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Home My WebLink About1050 GRAND AV (23) ,;,,�� CITY OF DIAMOND BAR j I 1 i ' � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ' ��p,n ; ' 21810 Coplcy Drive,Diamond Bar,CA 91765 � PRESS � � �� (909)839-7020 Fax;(909)861-3117 Quilding Inspection Hotlinc(909)839-7027 FIRMLY � �,,,,�,.,..,�,; ''�K'''- BUII:DING PERMIT APPLICATION � �1 L APPLICATION DATE: �'� � P/C# � ¢ JOB SITE ADDRESS S• � � PERMIT# lYlv ��^� ( �� ISSUE DATE: , o APN LOT TRAGT o OWNER IYPE CONST. OCC GROUP: y ADDRESS �7 '�6"D �fq� � '^&� � ~• ZONING SEfBACKS � CITY 'J . D. ZiP��TEL �S '� �SC�—��Qp FRONT RW ❑ a APPLICANT TEI. REAR � o SIDEISIDE STREET RW ❑ a CONTRACTOR :vt S S i o SIDE � � 'S�'I O � `'04r S PROPOSED USE L��,vt.�'� }O"a9 d �4-p t'""'`�V�" c� ADDRESS , � cirr 0h1ti.�.o ZIP�II�-61 TEL. �D�-�l4}�5`}�i�_ 0 " ARCH/ENG/DESIGNER ' a z ADORESS #DWEL.UNITS #STORIES � #BEDROOMS 0 a C17�y ZIP TEL. DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION n� �WNEii-BUILDER DECIAAATION , � I hereby amrm under a ot u that I am exemo�from the Contrac[or's SWte Ucense Law(or the reasonls) SFR/ADD/REM � P�n1' D�1�Y p IMicated below by the checkmark�s),I have placed ne#to the aDDlicable item(s)[Sectlan 7031.5,Buslness and Garage/Carport w Professlons Code:My city m county ihal requires a permit to co�truct,alter,improve,demolish,or repalr,any Z structure,prior to IM fssuance,also requlres the apP�kaM for the pertnil to file a slgned statement that he or she w Patio/Deck � Is licensed pursuant to the proWsions of the Contraclor's Sfate Ucense Law(Chapter 9)Commencing with Section u p��Spa � 7000 of 0"rvision 3 of the Business and Professlons Code]or ihat he or she is exempt hom Ilcensure and the basis ior � the alleged exemption.My violation of Section 7037.5 by any applicant 1or a Dermit subjects the apDlicant to a civil perolty � N of not more than five hundretl dollars($SOD). Z Re-Roof � o (,I,as owner of the property,or my employee5 wfth wages as their sole compensatlm,wlll do U all 01 or()porllons � Gommercial � of the work,and t�e strucNre is not intendetl or ottered for sale(Sectlon 7044,Business aiM Prolessions Coda:The m � ConVactor5'State License Law tices no[apply to an owner of property who,Mrough employees'or personal ottort,builds u7l w improves the D��Y,Prmided that the improvements aro not intended or offered Por sale.If bowever,the building or � improvement is sold within one year of comple�on,ihe Ovmer-Builder will have t�e burden of proving ihat it was not 6uilt pa imprwed for Ne purpose of sale.). v (�1,es uwner at ihe propartY,am e�cdusively contracttng wllh Iicensed Cantractars tn construcl ihe praject(Section 0 7pq4,Business a�M Prolessions Code:Ttie Contractars'State License Law tloes rwt appty to an owner of property who Valuation: � O. O Adj.Afea: Z buildsorimprwestnereon,a�dwhocontractstortheprojectswtUiallcenseuConvactwpursuanttotheContracmrs'State OUANTITY DESCRIPTION FEE � Y License Law.). o O1 am exempt hom licensure under 1he Convactofs State LJcanse law tor the tollowing reason(s): � � ¢ � By my signaNre betow 1 acknowtedge tlrdt,except for my personal residence in whic�I musl have resi0ed tor at ieast me � � 1�/ � �d Z year prior fi completion of ihe improvements cmered by this permit.l camrot legalty sell a strucWre tha[I have bulft as an w . 0 � owner-buitder If il has irol been consWctetl in its enliretyby iicensed contraclors.l underslaml ihat a copy of the applitable law,Section 704A of the Business and Prolessions Code is available upon request when this apDlication i�submitted or at ��M � tl�a toltowing Web stte:httpJwww.leginfo.ca.gov/calaw.htrnl, z m DATE: SIGN: � � LICENSEO CONTRACTOfl'S DECUIHATION � U w I hereby atfirm untler penatty ot perJury that 1 am licensed under provisioru ot Chapter 9(commencing with Seclion 7006) m of Division 3 ot the Business antl Rofessions Code,a�my license is in full lorce and effect. N (� /�^� Z�j /��1 � � UCENSE CUSS: V L1C.NO.: T�J J—1'1` a o DATE:'�-/]��3 COMMCTOR: ��vC. 5 Fc.� ar�4�r� w zd WORKEH'S COMPENSATION DECIAHATION � � �HEHEBY AFFlRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DEpNWTI0N5: w ¢ I Iiave and will mainlain a Certitica�e of Gonsent ro Sen-msure tw Worker's Compensation,as provideA by CONSTRUCTION: � Seclion 3700 of Ihe Labor Code,(or Ihe peAormance ol the work for which this permit is issued. ' � PLAN REVIEW: � I have and will maintain Worker's ComDensation tnsurance,as required by Secfion 3700 of the Laba Code,for ELECTRIC: d o the peAortnance of ihe wrnk for which ihis Dertnit is issued.My Worker's Compensation Insufance Carrier antl ¢ Polic,yNumberare: PLUMBING: �"r � CARRIER MECHANICAL: w Z POLICYNUMBER INSPECTION FEE: co J �j� � (f}ISSECf10NNEEDNOTBECOMPLEfEDIFTF�PERMRISF-0RONEHl1NDREDDOLWiS�'3100)ORIESS). ISSUANCE: (D `S�`�-"�� oI certify lhat in the perlormar�ce o1 ttie wak la wttiCh ihis permit is issuetl,I 51e11 rot empby any person fn anY�nner so as to SMIP: o becortie subject to the Worker`s Canper�sation Laws o1 Calilomia.MO aqree Ihat il I shvWd become subject Oo tt�e Worker's u� Compeasa" prm ' oi Section 3700 ol Ih� bor Cale,I shaq�orUnvith camply wilh ttwse prwlsrons. ENERGY PlC: J DATE:_��APPLICANT: T� ENERGY PERMIT: lL � WARNING:Fallure ro secure WorkePs Com atlon coverage is unlavAul,and shall sub�ect an employer ro criminal RETENTION FEE: —�dQ � penariies and civil fines uD to one hundred ttrousarM dollars($100,000J,in atltlrton to tlie cost ol the comperaation, � darnages as provided far in section 3708 of the tabw code,interest,and attomey's tees. PRE-ALT FEE: 0 � - CONSTFlUCTION LENDING AGENCY BSAF: � I hereDy aKrm under penalty of perjury that there is a Conshuctbn Lending Agency fa the perlom�ance of ihe work far � which this permit is issuetl�Sec.3097,Clv.C.�. � LENDER'S NAME � LENDEfl'SAD�RESS: �7 a I certity that t have read this application and state ihat the above intortnaGon is cortect.I agree to compty wim atl city and TOTAL FEES 1 Q��Q (.�J v � counry ordinances and state laws relating N building construction,and hereby authonze representatives of Nis counry ro COMMENTS: z enter upon ihe abave-mentwned pro rty for inspecTion purposas. � � ��`G` m a PFAM NAME(PRINn . � �� 1 � � RECEIPT k PAID BY: ' VALIDATION: = T PER OATE � � WHITE—Department Copy,YELLOW—Finance Copy,PINK—,4ssessw Copy.GOLAENROD—Fle Copy,GREEN—Applicanl's Copy CITY OF DIAMOND BAR INSPECTION RECORD ' � � . • - • � � • ' SETBACK/LETTER,' - - : TRACT AND LEDGER FOOTINGS FORMS`_ � ..'*:.� SWITCH GEAR �� COMMERCIAL HOOD � SLAB�,� _ ..c_ ' .+: U6.PEtJMBING�., "'' � " ' ' " .` T-BAR �� UG.ELECTRICAL� - '�� =''� INTERCEPTER � UFER�GROUND�� ."'�'�� ''=� � HOT MOP/SHOWERPAN . . . ,,� _ , . , ., ,_. SEWER 1�1TERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECENED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DREVNS FLOOR SHEATHING ROUGH CONDUIT SHEAR�WALLS:EXTERIOR�� ;ys �_ � POOLISPA=� ' - ° �� `'� �4.-. - p ROUGH PLUMBING � - � ' - 4� SHEAR WALLS INTERIOR ✓� = �� FHAMINGNENTING - `� ��' ` �� ' " �='r � : � ROUGH ELEGTRICAL '��.� �:; � 'x `�� `"� :�r �� " �` ,.� ; � _ ,. f , , �" '• F{ ROUGH,MEGHANICAL;�,r+7"5�' '� Y� F <� i r � �� ` � "v� ROU�H.PflECHANICAL ��` , ,�. - � �� _ - - - r� i: � � � a �� ROUGH ELECTRICAL W(=-�`).0{ ) �` �-� 6AS-TEST �' ;`; �, �s - + ROUGH PLUMBING a ,;�` _ . E � __ PRE GUNITE t ' �'; ' �' ' P,OOLPRE DECK BONDING = �� s ��''�� }+:'' � � INSULATION WALL ` INSULATION CEIUNG P-lAAP' ' r - ' ' �. . - } ? - -- `: FENCE/`GATE/ALARM - t� DRYWALL f EINAL POOL - { y f `Y� LATH(PR� ' LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1�T( )2N°( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER flELEASE WALL DRAIW SEAL GAS METER RELEASE WALL FINAL '. SPECIALINSPECTION RO.FRAMINGPL.ANf�NGAPPROVAL , - - = ?-� FINAL BUILDING , . - - � �.;, ROUGH FIRE`APPROVAL '" ' � �FINAL MECHANICAL . � .` � � .�= � • FINAL.FIRE DEPARTMENT � `t` ' ,_� . �. ., ; {:' ., � fINAL ELECTRICAL _ `� �FINAL PCANNING ` = ": ; 'r �- , F� FINAL PLUMBING - ' '` FINAL"ENGINE�R{NG!PW ,: �+. ' - T.C:`of OCCUPANCY �'+ �,,r,, � • FINAL COMMUNITY?SERViCES ,�` >`: ��= CERT.of�OCCUPANCY �. �„ .°,r., FINAL HEALTH DEPT � , .� :< � �F� : ., t : , _ . . ,, ,� . ._:-. , . _ ,, 'FINAL INOUSTRIAL��WASTE��,. �.`k ,'� r r�'r� �'�, } �� °�� COMMENTS: