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HomeMy WebLinkAboutNo Permit Number (24)CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES .c 21660 E. Copley Drive Suite 190 (909) 860-3195 Fax (909) 861-3117 PRESS BUILDING PERMIT APPLICATION FIRMLY JOBSITE 20957 Jade Ct. ADDRESS APN LOT - 24 TRACT 52203/3240OPH6 OWNER Standard Pacific ADDRESS 1%69 W- Mgr Artblir Rlud''- CITY OS a illesa ZIP TEL APPLICANT TEL. CONTRACTOR -kiood Plumbing CRESSZPS�i Zip ZUTEL. 90968928 ARCH/ENG/ DESIGNER ADDRESS CITY ZIP TEL OWNER -BUILDER DECLARATION I HEREBY AFFIAM UNDER PENALTY OF PERIURY THAT [AM EXEMPT FROM THE CONTRACTORS U. CENSE LAW FOR THE FOLLOWING REASON (SEC. 7031.5 BUSINESS AND PROFESSIONS CODE: ANY CITY OR COUNTY WH$CH REOL9RESA PERMIT TOCONSTRUCT-ALTER IMPROVE. DEMOLISH, OR REPAIR ANYSTRIJC- TURE, PRIOR TO RS'SUANCE. ALSO RECUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LI- CENSE LAW (CHAPTER F (COMMENONO WITH BECTON 7000) OF DIVISION S OF THE BUSINESS AND PRO- FESSIONS CODE) OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS FOR THE ALLEGED EXEMP- TION.AHY VXXATON OF SECTION 7131.5 BY ANY APPLICANT FOR A PERMIT SUBJECTS THE APPLICANT 70 A CIVIL PENALTY OF NOT MORE THAN FIVE HUNDRED DOLLARS (115001.): " O L AS OWNER OFTHE PROPERTY, ORMY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WALL DO THE WORK, MID THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (SEC. 7044, BUSI- NESS AND PROFESSIONS CODE THE CONTRACTORS LICENSE LAW DOES NOTAPPLY TO AN OWNER OF PROPERrY WH0 BURLS OR IMPROVES THEREON. AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR W TIXJOH HIS OR HER OWN EMPLOYEES. PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR OFFERED FOR SALE IF. HOWEVER THE BULLING OR IMPFKMM 47IS SOLD WITHIN ONEYEAR OF COMPLE- TION. THE OWNER -BUILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DD NOT BUILD OR IMPROVE FOR THE PURPOSE OF SALES CIL AS OWWR OF THE PROPERTY. AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (SEC. 7044, BUSINESS AND PROFESSIONS CODE: THE CONTRACTORS I.I. CENSE LAW DOES NOTAPPLY TOAN OWNER OFA PROPERTY WHO BUILDS OR IMPROVES THEREON. AND ►MIO CONTRACTS FOR SUCH PROJECTS WITH ACONTRACTOR(S)LICENSED PURSUANT TO THE CONTRAC- TORS LICENSE LAW.). D IAM EXEMPT UNDER SEC. B. i P.C. FOR THIS REASON DATE OWNER LICENSED CONTRACTORS DECLARATION 1 HEREBY AFFIRM LPDER PENALTY OF PERJURY THAT 1 AM LICENSED UNDER PROVISIONS OF CHAPTER s (COMMENCING WITH SECTION 7000) OF DIVISION S OF THE BUSINESS AND PROFESSIONS CODE. AND MY LICENSE R N FULL FORCE AND EFFECT. LICENSE CUSS- C36 . LIC No 260324 DATE 04-02-99 CONTRACTOR Hood Plumbing; WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS. I HAVE AND WILLMAINTAN ACERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, AS PROVIDED BY SECTION 5700 OF THE LABOR CODE. FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. I HAVE AND WILL MAINTAIN WOWERS' COMPENSATION INSURANCE. AS REQUIRED BY SECTION 37000E 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 - Ca zwComQ. __. .