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Home My WebLink About1370 VALLEY VISTA DR (20) (2)' ,� � — ' CTfYOFDIAMONDBAR �� COMMUNITY DEVELOPMENT DEPARTMENT n 21660 E.Copley Drive Suite 190 (C P �0 2QS9� (909)860-3195 Fa�c(909)861-3117 PRESS I "'"" BUILDING PERMIT APPLICATION FIRMLY � JOBSITE 2 St APPLICATION PERMIT P/C q�J��jv I o ADDRESS� ✓��D \/A LLE`�� V Is7A flR � SSUE TYpE ER # pCC/ ' I � APN LOT TRACT DATE CONST. GROUP p OWNER T K4 r1 11 E�L GIZ O.IAI GO. o ADDRESS S�() 1 S� E�►STER/1� L�V� ZONING SEBACKS � CITY CJ�'I11��G� ZIP��OTEL.2�3•7Z¢�Z � REART RW p APPLICANT � TEL. -�'1��_� SIDE/SIDE STFiEET RW p � CONTRACTOR SIDE ❑ � ADDRESS � CITY pUA1LEf/`[ ZIP�QSTEL. � PROPOSEDUSE ( w ARCH/ENG/ C z DESIGNER U V " w NO.DWEL. NO. NO. a ADDRESS ��y�� Y� N CITY L�_ ZIP �I /S4 TEL.-��9. UNITS STORIES BEDROOMS cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BCILDER DECLARATION p SFR/ADD/REM I HEREBV AFFIRM UNDER PENALTV OF PERNRV hIAT I AA1 EXEMPT FROA/THE COHTMCTORS LI- G8f89B/C8fp0A W CENSEUWFORTHEFOLLOWINGREASON(SEC.7031.58USINESSANDVROFESSIONSCOOE:ANYCITYOR (n �U COUNTYWHICHREOUIRESAPERMITTOCONSTRUCT,ALTER,IMPROVE,DEMOLISH,ORREPAIRANYSTRUC- w . w TURE,PRIOR TO ITS ISSUANCE,ALSO REWIRES THE APPLICANT FOR SUq1 PENMIT 70 FILE A SIGNED w Patio/Deck STATEMENT THAT HE OR SHE I$LICENSED PURSUMIT TO THE PROVISIONS OF THE CONTRACTORS LI- � CENSE UW(CMAPTER Y(COMMENCIHG WITM SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PRO- � PooVSpe FESSIONS CODE)OR THAT HE OR SHE IS EICEMPT THEREFROM AND THE BASIS FOR THEALLEGED E%EMP• (� . � TION.ANYVIOLATIONOFSECTION7o71.5BVANVAPPIICANTFORAPERMITSU9IECTS7HEMPLICANTTO Z Re-Roof ACIVIL PENALTV OF NOT MORE 7HAN FIVE MUNDRED DOLURS�f50o).�: O I,AS ONMER OF THE PROPERTV,OR MV EMPLOVEES WITH WAGES AS THEIR SOLE COMPENSATION, Z WILL DO THE WORK,AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SA�E(SEC.70H,BUSI- � COf11R19fCi81 N NESS AND PROFESSIONS CODE:THE CONTRACTORS LICENSE lAW OOES NOT APPLV TO AH OWNER OF j PROPERTV WHO BUILDS OR IMPIiOVES THEREON,AND MMO DOES SUCH WORK HIMSE�F OR HERSELF OR � � THRWGH HIS OR HER OWN EMPLOYEES,PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR m w OFFEREDFORSALEIF,HOWEVER7HEBUILDINGORIMPROVEMENTISSIXDWRHINONEYEAROFCOMPLE- � 0 TION,THE OWNERAUILDER WILL HAVE TME BURDEN OF PROVINO iHAT HE OR SHE DID NOT BUIID OR J � IMPHOVE FOP THE PURPOSE OF SALE). � i ❑1,AS OWNER OF THE PROPERTY,AM El(CLUSIVEIV CONTRACTING WITH LICENSED CONTMCTORS ¢ TO CONSTRUCT 7HE PRO,lEC7(SEC.70a�,BUSINESS AND PROFESSIONS CODE:THE CONTRACTORS