HomeMy WebLinkAbout10-1097 CITY OF DIAMOND BAR
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w NHE,PRIOR TO ITS ISSUANCE,ALSO RE�UIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED w Patio/Deck
� STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRAC70fi5 ll- �
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� 1 HEREBV AFFIRM UNDER PENALTV OF PERJURV THAT I AM LICENSED UNDEF PPOVISIONS OF CHAPTER
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� I HEREBY AFFIRM UNDER PENALIY OF PERIURV ONE OF THE FOLLOWING DECURATIONS: Z
Z _I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSEN7 70 SELF-INSURE FOR WORKERS' a
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W �I HAVE AND WILL MAINTAIN WORKERS'CAMPENSATION INSURANCE.AS REOUIRED BV SECTION
Q 3700 OF THE UBOR CODE,FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
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Z I CERTIFV THAT IN THE PERFORMANCE OF THE WORN FOR WHICH THIS PERMIT IS ISSUED,1 MECHANICAL
(} SHALL NOT EMPLOV ANV PERSON IN ANY MANNER SO AS TO BECOME SUBJECT TO THE
� WORKERS'COMPENSATION LAWS OF CALIFORNIA,AND AGREE THA71F I SHOULD BECOME INSPECTION FEE
� SU&IECT TO THE WORKERS'COMPENSATION PROVISIONS OF SECTION 3700OF THE LABOR -q
� CADE,I SHALL FORTHWI7N COMPLV WITH 7HOSE PROVISIONS. SUA E �S�v�
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p DATE: APPLICANT:
J WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL,AND SHALL BE ENERGY P/C
� SU&IECT AN EMPLOYER TO CRIMINAL PENAL7IES AND CIVIL FINES UP TOONE HUNDRED 7HOUSAND ENERGY PERMIT
DOLURS(i100.o00),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN 'M
� SECTION3708OFTHELABORCODE,MTEREST,ANDATTORNEV'SfEES. RETENTIONFEE: � �/V
OCONSTRUCTION LENDING AGENCY PRE-ALT FEE:
� I HEREBV AFFIRM UNDER PENALTV OF PERJURY THAT THERE IS A CONSTRUCTION LENDING AGENCY
FOR THE PERFORMANCE OFTHE WORN FOR WHICH 7HI5 PERMI7151SSUE0(SEC.3oW,CIV.C.). �
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w I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATqN IS CARRECT.
� I AGREE TO COMPLV WITH ALL CITY AND CAUNTV ORDINANCES AND STATE LAWS FELATING TO BUILDING
� CONS7RUCTION,AND HEREBV AU7HORIZE REPRESENTATIVES OF THIS COUNTY TO EN7EF7 UPON 7HE
Z ABOVE�MENTIONED PROPERTV FOR INSPECTION PURPOSES. COMMENTS '
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SET BACK FLOOR JOIST
FTGS/FORMS/STEEL FHA REQMTS
ELECTRIC GROUND UNDER FLOOR DUCT
GROUND PLUMBING UNDER FLOOR CONDUIT '
SLAB GRADE FIREPLACE FOUNDATION �
TEMP POWER FIREPLACE BOND BEAM
WATER SERVICE MID H'L 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 j� FiNISH GRADING
SHOWER/TUB TEST POOL ELECTRIC
EXT. LATH/SIDING POOL FENCING
WALL INSULATION POOL FINAL
CEILING WSULATION 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 HEALTN DEPT. FINAL
FINAL ELECTRIC DEV. FEES PAID
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FINAL PLUMBING �f//9 � ENERGY
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