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CITY OF DIAMOND BAR
DEPARTMENT OF COMMUNITY & DEVELOPMENT 2VICES
21810 Copley Drive, Diamond Bar, CA 91765 PRESS
.� (909) 839-7020 Fax• (909) 861-3117 Budding Inspection Hotline (909) 839.7027 FIRMLY
BUILDING PERMIT APPLICATION
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LICENSED MNTBACTC4NS OE/XARATIW
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I yEAGEY AFFIRM UNDER PENAM OF PERALRY ONE OF THE FOLLOWING DECLARATIONS
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DATE _tVAPPJOAKT
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CORMW IXY LENDING ADBYCT
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LENDER'S NAME
tENDE9 SADDRESS
I cerory thatIear, readmN cdiiotand Rammat me more kdmmtionb mnml IaTaomsat�iy or al NIstroand
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PEPoNIT7EE NAMc ¢RI
SrGNARH£ Of PiFN MM 4Ai£
APPLICATION DATE_ L 4(1ta —P/Ca (y
ISSUE DATE PERMIT# P R%4 — 29 1
TYPE CONST OCC GROUP
ZONING SETBACKS
FRONT RW ❑
REAR ❑
SIDE/SIDE STREET RW M-�.e_�
SIDE ❑
PROPOSED USE y
I
0 DWEL UNITS N STORIES 2- k BEDROOMS
DESCRIPTION
SO FT
FACTOR PSF
ADJ ARE"ALUATION
SFFVADD/REM
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9
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Valuation „�,,,,",',._ Ad] Araa
QUANTITY
DESCRIPTION
FEE
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C1 r
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CONSTRUCTION
PLAN REVIEW
ELECTRIC
PLUMBING i131 (D
MECHANICAL,
INSPECTION FEE
ISSUANCE
SMIP
ENERGY P/C
ENERGY PERMIT
RETENTION FEE
PRE-ALT FEE
SSAF
TOTAL FEES 9 i
COMMENTS
I
*�y tt/J�k840
RECEIPT AJ3i���_ PAID aY� 8tA0 VALIDATION
WHITE—Dop,ramorm COPY YELLOW — FYnence Copµ PINK — Aawgsor Copy, GOLDENROD — Fib Copy. GREEN— Applbant, COY,