HomeMy WebLinkAbout16281 ��� CITY OF DIAMOND BAR EXPIRED
DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES
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� CENSE UW�CHAPTER Y(COMMENCNO WfTH SECTION 7000)OF DMSION 3 OF THE BUSINESS AND PRO- � POOUSFIB
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Z WILL DO THE WOPo(M1D THE STRUCNRE IS NOT INTEN�ED OR OFFEHED FOR SALE(SEC.7041,BUSI- J
N NE93 AND PROFESSIONS CODE 7HE CONTRACTOPS LICENSE UW DOES NOT APPLV TO AN OWNER OF �
PROPEHfV WFp BU6DS OR IMPROVES THEREON,AND WHO DOES SUp7 WORK HIMSELF OR HERSELF OR
S TMROUGH WS OR HER OWN EMPLOYEE3.PROVIOED THAT SUGI IMPROVEMENTS ARE NOT INTENDm OR m
Q ,OFFERmFORSALEIF,IIDWEVEq7HE8UILDINOORIMPROVEM@RISSOIDWfTHINONEVEAFiOFCOYPLE
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� ❑1,AS OWNER OF THE PiiOPEHTY,AA1 EXCLUSIVELY CONTMCfINO WfTH IICENSED COMRACTORS
70 CONSTRUCT T1E PROJECT(SEC.7M1,BUSINESS AND PROFESSIONS CODE:THE CXINTRACTORS LI� VBIU8II0l1 ADJ.AREA
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I HEREBY AFFIAIA UNDER PENALTY OF PERIURY THAT I AM LICENSED UNDER VROVISIONS OF CHA7TER � ,
� Y(COMYENCWO WITH SECTION 7000)Of ONISION 3 OF THE BUSINESS AND PROFESSIONS COOE,AND Z
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OF TIiE WORK FOR WHICFI THIS PERMIT IS ISSUED. W
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Z I CERTIFV THAT IN THE PERFORMANCE OF THE N'ORK FOR WHICH THIS PERMIT IS ISSUED,I MECHANICAL
C!3 SWLLL NOT EMPLOV ANY PERSON IN ANY MANNER SO AS TO BECOME SU&IECT TO THE n
� WORKERS'COMPENSATqN LAWS OF CALIFORNIA,AND A6REE TNAT IF I SHOUID BECAME INSPECTION FEE `
S SU&IECT TO THE WORKERS'COMPENSATION PROVISqNS OF SECTpN 370D OF TNE UBOR .. .__„._ .`
CODE,1 SHALL FORTHWITH COMPLV WITH 7HOSE PROVISIONS. ISSUANCE
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p DATE: � APPLICANT:
� WARNINO:FA0.URE TO SECURE WORKERS'COMPENSA710N COVERA6E IS UNUWFUL,AND SHALL BE ENERGY P/C
� SUBIECTANEMPLOYERTOCRIMINALPENALTIESANDCNILFINESUPTOONEHUNDREDTHOUSAND ENERGYPERMIT
DOlURS(i100.000),M ADDI710N TO THE COST OF COMPENSATqN,DAMAQES AS PROVIDED FOR IN
� SECTION 370e OF 7HE UBOR CODE,fNTEREST,AND ATfORNEV'S FEES. ' RETENTION FEE: •
OCONSTRUCTION LENDING AGENCY PRE-ALT FEE: ��-_
� I HERE9V AFFIRM UNDER PENhLTV OF PERIURV THAT THERE IS A CONSTRUCTION LENDINO AGENCV ' � � ' .
Z WR THE PERFORMANCE OF THE WORK FOR WHIGi TMIS PERMIT IS ISSUED(SEC.�OG7,GV.C.�. ,
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� LENDER'S NAME � . � . . . ,. •
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� I CERTIFV TMAT I MAVE READ THIS APPLICATION AND STATE THAT TIE ABOVE RJFORMATqN IS ODRRECT. TOTAL FE ES � . , ' 'S"7,��O� '
� I AOREE TO COMPLY N7TH ALL CfTV AND CWNTV ORDINANCES AND STATE UWS REU71N6 TO BU0.DING , , �
� CONSTRUCTION,M1D HEREBV AUTHORIZE REPFESENTATIVES OF 7HI5 COUNiV 70 ENTER UPON hiE .
Z ABOVE-MEMqNED PROPERN FOH INSPECTION PURP0.5ES. COMMENTS � '� ' � ' � � �
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SHOWER/TUB TEST POOL ELECTRIC
EXT. IATH/SIDING POOL FENCING
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GEILING INSULATION (aFF SITE IMPS.
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SEWER FINAL ENG.
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