Loading...
HomeMy WebLinkAbout14048 (49) ._ ., . . CITY O�AM OND BAR �� -� .__ � � DEPARTPIENT OF COMMUNTTY�DEVELOPMENT SERVICES �_ 21660 E.Copley Dtive Suite 190 (909)866-3195 Faz(909)861-3117 PR ESS '��� BUQ.DING PERMTl'APPLICATION FIRMLY y JOBSRE 2 ��1 � �,�A �v H���� 3 APPUCATION _ f�,— PERMIT � P/C o ADDRESS �� � DATE b NUMBER x ----� � APN LOT TRACT ISSUE � TYpE OCC DATE CONST. GROUP pWNER �pun� ,.S +nw►� rOvti�_ p DDRE J Kr ZONING SETBACKS W CITY � Iz1P' TEL FRONT qyy r, APPUCANT _ TEL SIDE/SIDE STAEET RW ❑ CONTAACTOR SIDE C ADDRESS g CfTY��,,,_ IP d�A.,'s TE • PROPOSEDUSE { � ARCFUENG/ ���' • OESIGNER NO.DWEL. NO. NO. = CnDRESS Z�P TEL. ' UNRS STORIES BEDii00MS � cn . DESCRIPTION SO.FT. FACTOR PSF ADJ.ARE.WALUATION OWNER-BUILDER DECLARATION p. SFWA�O/REM ' , p 1 NEREBY AFFN11 UNDER PEMALTY pF VERMIY 1HAT I AA1 F7fEMR Gi10Y T}1E MHIqACTpqS L4 ���.��rt • �IJ CEMSEUWFOR7MEFplOWNOREA70NI5EC.T0.7i.lBUSMESSANOi1qFfS5�On5000EM/YCR1pq (n y� OpMi►W11101RE31WESA►ERMRi000N5TRU[f.ALTERMVRDVEDEMOUSH,qiRERURAHYSTRUG W Pa110/D9Cl( � TUNF►Rqp Tp R�LSSUN+CE.K30 RF7JRIE5 TNF.Aop�1CJNi fOR SUCH iERYR TO F4E�6ifiNED � _ — � 6TATFYEN'(THAT ME OR SNE 6 LICEMSED/UR3UANT TO T+E MOWSWMS OF THE OONTMCTOnS l4 � � CErSE Uw(dUiTER��COYYENCwO MnTM EECfpN f000)OC DMSqN 7 OF TME BUStNE45 MID Oq6 PooVSpa iE5710NS00DE)OitT1uTNEOR5ME15EXE�PTiNEAEiROYFJqTNE&IRISFOFiMEILLLEGEDEXEUP- � V TIDN.AHYVpLATIONOF6ECTWN7W1.6DYANYAPPLICJINTFOR�PEIWiTSU81ECTSTMEAvp��jW77p Z Re•Rool • � A GViL PEN�LTY OF NOT MOiIE THMJ iNE NUqREDOOLUR3(fsao�.k p �I�OMmEROFTHEVROPERT/,ORN1'Ew�LOYEE5wI7NwA4ESA51MEIqEOIECpAGE115A71DN, CpTmBfLtiel Z WILL 00 iME WORK,ANO THE STRLCTUHE IS NOT MTENOED OR OFFERED FOR SKE(SEC.�DN.BUSb ❑J N NESB A/D iROFES4qN3 CODE:TME NNTMLTOMS UCFNSE lAW OOES NOTAOp�T TO AN OWNER OF M�OPENTVIM+DBUILDSONYPNDVESTMEREON.ANDMIIqDOE55UC111MD111[1aY5ELFOqIffqSELFOq � � � i1r10uOMMEOAMEROY/NfWLM'EES,CAOVIOFATUTSWIMVROVF4ENTSAREMOTNTENDEDqi CLI OFFEAmFdI SAIE IF.NOM�EYER7HE BUI.DNO ORiuPROVEUFNT 6 SOID NnMN ONEYHN OF COYPL£• TON.TNE OWNER�BURDEN Mell/u�E TNE BURDEN OF►qpW16 TUT HE DR 4HE pD NOT SUItD Oq NvfqvE Fpq TME PU�M09E OF BALE� W OluOYM�EROFi1HYR0?ERi1:lIMQ0.U5NELYCDh7RACTYqWITMLICENSE�COflTMCTORS V�lu,,� � .AREA Q T7 OOMSTf0.1CT T11E�R0.1ECi ISFC.76M.lUSiNE3S Il�%10FESSIONS CCDE'TME CONTMCT00.S LI• �ll CFNSELAWppElNpf�PpLYTOAYOYVIJEROFAPROVERTYNTqBUlD50XYVPOVESTMEREON.MO Z 1MOCOMf1AGTSiONSUpIPiqJECT5YAIHACONTRACTOA�S)L�C'eNSEDFUA6UN1T70T/E00MA�G p�q�Ty pESCRIPTION �E � TOaS UCENSE uw.). . O I M1 El(EYPT UqDEN SEG B.i V.C.FOq TMIS NE�150N Q �� � v� l U LL �� _ _ .o�.,EA - - .. -- - - � � � e�,nn � LICENSED COrlTHACTORS OECLARATION W � 1/1ERE!