LI- VelU0fI0f1 ADJ.AREA � W CENSE UW DOES NOTAPP�V TOAN OWNER OF A PROPER7Y WHO BUILDS OR IMPROVES THERE-0N,AND • � WViOCONTMCTSFORSUCHPR0.IECTSVATHACONTMC70R(S)LICENSEDPURSUAMTOTHECONTMG QUANTITY DESCRIPTION I FEE � TORS LICENSE UW.). � ❑1 MI EXEMPT UNDER SEC. B.6 P.C.FOR THIS REASON : Q � U � ¢ DATE ON?!ER H s�� Z - W �,-_� i.1 ��{ 19 � LICENSED CONTRACTORS DECLAAATION -� `,J i.:". i� Q w 1� a��•• OC 1 HEREBY AFFIRM UNOER PENALTY OF PERIURV THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER � d Y(COMMENCING WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AN�PROFESSIONS CODE,AND Z X MY LICENSE IS IN FULL FORCE AND EFFECT. m � 11J � LICENSE CLASSR �!�^'� LIC.NO. �O� 3�O j M� " U DATE I�J I'�l ( CONTRACTOR ��DI A� d � W , f"�'tlil l�r)},l � WORKERS'COMPENSATIONDECLARATION -r • (��- {,,,�1f'•'��"' � � a �' ; 1 .i r� c�' - N I HEREBY AFFIRM UNDER PENQTY OF PERIURY ONE OF THE FOLLAWING DECLAM7qNS: Z �� '`�„1 ('��''`� I't•_��1..� � _I HAVE AND WILI MAINTAIN A CERTIFICATE OF CONSENT TO SELF•IHSURE FOR WORKERS' _ COMPENSATION,AS PROVIOED BY SECTION 370o OF THE LABOR COOE,FOR THE PERFORMAHCE W Q OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. � � W �I HAVE AND MIILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS HEOUIRED BY SECTION � • A Q 9700 OF THE LABOR CODE,FOR iHE PERFORMANCE OF THE WORK FOR WHICH THIS PERA/1T IS / ISSUED.MV WORKERS'COMPENSATION INSURANCE CARRIER AND POLICY NUMBER ME: CONSTRUCTION OC. � CARRtER �P U S�L G PL4N REVIEW ZPOLICV NUMBER �,'G?,�� . ELECTRIC Q 0 (n�ssEcinr+r+E�NoreEoo�ErIDOFnEpEantrsfz�arlEMrnf�DDalNs�sim�orr�ss) PLUMBING Z 1 CERTIFY THAT IN THE PERFORMANCE OF THE WOfUC FOR WHICH THIS PERMIT IS ISSUED,1 MECHANICAL C7 SHALLNOTEMPLOYANYPERSONINANVMANNERSOASTOBECOMESU&IECTTOTHE � WORKERS'CAMPENSATION UWS OF CALIFORNI/�AND AGREE THAT IF 1 SHOULD BECOME JNSP-ECTION FEE � . ? SU&IECT TO THE WORKERS'COMPENSATION PROVISIONS OF SECTION 310o OF THE UBOR �- ) � •O^ CODE.1 SHALL FORTV/WIiH COMPLV WIT/7TiOSE PHOVISIONS. �ISSOANCE 1 ! / O DATE: � �f-� 1 APPLICANT. �iJ�RD/A� F�� —�D � O w ENERGY P/C � � WARNIN�:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNUWFUL,AND SHALL BE LL SU&IECTAN EMPLOYER TO CRIMINAL PENALTIES AND CIVI�FINES UP 700NE HUNDREU 7HOUSAHD ENERGY PERMIT DOLLARS(i100,000�,IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN ¢ SECTqN 370!OF THE LABOR CODE.INTEREST,AND ATTORNEV'S FEES. EI'FT'ION- E:,• OCONSTRUCTION LENDING AGENCY -ALT FEE: .� � � I HEREBV AFFIRM UNDER PENALTV OF PERIURV THAT THERE IS A CONSTRUCTIOH IENDING AGENCV FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.�OG7,CIV.C.). W � LENDER'S NAME � LENDER'SADORE55 � TOTAL FEES � I CERTIFY THAT I HAVE READ THIS APPLICATION MID STATE THAT THE ABOVE INFORMATION IS CARRECT. - w I AOREE TO CAMPLV WITH ALL CITY ANO COUNTY ORDINANCES AND STATE UWS REUTING TO BUILDING � � CONSTRUCTION,AND HEREBY AU7FIORIZE REPRESENTA71VE5 OF 7HIS COUNTY TO EHfER UPON THE � ZABOVE-MEN710NED VROPERTY FOR INSVECTION PURPOSES. �/� � 0 COMMENTS � '�kkA�l-� 12 0 � M� �� m PERMITTEE NAME(PRINn ' ¢ 131 -ah y SIONANRE F PE�� DATE �/�, � � RECPT.NO.� %�� PAID BY VALIDATION WHITE—Depertment Copy,YELLOW�inance Copy,PINK—Asseasor Copy,GOLDENROD-Flle Copy,GREEN—AppllcanYs Copy � , .. • ., . � .,'i..:. ..��., � . ,,.. n .r.,. � , ? ^ .. ... .. � .. . `:�.t .. ". . . ',��. :1:'�4 ��.:: . . . .e. . .. ��,, o- . . . ,. � : . .. .. . . . . . . .. , . �� . v�.'.. . � . . . .,. . ' .. - . � . , . . , '?!.,. . ... _ _ C�O� OO G� Do�al�lOo�l oD ��,1G3 � � � ��l�pl�G�00o(�l G3CC�OG�� . � �J�c��U 0� �Q� ��`�- � � � ' �� "; �°-�Q � � ��a�p��11��r�i SET�ACK� . `" ' `. � � FLpO JOIST - . FTGS/FORMS/STEEL ' � • FHA REQMTS � � . ELECTRIC GROUi�lD UNDER FLC}Q�f�qUCT�;,,;?.�1 ,: e•.,;y ,� - !�-= ' GROUND PLUAABING UNa��t%F'LT�OP3 Cf1rcIDUIT'�' `'"'+ ...�.. '�;''"' 's;�,'.: SI.AB GRADE � FIREPLAtG`€ iO�Jh1�ATION�_:i-'i e 1, �.:'i�'�`+; �'='°•+ _' . TEMP POUBER FIREPLACE BC9�D�HEA1�1'`";��_ _�—t,�:�i.«•i "�'+s* . .�. � �hlATER�ERVICE. " . i`"F. , MID�-fT.�S�PdB � � " ' , � •.- .•, �.,� ;=.5„�.�..,r\ ROOF SHEATH#N� ' '� � ;� � „ + -� ' 8 Ff. BOND BEAM , , � , FRAPAINGNENTILIATION` �FINAL BOND��ANJh; ' � <��. �,. > �� - • ROOF COVER . PRE-G 9Qffi�G�'�i� #* ,,';�i . ,`+ -a,! EdOUGH FiEATING - - BENCHING ROUGH ELECTRIC ROUGH GRADING . ROUGH PLUMBING FIiVISH GRADING SHOWER/TUB TEST - PdOL ELECTRIC EXT. LATH/SIDING POOL FEPJCING lNALL INSULATION POOL FINAL � CEILIhlG IPlSULATION OFF SITE IMPS. DRYIAIALL NAILING DEDICATIONS � SEUVER •. .,• :: ; }�- FIfVAL ENG. � . SEPTIC TANOC _ ' "'��'d".. "°�' LANDSCAPE/IRRIG. SEEP PIT/L.L. OPJ SITE IMPS. GAS AIR�TEST� FINAI.ZOfVING FIiVAL CONST. FIRE DEP7. FINAL �INAL HEATING � HEALTH DEPT. FINAL FINAL ELECTRIC DEV. FEES PAID . FINAL PLUfViBING ENERGY � ' . . . , C�� , " . .. ..� . . /r�l��Q. . .. � i��; i�. . \�JL 1111 U �./�Itl11Nl�ltl 1 J . . - ''� _ � ' _ � .._ � :*i �� .«'�-�+, . i _.. .. ... • , . , �.�t.',1'� �i a c.�'�,{.:1'=�ti.� .. . � •}� ' , .. , SEPTIC TANOC SIZE . . SEEP PIT'/U SIZE - � � � � � ' � � , '. , .. ' '. e� � •.y , � i....=q �.. �'�. � ,� .:� i �-if�f.�-�j !� `1 h:,.. f l, � ! _ -.� �� ` � � '. � � �. .