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CITY OF DIAMOND BAR �" —'�
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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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C� CAUNTYWHICHRE�UIRESAPERMITTOCONSTRUCT,ALTER,IMPROVE,DEMOLISH,ORREPAIRANYSTRUC- w
w TURE,PRpR TO RS ISSUANCE,AL50 REQUIRES THE APPUCANT FOR SUCH PERMIT TO FILE A SIGNED w Patio/Deck
� STATEMENT hiAT HE OR SHE IS LICENSED WRSUANT TO THE PROVISIONS OF THE CANTRACTORS LI�
� CENSE LAW(p1APTER e(COMMENCINO WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PRO- � Pool/Spa
FESSIONS CODE)OR THAT HE OR SHE IS E%EMPT THEREFROM AND THE BASIS FOR THE ALLEOED E%EMP- �
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� VhIOCONTRACTSFORSUCHPRQIECTSWITHACp�TRACTOR(5)UCENSEDPUPSUMfTTOTMECONTMC- QUANTITY DESCRIPTION
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� I HEREBY AFFIRM UNDER PENALTY OF GERJURV ONE OF THE FOLLO G E RATIONS: V
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W _I HAVE MID WILL MAINTAIN WORKERS'CAMPENSATION INSURANCE AS REQUIRED 8V SECTION
Q 370o OF THE LA80R CADE,FOR THE PERFORMANCE OF THE WOR FOR WHICH 7HI5 PERMIT IS
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C.�} SHALL NOT EMPLOV ANV PERSON IN ANV MANNEfl A BECOME SU&IECT TO THE
� WORKERS'COMPENSATION UWS OF CALIFORNI AN EE TNAT IF I SHWLD BECOME INSPECTION FEE
S SU&IECT TO TH WORKERS'COA/PENSATION P VIS .OF SECTION 37000F THE LABOR
CODE,I HALL HTHWITH COMPLV WITH TFIOS P I NS. � _ � .
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� WARNING:F URE SECURE WORNERS'COMPENSATIO GE IS UNLAWFUL,AND SHALL BE ENERGY P/C �
� SU&IECTAN MPL ERTOCRIMINALPENAITIESANDCI\ NES�!�TOONEHUNDREDTHWSAND ENERGYPE
DOLUAS({10o,a00),IN�DDITION TO THE COST OF COMP N ATI�IQ,DAMAGES AS PROVIDED FOH IN
J SECTION 37oe OF THE LABOR CODE.INTEREST,AND ATTO $FEES.
w ENTI N FEE: �� �.C�
O CONSTRUCTION LEN NG AGENCY �
� I HEREBY AFFIRM UNDER PENAL7Y OF PERIURV THAT THERE IS A CANSTRUCTION LENDINO AQENCV
� FOR THE PERFORMANCE OF THE WORN FOR WHICl1 THIS PERMIT IS ISSUED(SEC.309'!,CIV.CJ.
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�Z LENDER'S NAME
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w I AOREE TO COMPLV A�L qTV AND COU IN CES AND STATE LAWS REUTING TO BUILDING
� CONSTAUC710N D HEREBv AU7HORIZE REP N7 VES OF THIS COUNTV 70 ENTER U70N THE
� ABOVE�MENT E�P PERTYFORINSPECT URP SES.
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WHITE—Department Copy,YELLOW Inance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy
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SET BACK FLOOR JOIST
FTGS/FORMS/STEEL FHA REQMTS
ELECTRIC GROUND UNDER FLO�R 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
FRAMINGNENTILATION FINAL BOND BEAM
ROOF COVER PRE-GRAOING
ROUGH HEATING BENCHItJG
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
FINAL CONST. FIRE DEPT. FINAL
FINAL HEATING HEALTH DEPT. FINAL
FINAL ELECTRIC DEV. FEES PAID
FINAL PLUMBING ENERGY
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COMMEIVTS
SEPTIC TANK SIZE
SEEP PIT/U SIZE
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