Loading...
HomeMy WebLinkAbout1370 VALLEY VISTA DR (24) (2) �,�„��� C1TY OF DIAMOND BAR � � C(T�. ( l S ' '� DEPARTME1�iT OF COMMUNITX&DEVELOPMENT SERVICES �" � ��Ill��f,`� 21810 Coplcy Drive,Diamond Sar,cA 9��fis PRESS ,,,,,�� (909)839-7020 Fax: (909)861-3117 Building Inspection Hotline(909)839-7027 F�RMLY �,,«,,..,_ , i 'D8'' BUILDING PERMITAPPLICATION �-- • I �7 �7� ` t�'�� � 1( S� �- �� APPLICATION DATE: I y y � P/C�t//� � �^�� /� w JOB SITE ApDAESS � � v �� ISSUE DATE: PERP/IIT# z APN LOT TRACT o OWNER I�cShC� C '�'f<�^' TYPE CONST. OCC GROUP: � ADDRE�SS' ��17 V��Ct �/t�Sf'`i ZONWG 5EfBACKS � CITY�L!��L< <^� ZIP TEL�( ���Za��$ FRONT RW ❑ � APPLICANT GrC(G �c, � S TEL. CJ 7 ,I Z�-`��7 REAR � o SIDE/SIDE STREET RW �1 a CONTRACTOR ��,�� P��� �� �- ��ti� ���I��(I�ILI. 51DE � i o� ADDRESS Z� i0 'TG �wW��� A� y! �Q PROPOSED USE Ir'��^' "�'� �"�L Z�' v�� Io CITY �/lll�l,✓�L� ZIP�TEL.�'J����`✓U� I " ARCH/ENG/DESIGNER 0 o ADDRESS #DWEL.UNITS #STORIES #BEDROOMS a C�-�y ZIP TEL. DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNEA-BllILDEfl DECLAFiAT10H � SFR/ADD/REM o I hereby affirm under penafly of perjury that I am exempt from the Contractor's Siate License Law tor me reason(s� p indicated bebw by ihe checkmark(s),I have placed neut to the aDDlicable item(s)[Section 7(1315,Business and Garage/Carport w Protassions Code:Any city or county that requires a permit ta construct,alter,improve,demolish,o�reDair,any z strucWre,prior to Its issuance,also requires the applicant lor the Dermft to file a sfgned statement Nat he or she w Patio/Deck � is licensed Dursuant to the provisions of the Contractor's SWte License Law(Chapter 9)Commencing with Sectlon � 70D0 of Divlsion 3 of the Business an0 Professions Cade�or that he or she is exempt from Ilcensure and the basis tor � P�VSpa . N the aileged ezempfion.Any violation of Section 7031.5 by any applicant tor a permit sub�ects the apDlicant to a civil per�allY Z Re-ftoof � ot not more than five hurbre0 tlollars(5500). O o (�I,as awner ot the property,or my employees wlth wages as thefr sole comDensatlon,will tlo(1 all of a(�poNons J Commercial 0 0l tlte work,and the structure is not intended or ottered 1or sale(Section 7044,Business arM Professions Code:The � m cW-� Ca�tracinrs'State Ucense Law dces not apply to an owner oi property who,through employees'or personal ettort,6uilds u�7 or improves the Droperty,provided that ihe improvemenCs are rrot intendetl or offeretl for sale.R however,the building or � improvemenl is sold wlthin one year of completion,ihe Owner-Builder will have ttie burden M proving ihat it was not huilt pa improved Por ihe purpose of sale.). � (�1,as owner of the pmperty,am exclusivefy conVacting with Iicensed Contractors to canstrUcl the project(Section 0 7044,Business and Professions Cale:The CoMractors'State License Law tlaes not appy to an ovmer ol property who Valuation: Adj.Area: z buildsorSrr�DiovesNereon,andwt�oc:ontractsforlheprojeclswithalicensedConhactwpursuanttotheConVactors'S4te pUANTITY DESCRtPT{ON FEE � Y License Lew.). J p O I am exempt irom licensure under the ConVaclor's Stete License law tor ihe toltowing reason(s): � � ¢ '� By my sfgnature Detow 1 acknowledga that,ezcept for my personal resider�ce in which I must have resided for at least one w z year prior to completlon oi Ne imprwemenis covered by ihis permi[,I cannoi legalty sell a strucMe that I have buiti as an ,i O � owner-builder If It has rwt been consWcted in its entirety by licensed conVactors.I understand tliat a copy of the aDPlipble law,Section 7044 oi the Business and Pmfessions Code is available upon request when this application is submitted or at n- the following Web site:ht[plv+ww.leginfo.ca.gov/calaw.html. z w �' OATE: SIGN: � � LICFIJSED CONTRACTOR'S DECLAHATION � � U W I hereby atfirm under penatty ot perjury Mat I am I'�censed untler provisbns ot Chapter 9(commencing wilh Seciwn 7000) m of Division 3 of the Business antl Professions Code,and my license Is in full force and eflect. J i � LJCENSE CLASS: �� G� LIC.ND.: ���� z o DATE: �Z���.._ CONTRACTOR: 1/�" � �o�.