HomeMy WebLinkAbout10-1024 CITY OF DIAMOND BAR
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� CENSE LAW(CHAPTER 9(CAMMENCINO WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PRO- LL' POOVSPB
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� I HEREBV AFFIRM UNDER PENALIY OF PERJURY ONE OF THE FOLLOWING DECLARATqNS: V
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� _IHAVEANDWILLMAINTAINACERTIFICATEOFCONSEMTOSELF-INSUREFORWORNER$' _
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G} SHA�L NOT EMPLOV ANV PERSON W ANV MANNER 50 AS TO BECOME SU&IECT TO THE
(/j WORNERS'CAMPENSATION LAWS OF CALIFORNIA AND AGREE THAT IF I SFbULD BECOME INSPECTION FEE
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� WARNING.FAILURE TO SECURE WORKEPS'COMPENSATION COVERAOE IS UNLAWFUL,AND SHALL BE ENERGY P/C �
� SU&IECTANEMPLOYERTOCRIMWALPENALTIESANDCIVILFINESUPTOONEHUNDREDTHOUSAND ENERGYPERMIT
DOLURS(f100,o00),IN ADDITION TO THE COST OF COMPENSATKKJ,DAMA�ES AS PROVIDED FOR IN
� SECTION 3708 OF THE LABOR CODE,INTEREST,AND ATTORNEV'S FEES. T� E /��'�a
OCONSTRUCTION LENDING AGENCY PRE-ALT FEE:
� I HEREBV AFFIRM UNDER GENALTV OF PERJURV THAT THERE IS A CANSTRUCTION LENDING AOENCV
FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.3087,CIV.C.).
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� LENDER'S NAME
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� I CERTIFV THAT I HAVE READ THIS APPIICATION AND STATE THAT THE ABOVE INFORA/ATqN IS COqRECT. TOTAL FE ES �
w I AOREE TO COMPLV WITH ALL CT'AND COUNTV ORDINANCES AND STATE UWS PELATWO TO BUILDINO
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TEMP POWER FIREPLACE BOND BEAM
WATER SERVICE MID H'T. BOND BEAM
ROOF SHEATHING 8 FT. BOND BEAM
FRAMINGNENTILATION FINAL BOND BEAM
ROOF COVER PRE-GRADING
ROUGH HEATING BENCHING
ROUGH ELECTRIC ROUGH GR,4DING
ROUGH PLUMBIPIG 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 LANDSCAPElIRRIG.
SEEP PIT/L.L. ON S1TE IMPS.
GAS AIR TEST FINAL ZONI�IG
FINAL CONST. FIRE DEPT. FINAL
FINAL HEATING HEALTH DEPT. FINAL
FINAL ELECTRIC DEV. FEES PAID
FINAL PLUMBING �s�(—/a ENERGY
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