HomeMy WebLinkAbout1050 GRAND AV (21) ��_ CITY OF DIAMOND BAR /
� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES (/
21810 Copley Drive,Diamond Bar,CA 91765
(909)839-7020 Faac(909)861-3117 Building Inspection Hotline(909)839-7027 PRESS
��'A^' BUII.DING PERNIIT APPLICATION FIRMLY
N JOBSITE `OJ� �KD�P�,I A�� P�2�j APPLICATION PERMIT �� p/C
o AODRESS DATE�Iu I 20 ��` NUMBER�o�—�O q
� ISSUE T T-- TYpE OCC
APN LOT TRACT DATE CONST. GROUP .
p OWNER
o ADDRESS ZONING SETBACKS
z CITY ZIP TEL. FRONT RW O
p APPLICANT S�►SRr.� ,� u N TEL. SIDFJSIDE STREEf RW p
� CONTRACTOR � 4 c� C�N'CR,o�Ctbf� 1 N C SIDE p
ADDRESS
� CITY ZIP EL PROPOSED USE
o ARCH/ENG ��p
z DESIGNER
nw, ADDRESS NO.DWEL. NO. NO.
cn UNITS STORIES
� CfTY ZIP TEL. BEDROOMS
�
� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION
Q OWNER-BUILDER DECLARATION �� SFR/ADD/REM
O
' p I HEAEBY AFFIRM UNDER PENALTY OF PERft1RV THAT 1 AM FJ(EMPT FROA1 THE CAN7MCTOR3 LL G9f8gB/CBfPO11
W CENSEUWFORTIEFOLLOWIN�REASON(SEC.70.11.68U5WE5SANDPROFESSIONSCbDE:ANYCITYOR � , (n
C-� COUNTYWHICHREWIRESAPERMITTOCONSTRUCi,ALTER,UAPROV�DEMOLISH,OqREPNRMIYSTRUG patidDack
W TURE.PRqR TO�RS ISSUANCE,ALSO REWIRES THE MPLICANT FOR SUCH PERMIT TO FllE A SIONED W
S7ATEMEM THAT HE OR SHE IS LICENSED PURSUANT 70 7HE PROVISIONS OF THE�CONTMCTOR9 l4
� CENSE UW(CHAPTER D(COMMENCWO N7TH SECT�qN 7000)OF OIVISION 3 OF THE BUSINESS AND PR6 LL' POOI/Sp8 -
�� FESSiDNS COOE)OR THAT HE OR SHE IS EXEMPT iHEREFR01.1 AND 7HE BA515 FOR 7HEALLE6ED E%EA1V- (�
710N.ANYVpLAT10NOFSECTION70.71.6BVANYAPPLICAMTFOqAPERMRSUBJECTSTHEAPPLICMITTO . Z RB-ROO� . . . . .
A CML PENALTY OF NOT MORE THAN FNE HUNDRED DOLURS(3500),r
0 04ASOWNEROFTHEFROVERTY,ORAIVEMPLOVEESWfTH1VAGESASTHFJRSOLECOMPEN3AT10N, � � CpmmBfC{81' �
Z WILL W THE WON(AND THE 3TRUCTURE IS NOT INTENDED OR OFFEAED FOR SALE(SEC.-7Ms,BU51- J - �
� NESS AND�HOFESSIONS CODE THE CONTRACTORS LICENSE UW DOES NOT A7PLV 70 AN OWNER OF ? � ' �
PROPEHTY NRiO BUIL0.9 OR IMPROVES THEREON,M1D WHO DOES SUqi WOpK HIMSELF OR HERSELF OR '