—. .. POLICY NUMBER W 9 7 91 6 37 4 6 (Ol53EcnON NEED NOT SECWU-TEDOF7HE PETMr is FORCNE HIJN PM DQW:i(3100)OnLM 1 CERTIFY THAT N THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. I SHALL NOT EMPLOY ANY PERSON IN ANY MANNER BOAS TO BECOME SUBJECT TO THE WORKERS' COMPENSATION LAWS OF CAUFORNIA, AND AGREE THAT IF I SHOULD BECOME SUBJECT TO THE WORKERS COMPENSATION PROVISIONS OF SECTION 3700 OF THE LABOR CODE.I SHALL FORTHWITH COMPLY WITH THOSE PROVISIONS. DATE: APPLICANT: I WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL BE SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100.000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN i SECTION 37m OF THE LABOR CODE, INTEREST. AND ATTORNEYS FEES. 1 CONSTRUCTION LENDING AGENCY i I HEREBY AFFIRM UNDER PENALLTY OF PERJURY THAT THERE IS A CONSTRUCTKN LENDING AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED (SEC 7197, CIV C.). f LENDERS NAME LENDERSADDRESS I I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT. I AGREE TO COAHPLY WITH ALL CRY AND COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDINGCONSTRUCTI N, AND HEREBY AUTHORIZE REPRESENTATIVES OF 7145 COUNTY TO ENTER UPON THE ABOVE-MENTIONED PROPERTY FOR INSPECTION PURPOSES. i authorizE PERMITTEEWAMI RI agent l ..� 04-02-99 SIGNATURE OF PERMITTEE DATE APPLICATW1 02-99 PERMIT '/.ZI/� P/C DATE _ NUMBER JJ l! A ISSUETYPE OCC --r? 9-j DATE CONST. GROUP ZONING SETBACKS FRONT RW ❑ REAR ❑ SIDEISIDE STREET RW O - SIDE ❑ PROPOSED USE _Plumbing—Plan 4 NO. DWEL NO. NO. UNITS STORIES BEDROOMS DESCRIPTION SO: FT. FACTOR PSF ADJ. AREANALUATION SFR/ADD/REM GaragaCarport . WPatiO/Deck LL POOVSPa Z Re -Roof OJ Commercial - m Valuation ADJ.AREA QUANTITY DESCRIPTION FEE J Q U H- U W LU Z m a 19 Fixtures 207.60 1 Dishwasher 10.90 a 6 Gas Outlets i 13.90 _ U 1 Water Heater 10.90 W CONSTRUCTION PLAN REVIEW -- ELECTRIC PLUMBING MECHANICAL FFTY INSPECTION FEE ISSUANCE 25.00A SMIP ENERGY P/C rTTV n4 T��IHE� `•S 1� ,� ENERGY PERMIT ' r ;T 'DIN 3 r RETENTION FEE: PRE -ALT FEE: TOTAL FEES X267.60 COMMENTS RECPT N0. PAID BY VALIDATION WHITE—Department Copy, YELLOW—Finance Copy, PINK—Assessor Copy. GOLDENHOU—t=ile COPY, GREEN—APplcanrs COPY - - 1 CITY OF DIAMOND BAR INSPECTION RECORD;,'.:;' INSMOTION DATE INSPECTION �DATE INSPECTOR SETBACK ► -:.'; FLOOR JOIST FTGS/FORMS/STEEL ; .- . FHA REQMTS . - UCT ELECTRIC GROUND - _ . -'_.. _. _ '. '. ': UNDER FLOOR DUCT- GROUND PLUMBING -UNDER FLOOR CONDUIT GROUND SLAB GRADE - - - - FIREPLACE FOUNDATION I TEMP POWER -- - FIREPLACE BOND BEAM -- WATER SERVICE - - - - - - = MID HT BOND BEAM ROOF SHEATHING - 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 POOL FENCING WALL INSULATION 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 HEATING - -HEALTH DEPT. FINAL . FINAL EL RIC - DEV. FEES PAID ilAL P L U G ENERGY .. COMMENTS I ; SEPTIC TANK SIZE i SEEP PIT/U:SIZE i