HomeMy WebLinkAbout1050 GRAND AV (31) .�;,i4'> C1TY OF DIAVIOND BAR / �/7��
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f__ _y„I I ' � DEPARTMENT OF COMMUNITY&DEVELOPMCNT SERVICES�� OI�'�/. ,
�III���-��� ` 21810 Copley Drivc,Diamond Bar,CA 917fi5 PRESS
� ,,,� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY
`�"'"'��. BUILDINGPERMITAPPLICATION
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w JOB SITE ADDRESS ��; 5 APPLICATION DATE: � p/Cq
zo APN LOT TRACT ISSUE DATE: ��PERMIT#
o OWNE�— +G' IYPE CONST. OCC GROUP:
N ADDRESS L B
J CI'TY�b�/YI�C. C�! ZIP9Zi�Z TEL. — ZONWG F ONTCKS RW ❑
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� APPLICANT � TEL. REAR ❑
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cn „ SIDE/SIDE STREEi RW ❑
o CONTR,4CTOR ��J�'�'TY1 O /� � G]i � SIDE
� ADDRESS � d D r� - 'e �
o CITY ZIP TrIO�TE ,. L S 1�J�Q PROPOSED USE l.!/ 6 L�i/
o ARCH/ENG/DESIGNER
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a ADDRESS #DWEL.UNITS k STORIES I{BEDROOMS
z CITY ZIP TEL.
� DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION
OWNFA-BUILDEA DECLAHATION
o I hereby affirm under penalty of Derjury that I am exempt 1rom the Contractor's State Ucense Law for me reason(s) SFR/ADD/REM _
p fntlicated below by the checkmark(s),I have placed nezt to me applicable item(s)[Section 70315,Buslness and Garage/Carport
o Professions Code:Arty city m county that requires a permlt to coretruct,alter,improve,demolish,a repalr,any
Z strucNre,prior to Its issuance,also requires the apD��cant far tha permit to flle a signed statement Mat he or she � Patio/Deck
� fs licertsed pursuant to the provisions ot the CoMractor's Stata tJcense Law(Chapter9)Commencing with Secllon w
� 7000 of Divisfon 3 of the Business and Prolesslons Code]or ihat he w she is exempt hom Ilcensure and the basis for LL P�US
N the alleged exemption.My violafion of Section 7037.5 by any applicant for a permd subjects the apDlicant to a civil penalry C7 —
N of not rtwre Nan frve huntlretl tlollars(E500). Z Re-Roo r CJD
¢
o U I,es owner of the DropeRy,a my employees with wages as thelr sole compensation,will do(�all of or(J portlons � Commercial
� ol the vrork,and me strucNre is not intended or ottered for sale(Section 7044,Business and Professbns Code:The �
� Contractnrs'Sfate Llcense Law does not a ro an owner ol r e who,thrw h em o es'a ersonat etf builds m
Z PD�' P oP rtY A W Ye D �.
w w impmves the property,Pmvided U�at the Improvemerrts are not intended or ottered for sale.If however,the builtling or
� improvement is sold within one year of completlon,ihe Owner-Builder wI0 have ttie burden o1 proving thai It was not bullt
Ua improved fa ihe purpose of sale.). '
i,.,_ (�I,es owner o1 Ne property,am exclusivety contractlng with Ilce�ued Contracrors lo construct the proJect(Section
0 7044,Business and Professions Code:The Corrtractors'State Llcense Law does not appty to an owner ol property who Valuation� Adj.A�ea:
� buildsaimprwestnereron,andwhocontractslmiheprojeciswithalicensedContractapursuanttotheConhactors'Stale QUANTIII' DESCRIPTION FEE
Y Ucense Law.).
o (,I am�empt kom Iicensure under the Contractor's State License law lor the following reason(s): �
� �
LL By my signature below I aclmowlea e ihat,exce t for m
g p y persaial residence In which I musi have resided lor at least me c~->
o year prlor to completlon ot fhe improvements cmered by thfs permit,l canrrot legalry sell a structure that I hare buifl as an �
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� owner-builder If It has rqt been constructed in iis entirety by licensed cantraclws.I underslaiM that a copy ol the appltq6la
� law,Section 7044 of the Business and Professims Code is available upon request when this application is submitted a at
� the fdlowing Web site:Mtp/�wnv.leginlo.ca.gov/calaw.html. �
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LICENSED CONTRACTOH'S DECLARATION �
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w I hereby aftirm untler penalty ot perjury that I am licensed wider prmisions ot Chapter 9(commencing with Section 7000) �
' m ot Divlsion 3 ot ihe Business and Professions Code,artd my 6cen5a is In full lorCe and aflect.
� ������ G � �.No.: ?�3�y� z
� DATE: CONTHACTOR: . ,r G � .
WORKEA'S COMPENSATION DECLAHATION �
w I HEREBY AFFlRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING OECIPfifiTlONS:
oI ve and will maintain a Certinnte o1 Consent to Selt-Insure for worker's C«npensauon,as provided by CONSTRUCTION: 2
� Sectlon 3700 of ihe Labor Code,for Ihe performance of Ne work tw whlch this permit is issued. p�qN FEVI EW:
> I have aiM will maintain Worker's Compensatim Insurance,as required by Section 3700 af the Labor Code,tor ELECTRIC:
� the per(ormarice ot ihe vrak tor which this permit is issued.My Worker's Compensafion lisurance Carrier and
¢ PolicyNumherJae:, � / y� PLUMBING:
� CARRIER �(/1����G�?�.�'� ��� L!G•
� POUCYNUMBER . / G.6L0 �I 3IZZ MECHANICAL'
INSPECTION FEE:
� (fWS SEC�ON NEED N0T BE CAMPLEfED IF THE PEWr1R IS FOR ONE HIINDRED DOl.1MS($10�OR LESS�.
