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Home My WebLink About11-850 `---`' -' CITY OF DIAMOND BAR , / --- `'?�" DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � V ' y 21825 Copley Drive,Diamond Bar,CA 91765 (909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-7027 PRESS �'9�'� BUILDING PERMIT APPLICATION ,� 2 FIRMLY Q DDRIESS� J I S � L APPLICATION/ � PERMIT �% f�,1� p�C o DATE ((� I NUMBER • �jJ�� # ��"8 Q � ISSUE y TYPE ',��y��_ OCC APN LOT TRACT D A T E 9/J // C O N S T___y��SG'A-uw�C'R O U P p OWNER " ADDRESS'f';(7_� �,i�)CLb�S � ZONING SETBACKS z CITY �i�rl'lpH��g� ZIP��TEL.�f09��2�7 FRONT qyy p o APPLICANT . T � REAR p � SIDE/SIDE STREET RW ❑ � CONTRACTOR 2 V I 11-�1 A AVE ' SIDE � o ADDRESS � PROPOSED USE ✓YI S o CITY �.- •A�• ZIP� TEL. � o ARCH/ENG/ DESIGNER �u NO.DWEL. NO. N , ' � ADDRESS � CITY ZIP TEL. UNITS � STORIES BEDROOMS � � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFR/ADD/REM O 0 I HEREBY AFFIRM UNDER PENAL7Y OF PERIURV THAT I AM E%EMPT FROM THE CONTRACTORS LI� G8le9B/COfPOfI W CENSEUWFORTHEFOLI.OWINGREASON(SEC.7031.6BUSINESSANDPROFESSIONSCODE:ANYCITVOR (n COUNTV M?iICH REOUIHES A PERMRTO CONSTAUCT,ALTER,IMPROVE,DEMOLISH,OR REPAIR ANY STRUC� TURE.PRqR TO ITS ISSUANCE,AL50 REOUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED w Patio/Deck W STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LI- �S CENSE LAW(p1APTER Y(COMMENGNO WITM SECTqN 7000)pF DIVISION 3 OF THE BUSINESS AND PRO� LL' POOUSPB .T. FESS�ONS CODE)OR iHAT HE OR SHE IS E%EMPT THEREFROM ANO TNE BA515 FOR THEALLEOED E%EMP- � V TKKJ.ANYVIOLATIONOFSECTION7031.60YANVAPPLICANTFORAPERMITSU&IECTSTHEMPIICANTTO Z Re-Roof � A CIVIL PENALTV OF NOT MORE THAN FIVE HUNDRED DOLLARS(fSDD).): � ❑I,ASOWNEROFTHEPROPERTV,ORMVEMPLOVEESWITHWAGESASTHEIRSOLECOMPENSATION, COR1ffI0fC19I WILL DO THE WORK,AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE(SEC.7M�,BUSI� � � NESS AND PqOFESSIONS CODE:THE CANTMCTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF � PROVEFRY WFq BUILDS OR IMPROVES THEREON,AND NM110 DOES SUCH WORK HIMSELF OR HERSELF OR � THROUGH MIS OR HER OWN EMPLOVEES,PHOVIDED THAT SUCH IMPROVEMENTS ARE NOT WTENDED OR m w OFFEREDWRSPLEIF,HOWEVER,7HEBUILDINGORIMPROVEMENTISSOLDWITHINONEVEAROFCAMPLE- 0 TION.THE OWNER�BUILDER WILL HAVE THE BURDEN OF PROVINQ THAT HE OR SHE DID NOT BUILD OR Z IMPROVE f-0R THE 7URPOSE OF SALE). _ ❑I,AS ONMER OF THE PROPERTV,AM E%q.U51VELV CqNTRACTINO WITH UCENSED CONTRACTORS W � TO CONSTRUCT THE PR0.IECT(SEC.70a1,BUSINE59 AND PROFESSIONS CODE:THE CONTRACTORS LI� V9IU9tIOf1 ADJ.AREA W CENSELAWDOESNOTAPFLYTOANOWNEROFAPROPERTVWHOBUILDSORIMPROVESTHEREON,AND � NM1IOCONTRACTSFORSUCHPROJECTSWITHACONTRACTOR(S)LICENSEDPURSUANTTOTHECONTRAG QUANTITY DESCRIPTION � TORS LICENSE UW.). FEE � ❑I AM E%EMPT UNDER SEC. B.6 P.C.FOH THIS REASON JQ �/t�C_rG �,C� � � sc�i r�N — DATE OWNER ~ + LIC l-lT ' O W LICENSED CONTRACTORS DECLARATION � � W � I HEREBY AFFIRM UNDEF PENALTV OF PERJURY THAT I AM LICENSED UNDER PROVISIONS OF CHAP7ER � � �A V• � Y(COMMENCINO WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS COOE,PND Z �y ' �� MV UCENSE IS W GULI FORCE AND EFFECT. m - C � LICENSE CLASS ` � 1�� LIC.NO. V • � `��'� ` � � ��1 jw • V DATE �I CONTRACTOR a � ' "-�� w , � Ui.