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CITY OF DIAMOND BAI�
--�--� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES
� 21660 E.Copley Drive Suite 190 /''
(909)860-3195 Fex(909)861-31 t7 �,' PRESS
�UILDING PERMIT APPLICAT[ON FIRMLY '
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t/� DESCRIPTION S�.FT. FACTOR PSF ADJ.AREANALUATION
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lTA7EMENT 1►IAT NE OR 9NE IS LICQ�ISED N1q5UlWT TO TNE PRpVISIONS OF 7HE CONTRAC'f0R5 ll-
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'� �I HAVE MN N7LL WINfAM WORKERS'CONPENS�TpN INSl1MNCE,AS REOUIRED BV SECTION
Q Y/oo OF TFIE LABOR pODE,FOR iNE PERFORMMICE OF THE WORK POR WMICH iFI15 PERMIT IS
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Z 1 CERTIFY THAT N THE PERFORIAANCE OF THE MOFlK FOR YMICH THIS PERMrt IS ISSUEO,I MECHANICAL
�7 SNALL NOT EMPIAV ANY FERSON ql MIY MANNER SO AS TO BECAME SIIBJECT 70 hIE
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p OATE: APPLICANT. �
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WMNIN(i:FNLURE TO SECURE WORKERS'COM7ENSATION GOVERMiE IS UNUWFUL,ANO SHALL 9E
� SUBJECTANEMPLOYER7OCRIMINALPENALTESANDCIVILFNESUPTOONEXl1NOREDTF10U5AND ENERGVPERMIT ' a���`
Y DOUMS(i700.0007.IN 11DOITION TO THE COST OF COMPENSATION,DAMAdESAS PROYIDEU FOR IN
� BECI%1N J7oe OF 7HE IABOq OODE.INTERESL ANOATTOHNEYS FEES. RETENTION FEE:
O CONSTqUCTION IENDING AGENCY pRE-ALT FEE:
� INEREBYAFFlRMUNDERPENALTYOFPERR1RYiT1ATTHENEISl1CON5TRUCTIONLEl1pIN0A0ENCY
2 FOR 7ME PERF011MANCE OFTME WORK FOR NM111CN THIS VERM1715ISSUED(SEC.3oB7,qV.C.�.
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� LENDER'SNNAE �
LENOER'SADDRESS
� I CEFTIF/7TIAT I WWE READ TIIS APPLICATION ANU STIITE 7HAT TME ABOVE INFORMATION I6 CORRECi TOTA�FE ES (,_��/e � {� �
I IW REE TO COMPI,Y N7TN ALL p1Y/ND COUNTY ONDINANCE4 AND S7A7E LAWS PELATINO 7O BI1lDIN0 � Y/ (,/
� CONSTRUCTION,ANDNEREBY/LLITNOHIZEFIEPRESE(iTATIYE50FTHI5COlWTYTpENTFRUPONTHE , �
/160YE•MEMIONED iROPEATY WR WSPECI'ION PURPOSES.
� COMMENTS
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� RECPT.NO. PAID BY � . �' � VALIDATON
WHITE—DepettmeM Copy,YELLOW—Finence Copy,PINK—Assessor Cupy,GOLDENROD—File Copy,pREEN—Applicent's Gopy
CITY OF DIAMOhtD BAR
'� INSPECTICIN RECORD, , .
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SET BACK �, • . ' . � FLOOR JOIST` 7 .`,
FTGS/FORMS/STEEL FHA RECtMTS �
ELECTRIC GROl1ND UNDER FLOOR DUCT _, '. -
GROUND PLUMBING UNDER FLOOR COhIDUiT�- . � �
SL46 GRADE FIREPLACE F�UNDATION -
TEMP POWER - FIREPLACE BOND�BEAM �
WATER 5ERVIC� MID HT. BOND BEflM ' � • �
ROOF SHEATHING 8 FT.BOND BFJ�1M • � � � !
FRAMING/1lENTILIATION FINAC BOND BEAM
ROOF COVER PRE-GRADtNG
ROUGH HEATING BENCHING
FIOUGH ELECTRIC � ROUGH GRADING
ROUGH PLUMBING FINISH GRADING
SHOWERlTUB TEST � POOL ELECTRlC
EXT. LATHfSIDING PQOL FENCING
WALL INSULATION POOL FINAL �
CEI�ING INSULATION � ! OF�SITE IMPS.
DRYWALL NAILIIVG DEQICATIOIVS
SEWER / FINAL ENG.
SEPTIC TANK � ; LANDSCAPEJIRRIG.
SEEP PIT/L.L , j ; ON 51TE IMPS. �
GAS AIR TEST } � FINAL ZONENG
F1NAl CONST. ; j FIFiE DEPT. FINAL
FINA�HEATfNG f ' HEALTH DEPT. FINAL
FINAL ELECTRIC � ; j DEV. FEES PAID
FINAL PLUMBING p � ' ENERGY
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COMMENTS � �".
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SEPTIC TANK SIZE
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