HomeMy WebLinkAbout12-812 ___�,�_ CITY OF DIAMOND BAR � �/�—��
DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ��
21810 Copley Drive,Diamond Bar,CA 91765
(909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-7027 PRESS
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p I HEREBV AFFlRM UNDER PENALTY OF PERIURV THAT I AM E%EMPT FROM THE CONTRACTORS LY Gerage/CarpoA
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� STATEYENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIDNS�OF THE CONTMCTORS lF _ .
� CENSE UW(qUPTER Y(COMMENpNO WfTH SECTqN 7000)OF DMSION 3 OF THE BUSINESS ANO PRO- � POOUSpB �
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� NESS AND PROFESSIONS COUE THE CONTRACTORS UCENSE UW DOES NOT APPLY TO AN.OWNER OF ?
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� 1 HEREBV AFFIRA/UNDER PENALTY OF PERIURY THAT I AM�LICENSED UNDER PROVISlON9 OF CFNPTER � - � �
� D(COMMENCIN6 WITH SECTION 7000)OF DMSION J OF THE BUSINESS AND PROFESSIONS CODE,AND Z '
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� _I HAVE AND WILL MAINTAIN A CERTIFICATE OF CANSENT 70 SE�F-INSURE FOR NqRKEqS' s1 �� �� �,L
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OF THE WORK FOR NM17ICH THIS PERMIT IS ISSUED. �
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Q �I HAVE AND WILL MAINTAW WOqI(Eqg'COMPENSATION INSURANCE;A4 pEpU1pED BV SECTqN
37oD OF�7HE UBOR�CODE,FOR THE PERFORMANCE OF THE WOPo(FOR WHICH THIS PEHM171S �
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Z 1 CERTIFY.THAT W h1E PERFORMANCE OF THE Wpql(FpR WHICH T}IIS PERMIT IS ISSUED,I �MECHANICAL
C7 SHALL NOT EMPLOY ANY PERSON W ANY MpNNER SO A9 TO BECOME'SU&IEC7 TO THE' �� ' �
(/� WORKERS'COMPENSATION IAWS OF G�LIFORN11 AND AGREE THAT IF I SHOULD BECOME INSPEC710N FEE '
S SUBJECTTOTHEWOFlKERSCOMPENSATIONPRO SIONSOFSECT �7000 TH LABOR � �
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� WARNINO:�FAILURETOSEWREWOFII(ERSCOMPENSATIONCOVERAQEISUMLAWFUL,ANDSHALLBE ENERGY�P/C �
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w RETEtJTION FEE:
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� 1 HEREBY AFFIRM UNDER PENALTV OF PERIURV THAT THERE IS ACONSTRUCTION LENDWO AOENCY
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F- LENDER'SADDRE55 '
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� �ICERTIFYTiA71HAVEREADTHIyAPp�ICAT10NµDSTATE�TUTTHEABOVEWFOi1AlAT10N19CORRECT. TOTAL FEES C�L.��
w 1 A6REE TO COMRY H7T1 ALL C7TY AND COIRfTV ORDINANCES AND STATE UWS qELATINO TO BU0.DIN0 `� V
Z� CONSTRUCTION,AMD HEREBV AUfHORRE REPRESENTATIVES OF T}QS COUNTV 70 ENTEH UPON TiE
ABOVEM NED PROPERTY FOR INSPECTION PURPOSES.
o �� 1 � \ �� COMMENTS '
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� RECPT.NO. PAID BY VALIDATION
WHITE—Department Copy,YELLOW—Finence Copy,PINK—Assessor Capy,GOLDENROD--Ffle Copy,pREEN—AppllcanYs Copy -
CITY 4F DIAMCDi�D BAR
INSPECTION R�CORD
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GROUND PLUMBING UNDER FLOOR CONDUIT
SLAB GRADE FIREPLACE FOUNDATION
TEMP POWER FIREPLACE BOND BEAM
WATER SERVICE I�ID HT.BOND BEAM
ROOF SHEATHING 8 FT.BOND BEAM
FRAMING/VENTILATIOId FIldAL BOND BEAM
ROOF COVER PRE-GRADING
ROUGH HEATING BEN�HING
ROUGH ELECTRIC ROUGH GRADING
ROUGH PLUMBING FINISH GRADING
SHOWER!fU6 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/I RRIG.
SEEP PIT/L.L. ON SITE IMPS.
GAS AIR TEST FINAL ZONING
FINAL CONST. FIRE DEPT.FINAL
FINAL HEATING HEALTH DEPT.FINAL
FINAL ELECTRI� DEV.FEES PAID
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