HomeMy WebLinkAbout17282 CITY OF DIAMOND BAR �XP I R E C) . •
--�---��` --- DEPARTMENT OF COI�RvIiJNITY&DEVELOPMENT SERVICES . �
21825 E.Copley Drive J U N 19•ZQOZ
(909)860-3195 Fax(909)861-3117 . • PRE$$
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� STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF 7HE CONTMC70RS LI- �
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Z WILL DO THE WORK,AND THE STRUCTURE IS NOT INTENOED OR OFFERED FOR SALE(SEC.70��,BU51- J COrtIf118fCiel �
N NESS AND PROFESSIONS CAOE:7HE CAN7RAC70RS LICENSE LAW DOES NOT APPLY TO AN OWNER OF �
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� I HEREBV AFFIRM UNDER PENALTV OF PERJURY THAT I AM LICENSED UNDER PHOVISIONS OF CHAPTEF �
d B(COMMENCING WITH SECTION 7000)OF DIVISION 3 0F THE BUSINESS AND PROFESSIONS CODE,AND Z
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� WORKERS'COMPENSATION DECLARATtON Q
� I HEREBY AFFIRM UNDER PENALN OF PERIURY ONE OF 7HE FOLIOWING DECLARA710N5: Z
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w �I HAVE AND WILI MAINTAIN WOFiKERS'CAMPENSATION INSURANCE,AS REOUIRED BY SECTION
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Z I CERTIFV THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED,I MECHANICAL
(� SHALL NOT EMPLOV ANY PERSON IN ANY MANNER SO AS TO BECOME SUBJECT TO THE
� WORKERS'COMPENSATIONLAWSOFCALIFORNIA,ANDAGREETMATIFISHOULDBECOME INSPECTIONFEE ---------�--
� SUBJECT TO THE WORKERS'COMPENSATION PROVISIONS OF SECTION 370 F THE UBOR I I ` _7,� /� l \ (�
� COOE, HAL4�FORTHWITHCOMPLVWIT SEPROVISIONS ISSUANCE IJ.I_.� .�r"-�\. ! I I I JJ� ,� `J
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� SUBJECTANEMPLOYERTOCRIMINALPENAL SANDCIVILFINESUPTOONEHUNDREDTHOUSAND ENERGYPERMIT
DOLLARS(f100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PHOVIDED FOR IN
� SECTION370BOFTHELABORCODE,INTEREST,ANDATTORNEY'SFEES. RETENTIONFEE: �i��T.
� CONSTRUCTION LENDING AGENCY ��1-- �
PRE-ALT FEE:
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� I HEREBV AFFIFM UNDER PENALTV OF PERJURV THAT THERE IS ACONSTRUCTION LENDING AGENCV
FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.3097,CIV.C.).
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� LENDER'S NAME
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� I CERTIFV THAT I HAVE READ THIS APPUCATION AND STATE THAT THE ABOVE INFORMATION IS CARqECT.
w I AGREE TO COMPLV WITH ALL CITY AND CAUNTY ORDINANCES AND STATE LAWS REUTING TO BUILDING �
� CONSTRUCTION,AND HEREBV AUTHORIZE REPRESENTATIVES OF THIS COUNTV TO ENTER UPON THE
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EI.ECTRIC GROUND � UNDER FLOOR DUCT ;
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GROUND PLUMBING ; UNDER FLOOR CU�IDUIT _ _
SLAB GRADE FIREPLACE FdUNDATION
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WATER SERVICE i MID HT. BOND BEAM _ __
ROOF SHEATHING 8 FT. BOND BEAM �
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FRAMINGNEIVTILIATION ! FINAL BOND BEAM ;
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ROOF COVER PRE-GRA�ING � 'T ^�
ROUGH HEATING BENCHING _ __
ROUGH ELECTRIC ! ROUGH GRADING
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ROUGH PLUIVIBItVG � FINISH GFiADING
SHOWER/TUB TEST ; POOL ELECTRIC
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EXT. LATH/SIDING ; POQL FENCING �
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WALL IIVSULATIOiV ; POOL FINAL
CEILIfVG IN�ULATION i �FF SITE I(VIPS.
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DRYWALL NAIUNG � DEDIGATI�NS �
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SEWER FINAL ENG.
SEPTIC TAf�K LANDSCAPE/IRRIG.
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GAS AIR TEST FINAL ZONING
FINAL CONST. � � FIRE DEPT. FINA!
FINAL HEATING � HEALTH DEPT. FINAL
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F1NNL ELECTRIC ; DEV. FEES PAlD �
FINAL PLUMBIf�G � ENERGY �
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