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HomeMy WebLinkAbout15-2848CITY OF DIAMOND BAR DEPARTMENTOFC( HUNITY& v LOPMENT SERVICES `' 21810 Copley Drive, Diamond Bar, CA 91765 PRESS ., (909) 839-7020 Fax (909) 961-3117 Building Inspection Hotline (%9) 839-7027 FIRMLY -�'°itl' BUILDING PERMIT APPLICATION wwwcttyofdismondbarcom buildmg@dYamondbarca.gov aoes�rEAaoREss3ID_t L t� APN LOT TRACT- 0 WNER ADDR CITY ZI} APPLICANT TEL CONTRAC CI'iY � ZIP _ L ARCtitENCd DESIGNER ADDRESS CITY ZIP TEL OWNM-&RIDER DECLAP T= i hardy aeam under penally a padre am; on, eremW emm Me Cantrcmr's Side Eased taw mr Me reOaWa) maw by 0e chaWanaw i tea pmC9d nod to fin safficable, nsm(a) LSmlbn AWA, EmPars, aea PatWaloe Coda Any CRY moft" #0MgW0a a PWMW on&bWL eM, Modern. (1anmleh, a teWR. See sbudree, such t0 lh istoomm on room UC Malmort for Met pemN to IN a meted aftenenttlm he a aM ad brassard Persuaded to Met pr0aabns ores, Downstairs smm LaurueLear (mow it commanding was SeaWt of Domain 3 of the auemem sent fatefulness Code] athe to or ahe a uderal add Oahu am eel for the aftawseempimn Any Owned ofSection, 70315 ny anyepshmnt fad a pamataoment meappnant ma Pat penaay of red name flaw, an hadmtl dollars, PEE) U 1 aS Manor OfeePopery a my Mortiseswe sages es met, eom rarzpOMflirat,wxad U w of a Panama to sue wary aM Pe BNsiure Is not Irmndm a affi ed as sate (Section 70e4, enemas am PamaGom Casa The c"wo9' 5ma umam Law doe, nod, #PLAY to as, r 01 aaWty etd MrM* empmyeea• Or Pamnal anon meat a ImpaMea lye Menage. Pewded fin le d,Wmossee, ee rdt edmamd or sense is rake "tdxara, the Wlmare a knproaomae is and xiNm near two a[ompaaln tee Dearer #OYaer win haw tee answer Praam ld N wed rot bale or lmpered la le PApaeof a*) U km aeon all tee Patents an modwiMy whobesAwar ikaeed nJrraatmre m Personal t o p or as Roman TWA Ruamas9 and Pa adoon; Corm fie conbamas swer two taw d m not ow, to m da aaa PeFab wear anlawmlaem adetemaatlmrdm pro)em,w�aCataazmaamel"m Uefnueakes State LIae90 taw) U ianatmnd Dun fuumr0 uea fd CmbeCla's Smm Laertedawtale imawnA eW,a#aI Ryllry pemwlBammMegald•art9�Mey Wraam asybn«mwhknimod lma rE,em(aan yowamr use In mf thin damn t Laded, I�kamI Nnamadm tlaa bmpm use 9 Rehadale medareme In Its, wlmacme r ended awmr seem, e Im o0 min >a,sbutim m S9 #dray oY "us, B eery te fw EnP at% Is ear app8cal0 new Seem 70as a the Bumne9a Ban CWa le m&laid � rapumt wren this applmdmli a submdtud a Bile mAar6q Web NIB h(fpMxw apmb Ca Sarttamw hbnl OCOM CWARACMn DECLARRTNIN Ihereby allmt under PamM at pwlsay Thd l an Iaaeed arrow wards" of Harem 9 turnnarttaq eel second 7000) a Dlshow 3 of We Budmmand PtOmSaens COM Wd" kover It in Iul farce and msl tMie1SE.,(� Do $ � IA CO tF DDNTM sessam•S Comtownts isCtA ON I "OWAFMM UNDER PENALIYOf POLOn DIE OF TIE RxLDWfAi DEELVA KK15 _ I Lew so ern summer a concerns of Cement to So /moss, for worker a CompaLsuRan aA Provides by 4f 5etNa13700 of Me Labe Cos, for de anoramas of err work are Maui tlm does"a owned I term and said asserted, WwWo InmaradO mR#ded My5atlar 3700asue Lsba Cat or, nee Wn«ma�a la wakwdilc"r6 pMM a aloe" Mr wpMOIS EAmpmuarl®wndaCMarem po"'7� NdnOa nee CANAER {f M8 3ECfla! NEB} FA)7 SE C0M7.Etf6 F 1}E RiNAi 6 DAi D� 11RIDIA:4 ISiDW DR I.FSi} Uertlty re3edkrorwiavrs of pamarXaa aArt a#,PIaWl rl an(pertfBein,nCVaANLd mmaiadla an 91anon N b)maiht InepMe W�on�¢ae'�eaoaPn Waasanm'a can 7Da Labrcm law nry,yy�l mrwwmn DALE wpJtlaeD FWmre m aeaue warners Lmn toal'dW u wM end shadsaddle# an Blnpm,% m nimkm entl Chid, Ilnm aP m ate dolm s 000}, In addUan to are tat of the da6ape4m fAor tlea m m,afpn 3708ai"e #bade#, Imw'at aidatmn esone d N LERMCAWtCY I NngY chip "aka peedlY at pnPey fat Used a a tAtmpucdon LWMl3 AAoay mr 0u pedamace at fw wok her w1rEAlaPPm"6 a'bletl (Sun 3037,C.N Cs UNDERSNAW IENRETISAA0RE;3 I CaUN/ tlW I itwo rind laePeRmdal aldeam tlm fw 6tVa mfamatbn IS mrxi. ragmmampy wll N alyeai aWtenderomam teweamatp mLwAdog mmv4t0m Wd "nay au0rala atlka o0lmym enmrmW the #bore madam praPay b ntWtamn IrsWWa strnm L CAR-1 1EEK, — PFIYW'7I 'MME (PEW S'.ffitAi DFPERNMEy.-- ."DATE APPLICATION DATE 1 ; /,r �y P}t7Ca LSSUE DATE idlIel if PERMIT# 1`KtS TYPE CONST OCC GROUP Scope of Work ............ .....�1,CJ x # DWEL UNITS If STORIES 0 BEDROOMS DESCRIPTION $O FT FACTOR PSF AW AREA/VALUATION SFR+ADD7AEM ............. ... GsrA9aCdrpant .......... w Patw+presk ................. LL P"E$Pa Z Re nopi 9 Commat9ai m Vafuattan Ad Aral QUANTITY DESCRIPTION FEE RATER W s7 a CONSTRUCTION PLAN! REVIEW ELECTRIC PLUMBING / MECHANICAL INSPECTION FEE ISSUANCE SMIP ENERGY P/C ENERGY PERMIT RETENTION FEE .......r PRE-ALT FEE ..... BASF PLOT PLAN ZONING CLEARANCE .. ,. TOTAL FEES Met171 COMMENTS PIC PAID BY VALIDATION RECEIPT #-0)QQQQPAID BY G' rSA� VALICATON----r'.'-4.,� 015 WMNE— DapeMent Copy, YELLOW —FmOe:¢Copy —Assessor Copy