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HomeMy WebLinkAbout1550 VALLEY VISTA DR (11) r _----__ _ -- I ` ' CITY OF DIAMOND BAR "--4--��--���1�`� DEPARTMENT OF COMMUNTI'Y&DEVELOPMENT SERVICES , I -- ,� 21810 Copley Drive,Diamond Bar,CA 91765 (909)839-?020 Fax(909)861-3117 Building Inspection Hotline(909)839-7027 PRESS ����^'� BUII.DING PERNIIT APPLICATION �=,-y �6�a �,� FIRINLY � JOBSITE APPUCATIO PERMIT P�2 �3 P!C �� �3 o ADDRESS I S So �I a\� �I �� DATE 5�3 ��3 NUMBER �o`A # ��g � ISSUE (�,,�\`3 TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER p ADDRESS ZONING SETBACKS Z C�Ty ZIP TEL. FRON7 RW ❑ REAR ❑ p APPLICANT TE�• SIDE/SIDE STREET RW O ¢ � CONTRACTOR � SIDE � ADDR S � PROPOSED USE� ��� �5�0✓�5��c0 �T-e✓�an`'t' �h o C�7y C` ZIP � TEL p w ARCWENG/ /) _ � ��-�a,."'�,� W DESIGNER I2Q�rp� NO.DWEL. NO. NO. a, ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREFWALUATION � � OWNER-BUILDER DECLARATION SFR/ADD/REM O 0 I HEftEBY AFFIRM UNDER PENALT'OF PERIUHV THAT I AM EJfEMPT FROM THE CANTRACTORS LI- G0f2 J0/C8lPOR W CENSEU�WFORTHEFOILOWINOREA" �(SEC.70]t.6BU51NE55AN�PROFESS10N5CODE:ANYCITYOR (n U COUNfYWH1CHRE0UtHE5A7ERMRTOCONS7AUCT,ALTE0.1AtGRONE.�EMOlISH,OAaEPNAANYSTRUC W P8ti0/DBCk wNRE,PRIOR TD RS ISSUANCE,ALSO REOUIRES THE MPUCANT PoR SULH PERMIT TO FlLE A SK3NED w � STATEMEHT THAT HE OR SNE IS 110ENSED PUfiSUAPfr TO TiE PqOVI510N5 OF TME CANiMCTOFiS LL � � CENSE UW(G1AiTEfl B(COMAIENpNO WITH SECTION 70D0)OF DIVISbN 3 OF THE BUSINESS AND PR0. �' PooUSpe � FESSqN3CqO�OHTHATHEORSHEISEJfF).1PTTHEFiEFROMANDTHE8A515FOfITHEALLE6EDEXEMV- (� V 710N.ANYVIOLATIONOFSECTION7031.SBYAHYAVPLICANTFORAPERMITSU6IECTSTNEAPPLICI�NTi� Z qa-Roof � q CIVIL PENALT'OF NOT MORE TMAN FfVE MINORED DOLLAAS(f50o).): Q ❑4�SOWNEROFTHEVHOPERTV.ORIIYEMPLOVEESNffTHSVAGE5A5THEIH50LECOMVENSATbN, 0 �mercial - z, WILL OO THE WON(.Ml�THE STRUC�URE IS NOT INTENDED OR OFFERED FOA 9ALE(SEC.7ws,BUSI- _1 NESS AND GROFESSIONS CODE THE CONTMCTORS ULENSE LAW DOES NOT A7vlY TO AN OVlNER OF � PROPERTYN7�OBU�L040RIMVROVESTHEREON,MIDNM1IODOESSUp1WORKHWSELFORHEHSELFOR m [L TMqOUf31i HIS OR HER OYM ENPLOYEES,PROVIDED THAT SUGIIMPROVEAIENTSME NOT M7ENDED OR �L1 OFFERW PoRSALE IF.HOwEVERTMEBUILDWOOR WPROVEMEN71550tDVmTaNONEYEAROFCONPLE- � TION,THE OWNER-BUILDER WILL HAVE THE BURDEN oF PROVING h1AT ME OR SHE DIO PqT 9UIL0 OR Z IMPROVE FOR iHE PURPOSE OG SALE� _ ❑4�OWNEF OF THE PROPERfY.AA/EXCIUSNELY CANT�UCTPJO YIITH LICENSED OOrfIRAC70R5 � TO CANSTRUCT THE GR0.IECT�SEC.l0a{,BUSINE55 AND PROFESSIONS CODE h1E CANTAACTOPS ll- ValU9IlOf1 ADJ.AREA W CENSE UW OOES NOTA7VLY TOAN OWNEfl OFA PROPER7Y WFiO&1RD5 OH IM7ROVE5 THEREON,ANO � Vh1000MMCTSFORSUGIPROJECTSWfTYfACONiMCTOR(5)LICENSEDPURSUAMTOTHECONTfiAG QUANTITY DESCRIPTION FEE � � TORSLICENSELAW.). J 0 O��E%EMPT UNDER SEC. 8.8 P.C.FOH TF11S REASQN � � � V" DATF _ OWNER U . . Z W � I.ICENSED CONTRACTORS DECLARATION �W � � � . � I HEREBYAFFIRM UNDER PENALTY OF PERJURV THAT IAM LICENSED UNDER PqOVIS10N5 Of CMAPTER � d, 9(COMMENCIN(i WITH SECf10N 7000)OF