The URL can be used to link to this page

Home My WebLink About12-17040 7 f CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES 21810 Copley Drive, Diamond Bar, CA 91765 (909) 839-7020 Fax (909)861.3117 Budding Inspection Hotline (909) 839.7027 BUILDING PERMIT APPLICATION JOBSTE ADDRESS- 'G ii `-.�rR.W' Rik-:. APN LOT TRACT OWNER ADDRESS CITY ZIP TEL APPLICANT TEL CONTRACTOR PY1G ADDES (_ -�-,— CITY 6Whamb,A ZIP TELLI ARCWENG1 DESIGNER ADDRESS CITY ZIP TEL OWNER SU ILDER DECLARATION «EAEer APRWa MUEa Pnwn pP PERxmr 11" NAMEAEMPT PR'Ai YXf caNTMNMYu T�3F tAiPF RV3LIRPAPOTRfA9Q1p,ET. TTM FBYBWE ICANO PATPEafpNOWTEAMY MY on COIartYW BtlilWtiVP�APFrtWimOdsiF6tGTMTFq oaP(WYE tlEYollau MPt➢Mi.WYOTAUG LYRE, PNOpm Rg 3gWwCF. A1E0 nEaUWEE 1FE NNkW{I' POP 01131 PfIWRm itLFA ENWT BfATNieNT 1FGtT IBE &E 3 YfENg® RYIBt1YR ro THE PronLIX30F THE WNLRBTNR.A U CENREtAW {cPMPiFA0 f�1MiXafGflOY T9NalOPplYt9ox alY TNEBY4gAFg0AMp ANP PfBggNg W Tn ORTNAT NEpit}If 3 ntl]B.T TNDtf(ri9itHiTtEe.A40 PoRilEAtEOBl E103AP TNJN AMYMLIATYM!#3ECOON lOat OOYANYAPPUOA4f FOItAPEAM WHJELTB IP6MRf'.tMro Afri0 PENALTY Rm WAf TWw PV@NIRNR� ppES AIWM OLA80wNEPOFIHEPROPFmY OA WY EAUY(YfEEg WTMWAOEBAgiNEw BIXf WYPEI3AtYw WT{W TAE WOAI( WHE aE=inPwBDE9� NEgNIPg]FTROtMOPPEP�PJA SLLEtaEC TPLL. Bt6F UBY 06E6 NOT APPLY TO ANMUEROF PtroPEATYYM08UaD94Yi BiwpYElTXEAeLYAANT WNp 06F9gVOtWOlw Ha3RF ORHFPE lNAOtWiMgOPHEPTYIII EAWL4YEFE PFDPd7E0mMTgpCH ARE NOTNlfrm66 (wdit A orAo�PMOALC IR IITHSYEA it(fi8liC4C4plYPPDYEYB!(YHC;TNTROIONEYFNITFg16T.E UMN£A)A?KNIPPE3Etl SALUf1 THE EYiBeW OR PPYWTq TFIAT FEi+m EME OU MOT AYODM �tA03MEROF 1NFPPOPQITY wEi4ttarvElYCpRRA1.TWpYAMLCEI6FD CfXIPATTORg m WHgTMiOi T}E AA61Ep IBEG TaAA Nip PlOFE85iJf3ODTE. THE WNIRATmAgU cF.NeetAW TgEg NTTAPRYTOAN OWNEACPAPRMFfliYNF(/BUY89IXi BIPAClEa FHEPE34AMtl WHD WMiMGfg NRFUCHPFDlEttB WOMACnMEAACTOA/ayl10E13EOPUN&.WRTOTMECpYfRAG 1TM3 Lm;Ngf iMt D NAY FgE4WtiAnEn aEG 0 LPS. POPTkO AFA501 tiE vANER LICENSED CONTRACTORS DECLARATION I SON111NPRY LNOF.P PD1 wOP PENWL rI" tITEpaEp M6£A PAWDiP100P c1YYTER i(WI¢IENP.NOYAIHgittIWTam}NOMaAw aWTNf aPAIEgFMA ProFEg80flII1 RITE Nltl MPtYCR3E3WFUL FTRCE AWO EPfIiCT pp q RATE r`++ it7 eC1PTpACTOA �%a.*'"<____� WORKERS COMPENSATIONDECLAAAnON t+ I NEAEBY APFIAMUEI'APfT1AUY0f PFPARIYIWE OPTFE POL1tWWMTOfT1ARNIUTi _I nAvf ANO WatMAwGwAF�AL01TAT6 aaot3ENrmsara®mE POR WTnamla WYpENgurA+ A&PAtTAEfl EY 9EpT%1N araotlP T,mtAAoaWOE FOA TIFFSRiTWMM.f 'fij,, a YNe rrowl roR rnuot Ttm PE(BRY 3lgeuEa - r I WYB M'O WLLLYABIrldtX[NWF.NY CgMPENgATRY11M81mN1L£. A4RfiANRET OY &i4"f9N gJ9g#TIEIAHOA RITE 1nR TMfP. FEAT3PM/NC£QF TIE WYWlRYf YAffa1TN01 PfNM3 