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HomeMy WebLinkAbout13419 (29) I � �_ CITY OF DIAMOND BAbt /'„� DEPARTMENT OF COMMUNITY dc DEVELOPMENT SERVICES �J � , 21660 E.Copuy Drive 5uitc 190 (909)8603195 Fax(909)861-3117 PRESS � '^�"+ BUIL,DING P'ERMIT APPLICATION ..-. FIRMLY � JOBSITE r APPLICATION PERMIT 2�1 1�'1 p/C o ADDRESS � ` pATE NUMBER �'r i�-�r „ � APN lOT TRACT DATE � t"�1 "1 CO ST. GROUP � OWNER ADDRESS Standard Pacific Corp. ZONING SETBACKS � �� 1565 W.Mac Arthur Blvd FRONT RW ❑ APPUCANT _ Costa Mesa,Ce.92626 (714)546-1161 pEp,p � SIDE/SIDE STREET qyy p CONTRACTOR_ AlisoAir,Inc. SIDE � ADDRESS 29736 Avenida de tas Banderas � ��y Rncha 5nta Marg.Ca.92688 (949)589-2021 PROPOSED USE � --.-.-- —.. .. .. .__�,.----....-------- _ ARCH/ENGI DESIGNER NO.DWEL. NO. ADDRESS NO. N Cny Z�P T�L UNITS STORIES BEDROOMS � DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATiON ¢ OWNER-BUILDER DECLARATION SFR/ADD/REM 0 coasE w�n��sai�awiNciIEASON�yE��jylR'`/6i81UU8ME59ANDVROFES510NSCO0E:u�iv�s� � Ganga�Carport CdIMiYMMif]/REGURESAPERMITTOOONSTRUCT,ALTERWPROVE�DEMOl13N,Of1AEPNRNiYBTRUG W P6�10/�BC�C TURE.PRIOR TO IT8159UJU10E.ALSO 11EOUWES THE APPIICMrT FOR SUCH PERMIi TO i4.E A 610NE0 �TAlEYENi THAT HE OR SHE 18 UCENSEO iUF6.UAtfT Tp 7f1E PROYISIONS OF TNE COiTR11C70R5 IJ• CENGE UW(CFNP7Ep�(CpA1MENGWO MIITIi tECTqN 7aco)OF�IV1610N�C�THE B1181NE55 ANO PRO• u' PoolrSpa FE99qN5CODE)ORTMA7MEOR6XEIBEXEMPT7HEREFAOMANDiXEBASISFORiHEQLE0E0IXEMP• (� TION.AN`/VIOLA710NOFSECTION7W1.6BVANYAPPLIGANTFOqA0ER1AR3UBJECTBTiEAPVLM.ANT7p Z Re_(.jp� � ACNIL iENALiY OF NDT YMiE 7YIAN FNE NUNORm OOILARS(f5oo1J: : 04�^OWNEROFTHEPROPER7Y.ORYYBACLOYEE6WIT1iWACiE9A5THEIP30LECOMpENSATION, (',ORIrt19fC�81 NALL DO THE WOqI(Mp TNE BTRUCTUqE IS NOT INTEHDED Oii OFFEREO FOR&LLE(BEC.7oM,BUSI• O NEBS MlU PNOFE9SION3 CODE Tl1E CON7RACTORS UCENSE LAW OOES NO'f MPLY M AN OWNEq pF � PROPFRiYMM1iOBUN.D80RNIPiqVEBTHEREON,ANDWMO00ES8UCNWURKMIMSELFORMERSELfOR = � T4iDUO11H60RHERdWNpAPLOYEE9,PFqVIDFAiTUTBUCMMPNOVEMENTSMENOTIMEHDWOR � OFFEREU FORSAIE IF,FIONIEYE0.7HE BU4.DiNCaa ORIMPIqVEMENi 16 SOID YYIiMN ONEYFApOFCO►1PLi- �TWN,INE OWNERaUIDEN WILL MIWE TNE BUROEN OF PROVINO TIAT HE OR SHE�ID NC77 BUID OR MPiqYE FORTHE PURP06E OF SALE�. W ❑4�ONMEAOFTHEGROPERiV.AAIEXq.USNEIYCONTRAGTINGWITTILICENSEOCONfpACfpqg �L iD OONSTNUCTTIIE VRWECT(SEG 7aM,BU&NESS AI�O PiqFE9S10Ng COpE:TIIE CONiRACTORS Ll- VgIU8ti0f1 ADJ.AREA Z MIFi000NTRACTBFORffi1L710R0.1ECT�8NRTHAOONTRACi1DR(B��ICEN9ED pR1R5UMITTOTHECOM�MG �as�SEUw.