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CITY OF DIAMOND BA
PARTMENTOFCOMMUNITY&DEVELOPMENT RVICES
21810 Copley Dnve, Diamond Bar, CA 91765 PRESS
(909) 839-7020 Fax (909) 861.3117 Budding Inspection Hotline (909) 839-7027Aw FIRMLY
BUILDING PERMIT APPLICATION www.cityefdiamondbar.coin bui�ding@daamondbarca gav
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APPLICATION DATE._" .d I P/C# '~r
ISSUE DATE 7 r t jai PERMIT# 'Q'Q. \-I — 4e '�A cY.Zt
TYPE CONST OCC GROUP
Scope of Work(
CBS
# DWEL UNITS
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# STORIES # BEDROOMS
DESCRIPTION
SO FT
FACTOR PSF
ADJ AREA fALUATION
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QUANTITY
DESCRIPTION
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CONSTRUCTION
PLAN REVIEW
ELECTRIC
PLUMBING
MECHANICAL
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INSPECTION FEE
ISSUANCE
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SMIP
ENERGY PIC
ENERGY PERMIT
RETENTION FEE
PRE-ALT FEE
BASF
PLOT PLAN
ZONING CLEARANCE
TOTAL FEES
COMMENTS
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PIC PAID By VAUDATION
RECEIPT# 3.5rsas: PmDBY "A ,4bgia,9 VAucvadoei
WHITE—bapartment Copy, YELLOW — Finance Copy, PINK —Assessor Cary