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HomeMy WebLinkAbout17154 (224) , � i .' i ���_ CITY OF DIAMOND BAR � ' ' ! ,, DEPARTMENT OF COMMLJHITY&DEVELOPMENT SERVICE � .2��o E.coP�ey nri�e suice�90 PRESS, � (909)860-3195 Fau(909)861-3117 ������ BUILDING PERMTT APPLICATION i , ' FIRMLY ' � JOBSITE p APPLICATION` � PERMIT � P/C ! o ADDRESS I rJ�J� T�P����� �R��� DATE +O NUMBER��S�#_ C�,� , � PN E1 1 � LOT� TRACT ISSUE , �' � TYPE OCC p OWNER i)A1�i N � NP��hPJ EVEIZI-�'A�Ie:'i� '"(TZ,iJS,T DATE CONST. GROUP � `l ADDRESSISb� T%h1�F{ DRj�IC ZONING SEraACKS � CITY 0:1+'D [�lP� ZIP J7 J� TEL��9'S��O�3SSA REART Rw ❑ APPLICAN ' ��• SIDE/SIDE STREET RW ❑ � CONTRACTOR n• ,f'+9r. SIDE - ❑ ¢ CDDRESS ZIP TEL,� 9�j PROPOSED USE�CY 1 ��T10 n- ' \ � -,� ���- �-' ARCWENG/ � DESIGNERWiII1CliY� Rea�sl-nu1 NO.DWEL. NO. NO. ADDRESS_G`����F ICIQ �-v UNITS STORIES BEDROOMS N ciTvC.��no zi�� rE� - ,14�3 cn DESCRIPTION, SQ:'FC FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECLARATION SFR/ADD/REM O � i�aeer�Fl�w uwER v��uTr oF verwRv nur i u��Mar Faa�n�E carrrucroas u- Garege/Carport CENSEIAWFORhIEFOILOYYNOREA50N(SEC.7031.6BUSWESSAN�PROFESSIONSCODEANYCITYOR (f� COUHTYWHIG/REOUIRESAPEiiMRiOCON57AUCT,ALTER,IMPROVE,DEMOLJSH,ORFiEPAIRANVSTRUC- W P8110/DBCK TURE,PRqq TO RS ISSUANCE,ALSO REOUIRES THE APPLICMIT FOR SUCM PERMR TO FILE A 516NED w STATENENT THAT HE OR SHE IS LICENSED WRSUANT TO THE PROVISIONS OF THE COHTMCTORS LI� - � CQISE UW(G7APTER Y(COMMENCINO WITH SECTION J000)OF DIVISION 3 OF THE BUSINESS AND Pq0- u' POOUSPB FES3qNS COOE)OR THA7 HE OR SHE IS E%EMPT7HEREFROM AND TME BASIS f-0R THEALLEDED E%EMP- (� TION.AHY VIOIATION OF SECTION 7W1.6 BY ANV/WPLICMlT FOR A PERMIT SU&IECTS THE MPLICANT TO Z Re-Rool � A CM�PENALTY OF NOT MORE 7HAN FNE HUNDRE�DOLURS(f500).): � ❑I,ASOMTIEROFTHEPROPERTY,ORMVEMPLOVEESWITHWAOESASTHEIRSOLECOMPENSATION, � CpmmBfC10I . � WLLL DO7HE WOW(AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR S�LE(SEC.7aa,BU51• J � NESS AND PROFESSIONS CODE TNE CONTRACTORS LICENSE LAW DOES NOT APPLV TO AN OWNER OF � ' - ' PROPER7Y WFIO BUILDS OR W PROVES THEREON,MID WF10 DOES SUCH WORK HIMSELF OR HERSEIf OR � THROUGH HI9 OR HER OWN EMPLOVEE3,PROVmm THAT SUCH WPROVEMENTS ME NOT INTEPIDED OR m QOFFEREDFORSALEIF,HOWEVERIMEBUIIDR�CiORWPROVEMENTIS50LDWfTHINONEYEAROFCOMPLE . Z �'TION,THE OWNER�UILDER WILL HAVE THE BURDEN OF PROVIN6 THAT HE OR SHE DID NOT BUILD OR � IMPROVE FOR THE PURP0.5E OF SALE). W ❑I,AS OWNER OF THE PROPEHTV,AM EXCLUSIVELV COMRACTINO WfTH LICENSED CONTMCTORS � TO CONSTAUCT TME PR0.IECT(SEC.7oa1,BUSINE55 AND VROFESSIONS CODE 7HE CONTRACTORS U- V9IU8fIOf1 ADJ.AREA CENSE UW DOES NOT APP�V TO MI OVINER OF A PROPERTY WFq BUtl.DS OR W PROVE$THEREON,AND � � MRIOCOHTMCf3FOR5Up/PHWECTSWI7HACOHTMCTOR(5)LICENSmPURSUAHi70THECON7RAG pUANTITY� DESCRIPTION F�E . � TOR9 LICENSE UWJ. �. J (� Q ❑I AM D(EMP7 UNDER SEC. B.8 G.C.FOR iHIS REASON U CaJ' tL� 'y � �,'Y '� �J_ '� tnf• � DATE OWNER � . � � w , v LICENSED CONTRACTORS DECLARATION � � • � W � � I HEREBV AFFlHM UNDER PENKTV OF PERA1FiY THA71 AM LICENSED UNDER PROVISIONS OF CNAPTER � . , (= Y(COMMENCUJO WITH SECTpN 7000)OF DMSION 3 OF TME BUSINE55 MID PROFESSIONS COOE,AND Z _ . LL� MY LICENSE IS 4!FULL FOfiCE AND EFFEC7. m O CV P� ��..� IACENSE CUSS LIC.NO. �3��/ / �, � ; t� DATE 0 CONTRACTOF 1 a Si � WORKERS'COMPENSATION DECLAFlATION � � , . � I HEREBY AFFlRM UNDER PENALTV OF PERJURV ONE OF THE FOLLOWINO DEClARA710N5: Z e b Q T Q V � _I NAVE AND MALL MAINTNN A CEHTIflCATE OF CONSENT TO SELF-INSUHE FOR WO/iKERS' Z COMPENSATION.AS PROVIDED BV SECTION 370o OF?HE LABql CODE,FOR THE PERFORMANCE U ` Q �OF THE WORK FOR WHIGN THIS VERMR IS ISSUED. � • i/ � _I MAVE AND WILL MAINTAPI WOPo(ERS'COMPENSATION INSURANCE,AS RE-0UIqED BV SECTqN . Q 3700 OF TNE LABOR COOE,FOR THE PERFORMANCE OF TME WORK FOR WHICH THIS PERMIT IS �' '� � ISSUED.MV WORKE�RS C/OM�7EN�S/ATlON INSURANrC+E CARRIER AND POLICY NUMBER ARE: CONSTRUCTION . > caqruEq � �J 7`-4. T r /� l!//�. PL4N REVIEW O Z �����R �.��i ��T� ELECTRIC Q � (nsSEcnor+r�no7eEm.REr�DOFnEPEaMis�aa+E�000�w�sK��)��ss} PLUMBING ` Z I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHlp/THIS PERIAIT IS ISSUED,I MECHANICAL `''�.V � SH/�LL NOT EMPLOY ANv PERSON W ANY N/WNER SO AS TO BECOME SUBJECr 70 T}IE /�� �/j WORKERS'COMPENSATqN UWS OF CALIFOFNIq AND AGREE THAT IF I SHOULD BECOME INSPECTION FEE � !�.-\\ � �I�1 1 SU&IECT TO THE M/OFiI(ERS'COMPENSATION PRO ISION OF SECTION 3700 F THE LABOR `�• '�- � �'-�-�- � �- .�....=.,.r rj CODE.I SHALL FO n�caaa�r wm�nio E Ho on ISSUANCE � �� ' ' �SMIP � s3�P {.' � ��t!