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FACTOR PSF ADJ.AREANALUATION Q - OVYNER-BUILDER OECLAFiATION SFR/ADD/REM ' O � p 1 HEREBY AFFlRAI UNDER PENALTY OF OEIWRY T/U71 M.�EXEIAPT FRdA iHE CONTM:TORS L4 Garapa�Caryort � 41 CENSEUWfORTMEFQ10WWaRFa50N�SEC.70.71.6BU5PlE53ANDPROFE5510f:900DEANYCRYOR' (n C7 COUHTYWF11C71REOUIRESAPERMRTOGVNSTRUCf,ALiEFt,M7R0YE,0E�qLISM,ORiiEMiRANY57RUG LLJ Z 7URE VRIOH TO RS ISSUANLE ALSO HEWIRES THE ADPLN'i1NT FOR SUCl10EPYIT TO FILE A SiCNED w PatblDeck EiATFUENT iNAi NE OR SME b LIGENSEO PUqSUAMi TO THE PROVISIOHS OF THE NNTMCTORS L4 � CFNSE UW(dUPiER 0(COMMENdNO WI7H SECTION 7Doo)OF DIVISION 7 OF THE BUS�NESS AND PPO-_ u' PooVSpa � T FE5910NSCOD�ORTUTNEOHSMEISEYF4PT7MEREfRO►IANU}HE911515fOf1TMEA11EGE0E%ENP• � TqN.ANYV�0UIT�ONOFSECTqN7o7t.6BYANYAPiLICANTiOHAPENAiT5UB1ECT5TMEJIP%1CANTTO Z Rg-ppp� � ACML PENALTVOF NOT MORE i1W1 FNE HUNOPED DOIURS(tscol.k ' � OI��WNEROFTHEPi10PERTY,OfiMYEMPLOYEESWITHWAGE5A5THEWSOIECON7ENSATqN. � CpmmBICIOI ' N/ILL00 TME WOitK,AND TF1E SiRUCTURE�.S NOT IHiENCED OR OLFERED FOH S�LE�SEC.7oN,BU51• J � NESS AND VROFESSIONS COOE:TNE CONfMCTOR4 LICFHSE lAW DOES NOTAPDLY TO AN OWNEN OF = i110VERiY 1Nq BULD$OR MPROyES THENEON.ANO YA10�OES SUpf K9RK MIMSELF OR MERSELF OR ' �[ 71Y10UOF�HISOfiMEqOWNEMPIAYEES,ViWNDE077NTSl1CHIMPROVEMEMSMENOTWTENDEDON ' m � OFTE77EOPDRS.LLEG,NDWEVE0.71/EBUIDINOOR�IPHOVEIAINTL550lDYAiHNONEYFAROfCqAPLE- Z T10N.THE OwNEN-0UILDER 1NLL HAVE 71tE BUMEN OF iROVN6 Tu7 NE OR SNE Oi0 NOi BU1tD OR � IMPROVEFORTHEPURPOSEOFSA�E). � W �IJISONTIEROFMEVROPEHT'/.AME%QUSIVELYCONTHACTPlGWITHLICENSE�CONTMCfO�S gro cor+srr+ucr n+e rnwect�sEa�oa�,eus,NEss u+o vr+orEsswr+s cooe n+e corrta�crons u- Valuatim ADJ.AREA [ENSE UW OOE4 NOT AOVLY TO AN OVMER OFA PROPERTY WIIO BUILDS OH MPROVES 7MEREON,AND � wMocoMatciSFoqSucHPnaECT5mrnA0orrt�uCTcn�S)ucENSeovUnswwr7o7nEcorrriuG OUANTITY DESCRIPTION FEE - - � roHsuwNSEuw.x �/� O IAIA EXEMPTUNOER SEG 0.l P.G FOfl THI$REASON Q /��' > U .3 � —� ,S _ � � f DATE OWNER W i• S � �� q LICENSED CONTRACTORS DECLARATION W S INEi1E8YAfFYWUNDEi1iENAlttOFPFRJURYiNAi1+�.�t10EN5E0UNDENPRON5�Uv50FCHAPTER � _ � ��COMYENCt�qWfiHSECfION7oa0)OFDMSION70FiHEBUSINE55ANDPROFES5iON5CODE,AND W UCENSE IS W FUIL FORCE�ND EFFECi. � � � � i � ��E�,ss c �o ��.No. 3�a 83s � , � WDATE � -C�tJTMCTOR _ '�Q. — � 3'3��WORKERS'�O P�ATI040ECLAHATION� • / • O N IHEREB7AfFUWUtAEPVENAITYOFP[0.NiiYONEOFTMEiOUAW�NGC LA TIO�!'►\� . � J G ��IHAVEMAINLLMNNTAMACERT:FICATEOFCONSEMTOSELF 5 E Wd7KER5' Q �pIPENSATI0N,A5i110VDE�8Y5ECTON77000FiNELA00R OOE.F iTHEPEHFO Of T1E WORIf fOR WMIdITH15 iERA11715I55UE0. C _IHAVE/�N'�YnLLMAPRA:NWORKERS'C0IAPENSATIONINSUMN ASPEW� YSECT 0 ]7ooOFTHEUBORCOOE,fON7MEFERFoauANCEOF7HEwORK �io1THI5PE �TI � ISSUE�.M'/M'O'RrK�ER'S,C�OVA'PsEN/S1ATKIN UFiANCE CAARIER IND iOLICY MIMBEN L: NSTR CTION . � CApR1ER._v�w Q I�'�+ S. P N view 0 va.