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Home My WebLink About17-25017ci CITY OF DIAMOND BAR DEPARTMENTOFCOM UNITY&DEVELOPMENT SE VICES 21810 Copley Drive, Diamond Bar, CA 91765 PRESS (909) 839.7020 Fax (909) 861-3117 Building Inspection Hotline (909) 839-70271W FIRMLY BUILDING PERMIT APPLICATION wwwcttyofdmmoodbare do building@d$amendbarca.gov JOB SITE ,ADDRESS110A cittwVyi,CG' - 0(. V-J*\)WC `\l APN LOT TRACT OWNER ADDRESS 110 C-1tN't Yea £. CITY%-. 3k\wu)-^ ZIP*([-) 8TEL APPLICANT TEL CONTRACTOR t` aiNkn L ADDRESS l0q CITY ZIP TEL MO - 6q S^ t/bb0 ARCWE DESIGNER ADDRESS CITY ZIP TEL OWNER-WLD BOECLANATION i temby stand under coma}, of whey add I am exsmpl hen the onotmcian SmU Umme Lrw W the maroMat adkmed how Irma sheaamlxim, I No Placed next tx the apgksbk tam{eI Ixmeon 70315, aNWiiou and Code Any city or oamts, that mgmme a permit to eo emict apes, abandon, tlarandO N, a repair, arty Wactran, prat U Its MaNNner. awn anq" fhe appllcam to the pwMt to Me a signed 1UbnWtlmt Now Ya M e.wm m tl, aaYtatoia a inn CmNrMore slam Lmm taw {CAaptM N) tanner hnpb Sax9m the aDMAINil3a An aWlma 00a P4Utffi315CUM} orrich Mgrandaemberfrom APP1101Aibd ambamafro o, ,@par eamrVan uod*d atidi atudbtlai 703r Sby airy aPPH®m MfepmmHmi'�oUa ga appllCmiU a d#pmaity M:W send, timtf five huntlmtl #dish, {PSDG} mwwar of the Properly, or my eomboYaes wish wages as their bear wul ad U all of or U PmOme y Aa weak. and N Orafto Ix not slowed an alland for We tSeCaon 7044 Bu*M and Possestonv Cade Tire LbINat6ti Sate Lima tan dbml not siblyto sus owner of etWarly Who Vaned ampstaboy ar nervous atl'af hBds or ImpndWe xa Poeby anymiod that the irteua+smmty are rim ymnaed or and to said a however, end building a Imanowmem Is was wipan dish year of Completim, am Rvner Bd*r will have tle b~ of Pining that 0 was not tariff e Implwetl 0.Y Ina Pro m AeN; U I, as owner of tlU "Party, we amlustoehy rorlbacdng was scenmtl connectors M comMutthe project (Section 70"A Suamadm And Processions GOA The not addis lom geonv M pndPany who trsMoelmprore6 Hamsbn mNwtmmMecla Mr U,epo(ec�wttlta(xelaetl ralhactapurwa^kiotiw CaNactas SUM License Law ) U lam ammpt from beenue tam, via containers finger Ucmae law torn e "owing moeeme} Data Sign By myswedi m New, I eckrowbope Mordant far my POW40 ralonce, In which I nut ham massew a mhmet we prior moomPMdon of the ImPndmmama WMW by this pmmhJ random lisp i 6abnClure that I None btwtaem ovmarbWWar H It new ml boon constructed in Is emhmy by limreed ronaanNm I Wermmd thin a spay M the a ial;aa, law, Satbn 7044 of the NUNneas and PmMamaN Coo he avaNmM man. request when this aPPbmtion N Mosmed or m the bluing Web May Hai aBmo as gcWcmaw on UCENSEO CONTRACTOR'S OEMARATi0N Ihe" asom vvmar Pmaty 01 emery Bat i at screw ~ prooUione of gayrter g immounicNg road Scam 7O0Pi of OMem. ace TherINdnem shot PNdeaalom discs, aml�mk} I=.= Is In t1ul torte end matt UUNSE CLASS La; NO t [ (Or7 +T DATE T 3f— OR WNTRACTOR WMUR'S ODVJ" SATM OECLAIUmOk I AFFlRM UNDER PEtASYOF PERARY ONE OF THE FOtLQVMOE'C.ANATIONS I have and wfa main a camfole of Consent v Sap berm fe wbM1e('s CumPmmam m draw del by Section 3700 al she Lebo Lade WIN Penambmm M the wahlar whbh iNa permale+ I turn and rom m&WmWb karts C=pommlon k ml,me m,WbBd by Ee4Wn 37O0m viet86e Cato for im porlaeearwedine vmAMrwNd,tloa pamhla Immd MyW SCLmpermmnkmnrBwYCxftr Policy No m bX!0 CARRIER '-XatA POLICY WWEfl Ee.e[. 4)ai1L4e 2.b—[ MfSSECniri NEB) NOT BE COk4OMIFREPMff 6FOR ONE U3nPPll W WJn $100 OR LEM laddypm in the perfanm®ol He work, vaimbtlMpemo Needed, I Sw iss eairyNry Paint In my monrwr wand Gptenp miLtoamNe Woea'a fnmpereeOUt Uw9 at hA �Iae mffitti d'gAtl Gamma nAy9ctUtlro War 01'a COlrylamaOan PlmrkmsmSxom 37W LabPrlly-e- I anPNwtTlt�txpwmgp RATE 1— t APPUCIM a,.ftS 'JsrkrN� k WARNING FaIWre to snow, Wt:kw'a 6ympenaAlan a wwawma, mM s Neon en ammpr U cnmam poaf dos and chi Res to Wend hundred nmama 609am (blMOR In abroad m the rose M as committeeman dmnagmasprovided far In $acted 37M at the laoormo Interest sou =may a lase CONSTRUCTION LENDM JoBlef I he mY mn'm under panty of WIM that Dare N a Cawbucean Loading Agency In, the perhrmance of the work do, Width this perms Is Issued (Sec 3097 OW C } LUM S NAM LENDEASAINDAM i Certify sat I here Tad No amiseaoon she swor and IN Above Informants; Is rxamct I ages to ommy with 04 Fly shot tuu*, Ir&snces and mate lows meting M UNIng mnsOmbon, and hereby achumne mpne9amatlw9 M in a edam} to onto coat she adore .^celmomtl ro be katow Papoas i>t SNINATURE OF P€IgatiTEE DATE APPLICATION DATE "Its (1-4+' PJC# ISSUE DATE l!hS 1%'j PERMIT# PA 1-1 — TYPE CONST OCC GROU scope of WoeK I2;. Y]i'L SetA.P t # DWEL UNITS_--t� # STORIES yP `iye, # BEDROOMS DESCRIPTION SO FT FACTOR PSF ADJ ARE"ALUATFON SFPIAUO/REM Garega+Caport � PflitanaCk uw- PooV^vtm _- 2 Be Roof Commerdot 7 m VAlIV48 0W Adj Area QUANTITY DESCRIPTION FEE cp 9 >E a CONSTRUCTION PLAN RENEW ELECTRIC PLUMBING �t v �' + to & MECHANICAL INSPECTION FEE ISSUANCE ,aa , A= • s+J' rein SMIP ENERGY P/C ENERGY PERMIT RETENTION FEE PRE-ALT FEE �A BASF PLOT PLAN ZONING CLEARANCE TOTAL FEES COMMENTS 'CR 49 . -70 P+C pp alPrAAID BY * t VALUATION AECEPTe3-inPNDBY VALIDATION cs WHITE —Oemertrrent Copy YELLOW— Flpante Cap'y, PINK —Assema Cory