HomeMy WebLinkAbout12-782 _l,��_ 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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w TURE.PRIOH 70 RS ISSUANCE,AL50 REWIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIONED w
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Z WILL�O THE WORK�D THE STRUCTURE IS NOT INTENDED.OR OFFERED FOR SALE(SEC.7ou,BU56 �� COrtIfOBfC101 . -
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� 1 HEREBY AFFIRAI UNDER PENALTY OF VERIURY 7HAT IAM LICENSED UNDER PROVISIONS OF CHAPTER � :
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C�MPENSATION,AS PROVIDED BY SECTION 370o OF 7HE LABOR CODE.FOR THE PERFORMANCE �U�
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Z I CERTIFY THNT IN THE PERFOHMANCE OF TNE WOHK FOFl WMICH THIS PERAIIT IS ISSUED,1 �MECHANICAL
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� SUBJECT TO THE WORKERS'�COMPENSATION I51 5 O I 7 OF THE LABOF -� -� � � .r�
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� SUBJECTAN EMPIOYER 70 CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUN�RED THOUSAND ENERGY.PERMIT
DOLURS(S10o,000),IN ADDI710N TO THE COST OF CAMPENSATION,DMIAGES AS PROVIDED FbR�IN
J SELTION 370!OF THE LABOR CODE.INTERE57,AND AiTORNEY'S FEES. � ,�
p� � RETENTION FEE:
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� I HEREBY AFFIRM UNDER FENALTV OF PERIURY THAT THERE IS ACANSTRUCTION LENDINO AOENCY
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�- I CEPTIFY THAT I HAVE READ THIS APPLICATION AND STA7E TiATTHE ABOVE INFORMATION IS CORRECL TOTAL FEES � 1 �
� 1 AGREE TO COMPLY WITH ALL CT'ANU COUNTV ORDINANCES AND STATE UWS RELATING TO BUILDtNO
� CANSTHUCTION,AND HEREBY AUTHORIZE REPRESENTATNES OF THIS COUNTV TO ENfER UVON THE �
Z A80VE-MEHTIONED CROPER'TY FOR INSPECTION PURPOSES. COMMENTS '
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SION PE I E . DATE
RECPT.NO. PAID BY VALIDATION
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CITY OF DIAMOP�D BAR
INSF'ECTION RECORD
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ELECTRIC GROUND �UNDER FLOOR QUCT
GR�UND PLUMBING �UNDER FLOOR CONDUIT
SLAB GRADE ;FIREPLACE FOUNQATiON
TEMP POWER ';FIREPLACE BOND BE�1M
WATER SERVICE I MID HT.BOND BEAM
ROOF SHEATHING '�8 FT.BOND BEAM
FRAMING/VENTILATION �FINAL BOND BEAM
ROOF COVER ;PRE-GRADING
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ROUGH HEATING I BENCHING
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: ROUGH ELECTRIC I ROUGH GRADING
ROUGH PLUMBING I FINISH GRADING
SHOWER/TUB TEST �POOL ELECTRIC
EXT.LATH/SIDING ;POOL FENCING
WALL INSULATION j POOL FINAL
CEILING INSULATION OFF SITE IMPS.
DRYWALL NAILING DEDICATIONS
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SEWER FINAL ENG.
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GAS AIRTEST !FINAL ZONING
FINAL CONST. FIRE DEPT.FINAL
FINAL HEATING I HEALTH DEPT.fINAL
FINAL ELECTRIC DEV.FEES PAID
FINAL PLUMBING ENERGY
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