HomeMy WebLinkAbout1050 GRAND AV (30) ____��_ C1TY OF DIAMOND BAR /���Q7�''' Cj/��/
i � � I I I DEPARTMENT OF COMMUNITY&DEVEI:OPMCNT SERVICES "V/�/w �— � ° ,_
�� ��Ill�ry;: ` ' 21810 Copley Drivc,Diamond Bar,CA 917fi5 PRESS
�,,,,, 1 ,�� (909)839-7020 Fax: (909)861-3117 Building Inspection Hotline(909)839-7027
� ��''�"'�� ' BUILDING PERMIT APPLICATION FIRMLY
g [���� � APPLICATION DATE: `� � P/C�1
w JOB SIT�ADDRESS v� e � I S �/ /
z APN LOT TRACT ISSUE DATE: � �"� PERMIT# ` �
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o OWNER - t�i?l Gt} TYPE CONST. � I OCC GROUP:
N ADDRESS_ Zi Y ✓
N CITY�VI�P'LGL ZIP IL TEL. ZONING SETBACKS
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O APPLICANT TEL. REAR
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a CONTRACTOR SIDE/SIDE STREET RW ❑
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� ADDRESS ��dl • dr
� CITY ZIP -L BS TEL�� I ' y .'O �f PROPOSEDUSE IL !Ril� �G GIJ /
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o ARCH/ENG/DESIGNER
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o ADDRESS
o tl DWEL.UNITS k STORIES #BEDROOMS
z� CITY ZIP TEL.
� OwNEti-BUILDEA DECLAHaTiON DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION
0 1 hereby attirtn under penatty of perjury that I am ezempl from the ConNactm's State Ucense Law tor the reason(s) SFR/ADD/REM '
`p indicated below by the checkmark(s),I have placed next to the aDDlicable ilem(s)[Section 70315,Business and Garage/Carport
o Professions Code:My city or counry that requires a permit ta conshuct,alter,improve,demolish,or repair,any
w structure,prim to its issuance,also requlres lhe applicant fa the permit to file a signed stalement that he or she � Patio/Deck �
a is licensed pursuant to the proWsions of the Contractor's Sfate L(certse Law(Chapter 9)Comme�ing wNh Sectlon w
� 7000 of Dtvfsion 3 of iha Busfness artd Prolessio�Code]or that he or she 15 exempt hom Ilcensure and the baSls(or LL PooVSpa �
� Ne alleged ezemption.Any violation of Section 7031.5 by any applicant fa a permR sub�ects the applicant to a civil peroity
N of rwt more than five hunAretl Aollars($500). Re-R .
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o (J I,as owner of llie property,or my employees with wages as thelr sole crompensation,will do(,all of w(,poNons � Commercial �
� ol Ne work,and the structure fs not Intended or otfared fw sale(Sectian 7044,Business and Rofessio�s Code:The �
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� Cantractnrs'State LJcense Law dces not appty to an owner of property who,through empbyees'or personal ettort,Cuilds
w or improves the property,provtded that the fmprmements are not intended or oftere0 lor sale.II however,the building or
� Impmvement is sold within one year of completion,the Ovmer-Bullder will have Ne bur0en ol proving ihat it was rrot buitt
por improved tor the purpose of sale.).
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F U 1,as owner ot ihe pmperty,am exGusivety conVacUng with licensed Contractors to canshvct the project(Secfwn
0 7044,Business end Professlons Cotle:The Contractas'Stale License Law tloes not appty to an owner ol Droperty who Valuation: Adj.Area:
z builds or imprwes ihereon,and who coniracLs 1or ihe projecls with a licensed Contractor pursuant to�he ConVxbrs'Stale QUANTITY DESCRIPTION FEE
�
Y Lfcense Law.).
o U���empt hom licensure untler the Contractnr's State License law lor the following reasoMs): �
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ZBy my signature below I acknowletlge mat,except ta my parsonal reside�e In which I mus[have resided fa at least one �
o year prfor to compleUon oi ihe Improvements covered by Nis permil,l canrrot legally sell a structure that 1 have twilt as an w
a owner-builder If tt has rrot been consWcted in its entirety by licensed contractors.I understarM that a copy of ihe applicable
� law.Section 7044 af the Business and ProfesslOns Code is available upon request when this application is submitted or at
X the tollowing Web sile:http/www.leglnto.ca.gav/calaw.himl. Z
p DATE: SIGN; �
F LICFNSED CONTqACTOR'S DECLARATION �
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' I hereby afrirm untler penalty ot Derjury that I am licensetl�tler prwisioac ot Chapter 9(commer�cing with Seclion 7000)
m of Divislon 3 of the Business and Professions Code,and my license is�in f1ull force and�e/ffect.
y LICENSyE C�p�.�q} � LIC.NO.: <��G��7 z
o DATE:J •I/�T COMRACTOR: Yb9�QI'J f B /IL/ � tl�L/✓LCC =
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WORKEH'S COMPENSATION DECLAflATION g
� I HEREBY AFFlRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: � ,�
0 1 ve and will maintain a CertAicate ol Consent to Self-fnsure fw Worker's Compensation,as provided by CONSTRUCTION:
� hon 370D ot lhe Labor Cotle,far Ihe pertormance af the wak fa which thls permi�is issued. PLAN REVIEW:
� I have and will mairttain Worker's ComDensa�lon Insurance,as required by Section 3700 0l the Labor Code,for
Z me performance ot the work for which this permit is issued.My Wwker's Compensatlon Insurance Carrier and ELECTRIC:
¢ PoIi�yNumbe`ra,re:' ,�/ � �/� PLUMBING:
� CARRiEr� �[//G„" /�/`C'^ �y �hs �'� MECHANICAL:
� voucv NUMsea 'F
INSPECTION FEE: .
