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:_��_ CITY OF DIAMOND BAR /
DEPARTMENT OF COMMUNITY&DEVELOPME —� �/
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21825 Copley Drive,Diamond Bar,CA 91765 '
(909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-7027 � PRESS
I "°�" BUILDING PERMIT APPLICATION FIRMLY
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� STATEMENT TNAT HE OR SHE IS LICENSED PURSUANT TO iHE PROVISIONS OF THE CONTRACTORS LI-
� CENSE UW(p1APTER o(COMMENCWO WITH SECTION 7000)OF DIVISION 3 Of h1E BUSINESS AND PRO � POOUSPB
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� NESS AND PROFESSIONS CODE:iNE CANTRACTORS LICENSE UW DOES NOT APPLY TO AN OWNER OF �
PqOPEHTV W/i0 BUILOS OR IMPROVES THEREON,AND WHO DOES SUCH WORK HIMSELF OR HEHSELG OR
CC THROUGHMISORHEROWNEAI7LOVEES,PROVIDEDTHATSUCIIIMPROVEMENTSARENOTINTENDEDOR m
� OFFEREDFORSALEIF,HOWEVERTMEBUILDMGOAIMPROVEMENTISSOLDWfTNINONEVEAROFCOMPLE-
Z TION,THE OWNER�BUILDER WILL HAVE THE BURDEN OF PROVWO THAT HE OR SHE DID NOT BUIID OR
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Q TO CONSTRUCT THE VRQIECT(SEC.70a1,BUSINESS AND PROFESSIONS CODE:THE CANTRACTORS LI- V8IU3SIOf1 ADJ.AREA
W CENSE LAW DOES NOT APPLV TOAN OWNER OF A PROPERTV NM1iO BUILDS OR IMPROVES TNEREON,AI�
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Q 3700 OF THE LABOR CODE,FOR THE PERFORAIANCE OF THE WORK FOR WHICH THIS PERMIT IS ,
ISSUED.MV RKERS'CAMPENSATION INSURANCE CAARIER AND POIICY NUMBERME: CONSTRUCTION
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Z I CERTIFY THAT W THE PERFORMANCE OF THE WORN FOR WHICH THIS PERMIT IS ISSUED.I MECHANICAL '
C� SHAIL NOT EMPLOY ANV PERSON IN ANV MANNER 50 AS TO BECOME SU&IECT TO THE.
(/� WORKERS'COMPENSATqN LAWS OF CALIFORNIA,AND AGREE THAT IF I SHOULD BECOME INSPECTION FEE
S SU&IECTTO THE WORKERS'COMPENSATION PRO IONS OF SECTION 370qpF THE LABOR w ^ _
CODE,I SMALL FORTHWITH COMPLV WITH THOSE fl OVISIOI . // J��
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LL SUAIECTPN EMPLOVER TO CRIMINAL PENALTIES D CIVIL FWES UP TOONE HUNDRED THOUSAND ENERGY PERMI
DOLLAAS(=100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMNGES AS PROVIDED FOR IN
� SECTION 37oe OF THE LABOR CODE.INTEREST,AND ATTORNEV'S FEES. N FE : � �a
OCONSTRUCTION LENDING AGENCY PRE•ALT FEE: �
� I HEREBY AFFIRM UNDER PENALTV OF PERJURY 7}U.T THEHE IS A CONSTRUCTION LENDINO AGENCY
FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.3087,CIV.C.).
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� LENDER'S NAME
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w I CERTIFY THAT I HAVE READ THIS APPLICATION ANO STATE THAT THE ABOVE WFORMATqN IS CORRECT. TOTAL FE ES �/I���
� 1 AGREE TO COMPLV WITH ALL CT'AND COUNTY ORDINANCES AND ST�TE LAWS RELATINO TO BUILDINO
� CONSTRUCTION,AND HEREBY AUTHORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER U70N THE
Z ABOVE-MENTIDNED PROPERTV FOR INSPECTION PURPOSES. COMMENTS ' �
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ELECTRIC GROUND UNDER FLOOR DUCT
GROUND PLUMBING UNDER FLOOR CONDUIT
SLAB GRADE FIREPLACE FOUNDATION
TEMP POWER FIREPLACE BOND BEAM
WATER SERVICE MID H'T. BOND BEAM •
ROOF SHEATHING 8 FT. BOND BEAM
FRAMINGNENTILATION FINAL BOND BEAM
ROOF COVER PRE-GRADING
ROUGH HEATING BENCHING
ROUGH ELECTRIC ROUGH GRADING
ROUGH PLUMBING FiNISH GRADING
SHOWER/TUB TEST POOL ELECTRIC
EXT. LATH/SIDING POOL FENCING
WALL INSULATION POOL FINAL
CEILING INSULATIOPI OFF SITE IMP.S.
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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