HomeMy WebLinkAbout10-1136 CITY OF DIAMOND BAR
`----��— DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �
I 21825 Copley Drive,Diamond Bar,CA 91765
(909)839-7020 Fax(909)861-3ll7 Building[nspection Hot►ine(909)839-7027 RE$S
�4'°�' BUILDING PERMIT APPLICATION FIRMLY
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� STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF 7HE CANTMCTORS U�
� CENSE LAW(CHAPTER�(COMMENCWG WITH SECTION]000)OF DIVISION 3 OF TIiE BUSINESS AND PR0. V- PooUSpe
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� NE55 M!D PROFESSIONS CODE:THE CANTRACTORS IICENSE UW DOES NOT APPLV TO AN OWNER OF �
PHOPERTV VAiO BUIlDS OR W PROVES THERC-0N,M!D YR10 OOES SUp1 WORK HIMSELF OR HERSELF OR
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W CENSE LAW DOES NOTAPPLV TOAN OWNER OF A PROPERTV WHO BUILOS OR IMPROVES THEHEON,AND
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� _I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF-INSURE FOR WORNERS' _
COMPENSATION,AS PROVIOED BY SECTION 3700 OF THE IABOR CODE,FOR THE PERFORMFNCE U
OF 7HE WORN FOR NM171CH THIS PERMIT IS ISSUED. w
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370o OF THE LABOR CODE,FOR THE PERFORMANCE OF THE WORK FOfl WHICH THIS PERMIT IS , • , �����
ISSUED.MV WORKERS'COMPENSATION INSURlWCE CARRIER AND POLICV NUMBERARE: ONSTRUCTI
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Z I CERTIfY 71ihT IN THE PERFOFMANCE OF THE WOHN FOR WHICH iH15 PERMIT IS ISSUED,I ' MECHANICAL
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(/J WORKERS'COMPENSA710N LAWS OF CA�IFORNIA NdD AGREE 7HAT IF I SHOULD BECAME INSPECTION FEE
SU&IECT TO THE WORKERS'COA/PENSATION PROVISIONS OF SECTION 3700 OF�THE LABOR ,�
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� SU&IECTAN EMPIOVER TO CRIMINAL PENALTIES AND CNIL FINES UP TOONE HUNDRED THOUSAND ENERGY PERMIT
DOLLAFiS(5100.000),IN dDDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN �
� SECTION 3700 OF THE LABOR CODE,INTEREST,AND ATTORNEVS FEES. E N F `
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� I HEREBV AFFIRM UNDER PENALTV OF PEFiJURV THAT THEHE IS A CONSTRUCTION LENOINQ AGENCY jj'=)
FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.30B'!,CIV.C.).
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w I CERTIFY THAT 1 HAVE READ THIS APPLICATION AND STATE THAT TME ABOVE INFORMATION IS CARRECT. TOTAL FE ES 9�� ��
� I AGREE TO CAMPLV WITH ALL CITV AND COUNTV ORDINANCES AND STATE LP.WS RELATINO TO BUILDINO
� CONSTRUCTION,AND HEREBV AUTHORIZE REPRESENTATIVES OF THIS CAUNTV TO ENTER UPON THE ' '
Z ABOVE�MENTIONED PROPEFTV FOR INSPECTION PURPOSES. COMMENTS
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WHITE—Depertmanl Copy,YELLOW�inence Copy,PINK—Assessor Copy,GOIDENHOD--File Copy,GREEN—ApplicanYs Copy
CITY O� DE�+NiOND �AR
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SET BACK , FLOOR JOIST
FTGS/FORMS/STEEL � FHA REQMTS
ELECTRIC GROUND UNDER FLOOR DUCT .
GROUND PLUMBING UNDER FLOOR CONDUIT
SLAB GRADE FIREPLACE FOUNDATION
TEMP POWER FIREPLACE BOND BEAM
WATER SERVICE MID H'L BOND BEAM
ROOF SHEATHING p 8 FT. BOND BEAM
FRAMINGNENTILATION FINAL BOND BEAM
ROOF COVER PRE-GRADING
ROUGH HEATING BENCHING
ROUGH ELECTRIC ROUGH GRADING
ROUGH PLUMBING FINISH GRADING
SHOWER�i'UB 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 S►TE 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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SEPTIC TANK SIZE
SEEP PIT/U SIZE
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