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HomeMy WebLinkAbout17-04359 VY Ej CITY OF DIAMOND BAR DEPART ENT OF C( UNITY & VELOPMENT SERVICES 21810 Copley Drive, Diamond Bar, CA 91765 FIRM w, (909) 839-7020 Fax (909) $61.3117 Budding Inspection Hotline (909) 839.7027 FIRMLY BUILDING PERMIT APPLICATION JOBSITEADORESSLJ+^v.4 CrVi-ker Zino Ln . APN LOT• •••...... TRACT OWNER ADDRESS J .S.i 0 C F) `1'•i' CITYninrY)OY3ti !]Y ZIP TE r ,5 APPLICANT L, TE SJI CONTRACTORAf:!EoVia�,)P.ii)crrer He tars ADDRESS -2Z _CQ rll }.ra I , L_4I_ CITY Vn l e n Ct o-- ZIPQL{.J'5, .. TEL 4 £4 5 -Q 0 AZ ARCWENG/DESIGNER ADDRESS CITY ZIP TEL OYNU BUILDER DEWMTFDN I hems a wrier penny of penury 0et I am 6apmPf horn rift QMMXd'a State U ,fhW Iaw rer the W3*3l W41OW blow ty the cluicumarke I haft OWW W to me *Pp we man(o} I$wdbn ton M, BMWWed ftknWm node tort GUY he twinty that mWA= aWrmit tPmmbuct, sib, Mquirse, tlanellak or c*O, Wy xbwhmm, now he ib swo=, abm ca"" as switom to IN pwmlt he no a SW W mb "d Mart be or she Is um EOd pmsudgtmth pm w m w Uri CmNa minus Sb otl,wme W @w*BE Carmwming wit States of Ohgain Sal g»gtmlrWm aW kaftakm Carla] or mat he o, she is Mason hoe ozone and Na has iw the alleged ademptlaeMy ykdwp,, of Sermon ions S ay am app Ftelthdr a permit autt" Me apPlicantur a civil penalty at rot more than ova hundW dinars (5500) UL a9 Owner III the property; car my wrodyemwdh wagma Mr WI¢ cmnppnsapm, And do U aft of he purlieu of the prod, and The ,aaeaee Is mI Needed or MIAMI rw zte N"Wtlu+ 7044 Suaneae and fttmiorm Cede The tadmclas SMO umlaw � notndy AW W mowed who mumh pmpwm Onpalmmi elfon,bolds Or imlamma the pmpert%prodded bet W onwwamdlW art my *W W or ended be sue q hawari the buldup or WPVnMOM It sold whim ere Year s=VOUM the Orman Bantu MR ]am the WNen of ammo list it AM, IWf built a mpar9d as the purpose Of erne) U 1, as mow at the pmpeC{ rim e.ebmhay, contraebnn With ircansad Corbactpra to aomtruet to project ISWdon 7044 BireiMeb and P,oftesbne Ode The CorVa tam' Sotto Leenew taw Cu68 not apply W an Omar of maimmy who mdmd+Ppmvaethaaon and wine antracufar tho innesp win a sawed CarWeem pursamd tottmWNecura' Slab Llama Law} U I WI ass vMOM ldpmum Odd the ox*amreDOa Ummp law AFT "WaO'mg maeW(ak By my simun sebW i acknowledge that smWtfdmy dermoal resource In WAch I must have maded for at hudd le year Pks to conanamor, of the impmanat, WvdW me this pant I mm Wooly asM a Amerce that l have bait a SW Owner buiderttrtheated peon constructed in pOddrdyby thaured Cmnmddol understood MAR Wpy of theawksbe now $Ockm 70d4 eM, Bu5Finas and ProlmadW Code is MIWW upm yo ram! When the application m sub rftW oat the mbmnn Was aW hftp mr bgleo mgwAzl whoa SIGN UCBPSEO CONmACYOR8 CIUMTION i*soy alum under monattq at perary that I rim acdmW umWr Pmct%xm of Chapter 2 (Momenctral With Secdon 7000) at amspm 3 of the Business and PretesAOns Cede end my noun, W m full b,a ad Glut LiconsE C _3 (p W;. 713 l0 8' GaWIAClon 1 wgxl�t's mNpunazrcay ggnAiunat i HEREBYA F W UNDER PENALTY OF PFAAIRY ONE OF THE FOIL ORNK DEGlARATOWS, I min and WE mau>tvn a Car m¢b a Cement to She hwme in WmNwY Compensation, as WTA W by Same 3700 of the tabor Oaa,fn de p9mcmnWae ON. were Awwitkh the Found W Wwied I have and t14 maryamGonserla CmrpeW Inaminco m recar4W In SecOan 3700ethe lebeCuds to lice pRtmWn us wort ldwtdnl the Wrmmm WasW ay Woddb Campduaton llmumnre Camddd AMAY rva 5'iiidN NM NOT BE CONFL UED F T K P8 WR 5 FOR OW RIMM M lAgS $ I001 OR LESS) gemyfat d tlwpmsanaxmemA Oak I,TwfikA mWpdmma AA a tahal MampR`a,ypmsm'.n onY manor®au Onalbtut2arc yfineara Carpdssaron tawsa CaNky !bar mcthatrt Arauld p e eupAclmthe WWda fampum don dSwdm 370O orihe Ike V9W;tmtlmecanpy dm9�pmeWlev I..,} APPLCIAT ti7 Q�e. E� WAR Fat b samms Worrarl sddn evmrem N deawful and "I subject W employer at criminal M mAm eW ON Marine to" m aded Rlowarel dada LTIGOOOR, O Wdroom b the Fast at" W, PROM derness pmvldodM lode er,3708of the Uncoils WANarid attana/W fma CONSTBUCngN LENWmAGENCY I a,ay an'M under panels at palmy Mae theme a Conatrucion IeMlp Agency for the perlwmaWa of the vurl, for wmkm thb Rind W bsuW (Sec 30$7, CN C) LFNIXO S NAME L.ENDEASADDRE4i I tees Cal I era rod NNE eppkmw arc dab net Ere saw, IeormaaW to maWL Ianre s W mmpy Aim W coy arc artimmuss and IW O him reteb t; W bu dbq aambus9m, and MIN aimmnae,eptaEnUtivm a ere tomato enter upon the ahmw Prompted property tar magntbm purposes PERMITTEE F, gLINA L SIGNATURE OF PBgunEE Of APPLICATION DATE 3I I"} P/CB ISSUE DATE ��\""ti PERMITq TYPE CONST OCC GROUP ZONING SETBACKS FRONT RW REAR ❑ SIDE7SIDE STREEt RW rJ SIDE ❑ PROPOSED USE ROWEL UNITS q STORIES •" Is BEDROOMS DESCRIPTION $0 FT FACTOR PSF ADJ AREAIVALUATION SFWACWREM GaralloGaport try W peticVDaok Poo08pa awry �+ Ra-Roof CGmmareal '. Vatuabon Ad' Area ! OUANTITY DESCRIPTION FEE j I &.......__ I (� L 1110 ca t ! uu CONSTRUCTION PLAN REVIEW ELECTRIC PLUMBING MECHANICAL. INSPECTION FEE ISSUANCE SMIP ENERGY P/C ENERGY PERMIT RETENTION FEE ci} - t7Gm PRE-ALT FEE BSAF I TOTAL FEES, i 1t- COMMENTS RECEIPT q PAID BY �/_=�T'l VAUDATION __ WHITE—Devart. tCopy YELLOW —Flnamce Copy. — Assesav Copy, UDL' DENROO—File Copy, GREEN —Appilewt 3 Copy