� � � WORKERS'COMPENSATION DECLARATION � . � � I HEREBV AFFIRM UNDER PENALTV OF VERJURV ONE OF THE FOILOWING DECIAAATIONS: V "' z �TetJ� p�.Twoe� � _IHAVEANDWILLMAINTAINACERTIFICATEOFCANSEMTOSELF�INSUREFORWOR)(ERS' _ 1 �,�.. � COMPENSATION,AS PROVIDED BV SECTION 370o OF THE LABOR CODE,FOR THE PERFORMANCE U ' ��'[J�J�c CDN L� OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. W � � Qw I HAVE AND WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS REQUIRED BV SECTION 3]0o OFTHE LABOR CODE,FOR THE PERFORMANCE OF THE WORN FOR WHICH THIS PERMIT IS �� •�� ISSUED.MY WORKERS'CAMPENSATION INSURANCE CARRIER AND POLICV NUMBEH AAE: CONSTRUCTION � CARRIER ��Fi FUWD. PLAN REVIEW Z POLICV NUMBER ELECTRIC Q 0 (iHISSECIIONNE�NOTBE00MPLETIDOFTIEPEW.T�ISFpqpNEFiIN�DqEppp�Lp1LS(ftpp)pqLESS} PLUMBING Z I CERTIFV hUT IN THE PERFORIAANCE Of THE WOR1C FOq WHICH THIS PERMIT IS ISSUED.1 MECHANICAL _ S �J G�} SHALL NOT EMPLOV ANY PEHSON IN ANY MANNER 50 AS TO BECOME SU&IECT TO THE [/� WORNERS'COMPENSATION LAWS OF CALIFORNIA,AND AGREE THAT IF 1 SHOULD BECAME INSPECTION FEE = SU&IECT TO THE R)(ERS'COMPENSATI OVIS �I F SECTION 7�00 OF THE LABOR 1 j CADE.I ALL RTHWITHCOMPLV THOS P VISI S. ISSUANCE �,J1. IQ•� �� O • / �/ APPLICAN: ' SMIP p DATE: W J W�RNINO: AILU TO SECURE WOR)(ERS'CO EN TION RAGE IS UNLAWFUL,AND SHALL BE ENERGY P/C � J - �� SU6IECTANEMPLOVERTOCRIMWALPENALTIESAN CI F SUPTOONEHUNDREDTHWSAND ENERGYPERMIT DOLLARS(f 100,000),IN/�DDITION TO THE COST OF N TION,DAMAOES AS PROVIDED FOR IN J SECTION 3708 OF THE LABOR CADE.INTEREST,AND ATTORNEV'S FEES. / w RETENTION FEE: _ (p✓G O CONSTRUCTION IENDING AGENCY Ppp�E�-AlT��FEE: � I HEREBV AFFIRM UNDER PENALTY OF PERJURY THAT THERE IS A CONSTRUCTION LENDING AOENCV �./�� OO � FOF TNE PERFORMANCE OF THE WORK FOR WHICH 7HI5 PERMIT IS ISSUED(SEC.3007,CIV.CJ. Z � W � LENDER'S NAME F— LENDER'SAODRE55 W ICERTIFVTHATIHAVEREADTHISAPPLICATIONANDSTATETHATTHEABOVEINFORMATIONISCORqECT. TOTAL FEES �5��YI/� �¢�� . � I AGREE TO CAMPLV WITH ALL CfTV AND COUNTV ORDINANCES AND STATE LAWS REUTINO TO BUIIDINa � CONSTRUCTION,AND HEREBV AUTHORIZE REPRESENTATIVES OF TFIIS COUNTY TO ENTER UPON THE . � Z ABOVE-MENTqNED PROFERTY FOR INSPECTION PURPOSES. COMMENTS 0 /� � � //r QPERMITT AME( � ' � � x 93 � IGNATURE OF qna ��T RECPT.NO. �PAID BY ��3 Z VALIDATION . � WHITE-0epartment Copy,YELLOW�Inence Copy,PINK—Assessor Copy,(iOLDENRO�File Copy,GREEN—AppNcant's Copy ' CITV OI� DBANiCDND �AR , �. .__ � . �. � ii�SPECT60b� RECORD :. , , � . � - � : � Oa�P�C�u'00[►�; �.�C1�I�� - _�. :;�OGJ�pC�C�4DOG`9 � �f�GJ�'�, . ` [�1�3pGC�4� � � , . ; " .' `� p D � 0 ' 0 D .�� SET BACK FLOOR JOIST ' FTGS/FORMSlSTEEL, �� !