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Home My WebLink About14-3499lint ti a CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES 21810 Copley Dnve, Diamond Bar, CA 91765 a4a„ (909) 839.7020 Fax (909) 861-3117 Building Inspection Hothric (9") 839.7027 BUILDING PERMIT APPLICATION JOB SITE ADDRESS L`v APN LOT TRAC c+�1 OWNER_ pYY �C ��dll ADDRESS CITY TE APPLICANT T CONTRACTOR —AI i". ..,, G LVf�P.%f ADDRESS 030 ,AnFj CITY r-10_....___ ZI ARCH/ENG/DESIGNER ADDRESS CITY ZIP TEL DEv"rlo m I Fwrtby offkm Orleans penes of peers dwf I All me n of from Ra Contractors Son Loons Laos, fa tire mamw43) Wnsi ri hews By Non i town pimoed watt to the respoicalow dempt Foroffirm, 7=4 RUNRIOs and foraftemakrealbodo Any dots or peasdy NmyepeymhtmamatrPp4a�,impmye, d4amddAm mpak, my Aroleah Prato its bseaaca abp F849ku w GPPRPem font din PMMR to file I signed vedwroalt that M m a% b pmmamtps Buokw mtmMPnI sftmGodaSbiamlm, or Law Dhapeften le ease an the Sm4bo ♦k Ohkaim 3 ram Rmrkmsaand Pr9lesalorm miMp] Or Nd4Bw Or 6h6 is ekempl hail iimnsaw ma U10 LwmaW thmakdc%m1p14N AtywbiaWnas Sack, iO3t Sb(wNkRm taa peangaudpda In0 esPBtam baclydpatwRy a rgt ants Non Bin hunaad daima $S9D) U i,m omaradmpmpedy sins empaywewiN repots u marmle compwwadan wilido ❑ al of or U porle m of Not work, and are andapm is not 6dmWed Or afaed for we ISecdm 7044 Budn ism and Praeammna Code The Cmearlms Stare Ursmm Iaw aces not apply bin owner of popolty ono f endon emPwyees' o, permr+a efloH, galls a iatptme'S dw prapwalg prarWep mat Not imprmemerwb am ins IawWm a mMm an Bale N hmmwe, the buadre a Or impr meaf h min wlmw mB pea a aaagetm, the trwnn Bundarwma nayo me bUNena pmang thin B win mi odii Or mPlered for me wpm of mho 1 U I as mama Na "weft we adaaray cantrmmp wit gcemed Cenfttu3 b cmmtNt ma WINIA ISaAan 7D44 Bommems aid fYpfd lions Ccee The Gwmaabrs' Slab Us owsp toot dams MI abet, to m ewer a ___ Min mlmmmes Nmmn want wimapr"far NO project, win a emosel Camsma ptewm1to9wWtmacmre $tara Law) U lammmmpi we beemm tpmw am 0"&C B Stae U®mrlam, NO, ens loPewkg marromet By my Plmndbae below) aaopwkQge that, excess In, my pmaoad MWmd4 kl whin I ami find re and is et AA" yam pins b mmadam age impamnm6 twamdllymb PmmLIUMMkmRI'8eaawawtm@ Owl" tkdimm DOWHelea rwl bean consmshedhibemimytykerwedcomexas lurckntarWamampydim weakened low BmmarT6Rd Pw RaanaeamPRutwaiaerbm aaaaamWapmreWmswhaw elm bmNNmaad and satmm9lMep sib IInLYryew Mtn to 9erfrabkw Ism SKA LTV=OBNTRACFMrSOEMAPAT= I a9wnwWmPdOks'm mklmy9pm wain kcmeaw ieWwaprmmbrwaChapwa atmmniencmpwMSBctal 700W a thwsmn3a Not &ww Praasmrm Cadd mpmy aceteeis mks tamast what tlCEtiSE' LD NO VKMIU R'S CDMPENSAYMN OtCL4P 11M I HEFaYA" M1 TINDER MALTY OF PERJUYONE OF THE FIX MNG OEGMATIM I how, and we manbb a cerift a a Ceued to Sea kwure M NbdrCra CompmmBbon, as mma ed try KPISaMon37M0NotLabel Cade, for thepm4ormence ofthe work fa when th s pamdi is Imam stow, all wit marcAmnWakenOneeasalim Insurance, as reoared by Section 3701a for Lana Cale for the pebnmma at flw oak for which this same Is Issued! My Worker§Wastes din b64xanab Cemwvtl IMba Ne#omam �f WRIER POLICY NUMBER _ - MZSECNC4 W"NOTRECOM ISMIPTIEPERAp6Hn0NERNUFDROtL w�,{ Icerby Natwl (aft workeeadmswm bx/ow of pwoa; wed ym� ,andSO noema rk" hraane anteelmme Vhrkm9 CSingmdaadmi Lawaa Cwh Ili d'YwawmmZ on V.W8wa rnrnh,,ylPr.�c�yTrmaawtahc antra BrrePmkaima OA %f Y ARNNO Feyure N amulP uniform and Bin Issued an MOW In =Ad mtl cost LPm W m am yantlre l IsloomG m in SO cos of ew im, dwnweaaxmandedta maaawp37W sand Wdm culd, names mad onoveyshm CRkSTANGRON AGOCY I leafy sham meat porMOt MDOY not mare Is R Combualm instant Agency as IN, pedmrlwtca by low work ha wmr,ch"Upomab bow"(Sm 3w CN C) LENDERStivdE tEtalGi'GMgFtESS i dn9fYthak{finep rind gda watl aete Non Uw e0oa01nhtmemhmrrtti taPmabmmmywMaUGIY and ordkwatcm and wa iee4,lbdmOwgomsw I na/M�r/anym{N%{m�leetepounNtke§a Vda awmlyW miasma meonwtmmna apmry' kmPp[Bmps TEE Naa4E ........... SWNp WTE m APPLICATION DATE SUE 5l,'�f, 1 I lxi- P/Cif ISDATE '� 1 1 i 141- PERMTTd Fat %I+- TYPE CONST OCC GROUP ZONING SETBACKS FRONT RW ❑ REAR ❑ SIDEYSIDE STREET RW ❑ SIDE ❑ PROPOSED USE or OWEL UNITS d STORIES N BEDROOMS DESCRIPTION SO FT FACTOR PSF ADJ AREANALUATION SFILADWREM Garfrosecvpai W Aa1rNDack LL PooVSpa ZRe-Rowl 0 � Commercial for Vatuai,pn Adj Area QUANTITY DESCRIPTION FEE tj W z 9 IEd CONSTRUCTION PLAN REVIEW ELECTRIC PLUMBING' as MECHANICAL INSPECTION FEE ISSUANCE 'RES a a SMIP ENERGY PIC ENERGY PERMIT RETENTION FEE ci.. PRE-ALT FEE BSAF TOTALFEES etjcle 41 COMMENTS RECEIPT a X ,—'5lyc,_ PAID Hs, 1�1 1 VALIDATION _ E—DaparirwmwTt Copy YELLOW —Fftomcopy, —Aldebor Copy GCU D—FRe COPY—dppikar aCopy