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
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'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
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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 �
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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 �
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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:
.