� (T}{�SECf10N NEED NOT BE COM%ETE�IF THE PEfVv1R I$Fpq pNE HUNDRED DOLWiS 1 OR
� �� �' ISSUANCE:
o ��Y Uiat m ihe ce��axe of 1he worlc 1or which Uts permit Is issued,I shyl rmt empby any person in any manner so as to
o necane sul�ect to the Waka's Compensatbn s ot Cal' ia.And apree Ihat il I becar�e sub(ect to the Wmker's SM IP:
� Campen�sau pr,i�n,qotSection3700of�p���sh m wi provisiau. ENERGY P/C:
DA � � �S� ApPUCANT: ENERGY PERMIT:
J wARNING FaiNre to secure worker's Compensatlon coveraga is uNawlui,and shall subject an empbyer ro criminal REfENTION FEE: ��
w penaltles and Gvil fines uD to one hundred thausand dollars($100,000),in addltion to the cost of the compensation,
o damages as prwidetl ta in sectlon 3708 m tne labor code,interest,and attomey's tees. PRE-ALT FEE:
d CONSTFIUCTION LENDING AGENCY BSAF: ���
= I hereby amrm under penalry ot rjury that ihere is e Car�struction Lending Agency for the perlormance of ihe work for
� wh(ch ihis permit is issued( .3097,Gv.C.).
� LENDFR'S NAME
� LENDER'SADDRESS.
� I certify that I have read this application and state that the above informatlon is cortect.I agree to compty with all ciry and TOTAL FEES �39 y7
� caunry wdinances and state qws relaling ro building wnshuction,and hereby authorize representatives of this counry to COMMENTS:
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p enter upon above-me ned pmperry for inspectan purposes �
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� PERMfT'fEE RIN �./�
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� SIGNAiURE OF PERMRTEE �ATE RECEIPT k PAID BY: � ! VALIDATION:
WHITE—Department Copy,YELLOW—Fnance Copy,PINK—Assessw Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy
ClTY OF DIAMOFVD BAR
INSPECTION RECORD �
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SETBACK/LETTER, c - ` " ` TRACT AND LEDGER
FOOTINGS,fORMS_ _� �'��� �= �� SWITCH GEAR
S�qg; - '- .x,�:" }` �� COMMERCIALHOOD
UG.PLUMBING�:�` ��' ` � �`�` ,°�: . T-BAR �
UG:-ELECTRICAL - = '� =` INTERCEPTER
UFER GROUND': - HOT MOP/SHOWERPAN
SEWER LATERAL SEPTIC/CESSPOOL
MAIN WATER UNE HERS REPORT RECEIVED
SEWER CLEANOUT DEMOLITION
ROOF SHEATHING �I��'S� � ROOF DRAINS
FLOOR SHEATHING ROUGH CONOUIT
SHEAR.WALLS��EXTERIO�' �� � _; �� - � .. , �
�,._ R ._. , ,�� r; � , � ` POOUSPA� - ''
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SHEAR WALIS�:INTERIOR� .' . ^ ',' ROUGH PLUMBINC�`�i� =�� � � �`'
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FRAMINGNENTING r -� . ti' - - - ROUGH ELECTRICAL_ ;= ` s".' _ ;<:
(iOUGH MECHANICAL :Y - ,i =�" ' ,".'t ROUGH MECHANICAL . , <� k r� . ;:r�'`rs+ ,�:;
ROUGH,ELECTRICAL W(;`;)C'(� ) ' " ` ' f r - GAS TEST � ,:f� ..' ' ' :
ROUGH PLUMBING . "' :�.�; PRE GUNITE - , ' T - �''Y �.::
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INSULATION WALL POOL PRE'DECK,BQNDING,�,1�'� , ,, ,._,� - � � � "
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INSULATION CEILING P.=TRAP;-� - ���` �
DRYWALL FENCE/GATEI AIARM - �� �,, ..��,,: , -
LATH(PRE} FINAL' POOL.:,. � � . , r �� ,, , �. " n�?°
LATH EXTERIOR WALLS:
LATH INTERIOR WALL FOOTINGlSTEEL
GAS TEST WALL STEEL 1n( )2ND( )LIFT
SCRATCH COAT WALL BOND BEAM
ELECTRIC METER RELEASE WALL ORAIN/SEAL
GAS METER RELEASE WALL FINAL
SPECIAL INSPECTION RO.FRAMING PLANMNGAPPIiOVAL '= '" `- �` ' ��l
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FINAL BUILDING. �;,':' - � sROUGH'EIREAPPROVAL , -
° ' ':"" '' ' �` FINACFIRE DEPARTMENT ' .
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FINAL MECHANICAL z:�'; , : �._, . ,� . �' � , `� a
FINALELECiRICAL� ' ° �a FINALPLANNING ,' � ? " "'`` 1�';
FINAC PLUMBING _ , .', "°` '�-r ' FINALfNGINEERING/,PW .; ,�. , , _ y''� � .
T:C:of OCCUFANCY � � FINAL CQMMUNITY SERVICES r' _
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�CERT.of-OCCUPANCY��` ' �° ��' � � _� ; �fINAL HEALTH DEPT ., ,. .�: "' �� -
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FINALINDUSTRIAL.WASTE�; �. � - �
COMMENTS: