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HomeMy WebLinkAbout10009 CTCY OF D1AM�OND BAR .-- COMMUNITY DEVELOPMfiNT DEPARTMENT � x166o E.coP��y ni;ve s�;c�190 ` � PRESS � (909)Sb0-3195 Fa�c(909�)861-3117 BUILDING PERM17'APPLICATION FIRMLY � y JOBSITE n Ll`1 APPLICATIQN � C� ERMR �f`� P!C , � o ADDRESS o� DATE � UMBER V— � i c� ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP I � OWNER �'- ZONING SETHACKS � �DRESS iP C �� FRONT RW O APPLIC NT TE�, REAR ❑ � SIOE/SIDE STREET RW � CONTRACTOR SIDE t ❑ � ADDRESS � PROPOSED USE CITY TEL. o ARCWENG/ � DESIGNER NO.DWEL NO. NO. � ADORESS UNITS STORIES BEUROpMS � CITY ZIP TEI. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AEiEANALUATION � � OWNER-BL'ILDER DECLARATION �w��E� O p I MER�Y AGFlIM UAER PENAITY Of PERJURY TFIAT 1 AM EXENPT FIIOq TF�CdNTR11GTOR5 LF �����t W CENSELAWFOiiTfEFOLLOWNLiiREASON�5EQ70.1f.69�13MES3ANDPROFESSqNSCCOE:ANYq7VOq N U OOUNTMNlIICJiREOUINE3AFER1IRTOCON5TRt1CT./iLTER WPFOYE.OEYOUSM.ORRERYNANNSiftl1G � Pa11Q�OBdc � 1tN�,PqpR TO RS ISSUNVCE.K50 t�W�S T1E AVPLICANT FOH SUp1 PEMYf i0 f4E A SWNED � STAT6JAFM 1HAY HE OR 8HE i8 L�ENS�PUf1�1A1IT TO TNE Pf10V4510M5 OC T�E OONIAAC10R8 L4 � CF.l69E LAW(piAPTER Y ICOYMElCYNi MVITH SECTION 7000)Of DIV44�Od J OF 7HE BUeW1ES°IJID Piq LL' �� FfSS10NSCODE)OfiTW1THEORSHEISEKE1JP77HEREFPdAMDTNEBAS15FORTMEALLEQWEXEYP' C� TqN.ANYV10L�710MOF3ECT10N7WL58YANYMPLIGNiFOR�PEqMRSVBJECTSTHEAPPLICANT�O ^� RB-pOOf � A CN0.PENKTY Of NDT 40NE TNM!FNE MJ�DitED WLIARS(�5001.): � OI.lSO'MMiEROFTIEPROPEAIY.ORMVEYPLOYEE51M7Hw�GESASTl�IRSOLECONPENSA710N. O CpmTB�CIlI WM1L DO THE NqP1C,Il�iHE STRUCTURE IS AqT MTEpOED OR OFFERED FOR S�IE(SEC.7oH,&A54 J NESS Mb PROFE9510NS COOE'THE CONTRACT00.4lICENSE LAW DOES NOT APPLY 70 AN dNYNER OF � PNOVEHTI'WNOBUp.D80RNAPRDYE8IHEREflN.N1�YA10DOE531K51M/Ditl(NWSEIFORYffR8E1FOR � g[ 1NROUGH HIS OR MER OMM FYPIOVEES.PROYIDED 1HAT SUCN NAPROVE4EM3 ANE NOT INTENDEPdt LD WQ OFFEREUWR9ALEIFXDWEVERiHE9�lDW60RMAPROVFJIHdTISSOIDWRWNONEYEANOFGOM0.6 � 710N,lF�OWNEA�BU4DEA N1LL HAVE THE BUNOEN Oi RAOVMW THAT 11E OR&ME Dp NDT 9UttD di = 0/PROVE WR iHE PUHP0.5E Oi S/ILE7. � ❑I,A60WllEROF7HEPADVENfY,N1EXCll181VELYCONTILICTNMWITNI�CEM9FDO0N7MCfORB m cousrm�ic7 ri+e oaa�CT IsEa�ou.auswEss wao FAocssswws cooe:n�cartwicTa�s u- VaApltion AD.I.AREA W CENSELAWDOESNOTAiPIYTOANOWNEROFAPR�EHTYNR}DBUMSORMIPRDVESTIfREDM,AND � ww000�rtwicrsr�or�a�cna�crswm+�cartw�cTar+4s���xseo�uu+rror�carrw�c. OUANTITY DESCRIPTION FEE � mns uc�uw). � ❑i ua ocEMvr u�n sec. e.a r.c.�nrs newsaN � � U ¢ LL DATE OWIER � W � LJCENSED CONTAACTORS DECLARATION W � I HEREBY AFFIMI UNDER PENAL7V OF PE0.IUNV 7MAT I iYl LICENSED UNDER PNDYISIONS OF CFI�PTEN � ' � I IC�IMiENCN6 MhTH SECTpN 70ro1 OF OMSiON 3 OF TME BUSWESS Nq PiqFESB�ON3 OODE.NA t X MY LICENSE FS N FULL fORG ID EFFECT. � LLI LM 0 UCENSE CUSS LIC.NO. V ! j �j DATE CONTMCTQR R W � . WORKERS'COMPENSATION DECIARATION � � U � IMEREBYAFFlPYUNOERPENAL7VOFVEIWRYONEOiTMEFOIIOWwC'OECLARATIONS: � � � _I HAVE A1b WiLL WNlTAM A CE11TIf�GTE OF CONSENT TO SFLF-INSUqE Fq1 NOqKERB' CO4PENSATION,IISPRDVbEOBVSECTION37000F7NELABORWD�PDR1f7EiENFORYANCE W /�OF T1E WO�C FWi Vn11CN THt3 V£fMMT IS f55UED. � W �/ � _C_�HAVE AlID Wp.l WIMA91 WdL[EPS'CaYPE/6lTpN RISUMNCE A5 RE0411RED BY 9ECTION O S/o0 OF TME L�BOR CODE PoR 71fE RFOHMNICE OF h1E WOAK fOR Wllldi THIS PEHM IS 199UE0.MYVYOA(Efl5'COYPENSIIT W SUMNCECARPoERNAPOLICYNIAIBENAPE: CANSTFI�J(�rP�N t j CARMER PLAN REYIE4V � aa�cr�n E � �n+ss�t7or�t�rar�oaaa��orn+e�wrr�srono���od�R�m'i��1 UMB � Z I CERTIFY TMAT M T#E iERFOWAANCE O�TNE NdK FOR M'HiCN TINS PEItlNT IS ISSl1E0.i MECHANICAI (,� SHALL HOT EMKOY M1Y PERSON W ANY MMtlNEH SOAS 70 BEOONE SU&IECT TO T11E � woacens'W1IPENSATION UNS OF CALtFONN1l�ANO A6REE TMAT IF f Si10ULD BECOME INSPECTION FEE S SL9JECTTOIHEWOitl(ERS'(:OYPENSATIDNPpOVI5qN50FSECT10Ns700'OFTHEUBON ��UA�E OODE 1 SMNL fWRMYA7MCQMPLY WI7HTHOSE PROV1SqNS. O 5�,e�p p DA7E: APPLICANT � YYANtlNfi:iriN.UFE TO SEp1RE NORI(ERS'COMPENSI1TqN COVERAOE IS UNUYNFUI.AND 41ALLBE ENERGY P/C SUBJECf AN E�OVER TO CNIwN�L PEwILTIE3 AI�CML FNES UP TO ONE lIIMDRED ilqUSAND ENERGY PERMIT OOUaH3 ploo,a00),W ADDI710N TO i}�W5T OF CM�PENSATpN,DA4AUES A6 PROYIDED FM MI � SECTqN�7De OF THE UIBOA CODE.N7ERE3T.MA ATTOi1NEY5 FEES. FlETENTION FEE: i,�t i� }` d CANSTRUGTION LEN�ING AGENCY PRE-AlT FEE: � I/IEPEBYAFFlPMUNOERPENI�TYOFPE0.R1f#/iXA7iHEREISACON3TNUCTIONLENDIN011OENCY FOR TNE GERPoPAIANCE OF THE NfOWC FOP WHICFI iH18 PEFi1.XT IS 18SUED(SEC.7oo7.dV.C.). � � LE1bER'S NM/E � LENDEA'SAODRESS �� TOTAL FEES I CEFTIFV TNAT I HM/E REAO7MI$APVIN:ATION MI�ST�TE TiUT Tirt ABOVE INipW�TIOH IS CORRECT. � IA6R£ENCOMPLYYAiHMLC1fYNACdMTYOHOR7N7CE6N106TATELAVICREU7YlATOBUR07N6 i OONSTNUCTIOM,MD REBY AUTMORIZE REDRESENTATNES OF THIS COUN7Y TO ENTEH UPON THE S�ry. �BOYEdiENTIONE P RTY PDR INSPECT FPO:ES� COMMENTS � � � � PEN1MfIEE NAY&(MUN71 ^ y �0�. y BqNATUiIEOFPEiMMTTEE DATE � �c�.wo PNo aY viwa►Tww � WHITE—ClapaAment Copy,YELL01N�Inance Capy,PINK—AapporCapy,GOLDENROa—FiN Copy,GFlfEN—,�pykxnt's C,opy - ;... . :.., ,. _ ` �y�''� � �':,.�����,f) �I�kW � :�����;'�u.�..� !_���.'`�`;� <. � _ � __ - - _` �vT�`� �r4 � � rL�J`n.i�,i ,i � . � ; ` --------- i��._, - .--'— - _.___.--•-,_. . -- ---- � F'1�.7/P"L"'���-/`J1�C� I I t'-���/1 Y L�.��.i T5 . . .I t.__.�.—___ .. - . . y..__._._. _ �L�Cir11C GnOUivD i j -- I U;�J��ti Fl.(, ), D�UC� }(� I �� '�LU1����rr,�, I i � � Uf;J�'Fi r�Cr.�,C����D�,1r __; �_-__� � _-_._--- c:,�;c�,1 �s� __ - �-- -. -.-___- --- -._,.— _-- -- -- ------ � .Gi;:�D'z= � i � � rli3, ='�r`.C, F'.r°iJ':D1�lICi1 � r � ,.i. . --- -- _--.------------� - -- -- ----- : , �- I ...__.�_.___�_-- � .- ... , � - ,._ „- .. ; �(';r,71i'1 Ci'»:i_ii � � i ; r Ir�L-'l_r�i,t��Cit:U b�rii:: I --, -___ _ j _ --i __----------- — - i;'�r S}-ii�r Tr ili.C; __..��_____j P'ilt� siT ��i J ;4�r .', I � ; + .�A�c�i >t_r.��i i- ( — -- _�__�__ . 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"---- ""� � -- � -'-�--�- — —� _��.`--_'-�. � At g � � ` ._' __'."____��.._� _ . _'__'_ ...____._.—_ 1 { — — __" .�_.�_.—� � � �.._ "_'___ ._.___�_. J—j � I WASiFWA7FR � - - . _ �}RE[L0.MAtIQN CDUNTY SANITATION DISTRIC�"S �',fOIID W�ETE M.�INAGCMEN OF LOS ANGELES CDUNTY 1,955 Workman Mill Road!Room 2U7/Whittisr,Califomia CHARLES W. CARRY ilAailing Address: P.O. Box 4998,Whittier,California 90607 Chi�f Enginee�and General Manager Talaphone:(310)699-7411 !Frorn Las Angeles(213)685-5217 Hours: 7:00 a.m.-4:30 p.m.Mon. -Thurs. -�" �,' ; 7:00 a.�.-3:30 p.m. Fri. ���': ' �� - ,. �EWERAGE SYSTEM CONNECTION FEE ���� � �a _ � � Complefe ltems 1 through 10—�I.EASE TYPE OR Pl�lNT a oa�e: �vfL.!L -t��t�� r R�r g� ; (YONTH) (pA1e (YEMi) � 1. Proparty Owner :1� � J s'� .:'� 2 � r� S f� 1L �� ?Z v ' 2. FaciNry Name ��1211-C'{"� �-1'��F__�_�.'�"�4���: i � �. Pddress o!Property � ��J.� �"� �.�'6 tJ ''}�Cfl�1z!/��� C1• '�i+�n�D��f� �r�'L � � tc,*v� csTnr� a�� Major Cross Streets Thomas Guide Page 4. Confact �..L��r'+��-� Phone Number.( 1��(} �i��D — ��R± i 5. MaHin�Address ��� �1'P�12J��C-�_�j VY� L� 3152� �"�R.12A��dG� ��„� �%10J0'� . (IF DIF NT FRpM ABOVE��'�'V-REEn (CT"� ITY)---� � l3T,qT� (Zip) ; 6. County Ilssessar Map Bvok,Page,and Parce!fVumber: _�1�J � � �' - ���rJ + Z Slrupure is: � Proposed ❑ Ezisting,Date of Censtruction 8. User Category and Units of Usage:(Check the appropriate box and proti+ide the appJfcabte information) i a. Residential: Single Family Home(s) , i { Tract�Y LG. Lots �, (�. 2C� � Number of Units: ❑ Du ex ❑rTriplex ❑ Faur lex ► Number. � ❑ Five Uniis or More � Numher o#Units: � ❑ Mobile Home Pa�k ► Number ot aces: i ❑ Condomiofum ► Number of Units: � � b. Commercial: ❑ Motel/Motel ► Number of Haoms: ❑ Convalesce�t H fia!lHome[ar the �► Number af Beds: ❑ Other S eci ; ► !rta rovemer�t uare Foota : ; c. I�stitutional: ❑ Colte e/Universi ► Number of Students: { ❑ Pr'rvate Schooi ► lmprovament S uare Foota e: � ❑ Church ► im rwemerrt S uare Foot e: i d. lndustrial: ❑ All Categories ► All industrial�ischargers must obtain a permit for industri�wastewater discharge, s. In order to process this applicatfon a complete set of architectural blue prints rnust be sutamitted. This is not required for conversion from septic ta�k to sewer coanection. .,, .__�.�_.. . _. _ _ ; ��r:� I �,;.l�.,;,,.. �i 1�` 0!� t��b;�i��yU ��.�; i f'L�?G..Ct_i3G..E;��:t. ; :; '96 1�AY —9 s'12 :36 ' WALNUT VALLEY UNIFIED SCH�OL DISTRICT • sso SOUTH LEMON AVENUE WALNUT CA 917s9 CERTIFICATE OF COMPLIANCE With Fee Provisions of � Government Code Section 65996 . ?�.5� - . DEVELOPER/OWNER b11�UV1A1�� �31�}l2- �12�1U�11d _ ` �?n%` �. ADDRESS 0 121�I�� � 3� Signaturei'of appii # CITY2IP DI� C� 0 r� The pers�on�gn g represents that heJshe is authorized TELEPHONE to sign dr�behai( of the owner/developer and that the � information provided is true and accurate to the best of his/her knowledge. NEW LOT ADDR SS USE OF BUILDING TOTAL SQ. FT. �� �, I Gl, � ' Residential/Commercial/Industrial City . HOME IMPROVEMENT OR REMODELING PROJECT ADDRESS DESCRIPTION TOTAL SQ. F1'. Diamond 8ar Walnut (Bedroom, ' Rm., Kitchen, etc.} 5ignature of Superintendent of Buildings Date � TO BE COMPLETED 8 SCHOOL DISTRICT FEE SCHEDULE: The devefopment fees levied by the W nut Valley Unified 70TAL FEES DUE School District under provision of Govemment Code §6 , 95 $ �� ��st� are: (EFF. 8/15/94) Residential Development 51.72/sq. ft. Receipt# " ' , Commercial/Industrial $0.28/sq_ ft. Date 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). � I/ ?his is to cectify that all fees due to the Wa(nut 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 f�om the development fees of Government Code Section 65995 and a building permit may be issued. S � Exemption Justification: PROJECT IS 500 OR LESS S�UARE FEET . ' s OTHER . ,� ,. y � . If. '.t4. �.. � '- : � � � ��,6 ; � �:� ,� /� Clayton A. Chaput � Assistant Superintendent I Fiscal and Facilities Management � 1/87 Rev. 2/88; 6/88; 8/89; 1/90; 8/90; 10/90; 8/92; 6;93; 11/93; 8/94 , . . .. . . .... - _ • _._i c.. . . . ,., �...- .. .'�. ' , r 1 ` 'v . � .ti.'tf, r u DA7E _ JOB NO, ' llarrin ton � l; i�. _ �.iG���.l ..� ;� - . Geot chnical PRaE� " . t�i,-� . �c�r .��;�,- - �,j�,�f���,R ; -�ngineering, Inc. LOCATION 1., , , _ /�'w /4�'!�I:_r.I ��.!I�t I �:I ,.;' �j 1938 North Batavia Street;Suite N;Orange,CA 92665 '" � '• � �° _�7�4�G3.7'.3093�iAO�I�9��-7��J CONTRACTqR OWNER `. - j � 11�ri , �" . - �• ' 'I I�:~t�.i��; t���;% � lI„�iY.'._ �//�".��C• r,.� WEATHER " � r - TEMP. a3f AM � — °at � _PM . �., • PRESENT AT SITE: `; . . f�Y/� _ . . . I - _ . , _ . /:'i 1� f f. .^� � . � _ _ . �-THE FOLLOWING WAS NOTED: `r L.1�Li , . .-��LC=( :�� ���Gr�,.f.�-f.J-4l.f :�r �:�L•.1�t;':�:�., l,�cf� .�.c.. .� . 'i T `�t"7 ��+�'T' // �e.. T.t.ri:/' . `t /: !�, ��Li1 . ;��a.` ! �t'��. � '1 C1L.it'r'- ;. t r1��'�.p. '' J�.4.�.p.{ i•-c.w.,.`. ,,�.��.{..1_.�`'_[-�:l"-t;�. `'f�.1� . .. r� 1 i, � r , / , . i �� . a _;. / .}. } : '%� �.:ll /•t f.0 fi J. L4L�-cG.C.f _�4+-C.f �t . t��s.L�J. .i1<.`4F - .. �:._:t.t"L �� :.j e:;:..-.l. �.`l ,ud/l��Cl�`'��� C�f�rt_�.C�.. � ` �'� .. _ , . . . . � 'r - . � � .. � � . . � 1 - � �c. 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(, `' .:.! •� / . arrin __ton . . . �------�,--._-�-- —�-�---�� lr-�----�-- - --.-_�: ; _ . ._._._ eot chnical -- -PRaE� ---- ----�_.,__._--,,-- - --� - �j�r� . �,i F�'- +; rl�i (i-1 i ��.iL.e� � ,:� �ingineering, Inc. LOCATION � _ - �- 1.;Lr�f! E i� �.r �4:ti.i i �..' �.l - . 1938 Nortfi Batavia Street,Suite N,Orange,CA 92665 --- _ , _�-:_.. ' �7�4��7-3093��BOO�d'7C�S CONTRACTOR � OWNER ' - - ' . ' . . - . v i: S � ..._.. ^. 3} t. TO: i.;,d t�1`��':i�• �;,:1�' .i,/1 j� - �Jr}f�;:1y r' i WEATHER TEMP. °at _-�AM ,ti. . °at PM 'f � PRESENT AT SITE: � � . ... � � - � �.�' !'.r..r�.l -.__ . . �:_ '` % t! .. - .THE FOLIOWING WAS NC7TED: - j �,� 'i� '.r -I't . .:1, (i { i i�f / / i.�,.(_(�i � _�� �•� ; '��: .�- ,L.f��� j C. i� -' ;;..;i_%. i:i i�i,L�� ! ��,. � 4 ;[.. ,`/' � �: '3r � ._ ;,. t� �, -x � L-G` t� i r: ._r ` 5 ,.r...t ""('lt� '%`-!_:: 'J( �: ,r� � , r_, .�^ 1 r` ,. . 1 - - � � j, �`� 1�� � I � �tI f% ' `''--` Y r , (. t( - , . j i :1. 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