�/�q��C— � � � � WORI(ER'S CdMPENSATI�N�EC4ARAT10N �. � 1 HERFBY PFFIRM UNOER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: w ¢ I have and will maintain a Certiflcale of Consent to Self-Insure fa Worker's Compensation,as providetl 6y CONSTRUGTION: � Section 3700 of the Labor Code,tor the performance o(me wwk(or which Nis penntl is issuetl. p�qN REVIEW: � �I have aiM will maintain Wwker's Compensation Insurance,as required by Section 3700 0l the Labor f,ode,for ELECTRIC: • O o the perlormance oi the work fa which this permit is Issued.My Worker's Compensatfon Insurance Carrier and Q Policy Numberare: '�t�✓�l.� PLUMBING: CAFIRIFA "�'t T� _ MECHANICAL� I_ O z POLICYNUMBFA L� Z �' � INSPECTION FEE: c� �/� '`', � (T}#S SECTION NEED NOT BE CAMPLE7ED IF1HE PEFN11i IS FOR ONE F9INDRED DOLLMS(510�OR LESS�. ISSUANCE: „�=� 0 I cerli(y tl�at in the performar�ce ot the vror4e tor which ihis pertnit's issued,I st+all�rot employ any persa�in am(rt�an�ier so a5 to • 6emme subject to Ihe Waker's Comper�sation Laws ol Califomia _agree Ihat if I should became subject to 1he Worker's SMIP: �� Compensaliai prwisiais ot Section 3700 ot tlie La4or Code,l ( ith com vnth ltrose Pro`�isiars. ENERGY P/C: DpTE:��'l�_nvPUCANT: �t'� ENERGY PERMIT: � � WARNING:Failure to secure workers Compe�atlon coverage is awful,and shall subject an empbyer to cnminal REfENTION FEE: ��� � penatties and civil fines up to one hunOred thousand dollars(3100,000),in addi6on to ihe cost of the compensaUon, ���— w PRE-ALT FEE: n- damages as prmided for In section 3708 of Me labor code,interest,and attomey's fees. . 0 d � GONSTStUCTION LENOW6 AGENCY BSAF: w I hereby affirm under penalty ot perjury that there is a ConsUuctlon Lending Agency for the peAormance of the work for = whic�this perm)t is Issued(Sec.3097,Civ.C.). � LENDER'S NAME � � LENDER'SADDRESS: a I certify tbat I have read this aDPlication and state that the above informabon is conecL I agree to compty vnth ail ury and TOTAL FEES �(�J. '3 ��� C'�./4 ��� � •��� � counry ordinances and state laws relating to twilding construc6on,and hereby authorize representatives oi this counry to COM MENTS: � enter upon the above-mentionetl property for inspection purposes. o � m N PERMf17EE NAME(PRINn � �.� � � RECEIPT H_!��_ PAID BY: � VALIDATION: = SIGNATURE OF PERMfTTEE �A� � WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy.GOLDENROD—File Copy,GREEN—ApplicanYs Copy � . CITY OF DIAMOND BAR ' INSPECTION RECORD . a e . • - e � � • ' ;;;= � ���� �` TRACT AND LEDGER SETBACKl,L'ETTER �r t. ,`t;' , x �'� � FOOTWGS'FORMS = , ��;_� . , . �r� � ;, �'T .t�_ ,;��'�' SWITCHGEAR S�g�* � �;��'r ` ' � z _-� COMMERCIAL HOOD U6.PLUMBING.':. , �`: �` ��"'- T-BAR UG.ELECTRICAL-: -- - �' '� ;i ��: INTERCEPTER UFER�GROUND � ;''T _ ,._�;-��` HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECENED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLQOR SHEATHING ROUGH CONDUIT r r= �SHEAR WALLS EXTERIOR;'�., `�' _ ROOUSPA: _ � � �s ` �}� � SHEAR�WALLS INTERIOR:°;_ ,;, _ — ° '��x - ROUGH�P,CUMBIN6 7:� ` ��";, ` ` '-' FRAMINGNENTING . � - � _ ��;��k: ROUGH.ECECTRICAL,x �: , � � i' '��' ROUGH MECHANICAL �� ^� Y . ' r . i �� , * ��' � ROUGH MECNANICAL��, "� � � . � �'��� a � � �'� s° a ROUGFI EIECTRICAL W(�;��( :) . ` � ,: rx{� ;', a '* �� GAS TEST�� �� � t ;,, c fi , �: � -� .r� , i�s £ z ' �r ,�. > � t ' ��i '5 � �'.,1 ' 'F tFS- .��P iK�` 4 �1 ROUGH-PLUMBING - ` "� ` �," �z s� '' ,; a "_''�'� pRE GUNITE ,� , ; � � A . t INSULATION WALL POOL PRE bECK BOrlDING ,_,'- ` `� �� „� �`'i �� �r` �° INSULATION CEILING P-TRAP�� ,: 4 � �, DRYWALL FENCE/,'GATE/AI:ARM - ` ' : ` � �x :� 'F,INAL�POOL , �,- � ,.:�_ , � ��' LATH(PR� - LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTIN6/STEEL GAS TEST WALL STEEL 1 sr( 1 2NDt )LIFf � � SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL _ SPECIAL INSPECTION R0.FRP�MING PLANNINGAPPRQUAL � ~ � = �',�` fINAL�BUILDING ��'Y� � ''� $ �ROUGH,FIREAPPROUAL : r ` { - ` '� f' FINAL MECHANICAL I S `�'��"� ` 4 `:' ° " ' FINAL FIRE QEPARTMENT ' � � ,` - r r., �r � r FINAL'.ELECTRICAL ; , � x?; ; � ', �'` , FINAL'PLANNING �"a ' ;,y z ' '�r '�,� � , ; ` FINAt'PLUMBING ''�,! 5 . . �. ��` �: , 'FINAL'ENGINEERIN6/PW� : ''t s �' `' f ` � �� ,�: T.C:of OCCUPANCY - ' 'T��' FINAL COMMUNITY.SERVtCES � � CERL of OCCUPANCY :: . " r zi` ' ' - FINAL HEALTH DEP-T "- ��.` � � r. ? 'fINAL INDUSTRIAL:WASIE�; `" � � `.� 7`:;, '` COMMENTS: .