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1 � � CITY OF DIAMOND BA& � DEPARTMENT OF COMMUNTfY�DEVEIAPMENT SERVICES : � .> 21660 E.Copley Drive 5�tc 190 (909)860-3195 Fax(909)861-3117 PRE$S '�°�+' BUII.DING PERMTI'APPT.ICATION FlRMLY � JOBSITE r r n APPLICATION PERMR (�, P!C o ADDRESS v� � DATE NUMBERI�-1�X � 133UE�f ' 7YPE OCC APN LOT TRACT DATE� CONST. GROUP g OWNER � " ADDFiESS_ Standard Pacific Corp. YONING SETBACKS � 1565 W.Mac Arthur Blvd FRONT RW ❑ �� Costa Mesa,Ca.92626 (714)546-1161 REAR ❑ APPLICANT_ SIDEJSiDE STAEET RW ❑ CONTRACTO Aliso Air,Inc. SIDE ❑ ADDRESS_ ���A're�ida de las Banderas g �m Rncho Srrta Marg.Ca.92688 (949)589-2021 PROPOSED USE _. —_......._—.__.._, - � ARCH/ENG1 DESEGNER NO.QYVEL. NO. NO. ADDRESS UNITS 5TORIES BEDROOMS � CITY ZIP TEL. y DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER$UILDER DECLARATION gFR/AODlREM O I MEREBY AFFlRN UNDER PENN.TY OF PEfLUM 7W�T I AM EXEMPT FAOM THE OONiMCTORS LI- GefBQ6lCef�fOR CENSELAWFORiHEFOLLOWMIOREASON(9EG7091.69USINESSMIDVROFE95101VSCaUE:ANYCITYON (n COUHiYWHIGIREOUIRESAPERMRTI'1CONBTIIUCLALTE0.7.�PROV6,OFJAOUSH,ORREPAIRANYSTAUC- � .patldDldC TUpE,►RIOR TO ITS ISSUANCE AL80 REOUWES THE�PPLICANT FOR BUqI PERM�T TO fILE A 810NED 6TATE1IEM THA7 ME OR SME 18 LICENSm PURSUIIM TO TME PRDVISIONS OF TIiE CONTRI1CTIXiS LI• CENSE LAW(CHAPTEH 0(COMMENCINO MATH SECfqN 7000)OF DIYISION s OF THE BU31NE58 AND PR4 ('�' PoOUSp9 FESSqN5000E�OR7iNTHEOFi8HE1SEl�MPTi11EREFROMANOTF1E8A515FOHhIEALLEOEDEXEMP- (� TION.M"YVIOIATIONOF6ECT10N7031.6BYANYAPPLICMITFORAGENYIT&1B.1ECT9THEAPVIICJINfTO Z R6•ROOf � 11CML OBlALTY OF NOT MORE'�MN FNE ININORED DOLURS(Isno).k . � OI,ASOWNEROFTNEPf�PERTY,0i1MYEMPl01'EESMIITHWAOESA57NEIRSOLECOMPFH9ATpN, � COTRIB1C101 " N1LL 00 7ME WORK�ND TNE BTip1CiURE I6 NOT IMEND60 ON OFiERED FOH MLE(SEC.7M�.BU61- _I � NEES AND►AOFE3910NS COOE:THE COHiMCTOR3�ICENSE LAW OOES NOT MPLY TO Ml OWNER OF ? PfpPEHTY YYFI�9ULD80R MPROVES TMEREON.AND WIi000ES BUG�WORI(NINSELF DR HER50.F Op . TF010UON NIS OR NEH OMM FYGLOYEES,PRDVI�EO TIUIT 8UG11MPROVEA1EHfS ANE NOT INTFN�ED Oi1 m pFFHAED Fpp eM,E tF,IpWEVER 1NEBU0.0�NOORwIPROVFMFNf IB 60LD N7TMNpNEYEMOF CQA0.E- T10N.TXE ONME14W0.DER WILL W WE TNE BUPDEN OF PROYINO TFN7 ME OR SNE DID NDT BULL�Ofl �IpqOYE FOR 11iE PURPOBE OFlALE} ❑l/S OYMER OF 7HE PROPEHTY,NA E%CLU8NElY CONiRAC?WO WiT1 I.ICEN5E0 COHTMCTORS TO OONSTRUCT T1E PRDJECT(SEC.7G4.BUSINES9 AN�PROFE591ON5 CODE:TNE CaMRAC7C1H5 U- VA�U8tId5 A0.1.AREA CENSE tAW DOES NOTMPIV TOAN OWNER OF A VqOPEPTV NTiO BUILDS OR MIPilOVES TIEREON.AND WlpOONiMCT6FOq8UCHPPOJECTSVATHACON7MGTOR(9JLICENBEDPURBUIWT7OTIECONI'RNG pUANTITY DESCRIPTION FEE � iCXiSUCEN9EUW.). O I//A EXEAIPT UNUER BEC. S.i P.G FOR THIS NEASON V' DATE OWN6A Z � UCENSED CONTRACTORS DECLARATION � "7 � i � 1 MEREBYAFflRY UNDER PENAIIY OF OENURY TUR I MA UCEHSEO UNDER PqOVI310N5 OF CHAPTER ' � •(OOMMENCWO WfTH SECTION 70001�DIVISqN 7 OF THE BUSINESSAND PROFESSpNS CODE,i1N0 � W{1CR1SE IC MI FUL�fjpRCE AND EFFEM. �� � UCE S �� LIC.NO. r � DATE CONTRACTOR WORKERS'COMPENSATION DEGUIRATION Q y U y I MEREBYAFflRM UNDER VEW1L1'Y CF�EM1NY ONE OF h1E FOUAWINO DECUMTION3: Z Q � _INAVEMDYALLMMITNNACERTIF�CA7EOFOONSENTiOSEIFNSUNEFORWOHKERS = COMPEN5�7iON,A9 VHDMOED BV BECTON 170o OF T11E IABOR CODE.FOR iNE PERFORMANCE � OF T}1E WORK FOR WMCH TNIS►EAMIT IS IBSUED. � 1 MAVE ANO YNLL MAIMNN WOF�KERS'OpAPENSA710N INSUMNCE,AS REWIRED BV BECTION � 77o00F THE COOE,FOR E PERFOHM E OF TH 1YORK FOR WNI H THIS PEf1M�T IS � I&gUED. 1M0 PEN iN E I r eEA��: CONSTRUCTION � CARRIER PLAN REVIEW � POLICYMNA9ER " � ELECTRIC � (IHsBECtqNNE�NpiBEGp,AErFDaFnEPEAi�rBPOqq�IEHMneppouMs�ilaqor�tESs�. PLUMBING y � I GEIITIFY TI1AT IN TlIE PERFORMANCE OF THE W011K FOR WHICFI TNIS GERMIt IS ISSUE0,1 MECHANICAL -�- �� �,�J' BH�LLNOTEMPLOYANYPEHSONWANYIAMINERSOAS70BE SU&IECt OTNE �.f•" � wowcEns•wre�snrara uws a cuiwn�nti uro E �ic i nE u INSPECTION FEE Sl1BJE TD N/DIIKEPS'CdAPE HOV ION5700 s �, �p i ISSUANCE �� � DATE: PPLK:A : � . .� SMIP � : �. WARNINO: AILUAE OSECUREM/ORKERS' SA VER�GEISUM.AWFLIL,MD ALLBE ENERGY P/C ��`�` "`'�' -` �y SUBIEC7 MI EMPLOYER TO CRIM WAL PE�W.T�ES AND FW ES UP TOONE HUlIOREU 7HOUSANO .k L]�! •, '����..`�� • oouana�t�ao,000t,r+aooma+ronie cosTOF ENSAiIDN,DN�N1aE5 AS VROVIDED FOR iN ENERGY PERMIT � BECTION97wOFT/EIABORCODE.MTERE5T,MIDATTORNEYSFEES RETENTIONfEE: ' �`8�'�t �^ d CONSTRUCTION LENDING A(3ENCY pRE-ALT FEE: �' O � I NEIiEBV AFFIRAI UNDER VENALT'OF PEIiIURY TNA7 T11ERE IS A CONSTqUCT1ON 4ENDINO AOENCY iOp THE PERPDRMIHCE OF 7HE WORK FO wHl� 7HIS VERMrt 15 ISSUEO(SEG a097.CN.C.�. � � LENOEWS WWE � IENOERSMDHE35 � ICERTIFYTHATIWIVEREA[ITHISAVPLICATONMIDSTA7ETN7THEIBOVENfORMA7lONISCONPECT. TOTAL FEES I Al3REE TO COAIPLV YVITM KL C�7Y AND COt1NT'ORO�NANCES AND STATE IAWS pELATNO TO B�LD�NO I, • � CONSTRUCTqN,ANOMEREBYAUTMOH2EHEPRE N7�TIVESOF COIMRYTOEMENUPONTNE -MEMIONEDPROPERTYFONINS CT GOMMENTS J �� v � PERMI E l RIM) . � � gpry/� OAT � RECPT.N0. 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