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