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HomeMy WebLinkAbout11336 I -._����- ----._—_- _— �'\y..�, � E�PIR�i� �� ----��— CITY OF DIAhtOND BAR COb1MUNITY DEVELOPMENT DEPARTMENT r� E` x�,.0 - 21660 E_Copley Drive Suite 190 � J U L 0 1 ��f}� PRESS (909)860-3195 Fax{909)861-3Il7 '""'� BUILDINGPERMITAPPLICATION FIRMLY o� 'JOBSITE C�� ,S' � � � � APPUCATIO PERMIT T� P/C ADDRESS v DATE NUMBER � � � , ISSUE � 2 p TYPE OCC APN ' LOT �' TRACT DATE V CONST. GROUP � OWNER � � O p ADDRESS f ZONING SEfBACKS Z CITY ZIP C TEL. FRONT RW p � APPLICANT TEL. REAR ❑ � SIDElSIDE STFiEET RW O z � CONTRACTOR � rd SIDE ❑ � AbDRES � r — ppOPOSED USE�� �_ � CITY ZIP�Q TEL. , oARCH/ENG/ ' z DESIGNER w NO.DWEL. NO. y NO. � ADDRESS UNITS STORIES BEDROOMS S � CITY ZIP TEL. � cn DESCqIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION � . OWNER-BI:ILDERDECLARATION SFRIADD/REM � � O p 1 MEREBY AFflRM UNDEH PENALTY OF PERNRY THAT I�M E%EMPT FROM 7ME CONTMCTORS L4 Garage/CarpoR W CENSEUWFORTHEFOILOWINOREA50N(SEC.7n71.SBU51NES5ANOPROFES5idJ5LODE:MIVC�TYOq (n U COUMYWHICMREGUIRESAPERMITTOCONSTRUCT,pLTER.1617HOVE,DEMOLISM,ORREPARMIVSTRUG W PatiOlDBGk w TURE.PRIOR TO rt5 ISSUAN[E,AL50 REOUIRES THE AVPLICANT FOR SUCM PEHMIT TO FRE�SIGVED W � S7ATEMENT THAT HE OR SNE�5 LICEN9ED iURSUMfT TO 7HE PqOVISIONS OF TME CON7MCTORS LI• � � CENSE LAN�(CHAPTER Y�COMIAENCWO N7TM SECTIdJ T000�OF OIVLSiON 70F THE BUSINESS A�D iFO. POOUSPe FESSIONSOODE)ORhIATMEORSHEISEXEMPTTHEREFROMANDiHEBA515fORTHE/�LLEGEDEXEMP• (� VTION.ANYVIOlAT10NOFSECTION70]1.69VANVAPPLICANiFORAPEMIITSUBIECTSTNEIVDLICANTTO Z Re-Roat A CM�PENAItt OF NOT MORE THMI FIVE HUNDRcD DOlURS(f5o01): ❑l I150'NNER OF THE FROPEHTY,OR MV EAIVLDVEES W ITH WAGES AS THEIR SOLE COMOENSATK)N, O � Commercial 1MLL DO THE Y/ORK,AND THE STRUCTURE IS NOT MTENDED Oq OFFEREO Fpq SALE(SEC.70N,&156 J � NESS AND PROFESSIONS COOE:THE CONTHACTORS LICENSE UW�OES NOT AVPIY TO AN OwNER OF � PROPERTY WHO BUILDS OR IMPROVESTHEREON.M7D N110 DOES SUCH WORK HIMSELF Oq HERSELF OR . � THROUGHHISORHEROWNEAIDLDYEES,DROVIDE�TNATSUqiIMPROVEMEMSARENOTINTENDE00R N QOFFEREDiORSQEIF,HOWEVERTNEBUIL�W00RIMPpOYEMEHTI550lDWITHINOHEYEAROfGOMPLE � ' Z TION,TME OYV�ER�BUILDER WILL MAVE THE BUFiOEN OF PflOVIN(3 TFUT HE OR SHE DIO NOT BNLO OR � MPROVELORiHEPURPOSEOFSIIE� W ❑I,ASDWNEROFTHEPROPERTY.AMEXCWSIVELYCONTRACTINGWITHUCENSEDCONTMCTORS ['[ TO CONSTRUCT TME Pp0.1EGT(SEC.7oa�,9USINE55 AND PPOFESSIONS COOE:iHE CONiRACTORS�I- VaIt1d1i0f1 AOJ.AREA W