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��� _ CITY OF DIAMOND BAI� �L�,.�y'
DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES
21660 E.Copley Ihive 5uite 19U
(909)86Q3195 Fax(909)861-3117 PRESS
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ADDRESS I ! I �(ILClTR-�L DATE
� ISSUE TYPE OCC
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�ESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION
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WORKERS'COMPENSATION DECLARATION �
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OOI�DENSATqN.AS PqOVIDED 6V SECTION�70o OF TNE I.ABOf�COOE,FOR THE 7EqFONMANCE �
OFTHE WORK FORNM111G1 TNIS PERMIT 1816SUED.
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Z I CERTIFYTHAT W TNE PERFORMANCE OF THE WONK FOR WHICH THIS OERMIT IS ISSUED,1 � MECHANICAL
(� SFULL NOT EMPLOY ANY PERSON IN AN7 MANMER SO AS TO BECOME SV&IECT TO THE
� WORKERS'COMPENSATION IAWS OF CALIFORNIA AND AGREET AT IF I S ULO BECOME INSPECT�ON FEE
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OOLLMS(i700.000�.IN ADDITION TO THE COST OF COMPENSATION,DAMAOES AS PROVIDED FOH IN
Jp� SECTION 370!OF THE U90R OO�E,INTEREST,ANO ATTORNEYS FEES. R�'ENTION FEE:
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� LENDER'S NAME �
� LENOER'SADDRESS
� TOTAL FEES �
1 CERTIFY THAT I HAVE REM 71U3 A7PLICATpN AND STATE THATTHE ABOVE INFORMATqN IS CORRECT.
I ACIREE TO COMPLY WITN KL CRV AN�COUHfY ORDINANCES AND STATE LAWS FELATNO TO BUILAINO
CONSTRUCTqN,ANO NEREBY AUTiIORIZE NEPRESEN7ATIVES OF hilS CO11NT'I TD ENTER 11PON 7Y1E
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WHIT panment Capy,YELLOW--Fhance Copy,PINK—Aasesnor Copy.OOLDENROD—Flle Copy.OREEN—Applioenfs Copy
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CITY OF DIAI�IfOND BAR
11VSPECTION RECO�iD �
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SET BAGK _ I FLOOR JOIST � , � ;
FTGS/FQRNIS/STEEL FHA REQMTS
ELECTRIC GROUND UNDER FLOOR DUCT
GRQUND PLUMBING UNDER FLOOR COhIDUIT
SLAB GRADE FIREPLACE F�UNDATION - ' - •-
TEMP POWER FIREPLAGE BOND BEAM - `
WATER SERVICE � MID HT. BOND BEAM •
ROC)F SHEATHfirlU'' ' ,` Q-�,3 � 8 FL BOND BEAM �
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FRAMINGNENTILIATION . : _ . _.� FINAL BOND BEAM
ROOF COVER /�•. PRE-GRADING
ROUGH HEATING BENCHING
i�OUGH E�ECTRIC ROUGH GRADING
ROUGH PLUMBlNG FINISH GRADING
SHOWEWTUB TEST PQOL ELECTRlC
EXT.LATH/SIDtNG POOL FENCING
WALL INSULAT(ON P�OL FINAL
CEiLING INSULATION OFF�tTE IMPS.
❑RYWALL IVAILING DEDICATIONS
SEWER FINAL ENG. �
SEPTlC TANK . LANDSCAPE/IRRIG.
SEEP PIT/L.L. � ON 51TE 1MPS. u
GAS AIR TEST FINAL ZONING
FINAL CONST. )p�� �ec,�.0 I FIRE DEPT. FINAL � �
FINAL HEATiNG i HEALTH DEPT, FINAL �—
FINAL E�ECTRIC I DEV. FEES PAID �— ^ �
�INAL PLUMBING j ' ENERGY
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COMMENTS _
SEPTIC TANK SIZE _
SEEP PIT/U SIZE ;����:-�� ' iW"�------
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