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HomeMy WebLinkAbout1050 GRAND AV (27) .�,,,•'S'�• C1TY OF DIAMOND BAR . /f�-E" `_ � ��`'GT� ,- �n.._ 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 w 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 � w � 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 � a � I hereby afflrm untler penalry of per�ury that I am licensetl under provisqns ot Chapter 9(commencing with Section 7000) w � 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_- _ ' �' -� � ,�� ., :' _, � . ��, FINAL�PLU(VIBING,,'�� _ �r :- � ' EINAL ENGINEERING/PW � '��_ T:C:of OCCUFANCY, ��€, � fINAL COMMUNI'fYSERVICES - +��� �`-' � �a� ,, ;. , :� � � � � ` ��;' - - ; • ' - FINAL HEALTH.DEPT �, , �; CERT.of OCCUPANCY r;,� ' - ` y- FINALiNDUSTRIAL_WASTE`== ' ' Z COMMENTS: