HomeMy WebLinkAbout11-1128 , �� CITY OF DIAMOND BAR . /
DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES }/
21825 Copley Drive,Diamond Bar,CA 91765 �j I�
(909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-7027 PRESS
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QW �FHAVE AND WILL MAIMAIN WORNEPS'COMPENSATION INSURANCE,AS RE0111RED BV SECTION
3�ao OF THE I/�BOR CODE,FOfl THE PERFORMMJCE OF THE WORK FOR WHICH THIS PERMIT IS ' ��� '-A
ISSUE�.MV WORKERS'COMPENSATION I{N�SURANCE CARRIER AND POLICY NUMBER ARE: CONSTRUCTION `a•�
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Z I CERTIFY THAT IN THE PERFORMMJCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED,I MECHANICAL
C.�} SHAIL NOT EMPLOY FNV PERSON IN ANY MANNER SO AS TO BECOME SU&IECT TO THE
(/J WORKERS'COMPENSATION UWS OF CALIFORNIA,AND AGREE THAT IF I SHOULD BECOME INSPECT�ON FEE
= SU&IECT TO THE WORKERS'COMPENSATION PROVISIONS OF SECTION 3700 OF TNE UBOR 1
COOE,I SNALL FORTHWITH COMPLV WITH SE PROVI�$ ISSUANCE ^LJ r ,Q
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DOlLARS(f100,aoo),IN PDDITION TO THE COST OF CqMPENSATqN,DAMAGES AS PROVIDED FOR IN
J SECTION 3708 OF THE LABOR CODE,INTEREST,AND ATTORNEV'S FEES. /� �
w RETENTION FEE: �—
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� 1 HEREBV AFFIfUA UNDER PENALTV OF PERJURY TNAT THEFE IS A CONSTRUCTION LENDINa AOENCY �f�� 1� `�
� FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.3087,GV.C.�.
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w I CERTIFV THAT I HAVE FEAD THIS APPLICATION AND STATE THAT THE ABOVE INFORAIATION IS CORRECT. TOTAL F E ES a�,�
� 1 AGREE TO COMPLV WITH ALL CRV AND COUNTY ORDINANCES AND STATE LAWS RELATINO TO BUIL�INO
� CONSTRUCTION,AND HEREBV AUTHORIZE REPqESENTATIVES OF THIS COUNTY TO ENTER UPON THE '
Z ABOVE-MENTqNED GROPERTV FOR INSPECTION PURPOSES. COMMENTS '
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ROOF SHEATHING � 8 FT: BOND BEAM ' �
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ROUGH HEATING BENCHING
ROUGH ELECTRIC ROUGH GRADING
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SHOWER/TUB TEST POOL ELECTRIC
EXT. LATH/SIDING POOL FENCING
WALL INSULATION POOL FINAL
CEIL�NG 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
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