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Home My WebLink About16-15754.i m CITYOF A )NDBAR • I' DEPARTMENT OF COMMUNITY& DEVELOPMENT SERVICES 21810 Copley Drive, Diamond Bar, CA 91765 PRESS (909) 839-7020 Fax (909) 861-3117 Braiding Inspection Hotline (909) 839-7027 FIRMLY BUILDING PERMIT APPLICATION wwwertyofdiamondbarcom building@dtamondbarcagov JOB SITE ADDRESS, b _QStip- -90Gk APN p _ __LOT TRACT OWNER_.e. V%(A k ADDRESS 2. Lo L oAff ..........� CITYIYA110ZIP117--W TEL �e- APPUCANT TEL O7- CONTRACTOR dM W ADORE�Svt CRY S I^ ZiPjL?{Fw TEL S ARCH/ENG/ DESIGNER ADDRESS CITY—ZIP—TEL DWIIE 4VIDEA UKtWTMN I rwreht Am wider Exempt of proxy iliac I era tow I= the Owns rs Stale Name law to me ramms) bent, by CM reactmakho I ham paaad axon to the Table Onto) Illation 0OMA Oxidants end traditional, Cade MY CRY he Murb MTrappear a permit to CpabaCC iced, mothers, dw*W% a repair, tow sasctlea, pfomra Mamm, moderate of ft Draep/ersa I poi UW®ea MpmdaMMMCUmanhaaf3M aIr aO p ag 30t aMpraNwraMnaM C4Xl CO SbM lamnse/owaxothe t Cmmsom weWM$ecaon dDammrNdMvW ft Mebm IOiom Uaenamatfwammtmbleh�nlaeeaaeandmebpsm to lIM emgedexe�ar AIR'MamUai dSeam 70.71 Sby emiappacan tiro gamic sobletb Iheapppant fo a tivll pinery MM moo Iron evp tamdreo tldlao (EatlU) Utmema of me property, army employees wlih warm as therrsde compeneaeon,will do U allot or U portions at the world, and Ina mmchn, is not allowed or offered for ale (Section 7044, Ouslnam and Pruesshms CnM fie Conireaoe' State Lkmsa Law dam not apply to an owner of property who "wall employem' or personal effort Wade er Unproven tow pro4Ml9 prondded that the Improvements ere not Named or offered to sal, If however the belong or Imprommamm add mmin we four of complatem the Owner Odder mil ham and burden N prmmr mM IT war not Wn or Impmad for don Prepare 01 sole) U I, m owner at the property, era mlinnklvroly wOVMg with ptelom CamWx W Masao the pops Ofealpn 7044, Ruldr ass am RdOasldne Code The Gmeaaoa' Sine Itoema Law two rot a* to at owner at property mx; oWlsa nnmwmrMman emwr000nnam IaaW prajadswMle IlcoreedCmtrediorpmsumdtaareCmbaMs'$late Law) UI am exempt Iran kaat re under the Contractors Stem Ux me, low Im the talbwhp maim oag Date Saw ar nit sirAlmee bdow I aamvmdge aMT oxFap tar my psMaai tpMtlwee6 tl wiatll tmatlteed nveidaitad Imai me prthM r t N hit ddw crosftua c n #a WWIa�tlisu Try Warted c MpapY4e8a understand of numl�.r n H t� na bran Canes M m Mikaty by ape 0 3 dnridD open I prat a eak ti am apbum eve Section 7ON d Uon Dlik ivaa h Cape I aced wTMn ihw appaatl0n a epbml$da0l red tdbma9 Web eRa taipMww MraltoagOwamw tfid UCENMt TRACM% DECLANA7M I why affirm mew pentery or mmury wet i am txanMd Mawr of aepfer 9 tcommWvdar wah SecWo 7OON d Ulsmn3daw aM Cctla wM myiidtmem miup krrobb coca. IXD&OUfS5 �- O CIE NO —�, Fop DATE CWtTNACTUt _ AC-0 i447 SRnpa 7UN IHUUYAFEWUNDERPENALTYDFPRUURY .FOLLOMNDDECLARATWN$ 1 here am wit molnum 0 Cefusm Of corneal to End two is Wakers CanpemeUon, 0 prplem by Socam3700dlhotxbo Cdde (mDN perhr((IMxe dihe wok tawhlhihmpelmNNmNMtl fled wit manMm Worker's CanONAaem inausrw'a aS Rquaed M SMm 37d1d DM Lego GWe la ere RUM Mdaeoak Mr WWMMpmMtoWMd My WwWs Canpwadbraarmme Ceram,W Rpcythumberare l J� Com bER - 7 n A—^—1 irY'14w^ POLICY NUMBER f/ e/L,S Gf (THIS SEGBONNEfD NOT DE COMPIETED IF ONE FERMIT S FOR ONE NJNIRED DOLIAM $100 ORLEW 1 drAmm0 the WDnaddMwemra wnldtmm Pemher. An etl me, del 10011nypaamha tto Vir ardere Comte amtatt m rap Wamta Cahaereatat levee d CBWtnyn. Mtl dim If UWuN OemrrB sxOlad pi me WaWs Ibnper®Ilm pmmaod" `Om3700 of UM laOo CaN IUes lammed ongprran adM aa#loa. M4LEANT WAWMeG FMWre No Iowa WOrWS Canpaedtitll maapa Is WITMaU, char Shot MIONn m e hadme r to aMdnw permees and cM Mm he M one hHdred ehacgnd dram {elm Ix10) In ARWF M me con of me Wmpo wFwm damaged mprwMed tar In scram 37D8 d me redo ink imrmt aro one mreleek CMZTNICTMN LU4DING AGO" I handle warn wear patent of per)xy taxi data Is e Cm30udkU luorkm Agency to The potamwre ofwar wink to sUtla the pemdt is werad (See 3037 Ch CI LENEFSNOW LENUASADDRUS 1arONmnimre+atliNO we Mal0 aaLmaatmN marrpM reismbmneigwah es atyaM RNn81K9H are BmN mvM (ptaaar ie mamba aM hexaDY eYCronm dadeaaotpb Omer so" lnenik and fro Y 1 OATE APPLICATION DATE f% ISSUEDATE TYPE CONST b PtCp VA A(M - T S115 PERMIT# OCC,GROUP Scope of Work I . Q A- W � V , X00 itom' fL+rt �Ed 01 a±o vjtza W MFrro rrw ? {�� s Pulx� dire N DWEL UNITS IF STORIES It BEDROOMS DESCRIPTION SO FT FACTOR PSF ADJ AREANALUATION SFWAETDfliEM GrearewCaport w PeHa'DAr Wi pgpUSpx Zno Roof 9 ConmacMl 5 m txwetuant/orr lyraoice Atli Area QUANTITY DESCRIPTION FEE I OP ra"IS 5 3 4 CONSTRUCTION PLAN REVIEW '=�w ELECTRIC PLUMBING MECHANICAL INSPECTION FEE ISSUANCE SMIP As Z ENERGY P/C ENERGY PERMIT RETENTION FEE PRE-ALT FEE �- BASF PLOT PLAN ZONING CLEARANCE TOTAL FEES 4R -7 L5' COMMENTS P/C .'� PAID 8Y VAUDATT0N RECEIPT s, O% 7-2 PA BY � VAUDAMON -A, WHITE- Department Copy, YELLOW -Enforcer Copy PINK - Assessor Copy