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Home My WebLink About15-1830E I ' CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY&DEVELOPMENT ;VICES E 21810 Copley Drive, Diamond Bar, CA 91765 (909) 839.7020 Fax: (909) 861.3117 Building inspection Hotline (909) 839-7027 BUILDING PERMIT APPLICATION JOBSITEADDRE55-,_,�1.��IZLV iAI� �FRI ICK..tU. ter• APN LOT TRACT OWNER ADDRESS f CITY ZI TEL APPLICANT TEL r�� CONTRACTOR —*2A 0 ADDRESS ; ZZ _ CITY k'Pt^t.: t7.M�_ZIPi_TEL�_},a �Y ARCH/ENGIDEStGNER _..... ADDRESS CITY ZIP TEL CWY✓£a4WLDER DEUARATOR I hereby MOM WWK =nay Of Were #W I on Palmer bane but (Cnmdota gate iJreoe taw tot du MMDMS) MClamd Meow by the ChammmUs) I haws pieced oil an the seWoade Imm;s) (Rendob 7MI 5, SUMm eM Code Any ft a Mmtllhd qs ime a Permit to CUMD1 m, arm, Moroya, demolish, Or teMr, MY ebrsChsm, p1iIX'mdImitMk9, 8Im mqutw dre Madiumoriaore pomlim file a al9mdmammomdth he Draw is notf moapa6WpramW#WmradnSnnpar mpeebpowIs rtoMaeat%* Co&?Sminim exempt ho m Moblemadanngdwdh 0MofId dillon3the Mesa for Anym6moiSmtlm TC3T 5try arty apPl�m secRamdsubAch the appXaamanyyd pemlty m net mom tlan'xe hundred do&tre{SFA71 ofmom pan fee, Ul m mama a the Pmpeay,a my smpbymawph wepm m dairmb mmmrrmWmn, WPd U aibfa U pordm at th work, am the maintr re Is, het Intended a a#emd br sae (Somm 7W lM mss cad prNeslens code The Onatmoora' Slate Ikama raw dead na OR" ban mom of Potosi who tleeugh empbyew' a mrsiew coal build a mornms,8 Me pos arty pnWde# pant the Im mmmena aE nor hdnnaed or o#area for male IT h wareer the buliding or Impromms In add Wtdn arm Wert of mmplabm the Owmm-8mlwr wil haws, do burden of Prorng oral 0 was nm bum a hI1yWM he me palm e of 00) U I an owner m the ptolman an, endmlveh Cmbmtng Win domed Cmrbm'bm to Mummuct the project (Sertbn 7014. &am= and Prebmbo Cade The Caromm19 Sam Uni nw Law Baas rot apply, TO an owner d Properly who builds or Imp rem Maxon and who nandars be the toD OM won a Nearms Co rbmtor pilau tut In the fAllbaemfa' SYal6 Ikmm law) U i am exempt from hummers under the Contraction Stem Umnm law for ma following mamr$s) By my exposure below I mknowmem that excao for my pemoMl rmelde+xe'.a asuldid most hewn melded 'or a, least airs, year Poor to atmploon at the Improvements cormad by this Pali must Imalysell a ahuWm that I owe butt to an ammr bander IT this re%bmn embraced ands mtemy by Ilemsed cmheekem I undemorel MM& may ofrar amImadm Smtot 700A of the&ranam and prd lorry Cale a maoto spar wanmet Wan ilia apWwton a submitted at Me Milo emllWeb she However would argoUcai m In" DATE Still LK19310 CONrWOR S INCLAPATMIN I hem gams mach penalty of barely that l am hmmo DOW Pwolma of caaiax 9 whi Seatdrt MM otaYaim 3atpa Budoeo Cade teal my tamselom tolmamd#Irmt t1C@KE �— to NO l.1, r co ayabo s .....� I S td#i BECL4RATtO I NE9ERY ARTIN UkW PENALTY OF I'Mi Ri OW DF THE Fpiu7WNS CEUARAMk;$ I Pate ism anq ma"n ore a (Wenadm of Cm" te Sol mere br Wake§ Cxmenaal on, as, prcMded by Sedan SIM of the tabor, Cam far do partamaxa of dw work sec wired, No Pemvl is issued 1 pass end bid mardan WadwrsC pate Ioemnm mrequiredw$Kdm37Wofoe Lector Code,ha the pesfomnenm Wthewokta Widr dps penyt leiwum MyWNtxa C�oadpninuAarim Canermd Pdity in fterare�,1-rf,,m CALMER - —� -_ POUCYNCTAN t3C7 �}�r^ rmsi ruhl EO NWREUVMI.EaO1F E�tSf(%OWNlN7MMlAfS(SIOMOtLFwS3). I a isam ehdaoll 10 bwoommmmmyIrenrer�m� randomrandomayepuubpad m Methasknaw'a ConCommodCommoCommoditiesrnwthms CPaaAmadima.NPaAd,m agree 1abodl't euNad to the WMari a5ealm 37mametara wWtneanp�wtm team Pmulawa ��ApPuoxr _ - 1 r WAANIN Fab m erne Wp4ea palsa[bnsi Nal mbNat m anPkga to ednrbsa emabm aM pwl Tom up bone hundred thomM ddt'es (SIM M(h in eddden, to me awl of Ns, pompNaadon, damages aspawki fain wmwn 370 of Moor MW mile Internet mtl OWmayl Ion CONMMTMN LOWNO AMCY I hereby afi1ml order pmaoy, of perjury Men there Is a Cmahaibn taMrrg Agency far the PwlMatem of tea wok mar wh1:h this point is Issued IMP 0097.. Liv C) LENDER S NAME LENDETSADOffSS I utl'y tat r ore mad in%ammoduan and ma's War me Owe Maximums Is #enact I Raw to mmadywho d Chyam nlanazxeaand subm fasonaabnp to askigwraUsalkin Mdreby aetionn of to amueym almer upon meaterms membered INr "(in observer Kqp wi�f4SIGNATIM �_ nntmFtlPlJlE•�. NI} .................-,DATE t �� F PENMiiff arrltlkS Ak'4A;e.> evj APPLICATION DATE �"`�� ^ /I - Plr# 430 fit t �{ ISSUE DATE ��J��1'jr�� PERMIT# %r- f 0 30 TYPE CONST — '/W, OCC GROUP ZONING SETBACKS FRONT RW ❑ AR REAR ❑ STREET RW ❑ SIDE Q PROPOSED USE i #DWEL UNITS.......________ #STORIES #BEDROOMS DESCRIPTION 80 FT FACTOR PSF ADJ AREANAtUATION I SFWADD/REM , Ciarega/Caroat I I 0 w Pakkorpock PtmVSpa � Li 2 Re•Rdof (y O -+ CommmwCla m Valuation Adj Area 1 QUANTITY DESCRIPTION FEE j u I CONSTRUCTION I7 PLAN REVIEW ELECTRIC .... PLUMBING MECHANICAL INSPECTION FEE ISSUANCE ♦ SMIP li! ENERGY P/C ENERGY PERMIT RETENTION FEE •OO PRE-ALT FEE BSAF TOTAL FEES V4 i COMMENTS RECEIPT# 42V I/!! PAID BY VALIDATION i WHITE —Deparbnait Copy YELLOW —Finance Copy,PINK—Monsoon, Copy GOUPENROD—File Cwsy, GREEN —AppaPadS Cagy