC710NPURPO5E5. ' Z "� COM4'ENTS s — QY�G'Li_Y��w 1 A'Z m PE"•TTEENAME(FRINT) . N S' � . ,�Y,*r!c�`^" V7E'I ��— �7� C/) �-�}�� � RECPT.NO._ � PAID BY l— _��VALIDATION_ ,� WHITE—De,,.rtmanl Copy,YEILOW—Finance Copy.PIYK—Assessor Copy,GOLDENFOD—FJe Copy,GREEN—ApphcanYs Copy �� n � � � � � � � � o n � m � � � � � T � � � � � m � m m m - � �z z z z a m m m � m n � x o 0 0 0 � o n m � r m m� D D a D � rn � � � � r O c c c O D O 1 � � O m � � � - '0-1 � r r r r y � -:1 m Z r � � G7 � -n � -n m � � C � N m � � v C7 - " � �v m 2 n � � n 7J Y � Z � m 2 2 2 n Z [n � �n � Z D �t D � . . `,� - m . C m m O � -�i -i � (n = v m 2 O G� 2 f I l O D 0 (� � T� � D Z r D Z C � r" r rt1 C � rtt R1 � 'U I CC!)TZ. � '"�'� W 9 z .-�I � r 7ZC D c�- � g Cm � � 1 3m1 z = � 7mo m c 7�p � , �� .. �. N fA - � L� n � Z ..�.� O � m Z � L� r- Z m m �C -�i ! � , � m— � z cn � � � z z �" m � z � p � � � - N Z I ` � ' � - � �" ' . � n � . e � � - m o n � ` n Rl O 2 "�t '�7 p r' �7 O Q � � � �l �1 Co � T O] � T �7 C C T T � � ' Z fTl f7l A Z Z �' ,Z ffl T O O O 2 O m 7J Z 77 77 Z Z = r � � f71 C D m y � z y O T O O O — C 2 I?1 D � � rtl fil � � n o � D . t. n j m 2 m N �j � fn D -1 �7 -n R1 = 2 Z � m p � V � ��� m 9 '- � 0 m vo z -� m mr � zaozm � D -ri � o `- � o -i Z D Z Z m A L� C) c) r r_ O '� ��� v � � � v � � Z � rD- C� � no y � Z � ��Z m -n � O c i -�i' • n 0 - - > '� z � a' =t v� c'nn z � o � mmo � - � -n � � � � � � n � m � � a o � � .., �, a � � a � oo c e , 0 .� r . � � D Z n -, ; ��� .� - - _ D,O C � , -��r_. l �,Z -i ;G i : - l _ _ .I ' ' � _ ' � �. � " - . I - �. .. _ I',�'i ; �> /