HomeMy WebLinkAbout10-1149 �
_��_ CITY OF DIAMOND BAR
DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES
21825 Copley Drive,Diamond Bar,CA 91765
(909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-7027 PRESS
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w TURE,PRIOR TO ITS ISSUANCE,AL50 REWIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED w P8�10/DBCK
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N NESS AND PROFESSIONS COOE:THE CANTRACTORS UCENSE LAW DOES NOT APPLV TO AN OWNER OF �
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� IHAVEANDWILIMAINTAINACERTIFICATEOFCONSENT70SELF-INSUREFORWORKERS' $
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Qw _I HAVE AND WILI MAINTAIN WORKERS'COMPENSATION INSURANCE,AS REQl11RED BV SECTION
370o OF THE LABOR CA�E,FOR THE PERFORMANCE OF THE WOFK FOR WHICH THIS PERMIT 15
ISSUED.MV WORKERS'COMPENSATION INSURANCE CARRIEF AND POLICV NUMBER AAE: CONSTRUCTION
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(/� WORKERS'COMPENSATqN LAWS OF CALIFORNIA,AND AGREE THAT IF I SHOULD BECAME INSP FEE �
SU&IECT TO THE WORKERS'COMPENSATION PROVISIONS OF SECTION 3700 OF THE LABOR
� CODE, SHA FORTHWITH COMPLY WI TH SE PROVISIONS. SUAN (
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DOILARS(f100.000),IN PDDITION TO THE COST OF CqMPENSATION,DAMAGES AS PROVIDED FOR IN
� SECTION 3lOB OF THE LABOR CODE,INTEREST,AND ATTORNEV'S FEES. NTI FEE• �_
OCONSTRUCTION LENDING AGENCY PRE-ALT FEE:
� 1 HEREBV AFFIRM UNDER PENALTV OF PERJURY THATTHERE IS ACONSTRUCTION IENDINd AGENCV
FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS GERMIT IS ISSUED(SEC.30G7,CIV.C.�.
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� LENDER'S NAME
� LENDER'SADDRESS A�
W I CERTIFY TNAT I HAVE READ THIS APPLICATION AND STATE THAT 7HE ABOVE INFORMATION IS CARRECT. TOTAL FE ES ���
� I AOREE TO CAMPLV WITH ALL CRY AND COUNTY ORDINANCES AND STATE UWS RELA7INO TO BUILDINO
� CONSTRUCT40N,AND HEREBV AUTHORIZE REPRESENTATIVES OF THIS CWNTV TO ENTER UPON THE
Z ABOVE�MENTIONED PROPERTV FOR INSPECTION PURPOSES. COMMENTS '
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(n 'S DATE
_ � RECPT.NO. " PAID BY VALIDATION
~ WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessar Copy,GOLDENRO�File C
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• CITY O� DIAi1��ND BAR
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SET BACK . FLOOR JOIST '
FTGS/FORMS/STEEL FHA REQMTS
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 '
FRAMINGNENTIIATION 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 DEDICATIONS
SEWER FINAL ENG.
SEPTIC TANK LANDSCAPE/IRRIG.
SEEP PIT/L.L. ON SITE IMPS.
GAS AIR TEST FINAL ZONING
F�NAL CONST. FIRE DEPT. FINAL
FINAL HEATING HEALTH DEPT. FINAL
FINAL ELECTRIC DEV. FEES PAID
FINAL PLUMBING ENERGY
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COMMENTS
SEPTIC TANK SIZE
SEEP PIT/U SIZE
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