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21825 Copley Drive,Diamond Bar,CA 91765 PRESS
(909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY
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. � CENSE LAW(CHM7ER Y(COMMENCINO WI7H SECTION 7000)OF DIVISION 3 OF THE BUSINESS AHD PRO� � G
FESSIONS CODE)OR THAT HE OR SHE IS E%EMPT THEREFROM AND TME BA915 FOR THE ALLEOED EXEMP-
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� I HEREBV AFFIPM UNDER PENALTV OF PERIURY ONE OF THE FOLLOWING DECLARATIONS:
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� I HAVE AND WILL MA1NT/JN A CERTIFICATE OF CONSENT TO SELF-0NSURE FOR WORI(ERS' S
� ppIdPENSATION,AS VROVIDED 8�SECTION 370o OG THE LABOR CODE.FOq THE PERWFMANCE �U
OF TME WOR1C FOR WHICH 7HI5 PERMIT IS ISSUED. �
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w �1 HAVE M1D WILL MAINTA�N WORKERS'COMPENSATION INSURANCE,A9 REOU�RED BY SECTKKJ
Q 370D OF TiE LABOR CODE,FOA THE PERFORMANCE OF TiE WOflK FOfl WHICH TH1S PERMIT IS � ��D
0 ISSUED.MY WORKEFS'c/�MPENSAT �INSURA/N�CE CARRIER AND POLICV NUMBER ARE: CONSTRUCTION
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Z I CERTIFY 7FUT IN THE PERFORMANCE OF THE WORN FOF WHId17H15 PEFU/fT IS ISSUEO,I
(!T SHALL NOT EMPLOY PNY PERSON IN ANY MANNER 50 AS TO BECAME SUBJECT.TO THE MSPECTION FEE
� WORKERS'COAIPENSATION LAWS aF CALIFORN10.AND AGREE THAT IF 1 SHOULD BECOME
� SU&IEC7 TO THE WORKERS'COM7ENSATION PqOV15 5 OF SECTION 3700 OF THE LABOR 7��D�
� ('.00E,I SHALL FOFiTHWITM COMPLY WITH ISSUANCE
O DATE:� APPUCANT: �SMIP �•�O-
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J WARNINO:FAILURE TO SECURE WORKE NS CAVERAQE IS UNLAWFUL.M1D SHALL BE /� �/`
J SUBJECTANEMPLOVERTOCRIMPlAL TIES MLFINESUPTOONEHUNDREDTHWSAND Y . YJ
� DOLLARS(5100,000I.IN/�DDITION TO COST OF MPENSATpN.DAMAGES AS PqOVIDED FOR IN ENERGY PERMIT ��(
J SECTION 3708 OF THE LABOR CODE.INTEREST,AND ATfORNEV'S fEES. RETENTION FEE: i'=�`�O
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� I HEREBV AFFIRM UNDER PENALN OF PERJURY THATTHEHE IS A CONSTRUCTION LENDINp AOENCV
FOfl THE PERFORMANCE OF THE WOPK Y-0R WHICH THIS PERMIT IS ISSUED(SEC.3087,CIV.C.).
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� LENOEFYS NAME
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� I CERTIFV THAT I HAVE READ THIS APPUCATqN AND STATE THAT THE ABOVE INFORMATqN I5 CARREC7. TOTAL FE ES �LY � �I ������J
w I AGfiEE TO COAfPLY WITH ALL CITY AND COUtfTY ORDItiANCES AND STATE UV(S PELATING TO BUILDIN6
� CONSTRUCTION.AND HEREB�AU7MORIZE RFyRESENTA7IVES OF THIS COUNTV 70 ENTER UPON THE
S� ABOVE-MENTIONED VROPERTV FOR INSVEC710N PURPOSES. COMMENTS
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SLAB GRADE FIREPLACE FOUNDATION
TEMP POWER FIREPLACE BOP1D BEAM
WATER SERVICE MID HT. BOND BEAM
ROOF SHEATHING � 8 FT. BOND BEAM
FRAMINGNENTILATION ,{� _ FINAL BOND BEAM
ROOF COVER PRE-GRADING
ROUGH HEATING �b�� �`�,� BENCHING
ROUGH ELECTRIC �_��'� _ ROUGH GRADING
ROUGH PLUMBING FIN�SH GRADING
SHOWER/TUB TEST POOL ELECTRIC
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WALL INSULATION POOL FINAL
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DRYWALL NAILINf •' y - "�� DEDICATIONS
SEWER FINAL ENG.
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FINALCONST. t�C1-D� ��� FIRE DEPT. FINAL
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