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Home My WebLink About15-0837I 0 C P; I 4W(909)839-7020 CITY OF DiAMOND BAR DEPARTMENT OF COMMUNITY& DEVELOPMENT WICES 21810 Copley Drive, Diamond Bar, CA 91765 PRESS Fax:(909)861-3117 Building Inspection Hotline (909) 839.7027FIRMLY BUILDING PERNUTAPPLICAT10N JOB SITE AAPNDDRESS —r ... OWNER JPl►17L�V T i—T••••••••••-- t" 1 rra V ADDRF�5 S (I t rolpf4 rer- Dr. CITY jh'otift SAW ZIPWA5 TEL APPLICANT y TEL, CONTRACTOR i MAXCAP(IFf" — pret5fo t GIA: it CO, ADDRESS 1S'5V21.�s 0ln11010i A .g.} CITYCSN� if� ZIP CIF TEL ARCHIENGtDESiGNER ADDRESS CITY ZIP TEL UWcal-MOB OFOLARAYM I hereby been uIer pony a Nqury mat I one a pt worm to Owm CW's Sob Dons Few M the mason(s) Ind'tabM bete by the eneckmarW&` I pare placid end IF to 400ofe Itemis) (S¢aRen MM !% 9uaineae and Rete®elaw Dods AM pity w camPf and require 0 poment V Mwbact ether, Imprae,, damaR6s, a rpatr, AM lskff e, mar wrawwmw,aiw ala" bw applaMteboul PwmREa enangnedNMMcbaatbwum a Scmwod pawwnt as tIw pea W ale w tlw CONecars Saw tkatwe bale {ldro pea q Cammnceq wren SeNm aTDtyablt 3 a em8[sRreYmwflpl¢eaalw DedN a mat a a she w eaempl am hie'6um and bra Twsa Au din Omu eampom Adredmdana Sacien T03a 5byatYanimatar apamdwoiecte meapmramaecrtilpamly a aotmaeman foe Aundmd do9ais? of to week sumc,r.amYamPmyeae Wlmwwgaaamar m7044,mRaLadll id fiaaUodNOur a ra word', and me 9tNCtum w an not a came, ar awe t5tetrer 7OM, 9.Jsmae as Darewbib Chia able Cantrators' Sao UfE'ae lew�¢s not epply188n owner a pramly who dnaugr, emPMersf aweser t obasislash bsl0e or I rovam t is old who one mot pm ssion,omenw am not handed aveVw bubble, tar eau R nwnxed fM ddtlktq A or Impemaaiemd xrihmone years ,Da tNmer-Bu asrw Enne,dw bumenaawamatttv9ana andt a lmpmedfor the G.+pcae of cool U I as overwrof din property am eacluc`my camaebng oft Ilmnsed Communism bean" the pinta' dieciim 70" Busaaa fro Pmfe Cade The Gx*wbm' Sate LMM law does no V* to an evmer of mop" wM vrarawasprorwn.aMwhomnpacataewaakaarMhallceneedpi'mtrstapeauaa rome Camacam Sae Umrae Law) U I em emnpi from erenwae under meComntrar's Stab Lunn law forma follmmg manna) By my sgretse Wino I advertent that except for my pwWao rwastes in Arch I maw, ban added for at lean ore pnato m oMmrof nw fmpmnrlwna needed by not Perot IMMlegally 01 a Souciwaneed l have, Nor as at owner brlddw9 haasnaoeelcana'ucled a amdntyby lawmad Wntrwhin. Iundaaardmatamryatneapplldao law Salon 7044plone 6v5aaand Paesalam Code mUM upon mquwl Were to applutem ussubmdled act m8 dMfowing Web da Hiplinm# lepnfo ca gmv/came, here DATE 4 i LICENSED CDNTMLTMi s CEGIANATIMY I baeey wean unaapmathy of party beat l am apenw0 muter prounneares of Oepar 9 twornamerg Wool SBetlOn 70M ofDo. 3a to auy'm5e and Predictions Code and my liceree Is m full �once eNaw - —Tc.k.i. Lo 19_ WMUICOMPQ=TTDN OEMARATM4 I ItHOWAFR16A HIDER PENALTY OF PER WME OF FHE FOLLOWNG 0ECLARA1_ I tare and w'e mulften a CarM'Late or Domord to Self-Insum for Workout Compensabon as pRYided by Section 3700 of the Lebo Coda brm10 pabimanm a the leak for wnmr mad perm[ N Issued IhMeadml mandaln Waivers amura'Ke mregtOmd MSada 3T00ame tabor Cora tar bed papananrea meworkta wiadrmapamhla Daua MyMbdar'a Caaarsadon BleumnmCa'arand FUiy Nwrdmr an, DIFFER POLICY taPeS81 RNSSFLTMeNIED NOT BECOWLEIEOFmEPffWSFORM IA.OUS DOL ARSWOMCA LEM cwltly fowl mtlm pwbmww�oNhewakMxmFAilrepamd oanatl ahalMenmioyarrypempn aaryrreaw so era fra, Comma nmM5mmor WaiSin Da37000 nlasmd AM Bpn ealalnnM rO:mew W.asnbma Worlal'9 Sbmpen��310ga I I APYWewWAnsedRv+tsiale WARM1S, Feilum to senora Wa)ar9 nsat m mvamga Is uMawful and stall subject an anparer a cr mbW peanuts and Mal Ares rk as now hmWm bwusand covers 0110000), In ea0non b din inn of des mnperaedm downtown ae prooded for m Peter 3706o to abomawarPAt, w'd turbine Teas CONSTRUCTION LENDNM AGENCY I hereby athem under penaRr of perjury mat mine a a Construwon Lading Agency for at orkmearee of fha Feel%ra stba to named as Issued (Sw 3097 CN C ) 1.FNPBiS NINE..__ UNDERSAV R cis writyL'ewl here Red` Ns appllmis : and suit bet to shave Infomance Y carrot; agree to comply *tin all oryam aatmase end sale low, rerefly to budyng comstrJwon, and hereby BNkaNs mpta9Bnwbves of N,=,to a war abaed mambo"" pmpedy ar 'Ifon puTcwes 4/As &4 E Eu+aE Pxmm SIGNATURE OF PERM ......---WVE APPLICATION DrATTE1 Zit — i'r — RICO ISSUE DATE 7/ vl ff-3O0%-r PERMIT# TYPE CO NST OCC GROUP .... ZONING SETBACKS FRONT RW ❑ i REAR ❑ SIDEStOE STREET RW ❑ SIDE ❑ PROPOSED USE N DWEL UNITS of STORIES p BEDROOMS DESCRIPTION SO FT FACTOR ESE ADJ AREA/VALUATION SPWADDTREM Ga+®Deuti rpm W PrOb/Deck LL Poovspa ZRe Root �_ Convnercwi vaiwwn Adf Area QUANTITY FEE 2DESCRIPTION aaGiL4 V P.0 Rl i EpC3gaq aj4 I uo I j i CONSTRUCTION PLAN REVIEW ELECTRIC PLUMBING MECHANICAL INSPECTION FEE ISSUANCE 72 SMIP ._ ENERGY PAC ENERGY PERMIT RETENTION FEE PRE ALT FEE REM I i TOTAL FEES e Q COMMENTS i REOEIPT p PAID BY + VALdDATION WNFIE— Deparbnau Copy,YELLOW— Fpmnca Copy, — Abettor Gopy, GOLDENROD —Fla Copy, GREEN —Applkad a Copy