HomeMy WebLinkAbout10-729�
. •��_ CITY OF DIAMOND BAR �
� , DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES
� 21825 Copley Drive,Diamond Bar,CA 91765
(909)839-7020 Fax(909)861-3ll7 Building Inspection Hotline(909)839-7027 PRESS
�'°�"� BUiLDING PERMIT APPLICATION FIRMLY
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� NRE,PRIOR TO ITS ISSUANCE,ALSO qEOUIflES THE APPLICANT FOR SUCH PERMIT TO FILE A SIONED w
STATEMENT THAT HE OR SHE IS LICENSEO PURSUANT TO THE PROVISIONS OF THE CANTRACTORS LI-
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Z WILL DO 7HE WORK,AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE(SEC.7oN,BU51- J �
N NESS AND PqOFESSIONS CADE:THE CONTRACTORS IICENSE UW DOES NOT A7PLV TO AN OWNER OF �
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Q THROUGH H�S OR HER OWN EAIFLOYEES,PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR m
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Z TIDN,THE OWNEi7-BUILDER WILL HAVE THE BURDEN OF PROVINO THAT HE OR SHE DID NOT BUItD OR
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w ❑I,ASOWNEROFTHEPROPEHTV,AMEXCLUSIVELYCONTRACTINOWITHLICENSEDCONTRACTORS
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� ❑I AM EXEMPT UNDER SEC. B.6 C.F THIS REASON Q
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OC I HEREBY AFFIRM UNDER PENALTV OF PERIURY THAT I AM LICENSED UNDER PFO N F CHAPTER �
� G(COMMENCING WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND P ESSIONS E,AND Z �
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� WOFKERS'COMPENSATION DECLARATION ¢ I
N I HERFBV AFFIRM UNDER PENALTV OF PERJURV ONE OF THE FOLLOWIHO OECLARATIONS: U I
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� _IHAVEANDWILLMAINTAINACERTIFICATEOFCONSEMTOSELF-INSUREFORWOPKERS' �
COMPENSATION,AS PROVIDED BV SECTION 3700OF THE LABOH CODE,FOR THE PERFORMANCE U
OF THE WORK FOF WHIC}I THIS PERMIT IS ISSUED. w
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w _I HAVE AND WILL MAWTAIN WORKERS'COMPENSATION INSURANCE,AS REOUIRED BV SECTION
Q 370o OF THE LABOR CODE,FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS �U O�O
ISSUED.MV WORNERS'COA/PENSATION INSURANCE CARRIER AND POLICV NUMBER AAE CONSTRUCTION �
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Z I CERTIFV THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERAl1T IS ISSUED,I MECHANICAL
CJ SHAIL NOT EMPLOV ANV PERSON IN ANY MANNER SO AS TO BECAME SU&IECT TO THE
[�j WORKERS'COMPENSATION LAWS OF CALIFORNIA AND A(iREE iHAT IF I SHOULD BECOME INSPECTION FEE
= SU&JECT TO THE WOR)(ERS'COMPENSATION PROVISIONS OF SECTION 37o00F THE I.ABOq /l�
CODE.I SHALL FORTHWITH COMPLV WITH THOSE PROVISIONS. ISSUANCE \,/ �
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� SU&IECT AN EMPLOVER TO CHIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND NERGY PERMI ��(,/�
DOLLARS floo.o00).IN ADDITION TOTHE COSTOF COMPENSATION,DAMA�ES AS PROVIDED FOR IN
J SECTqN 37oe OF 7NE LABOF CODE,INTEREST,AND ATTORNEV'S FEES. �O D O
w RETENTION FEE: _
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� 1 HEREBV AFFIRM UNDER PENALTY OF PERJURV THAT THERE IS A CONSTRUCTION LENDING AGENCY �.��.f��c.�
FOR THE PERFOHMANCE OF THE WORK FOR WHICN THIS PERMIT IS ISSUED(SEC.30G7,CIV.CJ. r
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� LENDER'S NAME
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� TOTAL FEES � �2��- S�J �S��
� I CERTIFY THAT I HAVE FEAD THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CARqECT.
w I AGREE TO CAMPLV WITH ALL CITV AND COUNTY ORDINANCES ANO STATE LAWS REUTING TO BUILDINO
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� CONSTRUCTION,AND HEREBV AUTHORIZE REPRESENTATIVES OF 7HI5 CAUNTV TO EMER UPON THE ,
Z ABOVE-MENTIONED VROPERTV FOR INSPECTION PURPOSES. COMMENTS 'P`Y�O1—�T�r� 1 5 � �O 1 )1 0)
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WHITE—Depertment Copy,YELLOW�Inance Copy,PINK—Assessor Copy,OOLDENROQ–Flle Copy,GFEEN—Applicant's Copy
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SLAB GRADE FIREPLACE FOUNDATION
TEMP POWER FIREPLACE BOND BEAM
WATER SERVICE MID H'T. BOND BEAM
ROOF SHEATHING 8 FT. BOND BEAM
FRAMINGNENTILATION j FINAL BOND BEAM :
ROOF COVER PRE-GRAO�NG � ' �
ROUGH HEATING BENCHING
ROUGH ELECTRIC ROUGH GRADING
ROUGH PLUMBING i� FINISH GRADING
SHOWER/TUB TEST POOL ELECTRIC
EXT. LATH/SIDING / POOL FENCING
WALL INSULATION / � POOL FINAL
CEILING INSULATION OFF SITE IMPS.
DRYWALL NAILING r � DEDICATIONS
SEWER FINAL ENG.
SEPTIC TANK • LANDSCAPE/IRRIG.
SEEP PIT/L.L. ON SITE IMPS.
GAS AIR TEST FINAL ZONING
FINAL CONST. FIRE DEPT. FINAL
FINAL HEATING HEALTH DEPT. FINAL
FINAL ELECTRIC DEV. FEES PAID
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