HomeMy WebLinkAbout10-1169 �� CITY OF DIAMOND BAR �
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� � DEPARTMENT OF COMMUNITY&DEVELOPMENT SET�I� S �'°.. - ��
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21825 Copley Drive,Diamond Bar,CA 91765 �,f[ltJU
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w NRE,PRIOR TO ITS ISSUANCE,ALSO RE�UIRES 7HE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED w Patio/Deck
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� _I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSEN7 TO SELF�INSURE FOR WORNERS' _
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w �I HAVE AND WILL MAINTAIN WORKERS'COMPENSATION INSUf7ANCE,AS REOUIRED BV SECTION
Q 3700 0F THE LABOF CODE,FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT 15
ISSUED.MY WORKERS'CAMPENSATION INSURANCE CARRIER AND POUCV NUMBER ARE: CONSTRUCTION
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(,�} SHALL NOT EMPLOY ANY PERSON IN ANV MAN R�O AS TO BECOME SUBJECT TO THE
� WORNERS'COMPENSATION LAWS OF CALIFO IJCAND AGFEE THAT IF I SHOULD BECOME INSPECTION FEE
= SUBJECTTO THE WORNERS'COMPENSATIO qOV ONS OF SECTION 37ooOF THE LABOR — L`�' �
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J WARNING:FAILURE TO SECURE WOiiKERS'CO ENSATION CAVERAGE IS UNLAWFUL,AND SHALL BE ENERGY P/C
� SU&lEC7ANEMPIOYERTOCRIMINALPENALTI SANDCIVILFINESUP700NEHUNDREDTHOUSAND ENERGYPERMIT
DOLLARS(S1ao.000),IN ADDI710N TO THE COST OF CAMPENSATION,DAMAGES AS PROVIDED FOR IN
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� 1 HEREBV AFFIRM UNDER PENALTY OF PERJURY THAT THERE IS A CONSTRUCTION LENOING AGENCY
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w I AGREE TO COMPLY WITH ALL CI7V AND COUNTY ORDINANCES AND STA7E UWS HEUTING TO BUILDING
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GROUND PLUMBING UNDER FLOOR CONDUIT
SLAB GRADE FIREPLACE FOUNDATION
TEMP POWER FIREPLACE BOND BEAM
WATER SERVICE MIQ 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
SHOWER/TUB 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/IRRIG.
SEEP PIT/L.L. ON SITE IMPS.
GAS AIR TEST FINAL ZONING
FINAL CONST. FIRE DEPT. FINAL
FINAL HEATING HEALTH DEPT. FINAL
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FINAL ELECTRIC __ _____ DEV. FEES PAID __ _ _____ ___
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