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HomeMy WebLinkAbout12467 (20)1� CITY OF DIAMOND BAR DEPARTMENT OPCOMMUNITY & DEVELOPMENT SERVICES r 21660 E. Copley Drive Suite 190 (909) 860-3195 Fax (9D9) 861-3117 `ry BUILDING PERMIT APPLICATION JOBSITE ADDRESS 1501 DIAMOND COURT APN LOT .7 TRACT 32400 OWNER STANDARD PACIFIC ADDRESS 1565 W. MAC ARTHUR BLVD CITY COSTA MESA ZIP 9262 TEL714-668-430 APPLICANT TEL CONTRACTOR HOOD PLUMBING ADDRESS b2Q3 CRESTENUE CIrY RIVERSIDE ZIP 92503 TEL909-689-248 ARCWENG/ DESIGNER ADDRESS CITY ZIP TEL OWNER -BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT 1 AM EXEMPT FROM THE CONTRACTORS LI- CENSE LAW FOR THE FOLLOWING REASON (SEC. 7031.6 SUSINESSAND PROFESSIONSCODE: ANY CITYOR COUNTY WHICH REQUIRESA PER ITT TO CONSTRUCT,ALTER IMPROVE. DEMOLISH,ORREPAIRANNYSTRUC- TURE, PRIOR TO ITS ISSUANCE, ALSO REQUIRES THE APPUCAW FOR SUCH PERMIT TO FILE A SIGNED STATEMENT THAT HE OR SHE tS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS U - CENSE UW (CHAPTER 9 (COMMENCING WITH SECTION 7000) OF DIVISION 3 OF THE BUSINESS AND PRO- FESSIONSCODE) OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS Fort THE ALLEGED EXEMP- TION. ANY VIOLATION OF SECTION 7031.6 BYANY APPLICANT FOR A PERMIT SUBJECTS THE APPLICANT TO A CML PENALTY OF NOT MORE THAN FIVE HUNDRED DOLLARS [SSW).): O L AS OWNEROF THE PROPERTY. OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WOFK AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (SEC. 7044, BUSI. NESS AND PROFESSIONS CODE THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF PROPERTY WHO BUILDS OR IMPROVES THEREON. AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR THROUGH HIS OR HER OWN EMPLOYEES, PROVIDED THAT SUCH IMPROVEMENTS ARE NOT MENDED On OFFERED FDA ME. F, HOWEVERTHE BUILDING OR IMPROVEMENT IS SOLD WITHIN ONE YCAR OFDOM PLE- TON. THE OWNER-0UILDER VALL HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD OR IMPROVE FOR THE PURPOSE OF SALE). D L AS OWNER OF THE PROPERTY,AM EXCLUSNELYCONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (SEC. 7044. BUSINESS AND PROFESSIONS CODE THE CONTRACTORS U - DENSE UW DOES NOTAPPLY TO AN OWNER OF A PROPERTY WHIG BUILDS OR IMPROVES THEREON. AND MAO CONTRACTS FOTO SUCH PROJECTS WITH A CONTRACTOR(S) LICENSED PURSUANT TOTHE CONT RAC - TORS LICENSE LAW.), O IAM EXEMPT UNDER SEG B. A P.C. FOR THIS REASON DATE OWNER LICENSED CONTRACTORS DECLARATION 1 HEREBY AFFIRM UNDER PENALTY Of PERJURY THAT 1 AM LICENSED UNDER PROVISIONS OF CHAPTER 9 (COMMENCING WITH SECTION 7000) OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS CODE,AND W LICENSE tS N FULL FORCE AND EFFECT. LICENSE CLASS C36 uc.ND. 260324 DATE 10/12/98 coNTRAcron HOOD PT.TD113TNG WORKERS' COMPENSATION DECLARATION 17.,3 -moi I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARAT05AL ) .r _I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' v COMPENSATION, AS PROVIDED BY SECTION 3700 OF THE LABOR CODE, FO) THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. _I HAVE AND WILL MAINTAIN WORKERS COMPENSATION INSURANCE, AS REOARED BY SECTION 3700 OF THE LABOR CODE. FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. MY WORKERS COMPENSATION INSURANCE CARRIER AND POLICY NUMBER ARE: CARRIER CAL -COMP - - - POLICYNUMSER (MS SECTION NEED NOTBE COMPLETED OFTHEPEI7MT B MR ONE HUNDRED DOLLARS (51001OiLESS). 