HomeMy WebLinkAbout17-17231rye
_ CITY OF DIAMOND BA e It
DEPARTMENT OFCOMMUNITY &DEVELOPMENT SE ACES
21810 Copley Dnve, Diamond Bar, CA 91765 PRESS
�,. (909) 839-7020 Fax (909) 861-3117 Budding Inspection Hotbne (909)839-7027 FIRMLY
a«� M BUILDING PERMIT APPLICATION wlam wW cltyuldoudbaccom buddmg@dtamondbarca.gov
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OWNER-BOUER DECLARATION
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LICENSED CONTRACTOR'S DECLARATION
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WORERSCUMPUMTi0N OECLAUTM
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APPLICANT
WARING Failure a snood, Woikws Compensators rawags, Is uiAwfil wtl Debt assay an mnpbyar to wares
Mea yes and col on by a Pry reamed tannin domain (SiOO D! A solution te me mint be Na ta"pamaMn
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vas Dana Istwoad (Stt 3097, cry C)
LENOER B NAME
LENDER B ADDRESS
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PIRDARTEENIVE(PRNiI
SRStlA DATE ''...
APPLICATION DATEf{ " .r7pPIC#
ISSUE DATE $ f �' +�1 PERMIT#
TYPE CONST
OCC GROUP
sr:oPe mt Work
+ Lb .
# DWEL UNITS 0 STORIES
# BEDROOMS
DESCRIPTION
SO FT
FACTOR PSF
ADJ AREA/VALUATION
SPWADDIREM
CRmegNCaport
....—
.... ....
'... PffiIo,'Deck
_...
Pa
_
AO i
Re-Roo
9
'... Commercial
VaWaI
Afe Area
CUANTITY
DESCRIPTION
FEE
g
CONSTRUCTION
PLAN REVIEW
ELECTRIC
PLUMBING
MECHANICAL
INSPECTION FEE
ISSUANCE
SMIP
ENERGY P/C
ENERGY PERMIT
RETENTION FEE
PRE-ALT FEE
% Z
BASF
PLOT PLAN'
ZONING CLEARANCE
TOTAL. FEES
COMMENTS
3
P/C PAID av VALIDATION
RECEIPT — PAID BY VALIDATION
WHITE — DbPetmrml Copy YELLOW —Finance Copy—Anaeeed, Cagy