HomeMy WebLinkAbout1050 GRAND AV (26) � �6� 7�"�
�•i4��t. C1TY OF DIAMOND BAR G�/��`v' `'�
{ i I 1 i � DEPARTA'IENT OF COMMUNITY&DEVELOPMENT SERVICES
�III `� 21810 Copley Drive,Diamond Bar,ca vi��s PRESS
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(9(19)839-7020 Fax: (909)861-3117 Building Inspection Hotline.(909)839-7027 F�RMLY
� ��''�%�°"" BUILDINC PERMTTAPPLICAT[ON
� —�3 � �O i' ' , /„ APPLICATION DAT : P/C#
� JOB SITE ADDRESS NV ��� ��_pERMIT# / ,` / �� D7�
w ISSUE DATE'
z APN LOT TRA,�C,/T,,
o OWNER r /"�✓1�'/�-� TYPE CONST. OCC GROUP:
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� ADDRESS ^�. ZONING SEfBACKS
� CITY��J��►'�=�4 Z�P a L1L TEL FRONT RW �
d APPLICANT TEL. REAR
o r SIDE/SIDE STREET RW ❑
Q CONTRACTOR �� �'1 r�� � �� SIDE �
� d w�' 6cf►4 d V'`fi/ e�
o� ADQRESS �7 �y PROPOSED USE B �
� GITY S ZI � TEL !I ' SG�' V 7
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o ARCH/ENG/DESIGNER
z ADDRESS #DWEL.UNITS tt STORIES #BEDROOMS
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z CITY ZIP TEL. DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION
� OWNER-BUILDER DECLAflAT10N
� I hereby attirm under penatty of D�lury tliat I am ezempl irom the Contractor's State Uceiue Law for the reason(s) SFR/ADD/FEM
� intlicated bebw by the checkmark(s),I have laced neM to the applicable item(s)[Section 7031.5,Business and
o p Garage/Carport
'-'-' Professfons Code:Any dty or county thal requires a permlt M consiruct,aller,Improve,demolish,or reDair,any
z strucNre,prior to its issuance,also requires lhe eDD��cant fm the permil to fila a signed statement Mat he or she w Patio/Deck
� fs licensed pursuaM to the provisions ot the Contractor's State lJce�se Law(Chapter 9)Commencing with SecUon LL p�USpa
� 7000 of Division 3 of tha Business and Prolesslons CadeJ or that he a sha is ezemDt hom licensure and the basis for
N the alleged exemption.Any violafion of Section 70.31.5 by any applicant fa a permR subjecfs ihe aOPliqnt tu a civil penatty �
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of nol mwe than five hUntlretl dollars(5500).
o (�1,as awnar af the property,or my employee5 wi�h wages as their snle compensatio�,will do V all of or(�portlons Commercia
� ol t�e wark and me structure Is not intended or oflered for sale(Section 7044,Business and Professions Code:The �
� Cantractas'State Ucensa law dces nat appty to an awner ot praperly whq through emptoyees'or personal ettort,Cuilds m
w or improves ihe proper[y,Drovided that t�e imprwements are not iMended or ottered tw sale.n however,the building or
� impravement is sold within one year nt completlon,Ne Owner-6ullder wi0 have the 6urden ot provl�g U�at it was not Ouilt
pw improved Fa the purpose ot sale.l.
� (�I,as owner o1 the propertY,am exclusively contracUng with Ilcensed ConVactors to construc[the project(Section
0 7pq4,Business and Prolessions Code:The Contractors'State License Law does not appty to an owner ol property who ValuatiOn: Adj.fVeB:
Z buildsorimD��Ne��.�'�ocontractsSorlheprojeciswithalicensedContraclorpursuanttotheCortractors'State QUANTITY DESCRIPTION FEE
�
Y Ucense Law.).
o U I am exempt Irom licensure under the Contractw's State Llcense law lor tha rollowine��Ms): �
� �
`� By my signature below I acknowledge tha;eucept f�my personal residence in which I must have resided tor at least ate W
z year prior to completlon of the improvemen�covered by this permit,l cannot legalty sell a structure that 1 have bullt as an „�,
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a owner-bullder if it has rwt been constructed in iL5 entirety by licensed conVactars.I understand ttiat a copy of the apPliCahle
� law,Section 7044 of the Business and Prolesslons Code is aVailable upon request when this applicatlon is submined ar at
a ihe following Web stte:httµMnvw.leginfo.ca.govlcalaw.hhnl. z
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'-'-� DATE: SIGN: �
� LICENSEU CONTRACTOH'S DECIMATION �
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� I hereby affirm under penalry oi perJury thal I am licensed under provisions of Ghapter 9 icommencing wilh Seclion 7000)
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� of Division 3 ot ihe Business and Protessions Code,and my Gcense Is in fWl force and eflecl. �
� /j ��ySZ ,/ � �
� y �
y LICENSE CLASS: G �`�l LIC.NO.:—Z lJ�+�—
o DATE: � CONTRACTOR: � /'�r►"' tioOf`�1�A r�� c�
�d WORKfR'S COMPENS0.TION UECLARATIOH - �
� I HEREBY AFFlRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING OECIAFiAT10NS: �
� I e ano will mainhain a Certifinte of Consent to Sen-Insure lor worker's ComDensatlon,as Drovided by CONSTRUCTION:
� Gon 3700 of the Labor CoOe,tor the D�amance ol the vrork(ar which this permit is issuetl. p�qN REVIEW:
� I have and wiu maimain worker's Campensatan Insurance,as reQWretl by Section 3700 ot me Labor Code,tor ELECTRIC:
o the 08rtortnarice ot the wwk for which this permtt fs Issued.My Worker's Compensation liuurance Cartier and
¢ PoIi�yNumbe�are/:, / . /' � ` PLUMBING:
n CAPHIER WIG/� /—//G�l�/�' MECHANICAL'
� POLICYNUMBFA� ���_����ZS� INSPEGTION FEE:
� (T}flS SECf10N NEED NOT BE CAA9R.EfE�IFTHE PERMR IS FOR ONE HUNDRED DOLLARS(570�OR LESS). ISSUANCE:
oI certi(y that in the perfama�xe ot the vrork lor which ihis permit's issuetl,I shNl imt employ any person fn any manner so as to • �
become su' to the Worker's CompensaUon Laws ol Ca1il �.And agree Nat if 1 shadd 6ecorne� in ihe Worker's SMIP:
�� Com Iarys Sectim3700o11he Code, tatlw' �P j'�f�n.y�%%� ENERGY P7C:
onh__���nvPucnr+r: ��������L"'"� ENERGYPERMIT:
� WARNING:Failure to secure Workers Compensatlon cmorage fs unlawlul,and shall sub�ect an employer to criminal RETENTION FEE: �
� penallles and civil fines uD to one hundred thousand dollars(5100,000),In atltlium to the cost of the compensation,
w PRE-AlT FEE:
� damages as provitled for in sectinn 3708 0l the labor codo,interest,antl attomey's fees. !
� COHSTRIICTION LENDING qGEl1CY BSAF� + r
Z I hereby aKrm under penalty of perjury Ihal there Is a Constructbn lendirq�Agency fa the pedamance of the work for
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= which this permit is Issuetl(Sec.3097,Gv .
� LENDER'S NAME
� LENDER'S ADDRESS: ��,+7�
TOTAL FEES
a I certiry that i have read thi applicatbn and state ihat the above informatlon Is conect I agree to compty witt�all city and 1
� counry ordinances and state laws relatlng ro Iwilding construction,antl hereby authorize representatives of mis county ro COMMENTS:
z enter upon th bove-men� ed ro for in �
p P PehY sPec Purposes.
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¢ PERM E(PR �, ��
�
N � RECEIP7# PAID BY: VALIDATION: •
= S16NATUR OF PERMiTTEE DATE
�
WHITE—Department Copy,YELLOW—Fnance Copy,PINK—Assessor Copy,GOLDENROD—Fle Copy,GREEN—ApplicanYs Copy
CITY OF DIAMOND BAR -
INSPECTION RECORD �
. � � . . � . o � , . � .
SETBACK/,LETTER ' �� '- � � ��',' ` `� TRACT AND LEDGER
FObTlNGS FORMS '��;,_.� `�'' � �-�<`: ry, ,.,�� z {,,s'�'; SWITCH GEAR
� �` ` � �� COMMERCIAL HOOD
- �,.�' � , �. _.F
SLAB,;� - -
UG.PLUMBING. '' � ;`' ,� °'� , -_ - T-BAR
UG:'ELECTRICA6 ��,';`°h ._51 `. :j . :'-' INTERCEPTER
UFER GROUND " �``- � „��' - _ HOT MOP/SHOWERPAN
SEWER LATERAL SEPTIC/CESSPOOL
MAIN WATER LINE HERS REPORT RECEIVED
SEWER CLEANOUT DEMOLITION �
ROOF SHEATHING � 1 4 ROOF DRP,INS
FLOOR SHEATHING ROUGH CONDUIT
- " ` 'POOLlSPA`'`" ,:' _ '
SHEAR WALLS'fXTERIOR_- - wr 'r ,�
SHEAR WALLS 1NTERIOR? �i '' �'�. - ,RQU�H PLUMBING _ - t� �a �
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FRAMINGNENTING . ,,�°� -�� '�'L , . -'� . ' ,�� , ._ : ;_.. �. UGH ELECTRICAL"� ,�
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'• ` ' ` � ' .ROUGH�MEGHANICAL �� ; x ��_�
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ROUGH MECHANICAL. :;' � �.� �' �r -:; .� �> �`� - _ -
ROUGH ELECTRICAL W( )C(•��),� `;'` _ f 5 GAS TEST;� � � '-
� ... � - _ - .:�
ROUGH PLUMBING _ - PRE GUNIT,E, =�r ' {
"c . �'� �� �:= � � __�,�� . � --� �." ;. ,
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INSULATION WALL� ��OOL PRE`�DECK,BONDING -��_ � <T ,,i:�� � �-��, ���
INSULATION CEILING P`�P 4 � � - � "
DRYWALI FENCE/GATEI ALARM t ' ' ` � ' 1�='
LATH(PRE) FINAL'POOL� r 1.:' � . 'r �r., ,;� _ -
LATH EXTERIOR WALLS:
LATH INTERIOR WALL FOOTING/STEEL
GAS TEST WALL STEEL 1 ST( )2N0( )LIFT
SCRATCH COAT WALL BOND BEAM
ELECTRIC METER RELEASE WALLDRAIW SEAL
GAS METER RELEASE WALL FINAL
SPECIAL INSPECTION RO FRAMING PLAN�NNGIiPPRQVAL � -� ' =�'
FINA[BUILDING - '� f�'` ROUGH�FIREAPPRQVAL '-" �'^ �` ` �
FINAL�MECMANICAL :- %' E ��` � .�; , � FINAL,EIRE�DEPARTMENT -' � �� `�s `
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FINAC ELECTR,ICAL , '' f,;, , - FINAL'PLANNING�' + - :
FINALPCUMBING ' �- � - �' ' . ��� � ' - ' � ; ''
� ' �,"k � r�_�- � fINAI''ENGINEERINGI PW '
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T.C.of OCCUPANCY =� ° FINAL�COMMUNITY SERVICES ° - - <
CERT.of OGCUPANCY� . ` ' FINAL HF�4LTH DEP.T - �
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��FINAL'INDU3TRIAL-INASTE'�:�� �s ,;=- � � �� '
C�MMENTS: