HomeMy WebLinkAbout1050 GRAND AV (27) .�,,,•'S'�• C1TY OF DIAMOND BAR . /f�-E" `_ � ��`'GT�
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E I I I i � DEPARTMENT OF COMMUNITY&DEVELOPMGNT SERVICES �
��Illr��;: 21810 Coplcy Drivc,Diamond l3ar,cA 9i��s PRESS
�.�� v�� 909 839-7020 Eax:
�,,,,,,,�,,,,.� ( ) (909)861-3117 Building L�spection Hotline(909)839-7027 �/ FIRMLY
�'�"°� BUILDING PERMIT APPLiCAT[ON
� J�SITEADDRESS �� G�' � �` APPLICATIONDATE: � ��7' p/Cq
� ISSUE DATE:� PERMITri —
z APN L T TRACT �— G
oOWNER P, O- TYPE CONST._� /� OCC GROUP:
� ADD S Z
J CITY� � 'Q ZIP RZG�L TEL. .�'Q ZONING SETBACKS
�
FRONT RW ❑
oAPPLICANT TEL. REAR ❑
¢ CONTRACTOR �! GjI7 Gtj/� � � /' ,S SIDE/SIDE STREEf RW ❑
SIDE ❑
o� _ADDR S � �' PROPOSED USE 01�1 -'AG� 6 � LQ
o CITY �v ZIP�idl�_TEL.7 � �� ' ���
o ARCH/ENG/DESIGNER
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o ADDRESS #DWEL.UNITS #STORIES #BEDROOMS I
z CITY ZIP TEL.
� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION
ownea-em�nea oec�annnoN
� I hereby atfirtn under penatty of perjury that I am exempt trom the CanVactor's State Llcense Law lor the reason�s) SFR/ADD/REM
� Intlicated below the checkmar s,I have laced ne�t to the a licable item s Section 7031.5,Buslness and
pw bY kl) P DD� O I GarageJCarport
o Professlons Code:My city a county ttiat requlres a permlt to Construct,alter,Improve,demolish,or reDalr,any
z struchue,pHor to its Issuance,also requires tha applicant fw the permlt to file a slgned statemen[that he or she � Patb/Deck
a Is licensed pursuant to the provlslons ot the CoMractor's Sta�e License Law(Chapter 9)Comrt�encing with SecUon w
. N 70D0 of Dlvlslon 3 of the Buslness and Prolessla�s Code]or that he or she is exempt hom Ilcensure and the basls for LL Pool/
N the alleged exemptian.My aolation oF Section 7031.5 by any applipnt fw a permit sublects the aDPlicant to a civil penalty � Re-Ro ' ,
¢
ol rot more than(rve�undretl dollars(5500). _
� U I,as owner of the properry,or my emptoyees wiN wages as thelr sole compensation,wlll do(�all ol or(,portlons � � Commercial
� ol llie work,arM the sWCLire Is not Intended w ottered 1or sale(Section 7044,Business and Professbns Code:The �
� Contractors'State License Law does not a m
Z ppty to an owner of praperty wha,through emplayees'ar personal eftort,builds
w or improves the property,provlded that the imprmements are not intended or oflered tor sale.If however,tlie building or
� improvement Is sold wlthin one year of completion,the Owner-Builder will have the burden of proving that It was rqt bullt �
pa imprmed tw the purpose of sale.).