3aYEB W'iWMtEASOdNFtiPATiTli W5Y%WCF GAR0.EP APD POLCY MA3CRAPE C+amEA F-CYPYLCfS Pti1LY NJ@EP , � 2 r 7 _ OIA>ZiOIR3NE8YNOr� WI.AErEpOFhEhRAiSR]Rp1ERYLP®CAtN6iiPT'OIItE�l I TERTttYTHN wrHE PEAFORYANCEdf 1HE WTIRSPOR WYg1 TIaTPFPMT639UE0 5YWLNTT EHPtOTNlYPEA9ON W,wvuurtEAgoAaroaEWYf BeOEtt TOTNE NON{EM'GCMPfAENNiLtAWBOi GY.YIXAAAAt4 AOPEE P3r8I N14A.Tl6WXiE aLe+ECT mTHEW@a[H@ WYPfl3Y.TA1M NUWaa3oF aFtllOxaTODTFTNEtA80it CWE,I6HALL EfQpttWi}NCOYRY WYMTMOSEPMn9t(t3�((?� C,Tr, I 4.- N4OANT WAPMwT F3RµRE T9 REEUflf MOWtGfl+' fbVfMATNw COYEPWE IS4M6MYtA.AM1 a1MLL % IIUBIELTAN EYPLOrEPTtl ONyg,Ay PEN.LLl1E4AW CNR FWEg VPm01#MaIOREOT10LL4N1p WtVR9{Wro000y wADp11N)N RTTEC6SI Q WYPENSAigN 6XMA6$AAPRpsLEp EM W 9Ett1YY T+aFCf TfKLAA011CWE NIFPEST ANpAT1MNEYg ALF9 CONSTRUCTION LENDING AGENCY I NEPEEYAI'ieiY3OERPEWALtYOF PEPAAyTHATTHP.lO'BACONgtRUCiIpN LfMTWOAOFAY.Y FURIHf PEflPpAYAiE4�TNEY.ONf RTR WNIGI fMk4PEPo8i33aUE0 (BECaPPT ftY C}. ',. tE%IEYO N.WF LEMERgAOpxEgg ICEAi6Yi1VR11WEIfGNI IffQMR.ICAiaY1AMf RTATETHRrNEFb.Nf wPNWATgN3GARECT tANEEm WNRY WITH ALL OITYAMIYJIATYTAQa1.Wpf8.YO 9TATf MWOAaArWOmap¢Wq � WNgiR�GNON ANTNEHE@rxVON>•WIE AfPREOEMTMNEg M1N3C3wR T0FirtEPlNbN1N6 AEbJf ET PfbPFPIY i'Gi WSPECilAY PYP3'OBEB. e o JIl j PELgmTE iPwni —�V) i V {'�- I FgNNAN OFP PNf APPUCAIION PERMIT P/C DATE lK N NUMBER 121^ii.cg�}..p ti�TC ISSUE y� TYPE OCC DATE fi 1 'i' CONST GROUP ZONING SETBACKS RW ❑ �FRONT REAR 0-1 SIDEISiDE STREET RW ❑ SIDE ❑ PROPOSED USE f f@ 3 /1)1 fer NO OWEL NO NO UNITS STORIES BEDROOMS DESCRIPTION SO FT FACTOR PSF ADJ AREANALUATION SFR/ADOMEM fD GwfOafCaW _ LU W PeUaDW LL Po04upa Z A+1100l Comm miai VOAkR Ant AREA OUANTITY DESCRIPTION FEE U D: fa EJL U W � 1 CONSTRUCTION PLAN REVIEW ELECTRIC PLUMBING MECHANICAL INSPECTION FEE ISSUANCE = AF -1-1 SABP r o 0 ENERGY PIC ENERGY PERMIT RETENTION FEE 4. CY.] PRE ALT FEE TOTAL FEES 19 SIC, COMMENTS RECPT NO �J' Qi BY VADDATION F!22—,,. E-DeIwvnenl C*pA YELL -ANwi=x Copp GOLDENROD -Rh, Copp, aCgy CITY OF DIAMOND BAR INSPECTION RECORD a . SET BACK FLOORJOIST FT65/rORMSISTEEL FHAREQMFS ELECTRIC GROUND -J UNDER FtCOR DUCT GROUND PLUMBING UNDER FLOOR COND0,T SLAG GRADE FIREPLACE FOUNDATION TENIP POWER FIREPLACE BOND BEAM WATER SERVICE i MID HT BOND BEAM ROOF SHEATHING �8 FT BOND SEAM FRAMING/VENTILATION FINAL BOND BEAM ROOF COVER PRE -GRADING ROUGH HEATING BENCHING ROUGH ELECTRIC ROUGH GRADING ROUGH PLUMBING FINISH GRADING SHOWERITUBTEST POOL ELECTRIC EXT LATHIISIDING POOL FENCING WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS DRYWALL NAILING "DEDICATIONS SEWER FINALENG SEPTICTANK LANDSCAPF/IRRIG SEEPPIT/LL ON SITE IMPS GAS AIR TEST FINAt ZONING FINAL CONST FIRE DEPT FINAL FINAL HEATING HEALTH DEPT FINAL FINAL ELECTRIC DEV FEES PAR FINAL PLUMBING ENERGY FINAL PLANING FINAL ENGINEERING COMMENTS SFPTICTANK SIZE SEEP PFr/U SIZE WALNUT VALLEY UNIFIED SCHOOL DISTRICT 880 SOUTH LEMON AVENUE WALNUT CA 91789 CERTIFICATE OF COMPLIANCE With Fee Provisions of Government Code Section 65996 DrIAL 171111K Mi!