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CITY OF DIAMOND BAR w F
I DEPARTMENT OF COMMUNITY& DEVELOPMENT SERVICES
21810 Copley Drive, Diamond Bar, CA 91765 PRESS.
(909) 839-7020 Fax: (909) 861-3117 Building Inspection Hadine (909) $39-7027 FIRMLY
'8a" BUILDING PERMIT APPLICATION wTvw.cityoldaamondbarcom budding@diamendbarea.gov
JOB SITE ADDRESS 4_3I (-Aa?10 r %1-
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are, ownth Gaa Be Mentioned
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APPLICATION DATE ��f/„
1SSUEDATE L`��PERMIT#
TYPE CONST
PIC#
FIR N'S` A's'1"iA:
OCC GROUP
SCepa of work (f pc l .;{'%°-t;�h�CffG-
# DWEL UNITS # STORIES
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......_ # BEDROOMS
DESCRIPTION
SO FT
FACTOR PSF
ADJ AREANALUATION
SFWADDifiEM
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Ad) Area
QUANTITY
DESCRIPTION
FEE
33
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CONSTRUCTION
PLAN REVIEW
ELECTRIC
S� '
...........
PLUMBING
..........__
MECHANICAL
......__
INSPECTION FEE
ISSUANCE
SMIP
ENERGY NO
ENERGY PERMIT
RETENTION FEE
PRE•ALT FEE
...
.............
BASF .............
PLOT PLAN
ZONING CLEARANCE _
...........
TOTAL FEES
COMMENTS
is
P/C PAID BY VALIDATION___
WCEIM A o" X_1 1 PAIO BY VALIDATION
WHITE— DeParMent Gary, YELLOW —Rounder Copy PINK —avammor Copy