HomeMy WebLinkAbout11-262 (5) CITY OF DIAMOND BAR �/�PI��
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21825 Copley Drive,Diamond Bar,CA 91765 '
(909)839-7020 Fax(909)861-3117 Building Inspection HoNine(909)839-7027 PRESS
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� OESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION
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W 7URE.PRqR TO ITS ISSUANCE,AL50 REOUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIONED w
� STATEMENT h1AT HE OR SHE IS LJCENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS Ll�
� CENSE lAW(CHAPTER G(COMMENCMG WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PRO- LL' POOUS(18
FESSIONSCODE)ORTHATHEORSHEISEXEMPTTHEREFROAIANDTHEBASISFORTHEALlEOEDEXEMP� C7
TION.ANVVIOLATIONOFSECTION7o31.5BVANVAPPLICANTFORAPERMITSU&IECTSTHEAPPLICANTTO Z Re-Roof
� A CIVIL PENALTY OF NOT MORE THAN FNE HUNDRED DOLURS(f500).):
� OI,ASOWNEROFTHEPROPERTV,ORMYEMPLOVEESWITHWAGESASTHEIRSOLECAMPENSATION, � COrt1RIBfC18I
Z WILL DO 7HE WOPK,AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE(SEC.701l,BU51- J '
� NESS AND VROFESSIONS CODE:hIE CONTRACTORS UCENSE UW DOES NOT APPLV TO AN OWNER OF �
PROPEHTV NM110 BUILDS OR IMPROVES THEREON.AND NM110 OOES SUCH WORK HIMSELF OR HERSELF OR
� THROUGH HIS OR HER OWN EMVLOVEES,PFOVIDED THAT SUCM IMPROVEMEMS ARE NOT WTENDED OR m
Q OFFEREDFORSALEIF,HOWEVERTMEBUILDINGORIMPHOVEMENTISSOLDWITHINONEYEAROFCOMPLE-
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❑�,AS ONTJER OF TNE PROPERTV,AM E%CLUSNELY CONTRACTINO WITH LICENSED COMRACTORS
� TO CANSTRUCT THE Pqq1ECT(SEC.7041,BUSINESS AND PROFESSIONS CADE:THE CONTRACTORS LI- V81U8�i0f1 � �� ADJ.AREA
� CENSE LAW DOES NOTAPPLV TO AN ONTIER OFA PFOPERTV WHO BUIlDS OR IMPROVES THERC-0N,AND
WHOCONTRACTSFORSUCHPR0.IECTSWITHACANiRACTOR(S)LICENSEDPURSUANTTOTHECANTRAG� pUANTITY DESCRIPTION FEE �
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� ❑I AM E%EMPT UNDER SEC. B.8 P.C.FOR THIS REASON �
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� LICENSED CONTRACTORS DECLARATION w
� I HEREBY AFFIRM UNDER PENALTY OF PERIURV THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER �
� G(COMMENCING WITH SECTION 7000)OF DNISION 3 OF THE BUSINESS AND PROFESSIONS CODE,AND Z
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� WORKERS'COMPENSATION DECLARATION �� �
� '1 HEHEBV AFFIRM UNDER PENALTY OF PERIURV ONE OF TNE FOLIOWING DECLARATqNS: V
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� _I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF�INSURE FOF WORKERS' a
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WORN FOR WHICH THIS PERMIT IS ISSUED. �
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w I HAVE AN�WILL MAINTAIN WORKERS'COMPENSATION INSURANCE.AS REOUIRED BY SECTION
Q „ 370o OF THE LABOR CODE,F R THE PERFORMANCE OF THE WORK FOR WHICH THIS PE IT IS � �
ISSUED.MV WORKERS CAM ATI INSURANCE CARRIEH AND POLIC eEq a1�E: CONSTRUCTION
� CAARIER � • ��-a. � PLAN REVIEW a�S
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Z I CERTIFV THAT IN THE PERFORMANCE OF THE WORK FOR WHICii THIS PERMIT IS MECHANICAL
G�T SHALL NOT EMPLOY ANV PERSON IN ANV AIANNER SO AS TO BECOME SU&IE THE
(/� WORKERS'COMPENSA710N lAW$OF CALIFORN10.M1D AORE T IF I LD B ME INSPECTION FEE
� SU&IECTTOTHEWOqKERS'COMPENSATIONPROVISIO SECT 3700 E
COOE,I SHALL FOFTHWITH COMPLY WITH THOSE P ISIONS. ISSUANCE
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J WARNING:FAILURE TO SECURE WORKERS'CO ERAOE IS UNLAWFUL,AND SHALL BE ENERGY P/C �
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� SU&IECTANEMPLOVERTOCHIMW�IPENALTIESANDCI INESUPTOONEHUNDREDTMOUSMJD ENERGYPERMIT
DOLLAAS(ftao,a00J,IN�ODITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN
J SECTION 37oe OF THE LABOR(,`ODE,INTEREST,AND ATTORNEVS FEES.
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0 CONSTFUCTION LENDING AGENCY P -ALT F E:
� I HEREBV AFFIRM UNOEi7 PENALTV OF PERIURV THAT THERE IS A CONSTRUCTION LENDINO AGENCV ' f1"j�
� FOR THE PERFOqMANCE OF THE WORK FOR WHICH THIS 7ERMIT IS ISSUED(SEC.3087,CIV.C.). ��
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� LENDER'S NAA/E �
� LENDER'SADDRESS
W I CERTIFV TMAT I HAVE READ THIS APPUCATION AND'STATE THAT THE A90VE INFOWAATqN IS CORRECT. TOTAL F E ES �� //
� 1 AGREE TO COMPLV WITH ALL CITY AND CAUNTV ORDINMICES AND STATE WS FELATINO TO BUILDINO
� CONSTRUCTION,AND HEREBV AUTHORIZE REPRESENTATI THIS C TV TO ENTER UPON THE
Z ABOVE-MEMIONED PRO ERTY FOR INSPECTION PURPO 5.
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� RECPT.NO. PAID BY VAUDATION � ��
WHITE—DepaAment Copy,YELLOW—Finence Copy,PINK—Assessor Copy,QOLDENROD--File Copy,GREEN—Appl{canYs Copy
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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 SERV�CE MID HT. BOND BEAM
ROOF SHEATHING 8 FT. BOND BEAM
FRAMINGNENTILATION FINAL 80ND BEAM
ROOF COVER PRE-GRADING
ROUGH HEATING BENCHING
ROUGH ELECTRIC ROUGH GRADING
ROUGH PLUMBING FIN15H GRADING
SHOWER�T'UB TEST POOL ELECTRIC
EXT. LATH/SIDING POOL FENCING
WALL INSULATION POOL FINAI.
CEILING INSULATION OFF SITE IMPS.
DRYWALL NAILING DEDICATIONS
SEWER FINAL ENG.
SEPTIC TANK LANDSCAPE/IRRIG.
SEEP P!TlL.L. ON SITE IMPS.
GAS AIR TEST � FINAL ZONING
FINAL CONST. FIRE DEPT. FINAL
FINAL HEATING HEALTH DEPT. FINAL
FINAL,ELECTRIC DEV. FEES PAID
FINAL PLUMBING ENERGY
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COMMENTS
SEPTIC TANK SIZE
SEEP PIT/U SIZE
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