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Home My WebLink About13267 (17)CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES c 21660 E. Copley Drive Suite 190 PRESS (909) 960-3195 Fax (91)9) 961-3117 BUILDING PERMIT APPLICATION FIRMLY JOBSITE ADDRESS �! _ APN LOT _. TRar.T OWNER r ADDRES: Standard Pacific Of O.l'. _ CITY _ 1565 W. Mac .Arthur Blvd. _ APPLICAI Costa Mesa, Ca. 9262(, (714) 546-11bI CONTRAC _ ADDRESS Aliso Air. Inc.. CITY 29736 Ave. de las Banderas _ ARCWEN( Rncho. Snta. Marg- 92688 (949) 589-2021 '- DESIGNEF _ ADDRESS CITY ZIP TEL, OWNER -BUILDER DECLARATION 1 HEREBY AFFIRM TINDER PENALTY OF PERJURY THAT I AM EXEMPT FROM THE CONTRACTORS U - CENSE LAW FOATHE FOLLOWING REASON (SEG 7031.6 BUSINESSAND PROFESSIONS CODE.- ANY CITY OR COUNTY WHICH REOUPTESA PERAIrTTO CONSTRUCT, ALTER, IMPROVE, DEMOUSK OR REPAIR ANY STRUC- TORE, PRIOR TO ITS ISSUANCE, ALSO REQUIRES THE APPLICANT FOR SIKH PERMIT TO FILE A SIGNED STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS U - CENSE LAW (CHAPTER 6 (COMMENCING WITH SECTION 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. ANY VIOLATION OF SECTION 7081.5 BY ANY APPLICANT FOR A PERMIT SUBJECTS THE APPLICANT TO A CML PENALTY OF NOT MORE THAN FINE HUNDRED DOLLARS O L AS OWNEROFTHE PROPERTY. OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (SEC. 7044. SUSI- 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 WORKHIMSELF OR HERSELF OR THROUGH HIS OR HER OWN EMPLOYEES, PROVIDED THAT SUCH NPROVEMENTSARE NOT INTENDED OY OFFERED FORSALE IF, NOWEVERTHE BUILDING OR NPROVEMENTIS SOLD WRMN ONE YEAROF COMPLE- TION, THE CWNERNlUBDER WILL HAVE THE BURDEN OF MOVING THAT HE OR SHE DID NOT BUILD OR MPROVE FOR THE PURPOSE OF SALE} O L AS OWNER OF THE PROPERTY. AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (SEC. 704, BUSINESS AND PROFESSK)NS CODE: THE CONTRACTORS U - CENSE LAW DOES NOT APPLY TO AN OWNER OF A PROPERTY WHO BUILDS OR IMPROVES THEREON. AND VA4000NTRACTS FOR SUCH PROJECTS WITHACONTMCTOR(S) LICENSED PURSUANT TO THE OONTRAG TORS LICENSE LAW.). O I AM EXEMPT UNDER SEG B. A 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 "COMMFNCSNG WI ECT10N 000 DMSON30F THE BUSINESSAND PROFESSIONS CODE.AND TAY LICENSE M N OR 'r- IJGETI3 3 . NO. _ DATE � �NTMd1b WORKER 'COMPENSATION pECLARATION 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATION 5: I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION. AS PROVIDED BY SECTION STOO OF THE LABOR CODE, FOR THE PERFORMANCE OFTHE WORK FOR WHICH THIS PERMIT IS ISSUED. I VEAND LLWIINTAN NORKERS'COMPENSATION INSURANCE. AS REWIR BY SECTIO 3700 OF TH ACO E. FOR THE PER FO ANCE OF TH YVO(I POR WHICH HIS PE IT I ISSUED. MY RK RS' P IiSAT IY I S R,! CE R RVAj`u IC A al CARRIER_ POLICY NUMBER "SECTION NEEDNOTGEODNP ET®OFM4EPOW18FORCNEHUNDREDOnLARS(SIOD)ORLESS, i 1 CERTIFY THAT IN THE PERFORMANCE OFTHF WORK FOR WHICH THIS PERMIT ISS ISSUED. 