HomeMy WebLinkAbout1550 VALLEY VISTA DR (7) ^__�� CTTY OF DIAMOND BAR -
DEPARTMENT OF CONARUNTTY 8c DEVELOPMENT SERVICES
' 21825 E.Copley Drive
(909)860-3195 Fax(909)861-3117 PRESS
��'�'�� Bun.nnvc pEx�nT nrr�cA�r[ort FIRMLY
� JOBSITE �^ � APPLICATION � � � PERMfT '�O P/C
o ADDRESS �J-�" S•vA U� I� DATE � � NUMBER #
p OWNER i LO�� , TRACT ��A�.�_ DA EE , �� �"' ONST. GROUP
�'llt�f/'1 ���
p ADDRESS � ZONING SETBACKS I
Z CITY��{;��Rc�. ZI TEL� SL�I-Q� FRONT RW ❑
o APPLICANT C TEL. SID�IDE STREEf RW O
� CONTRACTOR SIDE ❑
ADDRESS
� � CITY ZIP TEL. PROPOSED USE
oARCH/ENG/
�z DESIGNER NO.DWEL. NO. NO.
a ADDRESS
� CITY ZIP TEL. UNITS STORIES BEDROOMS
�
cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION
p� OWNER-BUILDEFi DECLARATION SFR/ADD/REM
O
�
1 HEREBV AFFlRM UNDER PENALTV OF PERNRY THAT I MI E%EMPT FAOM THE CONTMCTOi75 LI- G8f89B/CBfPOR
W CENSEUWFORTHEFOLLOWINOREASON(SEC.70J1.6BUSPIESSANDPROFESSIONSCODE:ANYCITVOR (n
U �qJrJTyWH�p�qEpUIRESAPERMITTOCONS7AUCT,PLTER,IMPROVE,DEMOLJSH,ORREPAIRANVSTFiUG W PgIIO/DBCK
� TURE,PRIOR TO ITS ISSUANCE,PLSO REWIRES THE APPLICANT FOR SUpI PERMI7 70 FILE A SIONED w
� STATEMQJT THAT NE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LI• �
� CENSE LAW(CHAP7ER Y(COMMENqN(i WITH SECTION 7000)OF DIVISpN 3 OF THE BUSINESS AND PRO- POOUSPB
FESSqNSCODE)OR7FIA7HEORSHEISE%EMPTTHEREFROMAND7HEBASISFOfiTHEALLE0E0IXEMP� C7 .
� TION.ANVVIOLATIONOFSEC710N70J1.6BVANVMPLICANTFORAPERMITSU&IECTSTHEAPPLICANTTO Z Re•Roof
� ACML PENALT/OF NOT MORE THAN FNE HUNDRED DOLLARS(f5W).):
� OI,ASOWNEROFTHEPROPER7V,ORMYEMPLOVEESWITHWAOESASTHEIRSOLECOMPENSATION, 0 COmlfl6fCI81 . �
Z N7LL DO hiE WORI(AND THE STRUC7URE IS NOT INTENDED OR OFFERED FOR SALE(SEC.7oN,BU56 J
N HESS A!ID PROFESSIONS CODE THE CONTRAC70RS LICENSE UW OOES NO7 APPLY 70 AN OWNEfi OF �
PROPEiffYW/qBU0.D50RIMPROVESTHERC-0N,ANDNMODOESSUp/WORKHIMSELFORHERSELFOR � � . �O
Q 7HROUGH HIS OR HER ONRJ EMPLOVEES,PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDFA OR m
� OFFEREbFORSALEIF,HOWEVERTNEBUILDINUORIMPROVEMENTISSOLDWfTHWONEYEAROFCOMPLE-
Z TIDN,THE OWNEFBUILDER WILL HAVE THE BURDEN OF PROVINO THAT HE OR SHE OID NOT BUILD OR
� W PROVE FOq TME PURPOSE OF SALE}
�yJ ❑4�OWNER OF 7HE PFOPEHTV,AM EXCLUSIVELV CONTMCTINO WfTN UCENSED CONTRACTORS ,
Q TO CONSTAUCT THE PRQIECT(SEC.70N,BUSINESS AND PROFESSIONS CODE:THE COMTRACTORS LI- V8IU81I0� ADJ.AREA
W CENSEUWDOESNOTAPPLVTOMIOWNEROFAPROPERTYWFq8URD50RIMPROVESTHERE-0N,MlD
WHO CONTRACTS FOR SUCi1 PRO.IECTS WITI ACONTRACTOR(5)LICENSED PURSUMlT TO THE CONTMG
roRs ucENSE uw,�. ounrmry DESCRIPTION FEE
0 D I AM E%EMPT UNOER SEC.�� • B.8 P.C.FOR THIS HEASON � � '
� /� U
LL DA7E o O� OWNER� f tu H
Z W
� LICENSED CONTRACTORS DECLARATION W
OC I HEREBY AFFIRM UNDEH PENALTY OF PERIURY THA7 I AM LICENSED UNDER PROVISIONS OF CHAP7ER �
d Y(COMMENCINO N7TH SEC710N 7000)OF DM510N F THE BUSINE9S AND PROFESSIONS COOE,AND Z - �
X, �IY LICENSE IS M FULL FORCE MID EFF T. m
LLI
� IICENSE CLASS UC. �
V DATE C T CTOR a
W
� WORKERS'COMPENSATION DECLARATION �
� I HEREBYAFFIRM UNDER PENALTY OF PE0.IURY ONE OF 7HE FOLLOWIMO DECLARATIONS: Z
� _IHAVEANDWILLMAVfTAWACERfIFICATEOFCONSENTTOSELF-INSUREFORWORNERS' �
