HomeMy WebLinkAboutNo Permit Number _.�� CITY OF DIAMOND BAR � /
. DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES , �
21825 Copley Drive,Diamond Bar,CA 91765
(909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-7027 PAE$$
�'°�"� BUILDING PERMIT APPLICATION FIRMLY
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� STATEMENT THAT HE OR SHE IS LICENSED WFSUANT TO THE PROVISIONS OF THE CANTMCTORS U-
� CENSE LAW(pUPTER e(COMMENCINO WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND Pq0- � POOUSPB
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� NESS AND PROFESSIONS CODE:THE CONTMCTORS LICENSE LAW DOES NOT APPLV TO AN OWNER OF � � �
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� 1 HEREBY AFFIRM UNDER PENALTV OF PERIURV 7}NT 1 AM LICENSED UNDER PROVISIONS OF CHAPTER � /�
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OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. W
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Qw _I HAVE AND WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS REOUIRED BV SECTION
370o OF THE LABOR CODE,FOR THE PERFORMANCE OF THE WORN FOR WHICH THIS PERMIT IS
ISSUED.MV WORKERS'COMPENSATION INSURANCE CMRIER AND POLICY NUMBER AAE: CONSTRUCTION �O��
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C} SHALL NOT EMPLOY ANV FERSON IN ANV MANNER 50 AS TO BECOME SU&IECT TO THE
(,/� WORKERS'COMPENSATION LAWS OF CALIFORNIA,qND AGREE THAT IF I SHIXILD BECOME INSPECTION FEE
SUAIECT TO THE WOPKERS'COMPENSATqN PROVISIONS OF SECTION 7700 OF THE LABOR �D• U`�
S CODE,ISHALLFORTHWITHCOMPIVWITHTHOSEPROVISIONS. AN'
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� WARNING FAILURE TO SECUf7E WORKERS'COMPENSATION CAVERAGE IS UNLAWFUL,AND SHALL BE ENERGY P/
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DOIURS(i100,000�.IN ADDITION TO THE COST OF COMPENSATqN,DAMA�ES AS PROVIOED FOR IN
� SECTION 3708 OF 7HE LABOR CODE,INTEREST,AND ATTORNEV'S FEES. R N F E:
OCONSTRUCTION LENDING AGENCY pR���� '
� 1 HEREBV AFFIRM UNDER PENALTV OF PERJURY THAT THERE IS A CANSTRUCTION LENDING AOENCY ��f�'� ,f
FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.3087,CIV.CJ. •
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� LENDER'S NAME .
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� 1 CEHTIFV TMAT I HAVE FEAD THIS APPLICATION AND STATE THAT THE ABOVE INFORMATqN IS CORRECT. TOTAL FE ES � 6 Q��g ��J/�
� I AOREE TO COMPLV WITH ALL CfTV AND COUNTV ORDINANCES AND STATE UWS RELATINO TO BUILDINO
� CONSTRUCTION,AND HEREBV AUTHORIZE REPRESENTATIVES OF THIS COUNTV TO ENTER UPON THE
Z ABOVE�MENTIONED PROPERTV FOR INSPECTION PURPOSES. COMMENTS '`�_� �J� � � � O � O�
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2 RECPT.NO. PAID BY VALIDATION
4 WHITE—Depertment Copy,YELLOW�inence Copy,PINK—Assessor Copy,GOLDENROD—File ,GREEN—
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SET BACK FLOOR JOIST -
FTGS/FORMS/STEEL FHA FIEQMTS •
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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 J/�2�/D 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 �� ►t� — POOL FENCING
WALL INSULATION POOL FINAL
CEILING INSULATION !� OFF SITE 1MPS.
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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