� j� FHA RECQMTS � ELECTRIC GROUND UNDER FLOOR DUCT GROUND PLUMBING (`� d� /31� UNDER FLOOR CONDUIT SLAB GRADE FIREPLACE FOUNDATION TEMP POWER FIREPLACE BOND BEAM � WATER SERVICE MID HT. BQNO BEAM ROOF SHEATHING ��/O 8 FT. BOND BEAM FRAMINGNENTILATIOPJ D f}- FINAL BOND BEAM ROOF COVER PRE-GRADING ROUGH HEATING � BENCHING ROUGH ELECTRIC ROUGH GRADING ROUGH PLUMBING FINISH GRADING SHOWER/TUB TEST �i� ,�' POOL ELECTRIC EXT. LATH/SIDING �p G y POOL FENCING WALL INSULATION POOL FINAL CEILING INSULATION C OFF SITE IMPS. DRYWALL NAILING Z��_�� DEDICATIONS SEWER FINAL ENG. SEPTIC TANK LANDSCAPE/IRRIG. SEEP PIT/L.L. ON SITE IMPS. GAS AIR TEST FINAL ZONING FINAL CONST. FIRE DEPT. FINAL FINAL HEATING _ _ _ HEALTH DEPT. FINAL FINAL ELECTRIC � DEV. FEES PAID FINAL PLUMBING ENERGY �� . . - :: , ,, COMMENTS �.�o �� 3��Z�r /��Y-�,� � � ��=C°� � -� tl � � �_ -�,�—'� � �� . YC�-� ��-b c�`a� _c 4 SEPTIC TANK SIZE SEEP PIT/U SIZE a � � ��:�R �� ; �, � . � � :� � �, � . , � 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 � l�!m ` ADDRESS �� S Signature of Applicant CITY/ZIP � The person signing epresents that he/she is authorized TELEPHONE f09- 7,P'Z-gBS� to sign on behalf of the owner/developerand that the information provided is true and accurate to the best of / his/her knowledge. � ' ��.�slGf ll�yr/•�e NEW LOT ADDRESS- USE OF BUILDING TOTAL SQ. FT. Residenti aUCommerciaUlndustrial City HOME IMPROVEMENT OR REMODELING PROJECT ADDRESS DESCRIPTiON TOTAL SQ. FT. , _al��s F�.; L,obos Ad c�.;�o� �o�o Diamond Bar Walnut (Bedroom,Family Rm.,Kitchen,etc.) Signature of Superintendent of Buildings Date �<<3 �� • 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 Government Code §65995 $ %��2 . OC) are: (EFF.,12/1/08) Residential Development $2.97/sq. ft. Receipt #. Q53 CommerciaUlndustrial $0.47/sq. ft. Date q��3/�� Fees are assessed on TOTAL square footage "living space" of ALL new or remodeling const uction projects OVER 500 sq. feet (el�ting 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 Jack eBrun Assistant Superintende�t Business Services 1/87 Rev.2/88;6/88; 8/89; 1/90; 8/90; ]0/90; 8/92;6/93; 1]/93; 8/94;6/96; 1/97; 8/98; 7/04;6/06;2/08' 12/08 • � � �� NOTICE OF 90-DAY PERIOD FOR PROTEST OF FEES Section 66020 of the Govemment Code enacted as Assembly Bi113091, set forth as Chapter 549, Statutes of the State of California, 1996 effective January 1, 1997, requires that this school district provide a written notice to the project applicant at the tune of payment of school fees, mitigation payments or other exactions. This natice is to advise you that any protest in regard to such amounts or the validity thereof in accordance with Section 66020 of the Government Code and other applicable law, commences with such payment or performance of any other requirement as described in Section 66020 of the Govemment Code., Additionally, this notice advises that the protest thereof must occur within 90 calendar days thereafter. �