HomeMy WebLinkAboutNo Permit Number (20)CITY OF DIAMOND BAIL
DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES
21660 E. Copley Drive Suite 190
(909)860-3195 Fax(909)861-3117
BUILDING PERMIT APPLICATION
JOBSI
ADDR€ 1578 SAPPHIRE LANE
ADDRESS
APN LOT - 28 TRACT 32400 ph.6
OWNER STANDARD PACIFIC
ADDRESS HIIR RI,
CITYCOS��i 9Z5D3 TEL. I' 6.68-43DO
APPLICANT TEL.
CONTRACTOR HOD PLUMBING,
ADDRCITY EI RH ZIP 5U3TEL9II9 6$9-24088
ARCHIENG/
DESIGNER
ADDRESS
CITY ZIP TEL.
OWNER -BUILDER DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM EXEMPT FROM THE CONTRACTORS LI-
CENSE LAW FORTHE FOLLOWING REASON (SEC. 7031.5 BUSINESS AND PROFESSIONS CODE: ANY CITYOR
COUNTYWHOCH REQUIRESAPERMITTO CONSTRUCT, ALTER, IMPROVE, DEMOLISH, ORREPAIRMNYSTRUC-
TURE, PRIOR TO ITS ISSUANCE, ALSO REQUIRES 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 I (COMMENCING WITH SECTION 7000) OF DIVISION SOF THE BUSINESS AND PRO-
FESSIDNS CODE) OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS FOR THE ALLEGED EXEMP-
TION. ANY VIOLATION OF SECTION 7031.6 BY ANY APPLICANT FORA PERMIT SUBJECTS THE APPLICANT TO
$I CIVIL PENALTY OF NOT MORE THAN FIVE HUNDRED DOLLARS (5600).). .
O L ASOWNERCFTHE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION,
WILL DO THE NOW 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 INTENDED OR
E IF, FOR SAL, HOWEVERT HE BUILgNG OR IMPROVEMENT IS SOLD WITHIN ONE YEAR OF COMPLE-
TION, THE OWNER -BUILDER WILL HAVE THE BURDEN OF PRWNG THAT HE OR SHE DID NOT BUILD OR
IMPROVE FOR THE PURPOSE OF SALE).
O L ASOWNEROFTHE PROPERTY. AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS
TO CONSTRUCT THE PROJECT (SEC. 70M. BUSINESS AND PROFESSIONS CODE: THE CONTRACTORS LI-
CENSE LAW DOES NOT APPLY TO AN OWNER OF A PROPERTY WHO BUILDS OR IMPROVES THEREON, AND
WHO CONTRACTS FOR SUCH PROJECTS WITHACONTRACTOR(S) LICENSED PURSUANT TO THE OONTRAC-
POItB LICENSE
LAW.).
O I AIA EXEMPT UNDER SEC. B. M P.C. FOR THIS REASON
DATE OWNER
LICENSED CONTRACTORS DECLARATION
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER
0 (COMMENCING WRH SECTION 7000) OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS CODE, AND
MY LICENSE IS IN FULL FORCE AND EFFECT.
LICENSECLASS C36 LIC.No.CA260324
DATE 3-12-99 CONTRACTOR I
WORKERS' COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS:
I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS'
COMPENSATION, AS PROVIDED BY SECTION 3700 OF THE LABOR CODE, FOR THE PERFORMANCE
OF THE WORK FOR WHICH THIS PERMIT IS ISSUED.
-I HAVE AND WILL MAINTAIN WORKERS' OOMPENSATION INSURANCE, AS REOUIRED BY SECTION
.700 OF THE LABOR CODE, FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT 15
ISSUED. MY WORKERS' COMPENSATION INSURANCE CARRIER AND POLICY NUMBER ARE:
CARRIER CAL—COMP
POLICYNmBER W97916374
(THIS SECTION NEED NOT BE COMPLETED OF THE PERMIT IS FOR ONEH.kONEDUMUIRS 111100) OR LEW).
I CERTIFY THAT LATHE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, 1
SHALL NOT EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBJECT TO THE
WORKERS' COMPENSATION LAWS OF CALIFORNIA, AND AGREE THAT IF I SHOULD BECOME
SUBJECT TO THE WORKERS' COMPENSATION PROVISIONS OF SECTION 5700 OF THE LABOR
OWE, 1 SHALL FORTHWITH COMPLY WITH THOSE PROVISIONS.
