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Home My WebLink About1370 VALLEY VISTA DR (16) (2) _�`_ CITY OF DIAMOND BAR � �;�� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21825 Copley Drive;Diamond Bar,CA 91765 (909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-7027 PRESS �'""'j BUILDING PERMIT APPLICATION FVRMLY } JOBSITE I•�� /�//�� /�1 ^ APPUCATION �j PERMIT � �/C o ADDRESS l0 1e �- IJ/� DATE IO / ' O NUMBER � ISSUE TYPE OCC ' APN LOT TRACT DATE CONST. GROUP p OWNER � o ADDRESS ZONING SETBACKS Z CITY ZIP TEL. FRONT Ryy � � APPLICANT TEL. REAR � z SIDE/SIDE STREET RW ❑ Q CONTRACTOR 1 �� SIDE � Q ADDRESS A •Q✓" � ciry m$�j�u IJiF�_ ZIP�z.s1 TEL9� S�L S��y PROPOSED USE w ARCH/ENG/ z DESIGNER a ADDRESS NO.DWEL. NO. NO. cn UNITS STORIES BEDROOMS � CITY ZIP TEL. N DESCRIPTION S�.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFRIADD/REM O I HEREBY AFFIRM UNDER PENALTV OF PE0.IURV THAT I AM EXEMPT FROM THE CONTRACTORS LI� G8f890/CBfPOh W CENSE LAW FOR THE FOLLOWING REASON(SEC.7o31.5 BUSINESSAND PFlOFESSIONS CADE:ANY CITV OR (J� U COUNTYWHICHREOUIRESAPEfiMITTOCONSTRUCT,ALTER,lA/PROVE,DEMOLISH,ORREPAIRANVSTRUC- � w TURE,PRIOR TO ITS ISSUANCE,ALSO REQUIqES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED w Patio/Deck � STATEMEN7 7HA7 HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CANTRACTORS ll� � CENSE LAW(CHAPiER 8(COMMENCING WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PRO- � PooUSpa , 0 FESSIONS CADE)OR THAT HE OR SHE IS EXEMPTTHEREFROM AND THE BASIS FOR THE ALLEGED E%EMP- (� V TION.ANVVIOLATIONOFSECTION7031.SBVANVAPPLICANTFORAPERMITSU&IECTSTHEAPPLICANTTO Z Re-Roaf � A CIVIL PENALTV OF NOT MORE THAN FIVE HUNDRED DOLLARS(2500).): � OI.ASOWNEROFTHEPROPERTV,ORMVEMPLOVEESWITHWAGESAS7HEIRSOIECOMPENSATION, 0 COrtIrtIBfCl81 Z WILI DO THE WORK,AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE(SEC.70��,BUSI� J � NE55 AND PROFESSIONS CADE:7HE CONTRACTORS IICENSE LAW OOES NOT APPLV TO AN OWNER OF � PROPERTV WHO BUILDS OR IMPROVES THEREON,AND WHO DOES SUCH WORK HIMSELF OR HERSEIF OR wTHROUGH HIS OR HER OWN EMPIOVEES,PROVIOED THA7 SUCH IMPROVEMENTS ARE NOT INTENDED OR m � OFFEREDFORSALE.IF,HOWEVERTMEBUI�DINGOHIMPROVEMEN71550LDWI7HINONEYEAROFCAMPLE- Z TION,THE OWNEF-BUILDER WILL HAVE THE BUR�EN OF PROVING THAT HE OR SHE DID NOT BUILD OR � IMPROVE FOR THE PURPOSE OF SALE). W ❑I,ASOWNEROFTHEPROPER7V,AMEXCLUSIVELYCqNTMCTINGWI7HLICENSEDCON7RACTORS � TO CANS7RUCT THE PR0.IECT(SEC.701I,BUSINE55 AND PROFESSIONS CADE:THE CONTRACTORS LI- V81U8t1Of1 ADJ.AREA W CENSE LAW DOES NOTAPPLV 70 AN ONMER OF A PROPERTY WHO BUILDS OR IMPROVES THEREON,AND = WHOCONTRACTSFORSUCHPROJECTSWITHACAN7RACTOR(5)LICENSEDPURSUAN770THECANTRAC- FEE ~ � TORSLICENSELAW.). QUANTITY DESCRIPTION � ❑I AM EXEMPT UNDER SEC. B.8 P.C.FOFi 7HI5 REASON Q � U � DATE OWNER F� O U � LICENSED CONTRACTORS DECLARATION w � I HEREBV AFFIFiM UNDER PENALTY OF PEiiJURY THAT I AM LICENSED UNDER PFOVISIONS OF CHAPTER � d B(COMMENCING WITH SECTION 7000)OF DIVISION 3 OF 7HE BUSINESS AND PROFESSIONS CODE,AND Z X MY LICENSE IS W FULL FORCE AND EFFEC7. m L11 .r� � � � LICENSE CLAS �L �G LIC.NQ � U DATE C CONTRACTO � L a W � WORKERS'COMPENSATION DECLARATION a /Q � I HEREBV AFFIRM UNOER PENALTV OF PERJURV ONE OF THE FOLLOWING DECtARATIONS: Z � _I HAVE AND WILL MAIN7AIN A CERTIFICATE OF CONSEN7 TO SELF�INSURE FOR WORKERS' _ ' Z CAMPENSATION,AS PROVIDED BV SECTION 37000F THE UBOR CODE,FOR THE PERFORMANCE U Q OF THE WORN FOR WHICH THIS PERMIT IS ISSUED. W � � � _I HAVE AND WILL MAINTAIN WORKERS'COMPENSA710N INSURANCE.AS REOUIRED BV SEC710N Q 3700 OF THE LABOR CODE.FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS FEFMI715 ISSUED.MY WORKEFiS'COMPENSATION INSURANCE CARRIER AND POLICV NUMBERARE: CONSTRUCTION J y�— j CARRIER ��/ PLANREVIEW ZPOLICV NUMBER_�7I 3 ^OD _Q� ELECTRIC Q � (IFiISSECTIONNEmNOTBE07AW_ETEDOFTHEPERMfTISFORONEHUI�OREDDOIVRS(5100)ORLESS� PLUMBING W Z I CERTIFV THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED,1 MECHANICAL �} SHALL NOT EMPLOV ANY PERSON IN ANV MANNER 50 AS TO BECOME SUBJECT TO THE � WORNERS'COMPENSATIONLAWSOFCALIFORNIA,ANDAGREETHATIFISHOULDBECOME INSPECTIONFEE SUBJECT TO 7HE WORKERS'COMPENSATION PROVISIONS OF SECTION 37o00F THE LABOP � CADE,I ALL RTHWITHCOMPLVWITHTHOSEPROVISIONS. ISSUANCE Z� ✓ � p DATE: l v O� qppLICANT: SMIP W J WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL.ANO SHALL BE ENERGY P/C � SUBJECTANEMPLOVEFTOCRIMINALPENALTIESANDCIVILFINESlIP700NEHUNDREDTHOUSAND ENERGYPERMIT DOLLARS(5700,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVI�ED FOR IN J SECTION 3708 OF THE LABOR CODE,INTEREST,AND ATTORNEV'S FEES. 1 OC RETENTION FEE: � OCONSTRUCTION LENDING AGENCY PRE-ALT FEE: � 1 HEREBYAFFIRM UNDER PENALTY OF PERJURV THAT THERE IS ACONSTRUCTION LENDING AGENCV n- FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.3087,CIV.C.). Z W � LENDEF'S NAME F— LENDER'SADDRE55 w I CER7IFY THAT I HAVE READ 7HIS APPLICA710N AND STATE THAT THE ABOVE INFORMA710N IS CORRECL TOTAL FE ES ( y�� ,/ � I AGREE TO COMPLV WITH ALL CITY AND CAUNTY ORDINANCES ANO STATE LAWS REUTING TO BUILDING ;��/ � CANSTRUCTION,AND HEREBY AUTHORIZE REPRESENTATNES OF THIS COUNTV TO ENTER UPON THE Z ABOVE�MENTIONED PROPE OR INSPECTION PURPOSES. COMMENTS � J� rG 'fiv v- m PERMI7TEE NAME(P N) � ¢ 'D /6 �' , ._ 1►� l.l i � SIGNA7URE OF P I E D E , � 9�]�'r _ � RECPT.NO., PAID BY �`�� VALIDATION ~ WHITE—DepaAment Copy,YELLOW�inance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy ��V O� �V�►�ii0�� 9� II�S(�(�C��I 6�l��ORD Oa�pC�C�400a DG14C Oa�p�C� r o p �a�pGC�400a DQ4C D[��pC�C�i o a : SET BACK FLOOR JOIST � FTGSlFORMS/STEEL FHA REQMTS ELECTRIC GROUND UNDER FLOOR DUCT GROUND PLUMBING UNDER FLOOR CONDUIT SLAB GRADE FIREPLACE FOUNDATION TEMP POWER FIREPLACE BOND BEAM WATER SERVICE MID H'T. BOND BEAM ' ROOF SHEATHING 8 FT. BOND BEAM • FRAMINGNENTILATION FINAL BOND BEAM ROOF COVER PRE-GRADING ROUGH HEATING BENCHING ROUGH ELECTRIC ROUGH GRADING ROUGH PLUMBING FINISH GRADING SHOWER/TUB TEST POOL ELECTRIC EXT. LATH/SIDING POOL FENGNG WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING DEDICATIONS SEWER FIM1lAL ENG. SEPTIC TANK LANDSCAPE/IRRIG. SEEP PIT/L.L. ON SITE IMPS. GAS AIR TEST FINAL ZONING FINAL CONST. FIRE DEPT. FINAL FINAL HEATING HEALTH DEPT. FINAL FINAL ELECTRIC DEV. FEES PAID FINAL PLUMBING ENERGY �� . .. .,..,.:. COMMEfVTS SEPTIC TANK SIZE SEEP PIT/U SIZE a � � - 0