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^ �` 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 PRESS
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J ISSUED.MY WORNERS'COMPENSATION INSURANCE CARRIER AND POLICV NUMBER ARE: CONSTRUCTION
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Z I CEPTIFY THAT IN THE PERFOHAIANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED,I MECHANICAL �
C.�} SHALL NOT EMPLOYANV PERSON INANV MANNER SOAS TO BECAME SU&IECTTO THE
(/) WORKERS'COMPENSATION LAWS OF CALIFORNIA,AND AOREE THAT IF I SHOULD BECOME INSPECTION FEE
SU&IECTTO THE WORKERS'COMPENSATION ROVISqNS OF S CTION 97o00F TNE UBOR �• �
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� SU6IECTAN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND ENERGY PERMIT
DOLLARS(f 700,000),IN PDDITION TO THE COST OF CAMPENSATION,DAAIAC,ES AS PROVIDED FOR IN
J SECTION 3708 OF THE LABOR CODE,MTEREST,AND ATTORNEV'S FEES.
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� I HEREBV AFFIRM UNDER VENALTY OF PERJURV THAT THEFE IS A CANSTRUCTION IENDWG AGENCV
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w I CERTIFV THAT I HAVE READ THIS APPUCATION AND STATE THAT THE ABOVE INFORAIATION IS CARAECT. TOTAL FE ES v � `
� 1 AGHEE TO CAMPLY WITH ALL CfTY AND COUNTV ORDINANCES AND STATE IAWS REUTINO TO BUILDINO
� CONSTRUCTION,AND HEREBV AUTHORIZE REPRESENTATIVES OF THIS CWNTV TO ENTER UPON THE
Z ABOVE�MEMIONED�PERTV R INSPECTION PURPOSES. COMMENTS '
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SLAB GRADE FIREPLACE FOUNDATION
TEMP POWER FIREPLACE BOND BEAM
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FRAMINGNENTILATION FINAL BOND BEAM
ROOF COVER PRE-GRADING
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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
FINAL CONST. � FIRE DEPT. FINAL
FINAL HEATING HEALTH DEPT. FINAL
FINAL ELECTRIC Z3 DEV. FEES PAID
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