U 1,.15oWnCfOfUlB fo
� U p perry,am exdusfvety contracting with Ifcensed ConVactors to consWcl the proJect(Section
0 7044,Business arM Protesslons Code:The Contraclas'State License Law does rwt appty to an owner ol properry wtw Valuation: Adj.Area:
Z builds m Improves thereon,end who contracts fa the projects with a licensed Contractm pursuant to the Conuactors'State pUANTITY DESCRIPTION FEE
�
Y License Law.).
o U�am exempt hom Ilcensure under the ConUactor's State lJcense law fm the loltowing reasorKs): �
� �
LL
By my signalure below I aclmowledge that,except tor my personal resldence In which I must have resided for at least one �
o year prlor to completlon oi the Imprwements covered by lliis permlt,l cannot legally sell a structure lliat I have built as an �
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� owner-builder if It has rwt been cautructed in its entirery by licensed contractors.I understantl that a copy ol the applicable
law,Section 7044 of the Business and Professlons Code is avallable upon reduest when this apD���tion Is submitted or at
X Me fW�awing Web sfte:h[tp/vnvw.leginfo.ca.gov/calaw.htrnl. � Z �
o DATE: SIGN: �
� LICENSED COMRACTOR'S DECLAAATION �
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� I hereby afflrm untler penalry of per�ury that I am licensetl under provisqns ot Chapter 9(commencing with Section 7000)
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� ot Division 3 of the Business antl Prafessions Code,and my license Is in fult torce and ettect. J
y ��ENSf�� ��.NO.: /G./� / �G� z �
o DATE: J"'� � CONTRACTOR:_ O/�/�Wd! i✓�'1?�/ CP�✓/�/�'G �
� WOHNER'S COMPENSATION DECLARATION g
� I HEAEBY AFFlRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECIARATIONS:
o I have d wlll malntain a CertKcate ot Consent to Seu-msure tar Worker's Compensation,as providetl by CONSTRUCTION: .
� n 370D ot the Lahor Catle,tor the performance ol the vrork tor which this permlt is issuetl. p�qN REVIEW:
� I have and will malrrtain Worker's ComDensatlon Insurance,as reQWred by Section 3700 of the Labor Code,for
Z the pertormance ot the vrork tm which this permit Is issued.My WakePs Compensatlon Insu2nce Carzier antl ELECTRIC:
¢ Poli�yNumherarf:�� /� j PLUMBING:
� CARRIER W �� �/�C/!e,� Si� � ,�i7 d
MECHANICAL:
� PouCY NUMBEA SF/.3 �6 GD 9�� 7 1.T�• INSPECTION FEE:
� (T}ffi SECTION NFED N0T BE COMPLEfEp IF TFIE PEf1MR 5 FOR ONE HUNDRED DOLLARS$7 OR
� � � ISSUANCE:_ i
� I cerlify that in ttie perfomiance of the work for whlCh this permlt is issucd,I sliall rrot employ any person n any manner so as lo
o beoorne subject to Ihe Waker's Compen.satlon La Calitomia d agree Ihat If I shwld hecome to the Waker's SMIP:_
� Comp�6 �' f Section 37Do ot the ,I IqNnvim'��� '�pr '' . ENERGY P/C:
LL DATE:$ �AppLl�qryT: 0 1�� ENERGY PERMIT:
� WARNING:FaiNre to secure Workers CompensaUon coverage Is unlawlul,end shall subject an employer to afminat REfENTION FEE �
w penalties and clvil fines uD to one hundred thousand dollars(51(�,000),in additian to the cost of the cromperaallon, . •
o damages as provided fm in section 3708 of the labor code,interest,and attomey's tees PRE-ALT FEE:
a CONSTRUCTION LENDING AGENCY BSAF: ��OO
� I hereDy atflrm under penalry oi perJury that there is a ConsWction Lending Agenq for the pedormance of the work lor
= which thls pertnit Is Issued( .3pg7,Civ.C.).
