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HomeMy WebLinkAbout13430 (29) � CITY OF DIAMOND BAB -- -- DEPARTMENT OF COMMLJNITY d'c DBVELOPMENT SERVICES � 21660 S.Copley Drive 5uite 190 (909)BGO-3195 Fax(909)861-3117 PRESS ���°��� BUILDING PERMIT APPLICATION FIRMLY � JOBSITE � ►/'� APPLICATION PERMR ���J� P/C ADDRESS � � ��� � DATE NUMBER�-�.� i ISSUE K�� �� 7YPE OCC � APN LOT TRACT DATE �J CONST. GROUP � OWNER i ADDRESS_ Standard Pacific Corp. ZONING SEBACKS �m, 1565 W.Mac Arthur Blvd FRONT Rw ❑ AP���A�_ Costa Mesa,Ca.92626 (714)546-1161 AEAR ❑ 51DFJSIDE STAEET RW ❑ CONTRACTOR Aliso Air,Inc. SIDE ❑ ADDRESS_ ��6 Avenida de las Banderas �j �� Rncho Snta Marg.Ca.92685 (949)589-2021 PROPOSED USE � ARCHIENG/ -------.._._... _.. ..... .. ._ _... DESIONER NO.DWEL N0. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � DESCFiIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATIQN � OWNER-BSIILDER DECLARATION SFRlADWAEM I IIENEBYAiFIfY UNDER PEWLLTY OF PE0.RIRN TNA71 IW E%EMPT FROM TME CONfMCTOR3 t4 G8fHfl9IC91p�A C�JSELAWFDRT}IEPol1.OWWOREA80NBEC.7W1.68U5WESSMOVROFEBSIONSC00E:M1YC17YOR (n pOIMlfYWFRp1RE0UIpESAPERIdRTOCONS7RUCi,N,T6RMPpOVE.OEMOLIBH.OqftEPAIRANYBTRIIC• � W PeilO/DOCk TUF�,PRqfi TO R8183UMICE ILSO REW�NE8 7ME APPLICANT FOR SUCFI PERMR TO Fl�E A iiaNED BTATEMEM TNAT HE Dli BHE Ifi UCENSED PURSUANr TO 7HE PROVISIONS OF THE CON�RAC70P4 LI- LENSE U1W(OiAPfER�(O�MMENCM�YATN SECTION 7a001�OMSION 7 OF TME BIJS�NESS ANU Pq0- � P�USpe FESSIONS OODE)OR TFIAT HE OR SHE IS EXEMPT TNEREFROM AN�TH[BABB FOR'M1�EµLEOE�E%EMP- 7pN.ANYVqL11TI0NOFBECfIONTWI.6BYANYAPPLICANfFON�PERMITSUBJECT6TME�PPIICANTR7 Z pe-Raoi � ACMLPENiLLTYOFNOTMOHETIMNFNEHUNDflEDDOLW16�i5W).�: OIASOYMEROF7NEPHavEfiTY,ORMYEMPL01'EESWITNNMOESA87MEIH8alECOMPENSATpN, 0 CpmmgrCiBl W4.L DO THE NlON4 AND THE BTRUCTURE�B NOT IHTEN�ED OR OFFEREC FOR SJVLE(SEC.701�,lU51- J ME55 AND P/qFESSIONE COOE:TIIE CON7NACiORS LICENSE UW UOES NOT 1WPLY 7D IW QI�MER OF j � � OiqPEitiYNIFiOBUILDSOH141PROVESTHEFiEON,ANUM�HODOE88UCHWORKWM6ELFQf1HER8ElFOR � � lIW WOItNIS OR HEROWN EYOLONEE3,VNCWIUED TMT&1CH IMPROVEIAEN73 ARE NOT NTEPOW OR .OFFERED POR BALE IF,HDWEVEqTHEBUILDNOOq W PNOVEIAB�RIS 8IXD W1IWNONE YEAROF COFIPLE TqN,T/E OWNER-0UIIDEN N11LL NAVE 7NE BURDEN OF PqOVINO 1HA7 F�OH SNfi�IO NOT BIMID OR MIPROVE P011 iHE PUIIPDeEOF sALEL O�.�aMNEROFTNEPROPENTY,AY�(QU3NELYODNTIUCfXJO WlTIiIICENSEDCOHfN�CTOAS � TO CqlBTRUC77NE PRO.IEGT(SEC.7oM,9UBINEeS AND PROFESSIONS OOOE:TFIE GCNTMCiORS LI- V8111fl11Of1 ADJ.AREA CENBE lAW DOE9 NOTAPPLY TD AN OWNER OFA GROPERTY HM1q BUILOS OP W GROVES 71iEREON.ANO vnqcorrrq�cTsiopaua+PpwECTsvnnrAoorrriucroA�9�L�n5EovuAsuu�rro'rnEcaetiFv.o- pUAM1TY ' DESCRIPTION FEE � 10R5 UCENSE UW.} O IAM DI6MPT UNDER 6EC. 8.�P.C.WF 71M5 REA90N �=' pATE OMMER . . �qq LICENSED CANTRACTORS�ECIARATION , ¢ IMENEBYAFFW41lMqERPENALTYOF0ERIURYTMA7IMILICENSEDUNDERPROVISIONSOFCIMPTER �,�y� � .Y� S f IC�MYENCNO YYITM 9ECTIOIV MD7)�DMSION]Of TME BUSINE85 AND PROiE9S10N8 CODE,AND �•�R✓��.� t� LL� W LIC6N6E IS N e�R=E�FF — � UCENSE C.NO. � � DATE MCTOR . � WORKERS COMPENSATION DECLARATION Q y 1 NEfiEBV AFFIRU WAER PENALTV OF PE0.NRY ONE OF THE FOLLON�INO DECtAHATC)NS: V f/� Q C �IIMVEANOWILLW�NiA1NACERTIFlGiEOFCCNSENTTOSElFdN6UREFORYYORKER6' _ T OOMPENSATqN,hePiqVDEDBYeECT10N37000FiHElA80RCODE.FORTHEPENFONUANCE U d OFiF1EN'ORKWRYVIIIGiTHISPEPM1T18185Um. � � 0 O �IIUVEANOWLLAUMAINYlONN 'COAIPENSA INSl1RW ,ASREIXIIR BYBECTION 9700OF fl D�DE,PDH 7M PER R E TME K FOR N111p1 IS PERMIY 19 � ISSUm. Y I U E RRI R [NME CONSTRUCTION � �qqiE PLAN REVIEW Z raicr R �•' . r � LECTRIC ..4.��. q � . 0 (ryi168�R10NNE�NOTBE006plPfEOCFTEPERMiBfi1HONEHUWREDD�LLAR9R�a%�tESSI PLUMBING � I CEfiTIFY iMAT INTME PERFOqMANCE OFTHE W`ORK FOP WHICFI T119 PENMIT ISSUE i MECHANICAL ��� �{F� / SHALL NOT�dPIAY ANV VERSON MI ANY YANNER 80 AS TO BECONE tUOJECT O TNE C�. � y WOPoCE 'GOMPEN�TqNLAWSOF u�o�c+nEe r i INSPECTIONFEE �: � SI�J OTNE RKER'C01AP SATqNP� VISIONSO 3 �OF IE ISSUANCE �'Y�'"�� �����° � i vnn+nas rrnv + y-j-r� : r, � DATE� A ICA . � 5MIP � �'-�-.,yr��T&�, '',..��`' '�. t 'l • .�� WMNINa: ILUPE SECURE W01110ER5'COMP w�oE�s uHuwcu„�wo sru��eE ENERGY P!C C�1� �"'y�!°�" � SUB.IECTANENPLOYERTOCRIMP1ALPEWLLTIE OCN INESUP700NEMUfm6iEDlNOUSAND ENERaYPERMIT ��w � OOLLMS(HOD,OOo�,WMDI710NTOTHECOETOfCd�IP SATqN.DAMAOE5A5PqOVOEDFORIN � sEcrarraiwoan�EueoAmoe.wrEaesr,uao�rrow+era�es. RETENTIONFEE: p. CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � I NEREBY AFFIRM UNOEN PENALT'OF PE1ilUliY THAT }ERE IS A CON57AUCTION LENDINO MENCY FOq THE VERF01iMANCE OF THE WOHK FOR IG7 T 5 VERMIi IS I6SUED�SEG iOT,CIY.C.�. � � LENOEfl'S NMIE tS LENDEH'SAODHESS /� '+ ICERTIFYTIIATIMAVERFJ�DIH13/1PPLICATIONANDSTA7E7HATTHE/iBWEWFORM�TqNISGORpECT. TOTALFEES �1�� � 1110REE M OOAIPLV WRIi ALL CRY AND COUNTV OROM/J!C BTATE LAVfS TFNi TO BU0.01NG � OONSTflUCT10N.ANO XEREBV MJTFiORIZE REPRESENTAT TNI N O MER UiON THE S�i -ME IONEO GROPERTV R INSPEC��ON iUN 08E. \ � COMMENTS = v m 6 N y 810 E E � HECPT.NO. 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