The URL can be used to link to this page

Home My WebLink About14983DIA. (RD IIAI' Il CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES 21660 H. Copley Drive Suite 190 (909) 860-3195 Fax (909) 851-3117 BUQ.DING PERMIT APPLICATION JOBS ADDRESS 0 1 L W EAC V (L APN LOT TRACT OWNER C `I ADDRESS _<,4l�rY_ i CITY ZIP TEL'C Oil APPLICANT TEL aQ-14 CONTRACTOR DIAt�fC �) IZeOr L n%�'T ADDRESS I 310 �+�lff�i— CITY _ti / r ZIP TEL fi j�1__U-7.97 ARCH/ENG/ DESIGNER ADDRESS CITY ZIP TEL OWNER -BUILDER DECLARATION I HEREBY AFFTRM UNDER PENALTY OF PER.AIRY THAT 1 AM EXEMPT FROM THE CONTRACTORS LL CENSE LAW FOR THE FOLLOWING REASON (SEC. 7031.6 BUSNESSAND PROFESSIONS COOS ANYCITY OR COIIIFTYLWUCH REOlARE9APERMRT000NSTRUCT.ILLTER IMPROVE, DEMOLISH, OR REPAIRANY ST RUC TURF. PRIOR TO ITS ISSUANCE, ALSO REQUIRES THE APPLICANT FOR SUCH PERMIT TO FRE A SIGNED STATEMENT THAT HE OR SHE 19 LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LL CENSE LAW (CHAPTER 9 (COMMENCING WITH SECTION TOM) OF DIVISION 3 OF THE BUSINESS AND PRO- FESSIONS CODE) OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS FOR THE ALLEGED EXFMP• TION. ANY VIOLATION OF SECTION 707.5 BYANYAPPLICANT FOR A PERMIT SUBJECTS THE APPLICANT TO A CML PENALTY OF NOT MORE THAN FINE HUNDRED DOLLARS ISMM i O L AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORT( AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (SEC. 7044, BUS6 NESS AND PROFESSIONS COOS: THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF PROPERTY WHO 9VLDS OR IMPROVES THEREON, AND WHO DOES SUCH WORK WUSEIF OR HERSELF OR THROUGH HIS OR HER OWN EMPLOYEES, PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR OFFERED FORSALE IF, HOW EVER,THE BUILDING OR IMPROVEMENT IS SOLD WITHIN ONE YEAR OF ODMPM TION. THE OWNER4=ER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE 00 NOT BUND OR IMPROVE FORTHE PURPOSE OF SALE} N 13 L AS OWER OFTHE PROPERTY, AM EXCLUSNELYCONTRACTINi WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (SEC. 704,U BUSINESS AND PROFESSIONS CODE THE CONTRACTORS LL CENSE LAW DOES NOTAPPLY TO AN OWNER OF A PROPERTY WHO BUILDS OR MPROVE3 THEREON, AND WHO CONTRACTS WI OJECTS FOR SUCH PRTH A OONTRACTOR(S) LICENSED PURSUANT TO THE OONTRAO TORS LICENSE LAW I. D I MR EXEMPT TINDER SEC. B. L Pa FOR THIS REASON DATE OWNER LICENSED CONTRACTORS DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT 1 AM LICENSED UNDER PROVISIONS -__R N 9 MOMMENCG WITH SECTION 7000) OF OMSOIO N$ 3 OF THE BUSINESS AND PROFESS COOF. AND MY LICENSE 15 IN FULLLFFORCE AND EFFECT. LICENSE TSE SE C'e ! r L OR� �D 1 e Q - CDNTRA.CTDR� �__ WORKERS' COMPENSATION DECLARATION 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TD SFIF.INSURE FOR WORKERS' COMPENSATION, AS PROVIDED BY SECTION VW OF THE LABOR CODE, FOR THE PERFORMANCE Of THE TVORK FOR w"cH THIS PERMIT is ISSUED. _I HAVE AND WILL MANTAN WORMERS• COMPENSATION INSURANCE, AS RECUIRED BY SECTION 5700 OF THE LABOR COOS, FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PEPMIT IS ISSUED. MY VANWERS' COMPENSATION INSURANCE CARRIER AND POLICY NUMBER ARE CARRIER i-IZ�n•7�''` �^ - �- -- POUCYNUWER .)