2 TMRDU6HVpSORHEROWNEMVLOVEE5,7ROVIDEDTHATSUCHIMPppyEMENTSARENOTWTENDEDOR m � .
Q OFFERmFORSN.EIF,ViOWEVERTMEBUILDINOORIM7ROVEMENTI9SO�DVATT7WpNEVEAROFCOM7LE•
Z TION,THE�OWNER-BUILDEF WILL HAVE TME BURDEN oF PROVIN6 THAT�HE OR SHE DID NO7 BUILD OR . . _
� IMPROVE FOR THE CUpP0.5E OF SALE). ' � -
W ❑4�OWNEROF7HEPROPENTV,AMD(CLUSNFIYCONTMCTPI�NTTTIIJ(�NSEDCOMiRACTOR3
� 70 CONSTRUCT THE PRQIECT(SEC.701�,BUSWESS AND PROFESSIONS CODE:THE CAMRACTORS�LJ- VelUflilOn ADJ.AREA- �
CENSE UW DOE9 NOTMPLY TO AN OWNER OFA 7ROPERTV WHO BUdDS ON WPROVE9 THEREON,AND '
� MMOCONTMCTSFORSUpiPROJECT9WITIACONTqACTOR�3jLICFJlSEDPURSUAtRTOTHECONTiUG pUANT1TY DESCRIPTION
TOq5l10EN5E UWJ. FEE �
0 ❑I AA1 E%EMPT UNDER SEC. B.8 P.G FOR THIS REASON I W k�1 �. ���
� UQ
� DATE � ONMER �F-
2 U
� LICENSED CONTRACTORS DECLARATION � �
�
1 HEREBY AFFIRN UNDER PENALTV OF PERJURV THAT I AM�LICENSED UNDER GROVISIONS OF CHAPTER
d, Y�COMMENCINO V.7TM SECTION 7000)OF DIVISION 7 OF THE BUSINESS AND PROFESSIONS COOE,MA Z � . !N ��
X MY{JCENSE IS M FULL FORCE AND EFFECT. m
� UCENSE CLASS ✓� ���`�o LIC.NO. V"1 Ul��.`�' � � (
~' DATE CANTRAC70R J N N
U
w
� WORKERS'COMPENSATION DECLARAT70N . � N � ��
� 1 HEAEBYAFFIR►1 UNDER PENALTV OF VERJURV ONE OF THE FOLLOW WG DECURATIONS: � �
N �� _IHAVE�AND.WILLMAINTAINACERTIFlCATEOFCONSENTTOSELF-INSUREFORWORKER5 � �
COMPENSATION.AS PROVfDED BV SECTION 370o OF 7HE LABOR COpE,FOR THE PERFORAIANCE �U.
OF 7HE WOR1C FOq WHICH THIS PERMIT IS ISSUED.
�
I HAVE AND WILL AWNTAIN WORKERS'�COMPENSATION INSURANCE;A9 RE�UIRED BV SECTION
Q �370o OF iHE LABOR CODE,FOR THE�VERf-0RMMICE�OF THE WOPo(FOR WHipi THIS FERMI7IS
�ssueo.hri woaxeas co►�voas�rrou it+suriwce c�wwEa uao.voiicr rnnneEaiwe �CONSTRUCTION�.
jCAAfUER �J� PLANREVIEW
� POUCV NUMBER_��1 C6�� �-E3 2--�. . . . ELECTRIC � � �j
¢ — '� � � p �p
� (Il-9ssEciloraNFIDw76EoonRErIDacnEP6iMrtsF'aaoNEMIroRE000uM5K700)OHLFSsI 'PLUMBING � . .�S. Cs� T1
W
Z 1 CERTIFV THAT IN THE PERFORMAtJCE OF THE.WORK FOR WFIICN THI$PERMIT IS ISSUEO,1 �MECHANICAL S� . ��
C} SFIALL NOT EAIPLOV AIlV PERSON W ANY MPNNER SOAS TO BECOME�SU&IECT TO THE�, � � '
� WORKEHSCOMPENSATqNLAW50FCA�IFORNIA,ANDA(iREE7}1A71FISFKKADBECAME �NSPECTIONFEE
SU&IECT TO THE WOPotERS COM7ENSATqN PROVISIONS OF SECTION�70o OF THE UBOR
�j CODE,I SIULL FOHiH1NTH COMPLY WITH TH0$E PROVISqNS. \ ISSUANCE 10 4.3\ ��
p DATE APMICANT: �Lls/�t'►S \ 1 ��1 a �SMIP
w ENERGY P/C
� WARNINO:�F U--�E M/O R)(E R S'C O M P E N S A T I O N C O V E M G E I S U N U W F U L.A N D S H A L L B E .
�y SU&IECTANEMPLOYER70CAIMINALPENAL7IESANOCMLFlNESWTOONEHUNDREDTHOUSAND �ERGYPEFaMIT
DOLLMS(SIm,DDo),IN ADDITpN TO THE COST OF COMPENSATqN,DMU6ES AS PROVIDED FOR IN
J SECTION 370E OF THE LABOR CODE.WTEREST,AND ATfORNEY3 FEES. � '� ' ' � � `M
W � � � RETEN'fION'FEE: ' �� .
O . CONSTRUCTION LENDING AGENGY � �PRE-ALT FEE:
� I HEREBY AFFlRM UNDER PENALTV OF PE0.IURY 7HAT THEHE 19 ACONSTRUCTION LENDWO MENCY
�� �FOR THE PERFORMANCE OF�THE WOPo(f-0R W/IICi17HIS PERMR IS ISSUED�SEC:3087,CIV.C.). .
Z
W
�, LENDEf75 NAME . . . .
F-- LENDER'SADDRE55 . . -
w� I CERTIFY THAT 1 HAVE READ iH13 APPLICATION AND STATE iHATTHE ABOVE PlFORMATION 19 CORRECT. TOTAL FE ES� o��30 . a�
� I A6REE TO COMPLY N7TH ALL CITY AND COUNTV ORDINANCES AND STATE UWS REI.ATWO TO BUILDINO
� CONSTfiUCTl01y AND HEREBV AUT}qRIZE qEPqESENTATNES OF 7HIS COUNiy Tp EMEq UPpN THE '
Z ABOVE-MENTIONED PROPERTY FOR INSPEC710N PURPQSES. COMMENTS �'
O �--� /
� �GlSA►J � ��L /J
m VERMITTEE NMIE(VRINT) � .
Q
�
� TUREOF EE � RECPT.NO. ,IG`I $ PAIDBY _ `��� VALIDATFON �Y�
� WHITE—Departrnent Copy,YELLOW—FNence Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—App1(cant's Copy
CITY QF DIAIViOND BAR
INSPEC7'iOiV REC4FiD
� �_o . y. s._ � ,�r , �. � «: ��..
o� :��� � ,r����� p-. ,� o ��� ..p � . �,�_ �.
�
SET BACK FLOOR JOIST
FTGS/FORMS/STEEi. FHA REQMTS ' �
ELECTRIC GROUND UNDER FLOOR DUCT
GROUND PLUMBlNG UNDER FLOOR CONDUlT
SLAB GRADE FIREPLACE FOUNDAT�ON
TEMP POWER FIREPl,4CE BOND BEAM
WATER SERVICE MID HT.BOND BEAM
ROOF SHEATHIfVG 8 Ff.60ND BEAM
FRAMING/VENTILATION FINAL BOND BEAM
ROOF COVER • PRE-GRAQING
ROUGH HEATING . � BENCHING
ROUGH ELECTRIC ROUGH GRADING
ROUGH PLUMBING FINISH GRADING
SHOWER/TUBTEST POOL EZECTRlC
EXT.LATH/SIDING POOL FENCING
WALL INSULATIOId POOL FINAL
CEILINr,INSULATION OFF SITE IMPS.
DRYWALI NAILING DEDICATIONS
SEWER FINAL ENG.
5EPTICTANK �LANDSCAPE/IRRIG.
SEEP PIT/L.L. !ON SITE IMPS.
GAS AIR TEST � " FINAL ZONING
FINAL CONST. ;v FIRE DEPT.FIfdAL
FtNAL HEATING ` � HEALTH DEPT.FINAL
FINAL ELECTRIC � '� y,. ; DEV.FEES PAID
F1NAl PLUMBING `� ENERGY
FINAL PLANING
FINAL ENGINEERING' � i • o e —` �
COMMENTS � V� ��._ �
SEPTIC TANK SIZE
SEEP PIT/U SIZE
as� �i
�i
