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Home My WebLink About1050 GRAND AV (29) �,i-i4.'�-�:�._ C11'Y OF DIAMOND QAR �,/� ; I I DEPARTIIENT OF COAIMUNITY&DEVELOPM�NT SERVICESGiv�� '" � ��jlll��;�;- '� 21810 Copley Drive,Diumond Bar,ca vi�fis PRESS ,,,�� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 \�4'DB' ' BUILDING PERMIT APPLICATION � FIRMLY ~ ��-�3a los� G��al �4✓e .n � d. � APPLICATION DAT : I P/Cp w JOB S�TE ADDRESS �Ol H1 b V► af ��—,�, . zo APN LOT TRACT ISSUE DATE: PERMIT# �� o OWNER iS Q�f TYPE CONST. '� OCC GROUP: y ADDRESS � �Z 'A� ' N CITY� L� ZIP�J.IstZ TEL. a- ZONING F ONTCKS RW � � APPLICANT TEL. REAR ❑ � SIDE/SIDE STREET RW ❑ a CONTRACTO� D �'►�'� b��h� ��I' �c-,�S SIDE ❑ oro ADDRESS G �� /�/�, ` ,�/ oc CITYC�4' ZIP'6Z7vS TEL. • J�0 7 'D L PROPOSED USE Gv � G►'V V1 0 o ARCH/ENG/DESIGNER w o ADDRESS #i DWEL.UNITS ii STORIES k BEDROOMS z CITY ZIP TEL. � DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION ow►ren-euau�oec�ananoN ¢ 1 hereby amrm u�er D�alty of perryry that I am exempt imm ihe Contracla's State License Law for the reason(s) SFR/ADD/REM � intlicated betow the checkmark s I have Iaced next to the a I�cable item s Section 7031 S,Business end w � (�' P �p (�� Garage/Carport � Protessions Code:My city ar county that requires a permit to ca�Wct,alter,Improve,demolish,or repalr,any w strueture,prior to its issuane&also requlres the applicant tor ihe permft to file a slgned statement that he or she c/) Patio/Deck a Is IFcensed pursuant to the proWslons o(the Contractors State llce�e Law(Chapter 9)Comme�ing with Section w � 7W0 0l 0ivisfon 3 of the Business and Professlons Code]or that he or she is exempt hom Iicensure and the basis for uw- FooVS a N the alleged exemption.My violation of Section 7031.5 by any applicant fa a permit sub�ects the aDDlicant to a civif penatty C7 l' � of not more ihan frve huntlretl dollars(5500). R� dC/ � o (,I,as owner of ihe property,or my employees wit�wages as thelr sole compensatlon,will tlo(�all of or U portlons � Commercial � of the xrorlc,and the strucWre Is not intended w ottered fo�sale(Seclion 7044,Business and Protessions Code:The m Z Contractors'State License Law does not appty to an owner of property who,thmugh employees'or personal eftort,builds w w improves the Droperty,provided that the Imprmemen4 are not intended or oflered lor sale.tt however,ihe building a � improvement is sold within one year ot completlon,the Owner-Builder will have the burden ol proving that it was not buitt por improved for tt�a purpose of sale.). � � I,as owner of the 0 U propertY,am exdusively contracGng wlih Iicensed Cantractors to conshuct the proJect(Section ValuatiOn: Ad fV@d: 7044,Business and Rofessions Code:The CoMractors'Sbte License Law does not appry ro an owner ot property who b z builds a improves thereon,and who contracts for the pro�ects witb a licensed Conhecta pursuant to the ConVacrors'Stale QUANTITY DESCRIPTION FEE cn Y UCCf158 L.BW.). o U�am exempt hom Ifcensure under the Contractor's State License law for the lollowing reason(s): � � a `i By my signature below I aclmowled e that,except lor m �i Z A y personal residence in which I must have resided for at least o�e o year prior to complatlon of Ne imprwements covered by ihis pertnit,l canrwt lepally sel�a strucWre i�a[I have buift as an W Q owner-builder il it has rwt been conSWcted in ILs entirety by licensed contraclors.l undershand that a wpy of the applinhle oC law.Section 7044 oi ihe Business and Professions Code Is availa6le upon request vrhen ihis application is submitletl or at � the following Web stte:httpJwww.leginfo.ca.gov/p�aw.h6nl. � z o DATE: SIGN: � � LICENSEO CONTflACTOR'S�ECLARATION � I hereb attirm under nal of p A � � ,,�L y pe ty perjury that 1 am licensed untlar rovisions of Chapter 9(commencin wiUi Seclion 7000 � of Division 3 ot the Business and Protessions Code,and my Ilcense is in full force and effect. J � N � LICENSE CLASS: LIC.NO.: � � �� o DATE: � CONTRACTOR: ' /��1tt � � WORNER'S COMPENSATION DECLARATION � w I HFREBY AFFlRM UNDER PENALIY OF PERJURY ONE OF THE FOLLOWING DECLAMTIONS: oI e art0 will malntain a Certifinte ol Consent to Sett-Insure Id Worker's Compensation,as providetl by CONSTRUCTION: � cUan 37�ot lhe Labw Cotle,for Ihe pertormance af the work for wh�h�Nis permil is issuetl. p�,qN REVIEIlV- > I have and will maintain Worker's Comcensation Insu2nce,as.require�d by Secfion 3700 of the Labor Code,for o ELECTRIC: Z the performance of the work for whi this permit Is Issued.My Worker's Compensation Insurance Carrier and ¢ Policy Number are�,. �,� f. .