HomeMy WebLinkAbout10-1052 ��_ CITY OF DIAMOND BAR
DEPARTMENT OF COMMUNITY&DEVELOPMEN��7��'��S��
21825 Copley Drive,Diamond Bar,CA 91765 �r a �,
(909)839-7020 Fax(909)861-3ll7 Building Inspection Hotline(909)839- PRE$$
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W TURE,PRIOR TO ITS ISSUANCE,/�L50 REOUIRES THE APPLICANT FOH SUp1 PERMIT TO FIIE A SIONED w Pe���/DBCI(
� STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE GROVISIONS OF THE CANTMCTORS LI-
� CENSE UW(CHAPTER 0(COMMENCWO WITH SECTION 70D0)OF DIVISION 3 OF h7E BUSINESS AND PRO- � POOUSPB
FESSIONS CODE)OR TMAT HE OR SHE IS EXEMPT 7HEREfROM AND THE BASIS FOR THE ALLEGED EXEMP� (�
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Z WILL DO hIE WORK,M1D THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE(SEC.70u,BU51� J
� NESS AND PROFESSIONS CODE:THE CONTRACTORS UCENSE LAW DOES NOT APPLV TO AN OWNER OF �
PROPERTY N010 BUtLDS OR IMPROVES THEREON,M1D WHo OOES SUCH WORK HIMSELF OR HERSELF OR
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� I HEREBY AFFIRM UNDER PENALTY OF PERJURV TNAT I AM LICENSED UNDER PROVISIONS OF CHAPTER �
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� I HEREBV AFFIRM UNDER PENALTV OF PERIURV ONE OF THE FOLLOWING DECURATqNS: Z
� _I HAVE AND WILL MAINTAIN A CERTIFICATE OF CANSENT TO SELF�INSURE FOR WORKERS' ¢
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Q COMPENSATION,AS PROVIDED BY SECTION�700 OF TFIE LABOR((XH1E,FOR THE PEHFORMANCE U
OF TNE WORK FOR WHICH THIS PERMIT IS ISSUED. w
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Q 370o OF THE LAHOF CODE,FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
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Z 1 CERTIFY THAT IN THE PERFORMANCE OF 7HE WORN FOR WHlpi iH15 PERAl1T IS ISSUED,I MECHANICAL
C,'} SHALL NOT EMPLOV ANY PERSON IN ANV MANNEP SO AS TO BECOME SU&IECT TO THE
(n WORKERS'COMPENSATION IAWS OF CALIFORNIA,AND AGREE THAT IF I SHOULD BECAME INSPECTION FEE
S SU&lECT TO THE WORNERS'COMPENSATIO PROVISIONS OF SECTION 3700 Of THE UBOR �� O�
COD,I SH FORTHWITH COMPLV WI E PR VISIONS. IS UAN
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� WAANINO:FAILURE TO SECURE WORKERS'CAMPENSATION CAVERAGE IS UNLAWFUL,AND SHALL BE ENERGY P/C �
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DOLURS(S10o.000�,IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN
J SECTpN 37ae OF 7HE LABOR CODE,INTEREST,AND ATTORNEV'S FEES. D�
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� 1 HEREBV AFFIRM UNDER PENALTV OF PERJUFV THAT THERE IS A CANSTNUCTION LENDINO AGENCV �
� FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERIAIT IS ISSUED(SEC.309�,CIV.C.).
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� LENDER'S NAME
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� I CERTIFV TNAT I HAVE READ THIS APPUCATION AND STATE THAT THE ABOVE WFORMATKKJ IS CORRECT. TOTAL FE ES /����
� I AQREE TO CAMPLV WITH ALL CfTY AND CAUN7V ORDINANCES AND STATE UWS REUTINO TO BUILDINQ
� CONSTRUCTION,AND HEREBV AUTHOR2E REPRES NTATIVES OF THIS CWNTV TO ENTER UPON THE
Z ABO NED PROPERTV FOR INSPECT avosEs. COMMENTS
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� RECPT.NO. PAID BY -VALIDATION
WHITE—Depertment Copy,YELLOW�inance Copy,PINK—Assessor Copy,GOIDENRO�FIe Copy,(iqEEN—Appl{canYs Copy
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SET BACK • FLOOR JOI&T � -
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 SERVICE MID H'L BOND BEAM
ROOF SHEATHING 8 FT.BOND'BEAM
FRAMINGNENTILATION FINAL BOND BEAM
ROOF COVER ; PRE-GRADING
ROUGH HE,4TING BENCHING
ROUGH ELECTRIC ROUGH GRADING
ROUGH PLUMBING FINISH GRADIPJG
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 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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