HomeMy WebLinkAbout12-976 ^ _�� CITY OF DIAMOND BAR ✓
DEPARTMENT OF COMMLTNITY&DEVELOPMENT SERVICES
21810 Copley Drive,Diamond Bar,CA 91765
(909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-7027 PRESS
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� WORKERS'COMPENSATION DECLARATION � � � - � � �
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J 6ECTION 370E OF THE LABOR CODE,W7EpES7,ANDATTORNEY'S FEES. � '
w , RETENTION�FEE: � �4.. ��
0 CONSTRUCTION LENDING AGENCY P(�RE�-A.LT FEE:
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�z� FOH TME PERFOWAANCE OF THE WORK FOR WHlCN TF�I$pERMR IS ISSUED(SEC.30V7,CIV.C.).
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�� LENDERS NAME . . . •
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. W I CERTIFY THAT I HAVE READ TH19 A�PLICATION AND STATE TMAT THE ABOVE MFORAIATION IS CORRECT. TOTAL FEES G /,9�j �� ♦ �a.
� I AOREE TO fqMPLY W1TH ALL CITV M10 COUNTV ORDINANCES AND STATE UW5 REUTW6 TO BURDtNO l
� CONSTRUCTION,AND HEREBY AUTHORI2E REPRESENTATIVES OF 7MI5 COUNTY TO ENTER UVON THE �
Z ABOVE�tAEM10NED PROPERTY FOR INSPEC P ES. COMMENTS
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� �SIONATUREOF PERMffTEE DA7E qECPT.NO. � oZ�� � PAID BY ' � VALIDATION
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�PY.6REEN—AppUcanYs Copy
C11'Y OF D1�4�ViUND BAR
INSPECTION RECORD
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FTGS/FORMS/STEEL ` _ _ FHA REQMTS
ELECTRIC GROUND UNDER FLOOR DUCT
GROUND PLUMBING UNDER FLOOR CONDUIT
SL4B GRADE FIREPLACE FOUNDATION
TEMP POWER FIREPLACE BOND BEAM
WATER SERVICE � I MID HT.BOND BEAM
ROOF SHEATHING 8 FT.BOND BEAM
FRAfv11NG/Nf�`flt�ti�N -�(-1 Z � FIPlAL BOND BEAhA
ROOF COVER PRE-GRADING
ROUGN HEATING BENCHItdG
ROUGH ELECTRIC ROUGH GRADING
ROUGF!PLUMBING FINISHGRADING
SHOWER/TUB TEST POOL ELECTRIC
EXT.LATH/SIDING l�j I POOL FENCING
-�'�G 8-CG'/ POOL FINAL
CEILING ItJSULATION OFF SITE IMPS.
DRYWALL NAILING DEDICATIONS
SEWER ` FINAL ENG.
SEPTICTAfVK LANDSCAPEIIRRIG.
SEEP PIT/L.L. ON SITE IMPS.
GAS AIRTEST FINAL ZONING
FINAL CONST. FfRE DEPT.FINAL
FINAL HEATING HEALTH DEPT.FINAL
FINAL ELECTRIC DEV.FEES PAlD
FINAL PLU7v161NG ENERGY
FINAL PLANING
FINAL ENGINEERING �
COMMENTS
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SEPTICTANK SIZE
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