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HomeMy WebLinkAbout1050 GRAND AV (32) ----�'`�,'�'_� C1TY OF DIAMOND BAR `/vI�lc�j / iC� � T/ � � � DEPARTMENT OF COMMUNITY&DEVEI.OPMCNT SERVICES �a� ; �.� IIL�;: '� � ' 21810 Copley Drive,Diu�nond Bar,CA 917fi5 PRESS �,�,ry.,.t"� (909)839-7020 Cax:(909)861-3117 Building Inspection Hotline(909)839-7027 ��� F�RMLY ' ''" _ BUD:DING YERMIT APPLICAT[ON � JOB SITE ADDRESS�O�6�'An s APPLICATION DATE: J � �� p/Cq � °- ISSUE DATE: � PERMIT# � I���. ��2 zo APN�—LOT TRACT — o OWNER J TYPE CONST. � OCC GROUP: � ADDRESS � O?i � CIN�b�/�1E� G81 ZIP TEL.q�'7��'SGISg ZONING F ONT KS RW ❑ ¢ APPLICANT TEL. � REAR N /� SIDE/SIDE STREET RW ❑ II a CONTRACTOR/� b6./I71/.H �JOD�/,�/u SP/ /G . � SIDE ❑ oro ADDRECSS �1`X�� �� �OYC./'1LtY�� PROPOSED USE o CITY Jf�� �%!7 ZIP ZTD,�i TEL. /I� SG��d��y I o ARCH/ENG/DESIGNER o ADDRESS ' tl DWEL.UNITS #STORIES k BEDROOMS z CITY ZIP TEL. a DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION � � OWNFA-BUILDEfl DECLAflATION o I hereby aKrm under penatty of perjury that I am exempt irom the Contractor's State License Law for Ne reason(s) SFR/ADO/REM p indicated below by the checkmark(sJ,I have placed ne#to the apDlicable item(s)[Section 7031.5,Business and Garage/Carport p Vrofes5fons Code:Any city or county that requlres a permlt to construct,aller,improve,demollsh,a repair,any z structure,prior to its Fswance,also requires the applicant for the permft to flle a signed stalement that he or she N Patio/Deck Nis licensed pursuant to ihe Drovisions of the Cantraclor's State License Law(Chapter 9)Comme�ing with Section w � � 7000 of D(vlsion 3 of the Busineu an0 Prolesslons Code]or that he or she is ezempt hom licensure and the basis tor � PooVSpa � � the atleged exemption.My violation of Section 7031.5 by any apDlicant for a permft subjects the applicant to a civil penatty C4 N of rwt more ihan five hundred dollars(5500). Z Re-Roof ¢ o (J I,as owner of Ne property,or my employees wIN wages as their sole compensatlon,will do(�all of or(�poNons � Commerclal � of the work,and fhe struchue ts not intended a ottered for sale(Section 7644,Business and Professiwis Cade:The � ZContracmrs'State Llcense Law does rrot a m ppry to an uvmer oi property who,Nrough employees'or personal eNort,bullds w or imprwes ihe properry,provided that the imprmemenCs are not intended w ottered tor sale.If however,ihe buildfng or � impmvement is sold within one year ot compleUon,the Ovmer-Builder will have the burden of pmving that it was rrot buitt por improved for the puryose of sale.). U � O I,as owner of!Ae propertg am excluslvety conUactfng with licensed ConVactors to canstruct the proJect(Section o 7044,Buslness and Professions Code:The CoMractors'State License Law does nat appry to an ovmer of Oroperty who Valuation: Adj.Area: Nbuilds or improves thereon,end wno conVacts(or the projects with a Iicensetl Contractor pursuant ro tlie Convactors'Shale QUANTITY DESCRIPTION FEE Y License Law.). o (_J I am exempt irom Iicensure under the Contractor's Sta�e Llcense law lor the Iollowing reason(S): � � � � By my si nature below I acknowled e ihat,ezce t f�m B g p y personal residence In which I must have resided fa at least one � o year prior to compleUon of Ihe improvements covered by this permit,l cannot legally sell a structure ihat I have bullt as an � W Q owner-bullder If It has not been consWcted in its entirety by Iicensed contractors.l understantl that a copy of the applicable oC ��'+,Section 7044 of the Business and Professlms Code Is available upon request when this applicalion is submitted or at wthe following Web stte:http/wvnv.leginfo.ca.gov/calaw.htrnl. z � DATE: SIGN: � � LICENSED CONTRACTOH'S DECLARATION � • a w I hereby aftirm untler penalty of perjury ihat I am licensed untler provisions of Chapter 9(commencirg wlth Section 7000) � � ot Divislon 3 0l the Business antl Professions Code,and my license Is in full force and effect. . � ��3 G�1�1 � v� � CLASS:� �,LIC.NO.: z oZ DA�'� CONTRACTOR: �OJ-/D'�L?J1 d��%1.O C'y!/�Lt � a WDRNER'S COMPENSATION DECLAflATION V, � � � I HEREBY AFFlRM UNDER PENAL'IY OF PERJURY ONE OF THE F6LLOWING DEpNWT10NS: oa I ve and win maintain a Ced'Aicate of Consent to SelFmsure lor Worker's Compensation,as provided by CONSTRUCTION: � � �on 3700 of ihe LaDor Code,(or�he periormance of the work for which ihis permA Is issued. p�qN REVI EW: � I have arM will m�intain WorkePs Compensation Insurance,as required 6y Sectioa 3700 of the Labor Code,for ELECTRIC: z ihe peAortnance of the work for which tha permit is issued.My Worker's Compensatlon Insurance Carrier and ¢ PoIi�yNumberare: /' PLUMBING: � CARAIER l/L�I C{�, �/��'/��0' t/t S', �j1 L, MECHANICAL: � POLICY NUMBER INSPECTION FEE: � (IHSSECf10NNEEDNOTBECOMPLEfE01FTHEPERMRISFQRONEHUNDREDpptlMg(g7pp)ORLESS). ISSUANCE: QI certify thal in the pertormarcz d Ihe worfc la which Utis permit is issued,I shall nol empby any person In any manner so as to SM I P: ' � become sul�ect ro Ihe Worker's Cam ensa6an Laws o1 Calilomia.And apree Ihat if I shadd 6eecome subject tn the Worker's � Cw�pensalim wovisions ot Section 3700 of�he laea Code,l sh�ll Iwthwim compy with those provisions. ENERGY P/C: "- �A� �P��' ENERGY PERMIT: � WARNING:Fallure to secure Workers CompensaGon cwerage is unlawtul,antl shall subject nn empbyer to criminal M RETENTION FEE:_ � penatties and civil fines uD�o one hundred Nousand tlollars(3100,000�,in adtlition to the cost of the compensation, f�/ o darnages as provided tor in section 3708 0l Ne labor code,interest,am1 attwney's tees. PRE-ALT FEE: 2 CaNSTRUCTION LENDING AGENCY BSAF: ' � w I hereby affirm under penalty of perjury thal Ihere is a Construction Lending Agency ta the peAomiance ot the work for = which this permit is issued(Sec.3pg7,Gv.C.�. � �. LENDEA'S NAME � LENDER'SADDRESS: a"'. I certity that I have read thls application and state mat the above intormafion is correct I agree to compty with all ciry and TOTAL FEES /�� Z counry ortlinances and state laws relating ro bullding construction,and hereby authorize representatives of Nls county ro COMMENTS: � � o enter u n ihe above-menGoned roperry for Inspectian J m � a PER E INn • I � N 3 . 25 . r SI RE OF PE fTTEE DATE RECEIPT q PAID BY: VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF DIAMOND BAR WSPECTION RECORD � � e , . o . . � � . • • - SETBACK/CETfER : '' � TRACTAND LEDGER `FOOTINGS FORMS - �fi ' SWITCH GEAR �' COMMERGAL HOOD 'SLAB�' ��:� ,.,�� � ' � UG.PLUMBING��.. � ` ' �s ': '.; T-BAR UG.ELECTRICAL'" '�' =�°' INTERCEPTEfi �UFER GROUND '.' � ' � �� �,� HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HFAS REPORT RECENED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT SHEAR WALLS EXTERIOR __ -- P.00L/SPA= - 3 SHEAR WALLS 1NTERIOR��� �� �- ROUGH PLUMBING �_ � + FFIAMINGNENTING ,� ` = { ` ' y ftOUC�N ELECTRICAL� �� �� ' �, `� �� �`� ROUGH�MECHANICFtL � � '�, w ��� , �. . ,FtOUGH MECHANIGAL��' � � � �'� '� ` v , � ' "�`��� , _ _ s t r ��, ROUGH ELECTRICAL--W( -)C( ) _ � - GAS TEST' � ' '' � -''� � ROUGH PLUMBiNG` _ PRE GUNITE ;: ' A ' � � INSULATION WALL ?OOL PRE.DECK BOh101N6 ' - "" �4 }} �" r33 �. , . .!'. 8 �;. y4 J., lNSULATION CEILING P�;�P .�`� '` " ", ' � � FENCE/GATE/AtAR(VI ` r ; � DRYWALL � x �u �� ''� `f �, ,� rt�' , , , FiNAL POOL ` ' �:� `,,�=� - c �'.z: LATH(PRE� ' " - LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1�T( )2"D( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIW SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION �RO.FRAMING PLANNlNGAPPROVAL , ' ; ` FINAI;.'BUILDING' - ,�� ' "�' �'�� � � � � ROUGH PI�RE APPROVAL �x::� _ � ����" {' Y 1 FINAt MECHANICAL = ��� z ' ' FINAL FIRE DE(?ARTMENT ''.` '� �'�� ' � � FINAL ELECTfiiCAL ;. FINAL PLANNING `;'r - � } J ' ` � �� , _ , �,` ; � ` k�� ; FINAL PLUMB►NG _ � FINAL'ENGINEERING%'PW; ; : �, T.C.of OCCUPANCY •. � ' °�` ; ; �r= :,:r �;_�-� .r - ; ; , , F,INAL'COMMUNITY SERVICES _ . ., . ,." .: �� � � . - ; � I h:;. CERT.of OCCUPANCX"�� '... . ' ��`.. . �''� . ,��'- �, � y � , - EINAL HFALTH DEi?T t � � .:. F�NALINDUSTRIAL�.WA5TE'��� , ' �r: - �` '' COMMENTS: