HomeMy WebLinkAbout12-1016 � _��_ 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 NRE,PRIOR TO RS ISSUANCE,ALSO REWIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SI�NED w Patio/Deck
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� CENSE LAW(CHMTER Y(COMMENCING WITH SECTION 7000)OF OIVISION 3 OF THE BUSINESS AND PRO- POOVSpB
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PROPEHTY N?10 BUILOS OR IMPROVES THEREON,AND WHO DOES SUCH WORK HIMSELF OR HEHSELF OR
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� 1 HEREBY AFFIRAI UNDER PENALTY OF PERJURV 7HAT IAM LICENSED UNDER PROVISIONS Of CHAPTER �
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� WORKERS'COMPENSATION DECV+RATION Q
� 1 HEREBV AFFIRM UNDER PENAl1Y OF VERJURY ONE OF THE FOLLOWING OECtARA710N5: Z �
� _I HAVE AND WILL MAINTAW A CERTIFICATE OF CONSENT TO SELFdNSURE FOR WOHKERS' _
Q CAMPENSATION,AS PROVIDED BY SECTION 370o OF THE LABOR CODE,FOR 1HE PERFOHMANCE W
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U' SHALLNOTEMGLOYANYPERSONINANYMANNERSOfSTOBECAMESU&IECTTOTHE
� WORNERS'COM7ENSATION LAWS OF CALIFORNIA�ND AGREE THAT IF I SHOULD BECOME �NSPECTION FEE
= SU&IECT TO 7HE WORKERS'COM7ENSATION PROVISIONS OF SECTION 37o00F THE LABOR
co i s u Fo�rrriwrrr�couv�r wm�Tr+ aaovisaNs. ISSUANCE • �
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� SUBJECT AN EMPLOYER TO CRIMINAL VENALTIES AND CIVIL FW ES UP TO ONE HUNDRED THOUSAND ENERGY PERMIT
DOLLARS(i10o.00o),iN ADDITON TO THE C0.5T OF CAMPENSATION,DAMAGES AS PROVIDEDfOR IN
� SECTION 370E OF hIE LA80R CODE,INTEREST,AND ATTORNEY'S FEES. � RETENTION FEE: ' �
OCONSTRUCTION LENDING AGENCY PRE-ALT FEE:
� 1 HEREBY AFFlRM UNDER PENALT'OF PERIURY THAT THERE IS ACONSTRUCTION LENDINO AGENCV
FOR TNE PERFORMANCE OF 7HE WORK FOP N?iICH 7HIS PERMIT IS ISSUED(SEC:30v7,CIV.C.).
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� LENDER'S NAME
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w I CERTIFY TiAT 1 HAVE READ THIS APPLICATION AtJD STATE THAT THEABOVE INFORMATION IS CORRECT. TOTAL FE ES g�
� 1 A6REE TO COMPLV N7TH ALL CITV AND COUN7Y ORDWANCES AND STATEUWS REU7INC,TO BUILDINO
CONSTRUCiION.AND HEREBY AUTHORIZE REPRESENTATNES OF 7HI5 CWNTV TO ENfER UPONTHE
z ABOVE-MENTIONED GROPER7Y FOR INSPECTION VURPOSES. COMMENTS �� . �I
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CITY 0� DlAMOND BAR
INSPECI'IOPV RECORD
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SET BACK i FLOORJOIST
---------- ---- ---- ------- - ----------- -------- ------------
FTGS/FORMS/STEEL FHA REQMTS
ELECTRIC GROUND UNDER FLOOR DUCT
GROUND PLUMBING UNDER FLOOR CONDUIT
SLAB GRADE FIREPLACE FOUNQATION
TEMP P01�VER 'fIREPLACE BOND BEAM
WATER SERVICE `MID HT.BONO BEAM
ROOF SNEATHIt�G 8 FT.BOND BEAM
FRAMING/VENTILATION �FINAL BOND BEAM
------ -------- — ----- ----- - -----------—..------ --------- ---
ROOF COVER 'PRE-GRAOING
_._...--- ------..- ------ -- --..___ _.___-----. ._.__ _._._.__ _...__._ ._ _ —. _....--- .._._ .....__.. __... _._.—..._..----._ ...._.._.
ROUGH HEATING BENCHING
_._.._._..---._..__._.----------- _._.-- ----._.._._..__—._.._._...-------_--- �----.___..—._..__...__—____.._..—....._._... --------------------..
ROUGH ELECTRIC ROUGH GRADING
ROUGH PLUMBING ti �FINISH GRADING
SHOWER/TUBTEST POOL ELECTRIC
EXT.LATH/SIDING POOL FENCING
WALL INSULATION POOL FINAL
CEILING INSULATION 'OFF SITE IMPS.
DRYWALL NAILING ;DEDICATIONS
SEWER --------------- --- --------- F I NAL ENG--- ---------- -------------------
SEPTICTANK LANDSCAPE/IRRIG.
SEEP PIT/L.L ON SITE IMPS.
GAS AIRTEST FINAL ZONING
FINAL CONST. 'FIRE DEPT.FINAL
FINAL HEATING HEALTH DEPT.FINAL
FINAL ELECTRIC �DEV.FEES PAID
FINAL PLUMBING �ENERGY
FINAL PLANING =
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FINAL ENGINEERING • o 0
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