GENSEUWDOESNOTAVP�YTOANOWNEflOFAPROPEHTYWNOBUhDSORIMPROYEStMEREON.ANO � WVIOCONTMCTSFORSUCHPR0.IECTSWITHACAMMCTOR�S)IICENSEDPURSUANTTOTHECONTMG QUANTfTY DESCRIPTION FEE � TORSLICENSEUW7.; � O ❑I AM E7(EMPTUNDEN SEC. B.i P.G.FORTMIS REASON J � �l" DATE OWNER Z � UCENSED CONTRACTORS DECU+RAT�ON � I HEREBY AFFIRM UNOER 7ENA�TY Of PERJURY THAT I M1 LICENSED UNDER PROYISIONS OF CHAPTER d 9(COMMENCM6WiTH5ECTION700o)OFDMSIONIOFTNE6U51NE5SANDPROfESSqNSCODE.ANO X MY UCENSE IS IN NLL F RCE ANO EFFECT. LU � UCENSf C S � LIC.NO. O L�6 V UATE_ Z � COMR4CTOR __ W � I WORKERS'COMPENSATION DECLAFIATION ¢ � �^ .j, � Z _ � IHEREB FIpMUNDERFENALTVOFPERIUR'�ONfOFTNEFOLLOWWGDECLARATIONS Z � ZdY e-�� � �IHAVE/�NDVJILLMAINTAINACERTIFICATEOFCONSENTTOSELF-INSUREFOqWON(ERS' = a COMPENSATiON.ASPROVi�ED8V5ECT10N07ooOFTHEUBORCO�E.FORTNEVERFOquANCE U Q OF7HEWOHKFORWHiCMhi15PERMITISISSUED. � /I '7 n O L� ./ yW_. _IHAVEMIDWiLIMAtNTA1NWOqKERS'WMPENSATqNINSURANCE.ASREWIRED8Y5ECTION Q J70oOFTHEU80RCODE,FORTHEPERFORMANCEOFTHEWONCFORWNICHTHISPERrdiTIS ISSUED.MYWOR S'CO ENSATiONINSURANCECARRIERAND00LICYNlAABERARE: CONSTRUCTION Q t � cuiaiEa ' �1e� '� J�l[ PLANREVIEW Z aaicYNtm+DER,T1 W—��' _��� ELECTPIC ¢ �!.� 0 (fHISSECiIONNEmNOTBE00Al�lETEDOFhE7ER4RlSFORONEHJ1,IYimOd1ARS(5100)OALFSSl PLUMBING � �� T� w ' w �a� / Z I CERTIFV THAT N THE PERFORMMICE OF THE WOAK FOR WH�CH T4115 PERMIT IS ISSUED,1 MECHANICAL /�O. O C7 - SW�LLNOTEMPLOYAftYPERSONWAN'IMANNEflSOASTOBECOMESUBlECTTOTHE , � WORI(ERS'CpAPENSATIONUWSOFCAL�FpRN1.�MlDACREE7HATIFISHOULOBECOAIE �NSPECT�ONFEE � SU&IECTTOTHEWOfiKERS'CAM7ENSnTp OVISiONSOFSELT10N37ooOFTHEIABOR s caoE, sfuuFoarMmnrcoMairrn O 'PROVISIONS. ' ISSUANCE �SD n � '�{} � O� p DATE 3�/ APPLICANL SMIP �• � ENERGY P/C WARNINO:FNLURETOSECUREWORKERS'C0IAPENSATION YEMGEISUNLAWFUL,ANOSH�LLBE � SUBJECTANEMPLOYEPiOCR11AINALPENILLTIESMOCML WESUPi00N�HUNDREDTHW5MID ENERGYPERMIT DOlL�RS(t1oo,DoO�,IN AOOITON TO TNE COSTOF COM7ENSATqN,DAMAGES AS PROV�OED FOR IN � SECTION�7oBOFTHEUBOHCO�E,NTEREST,AND�TTORNEY'SFEES. RETENTIONFEE: � � o"'�.. ' CONSTRUCTION LENDING AGENCY PRE-ALT FEE: " O ' � IHEREBYAFFIqMUNDERPENALTYOFPERNRYTIIATTHEREIS�LONSTRUCTIONLENDiNCAGENGV fOR iHE OER[ORMANCE OF THE WOHK FOR WHICH TNIS�ERMIT IS ISSl1ED�SEG]097.CIY.L.�. Z W � LEN�ER'S NAME ' . F_- IENDER'SADDRE55 � TOTAL FEES �' - S � ICERTIFYTHATIHAVERERDTMISMPLICATIONMlDSiATETHAT7MEABOYEINGORMATqNI5CAR0.ECL W IAGREETOCOAIVLVN77NALLCRYANOCOUNTYORDINANCE5ANO5TATEUW5PEU71NCiO8UIlD:NG � CANSTHUCTION,ANOHEREBYAUTXOR12EREPRESENTATNESOFTMISCWNTYTOENTERUPONTHE ZAgOVE�MENTqNEO PROPENTV iOR�NSPECTiON F�IqPOSES. COMNENTS � � �� ,�a�;�r�l�-s�l J _ m P AE(VRINT) ' � �� F �.