HomeMy WebLinkAbout10-1282 ,�,_,�� CITY OF DIAMOND BAR /
DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ��
21825 Copley Drive,Diamond Bar,CA 91765
(909)839-7020 Fax(909)861-3ll7 Building Inspection Hotline(909)839-7027 $$
"*"� BUILDING PERMIT APPLICATION FIRMLY
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� COMPENSATION,AS PROVIDED BV SECTION 370o OF THE UBOR fADE,FOR THE PERFORMMlCE U
OF THE WORK FOR NT11CH THIS PERMIT IS ISSUED. W
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I HAVE AND WILL MAWTAIN WOFKERS'COMPENSATION INSURANCE,AS REQUIRED BV SECTION
Q3]00 OF THE LA80R CODE,FOR THE PERFORMANCE OF THE WOFN FOR WHICH THIS PERMIT IS ��, ��
ISSUED.MV WORKERS'COMPENSATION NSURANCE CARRIER M1D 70LICV NUMBER ARE: CONSTRU IO
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Z I CERTIFV THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUEO.I MECHANICAL
U' SHALL NOT EMPLOV ANV PERSON W ANV MANNER SO AS TO BECOME SU&IECT TO THE �
(/) WORNERS'COMPENSATION LAWS OF CAIIFORNIA,AND AaREE THAT IF I SHOULD BECAME INSPECTI FEE
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D011ARS({100,000�,IN ADDITION TO THE COST OF COMPENSATION,DAMAOES AS PROVIDED FOR IN
� SECTION 37ae OF 7HE LABOR CODE,INTEREST,AND ATTORNEV'S FEES. RETEN� ON F ,�.Q
OCONSTRUCTION LENDING AGENCY P ALT FEE:
� I HEREBV AFFIiUA UNDER PENALTV OF PERJURV THAT THERE IS A CONSTRUCTION IENDINO AQENCV `���� � Q
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� I AGHEE TO COMP�Y WITH M.L CITY AND COUNTV ORDINANCES AND STATE LAWS RELATINO TO BUILDINQ
� CONSTqUCTION,AND HEREBV AUTHORIZE REPRESENTATIVES OF THIS COUNTV TO ENTER UPON THE
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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 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 INSULATION OFF SITE IMPS.
DRYWALL NAILING '0 l .� DEDICATIONS
SEWER FINAL ENG.
SEPTIC TANK LANDSCAPE/IRRIG.
SEEP PIT/L.L. ON SITE IMPS.
GAS AIR TEST FINAL ZONING
FINAL CONST. 3-�.�i � FIRE DEPT. FINAL
FINAL HEATING HEALTH DEPT. FINAL
FINAL ELECTRIC _�-/r � DEV. FEES PAID
FINAL PLUMBING ENERGY
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SEPTIC TANK SIZE
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