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CITY OF DIAMOND BAR
DEPARTMENT OF CC UNITY•& YELOPMENTSERVICES
p(a" 21810 Copley Drive, Diamond Bar, CA 91765 PRESS
y (909) 839.7020 Fax (909) $61-3117 Building Inspection Hodine (909) $39-7027 FiRMLY
°P BUILDING PERMIT APPLICATION
JOB SITE ADDRESS 2fok9 CatlQ \oCX COP"
APN LOT TCT
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CITY tJ lay'" `rt ZIP TEL._� 0R75—�n7—
APPLICANT O n 1 wdw TELI �335t'Sbt�
CONTRACTOR 9SA,,Mw Tzbokzn�
ADDRESS 5 1`')'
CITY L i;x ZIP q( TEL (04- 33-5b15
ARCHtENGDEStGNER
ADDRESS
CITY ZIP TEL
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SIGN
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WORSENS COMPENSATION OUtANATION
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CARRIER
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LENDER 8 NAME
LENDER S AWRE55
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SISMTWiE M PIWITTSE 0Add
APPLICATION DATE "I wit (0
ISSUE DATE
TYPE COAST
PtC#
PERMITS PR 1(P
OCC GROUP
ZONING SETBACKS
[-7] FRONT
REAR
SIDMIDE STREET
SIDE
RA,
RW
❑
❑
❑
❑
PROPOSEDUS MEl
OYn i3LxayE #
R:ik. x^L�
R DWEL UNITS B STORIES
in
4
sq_*e1L.
%d
1 tJ A.
aWh 0
r 1:1.. e
BEDROOMS
DESCAIPTION
SO FT
FACTOR PSF
ADJ AREAIVALUATION
SFRIADOrAEM
Gatnewcal ....
w
PWWA)Ock
LL
Powspe
z
Re-ibP
40
5
J_
an
{:OrwneT.Ial
an
Valuation
Add Area
OUANTTTY
DESCRIPTION
FEE
z
s
m
CONSTRUCTION
PLAN REVIEW
14 35
ELECTRIC
PLUMBING
MECHANICAL
INSPECTION FEE
ISSUANCE
12
SMIP
d S
ENERGY PJC
ENERGY PERMIT
RETENTION FEE
PRE-ALT FEE
52 W
BSAF
I • W
TOTAL FEES
COMMENTS
$ I 8 3'Z.
to
RECEIPTP '?Jipp p Zr? PAD BY
VAUDATMOH