HomeMy WebLinkAbout10-1047 __�� 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
'91"� BUILDING PERMIT APPLICATION FIRMLY
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W TURE,PRIOR TO ITS ISSUANCE.ALSO REQUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIONED w Patio/Deck
� STATEMENT THAT HE OR SHE IS LICENSED WRSUANT TO THE PROVISIONS OF THE CONTRACTORS U�
� CEN6E LAW(CHAVTER D(COMMENCING WITH SECTION 7000)OF DIVISION 3 OF TIiE BUSINESS AND PR6 � PooUSpa .
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Z WILL DO THE WORK,M1D THE STRUCTURE IS NOT INTENDED OR OFFEFED FOR SALE(SEC.70u,BU51- J
N NESS AND PROFESSIONS CODE:THE CONTRACTORS UCENSE LAW DOES NOT APPLY TO AN OWNER OF = '
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w 7HROUGH H�S OR HER OWN EMPLOVEES,PROVIDED THAT SUCH IMPROVEMEMS AqE NOT INTENDED OR m
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W CENSE LAW DOES NOT APPLV TO AN OYMER OF A PROPERTV WHO BUILOS OR IMPROVES THEREON,AND
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� I HEREBY AFFIRM UNDER PENALTV OF PERIURV THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER �
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� I HEREBV AFFIRM UNDER PENALTV OF PERIURV ONE OF THE FOLLOWING DECLARATIONS: Z
� _I HAVE AND WILL MAINTAIN A CERTIFICATE OF CqNSENT TO SELF�INSURE FOR WORKERS' _
Q COMPENSATION,AS PPOVIDED BY SECTION 3700 OF THE LABOR CADE,FOR THE PERFORMANCE U
F THE WORK FOR WHICH THIS PERMIT IS ISSUED. W
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w )HAVE AND WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS REOUIRED BV SECTION
Q 3700 OF THE LABOR CODE.FOR THE PEFFORMAN OF THE WORK FOR WHICH THIS PERMR IS
ISSUED.MV WO MPENS ION INSURAN CARRIER AND ICV NUMBERAAE CONSTRUCTION
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C7 SHALL NO7 EMPLOV ANV PERSON IN ANY MlWNER SO AS TO BECAME SU&lEC7 70 THE
[/J N'ORNERS'COMPENSATION LAWS OF CALIFORNIA,AND AGREE THAT IF I SHOULD BECOME INSPECTION FEE
= SU&IECTTOTHEWORKERS'COMPENSATIONPROVISIONSOFSECTION37o00FTHELABOR ��
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p DATE: / APPLICANT: _F������� SMIP " .
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DOILARS(5100.000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN
� SECTION 37oB OF THE LABOR CADE,INTEREST,AND ATTORNEV'S FEES. E /�
pCONSTRUCTION LENDING AGENCY PRE- E:
� I HEREBV AFFIRM UNDER PENALTY OF PERJURV THAT THERE IS A CONSTRUCTION LENDING AGENCV
FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.30G7,CIV.CJ.
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� LENDER'S N/JdE
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� I CENTIFV THAT I HAVE READ THIS APPUCATION AND STATE THAT THE A60VE INFORMATION IS CARRECT. TOTAL F E ES �✓ O
w I AGREE TO COMPLV N7iH ALL CITY AND COUNTY ORDINANCES AND STATE UWS REUTWO TO BUILDINO
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� CONSTRUCTION,AND HEREBY AUTHORIZE REPRESENTATNES OF THIS COUNTV TO ENTER UPON THE '
Z ABOVE�MEMIONEO PROPERTV FOR INSPECTION PURVOSES. COMMENTS '
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SET BACK FLOOR JOIST
FTGS/FORMS/STEEL FHA REQMTS
ELECTRIC GROUND UNDER FLOOR DUCT
GROUND PLUMBING UNDER FLOOR CONDUIT
SLAB GRADE FIREPLACE FOUNDATION
TEMP POWER FIREPLACE BONO BEAM
WATER SERVICE MID H'T. BOND BEAM
ROOF SHEATHING 8 FT. BOND BEAM
FRAMINGNENTILATION FINAL BOND BEAM
ROOF COl7ER PRE-GRADING
ROUGH HEATING BENCHIfVG
ROUGH ELECTRIC ROUGH GRADING
ROUGH PLUMBING FINISH GRADING
SHOWERlfUB TEST POOL ELECTRIC
EXT. LATH/SIDING POOL FENCING
WALL INSULATION POOL FINA�
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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COMMEIVTS
SEPTIC TANK SIZE
SEEP PITJU SIZE
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