HomeMy WebLinkAbout1370 VALLEY VISTA DR (12) (2) �a������
�� CITY OF DIAMOND BAR
DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES
T,� . 21825 Copley Drive,Diamond Bar,CA 91765
(909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-7027 PRESS
"��' BUILDING PERMIT APPLICATION FIRMLY
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STATEMENT hiAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTMCTORS LI-
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Z WILL DO THE WORK,AND THE STRUCTURE IS NOT INTENDEO OH OFFERED FOR SALE(SEC.7011,BUSI- _I
� NESS�flD PROFESSIONS CODE:THE CON7RACTORS UCENSE UW�OES NOT A7PLV TO AN OWNER OF �
PROPEHTY NRiO BUIlDS OR IMPROVES THEREON,AND VAiO DOES SUCH WORK HIMSELF OR HERSELF OR
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� I HEREBY AFFIRM UNDER PENALTV OF PE0.IURY THAT I AM LICENSED UNDER 7ROVISIONS OF CHAPTER �-y���
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� WORKERS'COMPENSATION DECLARATION Q
� I HEREBV AFFIRM UNDER PENALTV OF VE0.IUHY ONE OF THE FOLLOWING DECLARATIONS: Z
� _I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT 70 SELF•INSURE FOR WOFlKERS' 2
Q CAMPENSATION,AS PROVIDED BY SECTION 37000F THE UBOR CODE.FOR THE PEiiFORMANCE `U
OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. �
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w �I HAVE AND WILL MAINTAIN WORKERS'CAMPENSATION INSUMNCE,AS REOUIRED BV SECTION
Q 3700 OF THE LABOR CA�E.FOR THE PERFORMANCE OF THE WORK FOR WFIICH THIS PERMIT IS
ISSUED.MY WORKERS'CAMPENSA710N INSURANCE CARq1ER AND POLICV NUMBER ARE: CONSTRUCTION
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Z I CEFiTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH 7HI5 PERMIT IS ISSUED,I MECHANICAL
C7 SHALL NOT EMPLOY ANY PERSON IN ANV MANNER SO AS TO BECAME SUBJECT TO THE
�/j WORNERS'COM7ENSATION LAWS OF CALIFORNIA,AND AGREE THAT IF I SHOULD BECOME INSPECTION FEE
SU&1ECT TO THE WORKEFiS'COMPENSATION PROVISIONS OF SECTION 3700 OF THE LABOR '^
� CADE,1 SHALL FORTHWITH COAIPLV WITH THOS aaovisioNs. ISSUANCE � �V D
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p DATE: APPLICANT�— �
J WARNING:FAILURE TO SECURE WORKERS'COMPENSATION CAVERAGE IS UNLAWFUL,AND SHALL BE ENERGY P/C
� SU&IECTANEMPLOVERTOCFIMINALPENALTIESANDCIVILFINESUPTOONEHUNDREDTHOUSAND ENERGYPERMIT
DOLURS(f100,000).IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN
� SECTION 37oe OF THE LABOR CODE,INTEREST,AND ATTORNEV'S FEES. RETENTION FEE: (• D 0
a CONSTRUCTION LENDING AGENCY PRE•ALT FEE:
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� I HEREBV AFFIRM UNDER PENALN OF PERJURY THAT THERE IS A CONSTRUCTION LENDING AGENCY
FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.3087,CIV.C.).
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� LENDER'S NAME
F- LENDER'SADDRESS
� TOTAL FEES /
� 1 CERTIFV THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT. 1/f�,G�
w I AGREE TO COM7LV WITH ALL CITV AND COUNTV ORDINANCES AND STATE UWS RELATING TO BUILDING Y� �.�
� CANSTRUCTION,AND HEREBV AUTHORIZE REPRESENTATIVES OF THIS COUNTV TO ENTER UPON THE �
� ABOV�'-�.ENTIONED 7ROP OR INSPECTION PURPOSES.
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= RECPT.NO. PAID BY ���VALIDATION
~ WHITE—Department Copy,YELLOW�inance Copy,PINK—Assessor Copy,GOLDENROD--File Copy,GREEN—Applicant's Copy
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ELECTRIC GROUND UNDER FLOOR DUCT
GROUND PLUMBING UNDER FLOOR CONDUIT
SLAB GRADE FIREPLACE FOUNDATION
TEMP POWER FIREPLACE BOND BEAM
WATER SERVICE MID HT.BOND BEAM � � �
ROOF SHEATHING 8 FT. BOND BEAM �
FRAMINGNENTILATION FINAL BOND BEAM
ROOF COVER PRE-GRADING
ROUGH HEATING BENCHING
ROUGH ELECTRIC ROUGH GRADING
ROUGH PLUMBING FINISH GRADING
SHOWER/TUB TEST POOL ELECTRIC
EXT. LATH/SIDING POOL FENCING
WALL INSULATION POOL FINAL
CEILING INSULATION OFF SITE IMPS.
DRYWALL NAILING DEDICATIONS
SEWER FINAL ENG.
SEPTIC TANK LANDSCAPE/IRRIG.
SEEP PIT/L.L. ON SITE IMPS.
GAS AIR TEST FINAL ZONING
FINAL CONST. FIRE DEPT. FINAL
FINAL HEATING HEALTH DEPT. FINAL ___
FINAL ELECTRIC DEV. FEES PAID
FINAL PLUMBING ENERGY
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SEPTIC TANK SIZE
SEEP PIT/U SIZE
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