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HomeMy WebLinkAbout17-0458CITY OF DIAMOND BAR 4 ' `i JUNK 1011,111 DEPARTMENT OF COMMUNITY& VELOPMENTSERVICES 21910 Copley Drive, Diamond Bar, CA 91765 PRESS (909) 839-7020 Fax (909) 861.3117 Building Inspection Hotbne (909) 839-7027 FIRMLY BUILDING PERMITAPPLICATION wwwcityofdtamoodbarcom buildtng@dismoodbarca.gov JOB SITE ADDRESS b APN LOT TRACT OWNER ADDRESS C CI ZIP TEL APPLICANT TEL .._.._ CONTRACTOR ^" _ ADDRESS CITY ZIP EL 1 -a ARCH/ENGY DESIGNER ADDRESS CITY ZIP TEL OWKIfl WILGEB DECLARATION I hereby aMrm were, paaay of every Uw I arm "wict hum me C4mmCtM'O $We Lo a s, Lew IN the, Imean(N AWOW War by are de artaz a), I tare paw was a the applkeMe Names) peedms 7051A BwNwa, IN PIC Iona Cob Amdtyarmmty area maub tapaMtmmrommt WW, or mpYya ar atRmbaaPHw m Ibt Waenm,aap repdrs tleaPpScwsT W na permar m Ba a dpnmabmapntSet M a qw e Dcm mmtetBnbae�'s �6b UmMtaw (CBepW 9J MIOr6ectlm RnNDM"50fnoBwOmwWPynone a amIWm AmyvUWMdSa-tiDn7g3l Sby0yODwmMepemVtwbleeanapo"OmecNipeary A nci mare Batt Ave Ahem aafma tT5O01 of eamw,fird Papa Wee my wq,eredOaaameoade, T544 oMllm Uaenws con, The of me wttic, any par Madan Is s in Naga a+ offeredarof 0e (Section 764e Suwnm ma PmhOea Gam The or memNffi Stagop", tawm69newfftemnmaw of ma lawmen mmupssfa sale whoser BAart,bgv orimpmvee GarWadWfl,n" yar of ompIr.gromeO are real lmeNaaereBwmmraof Ithwrawr, 4 we ha�or '�.mpmvEflOm aseiawahm Ne Year N C9mps;:•••.on, me Orma 8uk0er wil.Aeve the dsaen d pmvsp that A we nX Wic or LmPmuetl!waa PUIpOa d ewe I UI, are owner of the papwty was ammusealycwhorm, m7 veld leawea Contractor0 m construct She peolan ISwfiom 7044, Swarm am Fathaski Cade The Comeana e' Sae Lane Lon ems has eppht man mmN N pmp9M who WRNor lmppvea mwedt, wdseas mfttrdcbfor the prtjactsvewa leaned Cmoacmr Pursuazaasft Megws'Smm ',. unfair Lam) .:''., {,}ietn eymnpilrynllaunum latle ON CmUMmYeState Limn, tawmr, Sea Neawln5 reapssan a& 54, By aS alprmNe Weser act,WAmps peL Cx M Tar her, penal reNa0ea,m neah,t must aYO raatlm W of waso ca4 ,'... yew Prior a caeveOOm of has mPm'on mwPm ter No perhati mane regally an a structure real l mare oaat 0 mar b:datr P of has tub brew fdeDtaYm In Aa warey by Named I utkwa and rem a May of m0 ''.., mUlmea law SCtxW 7N4 of Ua Busmees and N*010 a Coat Is wallow, apca taquee anon we OPOMW Is '... OUDmnOtl Crat tle f0a9wYtP WeD eAe meha'ww MDmmCa @a+ttaa'Aw mml LICENSED CWMACT011% OECLAMTION I reroby eAlrml under PwaNy of wi OW. arm llmnem wour pesicam9 of Carper 9 lmmmaxim; wire Saxon 7000 Of CNam O of the Daemon no Nat%wm9Cane, w�M-" 3 n0(Is In I force eWO v.. IiCnaSE CtASS�F'F�N714ACtOR ��I. - war fl1tER'S CdSPFa3TngR DEC W G41 I HEREBY AFFINA UNCER PENALTY OF PEAAIRYONE OF THE FOLL MN4 DEC' WTIDNS 1 hev0 ea wEi naaaaln a GG *W of CM99M as SEA -matte mar Wmcw a wnpmeallm 8a Prtmw DY S9ctlw13706daMlmar CatlO ror Sw dSe workWw!Em Sae lMrmilamuEa I heYaarm Ma mrtmwn WofYt amen flan m91a0tae, asrePulretl aSOpsa53TOp Ntle {eDw Cone, rof UO Parfomaas NBewOaDiw Whkh Ua PIAAT aiOPOa�Woher 0 Campan9�Ni maawn0 Cera01 Bm Polpt Numb m CARRIER at-� POLKN NUMBER (MSECTON NEED NDTSE "KErEDF TIEEAMIR SPORONEWMIDD)1AIIS$100 ORLM ecam Wharf a of WWV nb warrior,LeniWPwmee fee R wanad I I rp eld bacamn m ertl W on Wamm bwama eugwtm 9RWUkAe DxnpetmatM! Eewa of CNItrIOa PM ey0e the A i #aylM bamme WD'pIX m Sly wUn+tl'c c«npeaw�yp�nolad Camm3700ntiroDapwtore taflml rNmram CwnpyMmttesaProt31or5 aPPUCAW WAIWWO FmhoO as finum Wfirow s Dominance coreap0 a Nevadan, we well auaed as amrolayer It cdoft Maine was Chu Prey m to ma "Mae thossan Noes (5100 ow. In amltlm te the mot as the mmpemnm dmepw a fitai fare show, 3708 of Me Now rem. Bpemn eoaeissan a e0 CDNMWMN LMMSAENCY 14MW Nam water Penalty of awAai an Gka Ia a Cmavocuees tomeNg AOeny by the awfwme o, of fit* wen for M pwmh he awed (SRC 3D97 Car CI LERDEB5 WE LENOEA'SSS _ I owary ttea'.I hwa reed tm9 aN baton end scan mD Se shore Wormau en a mara.T 19Cm8 m comply wlm en DmY area omsmemn I19 waste narelating to WIiRnS maWdbn, Om harch, Wasevos MWMMIWI of this townm Saar uponm �nmaaa MpSt/mfiapwDm pmWaea PEAANREE NAME OtAiNt1 s C�__.�- ". ""jj��is S*Mi BE OFPERMITTEE DATE APPLICATION DATE P/C# ISSUE DATE 3 Z'* LI PERMIT# PR 1 7 0,458 TYPE CONST OCC GROUP oPe�^q(f _ vJ ... WO DWEL UNRS #STORIES #BEDROOMS DESCRIPTION SO FT FACTOR PSF ADJ AREANALUATION BFwADDrREM ©er"410amport LL PooVSPO `—•••••• Z flafloo 4 Cho merclal m YSFUaMon Ad) Area QUANTITY DESCRIPTION FEE le d CONSTRUCTION PLAN REVIEW 1 . 1- ELECTRIC PLUMBING MECHANICAL INSPECTION FEE ISSUANCE 3(v• (,i- _.. SMIP 1 • o4 ENERGY P/C ENERGY PERMIT RETENTION FEE PRE-ALT FEE 2.00 BASF 1. QQ PLOT PLAN ZONING CLEARANCE TOTAL FEES COMMENTS 139 33 PIG PAID BY RE0E1Pi e "-3— PAID BY C fyA. N 1'S VALIDATION ) �- VALIDATION