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HomeMy WebLinkAbout1370 VALLEY VISTA DR (25) (2) , *?,�_ C1TY OF DIAMOND BAR 1 I i ' DEPARTMENT OF COMMUNITY.&llEVELOPMENT SERVICES � , �=,. � PRESS ���Ill��ti.-`� � ' 21810 Copley Drivc,Diamond 13ar,CA 91165 , ,,,,� (909)839-7020 Eax: (909)861-3117 Building Inspection Hotline(909)839-7027 F�RMLY � ��''�h°'�� � BU[LDING YERMIT APPLICATION � ��7o VeL�'It ��ST`� 4/r. s�t.��a APPLICATIONDATE:.r1a) ��I 1�3 P/C#� ��J� a0�8 I � JOB SITE ADDRESS ISSUE DATE:_�� �ll�� ���'S' PERMIT# �'R �3' a'0 q� z APN LOT TRAC7 o OWNER IYPE CONST. OCC GROUP: F- ADDRESS ZONING SEfBACKS N CI7Y ZIP TEL. FRONT RW � ¢ APPL��'�N�' G'�1 � TEL I D REAR � o SIDE/SIDE STREET RW � Q CONTRACTORx-�-Ie�t wD� �G�« � SIDE � � ADDRES,S Z, •�• 4 �1 PROPOSED USE � r'GQ � c� CITY A� ZlP�TEL: �o���� t� M�CL G � \�J' � � 0 `� ARCH/ENG/DESIGNER 0 a ADDRESS q DWEL.UNITS #STORIES #BEDROOMS a C�Ty ZIP TEL. DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDEA DECLMATION � I hereby amrtn under penatty ot perjury that I am exempl hom the Contractw's Slale Ucense law for the reason�s) SFR/ADD/REM � indicated below by fhe checkmark(s),I have placed nezt to the apDlicable item(s)[Sectian 7031.5,Business and o Garage/Carpat w Protesslmu Code:Any city or county ihat requlres a permlt to coretruct,alter,improve,demolish,or reDair,any z structure,prior to ifs issuance,also requires ihe applirant tor the permtt to file a signed statemenl that he w she w Patio/Deck � is licensed pursuant to the provisions of the CaMrador's SWte Liceae Law(Chapter 9)Commeixing with Sectlon � 7000 of Divislon 3 of the Business an0 Rofessions Cade]w ihat he or she is exempt from Iiceraure and the basis for LL Pool/Spa � the alle9ed exemption.My violatan of Section 7031.5 by any aDD����a Dertnit sub�ects the aOPlipnt to a civit penalty Z Re-Roof N ol rot mwe than five huntlred dollars(5500). � O (,1,as owner ot the properry,or my employees wit�wages as thatr sule compe�salton,will do U a��o��U Po�s � Commerclal 0 of ihe worle,and llie strucLire is not intended or o�ered tor sale(Sectim 7044.Business and Professlms Code:The � i m � Co�tractors'State Lice�e law dces�ot appty to an owner ot property wha,lhrough employeas'or persanal atturt,builds w or improves the property,provided that ihe improvements are not intended a ottered for sale.If however,ihe builaing w � improvement Is sold vnthin one year at compledoa,the�wner-Builder will have tt�e burden ut proving tliat it was not 6uilt � or ImDrwed for the purpose of sale.). 0 � 1,as owner ot the ro e � (� p p rry,am racWSNety contrac0ng with licensed Contractors to Construct the pm cl(SecLon ValuatiOn: Adj.Area: 0 7pq4,Business and Professlons Code:The Contrxtors'State License Law daes not appty to an ovmer of property w�o . Z buitdsorimproveslhereon,andwhoconvactsSorlheprojectswithallcensedConVectorpursuamtoiheContractors'State QUANTITY DESCRIPTION FEE � Y ucense law.). 0 Y iL.A. •Cu�. o (�1 am exempt(rom licensure under the ConVaciw's Ste�e Ucense law lor Ihe lollowing reason(s): � � � LL By my signature below I acknowledge Uiat,except for my personal rasfdence in which I must have residetl lor at least one � Z year prior to completion of the Improvemenis cmered by mis permit,l pnrrot legally sell a structure that 1 have built as an w 0 � owner-builder if it has rrot been constructed In It5 entirety by I�ensed contractors.I understand ttiat a copy of the applinble law,Section 7044 0l the Business and Professims Code is available upon request when ihls applicatlon is submitted ar at n- the following WeD site:httphwnv.leginfo.ca.gov/calaw.html. z � OA7E: SIGN; � � LICENSED COMRACTOH'S DECIARATION � v w I hereby afflrm untler penafty of perjury that I am licensed under prov'sions of(�apter 9(commerxirg with Secfion 7000) � of Division 3 of tt�e Business and Professions Code,and my Acense is in fult force and etfecl. � `� C��o uc.No.: �1�97/ � �, uceNse cu�ss: � o DATE: I�3'2�Y� COMRACTOR: �i^mnc.-a� C�� G �, zd WORKER'S COMPENSATfON DECLARATION g - � I HEREBY AFFIRM UNDER PENALTY OF PFAJURY ONE OF 7HE FOLLOWING OECLARATIONS: w oI have and will malntain a Cert�pte ol Consent to Sett-Insure tor Worker's CompensaGon,as providetl by CONSTRUCTION: � Sectlon 370D ot the Labw Code,for the performance of the work tor whkh this permit is issued. p�p,N REVIENl: �� • W > �I have and will maintain Worker's ComOensation Insurance,as reqWred by Secfion 3700 of the Labor Code,for ELECTRIC: S, ' �� o the peAamance ot the wor4e tor which this Dertnft is issued.My Worker's Compensatlon I�urance Carrier antl ¢ Polic,yNumbey3re: �J PLUMBING: o CMRIER ��tr� ���^r+ � S�''�+'-c'e � MECHANICAL: w Z PouCYNUMBFA C�/��Di(e �3 INSPECTION FEE: N (T}OS SECTION NEED NOT BE COMPLEfED IFTHE PFAMR IS FOR ONE HUNDRFD OOLLARS($7D�OR LEiSJ. ISSUANCE: �S ' a�. � I certiry ttiat in 1he perlonn.�vxe oi 1he work fa whkh Uds permit is issuetl,l shall nol empby arry person E�any manner so as to obeoome s�6jecl w the Worker's Compensation Laws of Califania.Md agree that if I shouW became subject to 1he Wakers SMIP: +�+ Crnnpenxition�vwisiotn�s ot Section 3700 01 ihe Labor Code,I shafl t compry�vith�Frose v��� ENERGY PJC: _� DATE: �3-�T APPLICANT: -�-+'+-�nwo.I���%fT7c ENERGYPERMIT: w � WARNING:Failure to secure Workers Compensation cmerage is unlavrtul,and shall subject an employer ro criminal REfENTION FEE: 4' �Q w penatties and civil fines up to one hundred thousand tlollars($100,OD0�,In atldition to the cost of the comperisation, a damages as pro+nded fa in section 3708 of the labw cade,interest,and attomey's fees. PRE-ALT FEE: � . CONSTRUCTION LENDING AGEHCY BSAF: z I hereby aftirm uoder penalty of perjury Nat there is a Construction Lending Agency for the DeAurn�arxe ol the work for w = which this permit is issued(Sec.3097,Gv.C.). � LENDER'S NAME � LENDFA'SAD�RESS: a I certify that I have read this application and slate ttiat the above intormation is cortect I agree tn campry with all ciry and TOTAL FEES �4�p, �� � caunty ordinances antl state laws relaung ro building construcBoa,and hereby auihorize representatives of this counry to COMMENTS: Z enter upon the above-mentioned properry for inspection purposes. 0 J ,SCa,,.�.� L�.�% _ m a PERMplEE NAME PRI "—' �-.�� /-3—Za'/y �l `` � RECEIP7 k ��'�.� T PAID BY: �►S i'C VALJDATION:� = SIGtiATUAE Of PFAMffTEE �ASE � WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—Fle Copy,GREEN—Applicant's Copy - CITY OF DIAMOND BAR � ' INSPECTION RECORD • o � • ' ' • ' ' � � SET�BACK!LE�TfER � ` ' TRACTAND LEDGER F067INGS FOR_MS , � ";� v ;n;< Y � ,` F- t � ' � ;`,,�'��r: SW(TCH GEAR SLAB,; �. , r 'F � " � � �yY � � ,�r "�' COMMERCIAL NOOD F���� � ° � w r �' z� '', T-BAR 'UG.P.LUMBING > , r-: � = a UG.`.ELECTRICAL , ' � ` ' = � �a� �' INTERCEPTER UFER;GROUND's ` * `_ ,'�``. hF-�'.,.'r ? � HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL fVIAIN WATER LINE HERS REPORT RECENED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT '.`' � '` _ '`� P.00L/SPA°, � , � �' 7r ��r SHEAfi_WALLS EXT�RfOR;`"`z ' >� '� - '' '.: 'RpUGH'PLUNfBING 'f :rr y,` SHEAR11VALLSJNTERIOR�k ' . ,<: `� ''� k FRAMINGNENTING :�.,;,�` : y�5 , '� = }'� �` � . RQUGH EL'ECTRICAL_' � '`t� ,3t' 4 '' ' ROUGy MECHANICAL � �`� � , '�' y �� S ROUGH MEGHANICAL' ` � � 5� < ' � ' ` �" �- GAS TEST :: ' r;' � -�k � � ROUGH ELECTRICAL W( -)CO ;a � r�` i fF� ROUGH;PLUMBING ` _ a�,L' , -, ;PRE GUNITE -:� y '�` { ` � ,-:. ,.. ,._ � ..: — .,,� . .�-, _ _._._ _ z INSULATION WALL PbOL PRE QECK BONDING r- , , : ` ;`tl a� ` ,` _ � .._ � ,'Y�v T�+.�� £ INSULATION CEILING P`�P �� �' ' � EENC�i/^GATE/�ALARM r a - ' r � `� " DRYWALL � ',FINAL PbQL , � -;`�} , z „ x ; � F� ; ti ,',� , �� IATH(PRE) ` - LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1�( )2ND( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL ORAIN/SEAL GAS METER REIEASE WALL FINAL SPECIAI INSPECTION RO F�iAMINGPtANNINGAPFROVAL ; - ' �' � � + `'"� s ROUGH FIREAPPROVAL, � : � fINAL BUI�LDIN� ' ;- � � � � - � �' . ti r 4 ; F .'� . FiNAL=MECHANICAL ` ��"s � � �;,: ,r ��� , FINA�.`FIRE DEPARTMENT ,_� z ; . „�, „- ::�� * ' 'F�INAL�.PLANNING � J i , � �r �. Y* ., 4 � FINAL ELECTRICAL � � � � ��-� � - - �'�� - � � EINAL-PLUMBING "�'t , , �: _ �� � FINAI:ENGINEERItdGJ PW.��'� _ ��� ' � ' �' �1= T.C.�Of OCCUPANCY -- ° �' FINAL COMMUNITY_SERVICES = '- r r � , ._ ��_ � CERT;uf OCCUPANCY;`:,... . `' '' '` -- EINAL HEALTH DEPT - .. a ;� .,.,,. . `' FINAL:INDUSTRIA4;WASTE, , - - _ ' '='p COMMENTS: