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HomeMy WebLinkAbout16717 (17) s ___-- ----- — - –_.. i � ' . `� '-�, . �-,,,,s,,—�, ,� ;��,.. „ CITY OF DIAMOND BAR .� � ' :� . . , / �� ,o --- -- `'' DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � �e 21660 E.Copley Drive Suite 190 � , � , .(909)g60-3195 Faa(909)861-3117 ' — .. . PR�$$ , "`'A^'' ,� BUQ.DING PERMIT APPLICATION . � FIRM�.Y BS� � � APPLICATION �, b PERMIT P!C h �' Q AODRESS,����V'JpLUn� �L DATE � NUMBER�n .��* v � APN LOT TRACT ISSUE _'_ _- -- .�'TYPE, OCC ' . DATE ••-- r'��`�-� �CONST. GROUP � OWNER � .. --.... , "' ADDRESS ' ZONING SETBACKS�`�'`-`.`,;� � �'� w FRONT `-'=s�''� � RW ❑ � CITY �YZIP�TEL. ' � � REAR ' ❑ APPLICANT - -.' EL. SIDE/SI�E STREET RW O � CONTRACTOfl SIDE ❑ g ADDRESS CfTY ZIP TEL PROPOSED U E � �' � � ARCFUENG/ � r _.--�' ..: _ • • DESIGNER � � � t � �–T— NO.DWEL. NO: ' NO. = C�ORESS � p ZIP��E� _ UNITS STORIES BEDROOMS y � DESCRIPTION SQ.FT. '• iFACTOR PSF ADJ.AREANALUATION p� OWNER•BUILDER DECLARATION SFWADD�AEM � O p I IIEREBY AFFlRM UIOER►EWLLN Of VEIiA1M TNAT IMi E%EMPT FRpA THE CONiMCTOR3 LL �(`ja�9g/(�,g�pR µl L�NSEUWfONl11EfQ10WMOREA50N(SEC.7W1.68USWESSAN�VROFESSIONSCOOE:ANYdTYOR . (n CJ �IMTYNMIpIREOUIRESAPERMRTOCONSTRUCf,ALTF0.�PROVE,DEAIOI.ISH,ORREPNRAHYBTRUF W Z NRE YRqR N RS i59UANCE,AL50 RE W UIES i11E APPLIGWT FOR SUp1 PERMIT TO FlLE A SIGNED W P8il0/DBCk STATEAIENt THAT HE OR 8lIE IS LICENSED MIRSUAHT TO iNf VROVIS�ONS OF TNE CIXfTRACT00.4 L4 � CENSE UW(CHAPiER�(COMMfNCNO WITH SECTION 7oD0)OFDIVI910N]OF THE BUSINESS AND iN0. � PooUSpa ' � ' . .�. -- ' FESSIDNSCOD�ORTHATHEORSHEISD(EMPiTHEREFIqMAND1MEBASISFORTNEAlLEOEDEXEMi• (7 _ TqN,/�M�y101Aild�pFSECTION70J1.6BYANNAPPUG�MFORAPERAIITbUBJECTbTHEAPPLICANTTO Z Re-Roo( , !� ' �� � AGVILiEWILTYOFNOTMOHETMANFNEHUNOREDDOLURS(35oo)J: . � � � 04��WMEROLTNEPROFENT1;OqYYEMPLOVEESWITNWA�ESASTMEIRSOLEGOA1vENSATION, ❑ �mmardal - 1M�LL 00 THE WORK,AND THE STRUCTURE�S NOT INTENDED OR OFFERm FOR SALE(5EG 7oN,BU34 �, J � NESS AND iNOFE5510N5 CODE:111E CONTRl1CTOfLS LICENSE LAW OOES NJT APVLY TO AN OWNER OF = .- , � PROPER'I`/WHO BVILDS OR MPfpVE3 T1IEREON,AND VA/D DOES SUd1 WORN HiMSELF OH MERSELF OR (� iMR0U6NMI40RHEROMMEMPlO`IEE5,7NOMDmTWITSUCJ/NIPROVEMEMSARENOTMENDEDON m . � OFTEAmiOR81LLEIF,110WEVE0.7MEeULdN�OqNPROVEMINTI350lDM7T{IINONEYFAROFCONPLE � TION.THE OWNER�BUIL.DER VALL HAVE THE BUNDEN OF pRONMO THAT HE Oii 6NE Di0 NOT BIAW 01l pIPROYEFORTMEPURP09EOFSALE} I ' ' � W OlA50WNEROFTHEVi10PERTV,AAAOlClU51YELYCONTRACTNON7hILICENSEDCOHTRACTORS _ [r TO CONSTAUC7 iME VR0.IECT(SEG 7ot1.BUStNE55 AND PROFESSIONS OODE:TME CONTMCTORS 4• VelU81i0(1 AQI.AREA [37 CENSEUWDOESNOT/PP�YTOANOWNEpOfAVROPENTVW/q&I1�50N4vROVESMEREON.MID � W/qCONiMCT5Fpq3UCNVRO.IECTSWf7HACOHiMCiOR($JLICENSECOURSUNRMiHECONTM6 pUAN'fITY DESCRIPTION FEE � � 70RS UCENSE UW.} . . - .. . _ . ' O I AM EXEMPTUNDER SEG 8.i P.G FOR TMIS REASON Q 3 c� � � � MTE �^ OWNER U � UCENSED CONTRACTORS DECLARATION W 1 � IMEiiEBYIfFYWUNDERiENAi.TYOFPEH.NMTNATIAMUCENSEDUNDEqVHOVI5pN50FG1APTER � � . � �(COY4ENCNOWITXSECTIDN70oolOFDNISION]OiTHEBUSWE35i1NUVROFESSiONSCODE,AND Z �l� W LICENSE�W FIA.I FORCEAND EFFECT. � � • • �FF..�� IJCEf15E CU155 L1C.NO. ' � . � y1 � T � pATE CONTRACTOR a V lJ / ��. WOpKERS'COMPENSATION DECLARATION -� a � . . , _. . � - . , V � IHEREBVAFFWMUNDERPENALTYOFPERIURYONEOFiHEFOLLON'iNCDECIAR�TIONS. Z � �_IWWE/NmWILLM.�NTNNACEqTIflCATEOFCONSENTMBEIFdNSUFlEFORVlORKEHS' _ GOMPENSA7qN.l15 PROVIDED 8Y SECMN1770o OF TME U�DR CODE,FOfiTHE PERFORMANCE U �� OFINEWOPICFORN711d/THt50ERNRL4165UE0. � • � C ' '� �I IUVE M!D VnLL I.uNTNN WORKERS'CWIPEN9A7pN WSURANCE,AS REOVIRED BY 6ECTION� � i "� ; � - j� ' ''''} 0 J7000F TME LADOR CODE FOfiTHE PER WPIAMICE DF TNE N9RIC iOR YV111p1 iM9 VERMR I5; I I C � , � r j � , 1 O ISSUm.AIYWORKERS'OW.�PENSATIONINSUiUNCECARR�ERANDPOLICYNU418ERME:' � - �CONSTRUCTION � ''4•� � � CApPoER � � ���� '' PLAN REV�EW '' � POLICYNUMBER � � , ..- , •: ��.� , ... `� 'ELECTRIC � � -� ! ' 1 - Q (n+ssEcnor+��wreeou.nt�oFner�rsaMor+e�a�noo�wasR+ao�oauss� PLUMOING ,J ,, '-� Z I CERTIiY 1HATN THE VERFORAAANGE OF iHE WONK FOR WMICHiN45 PER4R IS ISSUED,1 , MECHANICAL _ (7 SWLLLNOTEMM.OVAM�PERSONNMINMJWNERSOASTOBECOMESUBJECTTOTHE � ' � ' �' � >> � _ � � ' y WORNE�wSGd.�VEN5A71diUW50iGAlIFOiWItiIWpA6REETHATIFISIqULDBECOME � INSPECTIONFEE - ' � S SU9IECTTOTNEVIORICERS'[OMCENSATIONOHOVISIONSOFSECT10N77o00FTHELABOR . , .D eoo�,is��utronnrrm��eo�+v�rmn+naseorn�sar+s. ISSUANCE ���" 1,^ � � SMIP '.._._ , _ � . __ . _ , •• .��... '� �. V V p WTE APPLICANT: . . � WARNINa:FAILURETOSECUREWDPo(ERS'COMPENSATIONCOYEMGEISUNLAWFULANDSHALLBE ENERGYPlC � �y SUB.IECTANEAIPLOYERTOCRIAINALVENALTIESMACIVIIFINESUVTO0NEINNDREUiMOU5AN0 ENERGYPERMIT DOlURS(tta0.000),W hDDI710NTOTHE C05TOF COAIPENSATqN.DMIAOES AS VROVIDED FOq IN J SECTION]70lOFiHELABORCODE,N7ERE5T,M10ATfORNEY'SFEE3. RETEPlTtONFEE: !1r OCONSTRUCTION LENDING AGENCY PRE-ALT FEE: � IHEREBYAiFlRMUNOERGENN.TYOFPEfWMTHAiTHEREISA�ONSTRUCYqNLENDINOAGENCY FOH TME VERFOaYANCE OF THE WOPoC FOH WHN]/MIS PERMIT 15 ISSUEO(SEC.�oW,CIV.G). � � LENDERSNM�E � LENDER'SnODRESS � W ICERTIFYiNA71MAVERE/DTHISAPPLICATqNMIDS7A7EiHATTMEABOVENFORMA7qNI5CORRECT. T07AL FEES � � I ACiREE TO W1.IPLY WITX�LL CfTY AN�COIMTY ORD WANCES AND ST�TE UWS REUTNO TO Bu0.DIN0 ^ CONSTRUCTION,ANyH[REBYAUfYqRREREFNESENTA71YE50FTMI5C0UNTYTOEMERUVONTME � -- � � ABOVE•YEMIONED VROPERTV FOR W ION Vl/RPOSE3. C ENTS m �'�7G��! � � vea,+ enun wrn� / �^n�� �n U �'f � S�ONATUqEOFVERMi7TEE MiE � RECPL NO. -• -PAID BY VALIOATION VYFIITE—Department Copy,YELLOW—Finance Copy,PINK—Assesaor Copy,GOLDENROD—File Copy,OREEN--AppicanPa Copy ?74�, �.� � �. ' ,• ,. �` . .� � , � : ;, CITY OF DIAMOND�B/�►R . c _T�.� � : : � i.. �. � � . � ��;�tv,:�, ,��:IP�9Sa�CTION,RECORD ,� .��°,._.. .,:;:� �, . ��; ,�� ' ' , n � ' , � . " i .� , . ...."1 . � .j .�. . � t..:. 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' �;_ ISLABGRADE- - � - - - -- --- FIREP,LACE FQUNDATION � ` "��_ � . �{� � : ,i; ;'� ; !TEMP P�WER . -:,r, � � T- ;�� .-=-;. -:- FIREPLACE BOND BEAM �_�' . :.,t:.:•� _. ._ , �-- I4VA�ER S�RVICE--- �--�; � - - ;- � __ MID HT.BOND.BEAP,A ' ,:., ,, , �.�_ , ' :.: i ROO��SHEATHING`,; ;; ;�'i�:.5�; ���. ,�`;">_; -;:,. .:�= � :8 Fl: BOND BEAM-- ,,:. �FRAF�IINGNENTILIATION � - FINAL�BOND BEAM ` �. ;-�.,.. � ` ; • � - -- - - - �RObF COVF_R :��• �_:. : PRE-GR,�DING• ' ,' ' .�� , . � � .l`���_ c:._. . !.:ft . . __ _ . . ... . f-,OUGH HEATING' - - -- <.. �� --- ---- -- -- �BENCHING�'. {. �. ,.� ; . .;� . , - - � ROUGH ELECTRIC__'i _ q�)L � __ " ' ' _ ' ROUGH GRADING `� ' - - - -- ' ROUGN PLUMBING ;-- -- --�-- ---- - - -� - -`'- FiNISH GRADING :. SHOVVER�TUB TEST-1-- - — -- - - - POOL ELECTRIC . " - � EXT-LATH/SIDING --� - -{�-ta(- - ---- I POOL FEhCWG , . ' ' �; ' � WAI:I-fNSULATION - ; - �l� � - - --- - POOL FINAL CEILING iNSULAT(ON � - OFF SITE IMPS. � ' : ,;; ; ,. ,' ' "' �RYI'VALCidAiLING _ Z p-- -- �- DEDICATIONS '�' , , ' ' SEWER — -- --� -- � --- - - FINAL ENG: . ,,. , , SEPTIC TANK j LANDSCAPE/IRRIG. , • SEEP PlT/LL. , '�; _+ J '�'�� '.. j ON SITE IMPS. , - • GAS AI.�,TEST ;� :'; ' ' , ` ' ' FINAL ZONlPJG � , '. -- - - . Fl.!!'1 �P1S1:?----�� -- -- ; 1_:r.; �.•�: L.1 '�, FIRE DEPi: FINAL •• �, - - - � ... � � - _F��IfiC. � �. � . �i-ictiTING .._--------- -- -- "; � . •..f -- --. _ ' � HEALTy DEPT. 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SEPTlC TANK S3Z�-- - , . . � " „ ". . .. - . _, � ' ;: — '1 , .. _... _ _ ' •i, „ • �„ �, • SE�P�PI�/U SIZE - � . . . : •:.;, .. � ;,,• . .. ---- - - - - - , , „ . - ,. . , . - _ - - -- - _ .,.-��--�..,,....,.._..v..._...._...,.�,. _ -- - -- __ � , .a r- i� t •�� -- - - -- - - �_ . . , „ �;; . . . .., ,, , : i � � r � - - , � > , _ . .--- - - - -- � • - _ : { , : _.. � . . . : -- - - -;f � �_ i - --- --. _ - - --- - -—- - - 4j �>>y) ���r�� C..�-�� _��,I _. . � � • ,� �, �q��� �� ,' � . _ , ; _� V�.j _ , . . , . �. � . � � I � `, � t�.52wr� r,r \ ' v � f� `At ��! `'�Jr�. ."_. _ ___. .. . . ._. �1 � j . _�.,__s � _ . . • , �;, �.� . . _ � _.,::: ' �,, .� �, � ) '���y - "�.:.':�:a:�' _ ....:.:�-j i.' � - - - •,-� 1 - - ,. , , . . . � ., � ,. .. . ..;. ,, . . . _ � �. � • � � � , � ._ , � ^t:.:.} ..�<<:C��� - WALh'UT VALLEY Uti'IFIED SCHUOL D1STItiCC / 880 SOiTTH LEMON AVEh'IJE WALNLTf CA 91789 �CERTIFICATE OF COMPLIANCE With Fee Provisions of • Government Code Section 65996 . ���/ c r, e DEVELOPER/OW R �Y� I u'L' Gtl�'!1!� ADDRESS v'� Y � • Signa e o Applicant .CI1'Y/ZIP D /Z- : The person signing represents that he/she is auchorized TELEPHONE aGc3��j ll 1 cSG/ � to sign on behalf of the owner/developer and that chr �, information provided is true and accurate*o the he�t ot his/her knowledge. NEW LOT ADDRESS USE OF BUILDING TOTAL SQ. FT. Residential/Commercial/Industrial � City ' ' . HOME IMPROVEMENT OR REMODELING PROJECT ADDRESS����� ���r�� DESCj�IPTION� �I ' TOTAL SQ. FT. I L_rY� ��j ��21 Diamond Baz Walnut (Bedroom, Family Rm., Kitchea, etc.) Signature of Superintendent of Buildings Date '� '�' 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 Governmeat Code §65995 $_ �� ��6. � � _ aze: (EFF. 8/17/98) Residendal Development $1.93/sq. ft. Receipt# s Commercial/Industrial $0.31/sq. ft. Date l� � o� . Fees are assessed on TOTAL square footage "living space" of ALL new or remodeling construction projecu OVER S00 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 cIetermined to be EXEMP'T from the development fees of Government Code Secdoa 65995 and a building permit may be iss:�ed. . Exemption Ja�tificadon: PROJECT IS S00 OR LFSS SQUAR�FEET _ OTHER ' - �_ _ .��e • � 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; 6l96; 1/97; 8/98 PLEASE SEE NOTICE OF 90-DAY PERIOD FOR PR01'EST OF FEES ON REVERSE SIDE