DMSION]OF TNE BUSMESS AND PROFESSIONS CODE,AND Z X MY LICENSE 44 M FULL FORGE AND EFFECT. m LL1 � � UCENSE CIAS � LIC.NO. � J V DATE CONTRACTOR d . W � WORKEAS'COMPENSATION DECLA�RT -� ' � � ¢ � 1 HEA�Y AFF�RM UNDER PENAL7Y OF GERNRY ONE OF THE FOIIOW W fi DEp.ARA710N5: U C/� Z � IMAVEANDWILLMNNTNNACEHTIFICATEOFCANSENTTOSELF-INSUREF�RNAHI(ER5 � � CAMPENSATION,AS PROVIDm BY SECTION J7000F THE UBOR CODE,FOR THE PERFORMANCE w OF THE WOHIC FOR NM1i1CH THIS PEflM1T I9 155UED. � � � 1 HAVEAND WILL MAIMAW WOPoCERS'COMPENSATION INSUqANCE,AS REQUIRED BY SECTION �TUO OF THE 1A60R C�DE,FOF�THE PERFOFiMANCE Of SHE WORK F6R VM1pi tH15 PERMIT IS 0 ISSUED.My WORKEAS'COMPEN9AT10N INSURANCE CAARIER AND POLICY NUMBER AAE CANSTRUCTION � ctwR1ER ��f OLl3�� � PLAN REVIEW C�L3 S • �p<O - � POLICY NUMBER l )��T��� E�ECTRIC � � (nass[crior+r�IDw7eEmns��ooFn+Eaaarrsr�oaa+erarn�nauwsgia�oai.Ess} PLUMBING w � MECHANICAL Z 1 CEq71FV TMAT IN THE VERFOHMANCE OF 7HE WOR1(WR WNICM THIS PERMIT IS LSSUED,1 (J SNNINOT EMPLOY M1Y PERSON W N�Y MANNER SOAS TO BECOME SU&lECT TO THE � WORKERS'COMPENSATION UNS OF CAI�FORNIA AND AGREE 7HAT IF I SHOULD BECAME INSPECTION FEE — SUBIECT TO THE WOHI(ERS'COMPENSATION PqOVISqNS OF SECTION�700 OF THE U�BOR � GOOE I FORfHW{hIC04PLY VATHIIfOSE P 60 SIONS. ISSUANCE � � SMIP p DATE APPLICANT: w ENERGY P/C � WhW1WO:F RETOSECUFEWORKERS'COMPE TIONCOVEM UNUWFUL,ANDSHALIBE � � �y SU&1ECTANEMPIOYER7oCRIMWALPENALTIESANDc 700NEHUNDPED11i0USNiD ENERGYPERMIT DOl1AHg(Sl W.000).W�DD�710N TO THE COST OF COMPENSATION,D�MAGES AS PROVIDED FOR W J SEc710N37oeOF7HELABORCODEwTEREST.ANDATfOfiNEY'SFEES. � RE7E�STIONFEE: � d CONSTRUCTION IENDING AGENCY PRE-ALT FEE O � 1 HEREBY AFFRiM UHDER VFN�LTY OF PERIURY THAT THERE L4 ACANSTAl1C7ION LENDWO A6ENCY �z FOH TT1E PEAFORMANCE OF THE WORK FOR NTiICN 7HI5 PERM�71S ISSUED(SEC.7ao7,CIV,G} W � LENDEFtS NAME � lENOEH'SA�DNESS � ICERTIFYTHATIHAVEREAUTHISAPPLIGATIONANDSTATETHATTHE�BOVEPlfORAlAT10NI5CORRECT. TOTAL FEES 'a�S - � w 1 A�REE TO COMPLY WR}I�LL CITY ANO CW NiY OFiO W MICES MlD S7ASE UMJS REUN76 70 BUIID�NCi � CONSTHUCTION,AND HEREBY AUTHORIZE RFPRESEN7ATIVES OF THIS CWNTV TO ENfER UPON TNE ZIBOVE-AIENTIONED PROPEHiY FOR WSPECT�ON WRPOSES. COMMENTS ' � �s�mR� ��uee,�•� _ m PERMiTTEE (�HTI � Q . � � SIONANRE PEpMfITEE OAT � RECPT.NO. �� A�J PAID BY � VALIDATION WHITE-Department Copy.YELLOW—F�inarae Copy.PINK—Assessa Capy,GOLDENROD—Fde Copy,GREEN—Appl(canCs Copy �i�''� t�� �31�6UIqt�L3 ��i�; � �''' ��ES€���:;1'8��! �i���3�� ' t }�y]� SP 4. q . .���' w o�jd. .�� � :�� .�� �.. � '� m+ � _� ��.:` - �e - � �r.,,� �k 1 _ - SE�BACK FLOOR JOIST ` F7GS/FORN15/STEEL� ___—__�-_ _ —�_ _----�--- —� FHA REQfe�lTS —--_----�----- ------ �LK7RIC GROUND ( _ � I {1tJ0ER Ft.00ft OUCT__ � GROUPdD PLU�viBfNG � ,�� U��IDER FLOOR CQNDUIT�T— Sl.AE3 GR,4D� �- --�---- --� FlREAIAr:E FOUt�Q�1TlOh� TEN1P P01�VER FIREPLFlCE BQND BEANi WATER�ER4�ICE tv11D HT.BOf•1D BEAM ROOF SHEATHING ( �8 F�L BOfJO BEAhli FRAMING!VE�ITILATIOI�! 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