HomeMy WebLinkAbout12-303 i ___'_.
`� ��_ CITY OF DIAMOND BAR /
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��2� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �
, 21810 Copley Drive,Diamond Bar,CA 91765
(909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-7027 RE$$
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�Q UCENSED CONTRACTORS DECLARATION � W � � � .
CL I HEREBY AFFIRAI UNOER PENALTY OF PERJURY TNAT I AM LICENSED UNDEA PROVISIONS OF CHAPTER Ur LC �
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SU&IECT TO THE WO/iKERS'CAMPEN9ATqN PROVISIONS OF SECTION 3700 OF THE LABOR �� �
O cooe,i sruu FORrr�wm�coua�r Nnnr TrwsE vao�swr+s. ISSUANCE �
p DATE: APPLICANC �SMIP �
� WARNIN(i:�F/JWRETOSECUREWON(ER3'COMPENSATIONCAVEMGEISUNLAWFUL,ANDSHALLBE ENERGY-P/C �
� SU&IECT AN EMPLOYER 70 CRIMfNAL PENALTIES AIJD CIVIL FWES UP TOONE HUNDRED i}qUSANO ENERGY PERMIT
DOLLARS(t100,o00),�91 ApDITON TO THE COST OF COMPENSATION,DAAUQES AS PROVIDED FOR IN
J 6ECTION 370D OF iHE LABOR CODE,W7EpE5T,AND AiTORNEVS FEES. � � � - �O
� � RETENTION FEE:
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� 1 HEREBY AFFlRM UNDER PENAL7V OF PE0.IURV THA7 THERE IS A CONS7RUC710N LENDWO A6RICY � �
nZ- FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.8087,qV.C,).
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� .LENDER'SNAME _ . . �
F- LENDERSA�DRE55 � ' - �
. w ICERTIFYTHATI�HAVERFj�pTHI3APPLICATIONANDSTATE�THATTlTEABOVEB�FOMIATIONI9CORRECT. TOTAL FEES _ p`��.��
� 1 AQREE TO COMPLY WITH ALL CITV AND COUNTY ORDINANCES AND STATE UWS REUTINO TO BULLDWO
� CONSTRUCTION,AND HEREBV AU7HORIZE REPRESENTATIVES OF TwS COUNTV 70 ENfER UPON THE �
Z ABOVE-MEMIONED PROPER7Y FOR IN$PEC710N VURP0.5E5. .
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WHITE-Depertment Copy,YELLOW--Flnance Copy,PINK=Assessor Copy,GOLDENROD—File Copy,GREE►J—ApplkanYs Capy
CITY OF DIAMOND BAR
II�SPEGTION REC4RD
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GR�UND PLUMBING UNDER FLOOR CONDUIT
SLAB GRADE FIREPLACE FOUNDATION
TEMP POWER FIREPLACE BQ(JD BEAM
WATER SERVICE MID HT.BOND BEAM
ROOF SHEATHI(JG 8 FT.BOND BEAM
FRAMING/VENTILATION FIIdAL BOND BEAM
ROOF COVER PRE-GRADING
ROUGH HEATING BENCHING
ROUGH ELECTRIC ROUGH GRADING
ROUGH PLUMBING �+ t FINISH GRAD�NG
SHOWER(TUBTEST POOL ELECTRIC
EXT.LATH/SIDING POOL FENCING
WALL INSULATION POOL FINAL
CEILING INSULATION OFF SITE IMPS.
DRYWALL NAILING DEDICATIONS
SEWER FINAL ENG.
SEPTICTANK lANDSCAPE/�RRIG.
SEEP PIT/L.L. ON SITE IMPS.
GAS AIRTEST FINAL ZONING
F�NAL CONST. FIRE DEPT.FINAL
FINAL HEATING HEALTH DEPT.FINAL
FINAL ELECTRIC DEV.FEES PAID
FINAL PLUMBING ENERGY
FINAL PLANING
FINAL ENGINEERING �
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SEPTIC TANK SIZE
SEEP PIT/U SIZE
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