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HomeMy WebLinkAbout14211� _ _ _� CITY OF DIAMOND BAR .- � ` �ju/co I� DEPARTMENT OF COMMiIHITY 6t DEVELOPMENT SERVICES 21660 E.Copley Drive Suite 190 ' (909)860-3195 Fa�c(909)861-3117 PRE$$ �'^�' BUII,DING PERMTI'APPLICATION FIRMLY � JOBSITE APPLICATION PERMIT Z P/C o ADDRESS 2221 Dub1;�n T.an �ni DATE 7/22/99 NUMBE�_ # � issue � r�Pe occR-3 & APN LOT TRACT 3]OZ 6 DATE CONST. VN GROUP T1-1 p OWNER i ver aWlc. � ADDRESB^221 DIlU11II L2IIe ZONING SETBACKS W FRONT Exist See Pla�w ❑ � CITY Daimnnrl Rar ZIP TEL. REAR ❑ . APPLICANT TEL. _ _ 1 SIDE/SIDE STREET RW ❑ � CONTRACTOR •�ym�y� SIDE p � ADDRESS � j a urn. 5 ree � - pROPOSED USE Sa.irie CITY Rrpa ZIP 9�A�1, TEL. 714-5]A-'371 o ARCH/ENG/ J.M. Nolan DESIGNER NO.DWEL. NO. N�• S2e 1 ri ADDRESS S a asas Oa illt2 N CITY Calabasas ZiP�q,2 TEL. $;�R_��T/,_/,9 UNiTS � STORIES _�BEDROOMS P u� DESCRIPTION S�.FT. FACTOR PSF ADJ.AREA/VALUATION p� OWNER-BUILDER DECLARATION SFR/ADD/REM � O � I HEREBV AFFlRAI UNDEH PENALTV OF PER0.IRV THAT I MI EXEMPT FROM THE CONTMCTORS L4 Garage/Cerport CENSEUWFORIHEFOLLOWW�REASON(SEC.70.71.6BUSPIESSANDPROFESSpNSCODEANVCITVOR (n COUNTYWHICHREOUWESAPERMRTOCONSTRUCT.ALTERUIPROVE.DEMOIlSH.ORREPAIRANI'STRUC- W P81I0/DBCJ( T1RE,PRqR TO ITS ISSUANCE,ALSO REOUIRES 7HE APPLICANT f-0R SUCH FERMIT 70 FILE A SI(lNED w � 9TATEMENT THAT HE OR SHE IS LICENSEO PURSUMlT TO THE PROVISIONS OF THE QON7MC70R$U- CENSE UW(CHAPTER Y(COMMENCWO WITH SECTION 7000)OF DIVISION 3 OF THE BU5INESS AND PRO� � POOVSpe FESSqNSCOO�OR7MATNEORSHEISE%EAIPT7HEREFHOMANDTHEBASISFORTHEALLEOEDEXEMP• (� T�ON.MIYVIOLA710NOFSECTION7031.6BYANYAPPLICANTf-0RAPERMITSUBJECTSTHEAPPLICAHTTO Z Re-Roof ' � ACIVIL PENALTY OF NOT MORE TN.W FNE HUNORED DOLURS(f600�.): � ❑I,ASONMEROF7HEPROPERTY,ORMYEMPIOYEESWIhIWAOE5A5THEIRSOLECOMPENSATION, CORIRIBfCI01 � N7LL DO THE WORK AND THE STRUC7URE R NOT INTENDED OR OFFERED FOR SALE(SEC.7oU,WSI� � N NESS AND PROFE$5lONS CppE THE CONTMCTORS UCENSE UW DOES NOT APPLV TO AN OWNER OF PipPERTVWF10BUpDSOfiIMPROVESTHERC-0N,/WDNM1IODOESSUCMWORKHIMSELFORMERSELFOR �� Re airs r lan avera e �' S750/ erunit 2 iHROUOM HI9 OR HER OWN EMPLOVEES,PROVIDED h1AT SUCF/WPROVEMENTS AqE NOT INTENDED OR m Q OFFEREDFORSALEIF,HOWEVERTMEBUILDINOORIMPROVEMENTISSOLDWfTMNONEYEAROFCOMPIE- .X3= 172SO Z 'TION.THE OWNER-BUILDER N1LL HAVE THE BURDEN OF PqOVINO hIAT HE OR SHE DID NOT BUIID OR � W7HOVE FOR TNE PURPOSE OF 6ALE} (y� ❑4��WNEROFTHEPROPERfV,AMIXQU5IVELYCONTMCTINOWITMUCENSEDCONTMCTOR9 Q TO CONSTRUCT THE PRQIECT(SEC.7Ma,BUSINE55 AND PROFESSIONS CODE THE CO!JTRACTORS LI- V9IUfll{Of1 FjEq W CEHSEUWDOESNOTMPLY70ANOWNEROFAPHOPERTYWFIOBUILDSORWPROVESTHEREON,M/D � WHOCONiMC7SFOR5UCNPR0.1ECfSWIhiACONTfUCTOR(S)LICENSEDPURSU�WTTOhIECONTRAG pUANTITY DESCRIPTION Y Toas ucasE uw.l. _ , FEE ' O ❑I AM D(EMPT UNDER SEC. 8.6 P.C,F-0R THIS REASON Q 3 � � � DATE OWNER f" � W UCENSED CONTRACTORS DECLARATION w � 1 HEREBYAFFIRM UNDER PENALTY OF PERJURV 7HAT I AA1 LICENSEO UNDER PROVISIONS OF CHAPTER � � Y(COMMENCWO WITM SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS CODE.AND Z ��� W UCENSE IS IN NLL FORCE/WD EFFECT. •��y /�� m. � UCENSE CLAS LIC.NO.' • `� w�""✓ � � ' . � � J �---- U DA7E CONTRACTOR LLI � WORKERS'COMPENSATIONDECLAFATION � 3,� ¢ �' �' U � I HEREBV AFFIRM UNDER PEtU17V OF PE0.NM ONE OF 7HE FOLLOWING DECURA710NS: Z , � _I HAVE NID WILL M/UNTNN A CERTIFlCATE OF CONSEM TO SELF-INSURE f-0R NORKERS ' � a , ' � • � Q COMPENSATION.AS PROVIDED BV SECTION 370o OF THE UBOR CODE,FOR THE PERFORMANCE U Q OF THE WORK FOR MRIICH hiIS.PEfAIIT IS ISSUED. ..`:`. .: ;,� . . . � ., . . . ,..' . . � � �. I HAVE ANO WILL MARlTNN WORKERS'COMPENSATKKJ INSURANCE,•AS REOUIRED BV SECTION Q �3700 OF THE LABOR CODE,FOR THE VERFORMANCE OF THE WORK FOR WHICH 7HI5 PERMIT IS 1 1 7�l l�L � ISSUm.MY WONC �5' P SATION IN CE� RIEP AN LICY NUMBER ARE:'^' CONSTFWCTION 'b � f ' •t. ' � ��EA � �PLAN REVIEW � POLICYNVIABER � • - � � ' � Z ELECTRIC ¢ . � (nssEcrpNr�rqreECOAYI.Er�oFnfPEERMTtSFi%ioNE11l.M�UPEDooul�li5(ffoo�oR�Ess1 PLUMBING�". ' Tr a �� t- .. . i . . . 9 J Y'. . �•. . �f ' Z I CERTIFY iHAT IN THE PERFORMANCE OF TNE.WORK FOR WHICH THIS PERMIT IS ISSUED,I MECHANICAL � ���' ' M , C� SFV�LL HOT EMPLOY ANV PERSON IN ANY AIANNER SO AS TO BECOME�SU&IECT TO THE �- (/� WORKER5COMPENSATpNUWSOFCAL�f-0RNIqANDl1OREETH�LIFISHOULDBECOME��y�4� INSPECTION'�FEE�'.3' 's- _"�•�� � 1•� ' SU&IECT TO THE NYIRKERS'COMPENSATION PROVISqNS OF SECTION 3700 OF E UBOR 1 � � � ~ � �� ^� - � coo iswu.� an�win�coMa�rwin+nasEVRo isarrs. •;i � �:j ,ISSUANCE nrT��•9 � �QAQ .�SL• U(1 Q O 4'' � G ' SMIP ,`f „t.+, , c vT .�—.> .,— , , � ��__ p DATE:��APPLICANT. . . ' .,.�- � _- ..e + �w . .�,. .. � .. ��. -.. , � ENERGY P/C OF DIAlI�ION�D.��4R.- �- � WARNINO: AILURE OSEWREWORKERS'CAMPENSA710NCAVERAGEISUNLANifUL,AND5HA1:C8E �,j�� ,, J 7��'7('� p��7� r � � LL SU&IECTANEMPLOVERTOCAIMINALPENALTIESANDCMI{FINESUPTOONEHUNDREDTHOUSANO� ENERGYPERM��L11V13!"LLVL C.. „ , �Ol1MS(f10o.o00),PI ADDRION TO THE C0.5T OF CAMPENSATKKJ,DAMAGES A$PROVIDED FOR IN J SECTION J70!OF 7HE LABOR CODE,INTEREST,AND ATTORNEYS,FEES: � ' '' oC ' � RETENTION'•FEE: � O OCONSTRUCTION LENDING AGENCY, , PRE•ALT FEE: . � � � �HER�V AFFIRM UNOER PENALTY OF PERtt1RY THAT THERE IS A CONSTRUCTION LENDINO AOENCY ' � � � n- FOR TME PERFORMANCE OF 7HE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.70J7,GV.C.�. Z W �Z LEFIDER'S N/VAE � C LENDER'9ADDRE55 � TOTAL FEES � I CERTIFY THAT 1 MAVE READ THIS MVLICATqN M1D STA7E TFIAT THE ABOVE INFORMATION IS CORRECT. w I AGREE TO COMPLV WITH ALL CITY AND COUNTV OROINANCES AND STATE LAWS REUTIN(i TO BUILDINO � CONSTFUCTION,AND HEREBV AUTHORRE fiEPRESENTATIVES OF THIS COUNTV TO ENTER UPON THE ' Z ABOVE•MENTIONEDPROPERTYFO ECTIONWRPOSES. � COMMENTS � J �r• � PE� E NAME(PRII7T) '', t�. _ ��� � � � 310 EOFPERMITTEE D � RECPT.N0. P/11D BY � VALIDAT70N ' .\ WHITE-Department Copy,YELLOW--Finance Copy.PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy _ :r�,., ;4,�; y �:.,� Cll'V �� ���6lN��� ��f� , Bi�S�'fE��O�� ff�fc��➢�E� . , �- . _ .. .. . : , � . � , ��a�,'���y�. , . 0 0 1� p r o p ' ,. lA�.�7l.rrL�`�U UJ�`�' �, �, �� � �� �` o . . „ �� . : p a�ft�y�� • � _. . � >� '. ', UtJ�-�lr" � r SET BACK � FLOOR JOIST � FTGS/FORMS/STEEL ' ' ' FHA REC�MTS ELECTRIC GROUND UNDER FLOOR DUCT GROUND PLUMBING UNDER FLOOR CU�lDUIT - SLAB GRADE � FIREPLACE FOUNbATIQN • • TEMP POWER FIREPLACE BOND BEAPN � WATER SERVIGE MID HT. BOND B�AM. � � ROOF SHEATHING 8 F1'. BOND BEAfV1. . " " '� " FRAMINGNENTILIATION FINAL BOND:BEAM � . _ � ROOF,�OVF_R PRE-GRi4DiNG . ROUGH HE,4TlNG BENGHING - � ROUGH E�ECTRIC ROUGH GRADING . ROUGI-i PLUMBING FINISH �RADING SH(�V4'ER.ri"UB TEST • POOL ELECTRIC EXT. LATW/SIDING POOL FENCING WALL INSULATION POOL FINAL �� ' CEILI(VG INlSU�ATION OFF SITE IMPS. C�YW..AIl NAILING _ DEDICATIONS SEWER FINAL ENG. SEPTIC TANK I..ANDSCAPE/IRRIG. SEEP PIT,'L.L �- �•,� `' '-`-�� ON S17E IMPS. G.�S AIR TEST �INAL ZONING FIlvF,L CbNST. ;'FIRE DEk�7. FINAL FlNKL 1-IEATING HEA�TH DEPT. 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