HomeMy WebLinkAbout10-1022 CITY OF DIAMOND BAR �
--��— DEPARTMENT OF COMMUNITY&D CES � �
21825 Copley Drive,Diamond Bar,CA 91�������
(909)839-7020 Fax(909)861-3117 Buil �ng Inspection Hotline(909)839-7027 PRESS
'9"" BUILDING PERMIT APPLICATION FIRMLY
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� DATE CONST. `GG�43 GROUP
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� STATEMENT 7HAT HE OR SHE IS LICENSED WRSUANT TO 7HE PROVISIONS OF THE CONTRACTORS LI�
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� A CML PENALTY OF NOT MORE 7HAN FIVE HUNORED DOLURS(i500).): '
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Z Wlll DO THE WORK,AND THE STRUCTURE IS NOT INTENDE�Oq OFFERED FOR SALE(SEC.7011,BUSI- J
� NESS AND PROFESSIONS CODE:THE CONTRACTORS UCENSE LAW DOES NOT APPLV TO AN OWNER OF �
PROPERTV WHO BUILDS OR IMPROVES THEREON,AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR
wTHROUGH HIS OR HER ONM EMPLOVEES,PROVIDED THAT SUCN IMPROVEMENTS ARE NOT INTENDED OR m �
0 OFFEREDFORSALEIF,FIOWEVER711EBUIlDINGORIMPROVEMENT15SOLDWfTHINONEVEAROFCAMPLE�
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� TO CONSTAUCT THE PHOJECT(SEC.701�,BUSINESS AND PROFESSIONS CODE:THE CONTRACTOR9 LI- VBIUflIIo�A ���-ey�— ADJ.AREA
W CENSE LAW DOES NOTAPPLV TO AN ONRJER OF A PR07ER7Y WHO BUILDS OR IMPqOVE3 THEREON,AND �
� NRIOCONTRACTSFORSUCN7R0.1ECTSWITHACONTRACTOH(S)LICENSED7URSUANTTOTHECONTRAC- OUANTITY DESCRIPTION
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. � I HEREBY AFFIiiM UNDER PENALTV OF PERJURV THAT I AM UCENSED UNDER PROVISIONS OF CHAPTER �
� Y(COMMENCINO WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS CADE,AND Z
��� MV UCENSE IS IN FULL FORCE AND EFFECT. m
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� WORKERS'COMPENS DECLARATION �_ Q
� I HEREBV AFFIRM UNDER PENALTY OF PERIUFY ONE OF THE FOLIOWING DECLARATIONS; � �
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� _I NAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF�INSURE FOR WORKERS' a
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OF THE WORN FOR WHICH THIS PERMIT IS ISSUED. �
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w ��NAVE AND WILL AIAINTAIN WORKERS'COMPENSATION INSURANCE.AS REWIRED BV SECTION
Q 3700 OF THE UBOR CADE,FOR THE PERFORAUNCE OF THE WOR1C FOR WHICH THIS PERMIT IS ' /�� •
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Z I CEfiTIFV THAT IN THE PERFORMANCE OF THE WORK FOF WHICH THIS PERMIT IS ISSUED,1 MECHANICAL
(} SHALL NOT EMPLOV ANV PERSON IN ANV MANNER 50 AS TO BECAME SU&IECT TO THE
(n WORKERS'COMPENSATqNUW50FCALIFORNI0.�NDA0REETHAT HOULDBECAME INSPECT FEE
SU&IECTTOTHEWORKERS'COMPE 7ROVISIONSOFSE T i 7000FTHELABOR �
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� SU&IECTAN EMPLOYER TO CRIMINAL PENALTIES AtJD CIVIL FINES UP TOONE HUNDRED o ENERGY PERMIT
DOLLAAS(t10o,o00),IN ADDITION TO THE COST OF COMPENSATION,DAMA�ES AS PHOVIDED FOp IN
� SECTION 3708 OF 7HE LABOR CODE.INTEREST,AND ATTORNEV'S FEES. NTI FEE: /C�
OCONSTRUCTION LENDING AGENCY _ �
� 1 HEREBV AFFIRM UNOER PENALTV OF PERJURV THAT THERE IS A CONSTRUCTION LENDINO AGENCY
FOR THE PEFFORMANCE OF THE WORN iOR WHICH THIS PERMIT IS ISSUED(SEC.309'!,CIV.C.),
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� LENDER'S NAME .
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w I CERTIFY iMAT 1 HAVE READ 7HIS APPLICATION AND STATE THAT THE ABOVE INFORMATqN IS CAflRECT. TOTAL FE ES /��/�
� 1 AGREE TO COMPLV WITH ALL CITY AND COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDINO
� CONSTRUCTION,AND HEREBV AUTHORIZE REPRESENTATIVES OF THI$COUNTV TO ENTER UPON THE
Z ABOVE-MENTIONED PROCERTY FOR INSPECTION PURPOSES. COMMENTS
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� 516 RE OF PERM EE ATE
� RECPT.NO. PAID B VALIDATION
WHITE—Departrnent Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROa–File Copy,GREEN—Applicant'S Copy
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SET BACK FLOOR JOIST
FTGS/FORMS/STEEL FHA REOMTS
ELECTRIC GROUND UNDER FLOOR DUCT
GROUND PLUMBWG UNDER FLOOR CONDUIT
SLAB GRADE FIREPLACE FOUNDATION
TEMP POWER FIREPLACE BOND BEAM
WATER SERVICE MID HT. BOND BEAM
ROOF SHEATHING 8 FT. BOND BEAM
FRAMINGNENTILATION / FINAL BOND BEAM
ROOF COVER /�-�9J,p PRE-GRADING
ROUGH HEATING � BENCHING
ROUGH ELECTRIC ROUGH GRADING
ROUGH PLUMBING FINISH GRADING
SHOWER/TUB TEST P�OL 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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SEPTIC TANK SIZE
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