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HomeMy WebLinkAbout1370 VALLEY VISTA DR (34) ,.,,,,;.,,,. ;:s`"-_�. �... .._. CITY OF DIAMOND BAR ` DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ���� '��'�� �"'��� �� � 21810 Copley Drive,Diamond Bar,CA 91765 pRE�� \`,,,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��' z -APN LOT TRACT yOWNER P. IYI LI-L II LQ • TYPE CONST. OCC GROUP: n ADDRESS t� Q��c ZF� . �' ' � D J ZONING SEfBACKS I � CITY L►�✓��t���• ZIP �0 TEL. FRONT RW ❑ ' = APPLICANT TEL. REAR ❑ � I � r, SIDE/SIDE STREEf RW ❑ Q CONTRACTOR SIDE ❑ � ADDRE Z�, �' `. :+'� (,a-VI - � ✓��� `�g PROPOSED USE j CITY D✓� G ' TEL. . ZL �0✓ � � (J G !�J l� � ARCH/ENG/D IGNER +.'-.e� ��L _ y = ADDRESS #DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP TEL. � 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 � � J � 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. '� z I = DATE: SIGN: � — LICENSED CONTHACTOH'S DECLANATION � I . � I , � 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 � I � I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE Of THE FOLLOWING DECLARATIONS: L I � 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 � 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($100,000�,in addition to the wst of the compensation, RETENTION FEE: � �p i = damages as provided for in section 3708 of the labor code,interest,and attorney's tees. PRE-ALT FEE: i CONSTlIUCTION LENDING AGENCY BgqF; � I = I hereby affirm under penalry of perjury That there is a Construction Lending Agency for the performance of the work for I � which this permit is issued(Sec.3097,Civ.C.). I LENDER'S NAME: = LENDER'SADDRESS: I i I certify that I have read this application and state that t�e above information is corred.I agree to comply with all ciry and TOTAL FEES �}2_,` 1��• �/ :� ap Z counTy ordinances and state laws relating to building construction,and here6y authorize representatives of this counly to COMMENTS: � enter upon t bove-mentioned property for�'Isp�(ion purposes. � J_ /,� - � �/� �,�A^ n {�Viv y�'Ciyv ¢ PERMITfEENA E 4 0� /[' �, 4 36og C� :n . n .y / �,.�w = SIGNANRE OP ITfEE DA7E RECEIPT# l7[�'Cl�pa�l PAID BY:��1 '����� VALIDATION: ` '\ WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy . . .. . CITY OF DIAMOND BAR INSPECTION RECORD e ! � � s � � s • � � � � � ,� �. .�����a , ; M���,�.„ � ���, w . �� ��s� TRACTAND�EDGER SET8AGKI�LETTER ._N, : . ��. , �_, , " — FOOTINGS FORMS ��,r. ' '��� ' � � `: ` �• � � �� ° � SWITCH GEAR ;$� ���� ''�`� '� � _ ��� �� COMMERCIAL HOOD "� UG.�PCUMBWG���� � �.�� '"���� .� ;�.�., � � � ' �� � � T-BAR I x������. �,. UG:,ELECTRICAI,��,'�°:'�' ���� ��' = � ���°� � � �� � INTERCEPTER � �_� � � � UFER�GRQUND` �_'� :, ��` �'��-�� ��°� " � "" � � ��� � � �_� HOT MOPJSHOWERPAN �� SE4'VER LATERAL - SEPTICiCESSP00L MAIN WATER LINE � NERS REPORT RECEIVED SEWER CLEANOUT DEMOUTION ROOF SHEATHING � I ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT .,� r '° � ��«.�� � . ;: � �� . � F� � . , 'POOUSPA _ _ � ; � ti , � nSH�AR�WAtL�F�(�TERIOR -� � s k « ., � � ��� �. . . i , � � ; ;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 . � ,�� � ��.� 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 _� SPECiALIN5PECTION 'RO.FRAMINGPtANNINGAPPROUAL e � ° � �.e. w. � � � FIC�AL�BUIl..O�NG. �w �'' '� - � , � � kR(IUGN FIRE APPROVAL � � � ` �. , ab : �.; � � � � � FINAI:M�CHANif:A� , �"' , ��, � ,�. t - ��.,�, � , _ .. FINAL FIRE DEPARTMENT , � _ _ �� , � .r,� � _ � ,_ F�IN�ll.EL`ECTRICAL,"�'� �°� ��� � �°�� �� ��� � � �� . � ��� �� ��" �'�FINAL PL'ANNING � � ;, � -�;. ' FINAL"PLl1MB�NG � . �« � # �-� - . �t _ , : _ . � .� �� � ��. , �.�9 � . � FINAI:ENGINEERING/PW �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: ��-�- �