HomeMy WebLinkAbout11-979 _
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CITY OF DIAMOND BAR �
--��� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES
21825 Copley Drive,Diamond Bar,CA 91765 PRESS
'� (909)839-7020 Fax(909)8fi1-3117 Building Inspection Hotline(909)839-7027 i
��<��'�.w BUILDING PERMIT APPLICATION P FIRMLY
} �330 � Yr Y�V APPLICATION fl PERMIT � /y� P/C
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w NRE,PRIOR TO RS ISSUANCE,ALSO REQUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIONED
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� CENSE UW(CHAPTEA B(COMMENCINO M/ITH SECTION 7000)OF DIYISION 3 OF THE BUSINE55 AN6 PRO- LL' POOUSPB
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Z WILL DO THE WOftiC,+N1D THE STRUCTURE IS NOT INTENOED OR OFFERED FOA SALE(5£C.7a1,BU51� J
� NESS AND PFOFESSIONS CODE:THE CANTRACTORS LICENSE LAW OOES NOT AP7LV TO AN OWNER OF �
PROPERTV N?i0 BUILOS OR IMPROVES THERE�N.AND WHO DOES SUCN WORK HIAISELF OR HERSELF OR
Q THROU(UiHISORHEROWNEMVLOYEES,PROVIDEDTHATSUp11MPROVEMENTSAFENOTINTENDEDOR m
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Z TpN,THE OWNER�BUILDER WILL HAVE 7HE OURDEN OF PROVIN�7HAT HE OR SHE 010 NOT BUILD OR
� IMGROVE FOR7HE PURPOSE OF SALE).
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� TO CON5T0.UCT THE PRQIECT(SEC.7oal,BUSINE55 ANO PROFESSIONS CODE TME CONTMCTORS LI- V8IU8H0f1 ADJ.AFiEA
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2 I HEREBY AFFIRN UNOER PENALTY OF PERIURV hIAT 1 AM LICENSED UNDER PROVISIONS OF CHAPTER �
d D(COMMENCWG WITH SECTION 7000)OF DIVI510N J OF 7HE BUSINE55�ND PROFESSKKJS CODE.AND Z
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� {HEFEBY AFFIRM UNDER PENALTV OF PEFJUM ONE OF TNE FOLLOWING DECLARATIONS: U
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� _I HAVE AND WILL MAINTAIN A CEFTIFlCATE OF CONSENT TO SELF-INSURE FOR WORKERS' S
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OF THE WORK FOR WHICN THIS PERMIT IS ISSUED. �
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I HAVE AND WILL MAMTAIN WORKERS'COMPENSATION INSUPANCE,AS REOUIRED BV SECTION
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SUED.MV WORNERS'COMPENSATION INSURnny CE C IER AND POIICV NUMBE �E: CONSTRUCTION
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w I CERTIFV THAT IN TNE PERFORMANCE OF TNE WOF7K FOR WHICH THIS PERMIT IS ISSUEO,I MECHANICAL
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(,�J SHALL NOT EMPLOY ANV PERSON IN ANV MANNER SO AS TO BECOME SUBJECT TO THE
N WORKERS'COMPENSATION LAWS OF CALIFORNIA,AND�GREE THAT IF I SNOULD BECOME INSPECTION FEE
S SU&IECT OTHEWORI(ERS'COMPENSATIONPROVISIONSOFSECTION37ooOFTHELABOR ISSUANCE ��� �
I S f-0RfHWITH COMP�Y WITH THOSE PROVISIONS. y�
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� WARNIN�:FNLURE TO SECURE WOflKERS'COMPENSATI VERAGE IS UNLAWFUL,AND SHAIL BE
�y SU&IECT Ml EMPIOYER TO CFIMIN/�L PENALTIES ANO CML FINES VP TO ONE NUNDRED THOUSAND ENERGY PERMIT
DOLLARS(f 700.000).IN ADDITION TO THE COST OF CAMPENSATION.DM/AOES AS PROVIDED FOR IN �
J SECTION 3708 OF THE LABOR CODE,INTEREST,AND ATfORNEV'S FEES. RETENTION FEE:
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w CONSTRUCTION LENDING AGENCY pRE•ALT FEE:
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� 1 HEREBV AFFIfUA UNDER PENALTV OF PERIURV THATTHERE IS ACONSTRUCTION LENDINO AOENCY
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� LENDER'S NAME
� IENDER'SADDRE55 /� ✓`_q
� I CERTIFV THAT I HAVE READ THIS APPIICATION AND STATE THAT THE ABOVE INFORMATqN IS CORRECT. TOTAL FE ES '� `, V
w I AGREE TO CAMPLV WITH ALl CiTY AN�CAUNTV ORDINANCES AND STATE lAWS RELATINO TO 9UILDINO
� CONSTRUCTION,AND HEREBV AUTFIOR2E REPRESENTATIVES OF THIS COUNTV TO ENTEF UPON THE
ZABOVE-MENTqNED�ROPERN FOR INSPECTfON PURPOSES. COMMENTS �
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. �RECPT.NO. PAIO B VALIDATION
� WHITE—Depertment Copy,YELLOW--Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN--ApplicanYs Copy
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SET BACK !'• FLOOR JOIST � � �
FTGS/FORMS/STEEL FHA REQMTS
ELECTRIC GROUND UNDER FLOOR DUCT
GROUND PLUMBING UNDER.FLOOR CONDUIT
SLAB GRADE FIREPLACE FOUNDATION
TEMP POWER FIREPLACE BOND BEAM
WATER SERVICE MID H'T. BOND BEAM
ROOF SNEATHING 8•FT. BOND BEAM
FRAMINGNENTILATION 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 FINAL
CEILING INSULATION OFF SITE IMPS.
DRYWALL NAILING DEDICATIONS
SEWER FINAL ENG.
SEPTIC TANK LANDSCAPE/IRRIG.
SEEP PITlL.L. ON SITE IMPS.
GAS AIR TEST FINAL ZONING
FINAL CONST. FIRE DEPT. FINAL
FINAL HEATING HEALTH DEPT. FINAL
FINAL ELECTRIC DEV. FEES PAID f
FINAL PLUMBING � ; 0 ENERGY
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COMMEfVTS
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SEPTIC TANK SIZE
SEEP PIT/U SIZE
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