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CITY OF DIAMOND BAR
_ DEPARTMENTOFCOM UNITY&cDEN LOPMENTSERVICES
21810 Copley Drum Diamond Bar, CA 91755 PRESS
(909) 839-7020 Fax: (909) 8b1.3117 Building Inspection Hotline (909) 839-7027 FIRMLY
BUILDING PERMIT APPLICATION www.cityofdinmondbarcom buildmg@diamondbarea.gov
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PERMITTEE NVaE (PPXtij
SIGNATUREOEPERMEREE DATE
APPLICATION DATE +i k s b"
ISSUE DATE 441S (i l e, PERMIT#
TYPE CONST .........._
P/Ce
F(Z N 14 —
OCC GROUP
Scope of Work
A DWEL UNITS ft STORIES
A BEDROOMS
DESCRIPTION
SO FT
FACTOR PSF
ADJ,AREANALUATION
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Act Area
QUANTITY
DESCRIPTION
FEE
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MECHANICAL
INSPECTION FEE
ISSUANCE
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ENERGY P/C
ENERGY PERMIT
RETENTION FEE
PRE-ALT FEE
BASF
PLOT PLAN
ZONING CLEARANCE
TOTAL FEES
COMMENTS
P!C ..s PAID BY VALIDATION
RECEIPT # JA`5;4 21 VALIDATION
WHITE — Depanmam Copy, YELLOW—RRetim Cary, PINK —Asseosor Copy