+ Signature of Applicant The person signing represents that hele is authorized to sign on behalf of the owner/developer and that the information provided is true and accurate to the best of his/her knowledge USE OF Residential/Commercialllndustnai Is HOME IMPROVEMENT OR REMODELING PROJECT ADDRESS DESCRIPTION Diamond Bar Walnut Signature of Superintendent of Rm , Kitchen, etc) • • • TO LK COMPLETED BUGHtl"OL DISTRICT FEE SCHEDULE The development fees levied by the Walnut Valley Unified TOTAL FEES DUE p cp School District under provision of Government Code §65995 s „2 7 2-,�O - / f are (EFF 6/19/06) Residential Development $2 63/sq ft Receipt # Commercial/Industrial S0 42/sq R Date Z4 DB — Fees are assessed on TOTAL square footage "living space" of ALL new or remodeling construction projects OVER 500 sq feet (eliminating garage or uncovered patio) This is to certify that all fees due to the Walnut Valley Unified School District under provision of Government Code Section 65995 have been received and a building permit may be issued This is to certify that the above described development has been determined to be EXEMPT from the development fees of Government Code Section 65995 and a building permit may be issued Exemption Justification PROJECT IS 500 OR LESS SQUARE FEET OTHER WIN wmwmpo-� Superintendent Business Services 1/87 Rev 2/88, 6/88, 8/89, 1190, "0, 10190, 8192, 6/93, 11/93, 8/94, 6/96, 1/97, 8/98, 7/04, 6/06 PLEASE SEE NOTICE OF 90-DAY PERIOD FOR PROTEST OF FEES ON REVERSE SIDE ! 1161:963 UVIIIHINA• �i i" "• Section 66020 of the Government Code enacted as Assembly Bill 3091, set forth as Chapter 549, Statutes of the State of California, 1996 effective Ianuary 1, 1997, requires that this school district provide a written notice to the project applicant at the time of payment of school fees, mitigation payments or other exactions. This notice is to advise you that any protest in regard to such amounts or the validity thereof in accordance with Section 66020 of the Government Code and other applicable law, commences with such payment or performance of any 'other requirement as described in Section 66020 of the Government Code. Additionally, this notice advises that the protest thereof must occur within 90 calendar days thereafter.