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: