Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
10431 (5)
CITY OF bIAMaNi}BAI� COMM[INITY'DEVEI.OPMENT DEPAR'I'IuIF•N1' s' 21660 E.Copley prive Suitc I90 ,'i �R E.�� � (909�SbP319S Fax(909)861-911T', M"' BUILDING PERMFF�L"TC�tyi'#'fON - FIRMLY o� JOBSI7E �����"���� /'„��� AP?L[CRTION �`��/� PERMIT �� PJC��Pdl��' ADDRESS �"��C� DqT� NUMBER # $ i55llE � � 7YPE QCC APN LOT TAACT � pATE - � /� CON5T: GROUP p OWNER 7z I� �'` A�UFiESS� � ZONING SETBACKS � CITY� ZIP TEL.�fs�e�,�?�S' �R� RW ❑� � APPLICANT � SIDFJSIDE STREET RW ❑� mCON'1'RACTOf� SfDE ❑ � ADaRESS� �� �Ges r!� €��� �,•� ��� • � PROPOSEp USE c�rr C_ ���.sG� zip�r��,�ii���� �zw ARCH/EtJG/� - ��ff.����c����� UESIGNER�� AIO.DWEL. NO. NO. a ADDRESS UNITS STOREES �,-' BEnR00MS � C17Y ZIP TEL "" � DESCFtIATION SQ.F"F. FAC'ifOR PSF AAI.AREANALlJA710N OOWNER-BI:IIDER DECLAAATION SFA/ADU!'REM Q IMERE9YAFF3RMLNpER?ENALTYOFPERIIIf�'�l{JQIAME%EMPT�FiOU'fHEW�N7RACTOHSLI. GB,,,,,ap..,�rt W CENSELAWFORTHEFOLLOWtNGHE45ON{SEC.70.atS8USINE55qNpPpOFE551�N50ppE:ANYCRYOR (n "�rv��"� � COUNTYWHICHRFOUIRESAPERMR7OCONSTRUGT.AL7EEI.IMPROYE.DEMCNJSH.OAREPNpANYSfRI}G (J,J �p�� ' W 7tjqE,pHlOR W IT51$$l1ANCE,AL50 HE9U19E5 Th3E MPLIChNT F6R SUqi PERMITTO FlLEA SIGNE� W r2 SrA7EM�1YA7HE OR SHE IS LICENSEO WRSUANT TO 7HE PHOYISIONS OF THE CONFRAG7PR5 LI• /� .� C�NSE�W�CHAPTEAB{COMMENCINGWlfHSECFION7000}OF�3Vi510N30FTHEBU5ME55AN�PHP �' �auUSpa F�S$IWVSGOd)EJORFHATHEORSHEiSE%cMPThIEHEFROMPN6iHE@45FSFOATHEALLEG�DE%6NP- � V710N.A#fYVI01.pT10NOF�C71pN703�,59YANYAPPCICANFFORAPEHMITSl1BJEGTSTHEAPPLICANfTO � Re-Raof A CMt PENN.T'�F NO7 iNORE T}fAN F1V�}IUNUHED'OIX-LARS(SSOaI.): Q � QI,A5�IYNEFiOFTHEPF�PERT',qFMYEMPLOYEESW�THWpGE5A5THEIpSOLEO�MPENSA71oN, (,'pmmBl'CIaI Z WILL DO 7HE WORK ANd THE SfHVGTl1qE IS NOT IMEN�m Ofi OFFERE6 FOR SqLE{SEC.7a46,BUSf- J � NE55ANO PROFESSIONS COUrc THE CON7RACTOHS LICENSE lAW M1E5 N�APPi�70 AN DWNER OF � PHOPEFfTY WHO B131LDS OR IMPHO4ES 1MEACiNI.ANb WHO�ES SUCH WORN HIMSE(,FOR HEHSp,FOR 2 TliRIXICH 1{ISOA HEROYlN EMPLOYEES,PPdy$J@p gryATSUCH IMPqoyEM£NTSNiE Npf INTENO�OOi� m � CFFEREOFDRSAL61F,IiOWEYEfl.hIEB[11L�INGOFIlMPHOYEM9YfI550lDWRMNONEYFJWOFCOMPLE � T�,1ylE OWNER-BUI�Ef[WFLL HAVE 7HE BUROEN OF PROYING IHATli�Oq SHE UI�!