� ( • ��•� p DATE: APPLICANT: w ENERGY P/C � WARNI :FAILUR TO SECURE M/ORKER PENSATION CO E IS UNLAWFUL,AND SHALL BE � SUBJECTANEMPLOVERTOCRIMINN.PENALTIESANDCMLF PTOONEHUNDREOTFIOUSAND ENERGYPERMIT DOlLARS(i100.000).IN PDDITON TO THE COST OF CAMPEN TION,DAMAGES AS PROVIDED FOR IN ' � SECTqN 3708 OF THE UBOR CO�E.INTEREST,AND ATfORNEV'S FEE3. ' RETENTION FEE: �� ' .Q O OCONSTRUCTION LENDING AGENCY PRE-ALT FEE: P � 1 MEREBY AFFlRM UNDER PENALTV OF PERIURV THAT THERE IS A CONSTRUCTION LENDW�AGENCV � ' � FOR THE PERFORMANCE OF 7HE WORK FOR WHIp1 THIS PERMI7 IS ISSUED(SEC.30D�,CIV.C.). � Z " W � LEPIDERS NAME � � '/ . � . . , . . H LENDERSADDRESS ' � ICERTIFYTHATIHAVEREADTHISMPLICATIONANDSTATETHATTHEABOVEWFORAIATIONI9CORRECT. � TOTAL FEES � '�� JI � I AGfiEE TO COMPLY WITN ALL CfTV AND COUNTV ORDINANCES AND STATE LAWS REUTINO TO&11LDIN4 n( , g ��� ' I� CONSTFUC710N,AND HEREBV AUTNORIZE FEPRESENTATIVES OF THIS COUN7Y TO ENTER UPON 7HE ZABOVE•MENTIONED PROPERTY FOR INSPECTION PURPOSES. COMMENTS 1 ' � � � � � � s a � m PERMITTEE N (P ` ,. - , • � � .�sr-U N SI RE� PERM D�TE . RECPT.NO. PAID BY VALIDATION WHITE-0epartment Copy,YELLOW—Finence Copy,PINK—Assessor Copy,GOLDENROD—Flle Copy,GREEN—Applicant's Copy ` J . , �. CO�� �� �0l�a���� ��� `" ;. '. . A�9 '�'.a'����6�1� V�����3�:• �°n'` � , , . , �� � _ . .. _ � - � �* � ,, • p � �''"e p . . � �` s '� ���,M��s:'�,H�� 4 L� ��l`�U� ��� ,x'� _�� SET BACK � , ` FLOOR JOIST �,,.. �. . FTGS/FORMS/STEEL �� FHA RECIMT$ :'` � - ELECTRIC GROUND r �, UNDER FLOOR DUCT GROUND PLUMBING UNDER FLOOR CU�IDUIT ..., SLAB GRADE G�Z'd.l FIREPt f10E F"OUNDATION � •TEMP FOWER ` FlREPLACE BOND BEAM � - ' � WATER SERVICE � MID HT. BOND BEAM� � . ROOF SHEATHING, a. ' j%}�:-.� " 8 Ff. BOND SEAM ` � • FRAMINGNENTILIATION /2� :°� W--- FINAL BOND BEAM ROOF COVER � '� PRE-GRADING ROUGH HEATtNG � � , � SENCHING � . R(�UGH €LECTRIC f^r//tOZ;- �ROUGH GRADING . ROUGH PLUNIBING �'ci FINISW�RADiNG SH�WERITUB TEST POOL ELECTRIC EXT. IATH/51DIN..r'., � !D .vZ POOL FENCING' � WALL INSUlATfON 2�5�%l ` --�-- POOL FINAL GEIL�NG INSULATION "' a,�up - OFF SITE IMPS. . DRYWP,LL NAIUNG • ��•�–• EDICATIONS. ' :SEWER � FtNAL ENG. ' SEP,TIC.TANK • � � LANDSCAPE/IRRIG: , SEEP.P1T/LL.; I' :c ' �=1 dN SIT�lMPS. _______— ,.,: . � GAS AIR 7EST ' -___....._._ _____ �INAL ZONING . �,-3`o.r . FIiVAL C�NST. � FIRE DEPT. FINAL - FINAL HEATING - • . HEALTH D�P�F F�NAL FiN�SL ELECTRIC ' . DEV. FEES PAID �� Fih1AL PL BING . L��'�� . ENERGY ;';` --- -- �. . . \ ' %.�' i_ _ . = sp t(8 Q;�� a;, COiViMEPJTS . . � � � . .i . y;�.� � . . - � . � � __�— - � � �] � SEPTIC TANK SIZE SEEP P#T/U SIZE -- �;�.� N �.��.�- �-�.���� �� , u, ti� ,��� ���'��*��. – — `=��y '�., �� � �� ��a�_� �"�ry� Y �-`-4'k.'-^'f ��� ,�ww�'"�a`�I'4�'t . _--___— ��'C�c4 �.