�. QUANTITY DESCHIPTION FEE � O IMI EXEMPT UNDER BEC. B.f P.C.FOR THIS REASON � DATE O4YNER �s[ LICENSED CONTRACTORS DECIARATION R 1 HEREBY AFFIRH UNpER PEdAL7Y OF PEpJUqY TMAT 1 AM IICENSED 11N0Efl PROVISION9 OF CHAPTER � s •(OOMMENCNOYYI7l18EC710N700D�OFDIVISqN70FTlIE9USIHESSANDPRO ESSIONSOODE.AND I �� LL' MY LICENSE IS IN R D FECT. � 4CEN6E CLASS ~ LIC.NO. � � DATE ONTMCTOH = WO KERS'COMPENSATION DECLARATION Q � INEAEBYAFFIRMUNDERPEWILTYOFVE0.A/RYONEOFTHEf-0LLOWINGDECLAAATqNS: V V> Z � �IWNEANDWILLWUNTAINACERTIFlCATEOFCONSENTTOBELFiNSUREFOHMAWlERS' a COYPENSATqN,AS PROVOED BY BEGTIOItl]7op OF TNE U180R COOE.WH h1E PERPoRMANCE U OF T1E WORK WH WNICM TNI9 PERMIT 19155UED. W � � �M�VEAND WILL WIMNN WORKERS'COAIPENSATION MSURANCE,AS REOLNRE�BY SECTIDN �4 97000F1HE R E,FOR THE FORM�NCE OFh1E WO FOR WHIpi 5 PERMrt IS �u`SUED.MY NCEN' SU ANC RI R MB ARE: CONSTRUCTION � c,wwEn vuw aEwew � POL�GY NUMBER �' � ELECTRIC p fM1��C��NNE�NOTBE�O�PLET�dF7FEPER+tflSFqiOf�EF�uWu/Yl5(itaqontESs} PLUMBINCa LLI Z� ICENTIFY THAT N iHE PERFOHMMICE OFTHE WORK FOR WHICN THIS PERYIT IS ISSUEO,1 MECHANICAL __ 4.�:.t�'"'` BHILLLNOT EMPLOY ANY VERSON IN ANY MANNER SO AS Ttl BECOME SUBJE TO 7H � (� WORKERS'CqAPE SATIONLAWSOFCLLF RNIhANOAOREE A J 0 E INSPECTIONFEE S BU6IECT THE ERS•ODFA qOVI510N 37� E i �vwi ISSUANCE O �.. p DATE: � A � ' SMIP �5�� ' �a� � � . , .��P �`.`�yy WARNINO:FAILURE SECIIRE WOW(ERS COAIPENSATqN RAGE IS UNLAWFUI,ANp eHAL BE ENERGY P/C u F•�:•�``"` � SUBJECTAN EMVLAYER TO CRIMHAL PEWLLTIE9 AND CNIL FINES UP TOONE HUFDRED TlIOUSAND ENERGY PERMIT �I .,..'Y ; .�`'K � JDOUARS({100,000�,W App�T�pW Tp7HE COSTOF CpMPENSATqN,DAMAGES AS PHOVI�ED FOR IN BECTION 9708 OF THE LABOfl OOOE.INTEREST,M1D ATTORNEY'S FEES. � � z% w RETENTION FEE: �:i 4 CONSTRUCTION LENDING AGENCV pqE-ALT FEE: � i� IHEREBVAFFIRMUNDERPENALTYOFPERJUR THATTHERESACpNSTRUCTWHLENDINGIIGENCY Z iOR TNE PERFORMANCE OF THE WORK A ICH THIS GERMIT IS ISSUED(9EG ioa7,CIY.C.�. ll.l � LENDER'S N/UAE � LENOER'9 ADDRE53 � I CERTIFY TUT I IiAVE pEAD Tilg APPLICATIDN AND STAiE Tl1AT TVE ABOYE WfOMAATpN IS CORqECT. TOTAL FE ES ,/} � d I ACiREE TO Cp.1PLY WITH ALL CRY MIO COUNTY ORDeiAtICES AND STA7E LAWS RELAitNO TO BULDINCi � I�J , � CONS7RUCilON,A1AHEREBY�UTpRIZEREVRESENTATIVES ISGOUN7YTp EHUPONiHE YE• ENiIONED PROPERTT OR INSPECiqN PUR SES. �� 9 COMMENTS � rE n 1 � y SIONA7U ATE Z�—'' RECPI:NO. PAID BY VALIDATION WHITE—Depertmant Copy,YELLOW--Fhence Capy,PINK—Asse�ep Cqry,Cip�pENROD—�File Copy,GREEN—Applicent's Copy • �.��. CITY A� Dl�ft�Q1�D ��;,F: #te��I�E��°'It�!'�E F�EG(J'ftit� �. . . ,.:� . .,, ..^ . . _ . , , �, _ _ . �.__ . - . ��� ° .�.� ����►� �' � ��—�, ���.i. '�;� � y=.: a.F- '��'���L�. c , ��. � ..�� � ' � . -- -.... .__... --- - --�--_;...� ���_ ..:._ ' .: , r }. � � i Ft O�JR JOi�T i _... ..._ -- - -- -..---_ ._._.._ _ '!' ' 1f''.t5"1�> z T t:x � � � �h.A RE;Q��TS � - � :• , — _ , -- -- --------------- -. 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