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:. �
����+� L'-r^urBv�9-&9—�c98�s��c���#— 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�6V�1��(� ��alF�
; ..;:� �.7`� .�'; ' !ftl�PEC�BC�iV IRIECCOffF��
��W V�J�I.�l.l U IR:IUV �T � A . �`�-' 0 � .v'S ;��`�' '�4��7L+�./W ��'. I�' � �� �
., .
� . o
s ..
. . .R ' + . ,.�:
. . , . .. ...�. ..�.:�. ...:� . .�e .... ..�... .�. , .. -
SET BACK � ' , . ., FLOOR JOIST
F7GS/FORMS/S7EEL � FHA REOMTS
ELECTRIC GROUNO UNDER FLOOR DUCT
GROUND PLUMBING UNDER FLOOR CUhfDUIT � � - �
S�AB GRAQE ' FIRERLAGE FOUNDATION �
TEMP POWER FiREPLACE BOND BEAM ' �
WATER SERVICE MID HT. BOND BEAM '
ROOF SHEATHING S FT. BOND BEAM •
FRAMINGNENTILIATION ' FINAL BOND BEAM
ROOF COVER PRE-GRADING �
�ROUGH HEATlNG � BENCHING _
ROUGH E�ECTRIC � ROUGH GRADING '
ROUGH PLUNIBING FINISH GRADING �
SHOWER/TUB TEST POOL ELECTRIC '
EXT. IATH/SIDING POOL FENCING
WALC INSULATION POOL FINAL
CEiL(iVG INSUtATION � OFF SITE IMPS. �
DF{Y`JVAI.�NAILING DEDICATIONS �
SEVtlER FINAL ENG.
SEPTI"C TAtVPC � LANDSCAPE/IRR�G.
SEEP PIT/l..l.. •�-'._ :, :: - � - ON SlTE IMPS.
GAS AI.�-�7EST . FINAL ZONING
FIN�e�C�NST. FIRE DEPT. FINAL
Ff�l%�t HEATING HEALTH DEPT. FINAL
�=ENf�,�ELEGTRIC DEV. FEES PAID
: i,:�'�i_PLUMBING ENERGY
� T . _ , .__ � —--- — _ _ _ _ �-- •- -- -- - ��';�a _ .. _ .- � - - _ _ -----
� � CG��IIMEfVTS 2� l �-b0 Z Z. I._� - 2 �c-.-�,,y,�,i�' 53..���_.�� ��
2�2-co �2 t - ���...�..��@ 'S �t S�-Z ��-�-�--$.
2_Z`''40.��.�'� � Z �`�—�5-t:4�y��.�'R,��
` � a� , _'"z2 ,, ���17�r.T'��.. : S � '( �t�"�
-''i�-� �.Z'1� ' � �-¢�""`�a � (�,--��'+-���:�.—���-��__2. : � _____
�.c ' K ZZ�Q " � �i4 w�.a ��2�„� S ".` �
��`�' --� �.Z.l g �c. —� z
2^�- �� 2 2 t �w�tic.. @ �.c���(--—
3 -_6_a� z21� -3 �'�,�_�7}�-�-as,,.5—3
SEPT�IG,��TAf�(K��SI�E -3_Z.z _�p ZZ( 9 �
SEEP PITYI'1�-S1Z�`; �. ��-+ ^��•s.�-- -�-�'�4-�_��5.�3. _ _
�.�._M�_ �i_�4i� �z�9'(--�2'°'aF—��-+-�@�D�-Z'���._._f� (_3
� �+"� �„ 3 ,.z9 •c� zz��� 4� << {,� � _.� �__
_ << s_� �, � ���� � �
• � 3 _Z�} —c� Z 21`�3 '-'. `.
R. Y "�^ � M. � � � �_( � ���_�_�_�
�\1��1�j � � ���
}" � � g
� ,�: $ A� ��_ �t.-�"e ZZ.19=1.� `{'���c' '�w�w,,.�,�_Og:���. � -�--�'�,L�r�
� 3� �,� .� 4�,. �-�—� 2z 1 9 -2- _�Y"Zo^� �. � _ '�-� � ��.. ..� . �Y���_
�� � ��� � � .��� ' _ � . j ' �t� '`_.'0:.� �' �. � , � � - ' _ .i t
(