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Home My WebLink About15-0062n x n 9 Q ie s x CITY OF DIAMOND BA DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES '£" 21810 Copley Drive, Diamond Bar, CA 91765 (IRBS (909) 839-7020 Fax: (909) 861-3117 Budding Inspection Hotline (909) 839.7027 FIRMLY �" . BUILDING PERMIT APPLICATION JOB SITE ADDRESS APN LOT TRACT OWNER Ljr�.s 1„wrtrlfs�y�wmrr. _ ADDRESS J CITY %vw .. hb&� ZIP }/% TEL. -W- 77a/4 APPLICANT — TEL CONTRACTOR FEL'•474 t(IEJs7Y1LfS't-AC ADDRESS ^y,� CITY J's?eR/wy I, P_( TEL ARCHIENG/DESIGNER ADDRESS ..... CITY ZIP TEL OWNF�� MLAWEION I ha i amm under patty of partly that I con exempt hem the CorNacta'a Sate LOW Lew for the mapping) Anomalous latl below by me dwekmam;s} I hove Cos al wN to the applcahle Imm(s) M&Wm 7= S Bahamas and Pvnbalam ads Any aNy m ow* OW logogram a Mud is, cmwbwL albr, Impmra, dmv IWmma lr, try stucam,prla to Its mmnmMao moka Me applicant for the pmmm Up Me a signed atbt dthan he per she Is lea pureardto the pmnMoa of the ComraePora Sda Uoamda taw lMapbw I$o mwc4ng ram sallon of Oblelon a of the mamma And Pmtaealaa Codal a the he or she iaInternet hem Routine was lint bans for live&logo exwRmon Any wola!'.an of Sadao 70315 by any appeaser fin a permr, sublecas the sop &set at a Oil penalty of am more then Me hundred mints WOO) U L as mmorofthe =paM or my empwmy8ea with wag" an mWrams Pent& meter will do U oil of par U pNtons of the very, and the MUuclure is non seanded in Oared ;w sage Go on 70ee ganm and ? msdo% Cots its Ca UwW'Stara llwmr Law uses net apply by an a agar a$ property iota through ampoyaes' or portanal seenNods Or Intention; to We" owned that me mmrmremwR am not national on aches An ante It hoOI me buidhlp or, Improvement Issam wall we year of ampolam, list Owner Witter will have On Nippon at pmang that it was mtNa in Implmed tathe poison of sae r U F not owner at the pmpaty can axcluslsmly con eating went IUenaed Committees te anatruct to Wmleea (Section 7a44 Realness and P Mays The CwmulDm' Sthm Lw:we Low ease at apply he an meant of property whm x Impmvwmereon araf ions comac6 tortha pmlabwdh aaCPo'.xw Coniraapuauardmma Cmmaabra' Slam Ultimate taw) ion exempt horn innocent On, m a contractor; Stare L=m law go Ne Minimal; masai{.$) By may erynemre bsmw i acMnawiedge to mat for my persons hoidens in whmh I most have aged tam lean one We Ran M corrosion of the rmproremmm wined by cols perm t I marts wgwy site a structure that here Nwtt on an eusae ttdhw nM been conshmied in MY on" by Ucenerd mnhacmrs I aaemmNthma copy ptire appf&abie pon Sex'w 7044 m the Business and P. nee is available open against Vale thN opposition is sutr-t sat the Mbwkah WeD ws miywwwleysmo asgm whbni OATS SIGN CONTR CTOR'$ OECLARAYMN.. I hereby An order paemyaperuy at w7hoemad wda pwimonm of Cheaper Siparerancwg with Section 7000) of (Naom 3 al me &.saws sad PMeselons Code and my bemnsa'e at lot era and ei UCEMECLASS 6^2D ,,wLC fro WrJf6, _ CONTRACTOR _ ;tf ..... WORIO'S COMPEaGATTON UZAF TION I YAFFIRM UNDER PEN9SY OF FERRA), ONE OF THE POL'.OWW DECLAMATIONS i have and will mamma a Cemfrsfa of CaleeN m So FU=m tw wmnsra Campenoapcm as parnimil by Secoor 3700 of the Labor Cope for tw performance p test workmrwn'sle thy permit a moo I Mane not Oil WINSm'Watect Cwfpesatm Inauance no regaed by Section 3700 of it. Laaor COFfar patient rnwa ante wok mrwindstaa pemitt is Issued mvwcfke§CanpesdEelhaumnm Cartmrand fttlai' Wmw me CARRIER _.. _. POUG, NLuam _ — M SECIMINNEED 10 BE MOMP LED FT ?MCS FOROMEHILMORED DOUAGGIOO OR JMI ecor4fymat In the pedmnanasathawokb which the parmtisdwai Iahal not ampay anY9asa many eewarao ape m become submit to to Wolum, Cpmwpmi Laws of CAMorm And agme, gat d sauna oenwse asthe Wei CmVrAempmvWm ei SeNw37Mof= Cad YT mpmPM vent tqm PlulsYeis W,bM%S Fasure to seam Worker§ (pmsatmn covempe a i rioURM, and stall subject an emakydt As Owners povWa and onal hew up an one export tea sa'.d donars ally) On, In Stan as We open C to corwasional dxmem as WUd for In sect'nn 37M of me labor code Interest we aWma fem CPNSTRLCTIBN LENDING AGENCY I hereby affirm urdm Ransil, of pmjury the. tare N a continuous" Le'amg Agency fa tea per ormance of me vrak far which the pamrt is haae (See 307, cry C I LENDER'S NAME _ LENOER S ADDRESS ' amfy that I have mad the appecatmn wtl sham mat sea aHomaNn Is comet I aymw in campy won all city and ataandtawsramthm fo biermmggaemrtami aid hwsby authape.alxesemetrw ptmle cowryha liter n+Qwe, me the above merromp�ie propery. for Indpectan pu.'p8as PEfMMU NAME (PRINT) SIGRATLREOFPERMRTEE --------- DATE '.''.. APPLICATION DATE? iS PICA ISSUE DATE PERMIT# PI0 t 5-LOfA* TYPE COAST OCC GROUP ZONING SETBACKS FROTL(_........ REAR STREET SIDE RW ❑ I.$IDE/$IDE RW ❑ PROPOSEDUSE # DWEL UNITS at STORIES # SEDROOMS DESCRIPTION SO PT FACTOR PSF ADJ AREANALUATION SFNADDATEM ''.. OaraBe(Carport �'' ParaTeack .,,— .... PodySpa Z,', Re -Roar O' Fill COmmmrciei I m i 7 Valuation Atilt Area _.. QUANTITY'. DESCRIPTION FEE / Awk I E � I CONSTRUCTION PLAN REVIEW ELECTRIC PLUMBING MECHANICAL INSPECTION FEE ISSUANCE SEAM ENERGY PIC ENERGY PERMIT RETENTION FEE PRE-ALT FEE • a?a BSAF .... TOTAL FEES COMMENTS '& 0� PECEIPTi_ __PAIDBY Ce"S",--. VADDATGN^^�'.V'!.....__ WHITE —Department Copy, YELLOW— R.c, Copy PINK—Aeseeaw Capy GOLDENROD—Fwe CUPy GREEN —Applimams Capy