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Home My WebLink About1370 VALLEY VISTA DR (22) (2) �� __ CITY OF DIAMOND BAR `. `�'-" DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES I ` 21810 Copley Drive,Diamond Bar,CA 91765 (909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-7027 PRESS ��'9�', BUILDING PERNIIT APPLICATION FIRMLY I o� JOBSITE J��O ti/,,,Q/� �J�� u�y.e I�Fs�►4� APPUCATION % `w J,� NUMB R�� #/C ADDRESS V�t.W �/ DATE y� � � OCC TYPE °-° APN LOT TRACT DATE �� CONST. GROUP p OWNER o ADDRESS ZONING SETBACKS Z CITY ZIP TEL. N RW ❑ o APPLICANT TEL. SIDE/SIDE STREEf RW ❑ � CONTRACTO C� 1� L(J�'r 0 Zo+G) SIDE ❑ ADDRESS ! � � :� � CITY R'�W�trr• NfiS ZIP �!/7� TEL �io�b^d'93-�?T PAOPOSEDUSE w ARCWENG/ z DESIGNER a ADDRESS NO.DWEL. NO. NO. � CIIY ZIP TEL. UNITS STORIES BEDROOMS c� � DESCRIPTION SQ.Ff: FACTOR PSF ADJ..AREA/VALUATION p� OWNER-BUILDER DECLAAATION SFR/ADD/REM O 0 I NEREBV AFFlRM UNDEA PENALTV OF PEiLIUfiY THAT I AN E7(EMPT FROM THE CONTRACT0R4 LL Garage/Carport W CENSEUWFOR7HEFOLLOWIN6REASON(SEC.7031.58USINESSANDPROFESSIONSCOOEANYCITYOR (n CJ CDUNTVWFIICHREOUIqESAPERMITTOCONSTRUCT,ALTERD.IPROVE,�EMpU3F1,ORREFNAMIVSTRUG W Patto/Dedc � 7URE.VR10R TO RS ISSUANCE,ALSO pEWIRES THE APPIICANf FOR SUCH PERMIT TO F0.E A SIONE� W � STATEMENT THAT HE OR SHE IS LICENSED FURSUANT TO THE FiiON5VON5 OF THE COMiRACTORS ll- � CENSE UW(CiiAP7ER Y(COMMENpNG N7TH SECTION 7000)OF DiVIS10N 7 OF T1E BUSINESS AND PR6 � PoOUSpe � Q FESSIONSCOO�ORTHATHEORSHEISIXEMPTTHEREFRONANDTHEBASI5FOR7HEALlEOEDEXEMP- C7 V TION.ANV VpLATION OF SECTION 7037.6 B'/ANV APPLIGNT FOqA PERMIT SU&IECTS THE APPLICANT TO Z Re-Roof A CNIL PENALTY OF NOT MORE THAN FIVE HUNORED OOLURS(3500).r 0 ❑I,ASOWNEROFTHEPROPERTY,ORA/YEMPLOVEESWITHWA(iE5A5THE1F50LECOMPEN5AT10N, � �mmercial � Z MALL DO THE WORI(AND hiE STfiUCNRE IS NOT IMENDED OR OFFERED FOR SALE(SEC.70u,BU51- J � � NESS AND PHOFESSIONS CODE:TYfE CONTRACTORS UCENSE LAW DOES NOT APPLY TO AN OWNER OF � PHOPEHTY NM1IO BUILOS OR IMPROVE9 THEREON,ANO WHO DOES SUpI NV RK H WSELF OR IiERSELF Oq CL hIROU6HH150RHERONRJEMPLOVEES,PFOVIDEDTHATSUC311MPROVEAIENTSARENOTINTENDEDOR m 0 OFFEREDFORSALEIF,HOWEVER7NEBUILDPIGORWPROVEMENTISSOLpWR}�WpNEYEAROFCOMPLE- Z 710N,7HE OWNER-BUIIAER WILL HAVE THE BURDEN OF PROVIN(i THA7 HE OR SHE DID NOT BUIID OR � pAPROVE FOR THE PURPQSE OF SALE). w ❑I,ASOWNEROFTHE7ROPERTV,AAIE%CLUSNELYCOMMCTWOWfiHLICENSEDCONTRACTORS � TO CONSTRUCT 7ryE PRQIECT(SEC.7aN,BUSINE55 AND PROFESSIONS CODE:THE COMMCTORS LI• V81U3tIOf1 ADJ.AREA CENSE LAW DOES NOTAPVLV TOAN OWNER OFA PROPER7Y WHO BUILDS OR IMGROVES THEREON,AND � � WHOCOMAACTSFORSUCFIPRQIECTSWfTMACONiMCTOR(5)LICENSEOPURSUANTTOTHECONTRAC pUANTITV DESCRIPTION FEE � Y 70R5 LICENSE UW.� � ❑1 AA1 E%ENPT UNDER SEG B.6 P.C.FOR 7HI5 REASON � � � Z V �aH`.G��"��/ ?y U � DATE ONTJER � a� . ' �rG�� LICENSED CONTRACTORS DECLARATION w � � I HEREBY AFFlRM UNDER VENAL7Y OF PERIURV 7T1AT I AM LICENSED UNDEA PROVIS10Ng pF CHApTEH � � Y(COMAIENCPKi N7TH SECTIDN 7000)OF DMSION]OF THE BUSINESS AND PROFE55�ON5 COOE,AND Z �� A(Y LICENSE IS M FULI FORCE AND EFFECT. /� m � UCENSE CJ.ASS O^� D LIC.NO. /v D U V.