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• , —��`�— CI'1'Y OF DIAMUNU BAR I I I COMMUNITY DP;VELOPMEN'1'U�PART N ' ��Ilf V ::,::t I' 21660 E.Copley Drive Suite 190 PRE.�.� (')U'))860-31�I5 Fax O09)8G1-3117 '�'""." T3UIL.DING V1iRMIT AYPLICATION FIRMLY �_ JOBSITE 1�n,� ���m��v� `���1 yc 1' APPLICATIOf� < < PERMITf � P/C o ADDRESS_���_� _— DATE.._�L��,?--'- � Z NUMBEF{ # _ � — ISSUE TYPE OCC APN__.,._ LOT TRACT_.,___ DATE__._ ._,_.. CONST. GROUP ._,___. �,� OWNER �+icrr �' �iQ�b/� �<3=— � — o ADDR�SS� �__VY1l�P' ,t -�� ZONING SETQACKS � ..._ � ��z CITY ����A�P_tV (�_ ZIP /! ? 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FACTOR PSF ADJ.AREANALUATION p_ OWNEfl-BCILDER�ECLARATION SFR/A�D/REM O p I HEREBVAFrIRM UNDEFt PCM1ALN OF�EFlJUHV TIIAi I AAA EXEM4�T(�IiOM TFIE CANIHACTORS LI- Gaf8CJ2/CefpOfl W C[N�ELAW!"nRIIiLFOIIOWiNCI1f;A50N(SFt:70315L1U5ME55ANUVHCFE55iON5CODE.ANYCITYOfl (n _ _ U COUYTYWHICHREQUI9ESA°ERMITTOCC�STFL'CT.AfT�R.RAPfiOVf,�Rl.OIISH,URRL�'AIHANYSTRUC- � TURF,PRIOFi TU ITS ISSUANCC,AI SD R[QI11HE5 I II[Af�VLICANT fOfi SUf,H PF.RMI I 10 FILE A SIGNED W Patio/Deck w STATf.MCNT IHqY Hf:Oft SFIE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS t I- w --'— --- � CENSE LAW(CHAPTER J(COMMENqNG YJITH SLC�ION/000)Of UIV:SION�Uf THE B1151NLSS AND PFlO- 1'1' PooVSpa � FLSSIDNSCO�f_)ORTHATIIEONSI{�ISLXEl.1NI111EHEFHOMANUIIfEDASISFORTHeALLEGEDEXEMP� - U TI.^.N.ANVVInI.ATIf7NOFRECTiON7u31.58vANVAP�'UCANTFOfSAPCR4IT£uBJf_CiST1fEAPi`LICANiiU Z Fje-f�p0( '���j�f3 � A CIV:L PEYALTY OF NOT MORC THAN fNf:HI1NL)HFU UOLLAf?5 j5500)�: :'I,ASOWNEHOFIII6PROVER7Y,ORSIYEMPLOYEESWITHWACESASTHEIRSOLC:COIAPfNSA710N, � O Commercial � �NIL!QO THE WORK.AND THE STRUCiURE IS NOT I�\R�N�f.D OR U�f-L7E0�Oil SALF:�Sl:�aAs,�U51� J � NI.SS AN!1 FI?OI ESSIONS C()UF,�TIIE GONIHAGfORS LICEYSE lAW DOES YOi AP?LYTO AN OWNEftOF _-- � PROPERTYWIi07UiLDSORiMPROVESTHEREON,ANDWHOD0ES5UCHN'OFKNIMSE�FOfiHC(iSGIFOFi � � THROL'GHH750RHCROW4FSIPI.UVEES,NHUVIUEUTHATSL'CIi1MPROVCMf:NTShRENDTINT'cND'eDOR m w UFFFHtUFbHSAIEIF,HOWEVFR,THEBU!L71NC,ORIMPROVEMENTISSOLOWITH!NONEYEAROFCOMPLE- g � iiCV.THe OY/NER BUILDEF WILL HAVE THE BURDEN OF f'ROVING THAT H[OR SHI:DID NOI 13NtfJ OH — f � I�R�I(OVF FOH fHE PUR4'OSf�.Uf SAI.F.) � LIASnWVtHOFII{tp{'{ppGRTY,AIAEXCLUSIVELYCOYTRACTIhGWITHLICENSEDCONTRACTORS �t _—_ W . C. �. Q TO CONSTRUCT TME f'ROJFCT(SFC�ona,BIIiINF 55 ANU 1'ROF[SSIONS GOJE:1!I[GONTRqCIOqS U� V8IU2fian�5�l ADJ.AREA___. W CrNS[IAW�(]f_SNOIAPi'IYIOANOWNF.fiO�AP�OV[IIiYWHOtlUILOSO(iIMPHOVESTI{EREON.AND '---'- ' "-- " ""-"'"'-'" "- -.._. � Wr:OCCYTRACT5FOR5UCHPROJECTSWITHACONTRACTOF(S)LICENSEDPURSUANTiOTHF.Co.Y7HAG QUANIIIY DESCRIPTION FEE , � TOr�S lll:�NaE LAW�. _ � ;I I AM C%CMf'T UNDFH GEC. 9.R P.C.FOH il{�5 REASON U I � � O _... _.._.. _ S i�_ � t DA7 E OWNER F" -- � — —__.___ W � LICENSGD CON7'RAC�iORS DECLARATION W Q Q IHFRFAYAFFIfiVUNDf:RPf.NAfTYOfPi-fiJUfiYTHATIAMLICENSfqUND[f1PfiOVISIOVSOFCIIAPT[fi � (L 9((:UMMLNCING WITH SeCI!ON 7000�UF DIVISION 30F IHE pU51NE5S AND PROFESSIONS CC.7E,ANC z X MY LICENSE IS IN FULL FORCe AN�EFFECT. — !1J t� � � �� � � LIC[NSE Cl ASS _�C� a.J� ._.... LIC.NO �-- _� ______ � (j DATE_I�Z._T__�..L'�._.