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EXPIRED -
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COMMUNITY DEVELOPMENT DEPARTMENT NOV 2 1 ZOOO
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(909)860.3195 Fax(909)86l-3117
'""" BUILDING PERMIT APPLICATION FIRMLY
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� I HEREBY AFFIRM 11NDEH PENALTV OF PERJUFV TXAT I AM LICENSED UN�ER PROYISIpJS OF GNAGTER �
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� WORKERS'COM7ENSATiON UWS OF GLIFORNIA,AND AGREE TIMT If I SHOULO BECOME INSPECTION FEE
� 6U&IECT TO THE WOHKERS'CAMPENSATION PROVISIONS OF SECTION 37000F THE UI30R , ��
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� WARNINO:FAILURE TO SECURE WORKERS'CDMPENSATIDN COVERAGE IS UNUWFUL,AND SHALI BE ENERGY P/C
� SVBJECT/1N EMPLOYER TO CRIMINAL PENALTIES AND CIYIL FNVES UP TOONE NUNDRED THOU311N� ENERGY PERMIT
� OOlURS(S1ao.o0a�.IN MDITION TO THE COST OF COMPENSATION,UAM�GES AS PROVIDEO FOR M
SECTION 7708 OF THE UBOR CO�E,INTEFlEST,ANO ATTORNEY'S FEEA RETENTION FEE:
OCONSTRUC710N LENDING AGENCY PRE-ALT FEE: � �
� 1 HEREBV AFFIRM UNDER PENALTY OF PERJURY TMAT TMERE IS A CONSTRUCTION LEN�ING AGENCY
FOR TME PERFqRMMICE OF THE WORK FOR WHICH TMIS PERMIT IS ISSUED(SEC.9087,CIV.C.).
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w I CEHTIFY TMAT I HAVE READ THIS APPLICATION AND STATE THATTHE A80VE INFORMATION IS CARRECT. ,
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� I AGREE TO COMPLY WITH ALL CITVAND COUNTY OROINPNCES AND STATE LAWS RELA7INC TO BUIL�ING , ��� ��
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� WHITE—Deparlment Copy,VELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy � �
CITY OF DIAMO�D B�tR �
INSPECTIOIwD RECORD
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SET BACK FLOOR JOIST
FTGS/FORMS/STEEL p 3 -� FHA REQMTS
ELECTRIC GROUND UNDER F�QOR DUCT "
GROUND PLUMBING UNDER FLOOR CO�IDUIT
SLAB GRADE FIREPLACE FOUNDATIpN
TEMP POWEEi -� FIREPLACE BOND BEAM - -- .
WATER SERVICE MID HT BOND B�AM �
ROOF SHEATHING 8 FT. BOND BEAM
FRAMINGNENTILIATION FINAL BOND BEAM � �
ROOF COVER PRE-GRADING
ROUGH HERTING BENCHING
ROUGH ELECTRIC R�UGH GRADING
ROUGH PLUMBING FINISH GRADING
SHOWER(fUB TEST - PdOL ELECTRIC
EXT.LATH/SIDING POOL FENCING
WALL INSULATION POOL FINAL �
CEILING INSULATION OFF SITE IMPS.
DRYWALL NAILING � DEDICATIONS
SEWER FINAL ENG. . .
SEPTIC TANK ' LANDSCAPEIIRRICa, �
SEEP PIT/L.L. QN SITE IMPS.
GAS AIR TEST FIi�lAL ZONING
FiNALCONST. � FIREDEPT.�FtN. L
FINAL HEATIIVG HEALTH DEPT, FINAL °
FINAL ELECTRIC DEV. FEES PAID
FINAL PLUMBING � ENERGY
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