�i 6fPL9 OR Z IMPpOVEFOATHEWRPOSEOFSPLE} � �y [�I,AS OWNER OF SHE PROAEHN,AM IXCWSNELV CON7RACIING,N7TH L10EP2:E�CONTFIACTOfiS ��g 7d [[ TO CONSIAUCT THE PFOJECT(SEC.70A4,9USINE55 AN�PAOFESSIDNS COU�TNE CONTAACTORS LI- V81�aUOf1 ��J°�✓�� ADJ.AR� W CENSEV.Wpp�'gHpTAPPLYTO/WOWNEA�FAPFOPERFYWH09UIL�SOHIMPFiOVEShIEREqV,ANO � WrypppryTqqp7gFpq�UCHPq0.1��$W1TiACOMRA�TOR(5}LICENSE�pl1RSURHTTO7HECOM'4iA6 p�p{��7y DESCRIPTION FEE � ~ 70H5 LICENSE LAW.J. / �, � ❑I AM FXEMPf UNUER 5�G 8.&P.C.FOH TiUS RFA50N u �S 4�4�. �e �� � - - � � �fi.5P ^ oAre owNea � � Q L[CENS�D COi�ETRACTOR5 DECLARATION W � IHEREBYqFFIRMUNOEfiPENP17YpFPEWURYTtW7lAMUCEt�'SEi]11N0�pPAOVI510p$OFCHAPTER [y� 9�COMNENCINGWIFHS�C'fiaN7000�OFtl141SION30F"fHE8U5ENESSANppROFE5510hsCo0E,AND z � MYGCENSE 15 pQ FUEL FORCErWU EFFEC7 ID -�t � � E€cENSE CLNSS (� .�� ����a � ��"`�� J iJC.ND. � V DATEa e��� � CONTRACTOR- � . w a=�[ WORKERS'COMPENSATION DECLAHAl10N Q � IHEREBV IR�PDEqPS4ALTYOFPER1l1KYONEOF7HEFOLLOWINGDECLRRA7H1N5; � �� Y C�J � INNVENWWILLMAINTAINACEHTfFlCATEOFpO�$ENTTOSELFdlLSIJqEFORWOFffiC�FiS' _ COMPENSATlC1{�,pSAROVI�EOBYSEG710N3N00FTYfELA80RCAD�FORTF3FPERFORMANCE U Q QS�HEWOfLCFORWHICHhII$P6RMfTISISSUrA. � ' d �/ W _�FIAVEANON7L�,MAWTWNWOpKEPS'COMPENSATIONINSURANCE,ASRC-0UIRF.OHYSECTIOtJ g,�P- Q 37COOFTHELABOROOUE.FORTHEPERFOAMANCEOFTHEWOHKPDRWf11CH7HISAERMlT15 Z 7VJ r�� 00 ISSUEU.MY/w9 pXERS'CO PETI6ATI0 SUftANCECA RiEAANpP01-ICYNl1MeERAPE: C��1$�{UCi��N ,�'� ,y� j CaRRiER(.� � _ „ REVI �� ��'� ��P"�,6' '� ZPOLICYNUM6ER��.� �r�r � ._.. — F_LEC7R[C , � ..... .. _ l��1,:L-S- � (iHSSECi1dVNE87r�or8E0QNH.£l�oFn+Erc�iAYTISwFta�FFN�RmoaiaRs(Ef�aitP55} PLUMBIiJG �`�-'�� � ll.] . � ICpF�FyTHATINYFIEPERFOqMANCE�FTNEWORKFORWHIcNT}iISPEPMlTI$}SSU�.� MECHANICAL � � CS SHALLN6TEMP(.OYqryYPEliSQNiNdNYMANNER3�A5TOpEC,py,��SUBJECTTOTry£ (rj WORI(ERS'CAMPF1ASpTIONLAW50FCP1IFOqPIl0.AN�4.6REEThlAFIFISHOULO ECOME INSPECTIONFEE F 5I18JECTTOTHEYNORKERS'COMPENSA7KNJP V! SOFSEC770N37WOF EUBOR � � GabE.l HhLLFOH'�F�Nl1H(;p6EPLYWI7HT 5 op ISSUANC.E , ,Y,,,,_^,�„ .,_ ,SD °�� � � ' Ip OATE: � � APPLlCANT: - SEY41P „_, , .., ... ����` „_"'�j WAAIV 'FAILLIpETOSECUHEW�RNERS'COMPENSATIONCOYERAGEISIINLAYYFFILRN�SHALL9E ENERfiYP/C � SUBJECfANFJAPLAYER30CFlIMINALPENALTIESANOCIVILfINE5l1PT�ONEHUNbHEDlii011BAN� �gqC,YPERM[T OOLLAHS i=��.