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HomeMy WebLinkAbout14267 (19) ..� �-�-�� DE ARTMENT OFCOT�r1VIUNIT"Y&.DEV�LOPMENT SERVICES a 21660 E.Copley Drive Suite 19D �;,; (909)860-3195 Farz(909)8613117,_ : PRESS ,. BUII.DING P'�RNiTT,A��'�I'CAT�ON _ _. ,. FIRMLY _. � �aesire �+ _,��,i� �q� �J Q ADDRESS�.��L) ����c_.[ Z-L�"/d+" di�'�7 9�+��� DATECATION�/�_ C/�.. NUMBER d� / #/C ��_�� � APN �"� LOT ,TRACT ISSUE TYPE OCC —�,.�_ ,� DATE CONST. GROUP � r C> �NER.__ � . p ADDRESS � � �' ZONING SETBACKS � CITY �� � ,! IP ��'^TE�. '` - , FRONT RW ❑ APPUCAN7 � �� ' - '3 TEL.__�,�, SI4 SIQE STREET RW ❑ � CONTRAGTOFi %" °G�' �� ;� " SIDE ❑ � ADDRESS PROPOSEDUSE � ''A"-�4s{.;',Q� ��. Q CITY ZIP TEL. —r-'��`�`�^�--� � ARCFUENG/ � DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STOfiIES BEDROOMS a CITY ZIP TEL. � � - DESCRIPTION SQ.FC FACTOR PSF ADJ.AREANALUATION � OWNEP-BUILDER DECLARATION SFR/ADO/REM a p I HEREBY AFFlRAI UNDER PENALTY OF PERIURY THAT I AIA EXEMPT FAOM THE CONTRACTORS LI- � Garage/Garoort liJ CENSEIAWFORTHEFOILOWINGNEA50N(SEC.7W1.68USNESSANDPROFESSIONSCq�E:A14YC1TYOR C.� COUMYWHICHHEdUIRESAPERMiTTOCONSTRUCT,ALTEH,IMPROVE,DEMOLISH,ORREPAIRANY�STRUC� Z NRE,PRIOR TO ITS I$SUANCE,ALSO REQUTAES THE APPLICANT FOR SUCH PERMIT TO FILE�A S�IGNEO W patio/Deok �W STATEMENT THA7 HE OR SHE IS UCENSED PUfI5UAN7 TO THE PROVISIONS OF 7HE CON7Hq'CTpRS LI� w CENSE LAW(cHAP7Eq 9(COMMENCINO WITH SEC710N 7000)OF D!NSION 3 Of THE 9�SINESS'At7D�PR�� �"�" P001/Spa FESSIONS ODDEJ ORTNAT HE OR SHE IS EXEMPT TNEREFRpM ANDTHE BASIS FOR'�H6 AlLEl3ED EkEMP- TpN.ANYYKKATIONOFSECTlDN7031.58YAN7APPLICANYFORAPEHMITSU&IECTSiHEAPPL�G`ANTYO Z RB�ROOf r ACML PENALTV OF NOT MORE THAN FIVE HUNORm OOLLARS(SSoa)-): "'�-`� � ❑i,ASOWNEROFhiEPROPERT',ORMYEMPIOYEESWITNWAGE5A5THEtRSOIECOMPENSATION, COmm6rClBl - WILL 00 THE WORK,AND THE STRUCNPE IS NO7 INTENDEO OR OFFERE�FOR SALE(SEC.Yoal;BUSI� � N NESSANO PROFESSIONS CODE:7NE CONTRACTORS LICENSE UW OOES NOT APPLV TO AN(1WNER OF � PROPEA7Y WI10 BURD50R IMPROVES THEREON,ANO WHOOOES SUCH WORK HIM$ElF OR HEFiBELF OR CC iHFip1(iHNiSORHERDWNEMPLOYEES,PFiOYl0ED7HAT5UCNIMPROVEMENiSAR�NOTiNTENUE00R m � OFFEREDFORSA4EIF,HOWEVER7HE8ULOINGbR11APROVEMENTIS50LDWRHINONEYEAiiOFCOMPLE- Z �TION,THE OWNER�BUIL�ER WILL HAYE THE 9URDEN OF PpOVING THAT HE OR SHE DID�NOY�9U,ILb OR � IMPROVEFORTHEPURPOSEOFSALEI. W ❑I,ASOMRlEROfTHEPFOPERfY,/Ud6XCLU5IVELYCOMRAC7INGWITHI�ICGNSEDWNTitA�YORS " � TO CONSTRUCT THE PROJECT(SEC.70N,BUSINE55 AND PflOFES510N5 CO�E�THE fANTRAC70RS LI- V8111d�1011 _ _ADJ.AREA CENSE UW DOES NOTAPPIV TO AN OWNER OFA PRpPERTV WHO BUILDS OR IMPROVES 7Fi�NE6N,AND � WHOCONTRACISFGR$UCHPRQIECT9WIRIACONiRACTOP(S)LICENSEDpUR^eUANNTTOhiE"CONTRAP QUANT�TY DESCRIPTION FEE � TORSUCENSELAW.), /' � O IlU9 EXEMPTUNDER S�C. �'`78.&P.Q FOFiTHIS REASON Q / - � U 3 ---r----�- _s - �= on� � '�P " OWNER �'�r�.G� � Z a UCEN ED CONTRACTORS DECLAR O � � � � � i HEREBY AFFIqM UNDEP PENPLTV OF PERJURY THAT IAM LICENSED UN�ER PROV�SIONS OF CNkPTER � � s(COMMENCINCi WITH SECTION 7000)OF DIVISION a OF THF.BU51NE5S AN�PROFESSIONS C06E,AND � X MY LICEN5E IS M7 FULI FORCE ANO EFFEC7. � UJ o LICENSfi CLASS LIC.NO. j � J V DATE CONTRACTOFi CL W � WORKERS'COMPENSATION DECLARATICN 4 � � � I HEREBV AFFIFq.I UNDEP PENALTY OF PERJURY ONE OFTHE FOItAWING DEC:ARATIONS: Z � _I HAVE AND WILLlNAINTAIN A CEFTIFICA7E OF CANSENTTO SELF-INSURE FOti WONNERS' � GOMPENSATION.AS PR4VIDW BY SECTION 310o OF THE U4BtlR LOCE,FOP THE OEflFORMANCE � OF THE WOpK Wii WHICH TNI5 PERMI7 IS ISSUED. � Aa � _6HAYEANDWILL�AINTAINWORKERS'COMPEHSATIONINSURANCE,pSRECl11RED8Y5ECTiON � 37ooOFTHEL480flCODE,FORTHEPERFORMANCEOFTHEWORKFORWHICHTHI9PERMITIS - IS5UE0.MV N/ORKEAS'COtAPENSATION INSl1PANCE CAPRIERAND GOLICV NUMBER ARF� CONSTRUCTION � j cnRr�eq � PLAN REVIEW � ROLICVRl1A1BER ELECTfiIC d (fHISSECilOANEWNOTEEWMFLEIEDOFiHEPFRIMISWRONEFNN�REDDOLLAAS(510oJORlESS� PLUMBING � I CERYIFV THAT IN'!'HE PERFOPMANCE OF THE WOHK FOR WHICH THIS PERMIT IS ISSUE�,I MECHANICAL __ �' SHALL NOT EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECAME SUBJECT TO THE � WOflKERS'CAMVENSATiONU0W50FCALIFORNIA,ANDAGREETHATIFISHOUL�BECOME INSPEGTIONFEE SU&IECT To THE WONKERS'COM7ENS0.TION DROVISIONS OF SECTION s70a OF 7HE LA00R � CODE,ISHALLFOflTHWITHCOMPLYWITH7HpSEPROVI^ulONS. ISSUANCE Q SMIP p DATE: APPLICANT: __ _ — � WARNING:FAILURE TO SECURE WORKERS'COMPENSATION CAVERAGE IS UNIAVJFUI.ANO SHALL BE ENERGY P/C � SUBJECTANEMPLOYEflTOCRIMINqLVENA�TiESANDCIVIIFINESUPNONEHUNOREDTHOUSAYq ENERGYPERMIT DOLLARS(2100,0�0),IN AD�IT�ON TO TNE COS70F COIAPENSATION,DAEtAGES AS PFOVIOEO FOR IN� � SECTION97080Fh1ELABORCODE,INTEREST,ANDAIT�RNEY'9FEES. RETENTIONFEE: a COtJS7flUCTIpN LENDING AGENCY � PRE-ALT FEE: O -- � I HEREBV AFFIqM UNDEp PENALTV OF PERJURY THATTHERE IS A CONSTRUCTION L6NDING A6ENCV FOR THE PERFORMANCE OFTHE WORK fOR WHICH THIS PERMIT IS ISSUED.(SEC.3097,CIV.C.). . Z W � LENDER'S NAME F— LENOER'SADDRESS � TOTAL FEES CERTIFY THA71 HAVE READ THIS MPL�CATIONAND STATE THATTHEABOVE INFORMATION IS CAHRECT. d I GREETOCOMPLVWITHALLCI7YANDCWNTYORDINANCESANDSiATELAWSPEIATINGTOBUI�DING � STPUCTI�N,AN REBVAUTHORIZEREPRESENTATIVESOFTHISCOUNT/TOENTEIiUPONTHE OVE-ME G FRTV FOR IN4PECTION PVRPOSES. 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