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_. .._.__. �� -----�'�`'�---- CITY OF DTAn40ND BAR � C0:�4MUNTI'Y DEVELOPMENT DEPARTMENT ;-� �Ilf '�-.," � 21660E.CopleyDriveS�iite]90 � �% PR�S.� (909 860-319�Fax(909 861-3117 / � �'''"% BUILDINGPERMITAPPLICATION ''� FIRMLY o ADDRIESS��� �I/"�l.l.a!✓"t (,7 �� __ DATEICATI��,_IY�� 7- NUMBER �`J�Q#lC � T L � ISSUE TYPE OCC APN LOT TRACT DATE p OWNER 3".�`t+��� w9'1 �-c� �CONST. GROUP � 11 ADDRESS�_ A? C- �^ t r;�f!' ,(S C - � ZONING SETBACKS � I Y� .� �•'�_. FRONT RW �---- Z CITY r1'Q.::r.1P,�.pr l��y�ZIP 2 ['�TEL. y`�i �'�S J p APPLICANT TEL. — 5 DE/SIDE STREEI' RW ;:l __ z — aCONTRACTOR . .�. "-.�'.a t SIDE _� o ADDRESS�(<�ins. i'•L? �e Lw�-�-* PROPOSEDUSE 1��'� ✓ Sf �+�.1 cirr���,,, .�...� zia�TEL. �� ��I�� � ARCH/ENG1 z DESIGNER ""`i— a ADDRESS NO.DWEL. NO. NO. � CITY ZIP TEL. UNITS EITORIES BEDROOMS :n rn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BI:ILDER DECLARATION SFR/ADD/REM C � p :HER[BV AFFiaM UNDcR PENA!TY OF PEFJURY THA':AM EXElAPT F�OIA T4E CONTRAC?Oq5 L- G8la9p%C�fpO1[ W C'cYSELAWFOR'HEFOLLOWMGReA50N(SEC,7031.SBUSINESSANOPROFESSIONSCODE:A�YpTYOq (n U COUN?YWHICHR=�UIRESAPERRIIT'OCONSTRUCT,ALT=R,1!APROVE,DERIOL'SH.ORREPAIRANVS?RUC- W , _ � TUFE,PRIOR 70 IT�ISS'JANCE,AL50 RcQUIRES THE P;?PI.ICA.4T F09 SUCH?ERMI'TO=1LE A SIGN=� � PaYio/Deck cC 5?ATEMeN`TI1A7 H'c OR SFE iS_ICENSE�?'JRSU,WYT TO yH_'PROVISIONS'OF TNE'C014TRACTORS L.I�-- � � CENScLAW(CHAPTER9(COMU'cNpNGWITHSECTIOUIe�(+)OFOIVISION30FT�IEBl1SINE55AN'J?RO- POOUS(Je � FE551ONSCO�E)ORTHATHEORSHEISE%Eh7P7ih'cREFROMA�tiDTHEBA515FOR?HEN'�-LEGEDE%'c`A?- (� U 'IOM1-ANVVIOLATIONOFSECT!ON7a315BVANVAPPL'CAXTFORAPcRUIT5l16.:ECTS'HFAPPLICM"'O Z� Re-Rooi � ACIVIL?'cNAL7Y0=NOTMORETHANFWE.-:UNDRE7]O�LARS�.;8500J.):��� I 0 C]I.ASOWNEFiOFTHEPROPERTY.0ah1VEMPLOYEE55NITHYlAGESASTHEIRSOIC-COMPENSA'ION. � Commercial Z WILL DO THE WORK,AN�TH'e'oTRUCi URE IS NOT ItiT'eNDED OR O�ERED FOq SALE(SEC.�Oad.6USI- _I � NE55 AND PqOFE5510N5 WDE:THE CONTRAC70R5 iICENSE_AW DOES NOT A7PLV TO A�,'OYlNE.R OF � ARO?�RTVWH06L'�ILOSORIIAPROVESTH'cREON,ANDW:!ODOeSSL'CHWORKH:1.!SEL=OA�H'eaSELFOq m � THPOU6HHISOR`%EROY.'NEMP�OYEES,PROVIDE'JTHATSUCHIM?AOVEMENTSAPE�NOTINTcNDEDOR � OFFEREDFORSALE.!F.HOVJeVeR�=�UfD�NGOP.IMPqOVE\AEYTISSOLDN'17HINON`cYFAROFCbMPLE- � TIO��,THC-OWNeF7-BUILDER WILL HAVE THE BUFDEN OF PROVING THAT HE OR SHE DI�NOT 6U!LD OR Z IMPROVEFORTHEPURPOS�OFSA:E). �_ �I,ASOWNEROF?NE?ROPERTY.AVE%C�USN�YCD.\'TRACTIM1G141THLICENSEDCONTRACTORS /� TO CONSTRUC'THE?ROJECT(SEC.1044,�USI�ESS P.�D PRCFESS:ONS CODE:THE CONTRACT09S LI- V811181i0f1 ._ �'".�� _ADJ.AREA__ W C'cNSELAWCOESNOTAPPLYTOANOWNEROFA?AO?ER7YWH06UILDSOR!MPROVES7HEFEON,IIND � WHOCCN?RACTSFORSUCHPROJECTSW:?HACONTRACTOR�S)LC'cNSEDPURSUAUTTOT�ECONTRAG QUANTITY DESCRIPTIDN FEE Y TORSLICENSEIAYl.�. � M tXEMPT UNDERSEC.,__. B.d P.C. �qTHIS FEAS � U � ^ _ � — ' � — � OA'F _ _'h _OWNEa /� . _ _ _.. � Z W � LICEtiSED CONTflACTORS DECLARATION W —T ¢ CC 1 HcREEV A:FIR.'d llR'DEF PENALTY O�PERJURV THAi I Ahl LICENSED UNDER PROVISIONS OF CHAPTER � d 9(COMMENCINGbVITHSECTION7C00)OF9IVISIOv3CFTHEBUSIkESSAN'�^RO:ESS'ONSCODE,AND Z X MY LICEISE IS�N FULL FO!�RCE AND EFFcCT. � LICENSE CLASS `� LIC.NO.. ' /���� _ � � J U DATE '� _ CONTRACYOR '�1.3'� d W � WORKERS'COMPENSATION DECLARATION ¢ � I�ERE6YAFFI.9ML'N�ERPENA�TYOFPERJ::RYONcOFTHEFOLLOWItiGDECLARA'IONS: Z a IHAV:ANDWILLMAINTAINACERTIFICATEOFCONSENTTOSELFINSJRErORWORKERS' _ � ¢ COMPENSATION,ASPROVIDED6VSECTION37ocOFTH'cLABO�CODE,FORTHEPER:ORMANCE U OF THE WORK FOR W HICH THIS PERMIT IS.SSUED. W p � W _IHAVEA�DWILLMA'.\TAINWORKERS'COMPENSAT:ONI\SUFA'VCE,f.SREQU�REJBYSECTICN Q 3�G0 OF iHE LA30R CO�E.FOR THE P'eR(ORUANCc OF THE 4VOFK FOR WHICH THIS PE�7UIT IS j� •7� ISSUE�.MY WORKEr75'CON.PENSFlTION INSURANCE CAR.9:c`R ANJ POLICV NUM9ERARE: CONSTRUCTION J � Q -� � > CAFRIER PLANREVIEW �c _'�+'_�_ Z I PoucvrvuMeER ELECTRIC _ ¢ � � (fH:SSECTKNJNE�YOTREWNRETEDOFi�EPeRMIT6FORIXJEHUNDRED�OWW'aE1W)ORL'eSS). PLUMBING w MECHANICAL Z ICERTIF'!THATI\iH'cP'cafO�a!AAtiCcOFTHEWOaNFORWHICNTHISPERMIT!SI'aS:IED.I _ C,7 SNA�LNOTEM?LOYANYPERSON:NAYYMANYERSOAS7C�eCOMcSU9JECTTOTHE � VJORKEFS'COMPENSATION!AWiOFCAL'FORA'IA,ANOAGREF7HATIFISHOULJBE��O!,AE INSPECTIONFEE _._ __ { � SU&1cCTiOTYEWORKEFS'COh1PENSATlO�?ROVISIO�SOFSECTION3l OFTHEIAEOR ISSUANCE (�✓r7C% � CODc,I SHALL FOHTHW:TH C01dPL�Wi'fH T^.O PROVIS101r'S. p DATE:� APPLICANT: _ ✓ ,V ��� SMIP _ . v_ � WARNING FAILURE TO SECUR=WOaKERS'COh1PeN4 OV COVERAGE IS UNL4WFUL,ANC SHAL!BE ENERGY P!C � SUBJECTA,IEMPLDYERTOCRRA:NALPENALTIESANDCIV:LFINESUoTOONEMUNDRED?HOUSANO ENERGYPERMI7 � OOLLARS(510C;00o1.��.4�]�IiION TO THc COST OF COMPENSATIO.'J,DAMAGES AS PROVUED FOR W I SECTION37oeOFTHELl60RCODE,INT[RcST.ANDATTOR\EY'SFEES, � RETENTIONFEE: _���L.�A�a�� O2. 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