HomeMy WebLinkAbout14-5295CITY OF DIAMOND BAR
4wDEPARTMENT OF COMMUNITY & DEVELOPMENT 2YICES
21810 Copley Drive, Diamond Bar, CA 91765 PRESS
(909) 839-7020 Fax: (909) 861.3117 Building Inspection Hotline (9099) 839.7027 FIRMLY
I} BUILDING PERMIT APPLICATION
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ARCHYENG7bESIGNER
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OGCtARATDN
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DATE CONTRACTOR
INGWOg'S COMPBISAIDN DECLARATION
I Harem AFFIRM (RIDER PENALTY OF PEAAFTY ONE OF THE FOLLOWNG DECAARAnONS
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COSVAL MLENDING AGENCY
I hereby atm under DoWly of perjury that main Is Corsmxaai lending ADOPT Nor Me Pammmlts of the wort Me
rotas tes pwmH N nwifft 3097 PM C )
LENDER S NAME
LENDER S ADDRESS ...
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APPLICATION DATE 1 11^t M 14 PJC# I
ISSUE DATE \a \�i t ( -At PERMIT# VS 1k-' ram' '.D.rI '
TYPE COTTER OCC GROUP
ZONING SETBACKS '
FRONT RW ❑
REAF ❑
SRDFVSIDESTREET RW 4
SIDE ❑
PROPOSED USE
IT DWEL UNITS # STORIES # BEDROOMS
DESCRIPTION
SO FT
FACTOR PEE
ADJ AREA7YALUATION
SFWADDIREM
Gva9off„aglart
P%swfiact
LL
PpoVBpa
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Valuation Atli A+ea
QUANTITY
DESCRIPTION
FEE
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ce
9
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CONSTRUCTION
PLAN REVIEW
ELECTRIC Sin 80
PLUMBING
MECHANICAL
INSPECTION FEE
ISSUANCE 3�.+• Sa"�I
SNIP
ENERGY PIC
ENERGY PqF MIT ,
RETENTION FEE �• bC:z '
PRE-ALT FEE
BSAF
TOTAL FEES 494S "J l
COMMENTS
RECEIPT#L..Z PAID BY '�'Ci6 VAUGAVON
WHITE— ONOwn snt Copy, YELLOW—Pnerica COPY PINK— Assesaar Cagy GOLDENROD—Ra COPY GREEN — Appimson S Cwy