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CITY OF DIAMOND BAR
DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES
21810 Copley Drive, Diamond Bar, CA 91765 PRESS
(909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027 FIRMLY
BUILDING PERMIT APPLICATION www.cityotdlamondbarcum budding@diamondbarca.gov
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CONSFRLETMIR LEORM AGSM CY
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LEWER'S NAME
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PERMITTEE NAME PRIG}
SIGNATURE OF PERMgTEE DATE
APPLICATION DATE 9 - 62,' It 4n. PIC# f^t2 1 a pro tl 1.
ISSUE DATE Q i a l ha, PERMIT# X'tZ
TYPE CONST OCC GROUP
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# DWEL UNITS # STORIES # BEDROOMS
DESCRIPTION
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FACTOR PSF
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QUANTITY
DESCRIPTION
FEE
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CONSTRUCTION era•{ 3(0 g1'A.p
PLAN REVIEW
ELECTRIC 5 q slb
PLUMBING
MECHANICAL
INSPECTION FEE
ISSUANCE �- at..
SMIP
ENERGY PIC
ENERGY PERMIT
RETENTION FEE_p
PRE-ALT FEE
BASF
PLOT PLAN
ZONING CLEARANCE
TOTAL FEES 9
COMMENTS
Pic ya\ Ln,~{ /�PAID BY Z " �y*� VALIDATION
PROMPT g_.'�,7J)`1+:=51 PAID BI�V�i4 VALIDATION
WHITE — DePsnnVurt Copy YELLOW— FHaaCe Copy, PINK —Assessor Copy