1 I SHALL NOT EMPLOY ANY PERSON N ANY MANNER SO AS TO BECOME SUBJECT TO THE j WORILE 5' COMPENSATION LAWS OFC AND AGREE THAT IF I S*THOMUD - SUBJE TO TN WORKERS' P VISION OF 37 OF E, a . PLY WI 1 DATE! A . fWARNING: URE TO CURE WO00=RS VERAGE IS UNLAYY SUBJECT AN EMPLOYER TO CAIMNAL PENALTIES/JN C FINES UP TO ONE HUNDOLIARS(SIM000). IN ADDITION TOTHE COST OF COMPENSATION, DAMAGES AS BECTON 8706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I CONSTRUCTION LENDING AGENCY (HEREBY AFFIRM UNDER PENALTY OF THERE ISACONSTRUCTKXN LENDING AGENCY 7-11�ISTT FOR THE PERFORMANCE OF THE RIPERMIT IB ISSUED (SEC. 30W, CV. C.). 3 LENDER'S NAME LENDERSADDRESS 1 CERTIFY THAT I HAVE REAP THIS APPLICATION AND $TATE T E ABOVE NFORMATION IS CORRECT. I AGREE TO COMPLY WI L AND COUNTY ORCNAN SND STATE LAWS RELATING TO BUILDING - CONSTRUCTION, AND NE EBY I.[PRETATIV SOF STATTD ENTER UPON ABOVE • NTIONEDP E PORINSPOSE jI FEE 3 PE 2 O SONATUR E DAT V APPLICATION PERMIT n P/C I DATE ISSUE�l NUMBER A __ TYPE tl OCC _ ��(� DATE "T�1 CONST. GROUP ZONING SETBACKS FRONT RW ❑ REAR ❑ SIDE/SIDE STREET RW E7 SIDE ❑ PROPOSED USE NO. DWEL. NO. NO. UNITS STORIES BEDROOMS DESCRIPTION SO. FT. FACTOR PSF ADJ. AREA/VALUATION SFRIADDIREM U. GaragwCarpoT W Patio/Deck LL POOVSPR Re -Root 0 Commercial - m Valuation ADJ.AREA OUANTITY DESCRIPTION FEE J V W�W UJ W Z a V LUa CONSTRUCTION LAN REVIEW ECTRIC PLUMBING " �{ MECHANICAL INSPECTION FEE \, ISSUANCE SMTPWIN —4�p�40 -J • e ENERGY P/C ENERGY PERMIT" ~ RETENTION FEE: PRE -ALT FEE: TOTAL FEES COMMENTS RECPT NO. PAID BY VALIDATION WHITE—Department Copy. YELLOW—Finanoe CaPY, PINK --Assessor Copy, GOLDENROD—File Copy, GREEN—Appi"nTs Copy CITY OF DIAMOND BAR INSPECTION RECORD I.. 1NSP � N QATE.. INSPEiTOR' :[NSPEbT( N " bDATE ; n INSP,Fcrc�R SETBACK '•? ' ( FLOOR JOIST FTGS/FORMS/STEEL t , ?._ i _ FHA REON( T$ ELECTRIC GROUND UNDER FLOOR DUCT GROUND PLUMBING UNDER FLOOR CONDUIT SLAB GRADE FIREPLACE FOUNDATION TEMP POWER FIREPLACE BOND BEAM WATER SERVICE_ MID HT. BOND BEAM ROOF SHEATHING 8 IT BOND BEAM FRAMING/VENTILIATION FINAL BOND BEAM ROOF COVER PRE -GRADING ROUGH HEATING . q ", K BENCHING ROUGH ELECTRIC ROUGH GRADING ROUGH PLUMBING FINISH GRADING SHOWER/TUB TEST POOL ELECTRIC EXT. LATH/SIDING POOL FENCING E WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING I DEDICATIONS SEWER FINAL ENG. SEPTIC TANK _ LANDSCAPE/IRRIG. SEEP PIT/L.L. ! ON SITE IMPS. GAS AIR TEST~� FINAL ZONING FINAL CONST, j i FIRE DEPT. FINAL FINAL HEATING i 8 ` ja• j HEALTH DEPT, FINAL FINAL ELECTRIC I DEV. FEES PAID FINAL PLUMBING ; ENERGY , SEPTIC TANK SIZE SEEP PIT/U SIZE