HomeMy WebLinkAbout14-4612CITY OF DIAMOND BAR
WDEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES
21810 Copley Drive, Diamond Bar, CA 91765 PRESS
(909) 839.7020 Fax• (909) 861.3117 Building Inspection Hodine (909) 839.7027 FIRMLY
BUILDINGPERMITAPPLICACION
JOB SITE ADDRESRy( ;a?3' 125 teaI c,a�. C=1_.....
OWNER 14.4 r) . C -eAl
ADDRESS {-_ad I/N f L+` fYCx9p . _
CITY,%.e_GN/�"i IP TEL
APPLICANT L
CONTRACTOR
ADDRESS �r � - .G7/tf<0,01e D— � _
CITYJ6114 i f. +C1 ZIP [TEL .2I
ARCHIERAWDESIGNER/'TA '-✓
ADDRIES IVA *-1'e--Al
CITY IF ....� TEL —�—
OWMM4WRM DECLARATION
I mreby Wham under Acepy of Paltry that I can amorm tram Vc Commaers StarIp�Load taw for the mmrm)
Indicated below by the assonance) I haw plead our tri the ovicabb Isur{ai IBect'm 7031 5, Baslneae W
Fmkwtons Cab Arty my, m comfy that mqu4n. pmmlt to caWldbt eat Improve, dw4W� a imply. my
abtgbae. Amar To to Madero L*Ne oeWwa the aquarst for to pmmq a#to a Flgmea atefanmM Amt him Or abbe
j Is kansed pals Mto the wwAW&e of the CmNWWO 5fab Lhmw LOW (Chbptm9) Cosmologists WO Section
7808 of Divlebm 3 of the Buaheea arm P. I" Cab? m Mata in use of a meat from crown m On hadaW
Ne aborad exemption Any"Oabon of Salo..70315 by any apps#amtwo parrot subecesm apylmmtb a coli penalty
'.. of mot Me Pay No hundred WIM15DO)
U1, anpower m the property, carmy, aanoway, WRbwages az their "oanpareaban,will do(j WI of aU"an
of Die wart, and the stuttuR !a w bkmbd N Pti9l'W for see (Somal NA4 9.Wb end Pmtea m COO The
CAMrstas Stew U®nwLaw doss ma apple a omar of propmh who any* mrypbsees' or permmal ~behis
or InlprwS the pwoo provided that the emxp t5 We did mended N Pmmao for We It answer, the buadNga
Impmrememe:agd wwrrn Orayam WCpmpBdan the 4mcer-&alder will haw the boft of proving that hwro can bait
',.. or lmProxtl(m Hre GuryaoN anysl
aeumnew um tampmtyt azo a The Car r mracOary L irra way
no spot/
fo To
an lw 9 no iBaC.an
I ldo4 Ouslnaw and tMa The CaT.2cda' SEak urea ave tlona no app%to an owrer M POPeM wmu.
License Les)ove6 mererom a++dwhoomtrmN kr Ne POPCffiwdhalimis¢tl Com2CwFursuadioiheCmtoslae'SMk !,.
'.....
U i an wompt hum bcem m urWm the Canbaotor's Stroh License law for IW fonawiN mawn(s)
By at amnmNs below l recommend lot, aampt for my formal banana In which l must hove (midect Or at inner one
Vier prior m aanlman of tic lmpm rft chromed by Nis permit i canna IsDo roil a$fracture#0 l have mit as an I,
onner bW�rrra as no been Laminated in its entrary by Games mbactoa I Wmeotand Nat a mm, at to apphrabie
law Sacbor 7994 of the Bllamess and RVessbu Coda is aradetN Upmrre=edwbem thin=11caban is auWrslhd Nat ',..
NB klWwrrgyyaFWk hGpywwW Nfldn Ca goetaakw n^n'.
