HomeMy WebLinkAbout10941 ���— CITY OF DIAMOND BAR
� COMMUNITY DEVELOPMENT DEPARTMENT
, �„� . 21660 E.Copiey Drive Suite l90 PRESS
- (909)860-3195 Fax(909)861-3117
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Z WILL DO 7HE WORK,AND TME S7Rl1CTt1RE IS NOT INTENDEO OR OFFEFED FOR SALE(5EC.704l,BU51� J
� NESS AND PHOFESStONS CODE�.THE CON7RACTOFS LiCENSE�I1W OOES NOT APPLY TO AN OWNEF OF �
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a 9(COMMENCINO WIiH SECTpN 7000�OF OIVISION 9 OFTHE BUSINE55 AHO PNOFESSIONS CODE,AND Z
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� WORKERS'COMPENSATION DECLARATION Q
� I HEREBYAFFIHM UNDER VENALTV OF PERIUHV ONEOF THE FOLLOWING DECLARATIONS: U
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� I HAVE AND WILL MAINTAIN A CERTIFICATE OF CANSENT TO&ELF-INSUHE FOR NlOFKERS' _
COMPENSATION,ASPROVIDEDBYSECTION77000FTMELABOAGO�E,FORTHEPERFOflMANCE U
¢ OF THE WORN FOH WHICH THIS PERMIT IS ISSUED. �
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w I HAVE AND NALL MA�NTpIN WORKERS'COIAPENSATION INSVRANCE,AS RE�UIREO BY SECTION
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J ISSUED.MYWORI$�RS' 7 NSATION SURANCECARRIERANDPOLICYNUMBERARE�. CONSTRUCTION
� CARRIER � PLAN REVIEW �
� POLICYNUMBER_ ` � — ELECTRIC � -� - --
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W MECHANICAL
Z I CER7IFV THAT IN THE PEfiFOHMMlCE OF THE WORK FOR WHICM 7Ht5 PEHMIT IS ISSUEO,I
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� SECTION37D90FTHElA80RCODE.INTEREST,NJ0�7TORNEYSFEES. RETENTIONFEE:
a CONSTRUCTION LENDING AGENCY PRE-ALT FEE:
Q 1 HEREBYAFFIRM UNOER PENALTY OF PERIVRY iHAT THERE IS A CONSTRUCTIdJ LENDINU�OENCY
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� LENUER'S NAME
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� I AGREE 70 COMPLY WI1"N AlL CITV AND COUNTY OF�INANCES IWO 57A7E LAWS RELA7ING TO BUILDING
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WHITE—Depanmenl Copy.YELLOW—Finance Copy,PINK—Assessor Gopy,GOLDENROD—File Copy,GREEN—Appllc nt's. opy
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TEMP POWER FIREPLACE BOND BEAM ' • • '
WATER SERViCE � � MID HT. BO,N'RBE,AM� • � �" � -, .
ROOF SHEATHING 8 Ff. BOND BEAM
FRAMINGNENTILIAT{ON • FiNAL BOND BEAM i
ROOF COVER PRE-GRADING
ROUGH HEATING BENCHING
ROUGH ELECTRIC ROUGH GRADING
ROUGH PLUMBING FINISH GRADING
SHOWER/TUB TEST POOL ELECTRIC
EXT. LATH/SIDING POOL FENCIMG
WALL INSULATION POOL FINAL
CEILING INSULATION OFF SITE IMPS.
ORYWALL NAILING ' DEDICATIONS
SEWER � FINAL ENG.
SEPTIC TANK ; G LANDSCAPE/IRRIG.
SEEP PIT/L.L. � ON SITE IMPS.
GAS AIR TEST � �- ' FINAL ZONING i
FiNAL GONST. � FIRE DEPT. FINAL
FINAL HEATiNG i HEALTH DEPT. FINAL i -±
FINAL ELECTRIC -•-. .--•-..----?-- DEV. FEES PAID ;
FINAL PLUMBING � ENERGY
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