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Home My WebLink About1370 VALLEY VISTA DR (31) CITY OF DIAMOND BAR COMMUNITY DEVELOPMENT DEPARTMENT _;,. 21660 E.Copley Drive Suite 190 PRESS (909)86Q3195 Fax(909)861-3117 (ic��'�:E� � . I �""" BUILDINGPERMITAPPLICATION - FIRMLY � JOBSITE 3 1 , APPLICA ION PERMIT P/C L{�^�U� o ADDRESS ' �� v./�L.4F-Y �I ST�' DATE NUMBER It / c� ISSUE �J TYPE OCC APN LOT TRACT DATE CONST.� GROUP ¢ OWNER � ZONING ETBACK ` o ADDRESS Z CITY ZIP TEL. RONT RW ❑ o APPLICANT TEL. REAR p � SIDE/SIDE STREET RW p � CONTRACTO �o►J . SOC � SIDE ❑ � ADDR SS f�' a17 i. S'tF F PROPOSED USE � � � CITY � ►"'� ZIP goZ TEL i`( � o ARCH/ENG/ �z DESIGNER NO.DWEL. NO. NO. a ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL � �n DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION p� OWNER•BI;ILDER OECLAAATION SFR/ADD/REM O I HEREBV AFFIRM UNOER PENAL7V OF PE0.NRV THAT I AM EXEMGT FROM THE CAHTRACTORS LI- G8f0gB/C9IPOf[ W CENSE LAW FOR THE FOLLOWING REASON(SEC.70.11.5 BUSINESSAND PROFESSIONS CODE:ANV CITYOR (n U COUNTVWHICHRE�UIRESAVERMITTOCONS7RUC7,AL7ER,IMPROVE,DEMOLJSH,ORREPAIRANVSTRUC- w w TURE,PHIOR 70 i7S ISSUANCE,AL50 REW IRES THE APPIICANT FOR SUCH PERMI7 TO FILE A SIGNE� W Patio/Deck STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LI- � CENSE UW(CHAVTER B(COMMENCINO WITH SECTION 7000)OF DIVISION 3 OF THE BUSINE55 AND PRO- LL' PooUSpa � FESSIONS CODE)OR 7HA7 HE OR SHE IS EXEMPTTHEFEFROM AND THE BASIS FOR THE ALLEGED E%EMP- (� � TION.ANVVIOLATIONOFSECTION7031.5BVANVAPPLICANTFORAPERMITSUBJECTSTHEAPPLICANTTO Z Re-Roof A CIVIL PENALTV OF NOT MORE 7HAN FIVE HUNDHED DOLURS(S5a0).): Z ❑I,ASOWNEROFTHEPROPERTV,ORMVEMPLOVEESWITHWAGESASTHEIRSOLECOMPENSATION, O COrtIrtIBfCl81 � WILL DO THE WORK,AN�THE STRUCTURE IS NOT INTENDED OR OFFEFED FOR SALE(SEC.70��,BU51- J N NESS AND PROFESS�ONS CADE:THE CONTRACTORS LICENSE LAW DOES NOT APPLV TO AN OWNER OF. � PROPERTV WHO BUI�DS OR IMPROVES THEREON,AND NMO DOES SUCH WORK HIMSEIF OR HERSELF OR Q THROUGH HIS OF HER ONM EMPLOVEES,PROVIDED THA7 SUCH IMPROVEMENTS ARE NOT IHTENDED OR m QOFFEREDFORSALE.IF.HOWEVERTMEBUILDINGORIMPROVEMENTISSOLDWRHINONEVEAROFCOMPLE- Z TION,THE OWNEREUILDER WILL HAVE THE BURDEN OF PqOVING THAT HE OH SHE OID NOT BUILD OR � IMPROVE FOR THE PURPOSE OF SALE�. W ❑I,AS OWNER OF THE PROPEFiY,MI E%CLUSIVELV CANTRACTING WITH UCENSED CONTMCTOHS [[ TO CONSTHUCT THE PRQIECT(SEC.70s1,BUSINESS AND PROFESSIONS CODE:THE COHfRACTORS LI- V81U0�1Of1 ADJ.AREA W CENSE UW DOES NOTAPPLY 70AN ONRJER OF A PROPERTY NM1iO BUILDS OR IMPROVES iHEREON,AND � W/iOCANTRACT5FOR5UCHPRQIECTSWITHACONTRACTOR(S)LICENSEDPURSUAMTOTHECON7MG OUANTITY DESCRIPTION FEE � TORS LICENSE LAW.). � ❑I AM E7(EMPT UNDER SEC. B.6 P.C.FOR THIS REASON J o a � U � � DATE OWNER � Z W � LICENSED CONTRACTORS DECLARATION w � I HEREBV AFFIRM UNDER PENA�TV OF PERIURV THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER Ur d 9(COMMENCING WI7H SEC710N 7000)OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS CODE,AND Z AIV LICENSE IS IN FULL FORCE AND EFFECT. /� ^ m � LICENSE CLA LIC.NO. S� !� J_ j F- // 36 J V DATE CONTRACTO a W � WORKEAS'COMPENSATION DECLARATION a � 1 HEREBV AFFIRM UNDER PENALTV OF PERIURY ONE OF THE WLLOWING DECLARATIONS: Z � _I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT 70 SELF�INSURE FOR WORKERS' _ - CAMPENSAT�ON,AS PROVIDED BV SEC710N J7oo OF THE 1A80R CODE,fOR THE PERFORMANCE U Q OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. w � � � w _I HAVE AND WIIL MAINTAIN WORNERS'COMPENSATION INSURANCE,AS REOUIRED BV SECTION Q a7oa OF THE LABOR CODE,FOR THE PERFORMANCE OF THE WORK FOR WHICH 7HI5 PERMIT IS ISSUED.MYl}��p RK,ERS'CO(M�PENSATION INSUFiANCE CARRIER AND POLICY NUMBER ARE: CONSTRUCTION � CARRIER yl ATE��lMP�dUSAT K�� PLAN REVIEW �i Z POLICYNUMBER�)H��'�IS OO � ELECTRIC � Q � (fHISSEL'fqNNEIDNOTBE�A�LEfFDOFhEPERMTBfi�RONEHU1tlfimDOLIARS({t00�OqLESS1 PLUMBING «��' � Z I CERTIFY THAT IN THE PERFORMANCE OF 7HE WORK FOR WHICH THIS PERMIT IS ISSUED,I MECHANICAL C7 SHALL NOT EMPLOV ANY PERSON IN ANY MANNER SO AS TO BECAME SUBJECT TO THE N WORKERS'COMPENSA710N LAWS OF CALIFORNIA,AND AGREE THAT IF I SHOULD BECOME INSPECTION FEE - � = SUBJECT TO THE WORKERS'CAMPENSATION PROVISIONS OF SECTION 37o00F THE UBOR CADE.1 SHALL�FORTHWITH COMPLV WJ�THOSE PROVISI�J�\ ,�/� ISSUANCE p DATE: I 3D 7�S APPLICANT: �J�Y � t\�5�--�J � SMIP J WARNING:FAILURE TO SECURE WORNEFS'COMPENSATION CAVEHAGE IS UNUWFUL,AND SHALL BE ENERGY P/C � SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAHD ENERGY PERMIT DOlURS(S1o0,o001.IN AODITION TO THE COST OF fAMPENSATION,DAMAGES AS PROVIDED FOR IN ¢ SECTqN 370e OF ME LABOR CODE,INTEREST,AND ATfORNEV'S FEES. RETENTION FEE: a CONSTRUCTION LENDING AGENCY PR6ALT FEE: O � 1 HEREBV AFFIRM UNDER PENALTY OF PERIURV 7HAT 7HERE IS A CONSTRUCTION LENDINO AGENCY FOR THE PERFORMANCE OF hIE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.90Y7,CIV.C.). 2 W � IENDER'S NAME F— LENDER'SADDRESS � TOTAL FEES � I CERTIFY iHAT I HAVE READ THIS APPIICATION AND STATE THAT THE ABOVE INFORMATION IS CARRECT. � w I AGREE TO CAMPLV WITH ALL CITV AND COUNTV ORDINANCES AND S7A7E UWS REU7ING 70 BUILDING � COHSTRUCTION,AND HEREBY AUTHORIZE REPRESENTATIVES OF TNIS CWN7V TO ENTER UPON THE ` � ABOVEMEN710NEDPROPEFTVFORINSPECTpN-0URPOSES. ' Z COMMENTS � CALv1��V1S �R m RAIITTEE NAME ` � � (n Q_�� ♦ ,�/�0,�� p - y SIONAiUREOFVERMITfEE 0 E RECPT.NO.d Z-LI J y O PAID BY L VALIDATtON � WHITE—Depertment Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD--File Copy,GREEN—AppllcenYs Capy . .- � . ..� _ .,. �..�� , .. . 4.��: ,., ' .,.....-'.•�'• N� ' �i . . . .. I. ...�J '•��+:. - ` . . .. •vl-I• `.Ir�' . + .�f. l.y�.. . ..."" . . .. .:�• • •i�.. . �..,....� . .,_ . � t .:�` . ... . C�O� OO� D�QG�JOo�]DD o Q� � �f��pC�C��00o[� G�3CC�0�3Do . oa��c�ooa oQ� oa� � � oa��c��ooa oa� oa�p��oa SET�AC� - � � � � FLOOR JOIST FTGS/FORMS/STEEL � - - FHA REQMTS ELECT'RIC GROUND UND R FLOOR DUCT GROUi�D PLUfl/iBING UNDER FLOOR CO�IDUIT SLAB GRADE FIREPL.ACE FOUNDATIOfV TEf�iP POWER -- FIREPLACE BOND BEAM - - ' - � l�/ATER SERVICE - - - MID HT. BOND BE,4M � � � ' � � • � ROOF SHE�47FiING -- — — �- 8 FT. BOND BEAM FRAMIi�GMEf�YILIATION FINAL BOND BEAM F�OOF C01l�� PFdE-GRADIf�C3 �dOUGH F9EATING' BENCHING ROUGH ELECTRIC � ROUGH GRADING FiOUGH PLUiVIBING FINISH GRADING SHOVNERlTUB TEST POOL ELECTRIC EX7 L�4TFi/SIDING POOL FENCIfVG !AlALL INSULATION POOL FIiVAL CEILINu INSULATION OFF SITE IMPS. DRYWALL iVAILING DEDICATIONS . SEl�IER FINAL ENG. SEPTIC TANPC LANOSCAPE/IRRIG. . SEEP PIT/L.L. ON SITE IMPS. � GAS AIR TEST FINAL ZOiVING FIf�AL CONST. FIRE DEPT. FINAL FIf�AL HEATING HEALTH DEPT. FINAL FINAL ELECTRIC DEV. FEES PAID FI�AL PLUMBIiVG ENERGY C�Gi�OO I� o < o • - COi�i�iEi�TS - � . - - - - , - : SEPTIC TANi�SIZE SEEP PIY/U SIZE � � � . � � .