HomeMy WebLinkAbout17539 �
�,�� CITY OF DIAMOND BAR ' EXPIRED
DEPARTMENT OF COMMLJNITY 8c DEVELOPMENT SERVICES
21660 E.Copley Drive Suitc 190 J U N 18 2002
(909)86a3195 Fax(909)861-3117 PRE$S
� '°�' BUQ.DING PERMTf APPLICATION ' FIRMLY
• oJOBSITE �� � APPLICATION '/$/02 PERMIT �7539 P/C
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PiqPEHfY WFp BUp.pS OR N VipVES hIEREON,AND WFIO DOES SUCH WORN HIMSELF OR HERSELF OR '
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X W LICENSE 13 W FULL FORCE AND EFFECT, m
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� WORKEAS'COMPENSATION DECLARATION �
� I HEREBY AFFlRM UNDER PENALTY OF PERIURY OFlE OF THE FOLLOWINO DECLAMTIONS: Z
� I HA WILL AUIN7AR1 A CEHTIFlCATE OF CONSENT TO SELF-INSUHE FOR WOFKERS' _ ,
Q �710N,A9 PROVIDED BV SECTON 3700 OF 7ME LABOFi COOE.FOR THE PEFFORMMICE w
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Uj WORKERS'COMPENSATION UWS OF CALIFORN10.�ND AOREE THAT IF I SHWLD BE �NSPECTION FEE
SU&IECTTOTH WORKERS'COAIPENSATqNVROVISION50F5ECTqN97000fTH R (_ �
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DOLLARS({100,000�,W ADD(T10N TO THE COST OF COMPENSATION,DAMAOES AS PROVIDED FOR IN
� SECTION 970!OF 7HE UBOR CODE,IN7EFE5T,AND ATTORNEY'S FEES. ' FjETENTION FEE:
� CONSTRUCTION LENDING AGENCY PRE-ALT FEE:
� I MEREBV AFFI{iM UNDER PENALTV OF PERIURV THA77HERE IS A CONSTRUC710N LENDIN(i AOENCV �
� f-0R THE PERFORMANCE OF 7ME WORK FOR WHICH THIS PERMI715 ISSUED(SEC.30D7,CIV.C.). � �
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� LENDER'S NAME
� LENDER'SADDRESS
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� I CERTIFV THAT I HAVE READ THIS APPLICATION M1D STATE 7HAT THE ABOVE PIFORMATION IS CORRECT. TOTAL FEES
w I AdREE TO COMPLV WI7H N.L CfTV M1D COUNTY O INMICES AND STATE LAWS REUTIN�TO BUILDIN(i � �
� CONSTRUCTION,AND HER�V AUTFIORIZE REPRES TATNES OF THIS COUNTY TO INTER UPON 7HE � � �
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GROUND PLUMBING UNDER FLOOR CUMDUIT ' .
SLAB C.,.RADE FlREP'�LAG,�FOUt�fDATION � �.
TEMP POWER FIREPLACE BOND BEAM
.WATER SERVICE MID HT. BOND BEAM
ROOF SHEATHING 8 FT'. BO�VD�EA)VI �
FRAMlNGNENTILIATION FINAL BOND BEAM �
ROOF COVER • PRE-GRADING
ROUGH HEATING BENCHING
ROUGN ELECTRIC • ROUGH GRADING
ROUGH PLUMBING . FINISH GRADING
SHOWER/TUB TEST POOL ELECTRIC --
EXT. UaTH/SIDING POOL FENCING
W,4LL lNSULATION POOL FINAL
CEILIf�G INSULATiON OFF SITE IMPS.
DRYWALL NAILlNG � DEDICATIONS
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SEPTIC TANK LANDSCAPELIRRIG.
SEEP PIT/L.L. QN SITE IMPS.
GAS�1,R TEST � � FINAL Z�NING �
FINAL.C�NST. FIRE DEPT. F;,UAL
FINAL HEATING HEALTH DEPT. FINAL
FlNI���LECTRIC DEV. FEES +�A(D
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