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CITY OF DIAMOND BAR ,
_ PARTMENT OF COMMUNITY & DEVELOPMENT SERVICES
21810 Copley Drive, Diamond Bar, CA 91765 PRESS" t
(909) 839-7020 Fax' (909) 861-3117 Budding Inspection Hotline (909) 839-7027 FIRMLY
'°"'� BUILDING PERMIT APPLICATION www.cityofdtamondbar.com buildinga@diamondbamagov
JOB SITE ADDRESS '3 r—recr—boon K. ...,f,;'j'............._
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DESIGNER
ADDRESS
CITY ZIP TEL
OWNBI•RIDIDEA DECIARAnON
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GATE r APPLIPANT
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LENDER S NAME
LENDERS ADDRESS
I mroty oal I Nul onto this application and state that pa now Information Is coned I egret to comity on col city gM
aunty ordlnaraw anal seats laws rell to bulking mnbualm and nereb/ eupedie agresanmpven of tide county m
was upon the auto mmpamd pmmny for Inspection purpose
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W(OIAiME PEAIR DATE
P1C#
APPLICATION I fly
ISSUEDATE PERMIT# OA Lt -�Y4
TYPE CONST OCC GROUP
Scope of Work
# DWEL UNITS # STORIES # BEDROOMS
DESCRIPTION
SO FT
FACTOR PSF
ADJ AREA/VALUATION
SFEVADDIREM
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OUANTiTY
DESCRIPTION
FEE
Za
B:
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CONSTRUCTION
PLAN REVIEW
ELECTRIC
PLUMBING
(�A}
MECHANICAL 6 tlasl.dT
INSPECTION FEE
ISSUANCE }1
SMIP
ENERGY PG
ENERGY PERMIT
RETENTION FEE . IIiI
PRE,lALT FEE
BASF
PLOT PLAN
ZONING CLEARANCE
y
TOTAL FEES 119, q
COMMENTS
P/C —_�IE PAID BY r ( VAUDATION
RECEIPT a_PAID By Iry}j `%r�..7 VAUDATMJF!_