HomeMy WebLinkAbout13-1795m
i
.a
vi
R
N
n d BA
DEPARTMENT OFCOM
MUNITY&DEVELOPMENT SERVICES
- 21810 Copley Drive, Diamond Bar, CA 91765 0 PRESS
(909) 839.7020 Fax (409) 861-3117 Building Inspection Hotline {949} 839.7027 FiRMLY
BUILDING PERMIT APPLICATION I I
JOB SITE ADDRESS u9Ak
APIN gi Z LOT C�TRACT EXE
OWNER
ADSS ° lAqTELp77'�77
APPLICANT A ZIP %I
CONTRACTOR rJi'...a.KisEli id'A.}G"nAIiOEtAI -Inc
ADDRESS ��'b diCA 5S
CITY S. ei tt Okk ZIP –1.17 '{'� 3TEL 624G-9000 06
ARCWEN0,1DESIGNER
ADDRESS
CITY ZIP _ TEL
OYENER-BUUER DEMAUTIOR
I amnn ander pnmalh of Weary ME I am era E Pose the Container's State Lmerae taw me tin resson(n)
&adeateG Deme M me medumutS4) ' here Momal nod to 0w termcable donde) alletlm 70MA Bammae emf
Cade MY OF a musty Used reaaetea a PMM as wwbuck elms Npma, demakit •m ftp* Ary
amahaa.Ptbto to mllmwm,BNattada W epPl%'md ser Use Pam* IN ft a a(gad r101004 Omt Door and
ISUtmsea Iwmantm OseProwsipasaUwConmeaarY Shia Ikem#Tm(Cmptaro) Eammerem, vasiOn nm
of UWtsmn 3 ofthe Stewart MdPmtsssbn Gain Met Ls uNre seasonal Lon llcensurt and Me Water, fes
maoaogmnmano,AMrldamn OISIMM MI SOYMY aoWam As a PAma aumrm ma ad,ok tmatAdpmalh
a INt User Rae I.0 delineation
ULa ell,M ePtcpmh,demy wPhwapar who
(SoM mmP■aakn,vr; MdUAIamUDAmns
a sew waN, tap me nmxmm b nes t a" t a Were,ffentel Pr ole ISegmp 7044, $ mpddfa o Panama
Cora The
W Impowr#Me MATIL ann doewo n derpowe orts aP(et In w11D. 1, OW ataP4YCee' or PeraM0 ptfort, toons,
buumW
mimpreye5t}osWwrdMm ywottUw 9i6no1lim"mNdaoltaedfasmaPhwvAt,Uem ,ger
hr memerdd s see PAM
fanpatm 9a50wnai BUAdPt wtBIiA4V m@aaadmppaWgihalltwa MmYb
e ImPlam ser Oda gapo9 arm )
U Lav owner of the Pastia am mmuamh comacmg MGM Premed Con"mer, m comment the project (SoMem
A)" emnea ane platforms Code The amowto `Soria Lkase taw Ones Mar any m an names of prop" was
r lmprom vereaa andwiotmbazb turtle pmortmom a Ito" napxtaferevent mile Dnmacmn'Stam
i :ova)
UI em damp hem Ocarwee maser me CoWsOx's Smm Ultimate tow for the topowmP tesma(s)
By wh anome boor I Oial, incept Per no, VNWW rame va hwhach i must have females fix W ma5i see
You par la ompawon of as mrePmmmdt tamed estate Pam aj ostler kWVy edge a muMe Dow tees sen a an
Manor Wim e0 AM not been ma§icrdh ttvmtrey byllCmm04mOracbes I understand oat ampYaand gob ft
AM, SWJOA 7044 of the Bearwaam Pmmeaa d Code eaAdtloupan (wearwhm Oils DOOMW D mmnmed see
UW WWAng Wm mm hrtp'ww4rmp(dD eagam3bw wlmi
SAI
LICENSED CnnBACIAOR'S DVAARO M
I hmeby alarm near, pealh a norm" ads tam Name me Mars" OW41 r 9 Semen mating vein Seam 70001
at DMMM 3 aMu> 30meas and Pmfacgns Card, and my IMAM Is in to/ tooYnf. and elem
I ID ND. ? 3 1--
olroull CNMWTOR 5ta ban 3o,,Kr i2 'ok a
WOMEN% COMPENSATION OECLAMATIW(
I V'NFI WNfIUN LINDER PENALTY OF PERRIM' M OF IFE FOLLOWING OKLARATIONS
I Ilam and *.m mvaan a hnMmta OF annual to SO -Owe hr Walder: Germanism a mavied SO
Sarum 0700 of Pa t» otld am no Memetwo (a the wale itswfdrh DAN game D mw4
+' here and wage modern wakef's Compenaalmn a, as reapmtl GO SxOM SAM of me Labor Cade Its
me ImdamAAa,omawok(a winch pas Parma is Wood nYWorker#Cwe RSOMb MM Come am
POIay NmMe Aad q��a
CARPER
POUL'YKW-a i- 4091
(M&SSa."MNEE)N BECWRMFiF KiWSFORC*RMIED 630MORLESS)
IteWaalnlPppAiataamtamewakh.L send Ise And lafndrml em narynavemam
Rlpcim Pe WodSan,37OD41 m9a norm Am saw awgetmmoW'atat
ubua Seclbn S7OOa IahaO win
OATE�i APPLICONt
Fame M awr, cow ago m u amen us" an of~ m m Allow
pmmNza and mall moa up to dead ImMIm mamma mime (Si00,O0Qy, to tlamo is rte cost of the mmpersa te,
damaged apmwtl¢dfar meeamt 3708 of u Olson ma Imeal. arm amdays..adds,
C TSOCAOILENDINO AGENCY
1 bottle mDm m910 PAorh Of WUIY Dot mem be Coeaacimn Lending AMAM fm me pemesnerca of the wast itr
winch aapmm mamma ¢a
31a7 da C)
LENOFRSNAPE
LENf/FA SAODMESS
I nrtlh that i Pareraad dmepparetm see aaa iPm dw a0ata nmrnaUm m cored. i dame m rsenph vAm al ah end
mamarasattl dam owe RmmgmmNmg mnrbaddal Am MlNa mPaaet amN oamtym
ems uqe tlw sherd rnen9aed Pmtmdy ser brtptclonp�aptaa,
ITE NAME IM" r
I �L --'
SMd(AIIIMEOf PEM � DATE
Il�M
Mx.
I IIIII�� r
■
..0.r01GE
P.
DWEL UNITS
n
AISTORIES–A—# «♦
#
PLAN REVIEW 2-7
ELECTRIC
a t //
q, //
f'1 –
tt
MECHANICAL
et 0,
INSPECTION FEE
1 ISSUANCE
jar
ii SMIP
!1
_
ENERGY PIC
ENERGYPERMPF
RETENTIONi
PRE -ALT FEE
EISAF
�+
COMMENTS
S%Y[fri'OI1I�7J1�`r
S
WMTE– Depemmmt Cary YELLOW–Flamm CMA, – ASteaDl Copy GOLDENROD–File copy GREEN–Appacant a Copy
CITY OF DIAMOND BAR
INSPECTION RECORD ' ' r