HomeMy WebLinkAbout1370 VALLEY VISTA DR (27) (2) I
.4=�,,,_..,....i CITY OF DIAMOND BAR '
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DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES
21810 Copley Drive,Diamond Bar,CA 91765 PRESS
,�„� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027
''�" BUILDING PERMIT APPLICATION FIRMLY
g APPLICATION DATE:,/D�a�'�J� P/Clt ��`����
r� JOB SITE ADDRESS �dI a g I Iq+ PERMIT# �•��• 4Qi��
z APN LOT TRACT ISSUE DATE:
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� OWNER TYPE CONST. OCC GROUP:
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n ADDRESS
J CITY ZIP TEL. ZONING SEfBACKS
FRONT RW ❑
� APPLICANT TEL. REAR ❑
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n SIDE/SIDE STREEf RW ❑
� CONTRACTOR � SIDE ❑ '
� ADDRESS PROPOSED USE
� CITY ZIP TEL���'qlv3�D7%�
= ARCH/ENG/DESIQGNER G
= ADDRE= Bv � #DWEL.UNITS #STORIES #BEDROOMS
� CITY �RVid�� ZIP yd�a/Z TEL. 9Y7��9�p:.���� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREA/VALUATION �
� OWNFA-BUROQI DECIMATION
� I hereby a�irm under penalry of pehury that I am ezempt hom the CoMractor's State License Law for the reason(s) SFR/ADD/REM I
� Indicated below by the checkmark(s),I have placed neM to the applicable item(s)[Sectlon 7031.5,Business and Garage/Carport I
� Rafesslore Cade:Any clty or caunty that requlres a permlt to construct,atter,Improve,demollah,ar repair,any
y stn�c4ire,prlor M fts iseuance,also reQulres the applirarrt fa the permR to flle a sipnetl statemeM that he or slre � Patio/Deck I
i Is Ilcensed pursuant to tlre provislons of the Cantracta's State License Law(Chaptar 9)Commencing wfth Sectlon w
� 7000 of Divislon 3 of the Buslness and Professlore Cade]or that he or she Is exempt from Ilcensure and the basis for � PooUSpa I
� Meallegedexemption.AnyviolationofSectlon7031.5byanyapplicantforapermRsubJectstheapplipnttoacivilpenatty C7 I
� of not more than fve hundred dollars($500). Z Re-Roof
I
� U I,as owner of the properry,or my employees wtth wages as their sole compensatlon,vnll do(�all of or(J portions � Commercial
y of the worlc,and Ne structure is not intended or offered for sale(Sectlon 7044,Business and Pmfessions Code:The � I
� Contractors'State License Law does not appty to an owner of properry v✓ho,through employees'or personal effort,builds m
y or improves the property,provlded Utat the improvemerrts are not Intended or offered for sale.If however,Ne building or I
� Improvement is sold wfthin one year of compleh'on,the Ovmer-Builder wlll have ttte hurden of prming that it was not buitt
� w imprwed for the purpase ot sale.). I
�
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U I,as owner of ihe properry,am exclusively contracting with licensed Contractors to consWct the project(Sectlon ValUation: Ad Area:
Z 7044,Business and Professions Code:The CoMractors'State License Law does not appry to an owner of property who 1� I
� buildsorlmprovesthereon,andwhocontractsforthepmjectswtthalicensedContractorpursuanttotheContractors'State QUANTITY DESCRIPTION FEE I
Y ucense Law.).
� U I am ezemp[hom licensure untler the Contractor's State LJcense law for the following reason(s): � �
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y By my signature below I acknowledge that,except for my personal residence in which I must have resided for at least one �
� year pda to completion of the imprwements covered by this permtt,l cannot legalty sell a structure that I have buitt as an � I
owner-bullder If tt has not been conshucted in its entirety by licensed contractors.I understand that a copy of the applicable I
� law,Section 7044 of the Buslness and Professlons Code is available upon request when thls application is submitted or at
� the following Web slte:http/vnvw.leglnfo.ca.gov/calaw.hhnl. _
� DATE�. SIGN: �
— LICENSED CONTlIACTOH'S DECIAHATION � I
y I hereby affirm under penalry of perjury that I am licensed under provislons of Chapter 9(commencing wRh Section 7000) I
� of Division 3 of the Business and Professions Code,and my license is in full force and effect J I
�
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;q CENSE CLASS: LIC.NO.: / � i I
� ATE:� COMAACTOR:��(�n_ �J� �ZC �e� = I
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WOHIffA'S COMPENSATION DECLAIIATION � I
y I HEREBY AFFIRM UNDER PENALTV OF PERJURY ONE OF hiE f-0LLOWING DECLAAATIONS:
� I have and will malnlain a CertiBqte of Consent to Self-Insure for Worker's Compensatlon,as provided by CONSTRUCTION: �/
= Section 3700 of the Labor Code,for the parformance of the wwk for which thls permit is issued. p�,qN REVIEW: I a a� '7
j I have and will maintain Worker's Compensatlon Insurance,as required by Sectlon 3700 of the Labor Code,for
� the performance of the work for which thls permtt is issued.My Worker's Com ensatlon Insurance Carrier and ELECTRIC:
=d PoIi�yNumberare: PLUMBING:
� J CARRIER � MECHANICAL:
� 7l POLICYNUMBER O � INSPECTION FEE: ,
n (hIIS SECTION NEED NOT BE fAAdPLEfED IF7HE P6iMR IS f-0R ONE HUNDR�DOLLPAS($100)Ofl LESS�. �
ISSUANCE:
? I certify that In the peRorrt�ance oi the work for which mis pertntt Is lssued,I shall rrot emplo/any persm In any manner so as to
� beoome subject m the Wakers Compensation Laws of Califwnla Md agree mat'rf I shald becane sub�ect to the Wakars SMIP:
.� Campensation pmvisions oF Section 3700 oi the Labor Code,I shall forthwith compty wim those provisions. ENERGY P/C:
i DATE: APPLICANT: ENERGY PERMIT:
� WARNING:Failure to secure Worker's Compensation crove2ge is unlawful,and shall subject an employer to criminal ,
� penalties and civil fines up ro one hundred thousand dollars(5100,000�,in addttlon m me cost of ine compensation, REfENTION FEE: io�
= damages as provided for In sectlon 3708 of the labor code,Interest,and attomey's fees. PRE-ALT FEE:
i WNSTRUCTION LENDING AGBiCY BSAF:
= I hereby af�rm under penalty of per�ury that there Is a Constructlon Lending Agency fir the performance of the work for
� which this permlt Is issued(Sec.3097,Clv.C.�.
LENDER'S NAME:
Y LENDEA'SADDRESS:
i I certiry mat I have read this applicatlon and state that the above Informatlon is wrrect.I agree to compty wiM all city and TOTAL FEES ���'• 9 � 9a
af
� county ordinances and state laws relatlng to 6ullding consWcUon,and hereby authorize represerdatives of this county to COMMENTS:
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� eMer upon the above- entloned property fir i p 'on urposes.
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¢ RMITfEE NAME P ,�-) �f jO� r�,/�. T•
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= G 0 E MITfEE DATE RECEIPT# �t��lO p,q�D BY: ��0�e� VALIDATION:�_
WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—Flle Copy,GREEN—ApplicanYs Copy
CITY OF DIAMOND BAR
INSPECTIOIV RECORQ
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SETBAGKI,LEfT,ER `�`:����, � ' �" :" ,�"`�`°'�'� `�"".�x��� TRACTANQ LEDGER
'FOOTINGS�FORMS�,:��' `�-� �����'� ������ � �` SWITCH GEAR
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�� `�� COMMERCIAL HOOD
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£$`��QB; °,�05�`�= ',„r,� r�� i�ta��_ .,� .:� r���,.�t
UG.PLUMBING; � � � °��"�`� �° �� � ��`���`� ,.�� T-BAR
�UG ELECTRIGAL� ;�� ����� � "`4�4�'� ���� `� � ''9��" INTERCEPTER
.� � � ° � � � ����` ����'°" � � '`� � HOT MOP/SHOWERPAN
,UFER-GHOUND�� ��, ..�� ,��,� ,�._,������� �.
SEWER LATERAL SEPTIC/CESSPOOL
MAIN WATER LINE HERS REPORT RECEIVEQ
SEWER CLEANOUT DEMOLITION
ROOF SHEATHING ROOF DRAINS
FLOOR SHEATHING ROUGH CON�UIT
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SHEAR WALLS IXTERIOR��� � �� � � ` �� � � �
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'SHEAR WAi.LS INT,ERiOR,��� � ��,�����.��. � �� `�:��` ROUGH PLt1MBlN6��� ��.� ��,;r�..�..�"�� �' �.�� _ ��� '�'
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RDUGH MECHANICAL � � � . ��*���� � � ��,s °
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ROIfGH ELECTREC,4L Wt.'}C(,�)� �"'� � � '� � , � �� GAS,TEST��`'��.��� �, �� ` � ` � �`.�� �`�' � ' �a
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iROUGH PLUMBING.W.... ,,, ��� ",...a�,� "` ��' ,��°��� ������ ''W b. PRE GUNI�E��,�"� �, � � � �,�. ...� �
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INSULATION WAII 41?OOL PRE`�6ECKBONDING�,�� ��-- � �A �����. �.�F� ��;�
INSl1LATI0N CEILING P 1�RAPs ,,, �..„,�,� � *� �° �" �� � �`� :; `�'.� � r" �
DRYWALL FENCE J-0GATE/sALARM.�. . � ;,z„5. ',. � �"��,.��� � ``������
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nFINALP00L ""��.�„,�� �r����,,����� � ����. . �,,:�<�.mn��,�
LATH EXTERIOR WALLS:
IATH INTERIOR WALL FQOTING/STEEL
GAS TEST WALL STEEL 1ST( )2N°( )LIFT
SCRATCH COAT WALL BOND BEAM
ELECTRIC METER RELEASE WALL DFiAiN/SEAL
GAS METER RELEASE WALL FINAL
SPECIAL INSPECTION
'RO#FRAM�tGPI�AtdNINGAPPR�VAI������ 4 � ,��'�� � �°s. ��� ,:
FINAL�BUILDING��'��, ���5�'° , ��� ��` ,sr�� �� � `ROUGH�IR£APPROUAL� `�� ' � '�-:� � ���� ��° �� .�
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F.INAL PLUMBIN6 �� .�, �, ,��` , �' _ ��� .- � ��`��
�T.C<of OCCUPANGY� '� � ��� ���� ���. ��,� �,����� . '�� `;' :FiNAL�COMMUNITY SERYtCES � � ���� :.� ` �����:����
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COMMENTS: