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Home My WebLink About14207 � CITY OF DIAMOND BAR � PVbC4 I� DEPARTMENT OF COMMLJNITY&DEVELOPMENT SERVICES • 21660 E.Copley Drive Suite 190 (909)86a-3195 Fax(909)861-3117 �' PRE$$ I �'�'� BUII.DING PERMIT APPLICATION { �' . FIRMLY � JOBSITE � APPLICATiON PERMIT ��J P/C I o ADDRESS 22_ll Dublin Lane 2 UII1tS DATE 7/22/99 NUMBER � n � ISSUE TYPE OCC R & APN �1 VeT aWkRACT 37026 DATE CONST. � GROUP _jJ-� p OWNER � ADDRESS 2211 Dublin Lane zoNiNG SETBACKS Z CITY ' � ZIP TEL. _ _ FqONT EX1St See Plaxpy� p g APPLICANT O an TEL. 1 REAR ❑' � � � SIDE/SIDE STREEf RW ❑ CON7Flncro��T.�'-�b e rl and SIDE ❑ ¢ ADDRESS a urn S ree F' � CITY RrPa ZIP 978�jTEL714-579-�]1_ PROPOSEDUSE S2me �� ARCH/ENG/ � DESIGNER NO.DWEL. NO. NO. ADDRESS a a asas 03 lllte UNITS 2 STORIES 2 se�Roonns see p an N ciTr ziP ai�n� TEL$,I-�-��-�til cn DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION ¢ OWNER-BUILDER DECLARATION SFF/ADD/REM O . p I HEREBY AFFlRAI UNDER PENALTV Of PER0.IRY THA7 I AM D(EMPT FROM THE CONTMC70ii5 LI� G9f8gBIC8fpOf1 W CENSEIAWFORTHEFOLIOWINGREASON(SEC.7031,6BUSINESSANDPROFESSIONSCODE:ANVCITYOR (n �a COUHttWHICHREOUIRESAPERAIRTOCONSTRUCT,AL7ER.IMPROVE,DEMOLJSH,ORREPPJHANV57RUC- w �L lURE,PRpq TO RS 13SUANCE,/�LSO REW IRES THE APPLICANT FOq SUCN PERMIT TO FILE A SIONED w PefiO/DgG( � �, STATEMEHT THAT HE OR SFIE IS LICENSED PURSUMlT TO THE PROVISIONS OF THE CONTRACTORS LI� � � CENSE UW(GIAPTER Y(COMMENGNO WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PRO- POOVSPB � FESSION9 COOE)OR THA7 HE OR SHE IS E%EAIP7THEREFROM/JJD iNE BASIS FOR THE ALLEOED EXEMP� C7 TpN.ANYVqLAT10NOF5ECT10N7031.6BVANVMPLICANTFORAPERMITSU&lECTSTHEAPPIJCANTTO Z Re-Roof F, A C1VIL VENALTY OF NOT MOHE THAN FfVE HUNDRED DOLURS(f600).): � ❑lASONRIEROFTHEPROPERTV,ORMVEMPLOYEESWITHWAOE5A5THEIRSOLECOMPENSATqN, � COmrtlgfCl81 . � N711 DO THE WOHIC,AND THE STRUCTURE IS NOT IHTENDED OR OFFEFED FOR SLLE(SEC.70t1,BU54 J � NE55 AND PROFESSIONS CODE:THE CONifiACTORS LICENSE UW DOES NOT APPLv TO AN OWNER OF � Re a ir s r� lan av era e �.+ $S 7 5 0/ e r l,ln]. PROPEHfV NRiO BUILDS OR WPROVE9 THERC-0N,AND WHO DOES SUCH WORK HIMSELFOR HERSELF OR 2 THROUOM FUS OR HER OWN EAIPLOYEES,PROVIDED THAT SUCH WPROVEMENTS ARE NOT INTEN�ED Oq m 7 Q ,OFFEfiIDibRSALEIF,HOWEVER111EBURDINOORBdPROVEMENTIS50LDWRHINONEVEAROFCOAIP�E- .XZ� $11SOO Z 'TqN,THE OMMER�BUIIDER WILL HAVE THE BURDEN OF PROVINa THA7 HE OR SME DID NDT BUIID OR � IMPROVE FOH THE PURPOSE OF 9ALE). t1J ❑4�OWNER OF ME PROPEFTfV,AM E%CLUSNELY OONTMCTINO WRH UCENSED CONTRACTORS ¢ TO CONSTRUCT THE PROJEC7(SEC.7oar,BUSINE55 AND PROFESSIONS CODE:T1E CONTRAC70R5 LI- V81UetIOn J.AREA . W CENSE UW DOES NOTMPLY TO AN OWNER OF A PROPERiV WFq BUILDS OR IMPROVE9 THEREON,AND � WFIOCONTMCTSFORSUCMPROJECTSWfTMACOH7MCTOR(S)LICENSEDPURSUANTTOTHECONTRAG Q�Jq�N DESCRIPTION FEE � � TORS LICENSE LAw.�. ❑1 AM EXE)APT UNDER SEC. B.L P.C.FOR THIS REASON � 3 . U . . �±- ' � - DATE OWNER � 2 w ` FQ LICENSED CONTRACTORS DECLARATION W OC }t 1 HEREBY AFFIRM UNDER PENALTY OF PERIURY h1AT 1 MI LICENSED UNDER PROVISIONS OF CHAPTER � � Y(OOAIMENC7Ni WfTH SECr10N 7000)OF DMSION J OF TME BUSINESS AND PROFESSIONS CODE,AND Z / �� W LICENSE IS U!FULL RCE AND EFFECT. m � LICENSE CUSS L1C.NO. � � j � DATE CONTRACTOR ,' a � WORKERS'COMPENSATION DECLARATION r �1 � � 1 HENEBY AFFIHAI UNOER PEN�LTV OF PERIUpV ONE OF TMi FOLLOW WG DECLARATIONS:�r Z O _1 HAVE AND WILL MAINTAW A CERTIFICATE OF CONSEM TO SE�F INSCIRE FOR MqRKERSV^ •"`zb�+` � .. • i " :�.. � ,'�y. ' � ,�a u _. S,.`..%� �.�; Z COMPENSATION,ASPROVIDEDBYSECTIONTOOOFTHEI}BORCOOE,FOR7HEPERFORMANCE U ��4 � Q OF h1E WORK FOR WHICM THIS PERMIT IS ISSUEO::�' "- W � ',r �}e 0 � .'•�; 1... .-{+� �r t['2 �':'�,f �2,�� 1�. l.io- '-rl' �! , . 1 � . . .�1 f' ' ' I HAVE AHD WILL MAINTARI WORKERS'COMPENSA710N INSURANCE,AS RE�UIRED BV SECTION� Q 3700 OF 7HE LABOR COOE,FOR hIE VERFORMANCE OF THE.WORK FOR NTiICH THIS PERMI715 {,�f P'• ` � � �.t^+' -. �, � ISSUED.MYYfO �+P/FNSATION�INSURANCE, RIERAN POLICY�.MIMBERARE� •�'CONSTRUCTION�C� � ' � r ' �,�1 • jCARRIER �`�"� - ' � G�� .PLAN fiEVIEW � POLICYNUAIBER_ _ .J �� •� .,' ' _' �..`� . . �n!- A A •, , Q . �ELECTRIC� y �,". .,fi^ r �.r� . � (iHl95Ec,'f10N1&�tATBE00MttE7�OFi1�EFERMTSFORONEFa1�DR�D01L�A5Kt0o)Oi1LESS1 .P.LUMBING�, ,x + r • �,,, '.• . �1 ` Z �CERTIFY THAT PI THE PERFOfiMMICE OF THE WORN FOR WHIq17H15 PERMI7151SSUED,I MECHANICAL (f SHALL NOT e1APl0Y ANV PERSON W ANY MMINER 50 AS TD BECOME�UB.IECT TO THE � � • �1""Y � ,'• ,• '1��, �/j WORKERS'COMPENSATION LAWS OF CALIFORNIA;AND'AGREE THAT IF I SHOULD BECO�.IE �'�h , INSPECTION FEE�' � -ri T l�/�/'�� ^f" "" ..+T,�" �r� SUBJECTTOTHEWOHKERS'CAMPENSA710NPROtl1510�lSOF.�SECTION370oOFTH UBOR � ��_��+' At -rj cao�, sriu.� rrrriwinica�a�rNn T}105E�PRbVISIONS. � f ISSUANCE �i��Y1�T��II��c .r�... � � �O . p r,/y��/'� ;.t��.. . ,ca S�a• �.- ... . . p DATE:�� APPLICANT.,�-•��L_[brC/� `"a-(n SMIP � W � ENERGY�P/C - .� i f� � WARNINO:FAIIURETOSECUREWORKERS'.COMPENSATIONCAVERAOEISUNUWFUI;AND�SHpLLBE:4' r,l n ,•��, �, � � _ �, LL SUBJECT,ANEMPIOVERTOCRIMINALPENALTIESANDGVILFINESUPTOONEHUNDREDTHOUSAND� ` � � . � i"' DOILARS�f100.000),WADDITIOHTOTiECOSTOFCOMPEN5AT10N,DAMAGESlSPROVIDEDFOR�IN• ENERGYPERMIT , . ' � �SECTIDN 970E OF T1E L'ABO�i CODE.WTEREST.M1D ATTO E\^S:FEES. y'f f. y..�� -�'-d � i �,._t' '�:� �� '�*...�;.'•• .. : � P `��RETENTION FEEr� � //J �� d � " '-'^ CONSTRUCTION LENDING AGENCY '�' . � PRE-ALT FEE:( � �i;'�� _w$ �. t.w �a . . ,.�� . . -.� ,�.vdd.�r`.rl' � �� 1 t 5_:.v.� , . . v. `) � � I HEREBV AFFIRM UNDER VENALTV Ok'PERIURV THAT THERE IS A CONSTRUCTION LENDIId(1 AOENCY � � FOR THE PERFORMANCE OF THE WORN FOR WHICH THIS PERMIT IS ISSUED(SEC.30W,GV.C.�. e Z ' W � LENDERS NAME ' 1— LENDER'SADDRESS � I CERTIFV THAT 1 HAVE READ TiIS APPLICATION AND STATE THATTHE ABOVE INFORMATqN IS COHRECT. TOTAL FE ES w I A�REE TO COMPLY WfTH ALL CITV AND CWNTV ORDINANCES AND STATE LAWS REU�TINO TO BUILDINO ' � CONSTRUCTION,AND HEREBV 11UTHOR12E REPRESENTATIVES OF THIS CWN7Y TO ENTER UPON 7HE - � ' ZABOVE�MENT70NE0 FROPER7Y F INSPECTION PUFPOSES. COMMENTS - � �� EENAMEIPWNn � „/ . . . � � �Sd � SIO HEOFPEfU11TTEE . DATE � RECPT.NO. PAID BY ' VALIDATION WHITE—Depariment Copy,YELLOW--Finence CoPY.PINK—Assessor Copy,GOLDENRO�File Copy,GREEN—ApplicanYs Copy � �. �;�.t+__'f`� C9TV �� D��Qiil9(ID �3�f�8 , BI�lS��C�04�Vl9 6�1��8� � �� . . ;�� f_�.��,� ,�� a�o oa- � 9 �� m .� ; �� .. .� � �. . . .. . � m o � �. _o �. _ _ ;y SET BACK �. � FLOOR JOIST " FTGS/F�RMSISTEE� ' FHA REQMTS ELECTRIC GROUND • UNDFR FLOOR DUCT. GROUND PWMBWG UNDER FLOOR CUf�lDUIT �� SLAB CRADE � FIREPLACE FOUNDATION • . , TEP/IP POWER FIREPLACE BOND BEAM � - ' ' WATER SERVICE MID HT. BOND BEAM ,._ R�OF SNEATHING. 8 FT. BOND BEAM � FRAMINGNENTILIATION FINAL BOND BEAM � •R�UF„C�VER • PRE-GRADING � � . ROUGH HEAT.ING BENCHING - - ROUGH ELECTRIC � ROUGH GRADING - RC7l1GN PLUfUIBING FINISH GRADWG �HOWERITUB TEST � � � POOL ELECTRIC " � EXT. LATH/SIDfNG POOL FENCING � WALL WSUTATION POOL FINAL � CEILlNG f�lSULATION - OFF SITE IMPS. ' DRYWAL.L�IAILING _ DEDICATIONS .� SEWER - FINAL ENG. SEPTIC TANK LANDSCAPEIIRRIG. . ' SEEP PIT/LL. :�- :.��~; `�=t;- ON SITE fMPS. G�S F�IA TEST FINAL ZONING F(M11A�.CONST FIRE DEPT. FINAL' FINr.� HEATlNG HEALTH DEPT. FINAL ' =��I��J�,z�LECTRIC � DEV. FEES PAID � � � ' �`^.'�.�.PLUN/IBING • ENERGY y ...__.. . � t.��p. . k .. � ��ilJlh fE'- _ . _._' • - - - . -' --'.__ ^ __ ._- ' ' -.- . .. {,.. ` Ct�l1/IiViEfVTS , , " ::, Z Z?�-�—�Z•l�, � Z �'�a�.w.�,�� C'�it�'F�� ..� � �. -- �?.�'.�=�ati -z.'21 l � �-'6i�' 9► --�{` �='z3 -� 22l� -"2' 'T�;a. �'t`.�- � �C '-�-��-:-�`�--�— . � 'ZZ � , , l �►�-�'�,�a•—C�,�_�S-l�i� --- - � - car� Z.Z�� - � l R-��..,�_�-��_�-� 3—tz - � -zztl - t � ��.��-c-L.5�'3 - 3'�2z ;a�c� 2�z.t c- � '��-�.�. t�-r_�-s-�.�5�}_ _ 3 -z3�, a z.l� - � �ooc,'-�---��'� �`D�'�►-�--1"3 ��— SEPTI��Af�K SIZE _3J�3 - q�j 'Z��1 � Z " +��F' �T_ ►s.._1 1 SEEP PIUU�SIZ-� � ` � � �1=3 ��' ,� . '�=23 •�o �.2►� . Z, 1��w�. �_�d_Oc�-t�►s..AS—3 ��i� �� m .� �� ,`.� � � � � {. � . _ di..~ .y � . , . 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