__ . .._ CONTRACT ,.. ',.____' J �W ,,,!!!��� WOHKERS'COMPENSnTION DECLARATION ���� a � IH�II[RYAfFIRMUNUERPF:N�I.IY�FPERJURVOYEOFTHLfOLLOWIYG�k:CLAfiHT!ONS: Z � I HAVF ANU WI_LM/tIMNN A CEHIIFICAI L-OF CONSCNT(O SELF�INSUH[fOfi WOfiKEFS' a � � ""__ _ ¢ COMPENSATION.AS PRDVI�EU f3Y SL(:11(1N 37COOF 1lIE LAilOH CO[)E.FOHTHE PERFORMANCE 'U � OF Tfit WORN FOR Wl{ICH 1HIS VCfiMIT I5155ULU. � w IHAVEANDWILLMAINTpINWORNERS'COMPENSATIONIN511RANCE,ASRE�UIREDBYSECTION � ;f7UUOFTHElA90RCODE,FORTHEPERFOFM�NCEOFTHEWORKFORYlHICHTHISPERMITIS ��n L � / — ISSUED.MVWORKEFS'C04PENSAi�NSURANC CARRiERAN�PO'.!CYNUMBERARE. CONSTRUCTION ____ , =� J - _"__ j i caaaiea_:�'�•�4-�}-�. .,�l.�.L':... .-.--- . . _ .... . _' PLAN HEVIEW � . - ---�-------��- ---------- � NoucvNu!neEa ^�y���C_5Q_._ ELECTRIC � . Q — � pHiS5EC110NN6EUNtif�C<XaU4'�E-1F00FTHEPF.0.ANT4SFOfIOREHU�UR-UDIX1N75(S�W)OR ). PLUMBING _.__._____, � I CERT:FYTHAT IN THE PEHF(1fiA9AN(:!O�7Hf.YiOfiK f(1(i WHICH THIS PFRMIT IS ISSUEU.I MECHANICAL __ __ ___ C.�3 SHALL�UTEMf'LGYANYPERSONINANYMANYERSO�STOdECOMESU9JECTTOTH'c � ___ (n Wc)IiKL-4SS'COMPLNS�TION LAW`:OF(:ALlft .'Iq, . �i�THAT If 1 tiilOIILU Ui:GOkF �N$PEC+���QN FEE __ ___ � _� SUBJ[CTTOTHEWORKEflS'f.OU.PFN5ATl0 P ISIONS FSF.CT;ON97GnOFTHELABOfl - - - - CO�E,I SHALL FOflTHWITIICOMPLV WITH T'O 'PHOV!51(N5. ISSUANCE �' U (�7 2- -as�--� SMIP -��-- p DATE:�� APPLICANiF � - � _�� �� JENERGYP/C � jy/� ---...- - -_--__- �NARNING:FA!LURETOSECUREK'OHKERS'COMPENSAfIONCOVERA;EISUNLAWFl1L.ANDSNALLBE „ Vi:�� LL SUUJFCT AN EMPiOYER TO Cf7:MINAI.PCNALTIFSAM1[1 CIVIL fINfS t1P TOON�H::NnfiF.DTHOUSANU ENERGY PERMIT � L'OUAH5�5100,000),IVM7�ITIONTfJTHI�G05(OI GO`dPi:NSAIiOV,DAMA(:CSASVIlOVNf.f)i-ORI4 �- J SEGT:ON37080FTHELADOHCO[1L,INlEF3ESI,ANL]A710HNF.Y'S4L-E5. RETENTIONrEE: Q _ .. ... R CONSTHUCTION LENDING AGENCY PRGALT FEE: p ---- -- --- -- -- � I HER�RY AFFIRM 11Y�[rl PCNALTY OF PERJURY THA77HERE IS A CONSTRL'CTION LENDMG AGENCV � FUH IlIE PL(1i�UHMANCC Oi T4E WORK FOR WH!CH THIS PERMIT IS ISSUED(SLC.3097,CIV.C.). "----"" "' - ------' z w --�---- = LENDER'SNAME � _" _--'__ I'_ ICNIIf-IiS�D[1RC55 .._'__ "_'-"' ""_---'___' " ' ""_'"_ '— ' "--'— � � ICEflTIFYTHATIHAV'cRcADTHISAPPLIC�TIONAN75TqTETY.ATTHEABOVEI:VFORMATIOVISCOfIfifCl' TOTAL FEES I' � � IAGHEET9COV�VLYVlITrIAI.LC�IYANJCUUNTVONLIINAN�LSANUSTATCIAWSHELATI�'CIOGUI_D!NG �� � �ONSTFUCTIUN,AND HEREBY AUTHORIZE FEPRESENTATNES OF THIS COUNTv TO ENTEfl Uf'UN THE Z A[3[)VE-M[NiIOYf.I)PROPEIiTYFOftINSPCCTIONPUfiPO5f:5 ` n COMMLNTS --- -- . - ---- -- --'--'-- � �,f�" ,1"�.�C-���-t"Z)a �k�l.tC�J�`{�u C� -- — — ---- - -- __-- � . _...---� -- � NERM!fl E AN.f(VfiINT) G�_r ,¢ r _" ""__'_"— Cn �.������ '� 'C. �L��c���� • • ,__ _.... - ___ . ' _'_" '_' -- ' _ ' F _' ... _ � SIQ NHEOFPERVIiIEG UAfE ��� � _ ' RECPT.NO. 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