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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 !,. 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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