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CITY OF DIA DND BAR
DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES
21810 Copley Drive, Diamond Bar, CA 91765 PRESS
�,, t (909) 839-1020 Fax: (909) 861.3117 Budding Inspection Hotline (909) 839-7027 FIRMLY
�' BUILDING PERMIT APPLICATION wwwcityofdiamondbarcom buddmg@diamondbarca.gov
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APPLICANT TEL
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ADDRESS
CITY ZIP TEL
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LICENSED CONTRACTOR'S DECLARA7MW
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of DMsm 3 of Me ta�}ssynoasor
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EE DATE
APPLICATION DATE t�.t�-t�1 (0
ISSUE DATE 1�-1-1-1l�{d PERMITN
TYPE CANST
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eA16- Z KS
OCC GROUP
Scope of Work C"' t'%U
1,St A,.r fa.,G
3 DWEL UNITS i STORES (
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3 BEDROOMS
DESCRIPTION
SO FT
FACTOR FEE
ADJ AREANALUATION
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DESCRIPTION
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CONSTRUCTION
PLAN RENEW
ELECTRIC
PLUMBING
MECHANICAL"
INSPECTION FEE
ISSUANCE
SM)P
ENERGYPIC
ENERGY PERMIT
RETENTION FEE
PRE-ALT FEE
EASE
PLOT PLAN
ZONING CLEARANCE
TOTAL FEES
COMMENTS
1
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PIC q-t�. PAID BY
O RECEIPT X56 PAID BY
VALIDATION
VALIDATIONS
WHITE —Daaannism Copy, YELLOW —FNnOce Copy, —Assessor Copy