`�%'R'�"`�}�a 'n'�'�rS � �'��f�.'�' . i b'�{5"}J„f}�. o�%'a��d �.a .. { l. �.•) � �y Cyu.?L d f n,¢ �t 1y �.�'F,:'tVc- � ---` . 8,� �p'�a.� �L�x-s d �d. �.t�'a a�n'"' '� �$ rf,•��� �w�E .,� �;�. a, ��_ �cNA� ''�' �'i + c '.�, •.. � . �,�'+t5��t z c4r^�r-s�'� ,�`. S:'�,.5; .&'.'. , ,�Fr n-� � ^% �j, -�h�.g� �� •-.��,L`�Qx ��t4`�.t2'�3t'r5',.t �'�a.w�'+'wr�-'�r�. - { a >'�A� 1`'.Q3Yl »`•.�' k'g 9-,�'j�,tn._• . ' '`'� ��`�•v� � h 4e'��-^��j6��"��� . . � `�' �,.,,+�5 ._ �c-a. t� .;ma'vS:>:v�^ ' . WALNUT VALLEY UNIFIED SCHOOL DISTR[CT _ + � 880 SOUTH LEMON AVENUE WALNUT CA 9U89 CERTIFICATE OF COMPLIANCE With Fee Provisions of � Government Code Section 65996 DEVELOPER/OWNER ,_�,,��n ���I�a.r� � ADDRESS 1808 Tintah Dr. iure o cant CITY/ZIP Diamond Bar 91765 The perso signing represents that he/she is auchorized TELEPHONE 860.3858 to sign on behalf of the owner/developer and that �he . information provided is true and accurate'o the be�t of his/her knowledge. NEW LOT ADDRESS USE OF BUILDING TOTAL SQ. F1'. Residential/Commercial/Industrial City " ' HOME IMPROVEMENT OR REMODELING PROJECT ADDRESS DESCRIPTION TOTAL SQ. FT. 1808 Tintah Dr. Room Addition 973 Diamond Bar��Walnut (Bedroom, Family Rm., Kitchen, etc.) Si ature of Su erintendent of Buildin ` 1 � P &� "� Date (�d"J`d 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 $ � � 7`f-, �f are: (EFF. 8/17/98) Residential Development $1.93/sq. ft. Receipt# � Commercial/Industrial $0.31/sq. ft. Date 9 ' S O . Fees aze assessed on TOTAL square fobtage "living space" of ALL new or remodeling constru tion projects 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 deternuned 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 F'EET OTHER Ga�� ' �J ,Uianc. C . Nc�ck�rs�.,�tl,���`�. D_ � 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 PLEASE SEE NOTICE OF 90-DAY PERIOD FOR PROTEST OF FEES ON REVERSE SIDE NOTICE OF 90-DAY PERIOD FOR PROTEST OF FEES Section 66020 of the Govem�ent Code enacted as Assembly Bi113091,set forth as Chapter 5�9, Statutes of the State of California, 1996 effective lanuary 1, 1997, requires that this school district provide a written notice to the project applicant at the time of payment of school fees, mitigation payments or other exactions. This notice 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 Government Code. Additionally, this notice advises that the protest thereof must occur within 90 calendar days thereafter.