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CITY OF DIAMOND BAR
ARTMENTOFC( IUNICY& VELOPMENTSE VICES
21810 Copley Drive, Diamond Bar, CA 91765 PRESS
(909) 839-7020 Fax (909) 86I-3117 Building Inspection Elodme (909) 839.7027 FIRMLY
' BUILDINGPElUUTTAPPLICATION wwwcHyoldiamondbarcom buddingQndiamandbareagov
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CITY ZIP TEL
OMER4t4LBER OECLARAIM
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LICENSE CtASS� /LIC NO 4
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DATE APPLICANT
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CONSTRWMLOMOAGENCT
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LEADER S NAME
LENDERSADDRESS
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APPLICATION DATE
ISSUE DATE
TYPE CONST
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PERMITR { AC1 -- 0 ie 3+
OCC GROUP
Scope of Work
N DWEL UNITS N STORIES N BEDROOMS
DESCRIPTION
SO FT
FACTOR PEP
ADJ AREANALUATION
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OUANTTTY
DESCRIPTION
FEE
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CONSTRUCTION
PLAN REVIEW
ELECTRIC
PLUMBING
MECRANCAL
INSPECTION FEE
ISSUANCE
SMIP
ENERGY PIC
ENERGY PERMIT
RETENTION FEE
PRE-ALT FEE
BASF
PLOT PLAN
ZONING CLEARANCE
TOTAL FEES`
COMMENTS
(02
PIC �t�"" _ PAID BY /j � VALIDATION
RECEYPTej—I....r.�._-L�PAIDBY r']l0q5: VALIDATION
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