HomeMy WebLinkAbout16-1912LL
z
0
ai
0
1i
a
CITY OF DIAMOND BAR
�' DEPARTMENT OF COMMUNITY &DEVELOPMENT SERVICES
21810 Copley Drive, Diamond Bar, CA 91765 PRESS
(909)839-7020 Fax.(909)861-3117 Building Inspection Hotline (909) 839-7027 FIRMLY
BUILDING PERMIT APPLICATION wwwcityofdinmondbarcom bmldmgQdtamondborcagov
JOB SITE ADDRESS _r,. IINO CCt.1.014ti.Qll d Ad-
APN ....... LOT TRACT
OWNER ,......._..ft,,..,, /4
ADDRrE�S�S � � f�.aC.. y,,..fyQ+j�•'rie{
CITY bA+4+�raes'ai-.Tat- —ZIP 1126V- TEL APPLICANT TEL (} LOT "2D13— 5.J Z
CONTRACTOR aT b
ADDRESS Gt 523V-L.-
CITY =a + �_ ZIPV777 TEL q 5/- 51-7 '?D <-
ARCH/ENG/
DESIGNER
ADDRESS �.... ...
CRY ZIP TEL
DWNFJbwBLpER OFAANATNIN
i hadrs am. were many d pereary, card I am eaanpi hen me ra alackes Saw Dceme tar as me me"$)
mdxao been. by ma clienneverwas I harm Pbmd raw m me spdbWg Ideas) as) ISmH>a, 704 Bwmba No
Pruk® Coda Any May a CM*#mdsagpras a pama m scoot doer, knprme, OWWAN ReAm, sty
aLucAar, pav silo aw®IPO,aogmQwOD baapplaw# baapmmlm fine 81®ad ebmmmnamt taw ale
a Dmwg pawrmd m the Prrnarw ffi 6a Ompxtas Stab ilarme taw {tlapbr D) camwlw#rg wms Sxtm
7pODof dscan a rose Blsaeaaa and Hwasans CPdel w tlai b wade b wempl Aom tlnablreaaitabasbtar
meatlagmeampibr bry Nda'arnd Sec7mn lint 5 b1 am appamataapamd[wakedstb BppkammadyA pciary
d mtmaeaan fr+e NwutrmT dnems V46p7¢
at wak Man ePrapelty,wmy YrMareskr AMMaebd7044tmDperay, a and wU*0 The
of the tes and Una Fear M rib Plural l a dbrder at saedy was T04a artl M Woo
HCade The
ss
W maximum
terse taw sus antP-OmangwnamWe lmwodn demand Ter a*
hemp, End willing
or
a mirmes the ammoewrPrW m we rid lnblgmaatwwi�nbe aging W nawmenga
ammeark bis it mime ci years W' eUPr1 pa Droner guGppr MR have Ak MadmdpmAnp and Rrods Ra WA
a impmsm trthe dsaal
i if as awamT at the we", mi esdtt }NM m ncft war Iiomsad cammawe mcanitnued iha praised aedlm
Bop and rrdrm+ar Catlo /he ramermra' Stan tkaaa need spas Iwr apPi bar awwr d ""Who
I LadpmvesHraeai wdwmconirmdalamaPrtwmwsmemansed EmmacmrwakntmUm Cpdmedaa'Staa
�)
L}l eon e¢mpl ham NACAIItfaGta'a5t818!#4Rtaipwfaaw blowing
age
BylR} a�ahae Odpw IaSYfrpadl9a DdaL emdd fa mYPemm8169oeroa m whrA I mltlltkm s5medfaffi IBaetaN
sea pda mmmpmtlon dpk mowed by mctmmtd ranaad ogaPy sees strumuethm ltammW a9 en
3POCdedw If N Iona as sear mcmvdetl m Ra 011bely Oy mMleemm I wa Rat d mvy d Is
trw Sead bn TOdA tla 80PAW am Prdeaaa Cade b em#able open legumedwo t vAkn Otb eppetalbn Is
ammlGedaat mOfalPWlnpWm6W Idlprwi9+'s aglMomgtrcNebwmrM
LICDM
CONTRACTORS OECIAMTMU
i nweba airymwarr granyd PeRwY prat i am Acwaed ulmw proMMakd {Tapia A loanmera'MO wW Sadmn7DOth
dPA$nn3ameBuslnemard%d ism BM mylkempbmtuTtomeapeiVed
UW"WWfi-3G UCNO `f1o3J3
DW RAPE_ q . 3U -_,l i CDN RAVOIR Irv.. 4. Pl u,..
WDFAM nM(MOL TM
I HEREBY AFnW UNDER PENALTY OF FENNRY ONE OF THE FOELOMNG FED MATOC
....._ — I ham and e1A maduln a Colombo alned Cab Suit dawns he WosrrkeN 's ConsOn a9 demised by
Stdbn 370E eta door Cafe fa ft pcvfa�al0ework err whth ftpum#blw*
/......Ihamatl with nwaMCre CAmputbDOn aarmmred Oy SaiM87Wpl metabw Fade fa
l" the pedaaramkaaf me was ra which mkpemtlr lawskd My wdkera CmgenSaOm lnain:nfe Gmerand
PdkYNumberve CARRIHi i-:$,.if-y es'sV43111 fil.C-
POIICYNINARS
(R9S SECTIM NEED NET OEGONPI.ETEDIFTIEF6w§TBFOROtEHMFEDDOLLARS RIM (Rini
i detn mepertortnaavathewakiawsdfi WStOmat atmmd iswra mygmypamnnaya omm
bmiaSMW 11101eIN010'e OWOUMOMLan of citf ne AM Ap'mmal Hlmmb bemnaamdmmDr Waym'a
paksldmaSacbm 3TbDdaa tahrCada Iadd WWOOM*ywrmthaeaws =
PPPLICANi
WARKWG Faaus se aeons Wakens CWwo=UM mundane by mwyhA sum shady subwl an employer an aymhsi
pemVka war Me Russ up to ma Pumbrad thewand dollars WN* ODOR In e bun b the cost at me orrpansston
manages aaMmlwal fed In auction3708 attfan law was mamw and winner a may
CDNSTNwnoN LINUINO AGENCY
I twshy Wm mdm many at peOey Hand prey Is a Carmaxnon Lending Agency Tar rul pwlamenm d the wax Is
vermin mM Pamd to owed Ne 3097 CN Q
LENDER B NA W,
LENDERSAnORM
I anti sure raw His anckaOm and Rift arm me amen intamadon la arms i to tangly MN all My Man
wdlnar0.YS and gate Ins reading to building mnabuct an and hereby aubadae repterent[6ms of this Carom to
rarer upon Ok aMa mkiciaad property for maprdion purpme9
PUMTTEE NAME
�,6�..� O13. It,.2ot (,,_
NANAE FPERMI OAFE
APPLICATION DATE � 8//6. f J (P P/CA
ISSUE DATE �G-.1�tI/* PERMIT# M(O �1QI eL
TYPE CONST OCC GROUP
Scope of Work
aDWEL UNITS #STORIES #BEDROOMS
DESCRIPTION
60 FT
FACTOR PSF
ADJ AREANALUATION
SFFVADDNiEM
.....
...
Ganaga•Carpwt
w
PW5WDwk
w
PaoVSpa
......__........_
ZRe
Roof
9
canmwcw
ai
Vataaeffic rr Ad) Area
QUANTITY
DESCRIPTION
FEE
CONSTRUCTION
PLAN REVIEW
ELECTRIC
PLUMBING (0L to 7
MECHANICAL
INSPECTION FEE
ISSUANCE .• 12
SMIP
ENERGY P/C
ENERGY PERMIT
RETENTION FEE
PRE-ALT FEE
BASF
PLOT PLAN
ZONING CLEARANCE
TOTAL FEES
COMMENTS
PtC PAID BY +E,, VALIDATION
RECEIFR'a PAIDBY 9KT VALIDATION AV
WHITE — Depart Copy, YELLOW —F CR)y, PIN%—ASeaaaor Copy