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HomeMy WebLinkAbout1370 VALLEY VISTA DR (33) � ; � �a ���_ CITY OF DIAMOND BAR C��f �n I DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � � �� �w . 21825 Copley Drive,Diamond Bar,CA 91765 (909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-7027 J��l��� '-~;PRESS "°�'� BUILDING PERMIT APPLICATION '�-��^FIRMLY N JOBSITE r� � APPLICATIqN PERMIT p/C � ADDRESS 7�(� � E - a2 � � S UE ' ~ �^/ �� NPE ER # O-7• o��, °T APN LOT TRACT DATE �I 3 / V 7 CONST. �'� GROUP � ' p OWNER C RJ�G p ADDRE S �L . ' � (L� � ZONING SETBACKS Z CITY ZIP TEL.�. S� � FRONT R�/y p �p APPLICANT/ .n.� TEL.�'�'J7a-D7d'!.7 SIDE/SIDE STREET RW ❑ z � CONTRACTOR ,V- SIDE ❑ � CITY PI�}�Lf�l"'I'I i8 • ZIP ���?D TEL�7/ZJ �,�'?Q� PROPOSED USE /S�iD "1'�� �-l.l� l� i% U w ARCWENG/ n • 2 � z DESIGNER �'T� �V, w NO.DWEL. NO. O. a ADDRESS 1[ �`. A � CITY � Kl� ZIP� �TEL. r ' � UNITS STORIES BEDROOMS �n DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFR/ADD/REM O p I HEREOY AFFIRM UNDER PENQN OF PERIURV THAT I AM E%EMPT FROM THE CANTRACTORS LI• G8f8QB/CBfpOR I W CENSELAWFORTHEFOLLOWINGREASON(SEC.7031.SBUSINESSANDPROfESS10NSCODE:ANYCITYOR (n U CAUNTYNMICHRE�UIRESAPERMITTOCANSTRUC7,ALTER,IMPROVE,DEMOLISH,ORREPAIRANYSTRUC- W PeI10/DBCk w TURE.PRIOR 70 I75 ISSUMICE,/�LSO REOUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED w � STATEMENT THAT HE OR SHE IS LICENSEO PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LI� � � CENSE UW(CHAPTER 9(COMMENCING WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND Pq0- POOVSpB � FESSIONS CODE)OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BA515 FOR THE ALLEGED EJ(EMP- (� V TION.ANVVIOUTIONOFSECTION7o31.5BVANVAPPLICAN7FORAPERMITSUBJEC75THEAPPLICANTTO Z R0-ROOf � ACIVIL PENALiV OF NO7 MORE THAN FIVE HUNDRED DOLURS(SSao).): ZOI,ASOVlNEROFTHEPROPERTV,ORMVEMPLOVEESWITHWAGESASTHEIRSOIECAMPENSATION, � COrtIRIBfCi81 . - WILI DO THE WORK,AND THE STqUCTURE IS NOT INTENDED OR OFFERED FOR SALE(SEC.704f,BUSI- J � NESS AND PROFESSIONS CADE:THE CANTRACTORS IICENSE LAW DOES NOT APPLY TO AN OWNER OF � PROPERTV WHO BUILDS OR IMPROVES 7HEREON,AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR CL THROUGH HIS OR HER OWN EMPLOVEES,PROVIOED THAT SUCH IMPROVEMENTS ARE NOT IN7ENDED OR m Q OFFEREDFORSALEIF,HOWEVERTMEBUILDINGORIMPROVEMENTISSOLDWITHINONEVEAROFCOMPLE- Z TION,THE OWNER-BUILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD OR � IMPROVE FOR THE PURPOSE OF SALE). W ❑I,ASOWNEROFTHEPROPEHfV,AME%CWSIVELYCON7RAC71NGWI7HLICENSEDCONTRACTORS � TO CONSTRUCT THE PR0.IECT(SEC.70��,BUSINE55 AND PROFESSIONS CODE:THE CONTRAC70RS LI- V81U81i011 ADJ.AREA W CENSE LAW DOES NOTAPPLY TOAN OWNER OF A PHOPERTV WHO BUILDS OR IMPROVES THEREON,AND � WHOCANTRACTSFORSUCHPROJECTSWITHACON7RAC70R(S)LICENSEDPURSUANTTOTHECANTMC- �UANTITY DESCRIPTION . FEE Y 70R5 LICENSE LAW.). � O I AM EJ(EMPT UNDEF SEC. B.8 P.C.FOR THIS REASON J � U �i ¢ � DATE OWNER U Z w � LICENSED CONTRACTORS DECLARATION w � I HEREBY AfFIRM UNDER PENALTY OF PERJURV THAT I AM IICENSED UNDER PROVISIONS OF CHAP7ER � � 9(COMMENCING WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS CODE,AND Z ��� MV LICENSE IS IN FULL FORCE AND EFFECT. m � UCENSE hCLASS ` IIC.NO. �J �,��" -1.� j , wDATE IN ��3 7 '�B �_ CON7RACTOR C�'�-��2 Cd���JYLV � WORKERS'COMPENSATION DECLARATION t• Q � I HEREBV AFFIRM UNDER PENAL7Y OF PERIURY ONE OF THE FOLLOWING DECLARATIONS: Z � _I HAVE AND WILL MAIN7AIN A CER7IFICA7E OF CONSEN7 70 SELF-INSURE FOR WORKERS' _ Q COMPENSATION,ASPROVIDEDBYSECTION37000F7HELABORCODE,FOR7HEPERFOHMANCE �U Q OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. � w �,1 HAVE AND WILL MAIN7AIN WORKERS'COMPENSA710N INSURANCE,AS RE�UIRED BV SECTION Q 370o OF THE LABOR CODE,FOR THE PERFORMANCE OF THE WORK FOR WHICH 7HI5 PERMIT IS ISSUED.MY WORKERS'COMPENSA710N INSURANCE CARRIER AND POLICY NUMBER ARE: CONSTRUCTION j CARRIER �'�' fl.�.A� PLAN REVIEW _S^.Q(,l � Z POUCVNUMBEfi �E��y��G.���� ELECTRIC Q � (fHLSSECiIUNNE�NOTBE00MiLEfEDOFTHEPERMffISFORONEFM1NDfiE�DOLLPAS(5100)ORLESS} PLUMBING W Z I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED,I MECHANICAL (} SHALL NOT EMPLOV ANY PERSON IN ANV MANNER SO AS TO BECAME SUBJECT TO THE � WORNERS'COMPENSATIONLAWSOFCALIFORNIqANDAGREETHATIFISHOULDBECOME INSPECTIONFEE = SUBJECTTO THE WORNERS'COMPENSATION PROVISIONS OF SECTION 37o00F THE LABOR CADE,ISHALLFORTHWITHCOMPLVWITHT SEPROVISIONS. ISSUANCE � -7 SMIP p DATE: `� ^D APPLICANT: wWARNING:FAILURETO SECURE WORNERS'C NSATION COVERA IS UN WFUL.AND SHALL BE ENERGY P/C � SU&IECTANEMPIOYERTOCRIMINALPENALTIESANDCIVILFWESUP OON UNDREDTHOUSAND ENERGYPERMIT DOLLARS(5100,000),IN ADDI710N TO THE COST OF COMPENSA710N,D 5 AS PROVIOED FOR IN � SECTION 3708 OF THE LABOR CODE,IN7EREST,AND ATfORNEV'S FEES. RETENTION FEE: a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � 1 HEREBYAFFIRM UNDER PENALTV OF PERJURY THATTHERE IS ACONSTRUCTION LENDING AGENCV FOR THE PERFOFMANCE OF THE WORK FOR WHICH THIS 7ERMIT IS ISSUED(SEC.3097,CIV.C.). Z W � LENOER'S NAME � F— LENDER'SAD�RE55 � TOTAL FEES 3 e� " �,�Qn�� � I CERTIFY THAT I HAVE F1EAD THIS APP�ICATION AND STATE THAT THE ABOVE INFORMATION IS CARRECT. w I AGREE TO COMPLY WITH ALL CITY AND CAUN7Y ORDINANCES AND STATE LAWS REU7ING 70 BUIL�ING � CANST{iUCTION,AND HEREBY AUTHORIZE REPRESEN7A71VES OF 7HI5 COUNTY TO ENTER UPON THE � � � ABOVE�MENTIONED PR07ERTY FOR INSPEC710N PURPOSES. - Z COMMENTS � ) 1 � ���/ :i/'/�/ ��� �� J � m PERMITTE AME(PRIPlT) Q � � /� f � � 51 A7U OF PERMITTEE DA7E = RECPT.NO. PAID BY VALIDATIO � ~ �W Department Copy,YELLOW�inance Copy,PINK—Assassor Copy,GOLDENROo--File Copy,GREEN—Applicant's Copy _ c � ���� �� �0�,11��1�� �c�� 0��������� ������ Oa�pC�C�400a DQ4L �a�pC�C�40a Oa�pCC�400a DQ4C� �a�pCC�4�a:- SET BACK FLOOR JOIST FTGS/FORMS/STEEL FHA REQMTS ELECTRIC GROUND UNDER FLOOR DUCT GROUND PLUMBING UNDER FLOQR CONDUIT SLAB GRADE FIREPLACE FOUNDATION TEMP POWER FIREPLACE BOND BEAM WATER SERVICE MID HT. BOND BEAM ROOF SHEATHING � 8 FT. BOND BEAM FRAMINGNENTILATION FINAL BOND BEAM ROOF COVER PRE-GRADING • ROUGH HEATING BENCHING ROUGH ELECTRIC ROUGH GRADING ROUGH PLUMBING FINISH GRADING SHOWER/TUB TEST POOL ELECTRIC EXT. LATH/SIDING POOL FENCING WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILiNG DEDICATIONS SEWER FINAL ENG. SEPTIC TANK LANDSCAPE/IRRIG. SEEP PIT/L.L. ON SITE IMPS. GAS AIR TEST FINAL ZONING FINAL CONST. FIRE DEPT. FINAL FINAL HEATING HEALTH DEPT. FINAL FINAL ELECTRIC DEV. FEES PAID FINAL PLUMBING ENERGY ��o � . COMME�ITS SEPTIC TANK SIZE SEEP PIT/U SIZE a � � � � —�.- a s s s� CITY OF DIAMOND BAR �-"�-���— DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ��Q' 21825 Copley Drive,Diamond Bar,CA 91765 r � (909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-7027 0 P SS '�^'+ BUILDING PERMIT APPLICATION '��N ��p FI�MLY � JOBSITE i'��O �/'7LL�Y V 1 S/rT �� I� � Q � �(p APPLICATI PERMIT P/C �— o ADDRESS _� DATE_ 01 NUMBER 5 70 # � ISSUE TYPE OCC APN OT�_ TRACT DATE �I �� �� CONST. GROUP p OWNER �� c/• p ADDRESS ��� V/�)�r� V) Tf} ZONING SETBACKS Z CITY ZIP TEL. FRONT RW ❑ � APPLICANT TEL. REAR ❑ � SIDE/SIDE STREET RW O z � CONTRACTOR � SIDE p � ADDRESS PROPOSED USE � CITY YNi,�,/Cs�.J V11C�n ZIP�� TEL. o ARCH%ENG/ �z DESIGNER NO.DWEL. NO. NO. a ADDRESS � CITY ZIP TEL. UNITS STORIES BEDROOMS cr� cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFR/ADD/REM O I HEREBV AFFIRM UNDER PENALN OF PEfLIURV THAT I AM EJ(EMPT FROM 7HE CONTRACTORS LI- Gef890/CeIpOR W CENSEUWFORTHEFOLLOWINGREASON(SEC.7037.SBUSINESSANDPROFESSIONSCADE:ANYCITYOR (n U CAUNTYWHICHRE�UIRESAPERMITTOfANSTRUCT,ALTER,IMPNOVE,DEMOLISH,ORREPAIRANY57RUC� w TURE,PRIOR TO ITS ISSUANCE,AL50 REOUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED w Patio/Deck � STATEMENT THAT HE OR SHE IS LICENSEO PURSUANT TO THE PROVISIONS OF THE CONTMCTORS LI- � � CENSE LAW(CHAPTER Y(COMMENCING WITH SECTION 7ooa)OF DIVISION 3 Of THE BUSINE55 AND PRO- POOUSPO Q FESSIONS CODE)OR 7HAT HE OR SHE IS EXEMPT THEREFROM ANO THE BASIS FOR THE ALLEC,ED ExEMP- (� V TION.ANVVIOUTIONOFSECTION7031.SBVANVAPPLICANTFORAPEHMITSU&IECTSTHEAPPUCANTTO Z Re-Roof � A CIVIL PENAL7V OF NO7 MOpE THAN FIVE HUNDRED DOLUHS(f5oo�.): Z ❑I,ASOWNEROFTHEPROPEHTY,OFMVEMPLOYEESWITHWAGESASTHEIRSOLECOMPENSATION, � CORIrt18fCi81 . - WILL DO THE WORK,AND THE STRUCTURE IS NOT INTEN�ED OR OFFERED FOR SALE(SEC.70�/,BU51- J � NESS AND VROFESSIONS CODE:THE CONTRACTORS LICENSE LAW DOES NOT APPLV TO AN OWNER OF � PROPERTY NRiO BUILDS OR IMPROVES THEREON,AND VhiO DOES SUCH WOfiK HIMSELFOR HERSELF OR � THROUGH HIS OR HER ONM EMPLOYEES,PROVIDED 7HAT SUCH IMPROVEMENTS ARE NOT INTENDED OR m Q OFFEREDFORS�LEISHOWEVER711EBUILDINGORIMPROVEMENTISSOLDWITHINONEYEAROFCAMPLE- Z TION,THE OWNER-BUILDER WILL HAVE 7HE BUHDEN OF PROVING THA7 HE OR SHE DID NOT BUILD OR � tMPROVE FOR THE PURPOSE OF SALE). w ❑I,ASOWNEROFTHEPROPERTY,AMEXClU51VElYCONTRACTINGWITHLICENSEDCONTRAC70R5 � TO CANSTRUCT THE PR0.1EC7(SEC.70��,BUSINESS AND PROFESSIONS CODE:THE CANTRACTOqS LI- V81U8i1Of1 ADJ.AREA W CENSEUWDOESNOTAPPLYTOANOWNEROFAPROPEFTVWHOBUILDSORIMPROVESTHEREON,AND � WHOCANTRACTSFORSUCHPROJEC75WITHACON7qAC70R�5)LICENSEDPURSUAN770THECONTRAC� QUANTITY DESCRIPTION . FEE � Y TORS LICENSE LAW.). � ❑I AM EXEMPT UNDER SEC. B.6 P.C.FOR THIS REASON J O V � � � DATE OWNER � Z w � LICENSED CONTRACTORS DECLARATION W � I HEREBY AFFIRM UNDER PENALTY OF PERJURV THAT I AM LICENSED UNDER PROVISIONS OF CHAP7ER � d e(COMMENCING WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS CODE,AND Z X MY LICENSE IS IN FULI FORCE AND EFFECT. m `0 r� ����`.�� j . LICENSE CLASS C L C7 �IC.NO. V DATE CONTRACTOR d � WORKERS'COMPENSATION DECLARATION �,e� l, �, �O Cq �`ef� � I HEREBV AFFIRM UNDER PENALTY OF PEiiJURV ONE OF THE FOLLOW WG DECURATIONS: Z � �1 T ,r V � _I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT 70 SELF�INSURE FOR WORKERS' _ � / Q COMPENSATION,AS PROVIDED BY SEC710N 37000F 7HE LABOR CODE,FORTHE PERFORMANCE U LOC � t OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. W � w _I HAVE AND WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS REQUIRED BY SECTION Q 370o OF THE LABOR CODE,FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMI715 ISSUED.MY WORKERS'COMPENSATION INSURANCE CARRIER AND POLICY NUMBERARE: CONSTRUCTION � CARRIER � � PLAN REVIEW Z POLICV NUMBER `1 7 ELECTRIC ¢ � (iHISSECTqNNE�NOTBENA�R.EfEDOFhIEPERMlfISFORONEHU1�DRmDOUJJlS(5100)ORLESu} PLUMBING W �+ Z I CEHTIFV THAT IN THE PERFORMANCE OF THE WORK FOfl WHICH THIS PERMIT IS ISSUED,I HANICA ��.Jb C7 SHALL NO7 EMPLOV ANY PERSON IN ANV MANNER SO AS TO BECAME SUBJECT TO THE � � WORKERS'COMPENSATION LAWS OF CALIFORNIA,AND AGREE THAT IF I SHOULD BECOME INSPECTION FEE = SU&IECT TO THE WORKERS'COMPENSATION 7ROVISIONS OF SECTION 3700 OF THE LABOR �� '� CADE,I SHALL FORTHWITH COMPLV WITH T OSE 4ROVISIyq�5. e ISSUANCE � In/Ih Y I'bC IC.1� SMIP p DATE:���� APPLICANT: � J WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS 11NLAWFUL,AND SHALLBE ENERGY P/C � SUBJECTAN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND ENERGY PERMIT DOLLARS(5100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN � SECTION 3708 OF THE LABOfi CODE.IN7EREST.AND ATTORNEV'S FEES. RETENTION FEE: ,'L�� OCONSTRUCTION LENDING AGENCY PRE-ALT FEE: � 1 HEREBY AFFIRM UNDER PENALTV OF PERJURV THA7 THERE IS A CONS7RUC710N LENDING AGENCY . FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED�SEC.3097,CIV.C.). w 1b� ��1 � �O. p'',� �.Z LENDER'S NAME i F— LENDER'SADORESS w I CERTIFV THAT I HAVE READ THIS APPLICA710N AND STATE THAT THE ABOVE INFORMATION IS CARRECT. TOTAL F E ES YJ�`,�• � � I AGREE TO COMPLY WITH ALL CIiY AND COUN7Y ORDINANCES AND STA7E UWS REU7ING 70 6UILDING � CANSTRUCTION,ANDHEREBVAUTHORIZEREPRESENTATIVESOFTHISCOUNTYTOENTERUPONTHE � Z ABOVE�MENTIONED PROPEFTY FOR INSPECTION PURPOSES. COMMENTS ' � �1�oh � v. m PERMI7TEE NAME(PRIN7) � � Q � N SIGNA7UHE OF PERMI DA7E = RECPT.NO. _Q � PAID BY I�� S� VALIDATION ~ WHITE—DepaAment Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD--File Copy,GREEN—Applicant's Copy . . u. . . ' .- �,� ���V O� �9�,�fd��� (��ff� AI�Sf������� f�l���l�� . oa�p�c�400a Qa4� ; oa���c��oa oa�p���oaa �ca�� oa�����o:� : SET BACK ' FLOOR JOIST � - FTGS/FORMS/STEEL FHA REQMTS ELECTRIC GROUND UNDER FLOOR DUCT GROUND PLUMBING UNDER FLOOR CONDUIT SLAB GRADE FIREPLACE FOUNDATION TEMP POWER FIREPLACE BOND BEAM WATER SERVICE MID HT. BOND BEAM ROOF SHEATHING 8 FT. BOND BEAM FRAMINGNENTILATION FINAL BOND BEAM ROOF COVER PRE-GRADING ROUGH HEATING BENCHING ROUGH ELECTRIC ROUGH GRADING ROUGH PLUMBING FINISH GRADING SHOWER/TUB TEST POOL ELECTRIC EXT.LATH/SIDING POOL FENCING WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING DEDICATIONS SEWER FINAL ENG. SEPTIC TANK LANDSCAPE/IRRIG. SEEP PIT/L.L. ON SITE IMPS. GAS AIR TEST FINAL ZONING FINAL CONST. FIRE DEPT. FINAL FINAL HEATING HEALTH DEPT. FINAL FINAL ELECTRIC DEV. FEES PAID FINAL PLUMBING ENERGY ��o � COMMEfVTS SEPTIC TANK SIZE SEEP PIT/U SIZE a � � �