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HomeMy WebLinkAbout17-0521I 171 C 4 a N _ CITY OF DIAMOND BAR PART TENT OFCOMMUNITY & DEVELOPMENT 2VICES 21810 Copley Drive, Diamond Bar, CA 91765 PRESS (909) 839-7020 Fax (909) 861-3117 Buddmg inspeetmn Hottine (909) 839-7027 FIRMLY �'� BUILDING PEJ11MITAPPLICATION www.eityoframoodbarcom buddmg@dtamondbamagov JOB SITE ADDRESS APN LOT TRACT OWNER flCieliey}_'.Zji Jar Af- . ADDRESSPrat CITY AS, In. �P f hx_ Zip Tat, , TEL 'YN APPLICANT TEL CONTRACTOR ADDRESS JXS"99 U..rran ei- 11aAAe— ,aik—Ast ai Gx CITY ZIP EL ARCH/ENG/ DESIGNER ADDRESS CITY ZIP TEL OWNER-BUUEN OECWBATIOs I r9mby alflmr war when of Pwirx' here I am m#mpt farm the Cmommor a SfBa is&'ee taw No iM rmmna) adkead Now by dw alecareafO I hers plated text W Bw appkWe membe rodko 783ta, &maws and ftm*ncou AMaGyatWm1y 71W a0.w�#pmdt to WrWtrtai, aiMr,Imymn, OWaaWr.mwpeV,aM eRucba ofttottaNaenco, WeraQVau tlreePWfc4atbr 1hepWmaW WaeWGlwd#aWnraWGxtesWW N PeraaanLW�pavaWataFiM $WWtleena Law�wopWrg} wiN 7DOp or Ch9aWe3oraa wA Caaj otthataoreheeaemidiran Bcanetse end the e� the WWped axempoan Arty m58dlot7IXii Say a'yapaitWCWrePeimN aeNmadveaPPiC%aKWaa!wn palely m art mwa Derr ame Naarmt dmara U l 94pwrapt Vapiepetty,wmy warwaOes aeitatmle wmmuamofwupordwm of mr, ease, and ON shrxM Is nu Cdandetl or &Arad M as (Somali TON BuWnoea 8 Cade no COMaaaeSuns Untem, taw, aces adEoply W an server be prop by MW, thaPdh employees' of Paeaial effort. MM Pt Improves the plenty, Padded Vat the Impmairmue are not Imarded or mired far cis it Mw'ecer, the buMbp or Ijummemadt Is end within are hisar of mmpeoan, the Omer -Wide she Name Ns bbrcbn Y p vIng Mai It was not CAB alma itsoarmgmaofsea) (j I, saw of No pop", mar as wetY eolp cgn with nmHW Coritw*s 0 once pmnct Feew 7044 atwalea are Proles b Code The Coniacma' Sate Udhmm Law omm, not sops W an owner at propmty, who bdmisarin mansthemon and who rantrema for the projects want aleensidConbacmr purinam W me cdnaxma'Sate Ucerootaw) U I am exempt from Ilcmwe under We Contractor's SUN Uttered taw for We 101100 o Memo) Of Sign By my agraapa CBla, IerNntraisOge nit, except for he parcorel MW =inw were I in= here roaad for at lug Dad you part W eMeW m the ImPartmaaa cowered by this parmn Icmlml Imp sal a olraNa time I here but a an nwneFbri der If It an that Mal mranporml'I i6 embers Cy Iowned =M M I Inherent that a my of the Submita yew, Screen i0N m um Bumnae and Pronsw rs Care N armosia upon reared: whon in'a o r accon Is uOmmeo or at ON fa awing Who as hipxiWry egim, be ouWcWw mar UCENSED CONTRACTOB'B eECUAATMU Ihe" som Neer Pa"apomem,mot I ant iWweed sods PmWmm, m chromr B{mmm swim SKW70M a Oiwaon3aire &:saes aM PrgfggepneCMe au}my teethes ASWWatome era eVa% JOIN OF CLASS(i UG NO IO.iG�43 OATEC74f4illad GONTRWOL RisXLhao, sr W -scmu"uTimafim Tim I NUESY AFFAM IWBR1 PEsmp.TYOF PERXWONE O' TSF FOUfffiM OECLWnMS _ r tmwe and WO Pointer a Cer*d of Ca.reao m Bar nowns he wodars CemNmmtmr da owb$d by SeCan 37p7cfiha Leber Cade tarrts pertamrerrcemtha wolklo witiCh UN9 Pemdi is raUeo _ bass Smash Wantan simmer sQPNm%hdm eaawra, sn retained Nigeria Who Of the Lobel Cade its IDS wrca of tlrewakWrrmich aW ptsmN velauetl ttgWmaf eCdlWel681btI IneuRaa raRWyaad Podry thr.NunMaraa CNtMER S'A„p& .r•' f POUP?NUMBER (MISSECION NEEDNaTBE COMP-MIFTHEKWR BFORONEHLWDNEDOOLM$100 OR LESS) Imaeffeetint theW Wof VewMkimn Law of pamlpa ber that 61 MmIy(eruur Weary wwrereaare Cacam 9uCkpt W the Waya'e EWmMrGaWth laws m PM ease Oat d 1 ahoW Mime aWlaa m no Waya'e Cmgaremm Plasabns a&mtlon 37DOm Vie Iabar Cobs I BNa$ fuorw:N mmpbwim ems Dialaaa DATE APPLOQU WAIN[% Peters W Beane Wernar'e Dirroo Sstan maven ge Is views; and On anthut an employer W Wirmal pammea are DWI noes V to am hundmil -thousand WWte f$100,000), io odd e m as Bw psi of NW mmp on evaluate praWed Iorin t huran 3706 IN Be duce arm, Wiles[, ear aiWvey a fees CDNMTP, MLEWMGAGOCY I haC✓y amrcn asmr Paebyo(WAn No ewe is a Cairabwdicr, Loneeng Asti he oe pm« ea the wmwM VFdmt BNa permitatWtwd (Sec 3W ON C) LEgOEA'6 WM'c _", LENOERSADOBESS I ce"tw l tat mar Dos APOCWM mastam vent* 80Vwa WtWaabn N a artCt lawn WrUmptt veal mi aLYatl ready uld two hives aifWOW owmvu vh ex, barely&Cain mm6ammd VoscoNdy12 w9ersWmiha aMrem INopedy tar inapemvipwpoen sailso O EE NT) APPLICATION DATE ISSUEDATE— TYPE COAST ERMrrk pi W rl — ODD GROUP Scope of Work ft OWEL UNITS p STORIES p BEDROOMS DESCRIPTION SO FT FACTOR PSF AOJ AREAIVALUATION SFWADCMEM OareBatcaport W Patiai6#o% LL !PooUSpa _2p ! fiaRoW J' Cmnmerraa do ID VatuA*Io ' Ad) Area QUANTITY DESCRIPTION FEE to f CONSTRUCTION PLAN REVIEW ELECTRIC PLUMBING �. �✓' r SC) MECHANICAL INSPECTION FEE ISSUANCE "fd, SMIP ENERGY P/C ENERGY PERMIT RETENTION FEE^ PRE-ALT FEE BASF PLOT PLAN ZONING CLEARANCE TOTAL FEES COMMENTS :�--46' G'2^ PIC PAID BY RECEIPT e f! D PAID BY S iD VAUDAT70N ��s,, T T— VALIDATON _,Vp E— Dependant Copy YELLOW — ResueCopy, —Assessor Copy