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HomeMy WebLinkAbout14210 _!�� CITY OF DIAMOND BAR ��„/ Qi (1r /L f DEPARTMENT OF COMMLJTIITY 8c DEVELOPMENT SERVICES �Y �'�'' 21660 E.Copley Drive Suite 190 � (909)860.3195 Faa(909)861-3117 '� . PRE$$ ' ���^'�`W BUILDING PERMIT APPLICATION FIRMLY �N JOBSITE APPLICATION PERMIT P/C ADDRESS 2219 Dublin Lane 3units DATE ��22�99 NUMBER� ��'� # � ISSUE TYPE OCC R-3 & APN LOT TRACT 37026 DATE CONST. � GROUP U-1 p OWNER `p ADDRESS 1n ane ZONING RONTCKS �1St See P1a�,N � Z CITY D13�0 C� 2. ZIP TEL _ _ g APPLICA���n TEL. 1 REAR ❑ � SIDE/SIDE STREET RW ❑ CONTRACTOR Timberland SIDE ❑ � ADDRESS CITY Br2a. Zlp -1TEL:7 —579-3�1 PROPOSEDUSE Same oARCH/ENG/ � DESIGNER _ .T.M. Nolan NO.DWEL. NO. NO. ADDRESS � -t i:. �ni. ����+� L'-r^urBv�9-&9—�c98�s��c�vg— UNITS � STORIES 2 BEDROOM$��]„ ri � CITY ZIP TEL. � tn DESCRIPTION SQ.FT. FACTOR PSF ADJ.ARErWALUATION p� OWNER-BUILDER DECLARATION SFR/ADD/REM O I HER�V AFFlRAI UNDER PEN�LTY OF PERAIRV THA7 I AM EXEMP7 FAOM THE COMMCTORS Ll� G9f9gB/CB�OR W CENSELAWFORTHEFOLLOWINOREASON(SEC.703t.68U5WESSANDPROFE5510NSCODE:ANYCITYOR (n C.7 COUNTYWHIO/REOUIRESAPEfWRTOCONSTRUCT,AL7ER,IMPROVE,DEMOLISH,ORREPPJRANVSTRUC� W �Z TURE,FRIOR TO ITS 139UANCE,AL50 REOUTAES THE MPUCANT FOR SUCH PERMIT 70 FlLE A SIONED w P8fi0/DBCI( S7ATEAIEM 7HAT HE OR SHE IS LJCENSED NRSUANT TO hiE PROVISIONS OF THE CONTRACTORS LI� � CQiSE UW(CHAFTER Y(COMMENCINO N/ITH SECTqN 7000)OF DIVISqN 3 OF THE BUSINESS AND PRO- LL- PooVSpe ' FE5.41DNSCOOE)ORTHATHEORSHEISEXEMPT7HEREFROM/WDTHEBASISFORhIEAL1.E0EDEXEMP- (� TION.ANVVIOLATIONOFSECTION7031.6BYANYAPPLICMITFORAPERMITSUBIECTSTiEAPPLICANTTO Z Re-Roaf � ACML PENALT'I OF NOT MORE THMI fIVE HUNDRED DOLURS(5600).�: ' � ❑I,ASOWNEROF7HEPROPERT',ORMVEMPLOYEESWITHWAOESASTHEIRSOLECOMPENSATION, 0 COmmBfClfl� � WILL DO THE WOi1K,M1D THE S7RUCTURE IS NO7IHTENDED OR OFFERED FOR S�LE(SEC.70M,BU51� J � NE55 AND PROFESSION6 CODE THE CONTRACTORS LICENSE UW DOES NOT APPLV TO AN OWNER OF � 7ROPERTY NR10 BU4DS OR IMPROVES TMEFEON.AND Mh10 DOES SUCH WOfiK HIMSELF OR HERSELF OR Q iNRWaH IUS OR HER OWN EMPLOYEES,7ROVIDED TNAT SUCH IMPROVEMENT9 ARE NOT INTENDED OR m Q ,OFFERmFORSALEIF,FqWEVERTMEBUIIDINOORIMPROVEMEHTISSOIDWITHINONEVEAROFCOMPLE _ Z �TqN,iHE OWNER-BUILDER WILL HAVE THE BURDEN OF PqOVINO hIAT HE OR.SHE UID NOT BUILD OR � 7APROVE FOR 7HE PURPOSE OF 9ALE� . w ❑4�OWNEROFTHEPROPERfY,AMIXCLUSNELYCONTMCTWOVAhIIJCENSEDCON7RACTORS � TO CONSTRUCT THE VROJECT(SEC.7014,BUSINESS AND PROFESSIONS CODE hiE CONTRACTORS LI- V8IU6fIOf1 X{FjFf W CEN$E UW DOES NOTMPLY TOAN OWNER OFA PROPERTY WHO BUILDS OR pAPROVE3 THEREON.M!D � wracoNrrucTswasuo�vaaecrsHnni�carra�croa�s>��cv+sEoau�uu+rron�eca�rrruc pUANTITY DESCRIPTION FEE � � roas ucEr+sE uw.�. p ❑I MI D(EAIPT UNOER SEC. B.8 P.C.FOF THIS REASON Q 3 � � " ¢ DATE ONMER � � LICENSED CONTRACTORS�DECLARATION w J � I HEREBV AFFIRAI UHDER PENALTV OF VER.IURv THA7 I AM UCENSED UNDER PROVISIONS OF CHAPTEH � . � Y(00►IMENCPIO WIiH SECTION 7000)OF DNISION 3 OF THE BUSINESS AND PROFESSIONS CODE,AND Z W LICENSE IS W FUIL FORCEANO EFFECT. m � LICENSE CUSS UC.NO. �� � , � U DATE '� CONTRACTOR a � LL � WOAKERS'COMPENSATION,DECLARATION ,, � i.. . �, ,�� �°= � ;:.. . ,. . : ;. �_ � , ; � �3�-.� Q� _ ; � 1 HEREBY AFFlRI.1 11NDER PENALTY OF-PERttIRV ONE OF hiE FOLLOWINO DECLAM710NS� Z ,�, 4 �w4.� �;. .., ^ . .,..'` � .Q _ . . � I HAVE AND WILL MARfTAM A CERTIFlCATE OF COYSENT TO'SEI:FdNSURE FOR WORICBPS"'� = E� " ' ' � -1Y`:�•��' • o , ' • �"'+', .� • . . � CpA�EN5AT10N,AS PHOVmm BV SECTION 370o OF THE LABOR COOE,FOR THE VERWRAIANCE `U OF THE WOFK FOR N?iIq1.TH15 PERMIT�S ISSU�D.'. , � T, . '1:' ' i • � � . 4 ' :�, 1 � .� Z � � � . � ,.� .� . -�� � . . �. ,' . . . I HAVE AND VIILL MAINTAIN WORKERS'COA/PENSATION INSURANCE,AS REIXIIRED BV SECTION Q 37000F THE IABOR CODE,FOR THE DERFORMMICE OF 7HE WCJRIC FOR WHICH THI9�P�ERMIT IS .. � E '�^ ,�`l � �7 � ` 0 ISSUED.MYYN R5 PENSAT INSUFANC CAfiRI R POLICVNUMBERARE: '� �� CONSTRUCTION' - �-�'���KiJ� �� 4 t.:. S � K C 10 D jc�wwEa � - ' PIAN qEVIEW Z vo��crNUMeEa �A ... � r-� `,• ELECTFiIC,. m,; .. �#• " �"' , . P.. .« �4, � Q � (flassEciqNN�No76EODAPLEfEooFnfFEw.RfsFOaa+Etul�naEooawisK�rolaaLESs),. ,- � •PI:UMBING� ..�_�',•; ^; Wr� • � • ' . '.._. � .� � • Z . 1 CERTIFY THAT IN THE PERFORMM7CE OF THE MfORK FOR WHICH THIS PERMIT IS ISSUED,I MECHANICAL �TT{J/�r^'T2Y�w.r,1 4 t - � SHALL NOT EMPLOV M1Y PERFiON�IN�llY•MANNER�SU,AS TO BECOME SUBJECT.TO TME �J ' �T�'✓ 1Vity1�J� . 'A , .. . N WORKERS'COMPENSATIONLAVl40F�CAI,IFORNIA,'AND'IIGREETMATIF�ISMOULDBECOME��G' j INSFECTIONFEF�.I 7J + � . ' ' ' .-`��- S SU&IECTTOTHEWORNERS'COMPENSA7IONPROVISqNSOFSECTION970oOF7F1ELABOH f V .�'►jV �}�"y1y _ _ COO I SH/�LL R7HWITH COMPLV WITH 7HOSE PRO ISIONS: '� -/ � ISSUANCE R . �.0� r— ? Y.� �.U,� . << - � ' .. .. � �,�.. ..Y,,.... p DATE:��APPLICANT.�O��CI '�[� , SMIP� � "�, . _ . _ .. � - ; . .' tENERGY P/C ` • �. . WAANINO: AfLURETOSECUREWOfi1(ERS'COMPENSA710NCOVERAOEIS�UNUWFUL,MIDSHM:LBE � � SUBJECT/W EMPLOYER TO C{UMINAL PENALTIES AND CML FINES UP TOONE MUNDRED THWSAN� ENERGY PERMIT � DOIL.AAS(f10o.o00).W MDIiION TO THE COST OF COMPENSATIDN,DAMAOES AS�PROVIDED FOR IN J 9ECTION J70E OF;�11E LABQR�COOE.IN7ERE5T.AND yT70RNE1"5 FEES.•i1 ^ . ;♦ :. ' C�,. ' ` j' ' �:'S� � .. /^ n- p� r � � � ��• t' RETENTION FEE: " - ��� aw..' CONSTAUCTION LENDING AGENCY , -. � PRE-ALT,FEE: p: �;.. �...: �� • i . .�-.��. � ., �„ . .. .� x �•,�. � � , ' �� IHEREBVAFFlRMUNDERPENALTYOFPERJURV7HA�THEREISACONSTRUCTIONLEN0INOAGENCV " '�' � - � a-''FOR THE PERFORMANCE OF hIE WORN FOR N?71CH THIS PERAl1T IS ISSUED(SEC.70Y7,qV.C.�. �Z/"�— �Z ♦ � r. l ' ♦ " .�Y \•_ - ' h. � LENDER'S NAME `T �`LENDERSADDRESS ' a ` � . r , t� I CERTIFY THAT 1 HAVE READ THIS APPLICATION AND STATE TIiAT hIE ABOVE INFORMATION IS CARRECT. TOTAL FE ES � , � . • � .I A4REE TO COMPLV N7TH/�1.L CITV M1D COUNTY ORDINANCES AND STATE UN5 REUTINO TO BUILDIN6 • ..5�� f� . , � CONSTRUCTION,AND HEREBV AUTHORIZE fiEPRESENTATNES OF THIS COUNTV TO ENTER UPON THE Z ABOVE�MEHIIONED PHOVERTY FOR INSPECTqN WRPOSES. , _ COMMENTS >`� � , o . J�.l� ' ,� . . . - PE EENAMEIPWNn� ' • � ' � ' - . � 1 . 1�....�1 � ' SIONATUREOFPERAIITTEE �ATE . RECPT.NO. PA1D BY VALIDATION � WHITE—Depertment Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD--File Copy,GREEN—Applicant's Copy . CiTY �F �9�6U�1��(� ��alF� ; ..;:� �.�'� .�,'; ' !i!l�F�E,C�BCqiV IRIE�COffF�� � . , � �. � ���� /� t� ��[����{[�,\J������ (� p � . a :^WI..M1�N !�\/U U1�/VV�.: �T �,. V A � �a�. 0 � O �� a��`Na; yTi�'�Yi �+-!P✓�tl.4+i..itiv ���'. :. " � : :. , . :o ,O � . � , i� �., , � o . �,. . . _.. ., . .�a - > .. v;s� . .:., , . .'. . ;�'.....: SET BACK � � , . ., . FLOOR JOIST F7GS/FORMS/STEEL FHA REC�MTS ELECTRIC GROUND UNDER FLOOR DUCT GROUND PLUMBING UNDER FLOOR CUhfDUIT � � - � S�AB GRAQE ' FIREPLAGE FOUNDATION TEMP POWER FiREPLACE BOND BEAM � WATER SERVICE MID HT. BOND BEAM ' ROOF SHEATHING S FT. BOND BEAM • FRAMINGNENTiLiAT(ON ' FtNAL BOND BEAM ROOF COVER PRE-GRADlNG � ��ROUGH HEATlNG � BENCHING _ ROUGH E�ECTRIC � ROUGH GRADING ' ROUGH PLUNIBING FINISH GRADING � SHOWER/TUB TEST POOL ELECTRIC ' EXT. I.ATH/SIDING POOL FENCING WALC INSULATION POOI.FINAL CEiLliVG INSUtATION OFF SITE IMPS. DF{Y`JVAI.�NAILING DEDICATIONS ^ � � SEVtlER FINAL ENG. SEP�CC TAfVFC � tANDSCAPE/IRRIG. SEEP PIT/i..�. ••-'._ :, :: - -- - ON SlTE IMPS. GAS RI.�'-t 7�ST � � � FlNAL ZONING �����-���1�T FIRE DEPT. FINAL Ff�l%��HEATING HEALTH DEPT. FINAL �=ENf�,y ELEGTRIC DEV. FEES PAID : i�:�'�i.PLUMBING ENERGY f-___.� , ._. _ —--- — - - - - �-- .- __ __ _ �O�->y��a ^ .. _ '- • - - _ _ —_--- { � ` ��h/iME(VTS 2• l -3� �Z: I_� - -� �c--�a�,l� 53..��n,.- ,, ...� 2�2-CO �2l - :5 S-Z • � �' .r�fe�.�. 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