3 LENDEA'S NAME �
� LENDER'SADDR
d I certlfy that 1 have read thls appliptlon and state that the above intormaBon is correcL I agree to compty with all ciry antl TOTAL FEES /� `�
� county ortlinances and state Faws relating m hulldirg caGswctlon,arM hereDy authorize representatives ot f�is counry ro COMMENTS:
� enier upon the a6ove- entioned pra Ay tw Inspection pu
m L'� �B�G!!fl�N
a PER E NA INn .�`
"' � �'/
� PAID 8 VALJDATION:
� SIGNATURE OF PEAMfTTEE DATE RECEIPT k �
WHITE—Department Copy,YELLOW—Fnance Copy,PINK—Assessor Copy,GOLDENROD—Fle Copy,GREEN—Applicant's Copy
CITY OF DIAMOiVD BAR
INSPECTION RECORD
• � � . � . . � � . • -
SETBACfU CETTER ' ';i:h,„ , �' ` THACTAND LEDGER
f00TINGS`FORMS -� ' � ` ��';:Y' _.�; , ; � � '� � SWITCH GEAR
5�g,� - � �,. _� �� COMMERCIALHOOD �
UG.PLUMBING,�� ` = '= _ _ T-BAR
>�r. "f�:
UG:°ELECTRICAL�. :� s 5 ;.'"�� � � � IN�(ERCEPTER
UFER'GROUND;''' �°� l� � � `���°'=�� HOT MOP/SHOWERPAN
, ,
SEWER LATERAL � SEPTIC/CESSPOOL
MAIN WATER UNE HERS REPORT RECENED
SEWER CLEANOUT DEMOLITION
ROOF SHEATHING 5 ( ROOF DRPJNS
FLOOR SHEATHING ROUGH CONDUIT
SHEAR,WALLSEXTERIOR��.� � �POOUSPA�;� ' ' -
SHEAR WALLS�INTERIDR� ;' �r ROUGH PLUMBIN� � � ' : � ` �� ° -
FRAMINGNENTING„� _; .. �� �.` .` �'•`=;, , �' �:` "• - -` , HOUGHELECTRICAL' YY � �-+ ' !;'' � � '�, r
ti � u �
ROUGH MEGHANICAL, ;.,;,,, , ., � } '� r .ROUGWMECHANICAL '`_ " " < < � s ,.
ROUGH ELECTRICAL�W(;),C{ ) - ` _ _ S GAS TEST'=-` % `��'� F ��:� '`7 �'t'
� ' � .
� �P'._RE GUNITE ` t • �T ` �� *�> ,' �k '
ROUC�H-PLUMBING�,' �tr ' ' ` 1' ' � ' ;
,- ,� � . ;:. . �: �_ . . � .v �� . �� .. � �- � � o
INSULATION WALL POOL PRE;DECK BONDIN6 _ � ' : '�,7 � � ��f � �` -
INSULATION CEWNG � � � � x
P,-TRAP �
DRYWALL FENCE!GATE/ALARM �
LATH(PRE} ,FINAL'POOL ,f_� ;: , - ,'� „ '.��>"
LATH EXTERIOR WALLS:
LATH INTERIOR WALL FOOTING/STEEI
GAS TEST WALL STEEL 1�T( )2ND( )LIFT
SCRATCH COAT WALL BOND BEAM
ELECTRIC METER RELEASE WALL DRAIN/SEAL
GAS METER RELEASE WALL FIPIAL � ,
SPECIAL INSPECTION RO FiiAMING PLANMNGAPPROVAL ,=,' � ' '
FINAL�BU(LQtNG !� w _ ROUGH�FtRE'APPROVAL { ` ' " 1 � '
i- 7 � - '� ��4v f
FINAL"MECHANICAL '''� ' � '1 ` FINAL FIRE DEPARTMENT .� , , :1�
FINAL ELECTRICAL ''`��� , ����' - `FINAL RLANNING_- _ ' �' -� � ,��
., :' _, � .
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FINAL�PLU(VIBING,,'�� _ �r :- � ' EINAL ENGINEERING/PW � '��_
T:C:of OCCUFANCY, ��€, � fINAL COMMUNI'fYSERVICES - +��� �`-' � �a�
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� � � ` ��;' - -
; • ' - FINAL HEALTH.DEPT �, ,
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CERT.of OCCUPANCY r;,� ' - ` y-
FINALiNDUSTRIAL_WASTE`== ' ' Z
COMMENTS: