HomeMy WebLinkAbout12-1309 C1TY OF DIAMOND BAR
� -I�� DEPARTMEI�T OF CQMMUNITY&DEVELOPMENT SERVICES
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21810 Copley Drive,Diamond Bar,CA 91765
(909)839-7020 Fax(909)861-3117 Bu►lding Inspection Hotline(909)839-7027 PR�SS I
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� JOBSITE � /I � � ��(� APPLICATION � PERMIT /f-/3�q #lC
o ADDRES � ��- DATE I NUMBER �� �
o ISSUE TYPE _ (),� OCC
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� SfATEMENT THAT HE OH SHE IS LICENSEU PURSUANT TO 7NE VROVISIONS OF THE CONTiUCTORS LL IL pOOUS 0
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�Q LICENSED CONTRACTORS DECLARATION w
CC I HEREBV AFFlRAI UNDER PENALT/OF PE0.IUHY THAT I AM LICENSED UNOEfl PROVISlON9 Of CMAPTER � �
d, p�COMMENqNO W�7H SECi�DN 7000)OF DNISqN�oF THE BUS ESS�ND PROFESSIONS CODE,AND Z
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� WOflHEAS'COMPENSA710N DECLAfiATI � �
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� _IHAVEANDWILLMAINTAINACERTIFICATEOFCqNSEM.TOSELF-INSUREFOflWOfiNERS �
COMPENSATION,AS PROVIDED BY SECTION 7700 OF TNE LABOR COOE,FOR iHE PERFORMANCE w
OF E VlORK FOA NRi1CH THIS PERMIT IS ISSUEO. �
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W I HAVE AND WILL IMINTA�N WORI(ERS'CAMPENS 710N INSUiUNCE�4 REOUIRED BY SECTION
Q �70o OF THE LABOH COOE.FOH RFO OF THE WORK FOR WNICH THIS PERMIT IS
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(� SHALLNO7EIAPLOYM1vGE WANYMANNERSOAST00ECOMESUBJECT70THE fNSPECTIONFEE
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� CONSTRUCTION LENDING AGENCY PRE-ALT FEE:
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� �HEREBY AFFlRM UNDER PENALTV OF PERIURV THAT THERE 19 ACONSTAUGTION LEND�NQ A6ENCY
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f�IREPLACE FOU��lD�TIOf�I '
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ROOF SHEATHING ;8 FT.BOND BcAM �� -
FRAMING/VENTiLATfON j FINRL 80ND BEAM -
------_ ___----------------------------------- I-_------------- ----__.__
ROOF CO`/ER �ARE-GRADING '
ROUGH HEATlNG------ - ----- — ------ i�BcNCHING -------_—.___
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ROUGH ELECTRIC i ROUGH GRADING
ROUGH PLUMBING FINISH GRA�ING
SHOWER/TUB TEST POOL ELECTP,IC
EXT.LATH/SIDING I POOL FENCIyG
�VALL INSUI_ATION � �POOL FINAL
CEILING I�dSULATION OFf SITE IMPS.
DR'fU�/ALL PJAILIPJG i DEDIC�ITIONS ____
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SEPTICTANK.--------- -- — ----- ---�— �LANDSCAPE/IRRlG.----�-----___.---
---- — �-------- ---------
SEEP PIT,�L.L ON SITE IN4P5. �
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FINAL ELECTRIC DEV.fEES PAID
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i Si�n�iified �rescrintire Ceriificate o;f'Com liance: 2a0$Residerstfal HY.4e.4lterr.rio,ss �F-1R-ALT-1-i'�%AC
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� '-;c�tacea r unccXiditionad space : Se:•:ed by sYst.^.m rt�nm a�recai�
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- ?i�finim:ini L•guip,acnr,E,rcie��cies: i3SL•F_P„ i8"�£.�tF'C,'L', i.iH�PF;orryFicclresfdentiai:i.a��s. .
F��.R.S v£RIF'ICJ:T'Fp1V SL".'7�2A1t�'Lisied belcw a;e feuz HVAC alteratier.Optiona. T5e instailcr decides•xnst work is bemg done and
pi�ks ane oi ti�e appt�;iate Opticrs. Fach qptioa iisg tl;e�S neasums that mua be conciuc�,al,A c3py oi the fotrns s'tta'.i be ieft p^s:te for fir.�[
incpce:ioz snc a copy�i�•en ta[fi?c!-,e:new.•ner. �V f n,�i.;,he inspector verif�:ha;t;ie work lis•e�or.Lhs fo.'m wiiS in,`2ct the w•ark completCi b•+��'�c �
insca'!er. 71�e ins�;p-ai`O�el'��F CE�li 2nC�1 Ru�re�ris;e CF•6R ar,d�cgKtered Ci--+R fnr.n5!t!C ha�51`.ed CF-41Zs nitawedt are fi?Ied eut ar,d
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r �.:;:�vAC� u' mer;:r �aced i CF-6R fcrms: MfiCHf'.�4,bIL•C:F?�2 t-I�ERS and(:cr s�:i:sysxm,e)�fE�CH-25-HERS
� � � � CF•4R forr.ls: I�SL•G�-I-2'ar,cl for s l:t svstens) �lFC�I-2i
� � �_nnden:es C;:il and!or �j �.r-R forcls: N,cCH-.'.1-I-iERS�d{for sptit,rysterc)MECH-25-HF3�S
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��Z.'Jtu=e SyStcns w:th le�x��,ar.•'l?i;nezi:`ey:���:x�ditioned��ace,Cr
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� cac:,:ia�:-:�w ducdng ar.d zi: ,
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'"�=.'�ew�??nrts K7t�tiepts�ment d2.eGuired Forass.
d I:?clu��E^.la;-:r�;cr i-sca;tino Ai:::e��dL�.i�g �-bR fwrc;t: .Li��r',-04.L�fECK•20-HERSand(for split Nste^�.a}id�CH•�-HERS
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co�i snj�cr tumace. Not al;enuipmca�a��ngect. 1
For 5�.iiL SVSLC�133:I?a�t le�kage <fi per„ent,RC:�Cl+.>3G0 CF'.ifton:T1�SAH
i Fr..r Paci:as�d:'ni4s:�tu.c ICzl�se <6�.�eat
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-I'o;sziit s�stem or packa�ec.'anits: Dn�t;,eakage ;15 perceta I
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� • .,:cra`.`sr;,4is Ce�i.`i'�lC Of CGt;i(:li3r.cc rr,:�mZrttation:4 ic�rxe an�tompie�.
• ;am eli;in[e.:ade'D:viaen 3 e{r.ie:alifoer.�3;i.air.=s.:srtti Pr^fessiors Co:t:c�ccz;+;respauibil'Ay fot ti�c d�a:gz id�zritied�x+�!�Ctr.i�.:atc cf Co�`.la;,ce.
;c_�iF::at ha:aer�y fe3mr�ard{x:f�„rance spx:f.catnra�cv L'�cl�ign idcr.cifecd on this Cenlfmu at Cecnpt�arr Mnfo�r.r.>;he�.qui;e��nu of 7it;e:4,
?srs 1 and::�''•��e Ca1i:`onia Codc o'Resula:;�ns.
� � -�_d�si2:!'t2tu;�:s iccr.:ifr,�r?n i8�Cen:�;tc r:f�pmpik.y.e at-conxistc�rt�+h;h;he itYw'mstior,da.."umc��d o�oC�er appti�bfe:.c�n�i7r�forr�.wor.<She�.
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