HomeMy WebLinkAboutNo Permit Number (12) �� CITY OF DIAMOND BAx n
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DEPARTMENT OF COMMiJNITY Bc DEVELOPMENT SERVICES
� 21660 E.Copley Drive Suite 190 /
(909)860-3195 Fax(909)861-3117 PRESS
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� ADDR S ZONING S O�CKS RW ❑
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OFFEAW FORSALE.IF,F10WEVER7HE BULlMN�OR IMFROVEMENT IS SqD WIh11N ONE YEAR OF CqAP�E
T101i,iNE OMMER�IALDER NALL MAYE TNE BUROEN OF PROVINO THAT ME OR SHE DI�NOT BUILU OR
NAPiIOVE FORTFIE Pl1RPOSE OF SALE� � '
� O4��M�NEROFTNEPROPEHTV,AMEXCLUSIY0.VCONTMCTqJOVYf7MlICENSEDOONfRACTOqS
TO CON6TRUCTTNE PRO.IECT(SEC.Mu.BU911�SS AND PROFESSIdJS CODE:IHE CANTRACTORS U- VfllUet1011 ADJ.AREA
CENSE LAW DOES/qT APPlYTO AN qNNER OF A PROPER'IY WFp BUM1DB OR IMPFioVES THEREON,AND
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DATE ONMER �
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� DATE � ' ' CONTRACTO
WONKERS'COMPENSATION DECLARATION �
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� _IHAVEANDWILLY+IINTAINACERTIflGTEOFCONSENTTOSELFaNSUREWRNqqKERS' _
COMPENSATION,AS PRONDm BY SECTION 9700 OF THE LABDR CODE,PoR THE PERFORMIWCE U
Q OF hiE W�RK F00.WHItlI TWS PERMR 181631JE0. �
1 HAVE/ND WILL MAIMNN WORKERS CpAPENSATION INSUNANCE,AS REOl11RED BY 6ECTION
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ISSUED.MYNOR H{OMPENSATION IN9URA Bl�qRRH1ER AND PIX1CY NIIMBER ME: CONSTRUCTIDN
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� I CERTIFY THAT W TME PERFORMANCE Of iHE WORK FOR WHICJi THIS PERMI719 ISSUED,l MECHANICAL
BWLLI NOi EMPIAY ANY VERSdJ IN ANV MANNER 50 AS TO BECOME 5UBJEC7 TO THE
(q WORKERS'COMPENSATIONLAWSOFGdIFORNIqANDAGREETHATIFISHWLOBECOME IN NFEE �'
6UBJECT TO 7HE YYOIMEH5 COMPENSI1TqN PRONSIONS OF SECTION 77oD OF hIE ViBOR Y�.:.:. . /�^
-~j CODE,16HN1 R7MMTMCOMPLYY\�JAVR�Q SEiROVI510N5. SSUANCE � J
pDATE:!/ -�9 APPLICANT:� l�l¢� �j"`� SMIP
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[= SUBJECTANEMPLOVERMCRMINALPENALTIESAN�CIVILFHJE9UPTOONEMUNDREDTFIOUSIWO ENERGYPERMIT
�OlWiS(i100.000�.NI ADDITION i0 THE COSTOF COMPENS�TION,DAMAQES AS PROVIDED FOR IN
¢ 9ECTqN�70!OF THE LABOR OODE,INTEREST.AND ATTORNEYS FEES. �
RETENTION FEE: (��fl�F��},����B�
� CONSTHUCTION LENDING AGENCY B o������_���
PRE�ALT FEE: i TiT f`
I HEREBYIIFFIRM UNDER PENKTY OF PERRIRY ti1R7 T1ERE IS�CONS7RUCTION LENDING AOENCY
FORTME PERPoRMANCE OFTME WORI(FOF MR71CY17XI5 PERMIT IS ISSUED(SEG 30W,pV.G�.
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� LENDER'SlMME ' �
� LEM�ER'SAOORESS
� ICER7IFYTNATIHAVENEADTNISAPPLICATION/WDSTATETUTiMEA60VEINFORMATpNISCORHECT. TOTAL FEES .
� I A[iflEE TO COMPLt WRH N.L CRV MlO 00UNTY ORUMANCES ANO STATE UVYS REU?INO TO BUILDIf�Ki
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CONSTRUCTqN,ANDHEREBYAIlf1qRIZEREPRESENTATIVESDFTW5C0UNTYTOEMERUPON7HE _��� �"hL
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VJ 610 TUREOFPE DATE . �-
� . RECPT.NO. PAID BY ' VILLIDATION
WHITE—Departrnent Copy,YELLOW—Flnance Capy,PINK—Asseasa Copy,(3pLDENR�Ie C.opy,GREEN—ApplicanPe Copy
� ' CITY OF DIAMOND BAR � . .
t1VSPECTION F�ECOf�D.
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SET BACK _'- . , FLOOR JOIST-: , �, •,, ;, •
FfGSIFORMS/STEEL FHA R�QMT$ _,
ELECTRIC GR�UND UNDER'FLOdR'IIUCT" ''.- � - ' -
GROUND PLUMBING UNDER�LQO.j-�C�J�I[lUIT�• � �, � _ � '
SLAS GRADE FIRE�'LA�E F011=N[�ATION`;'•- 'f. . .. -. ._
TEMP POWER FIREPLACE BOND�EAM =--
WATER SERVECE - MID HT.80N�BEkM-�° '- .- • -- "
RO�F SHEATHING--` i'' . `- • -- - • 8 FT. BONID BEAWI'.� y. -- ' i•• , - -- _ �
FRAMINGNENTILIATION FINAC BOND BEAM
ROOF COVER PRE-GRADING
ROUGN HEATING BENCHING
ROUGN ELECTRIC � - ROUGH GRADING
ROUGH PLUMBING FINISH GRADING
SHt7WERITUB TEST POOL ELECTRIC '
EXT.LATH/SIDING � POOI.FENCING
WALL INSULATION POOL FINAL
CElLING INSULATlON (JFF SITE IMPS.
DRYWALL NAILING � I DEDICATIONS
SEWER � FINAL ENG.
SEPTIC TANK LANDSCAPE/IRRIG.
SEEP PIT/�.1. QN SITE 1MP5. �
GAS,AIR 7EST � �. � FINAL ZONING �
FtNAtCE?NST: __�..., • ..�. _ . . ... - • �;' � FIRE DEPT. FINAL �-
'FINAL'NERTING ' �` �'' '' '� '� ";� ; HEALTH DEPT. FINAL
F1NAL ELECTRIC �� ' � , ���` ' DEV. FEES PAIQ � _-----
FINAL PLUMBING l , ; ENERGY
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