HomeMy WebLinkAbout12-646 _ _��_ CITY OF DIAMOND BAR �
� DEPARTMENT OF COMMUNITY&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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CL 1 HEREBY AFFIRM UNDER PENALTY OF VERIURY THAT IAM UCENSED UNDER PROVISIONS OF CHAPTER - �
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Q OF THE WORK FOR WHICH THIS PERMIT IS,ISSUED. �
� i HAVEAND WILL MAINTAIN WORKERS'COMPENSATION INSURANCE;AS REQUIHED BY SECTION � �
Q 370o OF TNE UBOR CADE,FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
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� WORKERS'COMPENSATIONUWSOF IFORN10.ANDAG THATI ISHOULDBECOME INSPECTIONFEE�
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� SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND ENERGY PEFiMIT
DOILAFiS�5100,000),IN ADDI710N TO THE COST OF COMPENSATION,OAMAGES AS PROVIDED PoR IN �
� SECTbN 370e OF 7HE UBOR CODE,INTEREST,AND ATTORNEY'S FEES. - FlETENTION FEE:
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� 1 HEREBYAFFIRM UNDER PENALTY OF PEiiIURY THAT hIERE IS ACANSTRUCTION LENDING AGENCY
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W I AGREE TO COMPLY WITH ALL CT'AND COUNTY ORDINANCES AND S7A7E UWS RELATWG TO BUILDiNG
� CONSTRUCTION,AND HEREBY AUTHORRE REPRESENTATNES OF THIS CWNTV TO ENTER U�ON THE '
� ABOVE-MEMIONED PROPERTY FOR INSPECTION PURPOSES.
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