The URL can be used to link to this page

Home My WebLink About14948 (19)U11�11!\I! I1,Ud �� CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES 21660 E. Copley Drive Suite 190 (909) 8603193 Fax (909) 861-3117 BUILDING LICA'i'ION B APPLICA ZONING SETBACKS FRONT RW ❑ REAR ❑ SIDEISIDE STREET RW 0 SIDE ❑ joBsrrE cc 4 067 fWZ:A2 SFR/ADMEM Gem®e/Camort '� APN LOT TRACT OWNER 3 ADDR SS GJl CITY D _ ZIP TEL,. APPLICANT TE LU CONTRACTOR -C&I fJ�CI3l� ADDRESS" CRy-4r2l G f ! ZIP�� TEL. ARCF'UENG/ DESIGNER ADDRESS n CITY ZIP TEL. n OWNER -BUILDER DECLARATION F I HEREBY AFFIRM UNDER PENALTY OF PEf WRY THAT i AM EXEMPT FROM THE CONTRACTORS LI- CENSE LAW FORTHE FOLLOWING REASON(SEC. 7081.8 BUSINESS AND PROFESSIONS CODE: ANY CITY OR CENSE 'COAMTYWHI H REOUIRESA PERMRTOCONSTRUCT,ALTER IMPROVE, OEMOUWi OR REPARANYSTRUC- 7URE, PRION 70 ITS ISSUANCE, ALSO REQUIRES THE APPUCANT FOR SUCH PERMIT TO RLE A SIGNED STATEMENT THAT NE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS II CENSE LAW (CILAPTER I (COMMENCING WITH SECTIO! 7000) OF DIVISION 3 OF TIE BUSINESS AND PRO- '; FESSIONS CODE) OR THAT HE OR SHE M EXEMPT THEREFROM AND THE BASIS FOR THEALLEDED EXEMP- TIOMANY VIWATKW OF SECTION TMIA BYMNYAPPLIGANT FOR A PERMIT BIISJECTS TIEAPPLCAW TO A CN8.PENALTY OF NOTMORE THAN FIVE HUNDRED DOLLARS pe01 D LAB OWNER OFTHE PROPERTY,OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL OD lHE WORK ANDTHE STRUCTUREIS NOT INTENDED OR OFFERED FOR SALE (SEC. 7044. BUSI- TOTAL FEES a1v COMMENTS NESS AND PROFESSIONS CODE THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF PROPERTYWHOBUBDS OR IMPROVES THEREON,AND WHO DOES SUCH WORK HIMSELFCR HERSELF OR 7HRI=H NSOR HER OWN EMPLOYEES, PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR RECPT NO. PAID SY VALIDATION OFFERED FOR SALE N HOWEVER. THE BUILDING OR MPROVEMENTISSOLDWITHIN ONE YEAR OF COMPLE-TION, THE OWNERiUK.DER WILL HAVE THE SURDEN OF PROVING THAT HE ON SHE 010 NOT BUILD OR IMPROVE FOR TFE PURPOSEOF S/LLEL yJ OLASOWNEROF THE►ROPEERY,AMEXCLUSIV9.YCOMRACTINGWRHUCENSEDOCXITWTCAa TO CONSTRUCT THE PRQIECT (8EG TOaM, BUSINESS AND PROFESSIONS CODE: T1# CONTRACTORS LM ALiI CENSE LAYV DOES NOTAPPLY TC ANgM1E.1OFA PROPERTY WHO BUILDS OR IMPROVES THEREON. AND WHOOO NTRACTS FOR SUCH PROJECTS W17HAOCNTRACTOR(S)LICENSED PURSUANTTOTHE DOINTRAG 'TORS LICENSE LAW. ❑ 1 AM EXEMPT UNDER SEG B. A P.C. FOR THIS REASON DATE OWNER LICENSED CONTRACTORS DECLARATION S I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM LICENSED UNDER PROVISIONS OFCHAPTER I (OOMMENOM WITH SECTION 7000) OF DIVISION S OF THE BUSINESS AND PROFESSIONS COOS, AND ►JI�J[ MY LICENSE IS N FULL FORCE AND EFFECT. 7 �_ "7 LICENSE CLASS LIC. NO. DATE 3- Zv�f,/ CONTRACTOR WORKERS' COMPENSATION DEC ON DECLARA HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OFiH LLOWING S: I HAVE AND WILL MAINTAIN A CERTIFICATE OF CON TO SELF -INSURE FDR WORKERS' COMPENSATION. A9 PROVIDED BYSEC710N 87000E PERI~ORM E OFTHE WORK FOR WHICH THIS PERMIT IS ISSUUED. _I HAVE AND WILL MAINTAIN WORKERS' COMPENSATION INSURANCE, AS REOUIREO BY SECTION $O VIXI OF TILE LABOR CODE, FOR INE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT f� ISSUED. MY WORKERS' COMPENSATION INSURANCE CARRIER AND POLICY NUMBER M ? CARRIER _ POLICY N1MBEfl �G(L_LiL.G_19 . (M3 SECTION NEED NOT BECOMI IEDOFTE PERMIT 6 FORONE 1 1 CERTIFY THAT N THE PERFORMANCE OF THE WORK FDR WHI HIS PERM IS D• ( SHALL NOT EMPLOY ANY PERSON N ANY MANNER SO AS TO a ME SUB,IEGT O E WORKERS' COMPENSATION LAWS OF CAIFORNIh AND AOR THAT F I SHOULD BECOME SUBJECT TC THE WORKERS' OOMPEWSATION PROVISIONS SECTION 3700 OF THE LARD S 0 CODE, I SMALL FORTHWITH COMPLY WITH THOSE PROW �,F 19I. �� p DATE: � APPLICANT; WARNING: FAWRETO SECURE WORKERS'COMPENSATKMI COVERAGEI3 UNLAWFUL, AND SHALL BE =y SUBIECTAN EMPLOYER TO CRBUNALPENALTIES AND CML FINES UP TOONE HUNDRED THOUSAND .� DOLLARS (01 01`000), N ADDITION TO THE COST OF COMPENSATION, DAMAGE3 AS PROVIDED FOR IN SECTION 8708 0E THE LABOR CODE INTEREST, ANDATTORNEY'S FEE& CONSTRUCTION LENDING AGENCY I KEREBYAFFRM UNDER PENALTY OF PERJURY THAT THERE IS A CONSTRUCTION LENDING AGENCY. FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED (SEC. 3007, CIV. G). SSSG LENDERS NAME LENDERS ADDRESS i CERTIFY THAT I HAVE READ THIS APPLICATIONA D STATE THAT THE ABOVE INFORMATION IS CORRECT. I AO REE TO COMPLY WITH ALL CRY AND COUNTY ORDINANCES AND STATE LAWS RELATING TO SULOING CONSTRUCTION, AND HEREBY AUTHORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON THE ABOVE-MENTIONED PROPERTY FOR INSPECTION PURPOSES. PERMRT E �R OJ7 Cn SIONA PE EE DATE PRESS FIRMLY APPLICATION PERMIT �f �-f—�-� P/C 00r % DATE NUMBER # t ISSUE �7 1 TYPE OCC CONST. GROUP ZONING SETBACKS FRONT RW ❑ REAR ❑ SIDEISIDE STREET RW 0 SIDE ❑ PROPOSED USE 4' C rlr?1/6 . Z R ^0LePG►/7J _ Q[/ �L_ � 1ST/Mfr NO, DWEL. NO. NO. UNITS STORIES BEDROOMS DESCRIPTION SO. FT. FACTOR PSF ADJ. ARE"ALUATION SFR/ADMEM Gem®e/Camort '� Pat1DlDBCk PaoUSpe ZRB Roof GJl Commercial - LU Valuation ADJ.AREA QUANTITY DESCRIPTION FEE '; J C NSTRU TION (l,,Jpiv R Ew'-- ELE IC P MBING, MECHANICAL INSPECTION FEE ISSUANCE f + - SMIP ---'{ff��---kA ENERGY PIC ENERGY PERMIT '" RETENTION FEE: P PREJA F TOTAL FEES a1v COMMENTS RECPT NO. PAID SY VALIDATION WHITE-4)epsrtmentCopy, YELLOW—FinanceCGpy.PINK—AsseasvCopy, GOLDENROD--FileCary,GREEN-44*1dant'sCA" - CITY OF DIAMOND BAR I INSPECTION RECORD SET BACK FLOOR JOIST, ,\,, FTGS/FORMS/STEEL FHA REQMTS ELECTRIC GROUND UNDER FLOOR DUCT GROUND PLUMBING UNDER FLOOR CONDUIT SLAB GRADE FIREPLX017,17OUNDATioN TEMP POWER 136ND BEAM WATER SERVICE -FIREPLACE MID HT. BOND BEAM ROOF'SHEATHING'L 8 FT, 'BOND BEAM' FRAMINGNENTILIATION FINAL BOND BEAM ROOF COVER PRE -GRADING ROUGH HEATING BENCHING ROUGH ELECTRIC ROUGH GRADING ROUGH PLUMBING FINISH GRADING SHOWER/TUB TEST POOL ELECTRIC EXT. LATH/SIDING O POOL FENCING WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING DEDICATIONS SEWER FINAL ENG. .SEPTIC TANK LANDSCAPURRIG. 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 FINAL PLUMBING ENERGY COMMENTS t 171 t J-1 SEPtIC TANK SIZE SEEP PIT/UI SIZE