The URL can be used to link to this page

Home My WebLink About16655 - 1050 S GRAND BLD OCITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES C\\ � (909) 6 -3195 Drive (909) 860-3195 Fax (909) 861-31 l7 BUILDING PERMIT APPLICATION ADDRIESS�� APN 9,e�� TRAOWNER y4 ��ADDRESSCITY ZIP TEL. Z�y�A9 APPLICANT _ TEL. CONTRACT R p,�✓,1/ ADDRESS CITY 6% v ZIP 9 TEL.S/�'%�� 7) DESIGNER ADDRESS CITY ZIP TEL. OWNER -BUILDER DECLARATION 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM EXEMPT FROM THE CONTRACTORS LI- CENSE LAW FOR THE FOLLOWING REASON ISEC. 7031.5 BUSINESS AND PRCFE SSONS CODE. ANY CITY OR COUNTY WHICH REQUIRES A PERMIT TOCONSTRUCT-µTER. AI PROVE. DEMOLISH, OR REPAIR ANY STRUC- TURE, PRIOR TO ITS ISSUANCE, ALSO REQUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS U. CENSE LAW (CHAPTER Y ICOMMENCING WITH SECTION 700C)OF DIVISION S OF THE BUSINESS AND PRO. FESSIONS CODE) OR THAT I,E OR SHE IS EXEMPT THEREFROM AND THC BASIS FOR THE A.LEGCD EXEMP- TION. ANY VIOLATION OF SECTION 7001 5 BY ANY APPLICANT FOR A PERMIT SUIDJEGTS IHE APFLICAVT TO A CIVIL PENALTY OF NOT MORE THAN FIVE HUNDRED DOLLARS (7500) ): O L AS OWNER OF THE PROPERTY. OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK. AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (SEC. 7044, BUSI. NESSAND PROFESSIONS CODE: THE CONTRACTORS UCENSE LAW DOES NOTAPPLY TO AN OWNER OF PROPERTY WHo BUILDS OR IMPROVES THEREON, A.NO WHO DOES SUCH WORK RIMS ELF OR HERSELF OR THROUGH HIS OR HER OWN EMPLOYEES, PROVIDED THAT SUCH WPROVEMENTS ARE NOT INTENDED OR OFFERED FOR Sµ E. IF, HOW EVER THE BUILDING OR IMPROVEMENT IS SOLD WITHIN ONE YEAR OF COMPLE- TION. THE OWNER -BUILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD OR IMPROVE FOR THE PURPOSE OF SALE). ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (SEC. 7044. BUSINESS AND PROFESSIONS CODE. THE CONTRACTORS LI- CENSE LAW DOES NOT APPLY TO AN OWNER OF A PROPERTY WHO BUILDS OR IMPROVES THEREON. AND WHO CONTRACTS FOR SUCH PROJECTS WITH ACONTRACTONS) LICENS ED PURSUANT TO THE QONTRAC• TORS LICE NSE LAW). O I AM EXEMPT UNDER SEC. B. { P.C. FOR THIS REASON DATE OWNER LICENSED CONTRACTORS DECLARATION 1 HERESY AFFIRM UNDER PENALTY OF PERJURY THAT 1 AM LICENSED UNDER PROVISIONS OF CHAPTER • (COMMENCING WITH SECTION 7000) OF DIVISION 0 OF THE BUSINESS AND PROFESSIONS CODE, AND MY LICENSE IS N FULL FORCE AND EFFECT. L` QQQ LICENSE CUS LIC. NO. DATE � CONTRACTORyCA(I WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS. _I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT 70 SELF -INSURE FOR WORKERS' COMPENSATION, AS PROVIDED BY SECTION 0700OF THE LABOR CODE. FOR THE PERFORMANCE �F THE WORK FOR WHICH THIS PERMITIS ISSUED. I HAVE AND WILL MAINTAIN WORKERS' COMPENSATION INSURANCE. AS REWIRED BY SECTION 3700 OF THE LABOR CODE, FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMITIS ISSUED. MY WORKERSCOMPE "CATION INSU j:.^,E CARRIER .D POLICY NUMBER ARE: CARRIER _s POLICY NUMBER (THIS SECTION NEEDNOTBE COMPLETED OF TIE PERM T l5 FORONE HUNDRED DCL1ARS R'00) OR LESS) I CERTIFY THAT N THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I SHALL NOT EMPLOY ANY PERSON N ANY MANNER SO AS TO B E COME SURJEC7 TO THE WORKERS' COMPENSATION LAWS OF CALIFORNIA. AND AGREE THAT IF I SHOULD BECOME SU0.:ECCT/TTOTHEWORKERS'COMPENSATIONPROV IONSOFSEC`ON0700OF: LABOR DATE: DAPPLCANT.W.TM TNOS .OV15KX+5 WARNING. FAILURE TO SECURE WORKERS'COMPENSATON COVERAGE IS UNLAWFUL. AND SHALL BE SU13JECT AN EMPLOYER TO CRIMINAL PENALTIES AND CiVII FINES UP TOONE HUNDRED THOUSAND DOLLARS IS W,000), INADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FORM SECTION 0708 OF THE LABOR CODE, INTEREST. AND ATTORNEYS FEES, CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PEFiR1R THA THERE IS ACONSTRUCTKON LENDING AGENCY FOR THE PERFOnMANCE OF THE WORK f�'T 1 .IC HIS PERMIT IS ISSUED (SEC. 0097, CIV C ). LENDERS NAME N LENDERS ADDRESS 1 CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT. 1 AGREE TO COMPLY WITH ALL CITY ANO COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION. AND HEREBY AUTHORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON THE ABOVE MENTIONED PROPERTY FOR INSPECTION PURPOSES. :PE,-ITTE AME (R^ .LOr rIRMITTEE i PRESS FIRMLY APPLICATION /� PERMIT P/C 1 DATE NUMBER p ISSUE /h� TYPE OCC DATE l.' _ CONST. GROUP ZONING SETBACKS FRONT RW ❑ REAR ❑ SIDE/SIDESTREET RYV ❑ SIDE ❑ PROPOSED USE NO. DWEL. NO. NO. UNITS STORIES_ BEDROOMS DESCRIPTION SO. FT. FACTOR PSF ADJ.AREA/VALUATION SFRIADD/REM co GaragelCarport WPalio/Deck V- Pool/Spa Z Re-Rocl C) Commorcia! 5 m fb�} y Valuation" ADJ.AREA QUANTITY DESCRIPTION FEE J Q U c H U W w ax 0 Z J a 4 U_ Z Q S U W CONSTRUCTION V v PLAN REVIEW ELECTRIC PLUMBING MECHANICAL INS?ECTION FEE ISSUANCE l L7 4T 'S r" -P SMIP �� r%�\ l ��:• 1 �J� ENERGY P/C N 4 2001 i ENERGY PERMIT E RETENTION FEE: I PRE-ALT FEE: TOTAL FEES Q . COMMENTS RECPT NO. PAID BY VALIDATION WHITE —Department Copy. YELLOW —Finance Copy. PINK —Assessor Copy. GOLDENROD —File Copy. GREEN —Applicant's Copy CIT", OF DIAMOND BA�R INSPECT ION RECORD r ic-i o i SETBACK f; r c I -.i IZ-JLN'.' FLOOR JOIST r IFTGS/FORMS/STEEL I I FHA REQ'ilTS ELECTRIC GROUND UNDER FLOOR DUCT GROUND PLUMBING U NDER FLOOR COINDUIT SLAB GRADE FIREPLACE FOUNDATIOt'l FIREPLACE BOND BEAM _- TEMP POWER WATER SERVICE MID HT. BOND BE:::A%l _8_FT, BOND CEA,'.l FINAL 607,jb BEAM ROOF SHEATHING Ell FRAMINGIVENTILIATIONI I ROOF COVER ROUGH HEATING I PRE -GRADING BENCHING ROUGH ELECTRIC I ROUGH GRADING ROUGH PLUMBING� f FINISH GRADING SHOWER/TUB TEST POOL ELECTRIC EXT. LATH/SIDING POOL FENCING WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYVJALL NAILING I I DEDICATIONS SEWER I FINAL ENG. SEPTIC TANK I LANDSCAPE/IRRIG. SEEP PIT/L.L. L I ON SITE IMPS. GAS AIR TEST FINAL ZONING FINAL CONST. FIRE DEPT. FINAL FINAL HEATING HEALTH DEPT. FINAL FINAL ELECTRIC DEV. FEES PAID FINAL PLUMBING II I ENERGY COMMENTS SEPTIC TANK SIZE SEEP PIT/U SIZE