�).����TD iFPc C0570F COMPENSAIION,�AMAGES AS PROVIDE�FOR I!i � SECfION87oeOFTFIELABORCOOE.INTEH�S'GANOATTORNEI"SFEES, RETF�VTlONFEE: a CONSTAl1GTION LENDING AGENCY PRE-ALT FEE qIHER�YAFFIRAIUNU�RPENAI3YOFPFAJURY7HI17TNEREISACONSTAUCTIONfFNOINGA6FNCY ��� � � ' '� FOp TH�PEHFO WiAANCE OF iFtE WORK WR WFi[CN TilS PERMI7151SIXSEO(SEC.3097.CfY.G.). Z W � � - � LE4IDER5 NAME _ _ F- iEN�EA'5M�AESS � _, , � ���-3 � � ECER'fihY'rMA7fHAYEfiFAb7{fISAPW,ICAYIONAN�SfATEhSATY3fEABOVEINPoRMAYlONiSGORRECT. TOTAL FEES � � IAGREE70GOMPLYWifriALLC71YAN�COUMYOROINANCE5ANU5TA'fELAWSRELAT8JG706U9L1NG � CoP75TFlE1C710N,PNa HEqEBYAUTHORIZE RE?flESENfA71YE5 OF IS COUMYTO ENTEH UPON'fF1E Z AB�VE-M PROPEHTYFORSNS�IONPy�O5E5. �` �� COMMEN75 �i - " � PE I Q: LI) � 5 NRiLPEO PERMflT� ' pAFE ' = fiECPT.NO.����'�� PAiO BY d� � VALIDATION � -WHITE—Da ent / partm Copy,YELLOW—Finance Copy,P1NK—Assassor Copy,G0417ENROa-F3e Copy,GREEM—F�plicanYs Copy ..., . ...''_' � - :i...4,- r � . . . ,. � . ' .��' , ... . . , . ,..Tr. , .__ ' , n _1. . ..-. .-. �..a., •.n . , .- . �v�'aY�� ,�,+�°'',�;" �-=i'3c�3¢L�6`���:� ��,� ,_ . . . � c r°e�-,.fs�;-P;,, - .a � - ' � b.a'u���`'�'<�`�r u_�'�����' :'�i�,���� . �., . ���ti�±���-��-.�-r,�.�a. �'k r'''�,� e °��'_�'�,. :1'i4�,��•��a-i., a �� �� :C� ���,`k��<-���-�����i' ,�:����`�1�`� {,l �� ���,=� �. , � �..��FRs.�' � I � ��.w.�}�- ��i�� � �:�'a�l=�=±�9Sf."'�...'c�a_� � �.�� � � 1T�'��i-� �`4f T':-. -� ; � � �._��- � �����:�:'6�C'a��l)'�:.�i� � �r,__ . k ' G,.?�3�tt . '�C'i�'.r`�D�JCT' � -- — `.ri'_il'�.�':.�Fi'7�?'x..�.JB'ai/'�1SG� Y' �Q 'i_ .� ' .. ' 'JY�i'.�U'=f'.3', v��ir�itdi� 3 � '.��" __ . _:,..��'>`!�a"L��b'i. -'_ __ - , � -i'�i�'."i-i�.Y^',..ri.'r..'""�•.i.e•VWT'�Si�3W I ._. . 3 _.. . _ . , .. ��am?'"�ra`l."�''��+. �. t 3 `,t'�=r`�:�1�;'- �r::l;�'���[�'. � � �'ss;""'��=��'�'�°.�i?��.. - i - . � �,?;,y �R- �::�^.�����: -._ . - � `�� & %::i�''�'`iF�;;�i�h;"i� �----', �r' �G'�� �»,�'?!� - . -_ � F`'.'"�,.6`��I.i.V'�/W���:ik_�F54?'JF�= �. 6 � @ ��7iVl'P.� .'�'iL:t:LJ�``�:�I.' ." _.._ _ ; . . , '._ 'i Y ��„ Y _ _ ,_ . .. -.�..__..�_�_�_ ti � � ' "' "_ _" _. _... - �- . �_',Y'�� � �� w ��i' T i..��a�s� .. , ,_. ��_u��.����� .._..._—� - _ ' ' ..�.J� �,*�,'�+..