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
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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 �
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� 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.
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J ,SCa,,.�.� L�.�%
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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 '�` { `
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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 -
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FINAL:INDUSTRIA4;WASTE, , - - _ ' '='p
COMMENTS: