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� �`_ CITY OF DIAMOND BAR �s.�O 4/,A/I
DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �JV
21825 Copley Drive,Diamond Bar,CA 91765
� (909)839-7020 Fax(909)861-3117 Building Ins ection Hotline(909)839-7027 PRESS
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� I HEREBV AFFIRM UNDER PEN�V.TY OF PERIURY ONE OF THE FOLLOWING DECUfiATIONS; �
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� _IHAVEANDWILLMAINTAINACERTIFICATEOFCONSENTTOSELF�INSUREFORWORKERS' _
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Qw _I HAVE AND WILL MAINTAW WORKERS'COMPENSATION INSURANCE,AS REOUIqED BV SECTION
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Z �CERTIFV THAT IN THE PERFOFMANCE OF THE WORK FOq WHIC1/THIS PERMIT IS ISSUED,I MECHANICAL
� SHALL NOT EMPLOV ANV PERSON IN ANV MANNER SO AS TO BECOME SU&IECT TO THE
(/� WORKERS'COMPENSATqNLAW50FCALIFORNIA,ANDAOREETHATIFISHOULDOECOME INSPECTIONFEE
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CODE.I SNALL FOR7HWITH COMPLV WITH THOSE PROVISIONS. ISSUANCE !`
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J SECTqN 3708 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. /r� +O
w FETENTION FEE: _ ��
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� I HEREBV AFFIRM UNDER PENALTV OF PERJURV THATTHERE IS A CONSTRUCTIQ4lENDINO AGENCY ���
� FOR THE PERFORMANCE OF THE WORK F R WHICH THIS PERMIT IS ISSUED(SEC.7081,CIV.C.�.
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� I AGHEE TO COMPLV WITH ALL CRY AND CAUNTV ORDINANCES AND STATE LAWS PEUTIN(3 TO BU0.DING
� CONSTRUCTION,AND HEREBV AUTHOHIZE REPRESENTATIVES OF THIS CWNTY TO ENTER UPON THE
Z ABOVE-MENTIONED PROFERTV FOR INSPECTION PUR705E5. COMMENTS '
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SLAB GRADE FIREPLACE FOUNDATION '
TEMP POWER FIREPLACE BOND BEAM
WATER SERVICE MiD H'L BOND BEAM
ROOF SHEATHING 8 FT. BOND BEAM
FRAMINGNENTILATION FINAL BQND BEAM
ROOF COVER PRE-GRADING
ROUGH HEATING BENCHING
ROUGH ELECTRIC ROUGH GRAD�NG
ROUGH PLUMBING FINISH GRADING
SHOWERlTUB 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 LANDSCAPE/IRRIG.
SEEP PIT/L.L. ON SITE )MPS.
GAS AIR TEST FINAL ZONING
FINAL CONST. FIRE DEPT. FINAL
FINAL HEATING HEALTH DEPT. FINAL
FINAL ELECTRIC DEV. FEES PAID
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