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HomeMy WebLinkAbout11493 ----��--• CITY OF DIAh70ND BAR_ �';. �. '. --: • .�._ , . : -— � � � COMb7UNITY DEVELOPMENT DEPARTh1ENT ' " ��"� f 21660 E.Copley Drive Suite 190 • • � - (909)860-3195 Fax(909)861-3117" � �- • PRESS BUILDING PERMIT APPLICATION FIRMLY . .. � JOBSITE '�lQ,.� �,� p . , APPLICATION L : y PERMIT�' J P!C . . . ' ¢ ADDRESS'_ �7 � 1Tq��F� �C— r F o DATE NUMBER�[ # ISSUE. TYPE � ' - � � APN . ... ._ - LOT'- ... ...._ . TRACT ... OCC ..,'.� � p OWNER I�UF'�' CA�R�C.-. � ,. _ DATE - -- - CONST. " GROUP, . "' ADDRESScS �' � ZONING SETBACKS . . p �, • W CITY��.1.(f.Q�T��i�'�SZ ZI��F�_ TE . _.= . . r � FRONT . . .__ . .. RW. iQ', _ . . . , z "po .APPLICANT . . __ .._ . TEL. - _ REAR. � p. • ' SIDE/SIDE STREET RW O , ' - - SIDE - Q CONTRACTOR t..1iEAS T�v-; , ' ' --" - O � .. ,.. - . . ._: .__._. .. . - . .... .... . ; � CIN.�r�-lL��i.X7Qt7�.ZIP��. 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W CENSEUWFORTIIEFOLLOWiNGREASON(SEC.70.77.58USINESSANDpROFE5510NSCODE:ANYCrtVOR � -� - � U COUNTYWHICHREOUIRESAPERMITi000N5TFUCT.ALTERIAIPROVE.OEMOLISH.ORRFVAIRANY5Rh1C-: " W . - � w' Tl1RE.PRIOR TO ITS ISSUiINCE./ILSO RE�UIRES THE ACPUCAM FOR SUCH 7ERAl1T 70 FlLE A S�GNED ! w �PdI10/DQCJC _ . . . .. .. ... � .... _ .' _ _' '_'. ' ' • � STATEIAENT TMA7 HE OR SHE IS UCENSED PURSUANT TO THE PRONSIONS OF iHE CONiRACTOR3 4-� �' �- � -S CENSEU'.`/(CHnPTERO(CAMMENCWON7THSECTION700C)OFDIVISION70FTHEBUSINESSANDDRO- � .PooUSpa _ �� '� �� �� ' . . . . 1� � FESSWNSGOOE)OFiHATFIEOH5HE13EXEMPTTHEREFROMAN0T1iEBA5ISFORTMEiILLEGCDE7IEMP• (7 ' " - U TqN.AYYV10UTICNOFSECTION7071.5BYANYAPPLIGINTFORAPERMITSU&IECTSTMEAVPLICMlTTO• � Z Ro•Roof -. •.i�� : . . � A CM�oENALTY OF NOT MORE THAN FNE HUNDPED DOLURS�5500�.�: - ' � � OlASOWNEROF7HEPf10PERTY.ORMYEMP�OYEESWITHWAGESASTHEIli50LECOMPENSATiON, � ,C,pmrtlBfCial . , ��� � i""j -Z �WILL 00 7ME WORK ANO TME S7RUCTUHE IS NOT INTENDED OR OFFERED fOR SALE�SE0.7a�,BUSI-� �� J ' -` � • �� j � NLSS AND PROFESSIONS COOE�.THE CONTMC70RS LICENSE Uw DOES NOT�IPP�Y 70 AN OWNER OF = � , . .� �. _ PFOPEFITYNM1iOBU1tD50RIMPROVESTHEIiEON,AI:DVINODOE55UCHWORNHIMSELFORHERSEIFOR ' • � �� Q TMROUGHHISORHEROWfiEMPLOYEES,GNOVIDEDTW�T5ULN1AIGROVEMENT511H[NO7WTEN�EDOR . m , ' �L OFFEREDiOR5ALEIF,HOWEVERTMEBU1lDINGORIMPROVEMENT155pDW1iMNONEYEMOFCOMPLE• ' ' ��i • ' -� -TION,THE OwN[F�9UILOER WILL HAVE THE BURDEN OF PROVINO TNAT HE OR SHE DID NOT BNID OR � IMPqOVE FORTHE PURPOSE OF SALEI. i� _ ,OLASOriNEROF7HEPROPEHTY.AYEXCLUSNElYCONTMCTINGWIiMLICEN5E000NTRACTORS� � 'W� _ . .. .. . .. . _. . .