`I�FFpItM[7ERiENAtT/OFPERRIRYT1U71AMlICENSEDUN7ERPROVISqNSOFCI4VTER Vr s �(OO�YEHpIqN9MSECIlON70aolOf0lViSqN]OFTNEBUS�f3SANDPROFESSid+SWC�EAND Z . � W UCENSE IS N FVLL fOqCf AND E�iECL ^ � - � LICENSE CUSS C�"l-� UC.NO. �l `��D � " Q�t J U �TE l—l���—COHTRA„ _ � WORKERS'COMPENSATION _ ATION �A� � li � I MEREBv�ifliW UrrDER tEwLLTY 0�7E0.lJRv d�E Of iHE FOLLOwnM.DEWMTqqS: Z' O _IWWE//qWILLMAIMANACERIIFlGTEOFCONSENITOSELHNSUREFORYIORKERS a � COMFEMSATqM,ASCMVq�DlY5ECi10H7MOOFTNEVB04CO0f.FOR1Hc0ERFORYANCE U Q OFINEWOHKFOFMnMCHTNiS►EiWrt14R5uE0. � ` � �1 MAVE IWD MnLL MAMAN W'Oi1KER5'W4PENS�Td1 MSUtUNCE.AS RFOUiAE�BV SECTlO�I • A / U f70oOFTNEUBd10C0E.GO1iTHEpfAFORMANCFOFTNEWOWCFORwMiCMiHISPEIWITIS / y issU[o.wMrorucEas'oouPFNs�Ta�l E nwE�uronaK7tiuMeERu�E. CONSTRUCTION r�` � > �E� n• ^ �+ • — . - PLAN REVIEW �7 t � oa�crruwen j r� ELECTR�C _ ~�� 0 (MsfsEer�owuEIDrcreEoxaErt'�ocnEnE+�wrarOAaFHralFnoOUuas�,m�oatFss� PLUMBING W � , Z I CFKTIFNTIIAT NTNE PERFpqMANGE OF 1NE MAIYf FOR WHICH THtS PEW.nT I$ISSUEO,I MECHANICAL � � Sw1LL HOT FUPLO�'nMf►ENSON W AHY YANNFN SO AS TO BECOYE SVBJECT TO iHE � WDRttERSCOMPEN4�Tld1t/iW50FULIFORN�ANp�GAEETw�TiIS�OUIOBECo�E INSPECTIONFEE S Si1BJECTOTNEWDNKEt15CdavENS�TqvPNJviSUNSOiS aNl�ooOFTw UBOq �.^� . ..� ' coo�.�aw�usoAnMnn�coua�r osEvnohscr+s. ISSWNCE O W WtTE:�.'1.6-�,� AaRICANT: SMIP � WM1xN6:iAt.URE TO SECURE MO�KERS' COVERACE IS UNUwFUL,AND 51WLL BE ENERGY P/C �y, 6UB1ECfANFUPlO'IERTOCH�4tNALVENALTiES�rNdNLiNESUPTO0MEM/MOREDTY�OIJSMO �'=' , ' �'- DOLLMS�t10D.000),/I/�DDRqXTOT1ECOSTOFCpAiQT1$�TIDN,DhNMESASFROVIpEO�ORIN ENERGYPERMIT ¢ SECTDx7�o�OFi11EUBORCOOE,!liERE5T,M10A770iWEY'SFEES. RETENTIONFEE:�'J� � ^" • � OCONSTRUCTION LENDING AGENCY PRE-ALT FEE: � ' � ' ' ' � � IMEHEBv�iflIWU1qERGENNTYOFPE0.lUN1'TUTTHEREIS�CONSTNUGTIONIENOWOACFNCV " • Z FOR ME tERfOFMM1GE OF T1E WORK FOA W1UCH M�5 VERYI715155uE0(SEG 70i�,pV.C.�. W � LEIOERS WwE �.' � IE/OER3ADDREIS � W ICERiIf`lTMATIXAVEREMi1C5MGLICATqN►N05TATETIIATTIEABOVFNFpRYATp1150diRER TOTAL FEES � p„ I AGREE TO C04PLY N7TH ALL CRV AND COUNTY ORpIwW CES AMJ STATE Uw5 REUTNG TO BUSDING . � CONSTRUCTION.ANpMEREBVAIlfMORQER�VRESENTATNESOFTHLSCDtMTYTOE1rtENUVONTIE � ABOVEi1EM10NEDVN00ERiViOiiwSPECT10NVURPO5E5. . COAIMENTS o . e _ 1 _ m veiw e�awKry . Q � � SI rU7UREOFPE TTEE pA7E � � � � RECPT.NO. FAID BY VAUDATION NMITE—Oop�rlmonl Copy,YELLOW—Fn�no�Copy,PINK�Aawuor Copy,GOtDENROO—Fil�Cop�,GREEN—Appl�c�nt•s Copy � � � ��- �-- �'9 ����� . �ll� C�� f � �