ISSUANCE: ,
�
� �certify that in the pertortnance of the�wrk lu which ihls permit is IssueQ I shall not emptoy arty Dersun in any manner so as to �O
o become subject ro the Worker`s Compeivation Laws ol Ca1 ia ArM agree Ihat if I shoWd become subject ro the Waker's SM IP:
iu
� Com auo ro isi of Section 37oD ot � I shal atl»vith com those provisiais. ENERGY P/C:
DATE: � � APPUCANT: �1%�� ENERGY PERMIT:
> WARNING:Failure to secure Worker's Compensatlon covorage is umavAul,and shall subject an employer to criminal �
w penatties and cNil fines up to one hundred thousand dollars(a100,000),in atldition to the cost ol the compensation, REfENTION FEE:
o damagrs as prrnided fm In sectbn 3708 ot the laba code,interest,and anomey's fees. PRE-ALT FEE:
a ' CONSTFIUCTION LENDING AGENCY BSAF: �� D
I hereD aifirm under ry p j ry
y penal �er u ihat there is a Co�struClion Lending Agency Iw tAe peAormance of the work lor
= whicb iNs permil Is iss ec.3097,Gv.C.).
� LENDER'S NAME
� LENDFA'SADO�ESS:
�
d I certify Nat I have read this aDPlicatlon and state Nat the aDove infortnatlon is cortecL I agree to campry wiN all city and TOTAI FEE$ /�/^�
o� county ordinar�ces and state laws retating to building construc6on,antl nereby authorize representatives ot mis counry to COMM ENTS: /
enter upo Me above-n nuaned property fa inspection purpases.
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¢ PERMfTTE E(PR
y �j ��
� SIGNA RE OF PERMfTTEE DATE RECEIPT k PAID BY: VALIDATION: �
WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy
� CITY OF DIAMOND BAR
INSPECTION RECORD
. � � , . � . � � . • • -
SETBACKI LETTER, ` � ��-� �._,k`: �`.`., '` '-��:�..�:� TRACTAND LEDGER
FOOTINGS F08MS - � f�4�.}� ,..��, .�n�`` -- SWITCH GEAR
S�qg r-� ��' ";< ,,�'' ��'�� , ��. COMMERCIAL HOOD
UG.PLUMBING-�� � -, _ ��� ��` ` ��-� - -� T-BAR
F
;UG.ELECTRICA4, ��' � � ` `�` ': INTERCEPTER
UFER`GROUND �r , r ;` '`'-� � HOT MOP/SHOWERPAN
; ,, , . ..
SEWER LATERAL SEPTIC/CESSPOOL
MAIN WATER L1NE HERS REPORT RECENED
SEWER CLEANOUT DEMOUTION
ROOF SHEATHING Z ROOF DRAINS
FLOOR SHEATHING ROUGH CONDUIT
`SH�AR'�WALLS:EXTERIORw:: , ��>� �. #-�` ` p00L/SPA,"�'`,,, . '`' �° - .=;r i _
SHEAR�WALLS.INTERIOR,' +i , _ ftOUGH BLUMB�NG =_ � = }a -
FRAMINGNENTING r.-�a _, � �^ - _ : s.� EiOUGH ELECTRICAL'- ^ �" 1 � '�`'
�ROUGH MECHANICAL . l, � , :;:,{ + � �.� ��,<.,;.,', .,���:� „rz.,, �y', :� ROUGH�MECHANICAL � - ° �
' , �:
,
ROUGH ELECTRICAL W(�j CS( ); �� ..,„.`' ' i GAS TEST , �' �` �` -=
's ..- � "'
�� � .�. �P,RE GUNITE ���r ' � _ �,
ROU,GH PLUMBING _ - - - "�'' � �- "
INSULATION WALL 'FOOC PRE�_DECK�BONDING �,:� � `�; .. :�<�, �,.; ' �.�''�
INSUTATION CEILING p�'�� ���� � .�'' � ��; �� � ���'�
FENCE�/GATE/AIARM - ' y
DRYWALL `- ; �
LATH(PR� FINAL P.00L � ` .- ' � `�
�, xr�
LATH EXTERIOR WALLS:
LATH INTERIOR WALL FOOTING/STEEL
GAS TEST WALL STEEL 1�T( )2ND( )LIFT
SCRATCH COAT WALL BOND BEAM
ELECTRIC METER RELEASE ' WALL DRAIN/SEAL
GAS METER RELEASE WALL fINAL
SPECIAL INSPECTION �.Rp FRAMING PLANMNGAP?ROVAL �` � �' ' - `�}
_ ,.. _. � � �-� r ,„r'; , ::�ar, � �:.� `,` UGH'FIREAPPROVAL • . ��; > =�' a a':�" 5
FINAL BUILDIN� ��< , RO ` S
�� '� ` c ';� ' � FINAL FIRE DEPARTMEfIT :�'� � } `_�� �� �
FINAL MECHANICAL �- `�-� ' \
_:: �: '- ' �- �� ,.���; .� �k-_ �;.� 4 ����. � � - t _ � �
:, . ;;, : , , '
FINAL�ELECTRICAL fINQL PLANNING ;, : .-� ,
�FINAL�PLUMBING �°� �` '.° � ; , � �F1NAL`ENGINEER�ING/PW �: �; � `` ' " �. �
TG.of OCCUFANCY' .' }. ;�`;� fINAL COMMUNITY;,SERVIGES �'' � -' ` '
�CERT'ofi'Of;CUPANCII�'' � ' ` � ° _>' ;; �,,;:;.� FINAL HEALTH DEPT
FINAL INDIlSTRIAI:-.WASTE.. , r �r s -
COMMENTS: