HomeMy WebLinkAbout11-1101 � ' � ^ _�`_ 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 PRESS
�"'^" BUILDING PERMIT APPLICATION FIRMLY
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CENSE LAW(CHAPTER e(COMMENCINO WITH SECTION 7000)OF DIVI910N 3 OF THE BUSINESS AND PRO- PoaUSpe
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WILL 7TiE WORN,AND THE S7RUCTURE IS NOT INTENDED OR OFFERED FOR SALE(SEC.7ou,BU51- J �
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370o OF THE LABOR CODE,FOR THE PERFORMANCE OF THE WORK f-0R WHICH iHIS PERMIT IS �Q
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(/� WORKERS'COMPENSATION UWS OF CALIFORNIA�ND AOREE THAT IF I SHWL�BECOME INSPECTION FEE
SUBJECTTO THE WORKERS'COM7ENSATION PROVISIONS OF SECTION 77000F THE LABOR J; 1 Q
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� SU&IECT AN EMPLOVEF TO CRIMINAL PENALTIES AIJD CIVIL FINES UP TO ONE MUNDRED THOUSAND ENERGY PERMIT
DOLLARS(5100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN
J SECTION 3708 OF THE LABOR COOE.INTEREST,AND ATTORNEVS FEES.
[t RETENTION FEE: �Q,t�
OCONSTRUCTION LENDING AGENCY PRE-ALT FEE: ��• �3
� I HEREBV AFFIRM UNDER PENALTV OF PERIURV THATTHERE IS ACONSTRUC710N LENDINO AGENCY �5�� ,1 �C�
FOR THE PEFFORMANCE OF THE WORK FOR WHICii THIS VERMIT IS ISSUED(SEC.30G7,CIV.CJ.
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w I CERTIFV THAT I HAVE READ THIS APPLICATION AND STATE THAT TNE ABOVE WFORMATqN IS CARRECT. TOTAL FE ES 1 �� ' �� 1�\a +�O
� I AGREE TO CAMPLV WITH ALL CITV AND CAUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDINO
� CONSTRUCTION,AND HEREBv AUTHORIZE REPRESEN7A71VE5 OF 7HIS COUN7Y 70 EN7ER U701!7HE
Z ABOVE-A/ENTIONED PROPERTV FOR INSPECTION PURPOSES. COMMENTS ' ' '
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WHITE—Department Copy,YELLOW—Finence Copy,PINK—Assessw Copy,GOLDENFiO�File Copy,GREEN—ApplicanYs Copy
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SLAB GRADE FIREPLACE FOUNDATION
TEMP POWER FIREPLACE BOND BEAM
WATER SERVICE MID H'T. BOND BEAM
ROOF SHEATHING 8 FT. BOND BEAM
FRAMINGNENTILAT.ION 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 POOL FENCING
WALL INSULATION POOL FINA�
CEILING INSULATIQN 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. `• �.�� - F1RE DEPT. FINAL
FINAL HEATING - HEALTH DEPT. FINAL
FINAL ELECTRIC DEV. FEES PAID
FINAL PLUMBING ENERGY
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