HomeMy WebLinkAbout1652 MAPLE HILL RD CITY OF DIAMOND BAR
^-----���'— DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �
21825 Copley Drive,Diamond Bar,CA 91765
(909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-7027 PRESS
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COMPENSATpN,AS PROVt�E�BV SECTION 37ao OF THE LABOH CODE,FOR 7HE PERFORMMICE U
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w _I HAVE AND WILL MAINTAIN WORKERS'COA/PENSATION INSURANCE,AS REQUIRED BV SECTION
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Z I CEHTIFV THAT IN hIE PERFORMANCE OF 7HE WORK FOR WMICH THIS PERMR IS ISSl1ED,I MECHANICAL "7"p� 5�.�
C} SHALL NOT EMPLOV ANY PERSON IN ANY MANNER SO AS TO BECAME SU&1ECT TO THE
� WORKERS'CAMPENSATION LAWS OF CALIFORNIA,AND AGHEE THAT IF I SHOULD BECAME INSPECTION FEE
j SUBJECTTOTHEWOFKERS'COMPENSATIONPROVISIONSOFSECTION37000FTHELABOR
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� WARNINO:FAILURE TO SECURE VADi1KER5'CAMPENSATION CAVERAGE IS UNLAWFUL,M1D SHALL BE ENERGY P/C
� SU&IECTAN EMPLOYER TO CRIMWAL PENALTIES AND CIVIL FINES UP 70ONE HUNDRED THOUSAND ENERGY PERMIT
DOLLARS(5700.000�.IN ADOITION TO THE COST OF CAMPENSATKKJ,DAMAGES AS PROVIDED FOR IN
J SECTION 31oe OF hIE LABOR CODE.INTEREST,AND ATTORNEV'S FEES.
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� I HEREBY AFFIRM UNDER PENALTV OF PERJURV THAT THERE IS A CONSTRUCTION LENDINO AOENCV
FOR THE PERFORMANCE OF THE WOFK FOF WHIG-17HIS PERMIT IS ISSUED(SEC.3087,CIV.C.�.
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� I AQREE TO COMPLV ALL CI AND COUNTV ORDWANCES AND STATE UWS REUTINO TO BUILDINO .
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ROOF SHEATH�NG 8 FT. BOND BEAM
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ROOF COVER PRE-GRADING
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ROUGH ELECTRIC � ROUGH GRADING
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SHOWER/TUB TEST POOL ELECTRIC
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WALL INSULATION POOL FINAL
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SEWER FINAL ENG.
SEPTIC TANK LANDSCAPE/IRRIG.
SEEP PIT/L.L. ON SITE IMPS.
GAS AIR TEST FINAL ZONING
FINAL CONST. �? FIRE DEPT. FINAL
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