SIGN
LICENSED CONTRACtON'S OECLMAnON
I heaby affirm umia paveiry N mrp,'ry Natl am dC¢raed ur prw4srond a Cha./ner 9{oanrencng wlN SeCWn 7D0m
at tlwmWn9WNeNwnesamm PofeaWans Cafe acid my iprenae le k. Nllbrtt aM etle0. / /
ENSE CLASS � UC NO��`
tTSE ODNDUCTOR
NIAMsfAMpEN n�i
r HBEBYARAAM UNDER PENALTY OF PEREURY ONE OFTHE FOLOWING DECLARATIONS
i ha+e antl will malmarn a (§rgfaat a 0onsem N Sat Npura iN WadWrS CampaseWn, as 4aa+dar by
3700ot Ne tahprCade farths peMmance of Gw Wmt� whb:h ha permit o 4sved
_ihavdand w91imamWn Wokar§Campeoaflon Imauonae,
umquksdbysearxt3700oftMLsbaCWe.fa
Na pmkm'arm of the wort kr Witch nN commit le issued MyWmere Canpa tWnlnsuonm Cmrveaid
CmDO
CARNakar are S7r97 .rdivG7
R ER
)e PDUCy Hua4 ER
(IHISfiECiIOt9 taf4 NOT COM 1"T41`19 O196OW HMDf D DOILARSOSIN OR,FbS)
Icerey Nat In To WNs wakhowon, thape-rAm"md,"I nutomplmywomeson many mmrwr so says
bemre "I to the Wake, Cameroon taws Of Calhoon. AN floret mat S I muck peace smodb As Waken
Caramel pmwcglmcdSamm Data IN tHLar Cotlst Wath"Mtw mmpywfm Gose pmdslow
DATE_.. APPLICANT
WMNING Fal es N mum Waksrb Comm nsehon c'owraoa Is u*wfui and TINA subject an N•gwpa N Morainal
percales eM cidl fines up to one humored remand daiaa (s1mOlia, in addition To Ne coat m th,
danagges so eased tot in Action 3701 the bier lode mtamt,andettanay' lm
CONSTRUMM LENDING AGENCY
Ihobby a undermema(y of perjury Nis Asa aatbnffiuCbn Lending Agmq An Na marmmrn W Na midica
whish this Farm in Amd {Bac 3087 CN C i
CENTER S NAME _...__
LENDERS ADDRESS
Mmbfy that l haw madtiwapplcatm and aieNator Nat dresbme mkmwbbnlsmrtrot lamvemtdmpN wMr Wl ci aM
cauaypon the and elate laws raabmgbdsungaRi .and hereby audlN¢e rsamsaikatiw6aNawunpys
mnifyin express
r�nFE�NONE (PRINT)
�SIONATUIEI OF PEWFITEE ._ E•{.+�'��l
L-1
APPLICATION DATE Jo, llK PtC# "—'/_!__i
ISSUE DATE 31 Q6 1 s PERMIT# P`K i AT-- 't}ia+1 'r3.
TYPE CONST _ OCC GROUP
ZONING SETBACKS
FRONT...... RW.._- ❑
REAR _ G
SIDEISIDE STREET __...... RW ❑
BIDE ❑
PROPOSED USE
t -
If DWEL UNITS IT STORIES_ # BEDROOMS
DESCRIPTION SQ FT FACTOR PSF ADJ AREANALUATITitO
AO EM
AD 6
Geraee/Cerport�������������������.,
w
PatfotDeG��.
W
PooUSpa�
Commeraal
m
Valuation Atli Area .I
QUANTITY DESCRIPTION FEE f,
r
G
M
i
(/ I
CONSTRUCTION _...... O+rl
PLAN REVIEW,
ELECTRIC s1 $O
PLUMBING EOE C:P
MECHANICAL ....._ of
INSPECTION FEE ..... .........
ISSUANCE Ifosi A
SMIP
.... .._.� _
ENERGY PIC
ENERGY PERMIT
RETENTION FEE 1 1 Gu
PRE -ALT FEE
SSAF .._- ' GiC3 j
i
TOTAL FEES , f' 1CSR /�, rSS�r
COMMENTS ah'uc.s,rsms Gl.hm�'.�tlmtiSC
4- r 10 IrJ
RECEIPT # a;N-1 ,— PAID BY err ii -S {Q VAUDATiON
WHITE— Dopartmmnt Copy YELLOW—Faerwe Copy, PINK—AI6eSear Coal, GOLDENROD—Foe Copy, GREEN—Amoicaoe Can,
CITY OF MAKOND
INSPECTION • ``D
.. - _... Y&Rig bUNU BEAMC METER RELEASE
DRAIN/SEALTER
RELEASE FIINAL
INSPECTION
MNGPLAW"APPfttrilALUILDING
FIRE APPROVALECHANICAL
AIA'MU'RREL'AE
r^'
FIRE WPARTMENi.................. y�ECTRICAL
_PLANNINGUMBING
ENGINEERING/ PW��CCUPANCY
COMMUNITY SERVICES i �'OCSltPtklACY
L
FINALHEALTH OEPi
(/ .i f INDUSTRIAL WASTE
/� lAA i("I�TR .f( d1 Z If l I l• r r
4lVlvlIvlClV 10
r;;t� ED CASTFICISPECIAL INSPECTIONS ! Y
3364 PASEO HALCON
SAN CLEMENTE, CA 92672 t
Coll(714)328-6267 • (949)493-8616 • Fax(949)493-644
ed-sylviacastroQcox net
iz r
SPECIAL
INSPECTOR'S REPORT
COVERING WORK PERFORMED
WHICH REOUIRED APPROVAL BY
THE SPECIAL INSPECTOR OF
0 REINFORCED CONCRETE 0 STRUCT STEELASSEMaLY ❑ REINF STL
0 POST TENSIONED CONCRETE ❑ WELDING,rvc-PDXY
0 REINFORCED MASONRY Q HI TEN BOLTING L! OTHER
JOS NAME
CERT INNBER
BLDG PERMIT NO '..
