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HomeMy WebLinkAbout12-592 CITY OF DIAMOND BAR
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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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.�,�; :_�� CITY OF DIAMOND BAR �� • , � : 'r.'� I
��� •(rw DEPARTMENT OF COMMUNITY&DEYELOPMENT SERVICES . ' j +� r . , i
' 21810��Copley,Drive;Diamond Bar,CA 91765 ' �. ',r ':
, (909)839-7020 Fax(909)861-3117. .Building Inspection Hotline(909)839-7027 'PRESS r; �
„"°""�: 'BUILDING PERMIT APPLICATION :.'y f��:FIRMLY.1` � .
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Q 'I HEREBY AFFIHFI UNDER FENALiV OF PERJURV THAT I AM LiCENSED UNDEA PROVISIONS OF GIAPTER � �
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��� 'MY IICENSE IS M�Fi1LL FORCE AND EFFEC7. •
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�� _�HAVEANDWILLMAMTAWACERTIFlCATEOFCONSENTTOSELF-INSUREFORWpip(ERS' gy � ' � q
,. .� •COMPENSATION.AS PROVIDED BY SECTION 31000F 7NE LABOR CODE.FOR THE PERWRMANCE V- ' f �'j;V L ���� S.
� OF hIE WORK FOR NRiICH THIS PERMIT 19 ISSUED. � ' � . ,, � :
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� � _I HAVE AND WILL AUINTAIN WORKEAS'�COMPENSATION IN9UqANCE;Ay qEOUIRED BY SEC'fION � ' � .�, -
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� Z . �I CERTIFV�THAT W THE�PERFORMANCE OF THE�WOHI(FOp WHICH TIiIS PERMR tS�I55UED,1 ' MECHANICAL� , � � � � �
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WOATE:� `.��`��.L" APPLICANT:� ��. .SMIP . � ' ' � - .����^V , � .
� J WARNIN�:FAIWRE 70 SECURE WOR)(ER5 COMPENSATqN CqVERAGE IS UNUWFUL,AND.SHALL BE ' ENERGY P/C ' ' • i � � •
- J' SU&IECT AN EMPIOVER 70 CAIM WAL PENALTIES AND pVIL FlNES UP TO ONE HUNDRED Tt10U5AND � � �
� D�LLAAS(S10o.DDD),INADDITIONTOTHEC0.STOFCOMPENSATION,DMIACESASPROVIDEDFORIN ENEROY�PERMIT � � j � ' �
� J SECTION 370E OF 7HE LA80R CODE,WTEREST,'AND ATTORNEV'S FEES. � • � ' � � '; n,,�
� RETENTION FEEi '
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, � 1 HEREBY AFFIRM UNDER GENALTV OF PERIURV THAT THEfiE fS A CONSTRUCTION LENDWO AOENCY,- ' ry . - . �
FOR THE PERFORMANCE OF 7NE WOR)(FOR WHIp1 THIS VERMR IS ISSUED�SEC:3087,CfV.C.� •
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, , �W �ICERTIFYTHATIHAVEREADTHISAPPLICATKKJANDSTATE�THATTHEABOVEP1FOqAlAT10NISCORRECT. TOTAL FEES �•. �✓�.D ^� � g� �;�. �
� -I A6REE TO COMCLV WITH FLI,GTV AND COUNTY ORDWANCES AND STATE UWS HEUTW6 TO BU0.01NO � �
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F . WHITE—Deparunen[CoPY,YELL01N-Finar�ce Copy,PINK—Assessoi Copy,GOLpENROD-File Copy:GREEN—Appl{carit's Copy , , .
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Cil'Y (�F DIAM�ND BAR
INSPECTIOPV RECORD
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SET BACK FLOOR JaIST
FTGS/FORMS/STEEt ___ _� _ �FHA REQMTS
ELECTRIC GROUND` UNDER FLOOR DUCT
GROUND PLUMBING UNDER FLOOR CGNDUIT
SLAB GRADE FIREPLACE FOURIDATION
TEMP POWER FIREPLACE BOND BEAM
WATER SERVICE MID HT.BOND BE,4M
ROOF SHEATHING 8 FT.BOND BEAM
FRAMING/VENTILATION FIIdAL BOND BEAM
ROOF COVER PRE-GRADING
ROUGH HEATING BENCH�NG
ROUGH ELECTRIC ROUGH GRADING
ROUGH PLUMBING FINISH GRADING
SHOWER/TUBTEST POOL ELECTRiC
EXT.LATH/SIDING POOL FENC�NG
WALL INSULATlON POOL FINAL
CEILING INSULATION OFF SITE IMPS.
DRYWALL NAILING DEDICATIONS
SEWER FINAL ENG.
SEPTIC TANK LANDSCAPE/IRRIG.
SEEP PIT/L.L. ON Sf�E IMPS.
GAS AIRTEST FINAL ZONING
FINAL CONST. fIRE DEPT.FINAL
FINAL HEATING HEALTH DEPT.F(tJAL
FfN,4L ELECTRIC DEV.FEES PAID
FINAL PLUMBING ENERGY
FINAL PLANING
FINAL ENGINEERING . � � -
COMMENTS
SEPTlCTANK SIZE
SEEP PIT/U SIZE
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