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CITY OF DIAMOND BAR
DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES
r '"� 21810 Copley Drive, Diamond Bar, CA 91765 PRESS
,wl (909) 839.7020 Fax (909) 861.3117 Building hislymbon Hotline (909) 839-7027 FIRMLY
Q"° BUILDING PERMITAPPLICATION
JOS SITE ADDRESS } } N'S G"'-'4 ty"18 +4"IL�` -
APN LOT TRACT
OWNER
ADDRESS
CITY ZIP TFL.
APPLICANT TEL
CONTRACTOR
ADDRESS
CITY ZIP TEL
ARCHtENGIDESIGNER
ADDRESS
CITY ZIP TFL
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DATE SIGN
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DATE CCNnNCTOR
INGRI M'S COMFOMTM UELLARATM
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CARRIER
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SCAIMMEOFPFM M DATE
APPUCATIONDATE 11-7114, ___ P7C4 ice. i"4' a(w.\
ISSUE DATE PERMIT'#
TYPE CONST OCC GROUP
ZONING SETBACKS
FRONT
REAR
SIDEISIDE STREET
SIDE —
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PROPOSEDUSE
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# DWEL UNITS # STORIES
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DESCRIPTION SO FT FACTOR PSF
ADJ ARE"ALUATION
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Commercial
m
Valuation Atli Atex
QUANTITY DESCRIPTION
FEE
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CONSTRUCTION
PLAN REVIEW 4211.. A -OR-
ELECTRIC
PLUMBING
MECHANICAL
INSPECTION FEE
ISSUANCE
SMIP
ENERGY PIC
ENERGY PERMIT
RETENTION FEE
PRE -ALT FEE
SSAF
TOTAL FEES C2((wp
COMMENTS
RECEIPT PAID BY
VALRIATION
WRITE— Depafinent Copy, YELLOW — Finance Copy —Assesses Copy GOL h0—RIO Copy GREEN —Appbcant§Copy
INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR
SETBAGKILESTER
lcuucn
nAL Awu_ ....
FOOTINGS FORMS
SWITCH GEAR
COMMERCIAL N444
�B
UG PLUMBING
T -BAR
UG ELECTRICAL
i INTERCEPTER
; HOT MOP/SHOWERPAN
LIFER GROUND
SEWER LITERAL
' SEPTICICESSPOOL _
HERS REPORT RECEIVED
MAIN WATER LINE
.
SEWER CLEANOUT
DEMOLITION
ROOF SHEATHING
ROOF DRAINS
FLOOR SHEATHING
! ROUGH CONDUIT
SHEAR WALLS EXTERIDR
POOUSPA
SHEAR WALLS INTERIOR
ROUGH PLUMBING
FRAM4NGNENTtNG
ROUGH ELECTRICAL
ROUGH MECHANICAL
ROUGH MECHANICAL
ROUGH ELECTRICAL W( } C (i
GAS TEST
ROUGH PLUMBING
PRE GUNITE
POOL PRE DECK BONDING
INSULATION WALL
YNSULATION CEfUNG
P -TRAP
FENCE / GATE/ ALARM
',DRYWALL
LATH (PRE)
FINAL POOL
LATH EXTERIOR
WALLS
WALL FOOTINGISTEEL
LATH INTERIOfl
WALL STEEL 19 ) 2"( ) LIFT
GAS TEST
SCRATCH COAT
WALL BOND BEAM
ELECTRIC METER RELEASE
WALL DRAIN/ SEAL
GAS METER RELEASE
WALL FINAL
SPECIAL INSPECTION
RD FRAMING PLANNINGAPFROVAL '.....
FINAL BUILDING
ROUGH FIRE APPROVAL
FINAL FIRE DEPARTMENT
FINAL MECHANICAL
FINAL ELECTRICAL
FINAL PLANNING
FINAL ENGINEERING/ PW
FINAL PLUNGING
FINAL COMMUNITY SERVICES
TO. of OCCUPANCY
CERT. uT OCCUPANCY
FINAL HEALTH DEPT
FINAL INDUST NIAL rvHSI k I
COMMENTS