�� PLUMBING: � CARRIER � w MECHANICAL: � POLICY NUMBER � � ' INSPECTION FEE: � (f}15 SECTION NEED NOT BE COMPLETED I�7}ff PE(iMR lS FOR ONE FRINDRED DOLLNIS($10�OR L.ESS). ISSUANCE: �� o I certity tlial In ihe perfam.vxe of ihe work lor which Ihis pertnit Is issued,I shall rot emptoy arry person in arry manner so as to � neoorne sub to the worker§Cam erxaUon l.a ol Calilomia.Md SM IP: p J� P I�,�p� agree Ihat II I shoWtl becort�e subject to tl�e Waker's � Compen � ovi ot Section 3700 af Code �1 ith campty wilh those ov'sia�s. ENERGY P/C: LL DATE:�•J AppuCANT: �D? '� ENERGY PERMIT: � WARNING:Failure to secure Wwkers Compensation coverage is uNawful,and shall subJect an emproyer to criminal REfENTION FEE: w penattles and civil fines up to one hunAred thousantl dollars($100,000),In additian to ihe cast ot the compersatim, o damages as provided 1a in sectlon 3706 ot me labor code,interest,antl attomey's tees. PRE-ALT FEE: a CONSTRUCTIONLENDINGAGENCY BSAF: !r = I hereby effirm under penalty�perjury that there is a Construction Lending Agenq for the pedormance of the work lor � which ihis permit is issuetl(Sec.3097,Civ.C.). , F LENDFA'SNAME_� � � LENDER'S AD � � I certity that I have read thls appliption and slate that the above information is cortect.I agree to compty vnth all ciry antl TOTAL FEES /�� Z county ordinances and state laws relatlng to building construction,and hereby authorize representatives of ttiis county to COMMENTS: ` o enter u e above-rtlentioned pmperty far Inspection pur . J �/� m � �/ � PERMfTTEE NAME �� 1//' J l (G � F SIGNATURE OF PERMITTEE DATE RECEIPT k � PAID BY: � VALIDATION: WHITE—DepaAment Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—Flle Copy,GREEN—AppllcanYs Copy , CITY O� DIAMOND BAR INSPECTION RECORD . � � . • - • � . • o - �SETBACKI LETTER , � - �- � �'�� -��: TRACTAND LEDGER � FOOTiNGS'FORMS �� ° ' ';�,` � ' � ` ' ' �`�� SWITCH GEAR g�p,g , � <<�. � ' COMMERCIAL HOOD UG,PLUMBING;'. = - ' ;� °`- T- BAR UG.ELEGTRICAL:' '�, '' ' '' � . , ;', == INTERCEPTER UFER 6ROUND"-:'- , a i ` - ' HOT MOP/SHOWERPAN ., . ,. . ,. SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECENED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT SHEAR',WALLS EXTERIOR : � �� POOL/SPA�. � � " � { ' ROUBH.PLU�MBIN6. ', -�4�<, . � �4 `ry� � SHEAR�WALLS�INTERIOR-::` � �' �' �� ' � '" "•�� • r � , - , _ ., FRAMINGNENTING - -� r= F 4;� RQUGH ELECTRICAL,=; �` � � F `�P ROUGH.MECNANICAL r ` �� . �,�' � F , `: ROOGN'�MECHANICAL; .. , � ,- 'z 1 � �� ' :' ' '^' ROUGH,'ELECTRICAL'W(r.)C(.t) `� ::.'� � :;�, ',,�, �.'' 6ASTEST ` ' :� , ;`1 l y" '.i f': " ROUGH PI:UMBING �:'� ' � _ + _ PRE GUNITE +„`�" " ' ' Y { ` `�-' �` ' ; �, ' �.' ��` � � ..,; '� . � ..: � - -.. INSULATION WALL PQOL PRE DECK�BONDING . ; _ ; '�'' � `` INSULATION CEILING P`T�P �� ' ' DRYWALL FENCE l�GATE/QL`"ARM �� ,. ; r ` 4 ly � + r �'� s LATH(PR� FINAL.POOI:' ` ' � `�` ' "T LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTIN6/STEEL GAS TEST WALL STEEL 1 sT! �2NDt ��FJ � SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION RO.FRAMING PLPNNIN�APPROVAL " k �° , �i � .; a � a FINAL BUILDING r,;4`: ��' "-'T r., ROUGH�FIRE APPROVAL ., � '' `� � f FINAL MECHANICAL � '- � FINAL FIRE DEPARTMENT - f " y` FINAL:ELECTRICAL ' S, �� , v = r �,'� i'_ i� ' FINAL�PLA�PdNING��.�_:. ; � � � ' "� FINAL`PLUMBING _� ` ' ' A _ FINAL`ENGINEERING!PW . r � ' ' ;�:.� � '; �� u ,r ;A T.C::of OCCUPANCY - . �: •.• FINALCOMMUNITY_SERVIC,ES " _ F` - :�: ` = CERL of OCCUPANCX,� = ; T': FINAL;HEALTH DEPT �: `' " FINAL,INDUSTRIAL�WASTE " � _ b � COMMENTS: