HomeMy WebLinkAbout1370 VALLEY VISTA DR (34) ,.,,,,;.,,,. ;:s`"-_�. �... .._. CITY OF DIAMOND BAR `
DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES
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\`,,,v },,;;, (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027
''�'� BUILDING PERMIT APPLICATION FIRMLY
� JOB SITE ADDRESS � �✓ � �( V�S 1(N bl ' "��' APPLICATION DATE: D `� P/C# /5 - 133� I
i ISSUE DATE: �I 1p. I\S PERMIT# c�'� \S ' �'3�J��'
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yOWNER P. IYI LI-L II LQ • TYPE CONST. OCC GROUP:
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� CITY L►�✓��t���• ZIP �0 TEL. FRONT RW ❑ '
= APPLICANT TEL. REAR ❑
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r, SIDE/SIDE STREEf RW ❑
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� ADDRE Z�, �' `. :+'� (,a-VI - � ✓��� `�g PROPOSED USE
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= ADDRESS
#DWEL.UNITS #STORIES #BEDROOMS
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� DESCRIPTION SQ.FC FACTOR PSF ADJ.AREA/VALUATION �
OWNEH-BUILDEH DECLAMTION
Y I hereby attirm under penalty of perjury that I am exempt from the Contractor's State License law for the reason(s) SFR/ADD/REM I
� indirated below by the checkmark(s),I have placed ne�t to the applicable item(s�[Sectlon 7031.5,Buslness and I
y Garage/Carport
� Prohssions Code:Any ciry or county that requires a permit�o construct,alter,improve,demolish,or repair,any
z structure,prior to its issuance,also requires tl�e applicant for the pertnit to file a signed statemeM that he or she � Patio/Deck I
nis Iicensed pursuantto the provisions of the Contractor's State License Law(Chapter 9)Commencing with Sec[ion w ,
� 7000 of Division 3 of the Business and Profeuians Code]or that he or she is exempt from licensure and the basis for � Pool/Spa I
n the alleged exemption.Any violation of Sedion 7031.5 by any applicant for a permit subjects the applicant to a civil penalty C7
= of not more than five hundred dollars($500). . Zo Re-Roof I I
� (,I,as owner of the property,or my employees wifh wages as their sole compensation,will do(]all of or L)portions -� Commercial I I
y of the work,and the structure is notintended or offered for sale(Section 7044,Business and Professions Code:The m I
Z Contractors'State License Law does not apply to an owner of property who,through employees'or personal effort,builds
� or improves the property,provided that the improvements are not intended or offered for sale.If however,the building or I
� improvement is sold within one year of completion,the Owner-Builder will have the burden of proving that it was not built
� or improved for the purpose of sale.). � I
' L)I,as owner of the property,am exclusively contracting with licensed Contractors to construct the project(Section �
Z 7044,Business and Professions Code:The Contractors'State License Law does not apply to an owner of property who V81u8tion: Adj.Area: I ,
� buildsorimprovesthereon,andwhocontractsfortheprojeciswithalicensedContractorpursuanttotheContractors'State QUANTITY DESCRIPTION FEE I
Y License Law.). !
� (,I am exempt from licensure under the Cont2c[or's State License law for the follawing reason(s): � i I
2
1 By my signature below I acknowledge that,except for my personal residence in which I must have resided for at least one � �
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� year prior to completion of the improvements covered by this permit,l cannot legally sell a struc[ure that I have built as an w I
owner-builder if it has not been constructed in its entirety by licensed contractors.I understand that a copy of the applicable
� law,Section 7044 of the Business and Professions Code is available upon request when this application is submitted or at I '
� the following Web site:http/www.leginfo.ca.gov/calaw.html. '�
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= DATE: SIGN: �
— LICENSED CONTHACTOH'S DECLANATION � I .
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, � I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000) �
� of Division 3 of the Busin ss and Professions Code,and my license is in full force and effect. J I
� � LICENS�I�. SS:. �c I� .NO.: � � U
]' �y ¢ I
,�s _ j/L� �Z��� �
. Z DATE: (U✓�I S CONTRACTOR: � � . I
� ¢ WOHI�fl'S COMPENSATION DECLAfiATION w
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� I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE Of THE FOLLOWING DECLARATIONS:
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� I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: T �� , 'g3
� Section 3700 of the Labor Code,for the pertormance of the work for which this permit is issued. p�.qN REVI EW: � 'T Z. �1
> I have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for
Z the pertormance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and ELECTRIC:
¢ PolicyNumberare: PLUMBING:
� CARRIER MECHANICAL:
� POLICY NUMBER �
INSPECTION FEE:
'n (THIS SECTION NEED NOT BE CAMPLEfED IFTHE PFAMfT IS FOR ONE HUNDRED DOLLPAS($700)OR LESS�.
ISSUANCE: �S.�'{
� I certify mat in the performance of ihe work for which this permtt is issued,I shall not employ any person in any manner so as to
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become subjed to the Worker's Compensation Laws of Califomia.Md agree that'rf I should become subject to the Worker^s SMIP:
� Compensation provisions of Section 3700 of the Labor Code,I shall torthvnth comply with those pmvisions. ENERGY P/C:
J
J DA7E: APPLICANL ENERGY PERMIT:
i
� WARNING:Failure to secure Worker's Compensation coverage is unlawful,and shall subject an employer to criminal
ipenalties and civil fines up to one hundred thousand dollars($100,000�,in addition to the wst of the compensation, RETENTION FEE: � �p i
= damages as provided for in section 3708 of the labor code,interest,and attorney's tees. PRE-ALT FEE:
i CONSTlIUCTION LENDING AGENCY BgqF; � I
= I hereby affirm under penalry of perjury That there is a Construction Lending Agency for the performance of the work for I
� which this permit is issued(Sec.3097,Civ.C.). I
LENDER'S NAME:
= LENDER'SADDRESS: I
i I certify that I have read this application and state that t�e above information is corred.I agree to comply with all ciry and TOTAL FEES �}2_,` 1��• �/
:� ap
Z counTy ordinances and state laws relating to building construction,and here6y authorize representatives of this counly to COMMENTS:
� enter upon t bove-mentioned property for�'Isp�(ion purposes. �
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¢ PERMITfEENA E 4 0� /[' �, 4 36og C�
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= SIGNANRE OP ITfEE DA7E RECEIPT# l7[�'Cl�pa�l PAID BY:��1 '����� VALIDATION: ` '\
WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy
. . .. .
CITY OF DIAMOND BAR
INSPECTION RECORD
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,� �. .�����a , ; M���,�.„ � ���, w . �� ��s� TRACTAND�EDGER
SET8AGKI�LETTER ._N, : . ��. , �_, , " —
FOOTINGS FORMS ��,r. ' '��� ' � � `: ` �• � � �� ° � SWITCH GEAR
;$� ���� ''�`� '� � _ ��� �� COMMERCIAL HOOD
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UG.�PCUMBWG���� � �.�� '"���� .� ;�.�., � � � ' �� � � T-BAR I
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UFER�GRQUND` �_'� :, ��` �'��-�� ��°� " � "" � � ��� � � �_� HOT MOPJSHOWERPAN
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SE4'VER LATERAL - SEPTICiCESSP00L
MAIN WATER LINE � NERS REPORT RECEIVED
SEWER CLEANOUT DEMOUTION
ROOF SHEATHING � I ROOF DRAINS
FLOOR SHEATHING ROUGH CONDUIT
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nSH�AR�WAtL�F�(�TERIOR -� � s k « ., � � ��� �. . .
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;SNEAR WALLS INTERlOR u: � �� a � � F ; Y ` ROUGH PLUMBING
FR� ; . �. . .. ,�� � ��,� � _� ��� m,
AMINGlUE�J�IN����^�� � . K r �. , � `" ROUGH ELECTRICAL ` ` �
�� ` � ` ROUGH MECHANICAL
RQl91GH MECt�ANICAL�� � �-� � � �� .. ����� . _ _ _ � .
�ROlJGH ELECTRICAL W(�),C�(��) : ��: �� % � , � 0 w .; , ; ` � GAS TEST . �
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RCUGH�FLUI�SiNG���-�. ° �-.��-,�.� ;� :m . , �� e �,�.';. � < � � x PRE GUNITE
INSUL{3TIQN WALL � POOL RRE DECK BONDING
INSIJLATfON CEILING �P-TRAP � � �
QRYWALL � FENCE/'GATFJ ALARM
LATH(PREI �FINAL POQL. > �� � � : �, 3 � � �
LATH EXTERIOR WALLS:
tATH INTERIOR WALL FOOTING/STEEL
6AS TEST WALL STEEL 1 sT( )2Ne( j UFT
SCRATCH COAT WALL BOND BEAM
ELECTRIC METER RELEASE WALL DRAIN/SEAL
GAS METER RELEASE WALL FINAL
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SPECiALIN5PECTION 'RO.FRAMINGPtANNINGAPPROUAL e � ° �
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FIC�AL�BUIl..O�NG. �w �'' '� - � , � � kR(IUGN FIRE APPROVAL � � � `
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FINAI:M�CHANif:A� , �"' , ��, � ,�. t - ��.,�, � , _ .. FINAL FIRE DEPARTMENT ,
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F�IN�ll.EL`ECTRICAL,"�'� �°� ��� � �°�� �� ��� � � �� . � ��� �� ��" �'�FINAL PL'ANNING � � ;, � -�;. '
FINAL"PLl1MB�NG � . �« � # �-� - . �t _ , : _ .
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�TG;uf,�OCGUPANCY�'a; �=r � . �� � a,� a � 4 ,a� ; h �' FINAL COMMUNITY SERVICES `" ` ` '
;GERT.�of BCGUPANCY �, ' ��� g.� : ; �� ° � � , . , ' FINAL HEALTH dEPT. _
P �� e
��FINAL INDUSTRIAL WASTE � ` ` " � ` �� � � �
COMMENTS:
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