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HomeMy WebLinkAbout1370 VALLEY VISTA DR (17) (2) ^ ��_ CITY OF DIAMOND BAR � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES i �, 21825 Copley Drive,Diamond Bar,CA 91765 (909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-7027 [�P�iESS �"�^'�W BUILDING PERMIT APPLICATION ��°�����, � . . w.z o DDRESS I37h VN��� " �✓�v� DATEICATION � ' � NUMB R��TS��q/C •� �;,�� � ISSUE TYPE OCC APN LOT TRACT DATE `Tl� 1� CONST. GROUP p OWNER � ADDRESS ZONING SETBACKS a Z CITY ZIP TEL. FRONT Ryy p o APPLICANT TEL. SIDE/SIDE STREET RW ❑ Q CONTRACTOR � S GC I � s SIDE p � ADDRESS �- ' PROPOSED USE_ MC�1/ZGYI+�'� ` � CITY 1 (�IP_�TEL. w ARCH/ENG/ z DESIGNER a ADDRESS NO.DWEL. NO. NO. � CITY ZIP TEL. UNITS STORIES BEDROOMS � cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNEF-BUILDER DECLARATION 0 . SFR/ADD/REM p I HEREBV AFFIRM UNDER PENALTV OF PERJURV THAT I AM E%EMPT FROM 7HE CONTRAC70R5 LI- G8f8g6/C0fpO1i W CENSELAWFORTHEFOILOWINGREASON(SEC.7031.5BUSINESSANDPROFESSIONSCADE:ANVCITYOFi (n U COUNTyWHICHRE�UIRESAPERMITTOCONSTRUCT,ALTER,IMPROVE,DEMOLISH,ORREPAIRANVS7pUC- W Patio/Deck w TURE,PRIOR TO ITS ISSUANCE,ALSO REaUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIC,NED W � STATEMENT THAT HE OR SHE IS LICENSED PURSUAN7 70 THE PROVISIONS OF TNE CONTRACTORS LI� � � CENSE LAW(CHAPTER B(CAMMENCING WI7H SEC710N 7000)OF DIVISION 3 OF THE BUSINE55 AND PRO- POOUSPe � FESSIONSCODE)ORTHATHEORSHEISEXEMPTTHEREFROMANDTHEBASISFORTHEALIEGEDE%EMP� (� V TION.ANYVIOUTIONOFSECTION7o37.58YANYAPPLICANTFORAPERMITSUBJECTSTHEAPPLICANTTO Z Re-Roof A CIVIL PENALTV OF NOT MORE THAN FIVE HUNDRED DOLLARS(5500).J: �I,ASONRJEROFTHEPROPERTY,ORMVEMPLOVEESWITHWAGESAS7HEIRSOLECOMPENSA710N, Q Z Wlll DO THE WORK,AND THE S7RUC7URE IS NO7 IN7ENDED OR OFFERED FOR SALE(SEC.70a/,BUSI� J Commercial � NESS AND PROFESSIONS CADE:THE CONTRACTORS LICENSE LAW DOES NOT APPLV TO AN OWNER OF � PROPERTYVhiO BUILDS OR IMPROVES 7HEREON,AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR � THROUGH HIS OR HER OWN EMPLOYEES,PROVIDED 7HA7 SUCH IMPROVEMENTS ARE NO7 W7ENDED OR m � OfFEREDFORS�LEIF,HOWEVERTMEBUILDINGORIMPROVEMENTIS50lDWI7HINONEYEAROFCOMPIE- Z TION,7HE OWNEF-BUILDER WILL HAVE THE BUROEN OF PROVING 7HAT HE OR SHE DID NO7 BUILD OR � IMPROVE FOR 7HE PURPOSE OF SALE). W ❑I,AS OWNER OF THE PROPERTV,AM EXCLUSIVELV CON7RAC71NG WITH LICENSED CONTRAC70RS � TO CONSTRUCT THE PR0.IECT(SEC.70�1,BUSINESS AND PROFESSIONS CADE:THE CONTHAC70RS LI- V81U8SIOf1 ADJ.AREA W CENSELAWDOESNO7APPLY70ANOWNEROFAPROPERTVWHOBUILDSORIMPHOVESTHEREON,AND � WHOCONTRACTSFORSUCHPROJECTSWITHACONTHACTOR(5)UCENSEDPURSUANTTOTHECONTRAC- QUANTITY DESCRIPTION FEE Y TORS LICENSE LAW.�. � ❑I AM EXEMPT UNDER SEC, B.8 P.C.FOR THIS REASON Q � U � � DATE OWNER U Z w � LICENSED CONTRACTORS DECLARATION W � I HEREBY AFFIFM UNDER PENALTV OF PERJURY THAT I AM LICENSED UNDER PROVISIONS OF CHAP7ER � d D(COMMENCING WI7H SECTION 7000)OF DIVISION 3 OF 7HE BUSINESS AND PfiOFE5510NS CODE,AND Z X MY LICENSE IS IN FULL FORCE AND EFFECT. LIJ [� � UCENSE CLASS �^����f� LIC.NO. S _ j _ V DATE 7 � [/ O 7 CONTRACTOR_ d W � � WORKERS'COMPENSATION D ARATION a ! � I HEREBV AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLIOWiNCa DECLARATIONS: Z / Z _I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF�INSURE FOR WORKERS' _ '/ �[ Q COMPENSA710N,AS PROVIDED BY SEC710N 3700 OF THE LABOR CADE,FOR THE PERFORMANCE W ✓ V' i �� Q OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. � w _I HAVE AND WILL MAINTAIN WORKERS'CAMPENSATION INSURANCE,AS RE�UIRED BV SECTION Q370a OF THE LABOR CODE,FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED.MV WORKERS'.C�/O�MPE.�N�SATION I/N�$LJFANCE CARRIER AND POUCV NUMBERARE: CONSTRUCTION j CARRIER �_//1': L v�� _ PLAN REVIEW � `� � POLICV NUMBER �I � • U ELECTRIC Z c Q � (MISSECTIONNE�NOTBECOAWFTEDOFTHEPEW.1fTI5FORONEHUI�DREDDOU.ARS(5100)ORLESS). PLUMBING Z I CERTIFVTHAT IN THE PERFORMANCE OF THE WONN FOR WHICH THIS PERMIT IS ISSUED,1 MECHANICAL (,'} SHALL NOT EMPLOV ANY PERSON IN ANY MANNER SO AS TO BECOME SUBJECT TO THE � WORKERS'COMPENSATION LAWS OF CALIFORNIA,AN REE THAT IF I SHOULD BECOME INSPECTION FEE ? SUBJEC7TOTHEWORKERS'COMPENSATIO ROV O OFSECTION37ooOFTHEU80R CAD SHA ORTHWITHCOMPLVWITHT 5 RO ISSUANCE � p DATE: O d qPPLICANT. � SMIP J WARNING.FAILUR TO SECURE WORKERS' ENSATION COVEAAGE IS UNLAWFUL,AND SHALL BE ENERGY P/C � SU&IECTANEMPLOYERTOCRIMINALPE SANDCIVILFMESUPTOONEHUNDREDTHOUSAND ENERGYPERMIT DOLLARS�f100,000),INADDITIONTOTHE STOFCOMPENSATION,DAMAGESASPROVIDEDFORIN � SEC710N 37ae OF THE LABOF CODE,INTEREST,AND ATTORNEV'S FEES. RETENTION FEE: µ OCONSTRUCTION LENDING AGENCY PRE-ALT FEE: � I HEREBYAFFIRM UNDER PENALTV OF PERJURY THATTHERE I$A CONSTRUCTION LENOING AGENCV FOR THE PERFORMANCE OF THE WORN FOR WHICH THIS PERMIT IS ISSUED(SEC.3087,CIV.C.�. Z w � LENDER'S NM./E F— IENDER'SADDRESS ,� TOTAL FEES l�0• `� �L�, � � I CERTIFY THAT I HAVE READ THIS APPUCATION AND STATE THAT THE ABOVE INFORMATION IS CARRECT. � I AGREE TO CAMPLV WI7H ALL CITY AND fAUN7Y ORDINANCES AN�STATE UWS REUTING 70 BUILDING � CONSTRUCTION,AND HEREBV AUTHORIZE REPRESENTATIVES OF THIS COUNTV TO ENTER UPON THE Z A80 E-MENTIONED PROPE V FOR INSPE TION PUi1PO5ES. COMMENTS 0 � O � m PERMITTEE NAME(PRWT) ' � Q � � SIGNATURE OF PE DA7E r� = RECPT.NO. 0 5�1� PAIDBY ��VALIDATION ~ WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy CV�Y O� DDA6���� �e�R I�SI�[�C�B�f� f�[���O�D , ... , . �. _� .oa�Q�c��oo�� �a����; �€ �. o . o�z o . - _ ` _ o '. ; �� �. , e ��' , �� ��������� �., ��� � SET BACK FLOOR JOIST FTGS/FORMS/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 HT. 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 FENCING WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING DEDICATIONS SEWER FINAL ENG. SEPTIC TANK LANDSCAPE/IRRIG. SEEP PIT/L.L. QN 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 _ C�0f�0.�" COMMENTS � SEPTIC TANK SIZE SEEP PIT/U SIZE a � � � �