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Home My WebLink About14200 �x�` r� L.�� _� CITY OF DIAMOND BAR � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861-3117 PRESS ��'^" BUII.IDING PERMIT APPLICATION FIRMLY � JOBSITE APPLICATION PERMIT P/C o ADDRESS 2.14.1 'Dublin Lane Z llri1t.S DATE �/22/99 NUMBE� � # � APN L ISSUE TYPE � OCC R-3& p OWNER 51 v2��3W�CRACT �7n2fi DATE CONST. VN GROUP U-I LL 'ADDRESS 21 1 Dublin Lane zoNiN� SEBACKS Z CITY ` ZIP TEL. _ FFIONT Exist see pl�y ❑ g APPLICANT . o an TEL. F- 1 REAR ❑ � � � SIDE/SIDE STREET RW ❑ CONTRACTOR.. Ta�m Tl nd SIDE ❑ Q ADDRESS L�II.i ��il S� ee F � CITY Brea ZIP S2$2�1 TEL7.7 l+-579-3]1 PROPOSED USE o ARCH/ENG/ � DESIGNER ADDRESS a a asas oa Ulte NO.DWEL. 2 S ORIES N� S e CITY ('.alabaSgS ZI�_ TEL. $],�22j`_[,q' UNITS 2 BEDROOMS��y� cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREr1NALUATION � OWNER-BUILDER DECLARATION SFR/ADD/REM O I HEREBV AFFlRM UNDER PENALTY OF PEFiJURY THAT I AA1 FJ(EMPT FROM THE CONTRACTORS LI- G8f999/CflfPOR W CEHSEUWFORTHEFOLLOWINOREASON(SEC.70.77.SBUSINESSANDPROFESSIONSCODE:ANYCITYOR (n G7 COUNTVWHIGIREOUIRESAPEAMRTOCONSiAUCT,ALTERIMPROVE,DEAqLISM,ORREPNRANVSTAUG w Z TUHE,VRIOR TO ITS 195UANCE,KSO REOUIRES THE APPLICANT FOR SUCM PERMR TO FILE A SIONED w Patlo/Deck � S7ATEMENT 7FIAT HE OR SHE IS LICENSED PURSUANT TO TiE PROVISIONS OF 7HE CONiRACTORS U� � � CEN9E UW(CHAPTER Y(COMMENCIN(i WITH SECTION 7000)OF DIVISqN 7 OF THE BUSINESS AND PRO- POOUSPB FESSqNSCODE)ORTHATHEORSHEISEXEMPTTiEHEFROMMIDTHEBASISFOR7HEALlEOEDD(EMP� C7 TqN.ANV VIOlAT10N OF SECTION 7031.6 BV ANV APPlICM1T FOR A VERMIT SU&IECTS THE APPLICANT TO Z Re-Rooi � ACIVIL PENALT/OF NOT MORE hlMl FNE HUNORED DOLLAAS(f600).): � � ❑I,ASOWNEROFTHEPROPERTY,ORMYEMPLOYEESWITHWAGESASTHEIqSOLECOMPENSATION, 0 CORIRIBfCi81 - YALL DO THE M/Oi11(M1D THE STRUCNRE IS NOT INTENDED OR OFFERED f-0R SALE(SEC.70N,BU51� J N NE59ANDVROFESSION9CODE7HECONTRACTORSLICENSELAWDOESNOTAPPLVTOMIOWNEROF � Repairs per pl n average-i- 5750 per tl�(llt PROPEATY WFp BU�LOS OR MPROVES THEREON,AND WHO DOES SUCN WORN MIMSELF OR HERSELF Oq � ,OFFEREDFORSALEEF,HOWEVERTMEBU0.DI ORIAIPROVEMENTISRSOLDWIHINONEVEAROFNCOMPLE� 00 x2= $11500 Z 'TION.THE OWNERAURDER MALL HAVE THE BURDEN OF PqOVINO THAT HE OR SME DID NOT BUILD OR � W PHOVE FOR 7HE PURPOSE OF SALE). �.,, w ❑I,A9 OWNER OF THE PROPERTY,AM IXCLUSNELV CONTRACTINO WfTH IICENSED CONTMCTOR3 � TO CONSTRUCT THE PRO.IECT(SEC.70M,BUSINESS M!D PROFESSIONS CODE:THE CONiMC70qS LI- V91118f1Of1 � AD .A�EA W CENSEUWDOESNO?MVLYTOANOWNEROFAPROPER7YNM1/OBULOSORIMPROVESTHEREON,/WD � WHOCONTRACTSFORSUCHPR0.IECTSWI7HACOHiMCTOR(5)LICENSEDPURSUAMTOTHECONTMG pUANTITY DESCRIPTION FEE � TORS LICENSE UWJ. ❑I AM EJ(pIPT UNDER SEC. B.d G.C.FOR THIS REASON J O U 3 _ ¢ � DATE ONMER U �j W � UGENSED CONTW+CTORS DECLARATION W � 1 HEREBY AFFIRM UNOER PENALTV OF PERIURV 7HAT I AM LICENSED UNDER PROVISIONS OF CHAP7ER � . d 0(COAIAIENCINO N7TH SECTqN 7000)OF OMSION 3 OF TNE BUSIHESS AND PROFESSIONS CADE,AND Z �, W LICENSE IS IN FVIL Fo E AND EFFEC7. / m � UCENSE CUS LIC.NO. l/� �!/.D � - � DATE CONTRACTOR d � WORKERS'COMPENSATION DECLARATION [/..., � � I HEREBV AFFIf1M UNOER PENALTV OF PERAIRY ONE OF THE FOLLOWINO DECLARATIONS:J ,.�'' '�'Z � � � � ' �'j t' � �}� _ - , a1: . .- ♦ • � � _IM�VEAMDWILLMAINTAMACERTIFICATEOFCONSENTTOSELFdNSUREfORWOFiKERS•�.•'^'� .��$.��"4`^.•,�Jr� t Lti^.�S.�d�. ,�^' , "'' 6 %� .. ,n • � Z COA/PQISATION,AS PROVIDED BY SECTIOtl37000F THE UBOR CODE.FOR 7NE VERFORMANCE C..) ` l' � � Y N Q � /�p�7HE WORK FOR WHK%i THIS PERMI7IS ISSUED. _ '• .. w ., ,= _-. �, � ... f , /y{ r� � �. k r�. :� ,�+ �I HAVE AND WILL AWNTNN WORNERS'COMPENSATION INSURANCE,AS REW IRED BY SECTqN' Q 970oOFTHELABORCqDE,�FOAT/EGERFORMANCE�OFTHEWORKFOq�WHICH7HI5PERMI7IS • � 'Y�� r. ,� //�� ,�� //�� , ISSUED.MY WO S'COA1 EIy5AT10N INSURANCE� RI R' D POLICY NUMBERAflE� - y�CONSTRUCTION �:� . 1�I�I�• • jc�wruEn � ^ ' PLAN REVIEW 4 /��'' ZvouCVNUMBER t ELECTRIC F e'i r1i ��, Sti�, •'�: i�.k.�' '�': .u� ., ¢ ,- . .. 0 (nassEcnorrr�r+o7sEoon�iIDac7r�rEw�iswaoNE�obuusls�oojara�ssj PLUMBING ��, t � �� . t. . Z I CEF7IFV hiAT IN THE PERFORMANCE OF THE WORK FOP WHICM THIS PERMIT IS ISSUED,I MECHANICAL TJ�!•� �- � ,,� (,�J SFIALL NOT EMPLOV ANY PERSON IN ANY MANNER SO AS TO BECOME SU&IECT TO THE "t`� y WORKER5 COMPENSATION LAWS OF CAI.IFORNIA,AND AGREE THAT IF I SHOULD BECOME' �INSPECTION FEE - �"'�� - ' " SU&IECT TO THE WORNERS'COMPENSATION PROVISIONS OF SECTqN 370o OF THE LABOR d �j coo SHALLFORTMWITHCOMPLV WITMT1105EP hsaNs. ISSUANCE � ,�� O DATE:,��7� APPLICANT:�✓�-rla�_'_•'� SMIP �g rT J � 7��n � ti / V V� J WMNINO:FNLURE TO SECURE NbR10ERS'COMPEN3ATION COVERAOE IS UNUWFUL,AND SHALL BE ENERGY P/C � SUBJECT Ml EMPLOVER TO CRIMfNAL PEIULTIES AND CML FINES UP TOONE NUNDRED TFKKISAND R t A7�//�T T� ' DOLURS(f700.000),W IDDITION TO THE COST OF COMPENSATION,DAMAOES A$PROVIDED FOR IN ENERGY PE I �"7��1.'71.:.1�i\. -.FT :.� ¢ SECTqN 9708 OF THE LABOR CODE.INTEREST,AND ATTORNEV'S FEES. RETENTION F :��11 V C ly�v}{J,�L r�Y'r J ��/� O i � pw., CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � � /�, � I HEREBV AFFIRM UNDER PENALTY OF PERIUHV THAT THERE IS A CONSTRUC710N LENDWO AOENCV � FOR THE PERFORAIANCE OF THE WORK FOR WHlpi THIS PERMIT IS ISSUED(SEC.3oD7,CIV.CJ. , � Z W � LENDER'S NMIE H LENDER'SADDRE55 � 1 CERTIFV THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE PlFORMATION IS CORRECT. TOTAL FE ES w 1 AOREE TO COMPLV WfTH ALL CT'AND COUNTV ORDINMICES AND ST�TE LAWS REUTINO TO BUIDINO � CONSTRUCTION,AND HEREBV AUTYK)RIZE REPRESENTATIVES OF THIS CWNTV TO ENTER UPON THE ZABOVE�AIEN710NED PROPERTY FOR INSPECTION PURPOSES. COMMENTS � � J � - m E NAA1E(PRINn �}� IDrir.� �� ,. �1•-, f -� f" � � ) SI� FEOFPERMfTTEE OATE ' � � RECPT.NO. PAID BY VALIDATION WHII'E—Depertment Copy,YELLOW�iner�ce Copy,PINK—Assessor Copy,GOLDENROD—Flle Copy,GREEN—Appl{canYs Copy „�� .,_.,� .�_' �� ' � � �ITY_�� A��I�1.Q� ��t II�S�'�� f�E�C��IID . �. e_ ._ � . . � m . , rr-�nr� �"'.�, � � ;�• . p i �� ° o Q � iF' �� ,>.:;�&�UW.iI��W' �''£.- � �' � �� M .ko p , : , : SET BACK • � �� . . FLOOR JOIST FTGS/FORMS/STEEL-�” � � FHA REQMTS ELECTRIC GROUND UNDER FLOOR DUGT GROUND PLUMBING UNDER FLOOR CUNaUIT . �� SLAB GRADE FIREPLACE FOUNDATION T�MP POWER FIREPLACE BOND BEAM ' WATER SERVICE MID HT. BOND BEAM - ROOF SHEATHiNG 8 Ff. BOND.BEAM � FRAMINGNENTILIATION FINAL BOND BEAM � ROQF,COVER PRE-GRADING - • � ROUGN HEATING � BENCHING ROUGH ELECTRIC ROUGH GRADING - R�UGH PLUIVIBWG FINISH GRADING SHOWERlTUB TEST � POOL ELECTRIC ` EXT. EATH/SIDING POOL FENCING WALL INSULATION POOL FINAL CEiLING INSULATION OFFSITE IMPS. DRYWALL NAIUNG • - , .. DEQICATIONS ri� SEWER� - � � ' FINAL ENG. � � SEPTIC TANK v� .� . ' LANDSCAPEIIRRIG. SEEP P!T/L.L. ' �" � `:-=-=� ON SITE IMPS. GAS A!R TEST FINAL ZONING ' FiN,t41.t�pt�ST. FIRE DEPT. FINAL FIN%��HEATING HEA�TH DEPT. FINAL rIP•J�,L ELECTRIC DEV. FEES PAID : i-:�-°.�.�PLUMBING ENERGY � �---- �o a •� .-? -- � �_ , ➢, i � �G�INIEN�"S . . _ . . - -------___ � . _�.�___—_`_-�__-.—T-�- - --, -- - —�._ _ _ _ . – - , _ � � � _ f " .Z��O_.� r_,-��-��?C_/ ' � . .... ��-�� z, t�i l � 1- ��. �2m e� �u„_� �� `z.�-t.. -?:�3--�.-- 2c `e t -2 `��•�, � `�cl.., 5-4 k 'S=Z �.,� A e� � w � ' G'"'—m'�_ ��b - � 2,—�l—l— u'+T't ��C-�..—__-1`j_( � ___ l2- �o _2.l-�-�-_ SEP.TdC TANK SIZE SEEP PJ�'JU�S��E � --.--- � �� - . .;�, ` �� :� � � � , k. ;� � � � M � �� .� �-r,. ,� �; �� Y ,ay •..^4 '��'�� `C' 4!(' o$ ..t�.c_J �. �''°� L� }j� - , _ 4 � � � .iw k Sfi m ��. ' � _ � i , '� � �: � A.s . .�'�v@s�. ' A '� ��1 �.l. . - �i�• �'�♦ /.r $ d``f'�-'�` , .�'� -'�`..e.&s�� '� � _ / . ( � � �> � � .� ' .. . a �J • . ! . . � ..– "--� _ ., I