HomeMy WebLinkAbout10-1010 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
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w TURE,PRqR TO ITS ISSUANCE,AL50 REOUIRES THE APPLICANT FOR SUCN PERMIT TO FILE A SIONED W
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WIIL DO THE WORK,AND THE STRUCNRE IS NOT INTENDED OR OFFERED FOR SALE(SEC.701f,BUSI- �
� NESS AND PqOFESSIONS CODE 7HE CONTMCTORS LICENSE LAW DOES NOT APPLV TO AN OWNER OF �
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w THROUGH HIS OR HER OWN EMPLOVEES,7ROVIDED THAT SUpi UAPqOVEMENTS ARE NOT INTENDED OR m
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� TO CONSTRUCT THE PRQIECT(SEC.7011,BUSINESS AND PROFESSIONS CODE THE CONTAACTOqS LI- V81U8t1Of1 ADJ.AREA
W CENSE LAW DOES NOTAPFLV TO AN OWNER OF A PROPERTV NM110 BUILDS OR IMP{70VES THEREON,AND
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2 I HEREBY AFFIRM UNDER PENALTY OF PERIURV THAT 1 AM LICENSED UNDER PROVISIONS OF CHAPTER �
� e(COMMENCWO Wlhl SECTION 7000)OF DIVISION 3 OF 7HE BUSINESS AND PROFESSIONS CODE,AND Z
��� MV LICENSE IS W FULL FORCE AND EFFECT. m
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� WORKERS'COMPENSATION DECLARATION �
� I HEREBY AFFIRM UNDER VENALTY OF PEqJURV ONE OF THE FOILOWING DECLAAATIONS: V
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Z0 I MAVE AND WILL MAINTAIN A CERTIFICATE OF CANSENT TO SELF�INSURE FOR WORNERS' a
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COMPENSATION,AS PROVIDED BV SECTION 3700 OF THE LABOR CODE,FOR THE PERFORMANCE U
OF TNE WORN FOR WHICH THIS PEHMIT IS ISSUED. W
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w _I HAVE AND WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS REOUIRED BV SECTION
Q 3700 OF THE LABOR CADE,FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
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Z I CERTIFY 7HAT IN THE PERFORMANCE OF THE WOR1C FOR WHICH THIS PERAl1T IS ISSUED,I MECHANICAL
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(/j WORKEFS'COMGENSATIONLAWSOFCALIFORNIA,ANDAdREETHATIFI5HIXILDBECOME INSPECTIONFEE
SU&IECT TO THE WORKERS'COMVENSATION PROVISbNS OF SECTION 37000F THE LABOR /`S�O
O CODE.I SHALL FOR7HWITH COMPLV WITH THOSE PROVISIONS. ANC
p DATE; APPLICANP. SMIP
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� J WARNINO:FAILURE TO SECURE WORKERS'COMPENSATION COVERAOE IS UNLAWFUL,AND SHALLBE ENERGY P/C �
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� SU6IECTAN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP 700NE HUNDRED THOUSAND ENERGY PERMIT
DOLLARS(f 100.000),IN�DDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN
� SECTION 3708 OF THE LABOR CODE,INTEREST,AND ATfORNEVS FEES. ENTION . / O v
OCONSTRUCTION LENDING AGENCV PRE-ALT FEE:
� I HEREBV AFFIRM UNDER PENALTV OF PEflJURY THATTHERE IS ACONSTRUCTION LENDING AOENCV
FOR THE PERFORMANCE OF THE WORK FOR WHICH TMIS PERMIT IS ISSUED(SEC.7087,CIV.C.�.
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� LENDER'S NAAIE
� LENDERSADDRESS
� TOTAL FEES ���
� I CERTIFV THAT I HAVE READ THIS APPUCATION AND STATE THAT TME ABOVE INFORMATION IS CORRECT.
w I AGREE TO CAMPLV WITH ALL CITY AND COUNTV ORDINANCES AND STATE lAWS RELATINO TO BUILDINO
� CONSTRUCTION,AND HEREBV AUTHORIZE REPRESENTATIVES OF THIS COUN7Y TO ENTER UPON THE
Z ABOVE-MENTIONED PROPERTV FOR INSPECTION PURPQSES.
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SET BACK FLOOR JOIST •
FTGS/FORMS/STEEL FHA REQMTS
ELECTRIC GROUND UNDER FLOOR DUCT
GROUND PLUMBING UNDER FLOOR CO(VDUIT
SLAB GRADE FIREPLACE FOUNDATION
TEMP POWER FIREPLACE BOtJD BEAM
WATER SERVICE MID H'T. 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 �
SHOWERlTUB TEST POOL ELECTRIC
EXT. LATHISIDING 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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COMMENTS
SEPTIC TANK SIZE
SEEP PIT/U SIZE
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