HomeMy WebLinkAbout10-1096 ^ �,�,,,`_ CITY OF DIAMOND BAR ����� ���
DEPARTMENT OF COMMUNITY&DEVEL��}V�y�E
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� STATEMENT hIAT HE OR SHE IS 110ENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LI�
� CENSE UW(CHAPTER V(CAMMENCWO WITH SECTION 7000)OF DIVISION 3 OF lHE BUSINESS AND PRO- u' POOI/SP8
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WILL 00 7HE WORN,M1D iHE STRUCTURE IS NOT INTENDED OF OFFERED FOP SALE(SEC.7WII,BUSI� J
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� �I NAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF�INSURE FOR WORKERS' _
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w _I HAVE AND WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS REOUIRED BV SECTION
Q 370o OF THE LABOR CODE,FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PEFMIT IS
ISSUED.MV WOR)(ERS'CqIMPENSATION INSURANCE CARRIER AND FOLICV NUMBER ARE: CONS UCT ` ���,
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� (IHISSECf10NNE�NOT0EC01.4�LETEDOFTI-IEPEMpTISFOqpNEFAN�DiiEDDOUI�(S1a0)OqLE55} PLUMBING
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Z I CERTIFV THAT IN THE PERFORMANCE OF THE WORK FOF WHICM THIS PERMIT IS ISSUED,1 ECHANI
C,�} SHALL NOT EMPLOV ANV PERSON IN ANV MANNER 50 AS TO BECAME SU&IECT TO THE
(n WORNERS'CAM7ENSATbN LAWS OF CALIFORNIA,AND AQREE THAT IF I SFiOULD BECOME INSP�EE
� SUBJECTTOTHEWOFKERS'COMPENSATIONPROVISIONSOFSECTION370oOFTHELABOq � `�
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� SU6IECTANEMPLOVERTOCRIMINALPENALTIESANDCIVILFINESUPTOONEHUNOREDTHOUSAND ENERGYPERMIT
DOLLARS(Stao,o0o),IN ADDITION TO THE COST OF CAMPENSATION,DAMAGES AS PROVIDED FOR IN � (� (J
� SECTION 3708 OF TiE LABOR CADE.INTEREST,AND ATTORNEV'S FEES. TIO F
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� CONSTRUCTION LENDING AGENCY P A T FEE�
� I HEREBY AFFIqM UNDER PENALTV OF PERJURV THAT THERE IS A CONSTHUCTION LENDING AOENCY ��� `���
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� LENDER'S NAME
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w 1 CERTIFY THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATqN IS CARRECT, TOTAL FE ES / ��
� I AGREE TO CAMPLV WITH ALL ClTV AND CAUNTV OqDINANCES/WD STATE LAWS REUTINO TO BUILDINO
� CONSTRUCTION,AND HEREBY AUTHORIZE REPRESENTATIVES OF 7HI5 CAUNTV TO ENTER UPON THE
Z ABOVE�MENTIONED PROPERTV FOR I SPECTION PURPOSES. COMMENTS �
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SET BACK FLOOR JOIST •
FTGS/FORMS/STEEI. FHA REQMTS
ELECTRIC GROUND UNDER FLOOR DUCT
GROUND PLUMBING UNDER FLOOR CONDUIT
SLAB GRADE FIREPLACE FOUNDATION
TEMP POWER FIREPLACE BOND BEAM
WATER SERVICE MID HT. BOND BEAM
ROOF SHEATHING 8 FT. BOND SEAM
FRAMINGNENTILATION FINAL BOND BEAM
ROOF COVER PRE-GRADING
ROUGH HEATING BENCHING
ROUGH ELECTRIC ROUGH GRADING
ROUGH PLUMBING FINISH GRADING
SHaWER/TUB TEST POOL ELECTRIC
EXT. LATH/SIDING POOL FENCING
WALL INSULATION POOL FINAL
CEILING INSULATION OFF SITE IMPS.
DRYWALL NAILING DEDICATIONS
SEWER FINAL ENG.
SEPTlC TANK LANDSCAPE/IRRlG.
SEEP PIT/L.L. ON SITE IMPS.
GAS AIR TEST FINAL ZONING
FINAL CONST. FIRE DEPT. FINAL
FINAL HEATING� _ fL- /��/ %` HEALTH DEPT. FINAL
FINAL ELECTRIC ' DEV. FEES PAID
FINAL PLUMBING ENERGY
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