HomeMy WebLinkAbout13-2077 ��_ CITY OF DIAMOND BAR ��1 � I� � 'r ����
� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �� ��
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(909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-7� P� $$
�""'� BUILDING PERMIT APPLICATION FIRMLY
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w TURE,PRIOR TO RS ISSUANCE,ALSO REQUIRES THE APPUCAN�FOR SUCH PERMIT TO FILE A SIGNEO W PatiolDeck .
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� CENSE UW(CHAPTER B(COMMENCING WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PR6 POOUSpO
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� NESS ANU PROFESSIONS CODE:THE CONTRACTORS UCENSE UW DOES NOT AVVLY TO AN OWNEF OF � �
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� 1 HEREBY AFFIRM UNDER PENAL7V OF VERIUPY ONE OF THE FOLLOWING DECLARATIONS: Z r, r� �^U /i
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� _I HAVE AND WILI MAMTAIN A CERTIFICATE OF CANSENT 70 SELF-INSURE FOR NARKERS' = ,1 I
COMPENSATION,AS PROVIDED BV SEC710N 37000F THE UBOR CODE.FOR THE PERFORMANCE U� Y Y
Q �OF 7}IE WORK FOR WHICH THIS PERMIT IS.ISSUED. � . ' -
Ow I HAVEAND WILL MAIHTAIN WORKER3'COM7ENSATION INSUqANCE,AS REOUIRED BY SECTION �
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� WORNERS'COMPENSA71pN LAWS OF CALIFORNIA,AND AGREE THA71F I SHOULD BECAME INSPECTION FEE�
= SUBJ Ci TO SHE WORKERS'�COM7ENSATION PpOVISIONS OF SECTION 9700 OF THE LABOR - -
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p DATE:� � J APPUCANT: ` � I .SMIP
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� SUBJECTAN EMPLOVERTO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNORED THOUSAN� ENERGY PERMIT
DOIURS(5100,000),'IN ADDITION TO THE COST OF CAMPENSATION,DAMAGES AS PROVIDEO FOR IN
¢ SEC710N 37oe OF 7HE LABOR CODE,INTEREST,AND AT'fORNEYS FEES. � RETENTION FEE: ��V
O� , CONSTRUCTION(.ENDING AGENCY � PRE-ALT FEE: —
� �HEREBV AFFIRM UNDER GENAI.7Y OF PERIURV THAT THERE IS A CANSTRUCTION LENDINO AOENCY
FOR THE PERFORMANCE OF THE WORK FOR NM1iICH THIS PERMIT IS ISSUED(SEC.3097,CIV.G.). f (
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� LENDER'SNAME �
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� 1 CERTIFY THAT 1 HAVE READ THIS MPLICATION AND STATE TMATTHE ABOVE INFORMATION IS CORRECT.
w 1 AGREE 70 COMPLv N7TH ALL CITY AND COUNTV ORDINANCES M1D STATE lAWS HEUTING TO BUILDiN(i
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� CANSTRUCTION,AND HEREBY AUTHOHIZE REPRESENIATNES OF THIS COUNTY TO ENTER U70N iHE �
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= FECPT.NO. PAID BY VALIDATIO
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CITY 4F DIAfVIO1VD BAR
INSPECT'ION RECORD `,�
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FTGS/FORMS/STEEL � �FHA REQMTS
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ELECTRIC GROUND � �UNDER FLOOR DUCT
GROUND PLUMBING �UNDER FLOOR CONDUIT
SLAB GRADE �FIREPLACE FOUNDATION
TEMP POWER �FIREPLACE BOND BEAM
WA7ER SERVICE I MID HT.BOND BEAM
ROOF SHEATHING ;8 FT.BOND BEAM
FRAMING/VENTILATION j FINAL BOND BEAM
_._..-- ---------- ._.__ ._.._.._ .___._.__ —..__..__ _.._.._._ _ ._.._.__._..------.._. _._..__—__.----- _.._._ __..----. _._..__.. __._._.__—.__---
ROOF COVER i PRE-GRADING
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ROUGH HEATING j BENCHING
— - � --- ----- —
ROUGH ELECTRIC j ROUGH GRADING
ROUGH PLUM6ING FINISH GRADING
SHOWER/TUBTEST I POOL ELECTRIC
EXT.LATH;SIDING j POOL FENCING
WALL INSULATION POOL FINAL
CEILING INSULATION �OFF SITE IMPS.
DRYWALI NAILING �pEDICATI0N5
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SEWER FINAL ENG.
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SEPTICTANK I LANDSCAPE/IRRIG.
SEEP PIT/L.L. ON SITE IMPS.
GAS AIRTEST FINAL ZONING
FINAL CONST. FIRE DEPT.FINAL
FINA�HEATING j HEALTH DEPT.FINAL
FINAL ELECTRIC �DEV.FEES PAID
FINAL PLUMBING !ENERGY
FWAL PLANING �
FINAL ENGINEERING ' e e
COMMENTS -_ - _ _ --__
SEPTK TANK SIZE
SEEP PIT/U SIZE
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