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B.i P.C.FOR THIS REASON Q � V . � � . DATE OKTIER U . .._ � Z W � UCENSED CONTRACTORS DECLARATION ; w . , . , , . - I HEREBY 11FFIRM UNDER PENALTY OF PERIURV THAT I IUA LICENSED UNDER CROVIS�ONS OF CHAPTER � � Y(QOMMENCWOWITHSECTION7000)OFDINSION�OFTHEBUSINESSANDPROFESSqNSCOD[,�ND Z XL' MY LICENSE IS N FULL RCE AND EFFEC7. m LLI y�f�' � LICENSE SS _V- LIC.NO.� � � _ j . � J . V DATE� COMRAC R I a W , � WOFKERS'COMPENSATION DECLARATION � � � � � IH RE AFFIRIAUNOERPENALTYOFPERIURVONEOFTNEFOLLOWINGDECUMT10N5: Z ?� 7 � INAVEANDNALLNAINTNNACEHTIFICATEOFCONSENTTOSELFaNSUREFOflWOFKERS' $ COMPENSATION,ASPROVIDEDBVSECTION77000FiHELABOHCOOE.FOR7HEPERFOFUAANCE CJ �.I�� Of THE WORK FORNM1IICH THIS PERYIT IS ISSUfD. � N 0�+� S C W _IHAYEANDWILLMAINT�INWORKERS'COI.IPENSATIONINSURJWGE,ASREOUIREDBYSECiION ' Q ]700 OF TNE LADOR CODE FOR THE PERFORMANCE OF THE WORK fOR WHICH THIS PERA9T IS 0 ISSUED.MVWO 11ER5'CO�IAf7 N.SATIONINSUR CECARRI RANDP?OLICV_NU�TA+BERAHE: CONSTRUCTION ¢ �r .��^� � � �� CARRiER 'f't► il�K/ - l��f�J• PLAN REVIEW Z ra�crr+uia�_/I/{(rt� "7 � —� � ELECTRIC ¢ � � ����(TH65ECilONNEmNOTBENf.�'lF1EDOFTEDERMTSR]fiONEHLl�Rm0011l1UR1001��1 PLUMBING Z I CERTIFY THAT N iHE PERFOFiMivICE OF 7HE WORK iOR WHipi TM5 PERMIT I5 155UED,1 MECHANICAL � (7 SMALLNOTEM7LOYANYPERSONWII.YYYM:NERSOASTOBECOMESWJEGTTOTME (n YARKERS'LOM�ENSATIONUWSOFCALIFORN10.�NOAGREETHATIFISHOULDBECOME INSPECTIONFEE S SU0.JECTTOTHEN'ORNERS'COAIVENSATqNPRON510N50FSECTION7)OOOFTHEUBOH CODE, SHALLF RTNVIITHfAMVLVWITN7HO5EPROVIS�ON". ISSUANCE � � r y�,� � L����� SMIP p DATE: S J APPLICANT:�N�+��I' t/!/ �"�"^��" � WARNING FAILURE TO SECURE WORKE0.:'CAAI�ENSATION[OVERAGE IS llNU1WFUL ANO SHALLBE ENERGY P/C �y SUBJECTANEMP�OYERTOCRIMWALOENALTIES/WDCNILFWESUPTOdJEMUNDREDi1K7US�WD ENERGYPERMIT DOLLARS(f 100.000),IN AD�1710NT0 THE COSTOF COMPENSATION,O�AGES�S PROVIDED FOR IN � SEGTION77oeOFT11EU80RCODE,MEREST,ANDATTORNEYSFEE4. � RETENTIONFEE: � � � a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � . . . � IMEREBYAFFIRMUNOERVENALTYOFPE0.M1JRYTNAThIEREISACONSTf1UCTIONLENDINOAGENCY - FOR iME PERFOfiMANGE OF THE WORK fOR WMICN TXIS PERMIT IS�SSU[D�SEG�Oi7,CIV.G�. , Z , W � LENOERS NAME • S � LENDER'SADDRE55 � TOTAL FEES ¢ ICERTIfYhUTIHAVEREADTH15APPUCATqNAND57ATETNATTHEA[iOVEP1FOPMATqNISWRRECi. - ' w IAGREETOCOM7LYWITMALLLITYANDCOUNTYORDINMICESANDSTA7[UWSREUTINGTOBUILDING � CONSTRUCTION,ANOHEREBVAlRF10RREREPRESENTATIVESDFTHISCOUNTVTOENTERUPONiME Z MEMTKKJED PROPERTV FOR INSPECTqN OURFOSES. , � COMMENTS � ��SD h+v r�.l _ m P AME(PWNT) < s 3� � � � VER ' tE �ATE � FlECPT.NO. �PAID BY � VALIDATIO � � - WHITE—Departmant Copy,YELLOW—Financa Copy,PINK—Assessa Copy,GOLDENRO�File Copy,GREEN—Applicanfs Capy . , , .., . .. . �• .. .r, : .. ..... , - , .,�i � , r::L� .f: r •"4' . . �^ . ,. .. .. �.. .., ,�. . ... ' .. . �.. .. .- .. . . .. . , .. . . � ( CITY OF DIAMOND BAR ' . � ' �� � .' , =, . . - , , � '.:_: �. = � INSPECTION RECORD. � � .,.' • ' . � .. . , � . . , : , , , .. e e � �c�-., o - �.��-�� ° l e � � . � SET BACK. ' � ' �FLOOR JQIST " . � _ � _.. .. _.. FTGS/FORMS/STEEL � -- " - - FHA REQMTS - ' , + ' . -� . . ELECTRIC GROUND UNDER FLOOR DUCT , , • GROUND PLUMBING � � � UNDER FLODR COAIDUIT - - � • � - �= '>'�`�'•-• �\. ' � • SLAB GRADE - ' � FIREP.LACE.FOUNDATION �' ' . . - - , , . �, - . ;. . . . . . TEMP POWER _ - . : : FIREP.LACE BOND'BEAM�.. -_ ':.. . •�. , , , . . � . WATER SERVICE • - • - � MID HT.BOND��AM � , �':�; 'J' ` :_ " • :� ROOF SHEATHING � ' ' � • 8 Ff.BOND BEAM ' - � FRAMINGNENTILIATION " � FINAL BOND BEAM - - � �� ROOF COVER- --- --- - �- - - - PRE-GRADING ROUGH HEATtNG � ' _ �s'" �' : BENCHING - - -. _. .. ._ . .. .. ROUGH ELECTRIC -� - - - - � - ROUGH GRADING... ._. ROUGH PLUMBING � -- -- - ' FINISH GRADING ( ! � SHOWER/TUB TEST - - � POOL'ELECTRIC • • � • • � ' EXT.LATH/SIDING �� POOL FENCING ' WALL INSULATION ' POOL'FINAL � � ' CEILING INSULATION OFF SITE IMPS... ,. � DRYWALL NAILING DEDICATIONS . � ' SEWER.----- -.__. ... : � -- FINAL ENG. • � -. _ . ._.. ._ . SEPTIC TANK- ---..._.. .. _- -. :._ .. LANDSCAP�/IRRIG. SEEP PITlL.L. --- -- --- �- ON SITE IMPS. GAS AIR TEST - - --- - FINAL ZONING ' ' fiNAL-CONST. -- - - - - - - - FIRE DEPT.FINAL - � _ . . - I - F�NALHEATING------- -�- �J��- - - - - HEALTH DEPT.FINAL-: -- - - - --- ---- - - FINAL ELECTRIC�-- � - DEV. FEES PAID ,•. ' FINAL PLUMBING � ENERGY -, � • � ; . . �._• • � , i _ ,� ��i:� e ' � • coMnnErvTs� `� � � ��;:.� `�� � �- _� �',_'� - ` �,; ; -- - ., " � .. . . . : ...� . , ; , ; ,,. , . ,; .- -- � ;. . .. . ;� , . _. _. ..,. .. , . . .. .. � - - --- - - � � , - . ._ .._ _ _ . . ; ` , __ . . = .. _- _ - -. -. ,. i ; , _ — . �,- .. . . �- -. . . 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