HomeMy WebLinkAboutNo Permit Number (11) �� CITY OF DIAMOND BAR
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DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICE
: d , 21660 E.Copley Drive Suitc 190'
(909)860-3195 F�(909)861-3117 ' PRESS
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W OLASONNEROFT}IEiROPEiffY,M1EXCLl15IVELYDOH7RACTNONrtTHUCENSEOCONTRACTOqS
� TO CON57RUCT 7ME Pfm.lECf(EEC.7W1,BU31NE53 AND GipFESSIdiS COOE:THE CONTRACI'ORS U- V8I119IIM ADJ.AREA
CENSE LAW DOES NOT APP�Y TOAN OWNER OF A PROVFAT/Vhq BUlDS OR MPRWE9 THEREON,AND
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� I NEREBY KFIflM UNDER PENALT'OF VEqJURT Ti�T 1 NA UCENSEO UNDER PROVISIONS OF CHAPTER �
� Y(COMMENCNYO WITH SEC710N 70a0�OF DNISqN 90F THE BUSINE35AND VROFE5510N5 CODE,AN0 . �
�y MY LICENSE IS M FULL AND EFFECT. y
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� DATE '� CONTR11CT0 � ' �
= WORKERS'COMPENSATION DECLARATION 4
� I NEREBYAFFINA UNDER iENALTV Of VEqJURY ONEOF iNE FOLLOWINO DECLAMT10N5: Z
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CdAPENSATIOM,AS VHOVIDED BY 8EC710N 97000F iME LABOR COOE,FOR THE PERFORMANCE U
Q OF 7ME WORK POR WHICF17Fi19 VERMIT IS ISSUE0. �
Q �I NAVE AND WILL MNNfA1N WOANEfl9'COMPENSATION INSUMNCE,A9 REOUIRED BY BEGTION
��9700 OF iHE LABOR CO�E.FOR TNE PERFORMANCE OF THE WOPR PoR WMICH THIS PENMIT IS
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� I CERTIFV THAT IN THE PERFORMANCE OF THE WORK FOR WHICH 1HIS VERMIT IS ISSIIED,I MECHANICAL
SHFLL NOT EMGLOY ANV VERSON IN ANV MANNER 50 AS TO BECAME SUBJECT 70 7NE
�p MIORKERS'CpA7EN5ATIONU1W30FCAL60RNI,�MIOAGREETXATFISFb1ADBECOME IN TIONFEE
SUB.IECT TO THE NK7HKERS'COMPENSATION PROVISION5 OF 6ECTqN 070o OF THE LABOfl ��j� ��
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� WARNINO:FALURE TO SECUHE WORKERS'COMPENSATION COVEMOE IS UNUWFUL,AND SHALLBE ENERGY PIC �„c r � L� •AAn
BllB.1ECiANEMPLOYEHTOCRIMINAIPENALTESANOCIVILFINESUPTOONEHUNDFEDTNW3AND ENERGYPERMIT
JDOLURS(i100.000).IN MDfT10N TO hiE CO3T OF COMPENSIRIDN,GAMAQES AS PROVWE�PDR MI
8ECTION 970e OF THE U1BOR f.17DE,NTERE5T,ANO ATTOFNE`f5 FEES.
� RETENTION FEE:�ITY OF n��n'*.�� _
OCONSTRUCTION LENDING AGENCY PRE-ALT FEE: B UII,DIN(a����i
� IHEREBYIIFFIRMUNDEHPENALTYOFPERJURVTNATIHERE1511CONSTRUCTIONIENDINGMiENCY �
FOR TNE PERPoRMNICE OF TNE WORK FOR IYMICN TMIS iERMIT IS ISSUED(6EG 30Y'/,CIV.G�.
�
� LENDER'SNNAE
� LENDEH'SADDHESS
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d IA(iREETO00h1PLYW17MIL�CRY�NOCIXINTYORDINANCESANOSTATEUNSREUTIN�TOBURDINO
� CONSiHUCTqN,Ap10 MEPEBY Al!lHORIZE REPRESENTATIYES OF THIS COUNfY i0 ENTEF UPON TME �
�BOVE-MEMIDNEU PFIOPERTY FOR INSPECTqN PUHPOSES. ��7/'J+
� COMMENTS �����
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� • TURE OF PE E DATE
� RECPT.NO. PNDBY J�� VALIDATiON
YVFiITE—DeparlmeM Copy,YELL01N�Inance Copy,PINI(—#sseasa Copy,GOLDENROO—File Copy,GREEN—Applicent's C.opy
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' ` ` CITY OF DI/�,NlOND BAR
- INSPECTI�N RECORD
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SET BACK . � FLOOR JOIS�-�.. , . . �'�, , ;
FTGS/FaRMS/STEEL FHA R�QMTS .', -
ELECTRIC GROUND UNDER FCOOR DU�T-`"'";' �•...�, .". :.�_. �. _', • ,
GROUNb PLUMBING UNDER F1.S2pFj CQ�IDUIT_.1' �
SLAB GRADE � FIRE�L•AGE��FOt3Nf}ATION �'� _ ` ' � � � `�'�_ .i . —,,'—�
TEMP POWER � FIREP�AG�BOND BEAM
WATEf�SERVICE --- MID HT.$OND'BEAM-'•-- - -- - • �' : - -
AOC)F SHEATHING� ' ��. ' _ .-', . , . 8 F1'. BOlVL1.8EAM._, . . _. ir _ .�., . . . _.. . ,
FRAMINGNENTILIATION FINAL BOND BEAM
ROOF COVER PRE-GRADfNG
ROUGFi HEATiNG BENCHING �
ROUGH ELECTRIC L ROUGH GRADING
ROUGN PLUMBING FINISH GRADING
SHOWER/TUB TEST POQL ELECTRIC
EXT LATN/SfDING PQQL FENCING o .
WALL INSULATION P�OI FINAL :
CEILING INSULATION (JFF SITE IMPS.
DRYWALL NAILING DEDICATIONS
SEWER � ' FINAL ENG.
SEPTIC TANK LANDSCAPE/IRRIG. .
SEEP PIT/I�.L. ON SITE IMPS.
GAS AFR TEST ,. - FINAL ZONING ;
FINAICQNST. -- � ' . : � � • -_ . `�,-. . FIRE DEPT. FINAL —
F�NAL HEATING ` '�•� HEALTH DEPT. FINAL � T
FiNAC ELECTRIC f Y ' � j DEV. FEES PAID �
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