-"a elo ITHIS SECTONH!®NOT BEOOAPLETEDOFTHE PERMIT B FOR ONE HUNDRED DOLLARS (POMORLESSL 1 CERTIFY THAT N THE PERFORMANCE OF THE WORM FOR WHICH THIS PERMIT K ISSUED, I SHALL NOT EMPLOY ANY PERSON N ANY MANNER 50 AS TO BECOME SUBJECT TO THE Y.OIMERT COMPENSATION LAWS OF CALIFORNIA-ANDAGREE THAT IF I SHOULD BECOME SUBJECT TO THE WORKERS COMPENSATION PRONSKXNS OF SECTION 3700 OF THE LABOR CODE FOWITH FORTHWITH COMPLY THOSE PROVISIONS, DATE: 00 APPLICANT _ L C -J WARRING. FAILURE To SECURE WORMERS• COMPENSATOR N COVERAGE IS UNLAWA, AND SHALL BE SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOUARS (3100.000), N ADDITION TO THE COSTOF WMPINIATON. DAMAGES AS PROVIDED FOR IN N 3T I SEcno 00OFTHELABOR .,.TE,., AND ATTORNEYS FEES. CONSTRUCTION LENDING AGENCY i FOR THE ERFO UNDER PENALTY OFPERAIRYTHAT THERE BA IS ISSUED( TIONSEG. LENDING AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED (SEG. 3av7, CN. C.), I LENDER'S NAME LENDERS ADDRESS I I CERTIFY THAT I HAVE READ TMS APPLICATION AND STATE THAT THE ABOVE NFORMATHON IS CORRECT. 1 AGREE TO COMPLY LWTN ALL CRY AND COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION, AND HEREBY AUTHORIZE REPRESENTATIVES CF THIS COUNTY TO ENTER UPON THE ABOVE449710NED PROPERTY FOR INSPECTION PURPOSES. � of RNn SIGNATURE FPERMITTEE GATE PRESS FIRMLY APPLICATION%�f PERMIT P!C ,6 DATE / '� v NUMBER p ISSUE /A / TYPE OCC DATE v v CONST GROUP ZONING SETBACKS FRONT RW ❑ REAR ❑ SIDE/SIDE STREET RW ❑ SIDE ❑ PROPOSED USE Y W I OV" N b ' NO. DWEL NO. NO. UNITS STORIES BEDROOMS DESCRIPTION S0. FT. FACTOR PSF ADJ.AREANALUATION SFR/ADDIREM GaragalCarport WPatidDeck LL POOVSpa ZFie -Rod Commercial ' m Valuation �7l �- %% ADJ.AREA QUANTITY DESCRIPTION FEE U cc 8 U W w w L7 Z_ m J a J Q U Z Q 2 U W O CONSTRUCTION PLAN REVIEW ELECTRIC PLUMBING 'g MECHANICAL 1 �� INSPECTION FEE /�� c ISSUANCE MAY 1 2-n nn 1 F SMIP i I0 CITY OF DIAMOND ENERGY Pr_ BLUDING AND SAF&N ENERGY PERMIT RETENTION FEE: PRE -ALT FEE: TOTAL FEES U . a COMMENTS RECPT, NO. PAID BY VALIDATION MITE -Department Copy, YELLOW -Fisk— COpy, PINK -Assessor Copy, GOLDENHOU-•r•Re LApy, GHEtN-APpICWI 3 L:OW CITY OF DIAMOND.BAR INSPECTION RECORD' ` SET BACK 1 ! ti .... FLOOR JOIST IG FTGS/FORMS/STEEL - FHA REQMTS ELECTRIC GROUND '- UNDER FLOOR DUCT. - , ,-- GROUND PLUMBING UNDER FLOOR CONDUIT SLAB GRADE - FIREPLkCL FOUNDATION TEMP POWER - - FIREPLkCEBOND'BEAM WATER SERVICE MID HT. BOND BEAM -' T � 00 SHEATHING 8 FT.�BOND BEAlvI FRAMING/VENTILIA710N. \� ' FINAL BOND BEAM ROOF COVER PRE -GRADING - - ROUGH HEATING - BENCHING - ROUGH ELECTRIC - - ROUGH GRADING ROUGH PLUMBING - FINISH GRADING SHOWERITUB TEST - - _ POOL ELECTRIC EXT. LATH/SIDING POOL FENCING WALL INSULATION I : POOL FINAL CEILING INSULATION OFF SITE IMPS. - DRYWALL NAILING DEDICATIONS SEWER FINAL ENG. SEPTIC TANK __ __ . LANDSCAPE/IRRIG. SEEP PIT/L.L. -. - _ ` ON SITE IMPS. -GAS AIR TEST - - FINAL ZONING -FINAL CONST. FIRE DEPT. FINAL FINAL HEAT►NG HEALTH DEPT. FINAL FINAL ELECTRIC DEV. FEES PAID FINAL PLUMBING ENERGY COMMENTS - - - SEPTIC TANK SIZE SEEP PIT/U-SIZE