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CITY OF DIAMOND BAR
_ DEPARTMENT OFC( UNITY& VELOPMENT SERVICES
21810 Copley Drive, Diamond Bar, CA 91765 PRESS
(909) 839.7020 Eax (909) R61.3117 Building Inspection Hotline (909) 839-7027 FIRMLY
BUH.DINCPERMITAPPLICATION
JOB SITE ADDRESS 2. R 1 Y CAS7L.L
APN LOT TRACT •••••••
OWNER B$SE'_-I SL=_AT&V A i..Ec,ait.s3w� tRKN
ADDRESS
CITY SAri 00 ZIPA: TEL
APPLICANT �n! IgS—L-- TEt. *• G
CONTRACTOR 15 -A%j�ytn ll r*2 C.rvt RSay,� rus,� Cain
ADDRESS 1i7133a AtKLMnnhtsl dirk/C,
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ARCHtENCJDESIGNER -T4
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CITY ZIP TEL
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CIXISFRWM LBIONLG AGENCY
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LENDEASNAVE
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AEOFPENMNTEE _ RATE
APPLICATION DATE ,7 1��/L�/JJ 9gn��, �UJi-ON Pr—#
ISSUE DATE _Lti210q 401 PERMIT# PR 14 - q2a ?
PE CONST ! OGG GROUP
ZONING SETBACKS
FRONT— RVV ❑
REAR -S ❑
SIOEISIDE STflEET� RWs ❑—_._
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# DWEL UNITS # STORIES # BEDROOMS '
DESCRIPTION
SO FT
FACTOR FEE
ADJ AREANALUATION
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QUANTITY
DESCRIPTION
FEE
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CONSTRUCTION
PLAN REVIEW
ELECTRIC
PLUMBING
MECHANICAL
INSPECTION FEE
ISSUANCE 1'1
SMIP 0
ENERGY PIC
ENERGY PERMIT
RETENTION FEE . •0 —
PRE-ALT FEE
BSAF I -
TOTAL FEES
COMMENTS
RECEN>Tt�Q�,�_ PAAD BY AASH VALIDATNki_1
WHITE—Oepertoent Copy YELLOW—Fnente Copy,—Aamssa Cop) GOLDIEROU, — Fee Copy GREEN—Applwam's Copy