HomeMy WebLinkAbout10-1083 ._ CITY OF DIAMOND BAR �
� � DEPARTMENT OF COMMUNITY&DEVELOPMENT� V�ES
21825 Copley Drive,Diamond Bar,CA 917��(;���D��
(909)839-7020 Fax(909)861-3117 Build fn�ec't�on otline(909)839- 27 PRESS
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w TURE,PRIOR TO ITS ISSUANCE,ALSO REOUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED W �
� STATEMENT 7HA7 HE OR SHE IS LICENSEO PURSUANT TO THE PROVISIONS OF THE CANTRACTORS LI� �
� CENSE LAW(CHAP7ER Y(CAMMENCING WITH SECTION 7ooa)OF DIVISION 3 OF THE BUSINESS AND PRO� POOUSpB
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� A CIVIL PENALTY OF NO7 MORE THAN FIVE HUNDRED DOLLARS(f5a0).):
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WILL DO THE WORK,AND THE STRUCTURE IS NOT IN7ENDED OR OFFEREO FOR SALE(SEC.7oI�,BU51- J
� NESS AND PROFESSIONS CODE:THE CANTFACTORS LICENSE LAW DOES NOT APPLV 70 AN OWNER OF �
PROPEfRY NTiO BUILDS OR IMPROVES THEREON,AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR
� THROUGH HIS OR HER OWN EMPLOVEES,FROVIDED THA7 SUCH IMPROVEMENTS AHE NOT IN7ENDED OR m
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2 1 HEREBY AFFIRM UNDER PENALTV OF PERJURY THAT I AM LICENSED UNDER PROVISIONS OF CHAP7ER �
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� 1 HEREBY AFFIFM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLAflAT10N5: Z
Z _IHAVEANDWILLMAINTAINACERTIFICATEOFCANSENT705ELF�INSUREFORWORKERS' _
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w I HAVE AND WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS REOUIRED BV SECTION
Q �3700 OF THE LABOR CODE,FOR THE PERFORMANCE OF THE WORK FOR WHICH TMIS PERMIT IS
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Z I CEfiTIFV 7HA7 M THE PERFORMANCE OF 7HE WORK FOR WHICH THIS PERMIT IS ISSl1ED.I MECHANICA � i�
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(n WORKERS'COMPENSATIONLAWSOFCALIFORNIqANDAGREETHATIF15HOULDBECAME INSPECTIONFEE Z�
= SUBJEC7 TO THE WOHKERS'COMFENSATION PROVISIONS OF SECTION 370o OF 7HE LABOR
CADE,I SHA FORTHWITH COMPLV WITH THOSE PROVISIONS. ISS AN
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p DATE: APPLICANT: �
J WARNING FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL,AND SHALLBE ENERGY P/C
� SU&IECT AN EMPLOYEF TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDREO THOUSAND ENERGY PERMIT
DOLURS(f 100.000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN
� SECTION 3708 OF THE LABOR CODE,INTEREST,AND ATTORNEV'S FEES. TENTI N FEE: �I
OCONSTRUCTION LENDING AGENCY � PRE•ALT FEE:
� I HEREBV AFFIRM UNDER PENALTV OF PERJURV THAT THERE IS A CONSTRUCTION LENDING AGENCY ���� .�J��
FOR THE PERFOFI.IANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.3097,CIV.C.). .
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� LENDER'S NAME �
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� TOTAL FEES � �� ��
� I CERTIFY THAT I HAVE READ THIS APPUCATION AND STATE THAT THE ABOVE INFORMATION IS CARRECT.
W I AGREE TO COMPLY WITH ALL CITY AND COUNTY ORDINANCES AND STATE LAWS REUTING TO BUILDING '
� CONSTRUCTION,AND HEREBV AUTHORIZE REPRESENTATIVES OF 7HIS COUN7V TO ENTER UPON 7HE �
� ABOVE-MENTIONEO PR07ERTV FOR INSPECTION PURPOSES.
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GROUND PLUMBING UNDER FLOOR CONDUIT ' � �
SLAB GRADE FIREPLACE FOUNDATION
TEMP POWER FIREPLACE BOND 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
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 LANDSCAPElIRRIG.
SEEP PITJL.L. ON SITE IMPS.
GAS AIR TEST FINAL ZONING
FINAL CONST. � FIRE DEPT. FINAL
FINAL HEATING HEALTH DEPT. FINAL
FINAL ELECTRIC DEV. FEES PAID � �
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