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CITY OF DIAMOND BAR
4WDEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES
21810 Copley Drove, Diamond Bar, CA 91765 PRESS
(909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839.7027 FIRMLY
BUILDT'ING PERMIAPPLaIa.C�ATION
JOB SITE ADDRESS ...._11 Anii
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APN _ LOT TRACT _—
OWNER rM— ,SCiil Llr,�
£1.�__
ADDRESS 2z/,Z'j7 Tifrrir raA+� ,2' .::�
GIN ZiP[%j� TEL _I_
APPLICANT "Qja—_-ate TEL 7
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CONTRACTOR LIl f ycJ Pr 1 t— __
ADDRESS s� In y ---pf f-4—r - . to C !Y`L.l.(�
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ARCHtENGIDESIGNER
ADDRESS
CITY ZIP TEL
OW As, BIALaER OULANATION
I hereby offlml wvia Pa'mty, of de9um west I am eal 4am the Corrtmw'a SEMa License Law for the f. (s)
Ind'misal bebw by the draskma'k{s; I have P" mid to the appllut a dampl (SecN 70311 BAmea also
naddrum,olCow Artatintas,eowbmat the
MazardfmawreNuat,ImIvdbduwrem eat boor amy
adl win oldermuWM u pmvk o roOglre Conte W%S t%ma p Low Gm a hror O)a mat boor alM
a IkwaW pu.uaMmt>mpI6yWMa of Me DontraemYetkarae Law (Chaplw BjCpMaRemp wish Section
alGMelw3af BmelaaMaa mMl Pyolesalwre CodelmpNtMws.-M Iseramptfm3llalmum aK BM bens for
gale6'BgM awnYean AnyvwePanm Sudan J03T Bby any epauaidtw apermn eublecaihe eppikamme mlipe.tfy
d rewtmara may bve Hundred tldNrs @5W}
UI M isererm the DrolwRy,amgampwysagwwa wages eateFetlmcampensaPan, will do Use ofir,L) id,
of the wwk, and me ornot s N nw imaddad or ONO* for halo Issmon 7044 Ruan sto and Pmf.ama Ceoc The
Con sumene Stew Loa se Law tloaa net was, as an Maxr of peparb wYu traMn manatees' or deremel r1drt owners
or Improved the pmpaty ensided (hat we M umwWW" are not Intended or ortaed tin sale If however me bmMg a'
mium nm¢dt is We when one year of corroahon, MY Won, Bubder wit] have the blades m proving mat h w arse NOR
in Improved for dw purpose of aide)
U I, BY owner of me PMPBMi am asoluslvely contrecftng with Ihiarwed Commumse to arwhdto pmbin ISron
70M Rusneas add RomisM1a Cods, The Camamam' Sib Ucerea Law does not away in an awned of property me
Or Imprw.t.ram add whs cummcmfor the am" wit alummadBorrower RxaaMmOno Comma tore Smm
IJ vidal Law)
U l an, esempt morn IrWdh a wortne Comedowns Stain UamM law mrthe mHowbng reasugs)
',. By rRoGrofure, below i aawaamdponif esmst for mypaoanw renewed wnian l must has marled pa at wow nines
',. }marpwrm camPwdan of me�mpiwwne�rw mta�ty thla petma',emm+m kgaly Sella sfiwlure tmlhme bwPa ai I.
Paary10".he DMImm�sbu�d mews Cmbby lwaree0Mebaemts lu:km thin afternoon Is su rdied ble
I vied Ssctwn 7Dabafte Ruslnea and Ca. is available upon repiMstwnen vied appllcetlon le aubrmiad we '..
the tq vwawglStHta$ ftfwww Ieamo no geeynarabbin
��. DATE SIGN
LICENSED CONTRMMB'S MCLARATMN u�
I hereby aBires Wier panad" )WHY that I am IKensad under pmVlaona of MANOR- 9 (aaam n Nat Sewlon 70001
of OMwon 3w+iha B�iwaa end PlIXeamna Cotla eiC my Pcenaa B In MI force and effixf
LID No
LICENSE p�.ASS�— `CONtmormiq _A/1 WOWS'S CDEGtARAii N
I HEREBY AFFIRM UNDER PENA'.IY OF PE URRY ONE OF THE FOLLDWE OEMARETIONS
_ I have aai wet mmmam o Cartwwffi U Cwawt m Sell Maaa br Wa%Bra CanPensada�, av am�dEO by
SeeBan 3700 of dM Labor Cole, WIN Mrmmlwlta otme wa'Ith(yAlalt tw permit is behind
!!rere a�mwal mwmwn Wprka'a CampetttaPon'.merence nip rapwmp oySxba137BB of tlM labor Cmm,fa
meperfamLima wokfwwhkh iMspermY,laI.uetl My WakRtaOIXnpaMatbn Ireuarwe Carver dad
Pricy, tam5eray, an w
DANGER —
POLICY NOWEfi R i L./ As,-� �aa _
(fHISSEMIONN�IM NOTBECOWEDIFTFEF; MR6F� ONKOREDDOUAiSGIM)OB
uman Put Intor toroadoad ausw a of DaWm ter aIee#dIt I ywty Pwesnmspa neareraidsm
damme aubyolmto is cl ,aa691rloIea a(Paedotdi th thioR'asresaaawmtiro Waver§
tbtpv ba prorswnsdSedam 070Oapm" cr Cotla lsFaitaEwAth cdnpty Nit pine DmAams
OA�AP%llANT
famous 0 Firs m .cum Wakes ydred M on mIa. (�s 00001 I, a d staii F to an of the sr m crimem
denied. a y p cxi fine In is and amdred minuend daawa (W%r d in addition b CM mil N PM nomPen.iion
damages as worded mr In eectlan 0T0Ra•!ma'abw wda,.lmamaL end aPameyg (des
CWSTNLCTIM LENDING AUNCY
I hereby nmrm Linda paaPyW wGury than them to a farutnwYon Leasing Agency's the pm'amerr..oa of the souk fir
which no Wmela vi nid Sea 3697 GIV C)
LENDER S NAME
LEYNER'SADDRESS
I ceNtiwe Ihave readwas IBMne�g, hMaw thatthe.wore MMe dombrs carted agr. mcwnpiy Nahawiartyand
mJlthe twand ommIewareraPm, m WIeecu purprom am<aemby ewlmrua mprese Pees ottm connbm
alder BM an'rre melmoned RW Wb {es, inapeN.on purpaMa
— ,- Garr t¢s
PBiMITiEE MF BTeWT)
SIGNATURnFRERRIFIFTEE GATE
APPLICATION DATE C?i1)S PICN_._-
ISSUE DATE O �z11T S PERMIT# RP —A 6— 13 =L—jk
TYPE CLx+iST—....... OCC GROUP
ZONING SETBACKS
FRONT RW Q
REAR ❑
SIDEISIDE STREET ........_RW CZ
SIDE
PROPOSED USE
N DWEL UNITS N STORIES # BEDROOMS
DESCRIPTION
SO FT
FACTOR PSF
ADJ AREA/VALUATION
SFFVADD)REM
gaaBoyGapaH
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Pabo+dock
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FpaUSpa
RM.Roo,
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Cornmerdal
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VBWahon Adj Area
QUANTITY
DESCRIPTION
FEE
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CONSTRUCTION .....
PLAN REVIEW
ELECTRIC
.....
PLUMBING
MECHANICAL G
INSPECTION FEE _
ISSUANCE
SMIP ......
ENERGY PIC
ENERGY PERMIT ......
RETENTION FEE 2 0 NO
PRE-ALT FEE
BSAF
TOTAL FEES o q
COMMENTS 7
RECEIPTP...... PAID BY VALIDATION ._
WHITE— DeLssrtment COPY. YELLOW — Rnanx Copy PINK — invasion, Copy GOLDENROD — Pro Copt, GREEN— Appkcara!%Copy