HomeMy WebLinkAbout12-1128 (6) i �'
Jl��_ CITY OF DIAMOND BAR
� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES
21810 Copley Drive,Diamond Bar,CA 91765 PRESS
'� (909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-702
���9�, BUILDING PERMIT APPLICATION FIRMLY
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� TO CONSTRUCT THE PR0.IECT(SEC.70N,BUSINESS 1470 PROFESSIONS CODE:7HE COHTMCTOqS LI- V81U9t1Of1 ADJ.AREA.
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� �_I HAVE�ND WIIL MMMAW WORKEHS'COMPENSATION INSURANCE,�.S REOUIRED BV SECTION
Q 3700 OF THE UBOR CODE,FOR THE PERFOHIMNCE�OF THE WORN FOR WHlpl THIS PEAMIT IS, CONSTRUCTION��
0 ISSUEO.AIY WORKERS'COMPENSATiON INSURMlCE CARRIER�AND POIICY NUMBER AflE � �
j CARRIER I�/�I`�/ PLAN REVIEW .,3
� POLICV NUMBER 1 � � f Y� � ELECTRIC . . .
0 (IHISSECf10NNE�NDTBECOMWLEfEDOF71�PEiMTLSFORONEHI.►'ORmOCIL�IiS(S10D10RLES51 PLUMBING . . . .
w 1 CERTIFY 7HAT IN THE PERFOqMANCE OF THE WORK FOH WHICH TIi15 PEW.1tT IS ISSUED,1 MECHANICAL�
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� SHALL NOT EM7LOY ANv PERSON W ANV MANNER SOAS TO BECOME SU&IECT T07HE �INSPECTION FEE
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= SUBJEC7TOTHEWOAKERS�COMPENSATIONPROVISIONSOFSECTION37000FTHELABOR ISSUANCE
CODE.I SHALL FORTHWITH COMPIY WI7N^THOSE PROVISIONS. . �
pDATE: �S'�' APPLICANL �� / �,/1��� _ �SMIP .
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J WARNINO:FAIWRETOSECUREWORKERS'COM�ENSATIONCAVEMGEISUNUWFUL,ANDBHALLBH
� SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND�CIVIL FWES UP TOONE HUN6RED THOUSAND ENERGY PERMIT
pO�LABS�t100,0oD�,IN/J)DiTONTO FHE COST Of COM➢ENSA7pN,OMdkGESlS PROVIOED FOR 1N �
J SECTION 37oe OF 7HE LABOR CODE,INTEREST,AND ATfORNEY'S FEES. - RETENTION FEE: �
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w CONSTRUCTION LENDING AGENGY PR6ALT FEE:
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CC 1 HEREBV AFFIRM UNDER PENALiV OF PERIURY THAT THERE IS ACONSTRUCTION LENDWO AGENCY
n- FOR T11E PERFORMANCE OF THE WORK FOP WHICH THIS PERMIT IS ISSUED ISEC.3097,CIK C.). .
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� LENDERS NAME � .. . .
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w1 CERTIFY THA71 HAVE READ THI9 APPLICATION AND STATE iHATTHE A80VE INFORMATION�S CORRECT. � � l�
� I AUREE TO COMPLY N7TH ALL CIiV AN�COUNN ORDINANCES AND STATE UWS fiELATING TO BUILDINO
� GONS7RUCTION,ANDHEREBVAIl�HORIZEREPRESENTATIVESOFTHISCWNTYTOEMERUPONTHE
Z ABOVE�MEMIONED PROPERTY FOR INSPECTION PURP0.5ES. COMMENTS �
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INSPECTIOP� REGORD
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FTGS/FORMS(STEEL FHA REQMTS
ELECTRIC GROUND 'UNDER FLOOR DUCT
GROUND PLUMBING UNDER FLOOR CONQUIT
SLAB GRADE �FIREPLACE FOUNDATION
TEMP POWER 'FIREPLACE B�ND BEAM
WATER SERVICE �MID HT.BOND BEAM
ROOF SHEATHI�lG �8 FT.BOND BEAM �
FRAMING/VENTILATION - FINAL BOND BEAM
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ROOF COVER �PRE-GRADING ______ _
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ROUGN HEATING �BENCHING
--._._...-----------------_ ------- ------------------ --------------------. .--- -----------._._..-----
ROUGH ELECTRIC 'ROUGH GRADING
ROUGH PLUMBING `FINISH GRADING
SHOWER/TUBTEST �POOL ELECTRIC
EXT.LATH/SIDING 'POOL FENCING
WALL INSULATION j POOL FINAL
CEILING INSULATION �OFF SITE IMPS.
QRYWALL NAILING �DEDICATIONS
SEWER �FINAL ENG.
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5EPTICTANK _ _ !LANDSCAPE/IRRIG___ __________
SEEP PIT/L.L. — �ON SITE IMPS.
GAS AIRTEST 'FINAL ZONING
FINAL CQNST. ;fIRE DEPT.FINAL
FINAL HEATING ;HEALTH DEPT.FINAL
FINAL ELECTRIC i DEV.FEES PAID
FINAL PLUMBING ENERGY
FINAL PLANING ;
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FINAL ENGINEER�NG , ' a s ____ ___ _____
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