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Home My WebLink About17-10960 (642)CETYRT DIAMOND BAR J4 DEPART ENT OFCD UNITY & VELOPMENT SERVICES 21810 Copley Drive, Diamond Bar, CA 91765 PRESS (909) 839-7020 Fax (909) $61-3117 Budding Inspection Hotline (909) 839-7027 FIRMLY ` BUILDING PERMIT APPLICATION www.cityofdiamondbarcom building@diamondbarca.gov .......... JOB SITE ADDRESSVS.%-+ t APN LCT TRACT OWNER E ADDRESS Yit1� CITY L ZIPttYb TEL APPLICANT TEL CONTRACTOR o rr , t J3 ZLT ilcil ADDRESS 'I 44 c' S . CITY is lc -'t.-GI e121P TEL Cs.0 C( l 0 ARCHlENG/ DESIGNER ADDRESS CITY TIP TEL PWNEII2WLgER O[CIARATI4N i hPaoy OEM Inter pammly of paracy Nwt I am aeempt film tm Comnakr, fal Uewme Lew BY No MpAyy } . mbw by the rSmekreOgs}, I have plead rev m ma arimprom tem{s) (Sastoo 743/b. 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A V 6L Ci C 7— WORKER'S EON DECLARATION IHE AFFIRM Al PENALTY OF PENLRYCNEOF THE FDUAYANG DECLARATIONS f7 I have ant Wes mantaN a Camhaala of Cmrmd M NO inure mr WOrkil Comperes lml as pmvlded by SK0,03700o1Na tabor Code la ale Penaauuhtad Dq work for which Ida pmmd ini®ixd _inavae wNmwoWn Wwim's CompceaUntnw asmgWmtl by gactm 3706dmatatur Code, for ale pedanMm:eot ttewwkfor Mlkn thb p(4�tmhlsls9ired{Ay Wakeb Comb tbmbsuaxs CElm and PoIkY Numbmma OLI lAl.IR POUCY NLURR (PHIS SEC4ON NEED MET BE COMPLETED F THE PMI19MDAY KMKDDOLW6 SIOD ORLEPO I cwbly than In the perfpmti of Ne wank N-wNch mla permit b maed.I Nratpar a-amer any pens, 1, wry musicalaim becmne sepea An Me Wmove:wrWalanA'r I of Optimal Aral age to t I dwNo beppme of M to Wafar's Conservation emotions of Sacaru 3700 of N, Lab. Cod%I Well forlii th verq]ywar Nana pm"Woad DATE APPUCANT WAFMO FAn to secure Warinr'e m ge la urtawl sed Stet Subjed an amaider N voMlal pmamm sad Coll Russ up to one hurdad M%%md denied (SIOD 000 N adftm to the cost of the mmpm sibs aanupae sa PmmMed bran eectlon StPd Otma tkP Oka Inmr"L &ide(Wrlley'a faea CONSiRLtOW LENDING AGENCY 1 bombs aNnim slobs waster of perjury met Mom to a Conepuctem Lenohp Agency ION dos Performance of ma ware Bar wall nab pennR Itim M (Be, 3097, ON C) LENDERSWME LENDER'SAODRM vbhlry (hdi na+m rand ids ap nationend are, hai AM BAN brormalkn Is Narect I Win N=ply Win all city ant 0,01naia5am , mlaM19m0! i I. bon no , and may wrianm NPmmawars h'.a county t0 creamu I ea a etire poll rl ..!)� putposaa Wes+ NAME 7d — ^ —u � � � ! SIGRATIOM OF PFAMITTF.E APPLICATION DATE Z_^` Z �— 1 `K P/C#A t7-0 ISSUE DATE PERMIT# TYPE CONST GROUP rrOCC r^^ $COBB of WDrtc � C t i- l t^ t- rn m A A 6...r. #DWEL UNITS 0STORIES#BEDROOMS DESCRIPTION SO FT FACTOR PSF ADJ AREANALUATION SFPVADDIREM 9 rt yyj PmINOeck ................. Z n Re fleae C.onMtercroi YBluaefon Ad) Area QUANTITY DESCRIPTION FEE � r S z 6a g CONSTRUCTION PLAN REVIEW — ELECTRIC. PLUMBING MECI ANICAL INSPECTION FEE ISSUANCE J SMtP ENERGY P/C ENERGY PERMIT ............ RETENTION FEE PRE-ALT FEE BASF PLOT PLAN ZONING CLEARANCE TOTAL FEES COMMENTS PtC PAID BY VALIDATION RECEIPT a F..rl1, r +a'_. PAID RY ... VAtalhTION WHITE— DapartmeM Copy, YELLOW — Finance Copy PINK —Arwormor COPY WE104MASTER CERTIFICATE THIS IS TO CERTIFY thv Ne follawtty dexnbW ewmnodtly wea washed measured or counted by a waahmeaer aaremre.a oo this ocn,hmm, who w a tecoyntmd wthorny ofaccumeg w pmxnbed by Chapter 7 (wrmnacetnd wth Semun I, of Damon 5 orthe Ca14. auamaa end Proftwons Cwd adr, .[,,.d by the Ihnaan afMeasuremrni Standard.ofthe Celdbmm nepenment of Food end Aancvhure ** Grand Central Recyckng & Transfer Station Inc - Welghmaster** Weighed at Account 4062390001/Self-haul Grand Central Recycling & Transfer Station INC Weighnnaster Self --haul Pomona Valley Transfer Location 999 Hatcher Ave 1371 East Ninth Street City of industry, CA91748-1016 Pomona, CA 91766 Truck 8Y35222 Route Gross 20280lb in Tare 135401b Out Net 67401b Tons 337 Origin ------------------------------------- DIAMONDBR/Diamond Bar Canter SELF/SELF-HAUL Scale 1 5/15/2018 12 47 23PM Scale 2 5/15/2018 12 58 07PM Materials & Services MSW/Murmcipal Solid Waste Comments FERMIN Ticket 1842314 5/15/2018 INBOUND LOAD Quantity Unit Rate/Unit Amount --------- ------------------ 3 3700 Ton ------------ ------- S65 00 ----- -----.... S219 05 Total Amount $219 05 Cash S20 00 Deposit $20000 Change $0 95 Received by Driver Deputy(s) Gross by Lozada, Daniel Tare by Santiago, Judith . yp a