HomeMy WebLinkAbout11533 —�'(''"�---. CITY OF DIAMOND BAR
COMMUNITY DEVELOPMENT DEPARTMENT
„�:; 21660E.CopleyDriveSuite190 PRESS
(909)86a3195 Fax(909)861-3117
'^M" BUILDING PERMIT APPLICATION FIRMLY
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Q OWNER•BL'IL�ER DECLARATION SFRlADD/REM
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p 1 HEREBY AFFIHM UNDER PENALTY OF PEHJURY 7HR7 I AM EXEMPT FROM THE CONTMCTORS LI- Gflf8g9/Ca1p011
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wNRE,ORIOR TO ITS ISSUANCE ALSO RE�UIRES THE APPLICANT fOR SUCH PERMIT TO FILE A SIGNED W
c STATEMENT THA1 HE OR SHE IS UCENSE�PURSUANT TO THE PROVISIONS OF iHE WNiRACTON3 61- .
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FESSIONS CO�E�OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS FOR THE 0.LLEOED EXEMP-
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Z WILL DO THE WORK.M1D 7HE STRUC7URE IS NOT iMEN�EO OR OFFERED FOR 6ALE fSEC.7M4.BUSI- �I
� NESS AND PROFESSIONS CO�E'.THE CANTHACTORS LICENSE LAW DOES NOT APPLY R1 M:OWN�R OF ?
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2 TO CANSTRUCT THE PR0.IECT�SEC.7oeA,BUSINES5 AN�PROFESSIONS CODE 7HE CONTMC70R5 41- VBI118�1011 ADJ.AREA
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� LICENSE�CONTRACTORS DECLARATION W
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� 1 HEREBY AFFIRM UNDER PENALTY OF PERIURY ONE OF TME FOLLAWING DECURATIONS: Z
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Z I CERTIFY 7HAT N THE PERFORMANCE OF THE WORN FOR WHICH THIS PERMI7IS ISSUED,1 MECHANICAL
(7 SHALLNOT EIAPLOV ANY PERSIXJ W ANY MANNER SOAS TO BECOAIE Sl1BJECT TO THE
� WORKERS'COMPENSATIONLAWSOFCALIF�RN10.�N��GREETNATIFISHWLDBECOME INSPECTIONFEE
SUBJECT TO THE WORNERS'COM7ENSATtON PROVISIONS OF SEC710N 3700 OF THE UBON
� CODE,1 SHALL FORTHWI7H COMPLV WITH THOSE PROVISIONS. ISSUANCE � � t
p DATE: U Z7�S�ppp�ICANT: SMIP �
J WARNINO:FAILURETOSECUREWORKERS'COAIGENSRTIONCAVERAQEISUNLAWFUL,ANDSHALLBE ENERGYP/C /�/�A
�y SUBJECTANEMPLOYERTOCRIMINALPENAL7IES/JdOCIVILFMESUPTOONEHJNDREDTHOUSAN� ENERGYPERMIT �y��,(_7 7 ��IV7�
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�J SECTION37080FTHELA90flCD0E,PilEREST,AN�ATTORNEY'SFEES. RETENTIONFEE:
OCONSTRUCTION LENDING AGENCY PRE•ALT FEE:
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FOH TXE PEXFOFMANCE OF THE WORK PoR WMICFI TMIS PEFMIT IS ISSUEO(SEC.3087,CIV.4�.
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� LENDER'S NAME
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w I GERTIFY THAT I HI1YE REAO TMIS IIVPLICATION ANO STATE THAT 1HE ABOVE INFORMATION IS COARECT. TOTAL FEES � , �
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� CONS7RUCTtON.ANDHEREBYAUTHORREREPRESENTATIVE50FTHISCOUNTYTDENTERUPONiHE
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� COMMENTS
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� RECPT.NO. PAID BY � NALIDA71
WHITE—Department Copy,YELLOW—Finance Copy.PINK—Assessor Copy,GOLDENROD—File Copy,aREEN—Applirant's Copy
- CITY OF DIAN601'�D �AR
' INSPECTI�N RECU�D
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SET SACK F�OOR JOIST
FTGS/F�RMS/STEEL FHA REQMTS
ELECTRIC GROUND UNDER FLOOR DUCT � �
GROUND P�UMBING UNDER FLOOR COt�DUIT
SLAB GRADE FIREPL'RCE FOUNDATION
TEMP POWER FIREPLACE BOND BEAM - -
WATER SERVICE MID HT:BOND BEAM
ROOF SHEATHING � 8 FT. BOND BEAM
FRAMINGNENTILIATION FINAL BOND BEAM
RO�F COVER PRE-GRADlNG
ROUGH NEATING BENCHING
ROUGH ELECTRIC ROUGH GRADING
ROUGH PLUN181NG FINISH GRAOING
SHOWERlTUB TEST POOL ELECTRIC
EXT.LATH/SIOING POOL FENGIIVG
WALL INSUI.ATION POOL FINAL
CEILING INSULATION OFF SiTE IMPS.
DRYWALL NAILING DEDICATIONS
SEWER FINAL ENG.
SEPTIC TANK LANDSCAPElIRRIG.
SEEP PIT/L.L. ON SITE IMPS.
GAS AIR TEST FINAL ZONING
FtNAL C�NST. _ 5►Fj' FIRE DEPT.FINAL
FINAL HEATING , ! NEALTH DEPT, FINAL
FINlXL ELECTRIC i ; DEV. FEES PAID
FINAL PLUMBING ,, ,. f ENERGY
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COMMENTS
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SEPTIC TANK SIZE
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