HomeMy WebLinkAbout18-6645CITY OF DIAMOND BA
IdARTMENT OF COMMUNITY & VELOPMENT SE ACES
21810 Copley Drive, Diamond Bar, CA 91765 PRESS
(909) 839.7020 Fax• (909) 861-3117 Building Impect on Hatbne (909) 839-7027 FIRMLY
BUILDING PERMIT APPLICATION wwwcityefdiamondbar.com boddmg,@dtamondbarcagov
JOB SITE ADDRESS_
APN LOT TRACT
OWNER
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APPLICANT
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ADDRESS
CITY WitjqAel ZIP TEL
ARCH/EIAGI
DESIGNER
ADDRESS
CITY ZIP TEL
OWNER•BUILM CECLARA7MN
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MM of CivNion 3 as the Boiea and Protwekns Cape] Or that a wane is Man from Ioeaum art the bate to
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WORNEA'S CECLARA MN
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I HEREBY AFRNM LOM PENALTY OF PERJURY ONE OF THE FOLLOWING CECLAMT'IM
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CARRIER
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I!HS SECYON NFE7 aOTGECOMPIM IF TI E PEmM6 FORONE HDnRED COUARS $W OR LESS)
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CONSTRUCTM LENDING AGENCY
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Peach thin per" N esund (S& 3097, Ch C)
LENDER'S Ro E
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LENDER S ADDRESS
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DATE,
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ISSUE � I�I III
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DESCRIPTION
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CONSTRUCTION
ELECTRIC
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MECHANICAL
INSPECVON PEE
SMIP
ENERGY PIC
ENERGY PEFIMT
RETENTIONFEE
PRE-ALT FEE
BASF
PLOT PLAN
ZONING CLEARANCE
TOTAL FEES
COMMENTS
PAC, PIND By
VALIDATION
WHITE— Oapprtmarrl Copy. YELLOW—Finanw Copy—Aeeaaeor Capy