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HomeMy WebLinkAbout13265 (22) _1� CITY OF DIAMOND BAI� �.��'-� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES { ,/ � 21660 E.Copley Drive Suite 190 � PRESS (909)860-3195 Fax(909)861-3117 �',,..� BUILDINGPERIVIIT'APPLICATION fIRMLY �.,." . DATE CATION— NUMB R #/ � JOBSffE � ADDRESS � ��� e C °D APN LOT . TRACT � ��SUE n, �y� TYPE OCC ' `- --� - � DATE ��L[�'`�'1 CONST. GROUP p OWNER _ � , _, o ADDRESS_ Sfandard Pacific of O.0 _ ZONING SETBACKS Z Ci-rv_ 1565 W'.Mac Arthur Blvd. FRONr Rw ❑ � RPPLICAN7 Costa Mesa,Ca.92626(714�545-1161 _ REAR ❑ SIDE/SIQE STREET RW p � CONTRACTO 51DE ❑ ADDRESS_; .�1i50 AiT,I21C.. PROPOSED USE � ��T�' 2973b Ave. de las Bauderas w ARCH/ENG/ �, _ g _ _ � --} - 1 c Rncho.S�2ta.Ivlar 92688 949 �5�-202 DESIGNER_ NO.DWEL. NO.' NO. a, ADDRESS - -- � UNITS STORIES BEDROOMS = CITY ZIP TEL. c�i� DESCRIPTION SQ.FT. FACTOR PSF ADJ.qREANALU'ATIO ' _ N �, ,p�,, , OWNER-BUILDER DECLARATION , . . SFR/ADD/REM � O , I HEREBY AFFlRM 11NDER PENALTV OF PERIURV THAT I AM EREMPT FROM THE CIXJTRAqT095�L1- Gdrage/CeryOR W� CENSEUWFORTHEFOLlOWINGREASON(SEC.7o37.5BU51NE5SANOPROFESSIONSCObEANY��QIT'OR (n . U � COUNTYWHICHREWIRESAPERMITTOCONSTRUCT,ALTER,IMPROYE,DEMOLISH,ORFEPAIRANy'�S7RtSC- W Patio/�eCk W' �� TURE,PRIOR TO ITS ISSl1ANCE,ALSO REQUIRES THE APPLICANT FOR SUCH'PERMIT TO FILE A��16NED w � � �� S7ATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRqC(pRS;CA- � , '�. CENSE LAW(CHAPTE9 9(CAMMENqNG WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AM1i1D PRO- POOVSPB � '� � FESSIONSCODqORTHATHEORSHEiSEXEMPTTHEREFflOMANDTHEBASiSFORTHEALLEG'ED,EXEMP- � (�J . V. TION.ANVVIOLATIONOFSECTION7031.5BYANVAPPLICANTFORAPERMITSUBJECTShIEAPPLI¢ANTTO Z Re-ROOf � ACINL PENALTV OF NOT MOFE THAN FIVE HUNDRED OOLLAqS-(55ao).)� � ��� � ��, ❑I,ASOWNEROFTHEPROPERTY,ORMVEMPLOYEESWI7HWAGESASh1EIRSOLECOMPENSAFION,� '� Commercial . � - �, Z�;. NALL OOTHE WORIC,AND THE STEUCTURE IS NOT INTENDED DR OFFERED FOR SALE(SEC.7o94,8U51- . J �, NES5 AND PROFESSIONS CODE:THE CANTRACTORS LICENSE LAW DOES NOTAPPLY 70 AN OWiNEROF ,� PROPERTY WNO BUILDS OR IMPROVES THEREON,pND NMO DOES SUCH WOqKHIMSELF OF HERSELF DR �'� � hiROUGHHISORHEROWNEMPLOYEES,PROVIDEDTHATSUCHIMPROVEMENTSARENOT�,INTENpEDOR m- - � �� � �� OFFEREDFORSALEIF,HOWEVERTHEBUIL�INGORIMPROVEMENTISSOtDWITHINONEYEAROFCQMPLE- ' Z���TION,THE OWNER�BUIlOER WILL HAVE THE Bl1R�EN 6F PROVWG THAT HE OR SHE DIO NOL BI�ILD OR ., . , _; IMPROVEFORTHEPURPOSEOFSALE). . ; '�'�� � I W', ❑I,ASOWNEROFTHEPROPEHTY,AMEXCLUSNELYCAN7RACTINGWITHLICENSEOCONTRpCTORS . � �[I TO CONSTRUC7 THE PROJECT(SEC,7044,B1191NESS AND PROFESSIONS C06E:THE CONTRACfORS LI- V81U8[I011 � � ADJ.AREA_� � W'�. CENSELAWDOESNOTAPPLYTOANOWNEROFAPROPERTYWHOBUILDSORIMPROVES7HER��N',AN� �� , '�', WHDCONTMCTSFOFSUCHPROJECTSWITHACONTRACTOH(5)LICENSEDPURSUANiTOTHECCPNTRAG -QUANTITY DESCRIPTION '�. ' ,FEE �; TORS LICENSE LAW.). .'.I ,�.. , o ❑IAMEXRAPTUNDEHSEC. B.6P.C.FQRTHIS�REASON J - ' ' - ' U � u' DATE OWNER '�I H C7 � � �� w , . . � , � UCENSED CONTRACTORS DECLARATfON , � �'� I HEREBYAFFIRM UNDEH PENAITY OF PEFUURV THAT IAM LICENSED UN9ER PROVISIONS bF CHAPTER � � . � ' ;p��� 9�COMMENCINOWI�CT 7000)OFOIVISION30FTHEBUSINESSANDPROFESSION$COOE;AND. z " X' MYLICENSE191N L �R. ECT. ii m �, d, LICENSE SS � . LIC.N y_ �' I` � - j , � . '�0 DATE CONTRACTOR � -� b � W . , I.,I i . .. � � WORKERS'COMPENSATION DECLARATION � I, Q � �4 '. ��� I HEREBYAFFIRM UNDER PENALTY OF PERIURY ONE OFTHE FOLLOWING DE6LARATIONS:'� �' -� Z - ¢� � . - ' ' �.e+ ' Q O , � _IHAVEMIDWILLMAINTAINACENTIFICATEOFCANSENiTOSELFdNSUREFORWORKER9'�i y �� CAMPEf15ATION,ASPROVIDED6Y5ECTION37000FTFfELABORCAOE�FORTHEPERFORMANCE - U � �� i ,.�",'. �, OF THE WORK POR WHICH THIS PERMIT IS ISSUED, �. � � ,v►" ', �' VE AND WILlMAINTAIN WOflKERS'COMPENSATION INSUflANCE�A REQUIRED BY'SECTIINJ � ` ' � . ,. .. � Q 37000FTHELABOR DE,FOHiNEPER �MANCEOFTHE K� ' WHICH �SPERMITIS . � ISSUE�.MY'ORKER P � T IN CEC RIER CYNU B E:'�., CONSTRUCTICN ¢� caeaieA . . � � ' PLAN REVIEW � - . - . - .- . . _ . . .. .. , > Z POLICYNUMBER 9 � ELECTFIC g a (iri�ssecna�N�noreE�rIDOFn�aEw�vr�swcaauEhvnior� �q.t.pris.,�Siao�oacFss�. - PLUMBING 'Z ICERiIFVTHATINTHEPERWRMANCEOFTHEWOf�KFORWHICHYHISPERMI7157SSUEC�,I��'" MECHANICAL � SHALLNOTEMPLOYANYPEfi50NINANYMANNER$OAS70BECAMES BJECTTdTHE �� (%). WO ERS'CO ENSATIONLAWSOFCALIf 4�A DAGREETHA. SHOl1LD ecoME���. INSPECTIONFEE �F-' S CTTOT WORKEP.S'COMPENS I ROV IONSOF� 37000F � OR - - - � . - o,i Hau comP i n ISSUANCE Q� OATE: A PL ANT: SM�P — '�`�"" } _ ��� J, WAFMNG:PAI URE TO ECURE WOqKEHS'GOM N^ N O - AGE IS UNLAWFUL,A I E ENERGY P/C �� SU&IECTANEMPLOYERTOCRIMINALPENAl.TIESANDCNIL SUPTOOME�.HUNDRED'.THO�SAN � ENERGYPERMIT - _�� � SECTIDN 37ae OF THE LABOR COOE,IMTEREST,AND ATTOflNE1"S FEES. IN � DOCLARS(510D,000).IN ADDITION TO THE COSTOF COMPENSATION,DAMAGES AS PROVIDED FOR p� � � � � RETENTION FEE: � � ��A� CONSTRUCTION LENDING AGENCY � � ���'�- � ' T � � PRE-ALT FEE: ��� � � � �a E .�„ I HEREBV AFFIRM�NOER PENALTY OF PEflJURY ATT .F{E IS A CONSTFUCTION LENDING AGEIJCY �� " ' - Z FOFihIEPERF-0RMANCEOF71iEWORKFORWH HT PERMITISISSUE�(SEC.309�dV.C.) ',�- j~���g� . � w.r �"`fiR' �� LENDER'SNAME . ..� � ��-� . .. � � �1-- LENDER'3AD�RESS I�, ' W I CERTIFV THAT I HAVE READ THIS APPLICATION AND STATE"fHATTHE ABOVE INGORMATION IS CC1R(7ECT. TOTAL FEES �-A,.`6 .�' IAGRESTOCOMPLYW ALLCITYANDCOU RDINANCESANDSTATELAWSRELATINGT08UILDING . , 1, ��� CANST CTION,AND ER 7HORIZE REP ESENTATNES OFTHIS C011N.ry TO BJT€.�UPON��.THE ' . � �E- MIONED OP RTY FO IPoSPECT N PU POSES. �� �i COMMENTS - �' � m PERMITTEE E,IP ��'. . � ' . ' C.. , . ' � .'i - . � . YA (n SIONA7UREOFP�RMR'f DAT � ' .-, � � = d� ����� � RECPT.NO. 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