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HomeMy WebLinkAbout13544 (14) � CITY OF DIAMOND BAB ----J� — DEPARTMENT OF COMMUMTY dc DEVELOPMENT SERVICES �e 21660E.CopleyDriveSuite190 � (909)860-3195Fax(909)861-3117 PRE$$ ����'� BUII.DINGP RMTI'APPLICATION FIRMLY N JOBSITE APPLICATION PERMR �� P/C o ADDRESS DATE NUMBEA N � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP � OWNER u. Standard Pac(fic Corp. ZONING SETBACKS ADDRESS_ � �m, 1565 W.Mac Arthur Blvd. FRONT RW ❑ APPLICAhlT _ Costa Mesa 92629 (714)546-1161 REAR p � Aliso Air,Inc. SIDE/SIDE STREET RW ❑ CONTRACTOR SIDE ❑ ADDRESS_ 29�36 Avenida de las Banderas g �� Rancho Santa Marg. 92688 (949)589-2021 PROPOSED USE � ARCH/ENG/ • J DESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. cn v� DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER•BUILDER DECLARATION SFR/ADD/REM O � I NEREBY AFFlIiI UW ER VENALTY OF VE0.MiY TNAT I AA1 E%E4PT Fq0A1 THE COHTMCiORS ll• G8r8ge/CfltpOR GENSEUWFORTHEiOLIDW!lORFASON(SEG7Wt.6BU5P1ESSANDVROFES510NSO00E:ANVCIT`/OR (n OOUMYMMIO/REOIMESAPE11MR1DDON5iAUf.T,ALTE0.MFiqVE.�Eu0U51�ORREONRANYSTRUC W Paiio/Deck TUHE,PAqR i0 R4 ISSUANCE,ALSO IICOUIRES iME MPLICANT FOR SUCH PERMIT TO FlLE A SIGNED W 6TATENENT TNT HE di SHE tS UCEHSED PU0.5UAHT TO THE FROVISWN9 OF THE CONTRACTOR9 U• � GENSE UW(CMA➢TER Y(COMNENGNO N1iH SECiION 7000)OF DIVISqN]OF THE BUSINE55 ANO PR0. � POOI/Sp8 FE6,4qN5 COOE)OR 1NAT NE OR SHE IS EJ(EMPT iHENEFROM ANO IHE BA515 FOFt 7HE IILLEGED E%EMP• TqN.l1HYVql,AiIONOFSECT10N70.71.68YANVAP7LICANTFOqAPERMITSUBIECT5TVIEMPLIUHTTO Z Re-Roo1 � A LML VENALTY OF NOT IAOfiE iHAN FNE NUNDRED DOLLAJLS(15C0).Y. � OI.ASOMMEROFTHE7ROOERiY,ORYVEG7LOVEESYVITHWAGESASTHEIRSOLECOMPEMSATION, � (`,pmmBrClal - MALL DO THE WOi1K AND THE STRUCTURE IS NOT IMENDED Oil OFFFAED FOR 51�LE(SfC.7oa�.BUSI� J N NE5511ND VROFESSiONS COOE:THE CCfrtMCTORS LICENSE LAw OOES NOT A70LY TO/N OWNER OF ? �. PHOPEHTYIM,OBUILDSORYPRDYESiNEREON,ANDW11000ES5UG1WOfiKMiuSEIFORNERSELFOq � T1IROUGHw90RMEHWYNEYPL01'EES,VROV�ED7HATSUGIMPROVEMENTSARENOTNiEN�EOOR m OfFERED FWi SALE IF.HON�EVERTHE BlADN00RMPROVEMEM IS SOID WRH�N ONE YFAROF COMPLE � �TION,TNE OYMERAUILCEH WILL HAVE iHE 8•JRDEN OF VROVIlq THAT ME OR SHE OID NOT BUIID OR YPqWE FORTIE VURVOSE OF EAIE} � OI��WNENOFTME7ROVERT�:AMIX0.USNELYCOMMCTUWYnTNLICFNSEOCMlfMCT00.7 70 OONSTiri1CT T1E PiIOJECT(SEQ Jo1�,BUSiNE59IV1D Pf10FES510NS COCE:T1E CONiMC10R5 U- VeNetbfl ADJ.AREA � CENSEUWDOE�NOTMPLY701WOWNEROFA7ROPEittYNM1fOBURDSORu1PROVESTHEREON,AND 1NqCONfNACTSFOqSUCHifiOUECrSYATHACONTRACiOR(9�UCENSEOPURSUANTTOTHECONiMG pUMlTITY OESCRIPTION FEE _I 70RS UCENSE UW.6 . .. . \ . 7� � O I UA E%EMPT UNDER SEC. 8.10 G iOR THIS REIISON S V' DATE OWNER , . _ � �4 UCENSED CONTRACTOHS DECLAHATION >, ¢ INEREBYAFTIiWUNDERVENALTYOFVERURY7NAT1AFIlICEN5E0UN0ERVROVISiON50FCi1ADTER �i-.I Y1 s �(COMMENdNOWITHSEGT10N7W0)OF MSION7OFTMEBUSWE S PROFE 0 � ��J X MY LICENSE IS N FUIl FORCE G. LLJ � 0 LICENSE SS LIC.NO. ? �� �j DATE CONTMCTOR � T• r_ = WOR RS'COMPENSATIONDE LARATION � � IHEHEBYAFFIRYUNDERPENALTYOFPEFWRYONEOFTHEFOlL01MHODECURAT10N5: Z 4 C VEANDWILL►WNTIUNACERTIFlGITEOFCONSEMTOSELFaNSUFEFORWOfYCER5 , $ � COYVENSATION,ASVROVpED8Y5ECilONT7ooOFTNEUBORCOCE,iOR7MEiERFORIIANCE 'U Q OF TFIE WORK FOFi WHIp1 T/ES PERIAiT 19 ISSUED. � LLF-1 IHAVEMON1LLNAIMANMORKE 'COUPENSAT WSU E.ASRE FfDOYSfCT70N � i7ooOFTM� COOEF 7H v R RM ' FTHE O ICHiHISPEPM1T13 . -- � . �SSUW. 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