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HomeMy WebLinkAbout15-0588L i 2 S G 0 I CCTYOFDIAM( BAR [t DEPARTMENT OFCOMMUNITY & DEVELOPMENT EYICES 21810 Copley Drive, Diamond Bar, CA 91765 (909)839.7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027 BUILDING PERMITAPPLICATION JOS SITE ADDRESS' 3-;L- t �'�:•''' APN LOT TRACT OWNER Illy ADDRESS a G% YrA rr�� —_ CITY ' ZIPO-7.,�y TEL _F!.C' �4fV,.(Oils APPLICANT TE CONTRACTOR ADDRESS f CITY IA{ E=SEA ZIP JIA TE ARCHIENGIDESIGNER ADDRESS CITY ZIP TEL OWIBPBIILOO OEUARMM i hereby affirm par many at comply that I am Panama Mom Ma Caribbean Stall Ucmma Law i« Me ride M) makabyl bebw by the chockmwkaai, i have paced red M to reamoba tarsi ISeamer, MIA Bualnaee and PM%WM Cods Any ply «calm" that mention permit M construct, liter, "Prom. demoliah,or mialt, any stucMm, prepsMha Io1hepm,aka mglMmMe aPplkmd Mrthep LwRMaalgnadaSM inMethecshe M II of Ol pmauarR to e OuvW i and the ulon, Cadeass 6 or Llama Low rrmain a Censure g Me SaNm 7OOg a erg exemption n Joy theAn Bictmsa and Pa 7031 5 y my ap that nP orr pa r remain m m Ilapnmre is Me bash M of ota Mempbnunyedblme(MOO) ]O315by any epplgmtfor apnmknublmM Na eppllmmMacivil palMPy d not more Nan be hundred dJMdm (55001 U I, a war of Me papery, or my employees with wages an Malr sets commenmtlm, will do all of orU portlnm at the small. and the s rurMm is not imemetl or oRoeo for sale IGa me , In" Budnms the Protestant Cads ON C«NeRaa' SMM Liberian law ambient apply M an Dear at property who Mnugh annammes or pasaral ~ bdka or Improve; the papery, Provided that the Mp Tin ere na InMndao«aimed Mr ale pImxsal kse Wpollgw or Inni tedIor Me w1NinmeYawasemPNbon the Den« -Balmer Mtl haaeUte rramlaa Pmtnp dratpwet rim hue[ «Impram Mr the purpas of sale) UI awe, of the papery, an ev7uNvey interacting was kmmed ConMxbm M mmfnmt ram Protect f ron 7044 Bumem and Raes7am Cade Tote OamacMn Slate Low Law dean net apply Man awn« of Papeay wig Wima«ImPavM M«mn andwhoa torthaprg"Wthellrametlfamm. mmuamMlheCaaaa Stato Lomas Low) U I sm mo mill hem fkamuro oaMr tin Connectors Stan Lecnse mee he the following m uncepQ By my eiaMa way I eckraMedge thatexcept Party pawns radiance In whom I most have medic Me at Mast me year pt WI IItxnea aefhe Maewemm«wscra by lRs pormY.',. cMrat m�ly alIaaiNciaathetIFava Wit Ian war Wikffitlfkhasn«hasnaa!sWelad MlMmNmybYi'smsmemUw;Mas I:maeraffitmthatfloapymineapplk'Ada lawSatlan 7D4aPw Gmkrew a'M aofasfom Codesavalirbs hoot rem twtan the appicepanhe tilled«eI dsa fdMmp Web msite btpAvmleghub as gwl®bwnimi GATE SIGN LICMU GONNA GMS OECIARATM 4 tareby amlm «liar PainNy of Pbpay dui I ern aoeram w� Ptavaam of CaMDMA 8 {axmmneyg +was eatmn NOOL d OMaanJata &mamma nofessom{Mm ma my itmnsas Mao Mtm «m tlRdtt L�'tkSE GATE 'fir—.l f CaKiPiLign SL14Gra1 LIf'�1't'liJY S WMPHtJAT�a OEQARAnON �' '� INEFotBYAFlRktOt$tER PENA{T'y(k-PERAIRf (aaE OFTHF F9t1OttO180ECtARATiGNs .............._ I taro soli will lmimain a CaNRrata W Caoun". M Sek insure fin W«kw5 Campan9abm a Pones trp Sagdan J]44 a(Me ttlarisdn Mram pedpn*anca@Mowcaa lorwMm rah cased k taped _IhMre Md xtige raW«k«§CmrpetreatMtlyreuartce asmpusdby Sealm+37OOof NaL.W«Code hn PAYPo mS atthavate tarwhEn Ms pwmttNAN;ed M7 Whtrers Compeaatm lneumMe Cartierbid am RFtlER CAER T POLICY NUM (Oa MCWRbEED as BEODWUIM F71EPBNFrS FORCM KNOfEO OOLALStalout OR LESSI i P«iPa'Malinaw Wrbtmrc6efl"Cw«kt«wbnhtlrgppmtll®kEusp I dm0 Manlplganypamr w azry�etmmaM b« Nel«t M eon=S.RNr 001amri mCafd«M And apes that d i should beam smut M theWohm't Cam aSecOm J7Q0aae Cetla Igm6 a«npJwM th®Pa%mn 047E I& APPDCAIR 1 CO �L� WAFMNG In M amie W«kmh mremm h mineral and Mail aMlem on ampMyar of atmmnd perWba anal CMl ilea Up to can normal tmusarm edam (StOPROW, in Bolivia, M Me oust of the mmtensdon, damaged a pasitlm he a aecbm 3700d Mrs hoer P a. Interest adan«mY9 mid CONSFRUCTION LENDING AGENCY I herby amam undo, cash W aware Mat them Is a Construction Landing Agency for the instrumental of the were for ver ch into mart N hued (Sao 3097, ON C ) LENDER S NAME LENOERSADORESS I may that I have read this appliPatim and data Mat the chore Inlormadan Is enact I agree M comply win as city and man redeem end maIII aws rnMdng MbulMing aatabLmMll all hereby ammrlx rep2temaaNmaMq mumyM ems a ion ebWe memomd ma my oay lmpegben p nmmes S 9- PERM Nlj SIGNA DATE e-I �- APPLICATIONDATE yla�wZir2ar� TYPE CONST OCC GROUP ZONING SETBACKS FRONT RVd ❑ REAR ❑ SIDEISIDE STREET RW ......... SIDE ❑ PROPOSED USE I R OWEL UNITS It STORIES A BEDROOMS SFRAAD"EM Gamgo/Cerport PogdDock RaRbaf clammeclel Valubl mn SO FT I FACTOR PSF I ADJ AREA/VALUATION Area CONSTRUCTION ........... PLAN REVIEW ELECTRIC PLUMBING MECHANICAL t INSPECTION FEE ISSUANCE SMIP ENERGY PIC ENERGY PERMIT RETENTION FEE ............. • O PRE ALT FEE t BSAF TOTAL FEES COMMENTS AhLl WHITE—Departmora Copy YELLOW—Fhurae Copy PINK—Asasaspr Copy GOL.DENRGD—File Coy GREEN —Applicant s Cagy