HomeMy WebLinkAbout10-1133 ^ ,�` CITY OF DIAMOND BAR
DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ,�
3 21825 Copley Drive,Diamond Bar,CA 91765
(909)839-7020 Fax(909)861-3ll7 Building Inspection Hotline(909)839-70 PRESS
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g STATEMENT THAT HE OR SHE IS UCENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LI-
� CENSE UW(CHAPTER Y(CAMMENCINO WITH SECTION 7000)OF DIVISION 3 OF 7HE BUSINESS AND PRO- �'1' POOUSPB
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Z WILL DO 7HE WORK,AND THE STRUCTURE IS NOT INTENDED OP OFFERED FOR SALE(SEC.7Wl,BU51- J
N NESS AND PqOFESSIONS CODE THE CONTMCTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF �
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Q THROlX3H HIS OR HER ONM EMPLOVEES,PROVIDED THAT SUCH IMPROVEMEMS ARE NOT INTENDED OR m
� OFFEREDFORSILEIF,HOWEVER71iE8UILDINGORIMPROVEAIENTISSOLDWITHINONEVEAROFCAMP�E�
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W CENSE UW DOES NOTAPPLV TO AN ONTJEH OF A PROPERTV WHO BUILDS OF IMPROVES THEREON,AND
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� I HEREBV AFFIfU1 UNDER PENALTV OF PERfURV ONE OF THE FOLLOWING DECLAAATIONS: Z
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� �� I HAVE AND WILL MAINTAIN WORKERS'COMPE SATION INSURANCE,AS REOUIRED BV SECTION
Q 3700 OF THE LABOR CODE,FOR THE PERFO ANCE OF THE WORK FOR WHICH THIS PERMIT IS ,
ISSUED.MY WOR PENSATION I URANCE CARRIF�i AND POLICV NUMBER ARE: CONSTRUCTION
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Z �CERTIFY THAT IN THE PERFOpMANCE OF THE WOR)(FOR WHICN THIS PERMIT IS ISSUED,1 MECHANICAL
C) SHALL NOT EMPLOV ANV PERSON IN ANV MANNER SO AS TO BECOME SUBJECT TO THE
N WORKERS'COMPENSATION LAWS OF CALIFORNIq AND AGREE THAT IF I SHOULD BECOME INSPECTION FEE
j SU&IECT TO THE WORKERS'COMPENSATION PROVISIONS OF SECTION 3700 OF THE LABOR O
CODE.1 5 ALL FO � TH COMPLY Wlhl THOSE P O �E1 I5. CE
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p DATE: � APPLICANT: �SMIP
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� SU&IECTAN EMPIOVEF TO CflIMINAL PENALTIES AND CIVIL FW UP�TOONE HUNDRED THOUSAND ENERGY PERMIT
OOLURS(f10o.o00),IN ADDITION TO THE COST OF fAMPENSATqN,DAMAGES AS PROVIDED FOR IN a
¢ SECTION 37080FiHE LABOR CADE,INTEREST,ANDATTORNEI"S FEES. TENT ON FE ' (/
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� I HEREBV AFFIRM UNDER PENALTY OF PERIURV THAT THEFE IS ACONSTRUCTION LENDINO AOENCV
FOR THE PERFORMANCE OF THE WORK FOR WHICH iHIS PERMIT IS ISSUED(SEC,908�,CIV.C.),
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� LENDERS NAME
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w I CERTIFY THAT I HAVE READ THIS APP�ICATION AND STATE THAT 7HE ABOVE INFORMATION IS CORRECT. TOTAL F E ES !//� �
� I A6REE TO COMPLV WITH ALL CITY AND CAUNTV ORDINANCES AND STATE LAWS RELATWO TO BUILDINO � Y� {
� CONSTRUCTION,AND HEREBV AUTHORIZE FEPRESENTATIVES OF THIS CWNTV TO ENTER UPON THE � ,
Z ABOVE�AIENTIONED PROPERTV FOR INSPECTION 7U s. COMMENTS �
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WHITE—Department Copy,YELLOW—Finence Copy,PINK—Assessor Copy,GOLDENROD—File Capy,GREEN—Applicant's Copy
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WATER SERVICE MID HL BOND BEAM
ROOF SHEATHING 8 FT. BOND BEAM
FRAMlNGNENTILATION FlfdAL BOND BEAM
ROOF COVER PRE-GRADING
ROUGH HEATING BENCHIfVG
ROUGH ELECTRIC ROUGH GRADING
ROUGH PLUMBING ,L FINISH GRADING
SHOWER/TUB TEST POOL ELECTRIC
EXT. LATH/S�DING POOL FENCING
WALL INSULATION POOL FINAL
CEILING INSULATION OFF SfTE IMPS.
DRYWALL NAiLING DEDICATIOfVS
SEWER FINAL ENG.
SEPTIC TANK LANDSCAPE/IRRIG.
SEEP PIT/L.L. ON SITE IMPS.
GAS AIR TEST FINAL ZONING
F�NAL CONST. FIRE DEPT. FINAL
FINAL HEATING HEALTH DEPT. FINAL
FINAL ELECTRIC DEV. FEES PAID
FINAL PLUMBING t0 ENERGY
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