HomeMy WebLinkAbout12-282 CITY OF DIAMOND BAR � I�'
---�— DEPARTMENT OF COMMUNI'I'Y&DEVELOPMENT SERVICES �
� 21810 Copley Drive,Diamond Bar,CA 91765 PRESS
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(909)839-7020 Fax(909)561-3117 Building Inspection Notline(909)839-7027
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� OWNER-BUIIDER DECLARATION � SFRlADD/REM
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� CENSE UW DOES NOT APPLV TO AN OWNEF OFA VROPERTV W/i0 BUILDS OR IMPROVES THEREON,AND ,
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�¢ IICENSED CONTRACTORS DECLARATION � � � �
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I HEREBY AFFlNa UNDER PENALIY OF PERJURY THAT I AM�LICENSED VNDER PROVISIONS OF CNAP7ER � G�
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Q CWIPENSATiOH,AS PROVIDED BY SECTION 370o OF 7//E LA90R CODE,FOA THE PERF6RMANG� �U�
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SUBJECT TO THE VIDPKERS'COM�ENSATION PRDVISIONS OF SECTION 7700 OF 7HE LABOR ISSUNNCE -
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� DOLURS.�f10o.000).W ADDI7iON TO THE CO5T OF COMPENSATION,DMAAGES AS PROViDED FOR IN ENERGY PERMIT .
J SECTIDN 370!OF 7HE LABOR CODE.MTEREST,AN�AiTORNEYS FEES. � RETENTION FEE: � �� .
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� I HEREBY AFFIRM UNDER GENALT/DF PERIUAV THAT THERE IS ACONSTRUCTION LENDWO AOENCY
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F_ LENDER'SADDRESS T - � - �
� ICER7IFYTMATIHAVEREADhiIBM%.�CATION�NDSTA7E771ATTHE�BOVER�FOfUTATIONISCORAECT. TOI'ALFEES �.• � �
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� CDNSTRUCTION.AND HEREBV AUTHOR2E REPRESEtiTATNES Of T1aS COUNN TO ENTER UPON THE
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� SH3NAN , .I7TEE DATE RECPT.NO. PAID BY � VALIDATION
� WHITE--Depert+neM Copy.YELLOW—Finence Capy.PINK—Assessor Capy,C30LDENROP—File Copy,6REEN—ApplfcanYs Gopy
CITY �F DIAMOND BAR
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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 BOM11D BEAM
WATER SERVICE MID HT.BOND BEAM
ROOF SNEATHIfUG 8 FT.BOND BEAM
FRAMING/VENTILATION FINAL BOND BEAM
ROOF COVER PRE-GRAQING ___
ROUGH HEATING BENCHIPJG
ROUGH ELECTRIC ROUGH GRADING
ROUGH PLUMBING FItdISH GRADING
SHOWER/TUBTEST POOL ELECTRIC
EXT.LATH/SIDING POOL FENCING
WALL INSULATIQN POOL FINAL
CEILING INSULATION OFF SITE IMPS.
DRYWALL NAILING DEDICATIONS
SEWER FINAL ENG.
SEPTICTANK LANDSCAPE/IRRIG. _
5EEP PIT/L.L. ON SITE IMPS.
GAS AIRTEST FINAL ZONING
FINAL CONST. FIRE DEPT.FINAL
FINAL HEATING HEALTH DEPT.FINAL
FINAL ELECTRIC DEV.FEES PAID
FINAL PLUMBING ENERGY
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