( � $IUN U OF JA1E Ia tl , � RECPT.N0._ PAID BY �� VALIDATION � WHITE—Deparimenl Copy,YELLOW—Finance Copy,PINK—Assessor CoOY.GOLDENROD—File Copy,GREEN—Applicant's CopY , �r-- -- ,---r���,....-.,, 'i.�.� , ._. .�' , .-�_.`Y^ ;'T�'S: „ . '�-,'^;" ..""':a.di,_,. . . �".. _ ..'r..'��T.'_. � -, .e.-� -:,. - .� • CITY OF DIAM�ND BAR � INSPECTION RECORQ ', Il,.�� e � ` s - � � � . � . SET BACK � '. 1 �- ;'; FLOOR JOIST ` , ,� � - FfGS/FORMS/STEEL � FHA REQMTS • •�,, � ELECTRIC GROUND UNDER FLOOR DUCT•�, ;, � - ,� ,�-,�•-,• ,--_ ,., - - . GROUND PLUMBING UNDER FLOOR COMDUIT �� �-� � ''•��•'�;.'_�� SLAB GRADE FIREPLACE FOUNDATION - TEMP POWER - FIREPLAGE BOND BEAM� ���' � '•' '`` ` � WATER SERVICE ': i . ' ; �.� MID HT.B�I�JD��AM � �� � � ';�' �_ ,:��--�� , �, ROOF SHEATHING � �' ` 8 FT. BOND BEAM FRAMINGNENTILIATION � � FINAL BOND BEAM ROOF COVER PRE-GRADING • FiOUGH HEATING BENCHING FiOUGH ELECTRIC ROUGH GRADING ROUGH PLUMBING FINISH GRADING SHOWEF�TUB TEST POOL ELECTRIC EXT.LATH/SIDING POOL FENCING WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING DEDICATIONS SEWER FINAL ENG. SEPTIC TANK LANDSCAPE/IRRIG. SEEP PIT/LL. 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 .. . � �� -• �� --- , �,�: - �� i • � . `, •.- -` � �., , " . . ., �r`� ` i,\' \ l;:• `,� `�1 COMMENTS � . �� .-.. _ •� ; . . ;� � ;, - --- � � �- , : --. '� � - - � � �� . .:� . , ,�. _ . , r,..�.:x �,._ � • � . ,�,, • .vt ' • � '�M.� r 1 . --------- .� . , � .. � • - � � .' , L , � SEPTIC TANK SIZE � - SEEP PIT/U SIZE , �,1..� ���' `� .�. ,. ��, . l' ` \' � - . _•. ` ' -- --- • • . , � II 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 �� �� G, ' ADDRESS � �c� �a'��o�l� � �L'�3 n� Signature of Appl�cant � CITY2�P�D�Ri�N�'�. G�. �'a S�b3 The person signing representsthat helshe is authorized TELEPHONE '"3 l � �r(o �3`��'a to sign on behalf of the owner/developer and that the ' ', information provided is true and accurate to the best of his/her knowledge. � NEW LOT ADDRESS USE aF BUILDING TOTI�L SQ: FT. � �'�� GU��B�e�oc c G? �l��,v- S'�I`� �( � 99/ ' ' ResidentiaVCommercial/Industrial City ' _ HOME IMPROVEMENT OR REMODELING PROJECT • ADDRESS DESCRIPTION TOTAL SQ. FT. Diamond Bar Walnut (Bedroom mily R ., Kitchen, etc.) � " Signature of Superintendent of Buildings ti �ate�� ' � TO BE COMPLETE BY SCHOOL DISTRICT FEE SCHEDULE: The development fees levied by the alnut Valley Unified TOTAL FEES DUE School District under provision of Government Code § 5995 S /a Oa�/. S�� are: (EFF. 8/15/94) Residentia! Development 51.72/sq. ft. Receipt# � O ' Commercial/Industrial S0.28/sq. ft. Date lo—/ — y sf 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). . � � This is to certify that all fees due to the Walnut Valley Unified School District under provision of Government Code , Section 65995 have been receiv2d and a building permit may be issued. This is to certify ihat 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 SOU OR LESS SQUARE FEET ' . OTH�R • � �'t � � � Clayton A. Chaput �"' A'ssistant Superintendent Fiscal and Facilities Management � 1/87 Rev. 2/88; 6/88; 8/89; 1/90; 819D; 10;90; 8/92; 6193; 11/93; 8/94 �:•„ ..:�., . . � . �._,,. . .. 1 i . k, . . ,r - - � - - - - '�- 1:lt�.rl'.sit'�iy'���r/J����t��it� '��, � ��.�'Z�. ���i{l�..i��'I':�-���.���7,���1{� :•Vy',. �nry' 'r'!'.+rf�lYui,. ,.,r.�4�w � , • �-14�,;�,'1; �.t,. � i1:�r�4',�� � �i-.`• . ' , � . . . ,.� . .�' . . � . � . . SOILS AND GEOLOGY INC. . Soil�Engineering•Engineering Ceology•Environmental Engineering , � 17231 EAST RAllROAD STREET,SUITE 200,CITY,OF INDUSTRY,CA 91748 � '' . ' • • TEIEPHONE(818�9642314 � � • . , �FAX,.(818)965-3802. _ . ,. � ' . .. ' , ` , " ' �.r.,,���--.• ~ --- _,- � 1 : ; ._.,�------��- -, ,. ; , . ; _- - � , f`NOTICE OF.``� ��b� �������� y;.�INSPECTION� ; '; , ; � , : .,;. , . , , . , � . _ � � : - . . � ;, . : � , � . � JOB LOCATION ..��zs� �s` wb�b��2� n��= �-r . : � ! � � .i , � �' . . . . � . . _ r�....,_ � ��. ' 1J 1/7-!"y 4n.�) J?/1 !Z f G/� .::4�, , � , '` � � � � � . , ; ' .� ., . . . �' . . ,' � . . ' ; ��.��, JOB NO. �,G j/�� T ' DATE OF INSPECTION �i=,��_ S G =: � � ` ��,:,�, , , � � . , ' , ���; .:,:�.: CLIENTIC�W�A�f'R c �.t� �>s' c.�.�'�v � �� ��, Ls � - -,�'.` � , , � • . �: ; , � CLIENT'S ADDRESS' 3Z�U 7z��'.�`2s� n;- 'n � , ', - i _ � , . _ , , .. .. � ' ' �i��.��' ���. �.� ! � ' � ' .� ; - . � � . � DESCRIPTION OF AREA INSPECTED: �i��- ���� •�� >.r-,- ` i � . . . , : , .. • _" , ,. � �� /�v7t� lo/^7�i3�!?/-' � F�/!-! �T'n1i'�' : �'hn�5 T/�!' ' ' _ � . -- :. � :, . !N-'!!>�„ r!� ��.Driv/ �'v�.` T/-l�. 7y:' 1� t i f : X�T �;/1iw..✓/_ ., . . (✓�.[ �. 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't_ - .. .� , , , � . '� ;. . . . _ ' .... ,i�.:...�.'. .� � .. , . ... � .i . ' ' JOB SUPERINTENDENT: ,. INSPECTED B : ^ � . . , /'�/ `—Z_ , � SIGNATURE SI TCjRE ' . . _ ` C: , -,. , - /--'�_ , � .