Pit 01-144ill
JOS ADDRESS .
n
Mileage
CONTRACTOR
-
''..
ARCHITECT
SUB CONTRACTOR
&QNEER
a'
All Inspections based
LAB TESTING SAMPLES
CERTIFICATION OF COMPLIANCE 1 of the ported work unless otherwise noted, compiles with ap ved plans, specifications and applicable
sections of the uniform building codes This report covers the locations of the work Inspected only and does not constitute engineering opinion or
project control
OTHER CODES REQUIRED
INSPECTION DATE
INSPECTED THE FOLLOWING WORKS
..............
T
YJ
— 8 hour minimum In!..
a
F14
r^ Lo 6 raa e . °
addition, any inspec-
S
N
tion extending past
1kiatai agr ;k
noon hour will be an
8 hour minimum
I
MATERIAL INFORMATION CONCRETE❑ GROUTE]L MbRTAR'd','bTHERO
SUPPLIER
MIX NO. 'ADMIX SAMPLES CAST
SPEC PSI
TYPE SLUMP YDS PLACED L
9gnaNre at Speoai ImpKiW "`pIXt
CERT INNBER
Date Start
Stop Reg Hours I OT Hours
Mileage
Billing Address
-
''..
11-a
All Inspections based
on a minimum of 4i..
hours & Over 4 hours!.
— 8 hour minimum In!..
addition, any inspec-
tion extending past
noon hour will be an
8 hour minimum
Approved by
WHIT1109M• YfllOw roinsPeam PINK Ia CbfiraCiry INW SgiumaMent
5
WALNUT VALLEY UNIFIED SCHOOL DISTRICT
880 SOUTH LEMON AVENUE WALNUT CA 91789
CERTIFICATE OF COMPLIANCE
With Fee Provisions of
Government Code Section 65996
DEVELOP: OWN:Rx�r�LF
ADDRESS
CITY/ZIP t/L fid? JO�✓'�%
TELEPHONE / 3 fi psi p rQ
Signature of Applicant
The person sigtrmg represents that he/she is authorized
to sign on behalf of the owner/developer and that the
information provided is true and accurate to the best of
hislher knowledge
NEW LOT ADDRESS USE OF BUILDING TOTAL SQ FT
ResidennaUCommerciaUlndusmal
City
HOME IMPROVEMENT OR REMODELING PROJECT
ADDRESS DESCRIPTION TOTAL SQ FT
33SCa 1"a\Go ri 42�c#�ca C3� tic n ry_
Diamond Bar 1 Walnut (Bedroom, Family Rm , Kitchen, etc )
Signature of Superintendent of Buildings Date
TO BE COMPLETED BY SCHOOL DISTRICT
FEE SCHEDULE The development fees levied by the Wahii t Valley Unified TOTALFEESDUE
School District under provision of Government AL
ment Cate §65995 $ --e—
are
are (EFF 12/1/08) Residential Development $2 97/sq Il. Receipt F All A
CommerciaUlndustrial $0 47/sq ft Date JaJ 115
Fees are assessed on TOTAL square footage 'living space" of ALL new or remodeling constructiai projects OVER 500 sq feet
(elimmatmg garage or uncovered patio).
This is to cemfy 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
V 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
Celia Moynihaii.�
Director, Fiscal Services
1187 Rev 2188,6/88,8/89,1/90, 8190, 10/90,8/92,6/93; 11/93,8/94, 6/96; 1/97,8/99,7/04,6/06,2/08,12/08,1/13