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1F� CITY OF DIAMOND BAR
`�'^' � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES .
21810 Copley Drive,Diamond Bar,CA 91765
(909)839-7020 Fax(909)861-3117 Building Inspection Aotline(909)839-7027 6� PRESS
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� 1 HEREBYAFFIRM UNDER PENALTY OF PERIURY ONE OF THE FOLLOW WG DECURATIONS: V -
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� _I HAVE AND WILL I.WNTNH A CEAtIFlCATE OF CONSENT TO SELFINSURE FOR NpRKEqS' T
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� ICERTIFY7HATIHAVEREADiHISAPPLICATIONAND3TATEhIATTHEABOVEPIFOqMAT10NISCOqqECT. TOTAL FEES � .
� 1 AOREE TO COMPLY NATH ALL tlTV AND CWNTV ORD WANCES AND STATE UWS RELATING TO BUILDINO
� CONSTRULTION,AND HEREBY AUTFIOqIZE REPfiESEMAiNES OF THIS COUN7Y TO ENTER UPON THE
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TENiP POUVEP, FIREPLACE BOND BEAM
WATER SERVICE MID HT.BOPJD BEAM
ROOF SHEATHING I$FT.BOND BEAfJi
FRAMING/VENTILATION _________ FINAL BOND EEAM ____ ___
ROOF COVER PRE-GRADI�JG ___ __
ROUGH HEATING r BENCHING __ ___
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ROUGH ELECTRIC I � ROUGH GRADING
ROUGH PLUM6ING FINISH GRADING
SHOWER/TU[3TEST POOL ELECTRIC
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CEILING ItJSULATION , OFF SITE IMPS.
DRYVNALL NAILING __ DEDICATIOfJS_ __ _ _________
SEN/ER _ ----- ---— — ---_-- FINAL ENG. --- — _.---
SEPTICTANK ____ __ IANDSCAPE/IRRIG_ _ _ __
SEEP PIT/L.L. Ofd SITE IMPS.
GAS AIRTEST FINAL ZONING
FINAL CQNST. FIRE DEPT.FINAL
fINAL HEATING � � HEALTH DEPT.FIN,4L
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FINAL PLUMBING ENERGY �
FINAL PLANING _—__ ___� —
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FINAL ENGINEERING _ ' g �
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COMMENTS ---- ------ --- -- -------
SEPTICTANKSIZE -
SEEP PIT/U SIZE