� � ) U DATE d� CON7RACTOR a. u� � WORKERS'COMPENSATION DECIARATION � � � � U � I HEqFBV AFFIRM UNDER PENALTV OF 7ER3UqY ONE OF THE POIIOW WG OECURATpNS: Z � _IHAVE�NDWILLMAWTNNACEATIFlCATEOFCONSENTTOSELFINSUREFOFiNR]ANERS T COMPENSA710N,AS PROVIOm BY SECTION 3700 OF THE UBOR COOE,FOR THE PERFORMANCE U OF THE WORK FOfl NM111CN THIS PERMIT IS ISSUED, W . � � � ��FiAVEAND Wl�l MAIMNN WORNERS'COMPENSATION INSUqANCE,AS pEWIRED BV SECTION Q �70o OF THE LABOR CODE.FOR THE PERFORMANCE OF THE WOPo(FOq WHIG7 THIS PERMR IS ISSUFII.MY WORKERS COMPENSATION INSURANCE CMRIER AND POIICY NUMBER ME CONSTRUCTION j �^j+RiER PLAN qEVIEW � VOLICV NUMBER ��'� '7=�� ELECTRIC � �p T p (n�s�cr�or+r�IDr+araEm�.a�T�oFn+�v�w.*�sra�a��oou.uas�s+oWaa�ss} PLUMBING w Z �CERTIFY 71iAT IN THE PERFOR/AANCE OF THE WORN FOR WHldi iH15 PERAUT IS ISSUED,1 MECHANIC/LL G7 SHNINOTEMVLOYANYPERSONWANYlAANNERSOASTOBECAMESU&IECTTOhiE � WORKERS'COMPENSATION LAWS OF CALIFORNII ANO AGREE 7HAT IF I SHOULD BECOME INSPECTION FEE S SUBJECTTO THE WOFKERS'COMGENSATION PROVISIONS OF SECTqN 77a0 OF 7HE IABOR �1 E,I SHALI FOfiTM417H COA/PLY Wihl THOSE PFOVISIONS. ISSUANCE J 0 /� p DATE �O�- � APPL�ICANi: _ L�✓1 �lil �SM1P W � WARNINO:F�WRE TO SECURE WORKERS'LOMPENSATION COVEMGE IS UNUWFUL,AND SHALL BE ENERGY P/C � � SU&IECT AN EMPLOYER TO CRUIWAL VENALTIES ANO CML FlNES UP TO ONE HUNDRED THWSAND �ERGY PERMIT DOLLARS(f10o,o00),W A6DI710N TO THE COST OF COMGENSATqN,DAAINCiES/l4 PROVIDED FOR IN J SECTpN370EOFTNELABOflCODE,WTEREST,ANDATTOHNEI"SFEES. �¢ RETENTION FEE: a � O CONSTRUCTION LENDING AGENCY PRE-ALT FEE � 1 HEPEBYl�FlRM UNDER PFNAL7Y OF PEANRY THAT THERE IS ACONSTAUCTION IENOWO AGENCY FOR iHE VERFOfiMANCE OF 7HE WOPo(FOR WH1q1 TH15 PERMR IS ISSUED(SEG�oW,dV.C.). Z W � LENDEA'S NAME � � LENOER'SADDRESS - � ICERTIFYTHATIHAVEREADTHI9APPLICATIONANDSTATET1iATTHEABOVEPlFORMATIONI9LORRECT. TOTAL FEES �a l a w I AOREE TO COMRY VATH ALL GTV AND COIRlTV OROWAryCES AND STATE UWS PEUTWO TO BURAINO � CONSTRUCTi(N�L AND HEREBYAUTTiORIZE REPRESENTATNES OF TFIIS COUNTY 70 FMER UPON 7HE � ABOVE-MENTIONED PROPERTY FOR INSFEC710N PURGOSES. � Z COMMENTS � ( i ✓� UULC m PERNI7T �vPo � . � - v .-( � 5 PEPodiTTEE DATE � l � RECPT.NO. �,) PAID BY w! VAIIDATION � 4VHITE—Department Copy,YELLOW—F'�nance Copy,PINK—Asseuor Copy,GOLDENROD—File � � Copy,GREEN—Appllcant's Copy ��'�f �� E�6U9t��l� �� ~• �� R��C;T6��i R��t9� � ., � r � �'�m � - �� ,�,��a��, ��_ y ,��' �.�' �• _' � "�'� '� ��' �., �n� �� >. ��- " �,��'L.�.,,�- ��- ,�: �-- " �. ° y T �� :iET B��CK , i F!OOR JOIST ---------- ----- ----------------------- -- ------------------ FTGS/FORMS;S��EEL � FHA REQNIT; _ �------------------------ --------------- ----- --�- ----- '�LECTRIC GRGUhdD I � UNDER FLOOR DUCT GRGIJ�JD PLUiv1BING _+_ _ UNDER fL00R CONDUIT SL,4B GRADE FIREPLACE FOUP!DATIOh•1 -�EN1P PObVER —� FIREPLFlCE BOND BEARA V��ATER SERVICE P�IID Hl".BOf.D BEAM ROOF SHEATHI(�!G i �— 8 F�I".BO�dD BEANI FRAMING!VEPITILATI�t�! �— • FINAL B��1D BEP.NI ROOF COVER � PRE-GRADING ----——---- --- - -- — ----------- -- — ROUGH HEATING BENCHING ROUGH ELECTRIC � I ROUGH GRADI�aG ROUGH PLUNIBII�IG � FINISH GRADING SHOWER/TUBTEST � POOL ELECTRIC EXT.LATH/SIDIfdG � �POOL FENCING �IALL INSULATION � POOL FINAL CEILI�dG INSULATIdN _ OFF SITE IMPS. DRYW/ALL NAILING DFDICATIONS SENlER ---- -- . ---- --------- F1NAL ENG.------- — -- — SEPl1C TANK LANdSCAPE/IRRIG. ------- �--- ----- --------- — SEEP PIT,-L.L. ON SITE IMPS. G�S AIRTEST FIPJAL ZONING FINAL CQNST. FIRE DEPT.FI�JAL FINAL HEATING HEALTH DEPT.FINAL fINAL ELECTRIC DEV.FEES PAID FINAL PLUMBING ENERGY FINAL PLANING FINALENGINEERING _ � _ __ __ ___ � � a _ __ ___ C�MMENTS _ _ __ ______._ _ —_—_ SEPTICTANKSIZE . SEEP PIT/U SIZE � 9 --- ---- -- — r `' � ' POLICYHOLDER COPY � . • � P.O. BOX 420807, SAN FRANCISCO,CA 94142-0807 � CERTIFICATE OF WORKERS' COMPENSATION INSURANCE � ISSUE DATE: 07-16-2072 GROUP: POLICY NUMBER: 1 9 78667-201 2 ' CERTIFICATE ID: 6 CERTIFICATE EXPIRES: 07-01-2013 I 07-01-2012/07-01-2013 . CONTRACTORS STATE LICENSE BOARD SC LIC PERMITA�: 920887 INCEPTION DATE:O7-01-2012 PO BOX 269074 DO:SC SACRAMENTO CA 95828-80Z4 This is to certify that we have issued a valid Workers' Compensation insurance policy in a form epproved by the California lnsurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 10 days advance written notice to the employer. We will also give you 10 days advance notice should this policy be cencelled prior to its .normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herefn. Notwithstanding any requirement, tertn or condition of any contract or other document with respect to which this certlficate of insurance may be iSsued or to which it may pertein, the insurance afforded by the policy described herein (s sub)ect to all the terms, exclusions, and Conditions, of such policy. _-. _ ` t'`Nl11Aa G� '� Authorized. Representative President and CEO ' EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,,000,000 PER OCWRRENCE. ENDORSEMEPfT' lf1600 - LIN YEUNO MU PRES,SEC,TRES - EXCLUDED. EMPLOYER WINPO INC \ SC 18351 COLIMA RD rY236 ' ROMLAND HEIC�tTS CA 91748 [P1 D,SC] IaEv.a-2oto1 PRINTED : 07-18-2012 CiT c)r I I ' � ' ._--�-� _ '��dkl'()lt�CLO r9sg City of Diamond Bar . 21810 Copley Dr. . Diamond Bar, CA 91765 � � RECEIPT OF PAYMENT Receipt Number: 2013015627 , Receipt Date: 06/20/2013 � � ` Date Paid: 06/20/2013 Full Amount: $11.00 Payment Details: . Payment Method Amount Tendered Check,Number ' Cash $11.00 Amount Tendered: $11.00. Change / Overage: $0.00 . � Contact (Paid By): Winpo Inc, Address:18351 Colima #236, Phone:(626) 893-3758 Business Name: Winpo Inc FEE DETAILS: Fee Description Reference Number Amount Owing Amount Paid Business License , LC20130000418 $10.00 $10.00 State Fee SB-1186 LC20130000418 $1.00 $1.00 This receipt only acknowledges payment of fees to the City. It is not proof that a license, permit or other approval has been issued. This receipt does not authorize the commencement or conduct of any activity for which a fee has been paid.