HomeMy WebLinkAbout1050 GRAND AV (14) CITY OF DIAMOND BAR ,� ✓
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21825 Copley Drive,Diamond Bar,CA 91765
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�Z _I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF�INSUpE fOR WORKERS' a -
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� _I HAVE AND WILL MAINTAIN WORKERS'CAMPENSATION INSURANCE,AS FEWIRED BY SECTqN
Q 3700 OF THE LABOR CADE.FOR THE PERFORMANCE OF THE WOH7(FOR WHICH THIS PERMIT IS
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Z 1 CERTIFV THAT IN THE PERFORMANCE OF THE WORK FOH WHICH THIS PERMIT IS ISSUED,I MECHANICAL
�} SHALL NOT EMPLOV ANV 7ERSON IN ANV MANNER 50 AS TO BECOME SU&IECT TO THE
(n WORKERS'COMPENSATION LAWS OF CALIFORNIl�AND AOREE THAT IF I SHOULD BECAME INSPECTION FEE
O SUBJECT TO THE WORKERS'COMPENSATION PROVISIONS OF SECTION 3700 OF THE LABOR ���
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�y SU&IECT AN EMPLOVER TO CFIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND ENERGY PERMIT
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w I CERTIFV THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORAIATION IS CORRECT. TOTAL F E ES � /
� I AQREE TO COMPLV WITH ALL CITY AND CAUNTV ORDINANCES ANO STATE LAWS HELATWO TO BUIlDINO �
� CONSTRUCTION,AND HEREBV AUTHORIZE REPRESENTATIVES OF THIS COUNTV TO ENTEF UPON THE
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ROOF COVER PRE-GRADING
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ROUGH PLUMBING FINISH GRADING
SHOWER�fUB TEST POOL ELECTRIC
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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 i FINAL ZONING
FINALCONST. �` � FIRE DEPT. FINAL
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