__. . ..' ' Q TO CONSTRUCT THE ORQIECT(SEC.70��.fUSINE55 AI:D VROFESS�ONS CODE:THE CONTRACTOHS U- �VaII1dSi0l1 Apj,ppEq W LENSEUWDOESNOTAPPLYTOANOWYEROFAPROPEflTYWNOBUtLDSORpAVROYE3THEREON,�� ���-Z WHOCOMRACTSFORSUCHPRO,IECTSWRHACONTRACTOR(3)LICENSEDFURSUANT707HECONTMC'' � � ' �' ' ---' � •. . . .. .., � toruucenseuw.�. OUANTITY - DESCRIPTIOV FEE -:'� ' Y ❑IAIAE%EIUPTUNDERSEC. • B.6P.GFORTHISRy ' � .. ' " ' . _ _ _' .__."..._. . ..__. � _ .. ._. ._ _ ._...' ..'... ' O ' E� ' Q ... _ _... ..... ._... . ._. _ . . ' . �. �. _ • ' .i ._. . . . ' "_' _' _'"'_ ""'__._.... .. _.__.. ... ._ U _._ ....... . . .. . � . � . - ¢ • r' . . ,' ' ' '_"' " _ ' _ _ _ � — DATE ' OWNER . _, ...: .��� ' U ... � .._ , . . . �.._ . . . . . ,. ...•• : . . . . . . . .. 'O _ _ . . . . .. .. .. . . � '_`' -.. ...... _ .._. . ,_ . W " ` ' CL IHEREDYAFFIMIUNDERPENALTYOFPE0.IURYTHATIAMLIGENSEDl1NDEHiRO`nSION50FCHAP7E W , _._.. ..___.. .__.LICENSED CONTRACTORS DECLARATION ' ' - ... _ .. - - -- -- q' '" 'd 'D(COIaIAENCINCWIiNSECTION7000)OFDM510N70FTHEBUS:NESSANDVROFESSIONSCODE,IWO ' � - •'� �' ������- -• � -�� � _ ' Z ' _"'. . _ .. . .. . � X MY LICENSE IS W FLLL FORCEAND EFFEG7. . ' — . . . _ - , ... ..•.� ' . ' W � (a . ....� LICENSE C SS.. � . . . .-- LIC.NO. '' . . . � ' � .F.. '.'._. _ _. ._. . ___.. . , . U DATE CONTRACTOR � - a w .���� � . ._ .. -- ------ - ---- - _ _. � WORKERS'COMPENSATION DECLARATION � � IHEFEBYAFFIRMUNDER�ENALTYOFPERIURYONEOFTMEiOLLOWINODEClAMT10N5: Z � - ...__. Q , ' ',•- � _IHAVEANOWILLMAINTNNACEflTIFICATEOFCONSENTTOSELF-INSUREFORWORNERS' _ ' � COMPENSA710N,ASPROVIOEDBVSECTION�TooOFTMEIABORCODE,FORTMEPEFFORMANCE U __._ OF THE WORK FOR WHIpITH15 GERAIIT IS ISSUED. W � ' '' '_'_ ' .. . __. . .. "_ � " ".. . .._ . . . . . _....'_'... . . . . ._..' '''_' W �IHAVEANDWILLIAAIMAINWORKERS'COMPENSATIONINSURANCE,ASHEWIREOBYSECTION � � J7ooOFTMEU90RCODE,FORTMEPERFORMANLEOFTHEWORKFORWHIp1TMISPERMITIS ' �ISSUED.AIYWORKERS'COMPENSATIDNINSUMNCEGHRIERANDPOIICYNUMOERARE: � �� CONSTRUCTION'��-"�" � " � �' � ��--- --- 4 > CARRIEq�._ _ 1� w `� PLAN REVIEW _.._. _ . _ _ .- . ova�crr+ur.�oea �—�/ � � ELECT----- -___. -_ --- _ ... _... ..--- .. a .. - (fiaSSECf10NNEmN�TBEWRPlE7FDCF7/EPERMT15PoqCNEHfDfiEDoouksR+ao�rn�rsst - UMBIN Z � � .._.. w • Z 1 CER7IFY 7HAT Pl TME VERFOR/AM10E OF 711E WORK FOR wHiq1 TMIS DERuIT IS ISSUED,1 CHANICAL '. U' . �- SHALLNOTEMPLOYANYPERSONWANYMANNERSOASTOBECOMESU0.IECTTOTHE (rj MADPo(ERS'COMPENSATIONlAW50FCA�IFORNIA,ANDAGREETHAT�FISHOULDBECOME INSP FEE � �� �� � ' ' ' "-" ' "' ' � SU0.IELTTOTMEWORKERS'C01nPEN5ATqNPqOYI510N50FSECTION77000FiH[UBOR ; ' . � .CWE,I SHALL FOR7HYAiM COMPLY WITH THOSE VR a ,,. . SUANCE �� O �,,,��� �' .�� ... .. p DATE:�:� APPLICANT: ___ t SMIP � ��1 � WARNING:FAILUflETO5EQIREWOfiKEPS'COMPENSATIONCOVERAGEISUNUWFUL,ANDSHALLBE ENERGYP/C- - I � SUBJEGTANEMP�OYERTOCR7IAINALPEYALTIESANDCMLFINESUPTOONEMUNDR[DTFIOUSAND ENERGYPERMIT DOLURS(S 100.000�.IN AO�ITION TO THE fAST OF COMPENSATION,DAAIAGES AS PROYIDEO FOR W ' """J SERION�7o90FTHEU80RCODE.IMEREST,ANDATfORNEYSFEES. -' ' .,. . __.: .. . _'_ / w . .......__ . - RETENTION FEE:- - - � { ��7.7� _. a CONSTRUCTIONLENDINGAGENCY PREALTFEE: � ' � '" ' �' '�� '' ..O . ._ .._...-- -� --.._. . . ._ . . . � � 1 NEFEBY�FFIRAI LTIDER PENALTV OF PE0.NPV TMAT TNER'c IS A CONSTRUCTION LENDiNC AGENCY -� • -� � . . .... ' .. . . � FOi7 TNE�ERFORMANCE OFTHE WORK FOR Wwq1 TMIS PERMIT IS ISSUED�SEC.70G�,GIV.G.�. , , � ._.Z _. __._. ..._..' "' ..."_.... .._ . .. . . ..... ... .. _. ' ' w _ ' '_ _ _ � LENDER'S NNAE - � -y - -... ..-- F- LENDCR'S ADDRESS . . . -- - ----- --- - - - -�- �� - /� : .._� ICERTIFYTHATINAVEREADTHISAPPLICATIONANDSTATEMATTMEABOVEWFONMATIONISCORRECT, TOTAL FEES � ' ' V � . � I�GREE TO COMPLY W1TM ALLLITYMI�COUNTY ORDINANCESAND STATE UWS REUTINGT06UIL�iNG � `- -- -"'"' ""' ' ' - • � � � CONSTRUCTqN,ANDHEREBYAUlV/ORIZEREVRESENTATIVESOFiHIS�pUNTYTOEMERUPON7ME ' � � A[iOYE•M[NTIONEDDROPERTYFORINSPECTqNPURDOSES. • ' � ...-'L '. . _ _... _. ..._ .'. ' _"_. ....__ .. . . . .� . � . � — COMMENTS � p � J .��_-�L�'����CQ-` J . , _ . ._ __ . . m _ _ ---- .. , � ¢ PEP�EN�M�(PWy . . . . . � � SiGNA,URE h VthMIT�� /`� DAT,,!� ' . � — RECPT.N0. � PA!D BYD VALIDATIONv •��-��- ����-� � �� ��� �� ���-- - ��WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Co GOLDENFlOD--File Co GREEN ��� � .._..._---_.-•--�-�-•�----- �' �Y. —APPIi nt's Capy .. , •--------'----�------� - -•--...._..._. ...._. . _.....-- . 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LANDSCAPE/IRRIG. � . SEEP PITlLL.. ... -.--.--...._... . _ .. ._ : . ON SITE IMPS. GAS AI R TEST - - - -- � FINAL ZONING ' FINAL CONST: - ----- �f-Z���� ,� �3��� FIRE DEPT.FINAL - FINAL HEATING - -- ----- - � - � - -� - - HEALTH DEPT.FINAL� �- - - FINAL ELECTRIC ��� - �- "� " � -- DEV.FEES PAID . . . FINAL PLUMBING � ENERGY .. - ' • • .. , � _.. _ ._... ._. . . _ . . ., i,� '.� •� •• ,. . COMMENTS " � �'j�, i .r . . .- „� � ' , _ ` _ .�f . •I . _. . . . . ._ . _ _ +� F .. . . ,2 �'t� A�..}' ♦� '.__'_'� . � � :_ . • . .I ' �)�- ._.. SEPTIC TANK SIZE '"''' '�� ' SE`� '� --- SEEP PIT/U SIZE , _ ,�•-' i_; ' • _ . � . ; ��� "�• , i , �:� � , � - �, � . i� _ �.. - _. - . . i . . . .. . ._.. _ --- - - - -- - - -