��'':����l�il'�`J.......�.� - � � ' � - ; � '°'CE�aV"�4\i� � . . ��..._._--_�"-..� _ _ �q�-n �'^i v��^ �qa ._ : . _ i _- . ''� .r..r.� n .y'�,r � , , � T`^�.+��!���.� h'."'�.Ls '� ' �G .:d 'L tN �U _- �... �. �.�*'��.s.,��:F,'�7'��1l�1..�.'i��9,�' - ��_J�..... � -- -- .� �E�6�S _t�'�'s�i i�".�.�, _ I�--- -. ,. ` -- i �, �==.�.�:yi��,f"�:°�"'��'^' � , . . . _., �:3CL.�L�C?�!C % � f' =30� _��''�i1�:�s?�G _ . 't =�fl�=�w�C1�� i ,�, �.: �H.. ��� ,� , '�:E:.-°'sP_'_5���';✓�,Te�94 �. . ... - -- � =��'L=�'tin,� � ,�� ��'.''" ';�;.�"."_ S�eT'"".c�.�a�l&:d'�i c ��f'wc1 V'�.:���. �. . �, .. �i - - ' �� �a. {� �"`5`�.�yl�^_�.�^� "�;:a � ! � ��� �'4����� � j i . . �� v"`y��'u�','£ �- - - 'r - --- �i�. { 1\;^ --- � - � ---.�,.,,.,.,.. . ..,.ii, ' :�;�����r s�.5!°.^� + j �r�,�?'::���i��/1�'?'s:., � �= �='.`i�.�.. . _ , ._,.,�.., . � � r:�:S�E_j,�,M�,��" } �;��������T . E � =;��,::�C3:�r.y;� � i:^��u�:���: q - � '� -�:?����__. ,':.rF;� � �' ��.a r, �-�-�p.r= ' . , i ���/� 1-:.+. �:��T c^�a/� I � n :��L���h�Ttl:.l.. ' � i —PILEe. _. .. �IWh� . I - •iry�pA, r-•�-r�:C � ��v-- � :1!. ���:�r��. � 1"�, r� l�..G�,, .i ' ; - ! _ �..�.� I� �. _ _-- - � _ I ' . .�r.�.�_�lS�.;�.�!!�. j � � y�'=�;�v � L— 4 i ��, T ;--._... I � - + - — - _ __-� "4,���`��,3 3�.�.�i _ __ i - i � '`s'�!�^�i;�''.".�'a� e„v -- ------ -- � . i. .. I''� � __�..� � -- - ,_._.�i Y . .. . . -.. .. . , i - ,� _- ,_... ' �_.,._,..:,_ .� ' � �y �'' _ ' . _ __ ._...�— _.- __ -__ ` ' ' ' ' ' . .. �� I. ' --- _—, —— - .� - . _ _ _ _ _ . � I � _ _ �......r --.�.. , i i � im��.'�� v ..'�r,`� .�i�d� . _' ' 'm . . _ _ � - - . j� —_.-�-.,�' _ _ . , 1 ��.'.�,�'" ,"E"J j'7 pf�.d� ��...E�� �, � _ < - - _._._. _. . � _ _ , —_', F ' �_-�-��;4 . , , - : � 'r��S [� t��Is'� � - �" - _ -_ . , --' 'I � ���+� w �'-�.+m . . s . __,. . _ — '� �� � �y���. �� ��� �`;�* �, ; S y f �_��� ��r� i� .. . . . . . _. . .__ _ , � r• 1$'�' �4' Y'w . , ' , - , . - , - - , I �:i r �1. . � �!,�, ��`yk 2�,��, ;.�-�,�,., , � a�„"} ��".�r�.4�,�� �n-'-, ' g� � . '-��=r p-s��l�'�� ��}�' "��� --- - ��, ._ . . _ � . . �p � ' i F �� r n,� e r-s- ; . t.� "�d�,� �-Y s'�`r a�i - - ! `7 ' L � ,��. ' t � :� t„:. ������� ��'��- ' � s'v�,,,�_� �' �r�. � g_ � .. �'. I �'^� �„r��e� ��h.-v . , _. . . _ , . , . .. -.......