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..
.... . ...
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