1 CERTIFY THAT N THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I SHALL NOT EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBJECT TO THE YORKERS' COMPENSATION LAWS OF CALIFORNIA AND AGREE THAT IF I SHOULD BECOME SUBJECT TO THE WORKERS COMPENSATION PROVISIONS OF SECTION 3700 OF THE LABOR COOE.1 SHALL FORTHWITH COMPLY WITH THOSE PROMSKNS. DATE: APPLICANT: WARNING, FAILURE TO SECURE WORKERS' COMPENSATION DOVE RAGE IS UNLAWFUL. AND SMALL BE SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (6 M 100,000), IN ADDITION TO THE COST OF COPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 370a OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. CONSTRUCTION LENDING AGENCY 1 HEREBYAFFIRM UNDER PENALTY OF PERJURY THAT THERE IS A CONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHIG/ THIS PERMIT IS ISSUED (SEC. 3DF7. CIV. C.). LENDERS NAME LENDER'SADORESS I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT. I ACRES TO COMPLY WITH ALL CRY AND COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION. AND HEREBY AUTHORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON THE ABOVEAMENTIONED PROPERTY FOR INSPECTION PURPOSES. E. K. EASnTANA GF.NF.RAT: RTTPE.RTNTENDANT SIG EO E MI ff DATE WHITE—Department Copy. YELLOW—Finance b6py, PINK—Assessor Copy, GOLDENROD—File Copy, GR nt's Copy i - PRESS FIRMLY APPLICATIO PERMIT Z P/C DATE 0/12/98 NUMBE p ISSUE TYPE OCC DATE CONST. GROUP ZONING SETBACKS FRONT RW ❑ REAR ❑ SIDEISIDE STREET RW ❑ SIDE ❑ PROPOSEDUSE PLUMBING — PLAN -1 NO. DWEL. NO. NO. UNITS STORIES BEDROOMS DESCRIPTION SO. FT. FACTOR PSF ADJ. AREANALUATION SFRIADDMEM Garage/Carport ' 1 Patio/Dock LL PooVSpa 0 Z Re -Roof Commercial m Valuation ADJ.AREA QUANTITY DESCRIPTION FEE J Q U Or U w JH— w Z 19 FIXTURES 154. d Ei 1 DISHWASHER 8. 5 6 GAS OUTLETS 1 .30 '' 0 1 14ATER BEATER 06 • 15 10 Q U 2 Q U W CONSTRUCTION PLAN REVIEW ELECTRIC PLUMBING 1 • 45 Z�2-M �w 0 MECHANICAL INSPECTION FEE ISSUANCE -' Q SHIP j' JL ENERGY PIC ENERGY PERMIT OCT 1 f]O RETENTION FEE: I • w�TJU PRE -ALT FEE: D7�JLjSAFM Z�I�VF Dif l'l1Ylp!'1D BAR TOTAL FEES $1�5 COMMENTS RECPT NO, PND BY VALIDATION 10 50 70 ve CITY OF DIAMOND BAR; -INSPECTION RECORD: SET BACK FLOOR R JOIST FTGSIFORMSISTLEL FHA REQMTS ELECTRIC GROUND UNDER FLOOR DUCT U GROUND PLUMBING -UNDER FLOOR CONDUIT SLAB GRADE FIREPLACE FOUNDATION - TEMP POWER FIREPLACE BOND BEAM - WATER SERVICE -7 MID HT. -BOND BEAM ROOF SHEATHING - 6 Fr..BOND BEAM FRAMINGIVENTILIATION 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 POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING DEDICATIONS' .SEWER.. FINAL ENG. SEPTICTANKLANDS CAPE/I RRI G. SEEP PIT/L.L. ON SITE IMPS. .GAS AIR TEST FINAL ZONING FINAL CONST.: FIRE DEPT. FINAL FINAL -HEATING HEALTH DEPT. FINAL FINAL ELECTRIC DEV. FEES PAID kFJNAL PLUMBING p ENERGY .COMMENTS SEPTIC TANK SIZE '�,.;dl SEEP PITlU SI I'll 90 YTID Im.. .... . ... rJ