HomeMy WebLinkAbout12-1141 _l,,� CITY OF DIAMOND BAR
�_ • � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES
21810 Copley Drive,Diamond Bar,CA 91765 I
(909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-7027 PRESS
��'A^' BUILDING PERMIT APPLICATION FIRMLY
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� STATEMENT THA7 HE OR SHE IS 110EN5ED PURSUANT TO THE PROVt510N5 OF THE CONiRACTOA3 LF . . . �
� CENSE UW(CHAP7EA Y(COMMENCINO WI7H SECTION 7D00)OF DIVISION 3 OF T1E BUSWESS AND VR6 �'�" POOVSpB
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� AClVIL�ENAL7Y OF NOT MORE T1AN FIVE HUNDRED DOILMS(f60D).): '
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� NESS AND PpOFES510N5 CODE:T11E CONTMCTORS LICENSE LAW DOES NOT APPLV TO AN OWNER OF � � -�
PROPEHTY W/10 BUILAS OR IMPROVES THEREON,M1D WHO DOES SUCH NORK HIMSELF OR HERSELF OR �
� THROUGIIMISORHERONRIEMVLOVEES,PROVIOEDTHATSUCHIMPROVEMEHTSARENOTPlTENDEDOR m - ,
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Z TION,THE�ONRJERAUILDER WILL HAVE 7HE BURDEN OF PROVIN6 THAT HE OR SHE DID NOT BUILD pq , . . _
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�¢ LICENSED CONTRACTORS DECLARATION � �w�
CL I HEREBY AFFlRH UNDER PENALTY OF PERJUHY TNAT I AM LICENSED UNDER PROVISION9 OF GiAFTER � ' ' - � �
� Y�COMMENCP!(7'N7TH SECTION 7000)OF DNISqN]OF THE BUSINESS M7D PROFESSIONS CODE,M1D Z '
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� I HEREBV AFFIqM UNDER PENALTY OF�ERJUfiV ONE OF THE FOLLOW W6 DECIARAT10N5: Z ' � � - - ,
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COMPENSATIDN.AS PROVIDED BY SECTION 37000f THE(,ABOR CODE,FOR THE PERWqMANCE �U:
OF 711E WORN FOR WHIp1 THIS PERMIT IS ISSUED. g -
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W _I HAVEAND WILL MAINTAIN.WORNER$'COMPENSATION WSURANCE;AS REGUIRED BV SECTIOH ///���
O37000F THE LABOR COOE,FOR iHE PERFORMANCE�OF THE WOPo(f-0R WMtlI THIS PERMR IS. �
ISSUED.MY R/K�A/�'COMPENSATIO�N yIySURANCE CARRjI�R'AND POL NUMBEA ME: �CANSTRUCTION'.
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Z 1 CER7IFY TIiAT M THE PERFORMANCE OF THE.WOHI(fOq WHICH THIS PERAIIT IS ISSUED,1 �MECHANICAL�
� ' C.r} SHALL NOT EMFLOY ANY 7ERSON W ANY MANNER SO AS TO BECOME SUBJECT TO THE
(/� WORKERSCOMPENSATIONLAWSOFCALIFOqNIA,ANDA6REETHATIFI^ LDBECOME INSPECTIONFEE�
SUAIECT TO 7HE wORKER5 COMPENSATqN PROVISION3 OF�SECTION J7oo OF THE LABOR ��-� - -
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J 6ECTION 3]OL OF iHE UBOR CODE,Y.ITEpEST,ANDATfORNEYS FEES. -
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� I HEREBY AFFlRM UI�ER PENALTV OF PERIURY THAT THERE 19 A CqNSTRUCTIdJ LENDWO AOENCV �J
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�- LENDERS NAME .. . .. - . . . . . . . . �
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� 1 CERTIFY THAT 1 HAVE READ THIS APPLICATION AND STATE 7HAT THE ABOVE fNFORMATION 19 f.bRAECT. TOTA L FE E S /ii y�, ��
� w I AOREE TO COMPLv WITH ALL CIiV AND COUMV ORDINANCES MlD STATE UWS REU7W6 70 BU0.01N0 !� "�v
� CONSTRUCTION.AND HEREBV AIfTHORIZE REPRESENTATNES OF 7HI5 COUNTY 70 EMER UPON 7HE � �
� ABOVE-MENTIONED PROPERTV FOR INSPECTION OURPOSES. �
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� COMMENTS
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ELECTRIC GROUlJD UNDER FLOOR DUCT
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SLAB GRADE FIREPLACE FOUtJ0ATI0N
TEMP POWER FIREPLACE BOND BEAM
WATER SERVICE MID HT.BOND BEAM
ROOF SNEATHING Z4•(2 �(� N1` � 8 FT.BOND BEAM
FRAMINGNENTILATION FINAL BQND BEAM __
ROOF COVER PRE-GRADING
ROUGH HEATING BENCHING
ROUGH ELECTRIC ROUGH GRADING
ROUGH PLUMBING FINISH GRADING
SHOWER/TUBTEST � POOLELECTRIC
�/SIDING FF1T� P rf"Z 1- POOLFENCING
WALL INSULATION POOL FINAL
CEILING ItJSULATION OFF SITE IMPS.
DRYWALL NAILIIdG DEDICATIONS
SEWER FINAL ENG.
SEPTIC TAfVK 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
FINAL PLANING ' �
FINAL ENGINEERING � • � _
COMMENTS
SEPTICTANKSIZE
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