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Home My WebLink About17805 CITY OF DIAMOND BAR ,. `��`��= -S-.,`_�, ��` DEPARTMENT OF COIvIlvIUNITY&DEVELOPMENT SERVICES I ' 21825 E.Cupley Drive (909)860-3195 Fa�c(909)861-3117 PRESS BUILDING PERMIT APPLICATION FIRMLY � JOBSITE �.- i� l, �s APPLICATION �� y �) - o ADDRESS I�_�/ C�E./��rc�//Pe`� � � DATE 1 "IL►_ NU BEA � G_;�. g/C�• � � ISSUE.-> . � TYPE OCC APN LOT TRACT p OWNER �i�/�/t�i�� /�/'f��fY►j i' G,.D1 DATE _, � :Z f, *-� _CONST. GROUP p ADDRESS1S�f� G�L bG`/�Zi�E� ZONING SETBACKS Z CITY��I I�'�0 �'7�yP��TEL.QPY c31��^��S FRONT RW ❑ p APPLICANT AwdC� /4�sc/l�It,.�J'�r�7:EL_ �� s�7 REAR � Z SIDE/SIDE STREET RW ❑ Q CONTRACTOR_ SIDE � ADDRESS / r� � C�TY ZIP TEL. PROPOSED USE � � ARCH/ENG/ _ " z DE�j�R - /IV f- �e'=i'L.4'+� � w NO.DWEL. NO. NO. �-/ ' �t' � ADDRES "" cn UNITS STORIES BEDROOMS � CITY ZIP � TEL. � � � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION O OWNER-BUILDER DECLARATION SFR/ADD/REM E�6 Gy�U p I HEREBV AFFIRM UNDER PENALTV OF PERJURV THAT I AM EXEMPT FROM THE CONTRACTORS LI- GefdJB/C2fPOff W CENSELAWFORTHEFOLLOWINGiiEASON(SEC.�031.5BUSINESSANDPROFESSIONSCODE:ANVpTYOR (n ZCOUNTVWHICHREOUIFESAPERMITTOCONSTRUCT,ALTER,IM7ROV'c,�EMOLISH,ORREPAIRANYSTRUC- W pafi0/DBCk w TURE,PRIOR i0 ITS ISSURNCE.AL50 RE�UIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED W � STATEMENT THAT HE Ofl SHE IS LICENSED PURSUANT TO THE?flOVISIONS OF THE CONTRAGiORS LI- CENSE LAW(CHAPTER e(COMMENCING WITH SEGTION�0�0)OF�IVISION 3 OF 7HE BUSINE55 AN�PRO- � POOVSPB � FESSIONS CODE)OR THAT HE OR SHE IS E%EMPT TMEREFROMAN�THE BA515 FOR THE ALLEGED E%EMP- � U TION.ANYVIOLATIONOFSEGTION7o3t.5BYANYAPPLICANTFORAPERMITSU&lECTS?HEAPPLICANTTO Z Re-Roof R CNIL PENALTY OF NOT MOpE THAN FNE HUNDRED DOLLARS(f500).): 0 ❑I,ASOWNEROFTHEPROPE(iTY.OflMVEMPLOYEESWITHWAGESASTHEIRSOLECOMPENSATION, � COmfilBfCiel Z WILL DO THE WORK.AND THE STRUCTURE IS NOT MTEN�ED OR OFFERED FOR SALE(SEC.�oaa,BUSI- J � NESS RND PROFESSIONS CODE-THE CONTRACTORe"LICENSE LAW DOES NO7 APPLY TO AN OWNER OF � PROPERTY WHO B111L05OR IMPROVES THEREON,AND WHO DOES SUCH WORK HIMSGLF OR HERSELF OR Q THROUGHNISORHEROWNEMPLOYEES,PROVIDEOTHATSUCHIMPROVEMEMSAflENOTINTENDE�OF m QOFFEREDFORSALE.IF,HOWEVER,THEBUILDINGORIMPROVEMENTISSOLDWITHINONEVEAROFCOMPLE� Z TION,7HE OWNER-BUILDER WILL HAVE THE BVR�EN OF PROVING THAT ME OR SHE DID NOT BUIID�OR � IMPflOVE FOR THE PURPOSE OF SAIE). W �I,ASOWNEROFTHEPROPERTV,AMEXCLUSIVEIYCONTRACTINGWITHLICENSEDCONTRACTORS [= TO CC�CTqUCT THE PqOJECT(SEC.�od4,BUSINESS AND PROFESSIONS CO�E:THE CONTqACTORS U- V21Ue�lOn ADJ.AREA W CENSEUWDOESNOTAPPLY70ANOWNEROFAPROPERT�WHOBUILDSORIMPROVESTHEREON,AN� WHO CONTRACTS FOR SUCH PROJECTS W ITH A CONTFACTOR(5)LICENSED PURSUANT TO THE CONTRAC- ~ TORS LICENSE IAW.). QUANTITY DESCRIPTION FEE Y � ❑I AA1 E%EMPT UN�ER SEC. _B.8 P.C.FOR THIS REASON Q � U L �v - � � 1 . -� __ -T.' ilC��.�-; � � . -.+ U � LICENSED CONTRACTORS DECLARATION w -� � I HEflEBV AFFIRM UNDER PENALTY OF PERJURV THAT I AM LICENSFD UNDER PaOVI5lON5 OF CHAGTER � d 9�COMMENCING WITH SECTION]ecw)OF OIVISION 30F THE BUSINESSAND PROFESSIONS CODE,AND �X MV LICENSE IS IN FULL F09CE AND EFFECT ? � m � UCENSE CLASS __. LIC.NO. � t� `� . U DATE ____,__ CONTRACTOR d W � WORKERS'COMPENSAT�ON DECLARATION Q � IHEHEBYAFFIRMUNDERPENALTVOFPEFJURVONEOFTHEFOLLOWINGDECIARATIONS: U � Z � I HAVEAND WILLMqINiAIN ACERTIFICATE OF CONStNT TO SELF�INSURE FOR WORKERS' a ¢ CQMPENSATION,AS PROVIDED BV SECTION 370o OF THE LABOR CO�E,FOR THE PERFORMANCE U Q OF THE WOPK FOR WHICH THIS PERMIT IS ISSUE�. � w _1 HAVEAND WILLMAINTAIN WORKERS'COMPENSAiION INSURANCE,AS REOUIRED BY SEGTION Q3]OOOf THE LABOR CO�E,FOR THE PEHFORMANCE OF 7HE WORK FOR WHICM THIS PERMIT IS rlA . `� ISSt1ED.MY WORKERS'COMPENSATION INSURANCE CARR�ER AN�POLICY NUMBER ARE: CONSTRUCTION V � V J j caRRiER_ PLAN REVIEW 2 POLICY NUMBER _- .__ ELECTRIC ¢ � � � � 0 ��ssEcrra�NEmnoTaeo�na�ErEooFn-iEaew�uriswaowEHur�E000unasniao�oaiEss�. PLUMBING � � w Z I CERTIFV THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSVED.I MECHANICAL C3 SfALL NOT EMPLOV ANV PERSON IN ANY MANNER 50 AS TO BECOME SUBJECT TO THE [/� WORNERS'COMPENSATION LAWS OF CALIFORNIA,ANO AGRFF THAT IF I SHOIILO BECOME INSPECTION FEE ? SLIBJECTTOTHFWORNERS'COMPEVSAiIONPROVISIONSOFSECTION3)ooOFTHELABOR CODE.I SHALL FORTHWITH COMPLV WITH THOSE PROVISIONS. ISSUANCE 0 p DATE: _ APPLIGANT: SMIP `�L, "^ � ; � ENERGY P/C �:t�j� ��— � J WARNING FAILURE TO SECURE WOFKERS'COMPENSATION COVERA3E IS uNIAWFUL,ANS SHALL BE �-{�{-��-�- -_ � SUBJECTAN EMPLDVER TO CRIMINAL PENALTIES AN�CIVIL FWES L1P TOONE HUNDFED THOUSAN� ENERGY PERMIT DOl LARS(f1t%�.000J,IN AD�ITION TO THE COST OF COMPENSATION,DAMAGES AS PIIOVIDED FOR IN J SECTION 3]OB OF THE LABOR CODE,IMEREST,AND ATTORNCY'S FEES. w RETENTION FEE: _ O CONSTRUGTION LENDWG AGENCY PRE-ALT FEE: ¢ I HEftEBV AFFIRM UNDEfl PENALTV OF PFRIIIRV THAT THERE IS ACONSTRUCTIDN LENDING AGENCV n' FORTHE PEliFORMANCE(JFTHE WOR'i(FOR WHiCH THIS PERMIT IS ISSUED(SEC.3091,CIV,C.). -- Z W = LENDER'S NAME � � F-- LENDER'SAODRESS � � � w ICERTIFYTNATIHAVEREADTHISAPPLICATIONANDSTATFTHATTHFABOVEINFORMATIONISCORPECT TOTAL FEES � I AGREE TO COMPLV WITH AI L CIiV AND COUNTV ORDINANCES AN�STATE L4WS RELATING TO BUILD�NG �� CONSTRUCTION,AND HERE6V AUTHORIZE R�PRESENTATIVES OF TH',S COVNTV TO ENTER UPON THL ABOVE-MEN110NED PROPERTv FOR INSPECTION PURPOSES. �' � �� COMMENTS��C,��/f�� Ul �✓ �� ^ �i 7 d'� �= _'1�',i!L:i�l r CI ,I �, �EIMITTEE NAME�PRINT) , . � ' y�ry! r "�' : ' ' _q � . : � /� , — :-1-�_�7/i'..t � tc. � J 1< <_� • 7 � � SiG REOFPERMITTEE ' DATE J � RECPT.NO. _ PAID BY VALIDATION WHITE—Department Copy.YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanPs Copy �m�'�`�� , �; ��h�� r� a • . . i a k� '�� , a ' ; � � �e�� . y � � � �°� ., � �'� • �. ,. �� U.�,,��r = - - , �` �+ �s, � .'i �'' .�,�.�--, 3��,�iL �- , � ._.._.._.__; _ t ��,�„ _..», . � � �- _ _ _ � . S/�,l�d2. --- � OZ s�� '� �� '� 1 , yyyLLL •-_ . 6 �� `\. . .. .. . . _ _ .... �.. .. ..� .. .��. .. . � ... . .. .. .. ... . ..... ... ... .. ��'/�� _ �5�� $/ �'`~---^'� ��w�� r7�6� _ _ .� �y�� ; �lZd�iS _ ��' . �'�r3 �( � U��:�Tl� '< ��y dz , r m � �. � „. .: � � � . _ . .a� _� s ) 3-2f5•�L �.1c+i R�`� J ��a� P�l�-%5 w�.<C w% y�u= � V; _ _ S-3�vZ �a-t p�1�� Fa:iz- C-t1-t�t' _ � __ � �. r .�, �,. �� „ , �. r _ _ __ _ , �� .� _ _ .�� ,� ; ��'�; „ .. '.�� rc"5 - , �> . . ... .... . . . ... ... .. .. ..... .. .. . .. .. ._. ..... ...... _.._ .�. _ . . .... . . . _ � � � • ... .. .. ... ... ,: `� .r. ... . .... .... . . . .... ..... .. . ... .. .. �.: -} as. . .. . .. .... .. ��'�. . < _ �� i. �..., � . . > � ° . . . ...... ._. ... ._.. . .._ ... ...... . ��. > ,.: a ��.� ��.. � ,. .. ..'....... . .. .. .. . . .. . . . . . ... � d• s „ e � � e a 4 .. ... .... . WAL��iUT VALLEY' �`IFIED SCHOOL DISTRICT � ' 880 SOUTH LE1�10IY AVENtiE WAL:vUT CA 91789 � , CERTIFTCATE OF COMPLIANCE With Fee Provisions of Government Code Section 65996 DEVELOPER/OWNER M�C,�/yt.G� �C��,�,v 3'��Q�lPbj '� ADDRESS �j�y�f �"G�T,�'�' f7�trL� S' a e f Applicant CITY/ZIP��.¢�►� �il,C; �j� e per on signing represents that he/she is .,u,':�,,-ized TELEPHONE 9l}� — �9�i— 9,��' to sign on behalf of the owner/developer and tha< <h� information provided is true and accurate�o the he�< <>i his/her lrnowledge. ;�1EW LOT ADDRESS USE OF BUILD[NG TOTAL SQ. FT. Residential/Commerc ial/Industrial City HOME IMPROVEMENT OR REMODELING PROJECT ADDRESS DESC PTIO TOTAL S FT. ��4—7 � l�h---�e�. .�1�� .�,vr��..e, l t�-�,� Diamond Bar Walnut (Bedroom, F ' y Rm., Kitchen, etc.) Signature of Superintendent of Buildings Date `� I 2�6�� TO BE COMPLETED BY SCHOOL DISTRICT FEE SCHEDULE: The development fees levied by the Walnut Valley Unified TOTAL FEES DUE School District under provision of Govemment Code §65995. $ � ��f��,J _ are: (EFF. 8/17/98) Residential Development $193/sq. ft. Receipt�/ ;; Commercial/Industrial $0.311sq. ft. Date b Fees are assessed on TOTAL square footage "living space" of ALL new or remodeling constru ion p oject: 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 deternvned to be EXED4PT 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 n -�-�7�- ��..��r�U./�-� � Assistant Superintendent Fiscal and Facilities Management 1/87 Rev. 2/88; 6/88; 8/89; 1l90; 8/90; 10l90; 8/92; 6/93; 11/93; 8/94; 6/96; 1/97; 8/98 PLEASE SEE NOTICE OF 90-DAY PERIOD FOR PROTEST OF FEES ON REVERSE SIDE CITY OF DIAMOND BAR OI JOBSITE�../I ADDRESS/ APN LOT TRACT OWNER A A/ye�-_///�ifL-J �'/ i0G'DJ ADDRESS/5 ' 7 EL CITY Z7yj/JJ�/(f�,L jRyp Y!7%C5-TEL. &c3 APPLICANT kAa-C i L SYea2- .5--4'7 CONTRACTOR ADDRESS CITY ZIP TEL. ARCH/ENG/ DESJaUl R/Ilf f- bd ADDRES CITY ZIP TEL. OWNER-BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM EXEMPT FROM THE CONTRACTORS LI- CENSE LAW FOR THE FOLLOWING REASON (SEC. 7031.5 BUSINESS AND PROFESSIONS CODE:ANY CITY OR COUNTY WHICH REQUIRESA PERMIT TO CONSTRUCT.ALTER,IMPROVE,DEMOLISH,OR REPAI RANYSTRUC- TURE,PRIOR TO ITS ISSUANCE.ALSO REQUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LI- CENSE LAW(CHAPTER 9(COMMENCING WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PRO- FESSIONS CODE)OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS FOR THE ALLEGED EXEMP- TION.ANY VIOLATION OF SECTION 7031.5 BY ANY APPLICANT FOR A PERMIT SUBJECTS THE APPLICANT TO A CIVIL PENALTY OF NOT MORE THAN FIVE HUNDRED DOLLARS($500)): U I,AS OWNER OF THE PROPERTY. OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION WILL DO THE WORK.AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE(SEC. 7044,BUSI- NESS AND PROFESSIONS CODE:THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF PROPERTY WHO BUILDS OR IMPROVES THEREON,AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR THROUGH HIS OR HER OWN EMPLOYEES, PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR OFFERED FOR SALE. IF,HOWEVER.THE BUILDING OR IMPROVEMENT IS SOLD WITHIN ONE YEAR OF COMPLE- TION,THE OWNER-BUILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD OR IMPROVE FOR THE PURPOSE OF SALE). I,AS OWNER OF THE PROPERTY,AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CditTRUCT THE PROJECT(SEC. 7044, BUSINESS AND PROFESSIONS CODE:THE CONTRACTORS LI- CENSE LAW DOES NOT APPLY TO AN OWNER OF A PROPERTY WHO BUILDS OR IMPROVES THEREON AND WHO CONTRACTS FOR SUCH PROJECTS WITH A CONTRACTOR(S)LICENSED PURSUANT TO THE CONTRAC- TORS LICENSE LAW.). U T AM EXEMPT UNDER SEC._B. &P.C. FOR THIS REASON LICENSED CONTRACTORS DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER 9(COMMENCING WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS CODE,AND MY LICENSE IS IN FULL FORCE AND EFFECT LICENSE CLASS LIC. N0. DATE CONTRACTOR WORKERS'COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: -1 HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF-INSURE FOR WORKERS' COMPENSATION,AS PROVIDED BY SECTION 3700 OF THE LABOR CODE, FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. I HAVE AND WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS REQUIRED BY SECTION 3700 OF THE LABOR CODE, FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. MY WORKERS'COMPENSATION INSURANCE CARRIER AND POLICY NUMBER ARE: CARRIER POLICY NUMBER (THIS SECTION NEED NOT BE OOMPLETED OF THE PERMIT IS FOR ONE HUNDRED DOLLARS($1 00)OR LESS). I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED,I SHALL NOT EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBJECT TO THE WORKERS'COMPENSATION LAWS OF CALIFORNIA,AND AGREE THAT IF I SHOULD BECOME SUBJECT TO THE WORKERS'COMPENSATION PROVISIONS OF SECTION 3700 OF THE LABOR CODE.I SHALL FORTHWITH COMPLY WITH THOSE PROVISIONS. DATE._APPLICANT. WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL,AND SHALL BE SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. CONSTRUCTlON LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT THERE IS A CONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC 3097,CIV.C.). LENDER'S NAME LENDER'S ADDRESS I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT AGREE TO COMPLY WITH ALL CITY AND COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION,AND HEREBY AUTHORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON THE ABOVE_MENTIONED PROPERTY FOR INSPECTION PURPOSES. hMITTEE NAME(PRINT)-/. SIG REOFPERMITTEE DATE cri 2 0 0 w z 0 0 2 0 Q 0 Cs w U W 0 LI W 0 W Cn LU W in C1 W U3 ZD 0 0 LU J LL w w CO Q d W I-- LE [1- CD m C0; I DEPARTMENT OF COMMUNITY&DEVELOPMEN SERVICES 21825 E.Copley Drive (909)860-3195 Fax(909)861-3117 BUILDING PERMIT APPLICATION PRESS FIRMLY APPLICATION PERMIT P/C DATE 2 NUMBER 7 # ISSUE. -�TYPE OCC DATE CONST. GROUP I If ZONING SETBACKS FRONT RW REAR^ SIDE/SIDE STREET RW^ SIDE^ PROPOSED USE( it/ N0. DWEL. N0. N0.4-/' UNITS STORIES BEDROOMS DESCRIPTION SQ. FT. FACTOR PSF ADJ.AREANALUATION SFR/ADD/REM 7 6 alo Garage/Carport W Patio/Deck LI L. LL Pool/Spa 0 Z Re-Roof Commercial CO Valuation ADJ.AREA QUANTITY DESCRIPTION FEE Q U L 1 - U LU W CJ Z r d Z 2 W U CONSTRUCTION PLAN REVIEW ELECTRIC LAI PLUMBING MECHANICAL INSPECTION FEE ISSUANCE SMIP ENERGY P/C ENERGY PERMIT RETENTION FEE: PRE-ALT FEE: TOTAL FEES COMMENTS rI C �02-'//��-� c I -7 RECPT. N0. -PAID BY VALIDATION WHITE-Department Copy,YELLOW-Finance Copy, PIN '�dZ Rid �w�� r7�62 �IZ 3 Ct��cn-T�� I�y DL 5- 3�vZ 3- 2$•vL Nci �Y J�('��.:,9a� P�.�S a%�tt ou y� u= WALNUT VALLEY UNIFIED SCHOOL DISTRICT 880 SOUTH LEMON AVENUE WALNUT CA 91789 CERTIFICATE OF COMPLIANCE With Fee Provisions of Government Code Section 65996 DEVELOPER/OWNER MAV-l;f 5 �C1�•,/,.•IkV ADDRESS !_5r S/7n T,Q�7�i�c� CITY/ZIP �r.9bi��r+aPY3,C;/!Q TELEPHONE 9f�9 I Applicant v e per§on signing represents that he/she is,a,': rized to sign on behalf of the owner/developer and that the information provided is true and accurate to the he-;c o t his/her knowledge. NEW LOT ADDRESS USE OF BUILDING Residential/Commercial/Industrial City HOME IMPROVEMENT OR REMODELING PROJECT TOTAL SQ. Ff. ADDRESS DESC PTIO TOTAL SFf. InL41_I_I„oQ10 Diamond Bar Walnut(Bedroom, Family Rm.,Kitchen,etc.)do Signature of Superintendent of Buildings Date FEE SCHEDULE:The development fees levied by the Walnut Valley Unified TOTAL FEES DUE School District under provision of Government Code§65995,$/?9,7,5,6, are: (EFF. 8/17/98)Residential Development$1.93/sq. ft. Receipt# 570 If TAL square footage"livin s ace"of ALL new or remodeling Fees are assessed on TO q g g p constru ion p ojects. 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 Assistant Superintendent 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;6/96; 1/97;8/98 Commercial/Industrial $0.31/sq.ft. Date 31,9 PLEASE SEE NOTICE OF 90-DAY PERIOD FOR PROTEST OF FEES ON REVERSE SIDE