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CITY OF DIAMOND BAR � X ��� �
--��� DEPAR'I'MENT OF COMMUNITY&DEVELOPMENT SERVICES
21810 Copley Drive,Diamond Bar,CA 91765 PRESS
� (909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-7027
�<��^���W BUILDING PERNIIT APPLICATION FIRMLY
� JOBSITE APPUCATIO �J 2j PERMIT /1 �/C
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DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION
� OWNER•BUILDER DECLARATION SFR/ADD/REM �
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� CEN4E LAW(GUPTER Y{COMMENpNO WITH SECT�ON 7000)OF DMSION 7 OF 7HE 9USW E55 AND PR6 � PooUSpe
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Q ❑I,ASON?JEROFTHEPROP£RTY.opMYF1dPLOVEESWITH)VA(iESASTHEIRSOLECOMPENSAiION, 0 COrtt(fIBfC181
Z WILL DO THE WORK.AND THE 9TRUCTURE 19 NOT IMFNDED OR OFFEREO FOR 9ALE(SEC.7ou,9U51- J
� NESS M!D VROFESS�ONS CODE TNE CONTfUC70R3 LiCENSE LAW DOES NOT A7CLY 70 AN OWNER OF j �
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Z IMPROVE FOR THE PURPOSE Of SALE}. � � �
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w TO GONSTRUCT THE VROJECT(SEC.7014.B�ISINESS AND PHOFESSIONS CODE THE CONTiUCTOR4 L1- V8IU9IIOf1 A0.1.AREA �
� CENSEL�WDOESNOTAPVLVTOANO`NNEROFAPROPERTYNMOBU0.DSORIMGR6VE9THEREON,AND , � --
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� TOq5110EN5E lAW.1. -
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� UCENSED CONTRACTOflS DECLARATION -�� �
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� 1 HEREBV AFFlRIA UNDER PENALTY OF PERJURY THAT IAM LICENSED UNDEH PROv1510NS OF GHAPTER Ur a/
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� WOftKERS'COMPENSATION DECLARAl10N -�
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� I HEREBY AFFIfiM UNDER PENALTY OF VERIUfiY ONE OF THE FOLLOWINO OECLAMTIONS:
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p �HAyE ANp WILL MAMlTAIN A CERTIFICATE�F CON..ENi TO SELF-INSURE�OR WORKEHS' 'S
� PENSATION.As PROVIDED BY SECTtON]7000F tl/E UBOR COOE.FORTME PERFORMANCE W- . .
THE WORK FOR WHNki THIS PERMIT IS ISSUED. �
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i HAVE AND WILL M!VMAW�WORKEFi3'COMPENSATION IN3URANCE,AS REOUIRED BV SECTION
Q 3700 OF 7HE LABOR CODE.FOiI THE PERFORMM�CE'OF THE WORK FOR WHICN iHIS PERMR IS
ISSUEp.hry WORXEAS'COMPFN IItSUr��cy��CMAIER ANU .�['��sEa ME: �CONSTRUCTION�
jCARRIER ��]r+- � ,JT PLANREVIEW
o POLqVNUMBER � �-���� ELECTRIC
� (niS5ECf1�NNE�1�piBEaoAKEf�OF7lfFERMisFORa+EHUM17mDa1Af�lSloqaalf-ss1 'PLUMBING � . . . . ' � -
w 1 CER7IFY 7HAT IN hiE PERFORMANCE OF THE.WDRK FOR WNICM THIS PEfU1�T IS ISSUED,1 MECHANICAL
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Vj M/ORKERSCOMPENSAT�ONlAM�50FC111FORNl A6RE ATIFISV10VlD ME . . . A1 l �
SU&IEC7TOTHEWORKER5COM7ENSA7lONP IONSOF CTION97o00FTN IABOF ISSUANCE � " ' `
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0 ppTaC�1� APPLICANT:� . . �SMIP _
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� SU&IECTANEMPIOVERTOCRIMINALP ESVPTOONEHUNDREDTHOUSMID ENERGVPERMIT
pOLWi3(tloo,000),W ADDITION TOTHE COST OF COM➢ENSA7qN.DAMA�ES AS PROVIDED fOR IN �
J SEGTpN 370E OF h1E LABOR CODE.INTEREST,AND ATfORNE�"g FEES. ' RETENTION FEE: �
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w CONSTRUCTION LENDING AGENCY ' PFE-ALT FEE �
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� I HEREBY AFFlRM UNDER PENALTV OF PERIURY THAT THERE IS ACONSTRUCTION LEND�NCi AOENCY
nZ-' �FOR THE PERFORMANCE OF 7HE WOR1(FOR NM1i1CN T114 PERMIT IS ISSUFD(SEC.300'7.C�V.CJ. .
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�� LENDERS�NAME , . .. . .
F- LENDER'SAODRE55 . � � � �� �/'f�
� 'ICERTIFY7MAT�MAVEREADTV119�PP��GTIONANDSTATE7HATh1E�BOYE�NFOiWATIDNI9CORRECT. TOTAL FEES 1 . ��
� W 1 A6FEE 70 COMPLV WI7H AL CI7V AN ORDWANCES AND STAT UWS RELAT�NO TO BUILD�NO
� COHSTftUCTION,ANOHEflE REREPRESENTAT FTi�S 70ENTERUPONTIE
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� 5 E DATE RECPT.NO. PAID BY VALIDATIO
� VYHITE—Oepertment Copy,YELLOW—Flnence Copy.P�NK—Auessor Copy,GOLDENROD--FI�e Copy.GREEN--Appl�anYs Copy .
. CITY 4F DIAMOfVD BAR �
INSPECTION REC�RD
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SET BACK FLOOR JOIST
FTGS/FORMS/STEEL FHA REQMTS
ELECTRIC GROUND UNDER FLOOR�UCT
GROUN�PLUMBING UNDER FLOOR CONDUIT
SLAB GRADE FIREPLACE FOUNDATIOtd
TEMP POWER FIREPLACE BOND BEAM
WATER SERVICE MID HT.BOND BEAM
RO�F SHEATHING I$FT.BOND BEAM
FRAMING/VENTILATION FINAL BOND BEAM
ROOF COVER PRE-GRAQING __
ROUGH HEATING BENCHING
ROUGH ELECTRIC ROUGH GRADING
ROUGH PLUMBING FINISH GRADING
SHOWER/TUB TEST POOL ELECTRIC
EXT.LATH/SIDING POOL FENCItdG
WALL INSULATION POOL FINAL
CEILING INSULATION OFF SITE IP/1P5.
DRYWALL NAILING DEDICATIONS
SEWER FINAL ENG.
SEPTIC TANK LANDSCAPE/IRRIG.
SEEP PIT/L.l. OP!SITE IMPS.
GAS AIRTEST FINAL ZONING
FINAL CONST. FIRE DEPT.FINAL
FINAL HEATING HEALTH DEPT.FINAL
FINAL ELECTRIC DEV.FEES PAID
fINAL PLUMB�NG ENERGY
FINAL PLANING
FINAL ENGINEER�NG ' • e
COMMENTS
SEPTICTANKSIZE
SEEP PIT/U SIZE
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