Q COMPENSATIO/J,AS PROVIUED BV SECTION 31000F THE LABOR CODE,FOR THE PERFORMMICE U
Q OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. � •
� _I HAVE M1D WILL MAPITAM WORKERS'COMPENSATqN INSUiUNCE,AS REWIRED BV SECTION
Q 3700 OF 7HE L�BOR COOE,FOR TME PERFORMMlCE OF THE WORK FOR WMICN THI9 PERMIT IS
� �SSUED.MV WORKERS'COMPENSATION INSURANCE CARAIER AND POLICV NUMBER ARE CONSTRUCTION �O / �
> c�waER � PLANREVIEW �_ _
0 POLICV NUMBER � V
z ELECTRIC
¢
p (I}CSSECiIONNE�NO'TBEOOA1R.Ef�OF7FEP6AQT6FbRONEFIUI�DREDDOl1AR5(t10o)ORLESs} PLUMBING
Z 1 CERTIFY hIAT IN THE PERFORMANCE OF THE WORK FOR NM111CH THIS PERMIT IS ISSUED,I MECHANICAL
C} SHALL NOT EAIPLOY ANV PERSON IN ANV MANNER 50 AS TO BECOME SUBJEC7 TO 7HE '
(/� WORKERS'COMPENSATION LAWS OF CALIFORNI^AND AOREE THAT IF I SHOULD BECOME INSPECTION FEE
SU&IECT TO THE WORKERS'COMVENSA710N PROVISIONS OF SECTION 3700 OF THE 41BOH ,
s CODE,I SHALL f-0Rh1WIhi CAMPLY WIT1 THOSE PROVISIONS. ISSUANCE �
�
p DATE: � APPLICANT: �SMIP r r '��
w ENERGY P/C
� WARNIN(i:FA0.URE TO SECURE WORKERS'COMPENSATION COVERAQE IS UNUWFUI,AND SHALL BE .
�y SUBJECT AN EMPIOVER TO CAIA1 WAL PENALTIES ANO CML FINES UP TO ONE HUNDRED hIOUSAND ENERGY PERMIT
DOILMS(5100.000),IN rDDITION TO 7HE COSTOF COMPENSATqN,DAMAOES AS PROVIDED f-0R IN
J SECTION 370E OF hIE LABOR CODE,INTEREST,AND ATTORNE'/B FEE3. �
o� RETENTION FEE: a � 1 �
OCONSTRUCTION LENDING AGENCY � PRE-ALT FEE:
� 1 HEREBV AFFlRM UNDER VENALTV OF PERIUfiY THAT THERE IS A CONSTRUCTION LENDWO AOENCV
FOR THE PERFORMANCE OF THE WORK FOR WHIC}i THIS PERMIT IS ISSUED(SEC,30Y7,CN.C.).
Z
W
� LENDER'S NMIE
F- LENDERSADORESS
� 1 CERTIFY THAT I HAVE READ TiIS APPLICATION AND S7A7E 7HA7 THE ABOVE PIFORMATION IS CORRECL TOTAL FEES � ��
� I A�REE TO CAMPIV WITH ALL CfTY AND COUNTY ORDINANCES AND STATE UWS REUTINO TO BULLDINO
� CONSTRUCTION,AND HEREBV AUT//ORIZE REVRESENTA71VE5 OF THIS COUNTY TO EMER UPON THE '
Z ABOVEJ.IENTIONED PqOPEHTV FOR INSPECTION PURPOSES. COMMENTS "
9 ���n �4Q�
�.
m PERM NN.IE(FRINT) .
N .�i�,���,� la-1��1 oi i '
� SIONA F PERMITTEE DA7E �
� RECPT.NO. � PPJD BY VALIDATION
WHITE-0epertment Copy,YELLOW—Finence Copy,PINK—Assessor Copy,GOLDENRO ile Copy,6REEN—Applir,ant's Copy
C��f �(� �9�@�d�f�(�D f��fl�
, o�����c�vo�� ������
�' �� o � o�` t� �nJ ` 0 � p�Y�' � ' '� � o �. o
4� ' OG�C�
SET BACK . � FLOOR JOIST 1
FfGS/FORMS/S7EEL FHA RE(�MTS
ELECTRIC GROUND UNDER FLOOR DUCT •
GROUND PLUMBING UNDER FLOOR CO�IDUIT
SLAB GRADE FIREPLACE FOUNDATION
TEMP POWER FIREPLACE BOND BEAM
WATER SERVtCE MID HT. BOND BEAM
ROOF SFiEATFtING 8 FT: B�IVD BEAM
FRAMlNGNE1VTILlATlON FlNAL BOND BEAM � '
ROOF COVER PRE-GRADING ,
FiOUGH HEATING BENCHING �
, ROUGH ELECTRIC ROUGH GRADING
ROUGH PLUMBING FINISH GRADING
SHOWER/TUB TEST POOL ELECTRIC
EXT. IATH/SIDING � POOL FENCING "
WALL INSULATION POOL FINAL
CEILING INSULATION OFF SITE IMPS.
DRYWAL�NAi�`IRIG .�? � � ` " � .,,,.1 �, .�pEDICATIONS
SEWER . '� _FINAL ENG.
SEPTIC TANK + ; •, LANDSCAPE/IRRIG. ,
SEEP PIT/L.L. ' ON SITE IMPS.
GAS AIR TEST FINAL ZONING
FINA�CONST. �2- :I>' , FIRE DEPT. FINAL
FINAL HEATING HEALTH DEPT, FINAL
FINA�ELECTRIC DEV. FEES PAID
FINAL PLUMBItJG ENERGY
� o �o
COMMEIVTS
SEPTIC TANK SIZE
SEEP PIT/U SiZE
�
�A "[�
� ,
