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Home My WebLink About14202 CITY OF DIAMOND BAR �x� ,� �� ` --�� DEPARTMENT OF COMMUTTITY&DEVELOPMENT SERVICES 21660 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861-3117 ` PRE$$ �'�^'� BUILDING PERMTT APPLICATION FIRMLY � � JOBSITE 220.1 Dublin Lane 3 uri1tS APPLICATION ��22�99 PERMIT� �/� /pJC r o ADDRESS DATE NUMBER f�� # � APN LOT TRACT 37026 �SSUE . TYPE OCC ' � DATE CONST. �j GROUP ,��_1 o OwNER Silver Hawk o ADDRESS �,a�� } ��g ' ZONING SETBACKS �iSt 'See Pla Z CITY �_�,Y,_ ZIP TEL. REART �W ❑ ' g APPLI TEL. SIDE/SIDE STREET RW ❑ � � CONTRACTOR lm er an SIDE ❑ ¢ ADDRESS �9(1� Satnrn PPY . f_ o CITY Brea ZIP ��.'1'�57�=377- ' PROPOSEDUSE ��ge o ARCH/ENG/ J,M. Nolan DESIGNER NO.DWEL. NO. NO: ADDRESS N ^ ' UNITS 3 STORIES Z BEDROOMS S@2 P an � cirv a� a ziP 1�0 TE�. 81R-��4-49 cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECLARATION SFR/ADD/REM O � I HEREBY AFFlRAI UHDEH PENALTV OF PERJURY 7HAT 1 MI E%EMP7 FAOM THE CONiRACTORS LI- G0f8gB/CflfPOh CENSEUWPDRTHEFOLLOWINOREASON(SEC.70.9t.68USWE55ANDPROFESS10N5CODE:AIJVCITYOR (f� COUNTYNRiip1REWIRESAPERMRTOCONS7RUCT,AL7ER�PROVE,DEMOLISH,ORHEPAIRANVSiAUC- W P0tl0/DBCk NRE,PRqq TO R$ISSUANCE,/�LSO REOUIRES THE MPl1CANT FOR SUq1 PERMIT TO FILE A SIONED w STATEMENT THAT ME OR SHE IS LICENSED PU0.SUANT TO THE PROVISIONS OF TiE CONTMCTOR9 LI� �� CENSE UW(CHAVTER Y(COMMENqNO WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PR0. V' POOI/Sp0 FESSIDNSCODE)ORTFIATHEORSHEISF�(EMP77HEREFROMMIDTHEBASISFORTHEALLEOEDEXEMP- (� TION.ANV VIOLATION OF SECTIOH 7031.6 BV ANY APPLICANT FOR A PERMIT SU&IECTS 7HE MPLICANT TO Z Re-Rool � ACML PENALTY OF NOT AqRE THAN FtVE MUNDRED DOILARS(i5o0).): . � ❑4�SON'NEROFiHEPROPERTV.ORMVEMPLOVEESWITHWAQESASTHEIRSOLECOMPEN5AT10N, � COmRIBfCl81 . � WILL DO THE WORK,M1D THE STRUC7URE IS HOT INTENDED Ofi OFFERED FOR SALE(SEC.7W1,BU51- J � N NESS AND PROFESSIONS CODE:THE CONTMCTORS LICENSE LAW DOES NOT MPLV TO AN OWNER OF 7� PROPEHTYWFpBUUDSORB�/PROVES7HEREON,ANDMM170DOE5SUpiWORNHIMSELFORHERSELFOR � 1� a'� ra e '�' er uni � TMiOUGH HIS OR HER OWH EAIPLOYEE9,PROVIDED TFUT SUCH IMPROVEMENTS ARE HOT INTENDED OR m W OFFERmFORSALEIF,/10N�EVEf�THEBUIDINOORIMPROVEMFNT1950LDMATHPIONEVEAROFCOMPLE- Z �TqN,THE OWNER�BUIIDER WILL HAVE THE BURDEN OF PROVINO THAT HE OR SHE DID NOT BUILD OR ,. = IMPROVE PoH THE WRPOSE OF SAL�. � � ❑4��WNEROFTHEPROPEHf'I,AAIIXCLUSNELVCONTRACTINOVrtTHUCENSEDCONTRACTOR3 70 CONSTAUCT THE PROJECT(SEC.704/,BUSINESS AND PROFESSIONS CODE:hIE CONTRACTORS U- V81UelI0f1 ,qFj� CEHSE UW OOES NOT MPLY TO AN OWNER OF A PROPERTY WFIO BU6D5 OR IMPROVES THEREON,AND � NTqCOHTMC75FOR5Uq1PR0.1ECTSWITHACONiMCTOR(5)LICENSEDPURSUANTTOTMECONTMG QUANTITY DESCRIPTION FEE � 70R,.LICENSE UW.). � . J Q ❑I AM EXEI/PT UNDER SEC. B.6 P.C.FOR THIS REASON Q 3 v LL. � DATE OWNER � �j W � LICENSED CONTRACTOFS DECLARATION w _ LL I HEREBV AFFlRM UNDER PENALTY OF PERIUqY 7HAT 1 AM UCENSED UNDEF PROVISIONS OF CHAPTER � d Y(COMMENC7q WIiH SECTION 7000)OF DIVISION 7 OF THE BUSINE55 M1D PROFESSIONS CODE.AND Z ' W IICENSE IS W FUl FO E AND EFFECT. � � m � UCENSE CUSSn LIC.NO. O�� - � � � � �V� �DATE�� I�`�1�'1 CONTRACTOR � d W � . � WOFiKERS'COMFENSATION DECLAAATION e��` U � IHEREBYAFFlRMUNDERPENAL7YOFPERJURYONEOFTHEFOLLOWINGDECLARATIONS: `� Z � _IHAVEANDWILLAUMTAIN'ACERTIFlCATEOFCIX�SENTTOSELF•INSUREFORWORKERS' _ • � . . '• .-. � �> � --- . � � COMPENSATION,AS PROVIDED BV SEO'TION 970o OF.THE UBOR CODE,FOR THE PERPoRMANCE � U OF TNE WORK FOq WFIICFI THIS PERM�T IS ISSUED.'�:� W W . - " e.. �� •.:"� '-` , i '• '+`, �.. i � '�� . c _t� ' r , _•5 3'�'' ... � �°�.5.: .. , � /� . �1 HAVE AND WILL'MAIN�API WORKERS'COMPENSATION INSURANCE.AS RE�UIRED BY SECTION • � Q 97000F 7TIE U1BOfl CODE,f-0R THE PERFORAI:WCE OF TFIE WOyC FOR WHICH THIS PERMR I5. ,�.J � `^t f� �� `' ��'��d r � ,� 0 ISSUFA.MY fUCEqs COAIPETJSA SU CE C.1IiRT�R�AND POLICI'NUTABER ME�a;,"• � , CONSTRUCTION,: t � i//� � Q / � CMPoER 1 PLAN REVIEW � POLICYIIUMBER 4 � �� 2 ELECTRIC `�`��, ..�.�;>,`.., . � � � � , .. �� .. � � , , . . (fH58Ec7pHNE�raTBEm.�LEiEooFnEPEw.�iSwaoNEFi.►L%lE000u/�itsltloo)oqL6S�. . � � PLUMBING��.� . T'A:�� r. � e'� •• '3 r i � Z I CERTIFV 7HA7 1N TFIE PERFORMMICE OF 7HE WORK FOR WHICl1 THIS PERMIT IS ISSUED.I MECHANICAL A � � ~� (,�' SHN.L NOi EMPLOY ANV'PERSON W ANV MMINER 50 AS TO BECOME SU&IECT TO THE � ��• � . y WORKERS'COMPENSATION LAWS OF CALIFORNIA,AIJD AGREE 7HAT IF I SHOULD BECAME INSPECTION FEE � '' :��..� � ,..: .b � S SU&IECTTbTHEWORKERS'COMPENSATIONPROVISIONSOFSECTqNJ7o00FTHEL/BOR �l coo ,i srwi nivnn+coMr�r win-i rFasE vrvov swr�s. l ISSUANCE ,�T�� 9CS�Q o4 � G7 D p DATE:� APPLICANT: ��erla �.J SMIP �1 y� � � ENERGY P/C � ��I�riY,}11 ��i � WMNINO: AILURE TO SECURE WORNERS'COMPENSATION COVERAOE IS UNUWFUL,AN�SHALL BE �j p��}�(� LL SU&IECTAHEMPLOVERTOCRIMINALPENALTIESlWDCMLFlNESUPTOONEHUNDREDTMWSAND ENERGYPERAA ++�G!`Sl`Y1/.7+ty:.�,�� DOIURS(f100,000).IN ADDITION TO THE COST OF COMPENSATION,DAMAOES AS PROVIDED f-0R IN /� J SECTION 370E OF hIE LABOR CODE,MTEREST,AND�TfORNE1"S FEES. RETENTION FEE: �/y I/O , OCONSTRUCTION LENDINO AGENCY PREALT FEE: � � � 1 HER�V AFFlRAI UNDER PENALTV OF PERIURY THAT THERE IS A CONSTRUCTION LENDWa AGENCV - Z f-0R THE PER WRMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.3oB7,CIV.C.�. � ,l W � LENDER'S NAME . , �S LENDER'SADORE55 � `�'- I CERTIFV THAT I HAY AD MPLICATION AND STATE THAT iHE ABOVE INFORMATqN IS CORRECT. TOTAL FE ES '' w I AOREE TO COMPIY ALL C M!D COUNTV ORDWANCES AND STATE LAWS RELATINO TO BUILDINO - � � CONSTNUCTION.MID RE f7EPRESENTATIVES OF THIS COUNTV TO EMER UPON THE Z ABOVE�MEHTIONED PROPERTV F IN ION PURPOSES. COMMENTS ' •� � J � �I m ¢ PEHMITTEE NM/E(PRIPlT) � � Zj n ��7 � � i _ ' � � 1 � SIONANREOFPEfWfiTEE DA7E p7- I RECPT.NO. � PAID BY VALIDATION � � � WHITE—Depertment Copy,YELLOW--Finence CopY,PINK—Assessa Copy,GOLDENR06—Fiie Copy,GREEN—ApplicanYs Copy : �.�{?_;:=t � ��'1( �F �B��dOR9� ��(F� � E�SV��cC'�'��R fR��IF6f� � . �-�, :._.`-'V� � • � ��-� ��,�� .:�,. �� • • � � �`�� " ��,A=/�1U " , t 11� 5ET BACK . ' ' � , FLOOR JOIST ^ . . FTGS/FORMS/STEEL FNA REC�MTS ^� ELECTRIC GROUND UNDER FLOOR DUCT� ' GROUND PLUMBING UNQER FLOOR CUf�{DUIT � SLAB GRADE � � FIREPLACE FOUNQATION � TEMP POWER FIREPL-ACE BOND BEAM • . � �~� WATER SERVICE M1D HT. BOND BEAM � ROOF THING 8 FT. BOND BEAM .. . . :� . . . , �RAMI �, l; ENTILIATION FINAL BOND BEAM ROOF GO,VF_R PRE-GRADlNG ' - � ' � ROUGI-� NEATlNG BENGHING ` ' � " � .' � ' r ROUGN ELGGTRIC ROUGH GRADING ROUGN �'LUMSING FINISN GRADING �NOWEFUTUB TEST POOL EL.ECTRIG EXT. L.ATN/SlDING . �POOL FENCING . WALL INSUtATlON ' - FOOL FINAI CEiLI(VG INSULATION OFF SITE IMPS. DRYVI/AL�.PlAILING DEDICATIONS SEWER , - FiNAL ENG. SEP71C TANK � ` ...� �, .� ,.,,_ LANDSCAPE/IRRIG. . SE�P Pi3/L.l... �F :4�- � � -` --::.--..., UN 5lTE IMPS. . " �;�,5 AIR TEST FINAI ZONlNG Fla�„�i_CQNST. FIRE DEPT. FINAL �I�l�'_ HEATING HEALTH DEpT:FINAL �I'.�,�_ ELEGTRIC DEV. FEES PAID . •-.�-':ft�. PLUMBING ENERGY , . .___ � � �O O � `�` �`�' ��' - �o . �-- _.. __ -� - • - .. . ----_._ _ -.._._ : - . f ... -- _--- . ! . _ - -- -- -� - -- . . . , .- ` i.C�Ni fiJl E iV TS _4�.*�-9 . s�k,�¢u, �� c,AA,4�P�'2 S,.. oK _ 43 -c+.�o -Z2o c � . 5�c��,,.... - �::.z 1 ... �� . _ ��1- -- - =9 -�_Z?�CZ - �s.s�� 5-I��Z r 2� �`:eo-� Z�,��_ "" .._C�it�,� 5 - l._o�_ Z � �UD Z 2� t-1��w�c,.c..� ��'��. S�'l_Qx� ---- �. . � - Z�4�C.i ?�9� - l ��.ts,.�.. �—�-z�_��-`?� 3 - zz- � zot .. � � �. . ^ SEPT`��TAf�IK S12E ; , , SEEF-FIT/�,Si2� . _ --- — ; Y �. 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