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HomeMy WebLinkAbout15-0549Q F5 I Fln I DI,INI)NO RAR CITY OF DIAM( BAR DEPARTMENT OF C( v1UNITY &DEVELOPMENT SERVICES 21810 Copley Dnve, Diamond Bar, CA 91765 (909) 839.7020 Fax: (909) 861-3117 BiLl g IRS ction Hotline (909) $39-7027 BUILDING PERMIT APPLICATION r JOB SREA,DAE,2-\eZ&� Ch!W(-M Eck APN . ... . ... I.-TRA LF OWNERfi'9 T1 ADDRESS CI n-ldn C7 WAV--�--�EL U APPLICANT TEL CON' �-j Ile C CQ ADOREC4 0-n- CITY 12K4 ARCHIENCIDESiGNER ADDRESS CITY ZIP TEL OWN04MM OEMWTM I heraft alfirom moor pmAV at barberry M I Mn "wro morn the Stag Lecome, Low nor the Movement MUM below of Fee thockirroulmu., I he" comd mixt in the Workel Forms) (Spilike 7= k Owl om AM ft%UlOrA Cable Any bar of laity OW MQ*n a PWM W =WlMt aW RWM, dMIfSk V MW, WW smachums, oft to lb, "usual also noomms Ifte a~ IN the pan" belie a slow, suwnw Inart No a On Is UMAW OSPA&M to lotpovwam at BitCU&Idws $be U� I" Papur 9) cmwmmft him $now 70M of Albania 3 of ft lawmans, *0 FWhN"Ws Cable arty ho a Are Is examint morm feconswe M the bible Car the ~ Womemorl Am v*Ww a Section MI 5 by any $Retail far a permlsubjectr tell appkm ma CIA annually blunt mane 6. Fin rumored domain APSIOT L) 1, a name at the pratififift a mer arimithes with wagant a inner both cormomadom will do U V o(vU Incomer of the walk am the shficium Is W Located a offirrial 'I& aam ChMan 7044 BiM7 of Prolinscons Came Tire !name Law debt motablicy now toward imajounift thmanall ampWim'wpffww ofted Wks 0 donfill ft MXXW Wailed Call me MMANIMMIS Me not u0nded WONW! W M 0 hQWWbr. the bill" N Ul M44 Surneem; and Prafesslour Clear Tire CamrazionnStorm Unnow Law dow, 10 Flow to 0 rowill at Manila who minew be nnmrea thomM, W Who =(=to am AM P'lowt wall a hogrAwd CWhArAN Om t U) ft Unners, Lear) U I sen external ft. km.otsr the Commodore, SAM Uthaves law ft, the followinal mebrourear By " vereacure below I schrommulp floor shoolit Anx M mumannel rowhimbir on which; must Am" mspftd nov of Who con Year " to =mPANW 0 the Powarall by thin Parrhou cum "Fror so a slibruchire get I him MR a an law %N UCUMB CONIRACTUn V4LOXAYM I fienalay of order avoll of parlmy that Ian flomarld rotor Promears of Chatift, 9 lavnmondnp wall Won 7000) 0 (Aidsin, 3 olue animals anal Prutsesions Code and my flumnso IF P I fell top LICENSECLASS I CONtRACIDA :5L� *)ORMI CQYJSMnM DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING OJECLARAPURS — I taus one will Maintain a Candfinorta of Comord to Sell Insure for offorkarl Componential a powded PY 19mo, 3700 of the Labor Code, for the performance of the work for Mich this permh Is leaned I haw and will MInurn Woreart Cormansabon Inumace as required Dy Section 3700 of the Labor Code far the performance of the work for which this frainnit Is MUM My Warkerb (Wriermsefifion Insurance former and Polo Numberflare I CARNEA PouchowmaER -1 1 Jr LA,-) L--. nS I ( ll�l I I r-� I (MSTBON NEED! i COMPLETED IF THE PEF-M IS FOR —ONE "OM MI—ARla 31 M OR UM APPUOW WARNING Famm, be secure, blame s (mombeensaft mormage Is unlawl end turn cutheact an arm mm" variants and vml Face up R, we northern thousand domes Cil GOO(}, in addrum to the bear 0 the complenicabon domages as nominal for In Samille 3708 01 the ki MOrnivresh and ffhanneV5 Nor, GWMUMN LIMMO AGENCY I hereth, affinfir Manor Panetta OF Phase one lower ch a Constraction Lending Am" for the Performance of the warn for which to Merrill, bound (Son 3OS7,Cih C) LENOER S New LENDERSAINCRESS I celify that I him real too sookciflan end sal"At Na never eftheralux; is moment I ini Or many will all col and onficarrom and able Mae ranuffing be among consermber, arm ft" samirmor r@mepbnmtiem of ft warry on labor W the member martioned pop" For hotel pubaseas puaqTTU MAW mw SIGNAMIEUPERANITTEE WE PRESS FIRMLY APPLICATIO P/C#— ISSUE DATE' ��PEIIMIT. OJ-A/9 TYPE CONST OCC GROUP ZONING SETBACKS RL— EAS a FRONT Rval LJ C s— lDr/SIDE STREET — RW— CL SIDE PROPOSED USE A DWEL UNITS — A STORIES — to BEDROOMS DESCRIPTION so F7 FACTOR PSF ADJ AREAAIALUXIION SFRrADD,`REM I 0 PatiofDk poolrapa Foo-Rof cchornemial far Valuation Adj Area fTY DESCRIPTION FEE 15b CONSTRUCTION PLAN REVIEW ELECTRIC PLUMBING MECHANICAL INSPECTION FEE ISSUANCE SMIP ENERGY P/C ENERGY PERMIT RETENTION FEE PRE-ALT FEE BSAF TOTALFEES COMMENTS RECEIPT 0 — PAND BY il— VALIDATION WHITE — Ceparnalwarn Chop,, YELLOW — Finaholne Copy, — Assessor COPY, GOLDENROD, — FRO COW GREEN — Appolcueni Copy