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`""° BUILDING PERMIT APPLICATION • • •• FIRMLY
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Z I CERTIFV THAT IN THE PEFFOR/AANCE OF THE WORN FOR WHICH THIS PERMIT IS ISSUED,I MECHANICAL
C'S SHALL NO7 EMPLOY ANY PERSON IN ANV MANNER SO A ME SU&IECT TO THE -
(n WORKERS'COMPENSATIONLAWSOFCALIFORNIA, AQREETH I SHOULDBECAME INSPECTIONFEE
SUBJECT TO THE WORKERS'CAMPENSATqN PROVI ONS OF SE OF THE LABOR �� 1(�
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DOLLARS(5100.000�.IN ADDITION TO THE COST OF CAMPENSATKKJ,DM1A�E5 AS PROVIDED FOR IN
w SECTION 3708 OF THE LABOR CODE.INTEREST,AND ATTORNEV'S FEES. AE7ENTION FEE: 1 g�
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� 1 HEREBV AFFIRM UNDER PENALTV OF PERIURV THAT THERE IS A CANSTRUCTION LENDING AGENCV
FOR THE PERFORMANCE OF THE WOFK FOR WHICH THIS PERMIT IS ISSUED(SEC.�ae7,CIV.C.).
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� LENDER'S NAME
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W I CERTIFV THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CARRECT. TOTAL FE ES �L/V• �Q
� I AGREE TO COMPLV WITH ALL CfTV AND COUNTV ORDINANCES AND STATE UWS RELATINO TO BUILDING
� CONSTRUCTION,AND HEREBV AUTHORIZE FEPRESENTATIVES OF THIS CWNTY TO ENTER U70N TME
Z ABOVE� NED PROPERTV FOR INSPECTION PURPOSES. � COMMENTS '
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� SIGNATUREO ER DA7E
� RECPT.NO. SSa PqID BY ��1F"�S VALIDATION
WHITE—Department Copy,YELLOW�inance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy
Cll'Y CiF DOAMOND �AR � `� ,:
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SET BACK FLOOR JOIST ' '�
FTGS/FORMS/STEEL FHA REOMTS
ELECTRIC GROUND UNDER FLOOR DUCT .
GROUND PLUMBING UNDER FLOOR CONDUIT
SLAB GRADE FIREPLACE FOUNDATION
TEMP POWER FIREPLACE BaND BEAM
WATER SERVICE MID HT. BOND BEAM
ROOF SHEATHtNG 8 Fi: BOND BEAM
FRAMING/VENTILATION FINAL 80ND BEAM
ROOF COVER PRE-GRADING
ROUGH HEATING BENCHING
ROUGH ELECTRIC ROUGH GRADING
ROUGH PLUMBING FINISH GRADING
SHOWER/TUB TEST POOL ELECTRIC
EXT. LA7HlSIDING POOL FENCING
WALL INSULATION POOL FINAL
CEILING INSUL,4TION OFF SITE IMPS.
DRYWALL NAILING DEDICATIONS
SEWER FiNAL ENG.
SEPT(C TANK LANDSCAPE/IRRIG.
SEEP PITlL.L. ON SITE IMPS.
GAS AIR TEST F1NAL ZONlNG
FINAL CONST. FIRE DEPT. FINAL
FINAL HEATING HEALTH DEPT. FINAL
FINAL ELECTRIC DEV. FEES PAID
FINAL PLUMBING . ENERGY
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COMMENTS
SEPTIC TANK SIZE
SEEP PIT/U SIZE
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