DATE: APPLICANT
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 (S 100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT THERE IS A CONSTRUCTION LENDING AGENCY
FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED (SEC. 5037, COV, C.).
LENDERS NAME
LENDERS ADDRESS
1 CERTIFY THAT I HAVE IS TIOVAND STATE THAT THE ABOVE INFORMATION 15 CORRECT.
AGRE':70 CCIMPLY L CRY D C ION ORDI CES AND STATE LAWS RELATING TO BUILDING
CONSTFIIJCTION, AND RESP 11 REPRESE VES OF THIS COUNTY TO ENTER UPON THE
ABOVE-MENTIONED ERTY R SPECT ES.
RI T
PERMTTTE AME iP )
BIO F E
191
PRESS
FIRMLY
APPLICATION PERMIT O q P/C
DATE 3-12-99 NUMBER #
ISSUE TYPE OCC
2
DATE CONST. GROUP
ZONING SETBACKS
FRONT RW p
REAR p
SIDE/SIDE STREET RW O
SIDE p
PROPOSED USE PLTTMTYTNC—PLAN #3
NO. DWEL. NO. NO.
UNITS STORIES BEDROOMS
DESCRIPTION SO. FT. FACTOR PSF ADJ. AREA/VALUATION
SFRNIDD/REM
y
Garage/Carport
UWJ
Pat)o0eck
LL
Poouspa
0
Z
Re -Roof
0
Commercial
5
m
Valuatlon ADJ.AREA
OUANT)TY DESCRIPTION FEE
J
Q
U
S
F-
WU
J
W
z
T 218.00
GO
I DISHWASHER 10.90
a
GAS OUTLETS 13.70
R 10.90
a
U
Z
a
(2
W
CONSTRUCTION
PLAN REVIEW
ELECTRIC
PLUMBING 253.50
MECHANICAL
INSPECTION FEE
ISSUANCE 9.500
SMTP
ENERGY P/C AQ9
ENERGYPERMIT AA
RETENTION FEE: A,o l%vI.�,
v
PRE-ALT FEE: �� _ <CN S-
8
TOTAL FEES $278.50
COMMENTS
Al
RECPT. NO. PAID BY VALIDATION
WHITE—Department Copy, YELLOW --Finance Copy, PINK—Assessor Copy, GOLDENROD --File GDW,, GREEN—Applicant's Copy
CITY OF DIAMOND BAR
INSPECTION RECORD
SET BACK
FLOOR JOIST
FTGS/FORMS/STEEL
_
FHA REQMTS
ELECTRIC_G_R_O_UND
UNDER FLOOR DUCT
GROUND PLUMBING
FLOOR CONDUIT
SLAB GRADE
_UNDER
FIREPLACE FOUNDATION
_
TEMP POWER
FIREPLACE BOND BEAM
WATER SERVICE
MID HT. BOND BEAM
ROOF SHEATHING
8 FT. BOND'BEAM
FRAMINGNENTILIATION
FINAL BOND BEAM �`
T
ROOF COVER
PRE -GRADING
ROUGH HEATING
BENCHING
ROUGH ELECTRIC
ROUGH GRADING
ROUGH PLUMBING
Z •f1 •`j
FINISH GRADING
SHOWER/TUB TEST
,III
POOL ELECTRIC
EXT. LATH/SIDING
-__i
j POOL FENCING
WALL INSULATION
j
POOL FINAL
CEILING INSULATION
i ;
I OFF SITE IMPS.
DRYWALL NAILING
DEDICATIONS
SEWER
;
FINAL ENG.
SEPTIC TANK
I
_
I LANDSCAPEIIRRIG.
SEEP PITIL.L._
ON SITE IMPS.
GAS AIR TEST
FINAL. ZONING
-
FINAL CONST.
FIRE DEPT. FINAL
FINAL HEATING
':
HEALTH DEPT. FINAL I I�
FINAL ELECTRIC
I
j DEV. FEES PAID )
FINAL PLUMBING
1 i •3 `t jam%
ENERGY
COMMENTS
SEPTIC TANK SIZE
SEEP PIT/U SIZE