�crnu►�oen..� ' � E CTRIC Z [_` � 4 � (I}GSCCifONN[�HOTBEOCMtEIEDOFhEGE�MTISiORONEFA.rO(1ED � PLUMBING Z ICE�FYTMATNTHC-VERFO�WANCEOFMENVNKFORWHIO1T1U5 ERMRLSIS EO,I MECHANICAL (�J 51uLLNOiEMPLOv/�MIVERSONWANY4ANNERSO�STOBECOMLS EC7iOTH � WONfERS'CdAPEH5A710NµN50FCALIFpRNIAMlD�GREETMATKI " INSPEGTIONFEE S SU0.1� t0 T E MIOiiNERS'COMPENSATIDN PROVISqN50F SEC7IDN i700 OF TME UB 000 1 FO`fRFM7T7COMPLYV11TNiM0'E RD��+�5. " ,, ISSUANCE � � Qp //f/��µ� SMIP � p OATE: APPLICANP.�.LQ.n � ENERGY P/C , � �u � WAiW M0:FAILURE TO SECURE N�ORI(ERS'COAIPENSATION COVERACE IS UNUwFUL,AND SHALL BE �y 6UBJECf1WEMPLDVEqTOCR1YINI�FENALTIESANDCNILFINESUPTOONEMUN�REDTHWSAND ENERGYPEFMIT � OOtURS(f 100.000).N AOOITION TO THE COSi OF COMPENSA7�ON.DAMIIGES AS PROVIDED FCN IN ¢ 6ECT�ON 17oe pc THE LMOR CODE,N7EREST,ANDA7TORHEYS FEES. pEjEJ•�T�ON FEE: _!S[T_\I� A LI1—i v oCONSTRUCTIONLENDINGAGENCY pRE•AITFEE: ��j' AND ' � IHEAEBVAFFlRIIUlqERGENALTYOFPE0.IURYTHATTHEREISACONSTRUCTIONLENDINOAGENCY j 2 fOR TNE PEN�ONJANCE�F iMEN'ORK FOR WNICM TXIS VERA/1T IS ISSUED(SEG 7oY7,C1Y.C.�. � W I � LENDER'S NAHE ��, � LENOEFt5A0DRE54 � ICERTIFYTWITIHAVEREV7T/iSAPPIJCATI0NM105TATEiMATh1EA9OVE�NFOHMATqNISCOMECT. 70TAL FEES �0 � IACREETOCOMPI,YNTiHALLtRY/�NDCOUNiVORDWANCESI�NDSTI.TEUNISREIATIN�708U4.OIN0 � �� CONS1FUCilON.M7D MEHCBT AUf1qfUZE REPRESEHTATIVES OF TMS GWNN TO EMEfl UPON TNE S� F80'YE�IAENTIONEDDiqFERiYFOFlINS�ECf�ONPUHP06E5. COMMENTS � � 15�itfit/�S`� �Yt�d E-�r��✓ _ —_ m VEau E AUE p �,f� � � • � �'��/ � � N SiCNAiUREOFPEPwTfEE �� DATE � RECPT,NO. PAID BY VALIDATION WHITE—i>epartment Copy.YELLOW—finance Copy.PINI(—Asseesa Copy,GOLDENRO�File Copy,GREEN—Applicant's Copy . . ..,. , , . . . � ,.� . .-- . . -- .- , . . , . . . °;,_1 .� -. , . � � CITY OF DIAMOND:BAR.., , , .. ., � , • .� � • , : , < <._ .. . . - �-�. .' ..., . . INSPECTION RECORD ::. ... � ��- . �_� .. .,. .�. . .. . ,• � . , . . -• . . _ . :�(►'.��'��1�xI�X�i I�'�tT�� '1.��.��►'.k-�.R'��;ai�?�.��.�'=��: �(,`� ;��E�� '� -_-- - . .� - - �_.__....._w.. _. _ . �SET BACK , t��,:i' '� � i � i �-� ( I �i . . FLOOFiJOIST r � \ -..µl � . . , - . •,.. ,� • �^ �' +' � ;FTGS/FOR�.1S'STEEL'--.._ .. ._. , _, ....---; ,' ; �� - i�f FHA RE�MT . � ` ,. -. .—� _--- . .. - - --- ... _ ... _ ___ , . IELECTRIC GROUND.._ _ '� ' - .`,:��. ; .'_'..1. �. f.._. UNDER FLOOR DUCT - � � � - _..... � I -,. -- - - -- _ . -- - . � .. _ „ ,'j�; IGROUND PLUMBING � - UNDER FLOOR CUf�!DUIT.. . �.�;. � ' _ ' I •• • • . . • . . •:� ISLAB GRADE�--�-- - - �' ' •--- - - __ -;� FIREPLA�E F`OUNDATION` _ ,•� . � • „ . + : -- _' -1�-- 'TEPJIP POWER -- - .:: -- - - . ... . , ; . :,.. •. ' FIflEPLACE BON�BEAM •�= _. :�•.�.... _ •. -._`. ., ':'� ' : .' i '. �WATEfl SERVICEL - - . - - '�. --- -� =-__ . ' FJIID HL BOND BEAM ."' :",: -- : ;;� , . '"'. i J iROOF SHEATNIf�G l '.I '�. ', ._ i � � .8 FT.BOND BEAM ,r � ;�� -�• ..c, ` ..�,.;:. ` - r• �FRAPJIING,NENTILIATION - - � -- - - �--- - FIPdAL 80ND�BEAIvI � ' � - '; . - �, i .�;, !ROOF COVF_R c , ' :� PRE-GRADING - _. - - -... .. ... ... ..-- � IROUGH HEATiNG -- _:_ . .. . . _ - - - BENCHING . i : , - - -- �FiOUGHPLUM8ING. .. l� �� AOUGHGRADING _.... _. _ ..-- .---. .._. . ..-.--- . !AOUGH ELECTRIC _ . ' • ' '._ .._....._...__._ ' 'FINISH GRADING ; ISHO.'YER;'TUB TEST , -_- - POOL'ELECTRIC . . i ; ;FXT:LATH!SIDING _ _ . __ . ..--- -. -. . POOL'FENCING � - , ; �tNALL INSULATfON ' - -- - - - - - POOL;FINAL ;� , ; ;CEIUNG Ih:SULATION ---- OF�SITE IMPS. . . ` ; -- ;DRYINAL.CNAILING - - � - . " " --' - DEDICATI0�1S ' ' ;SE�"JcR--- -....... . I ._.. --- . _ . . .FINAL�EPJG. , .. - ;SEPTIC TAPJK LANDSCAPE/IRRIG. ' �SEEp PIT/LL. ON SITE IMPS. • ;CA$Alf�TEST . " � FINAL'ZONING ; (FIfJ�'.!:COtJST. ..,� .�� . � ',�• �'. '- � FIRE DEPT.FINAL: . _. . . . . . . _ . .. iFIiJ•�.L HcATING ._. _.... . - •- - `, :I• HEALTH DEPT.FINAL - . - . - - ;..-�;�t.�-ELECTRIC__.... . - - Dv� . �...,:.'�, •::�_ .—.�, DEV.FEES PAID - - - - - __ _�-��1. 'Ii=;.�n.t.PLUh1BING _ � : , � •, ENERGY -�-- �• -- . . .. ' i '{�- � ` � _ � ' . `.� ' �- , T : . 1�_�: , -- ----.... .. - - , _�' `cR„PR t 6� c�c� C; . - . ; . , . , �.��_ .. - - I�_. _.. , _.. _ • - • _ ___.. .. -- --__._ . .- . _ ..- - - -- � - -- - ' . . . ,. � . . , . .. .� � .... ,. . . . . • �. , . ,. ;, . , , . . ., , , �•;:�. \�'�,� ... � . `; , , _ . - _ ._ �L.. 'ICOi�1NIENTS . ._ . . •I I n ; . '. - `� - ,•� _ _ . - � , j__......_. . � - ..---... _ : . .... .._ � • �� . . , � .�� 4 i �-- - -- -- -. _.... . .. ....... . ... ... . ... -- ' ' � i , � 1��' ��l . . , � _ � i . .. . - ..� - . . �� 1 :�� .` •� '�..�� , . _ � �- .` . . . . . .f r' •� - _ ! ! � 1. - - .- . . • - - . . . . � -... . ._ _, . .. . . . . , . . . � � / �I • . , i l. �..r�, ' �-• .�i):�'��: . . .. � �'l/ � -- � ' ` I ; _ .-.- -. . . . . .. . . . -- � _,_ �� . . . . , . , i ��,��•• . I � . • JL�,�, ,- .�,. .,. , . , , . .:.. +SEPTIC TANK S1L��•.•,. ` -�" . , ' � ' , +SEEP PIT/U SIZ�i;?�:..��'L�''i!��,. -._.... : , .. . - - - -- . . ... � ; ,_...._�....� .��,;��i.�,,;i�.; ;.- �� ... . ; - . �. � ... . :�r} . , , ; , i : ! . . . . j - - ' � : _ � . � .* . _ _ i i I ; ;��• ' . _ .. . . .. , ' , ; - .. _.._ _ _ ... _ -.--- .. . ; . ' �j . __.... � ! . . . . ; I � � . .. . . .. _ . � _ �• .._._, �;` . .- ,•,��;_. , , .. . � _ ! � � � � ., i � � .� _ '�'. . __ --.��..----•-----_--� - �: �� !.� .. � . . .