HomeMy WebLinkAbout1370 VALLEY VISTA (6) . _.. .... .. ...... ....... .._.. .. .._... . .....
�AnG.lc•�.ur � T/�_.338- �25 .
CTTY OF DIAMOND BAR
-�- — DEPARTMENT OF COMMLTNITY&DEVELOP �RVI
� 21660 E.Capley Drivo Svitc 190 `V PRESS
(909)860-3193 Fax(909)861-3117
���M*��. BUII.DING PERMIT APPLICATi tv FlRM Y
o ADDRESS 1�70 V�A�.L<.i� V��`� ��L�o� D LI R �_� !� BE �� r
� APN LOT TRA� �S E OCC R
� ��a���� DA NST. � GROUP. V
OWNER f'l�t M��
ADDRESS w«-s�//�R� LNp. ZONING SETBACKS
CITY �' ZIP 40¢ TEI,�'4'r FHONT RW ❑
APPLICAN . � TEL REAR ❑
SIDElSIDE STREET RW ❑
CONTRACTOR SIDE ❑
p� CrD�D'RESS Z�P TEL��_, PROPOSED USE ����C-�
O
� ARCWENG/ •
DESIGNER�{J'���XE � ��K V s
NO.DWEL. NO. NO.
ADD S • UNITS STORIES BEDFOOMS
F� C� � � Z� � � �
N DESCRIPTI�N S�.FT. FACTOR PSF ADJ.AREANALUATtON
Q OWNER-BUILDER DECLARATION SFR/ADD/REM�.. OO�:?
O
I FIEREBY 11FFlRU WDER�ENAL7Y OF rERJUIiY TIAT t AM EJ(ENPT FAOM 1HE CON�RACTORS LI• G818Q8/Cl�OA
CQISELAWFOR7XEFOLLOWINORE�I�WJ�SEC.70]t.68USINESSANDPIbFESSION500DE:IWYCITYOR (/�
Cd111TYWMCMREODUiESAPERMRIOCOAiSTRUCf,AITER.YOHOVE,OEMOL151{OqqEV/JRMIVSiRUG W PBI�O�DYCk
TURE,iRIOR TD RG 16SUANCE,ALBD REGUIRES THE ADPLICANT PoR 6LICM PEqMR TO FIl6 A 81l3NED W
STATFMENT THAT HE OR SHE 16 UCENSEO PURSUANT TO TlIE PIWNSpNS OF THE OONTMCTORS LI�
CEldSE tAW(GUPTER Y�00MMENCWO W1TH 8ECT10N 7a0D)OF DM810N O OF THE pU6�NE55 AN�VR0- � PooVSpa
FE6SqN5 CODE)OR 7}MT ME ORSHE I6 ENEMPTTNEREFHOM At1D TMElA615 fOR i11E ALLEOED El(EMP•
110PI.MITYqLATIONOF8ECT1ON7W1.iBTANYAPPLICMlfFORAPERMIT&1BJECTBTHEMPLICANiTO Z Re-Roof
� A GVIL PENILLTY OF NOT MORE T}IAN FlYE MINDRED OOILARS(i500).): '
OLASOIMIEROFiHEPROPERT!ORMVEMPLOYEESWITHWAIifSASTFIEIRSOLECOMPENSATIGJ, Q C01111110�de1
WRL 00 TME YIfOHK AND TME 8Ti61CTUHE IS NOT INTENDE�OR OFFEHED FOR 9ALE(BEC.)Ou,BUSI- J
NESS AND PROFi8810NS CODG:7NE OOHTMCTORS UCGNS6 LAW DOES NOT A7V�V TO AN OAYhER OF
� MIOPERTVWIIOWRDSORMFRDVEBTMENEp1,MDNMO00E5lUCHWORNHIAISELFORHER6ELFOR �
TMROUGHHSOflHER01N1EMROYEES,PftOVID�TH�T6UdiI4PRDVEMEM9MENOTtlVTENDE�QN m
OFFERED WR SALE IF NCWEYER 7MFlUR.DINCi OR MPROVEMENT1680lDYATMN ONEYEAROFCOMPIE
i1DN,7HE OWNE1i9URDER YY0.1 XAVE TME BURDEN OF VROVINO iNAT NE OR 8ME DW NOT BUtLD OR
NPROVE fON 1HE PURiOBE OF MLEI.
O I,A50MMEROF7HE PROPEHIY,AM El(CLUSIVELY CONTRACTINO WRH LICENSF�CONTRIICTORS
10 CONSTRUCT TIE VHWECT(8EC.70Y,BU81NES3 AND PROFE9SION5 CODE THE CONTiUCTORS U• VeIU91{011 `�� ADJ.AREA
CENSE 1AW OOEE NOTMPLI'10lW OWNER OF A PRDPEiiTY YVIiO BUXD90R 14PROVE!TiERFON,AND
WFqOOMR11Cr6PDp8Up1PRpIECfSWITHACONTHi1CTOA(B)LICENBEDPUHBUl1MTOTHEOONTMG QUANTITY DESCfiIPT10N FEE
� TORS LICDISE LAW.�.
O 1 AM E77�JJVT UI�ER BEC, !.�P.C.FOR THIS MEAuON �
� DATE OWNER �
�+� LICENSED COIYTRACTORS DECLARATION W
� INEREBY11FFfNMINDERPENALTlOFPERNRY7H11TIAMLICENSE�UN�ERPROYI5pN6OFCWIPTER �
�(OOhM1ENCkW YVITH BECTION 70001�qNSION 80F THE BUSINESS AND PROFE5S10NS CO�E,AND Z
MY LICENSE IS N FULL FORCE AND EFFECT.
�
� LICENSE C1a35 LIC.NO. �
�j DATE CONTAACTOR
WORKERS'COMPENSATION DECLARATION �
� 11#REBYAFflPM11NDERPEN/LTYOFPERIURYDNEOFT1ENDllONfINdOEClAMt10N3: �
� _IMAVEANOWILLMWNTAWACERTFIGTEOFCONSENTTOBELF-INSUREFORNpRNERS'
COAIPENSATION,ASDf10VWEDBVBECTION97000F7NElABORCODE.FOR7HEPERFORMMICE 'U
OF TIE WORK FOR WNIGN TXIS PERMR IS 185UED. �
� _IHAVEMl�YALLMIANTAINNfORKEf:B'COMPENSATIONINSURANCE.Il9NEWIREDBYBECTpN �
Ql70a OF hiE LABOq ODOE,FOR TME VERFORYANCE OF iHE WORK FOR WHICH 1NIS PENMIT IS
� ISSUED.IAYWORNERS'COLIPFNSATIONIN9URANCEGHRIERIWDPOLICYNUMBERME: CONSTRUCTION -
� CARRIER PLAN REVIEW � __ _
� POLICY NUABER i
ELECTRIC
p �ssecaqwr�NoreEm�vtPi�oFnfnFmir6ax�dueHtrnnooatu�s6iao�aa�ssl PLUMBINO
y 1 CERTIFY TINT IN TME PERFORMANCE Of THE WORK FOR YYH16i THtS PER1AI715169VED,1 MECHANICAL
(�' 9WLL�NOT EMPIOYl1NY PERSON M M1Y MANNEH SD�S TO BECOME OUBIEC7 TO h1E
(n WORKERS'COMPENuATpN L/�N5 DF C/LLIFORNIAµD M3REE TI/�T IF I SHOIR.D BECOME INSPECTION FEE
S SUB.IECT7DTHEWORKERS'COMPENSA7qNYqOVI510N50FSECTIONJ7000F7HElA60N
cooe.�swuiwan�w�rri coMv�r wm�tNose Paowsror�s. ISSUANCE
� SM1P
� DATE: APPIICANT:
WMNINO:FNLUItETOSEWREWORKERS'OOMPENSATIONCOVERAOEISUNUWFULJWDSNALIBE ENERGYP/C
ffi161ECTMIEMPLOYERTOCR0.11NALVENALTIESAMJCMLFWESUPTOONEHUNDRE�TNOUSANO ENERf3YPERMIT
OOLLARS(f 70a,000�,IN WOITION TO THE COST OF CONPENSIUpN,DA4AUES A9 PROVIDED WR M
� 6ECTqN 7ta OF THE UBOR COOE.NTEPEST,MID ATTORNEY'S FEE9. RETENTION FEE:
O CONSTqUCTION LENDING ACiENCY PRE-ALT FEE:
� IHEAE8Y1lFFYWUI�DERPENALiYOFPERNRYTHATTHEREl6►.COHSTqUCT10NLENDING�OENCY
z FOR THE GERPoRMANCE OFTHE WOqf FOR WNICHTNIS PE(iMIT i3195UED(SEC.7Da7,GV.C.).
W
� LENDER'S NFYE ,
� IENDERSADDRE55
� ICEMIFYTHAT114WEREADTMISAPPUCATIONANDBTFTETU7TNEABOVENIFORMATqNIBCORRECT. TOTAL FEES
� IKiREE 10 COAIPLV M7TH Kl CITY M1D COIMfY ORDINANCES AND 6TATE UWS HELATMIO TO BULOINC
� OONSTRUCTION,ANDHEREBYAUiFqA1ZEREPRESENTATIVE50FTHISCOUNT'TOENfERUPONZFiE
ABOVE-MEMqNEO PROPER'TY FOR RiSPECTION YURPOSE9. COMMENTS
J
4 VERMITTEE NAME�PRINf� '
4�
y ENiN/(TUREOFPEMYTTEE DATE .
� RECPT.NO. PAID BY YALIDATION
WHITE—Oepartment Capy,YELLOW�hance Copy,PINK—Assessa C,opy,OOLDENROD—File Copy,6REEN—ApplicanYe Capy
!
ClTY OF �I14MOND BAR
INSPECTIO(� R�CORD
E 6 • • - � e e � a -
SET BACK FLOOR JOiST
FTGSJFORMS/STEEL FHA REQMTS
ELECTRIC GROUND UNDER FLOOR DUCT
GROUND PLUMBING UNDER FLOC)R CU�IDUIT
SLAB GRADE FIREPLACE FOUNDATION
TEMP POWER FIF3EPLACE BOND BEAM
WATER SERViCE MID hiT.BOND BEAM
R�OF SHEATHING 8 FT. BOND BEAM
FRAMINGNENTILIATION FINAL BOND BEAM
ROOF COVER PRE-GRADING
ROUGH HEATING BENCHING
ROUGH ELECTRiC ROUGH GRADING
ROUGH PLUMBIIVG FiNISH GRADING
SHOWEFt�i'UB TEST POOL ELECTRIC
EXT. LATH/SIDING POQL FENCING
WALL INSULATION � POUL FINAL
CEILING INSULATION UFF SI3E IMPS.
DRYWALL NAILING DEDICATIONS •
SEWER FINAL ENG.
' SEPTIC TANK LANDSCAPEJIRRIG.
SEEP PIT/L.L. ON SITE IMPS.
GAS AiR TEST FiNAL ZONtNG
FINAL CONST. FIfiE DEPT. FINAL
F1NAL HEATlMG HEALTH DEPT. FINAL
FlNAL ELECTRIC DEV. FEES PAID
FINA�PLUMBING ENERGY
_ 9���I�' �B �6`� � ^ -�
COMiV��NTS
SEPTlC TANK SIZE
SEEP PIT/U SIZE ! � -
,I � '_' '_ __.
r
I .��.
I
�
t
1
�1�
,� - —
'��,i
'�',
�� ---....._._.�--�------ ---------- -
;�--- __.----------._.-._....--- - ------