HomeMy WebLinkAbout11-1173 �,,�_ CITY OF DIAMOND BAR ,� , /
DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �
21825 Copley Drive,Diamond Bar,CA 91765
(909)839-7020 Fax(909)8fi1-3117 Building Inspection Hotline(909)839-7027 PRESS
4'°"'� BUILDING PERMIT APPLICATION FIRMLY
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WILL DO THE WOHI(,AND THE STRUCTURE IS NOT INTENDED Oq OFFERED FOR SALE(SEC.7wa,BU51- J
� NESS AND PROFESSIONS CODE:THE CONTMCTORS LICENSE LAW OOES NOT APPLV TO AN OWNER OF �
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I HEREBY AFFIRM UNDER PENALTV OF PERIURV THAT 1 AM LICENSED UNDER PROVISIONS OF CHAPTER �
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� WORKEAS'COMPENSATION DECLARATION �
� I HEREBYAFFIRM UNDER PENALTY OF PERIURV ONE OFTHE FOLLOWING DECLARATIONS: V
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� �I HAVE AND WILL MAINTAIN A CERTIFICATE OF CANSEM TO SELF-INSURE FOR WORKERS' a
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w 1 HAVE M1D WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS REOUIRED BV SECTION
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(,/) WORKERS'COMPENSATION LAWS OF CALIFORNIA,AND AGREE THAT IF I SHOUID BECOME INSPECTION FEE
SU&IECT TO THE WOFNERS'COMPENSATqN PRON510NS OF 5ECT10N 37000F THE LABOR � '/
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� SU&IECTAN EMPLOYEF TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND ENERGY PERMIT
DOLLARS(S10o,000),IN IDDITION TO THE COST OF fAMPENSATION,DAAIAGES AS PROVIDED FOR IN
� SECTION 3708 0F THE LABOR CODE,INTEREST,AND ATTORNEI"S FEES. RETENTION FEE: �y
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� CONSTRUCTION LENDING AGENCY PRE-ALT FEE:
Q I HEREBV AFFIRA/UNDER PENALTY OF PERIURV THAT THERE IS ACONSTRUCTION LENDIN(i AOENCV �
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� I AOREE TO CqMPLY WITFI ALL ClTV ANO COUNTY OqDINANCES M1D STATE LAWS REUTINQ TO BUILDIN(3
� CONSTPUCTION,AND HEREBV AUTHORRE REPRESENTATIVES OF THIS COUNTV TO ENTER UPON THE
Z ABOVE-MENTqNED PROPERTV FOF INSPECTION PI�APOSES.
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� SIONATURE RMITTEE DATE
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WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROO—File Copy,GREEN—Applicant's Copy
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GROUND PLUMBING UNDER FLOOR CONDUIT
SLAB GRAQE 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-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 FINA�
CEILING INSULATION OFF SITE IMPS.
DRYWALL NAILING DEDICATIONS
SEWER FINAL ENG.
SEPTlC TANK LANDSCAPElIRRIG.
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 _ ��J' �_ ENERGY
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