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Home My WebLink About1498IIL\NII\II H.1K n CITY OF DIAMOND BAR n PRESS DEPARTMENT OF BUILDING AND SAFE1 r UILDING PERMIT FIR LY JOBSITE APPLICATION PERMIT USE ADDRESS °' DATE SSE TYPE ER CODE DATE—a�'�%� CONST GROUP APN LOT TRACT CROSS STREET OWNER Bramalea Calif. Inc. ADDRESS Park SETBACKS ZONING Isaf710v£1EIaI5 FRONT RW ❑ REAR ❑ CITY IP TEL891 _31 31 APPLICANT 69= TEI _'&& SIDE/SIDE STREET RW ❑ [::SIDE ❑ CONTRACTOR " IIX ADDRESS CITY Chino, Ca ZIP Q1:ZQ 2 TEL._591—rA6 �' SEWAGE DISPOSAL ❑ PRIVATE SO FT./ 100 GAL STATE LIC. NUMBER 490083 GRADING ❑ CU. YDS. EXC. CU YDS FILL co TYPE SO FT FACTOR PSF ADJ. AREANALUATION ARCH/ENG/ LU 1 DESIGNER ADDRESS LLLL 2 CITY ZIP TEL. (} 3 Z 4 PROPOSED USE GARAGE NO. DWEL. NO. NO. UNITS STORIES BEDROOMS LOT DIMENSIONS PORCH VALUATION ADJ. AREA OLIANTrrYj DESCRIPTION FEE NO. OF BLDGS HOW ON LOT USED a ® LICENSED CONTRACTORS DECLARATION I hereby alhtm that I am tensed undo provisions of Chapter 9 (convmeteing wnh Section 1000) of Dwiron 3 of the Business and Professions Code. and my lease is in full late aid e1feCL ¢U F— !L ❑ W W OWNER BUILDER DECLARATION I Welty affirm that I am exempt from the Contrxmi s license law for the Wkwing reason (Sec 7031 S. Business and Prolesaons Code Any city or county which reguira a permit toeonsautt, alter. impluye, demob I. at repair any struttue, prior to is issuance. also tekutes the applicant lot mch permit so file a signed slatement that he is licensed purswnt 1u the provisions of the Cmhactm a Lrcanse Law (Chapter 9 (eommencmg with Satian 70001 of Divisor 3 of the Business and Ptolesstherefromions Code) or that to is exempt therefrom and the bevs for the alleged exemption Any volition of Section 70315 by any applicant Ior a permit subjects the $PplKanl to a ewd penalty of nil mare than fine hundred dolars (1500)1 ❑1. as owner of the property. a my employees with wages as twit sole Compensation, will do the work. and (� Z m d Q U Me srrature is not intended or offered la sale (Sec 70". Business and Psofessors Code The Cntracta's LKerse Law does not apply to in owner of property who builds a improves thi men. and who does loth wart tusnsed, a deough his own employees, prwded dial such mwen prirnts are not intended or offered for sale It, hwvever, the bwN,ng As mprwemnt s Sold within we year of empletim. she awner-Wddar will hsw the burden of proving that he did not Wild or approve la she purpose of sale ) 01as owner of Mchn9 e pfuperty, am exclusnely eontrawith licensed Impactors to censbuel the prolect (Sao Mi. Business and Professions Code The Contractor's License Law does not apply to an avtnei of property who Wilds or imprwes thnem, and who control& for swh projects with a eomixtorlsl licensed purstrant to thw Cntrlow's License Law Z Q 2 W CONSTRUCTION ❑ I am exempt under Sec , B It P.C. (Atxh ComfKal&l P . VIEW J LECTRC�I� 1 i• to _ PLUMBING MECHANICAL YATRKERS COMPENSATION DECLARATION I bereby alum that I hen a Collitale of Consent n set insure. a a certificate of Nbtkeri Compensation Insurance, a a crofied copy thereof (See. 3800, Lab C L ❑ Car tried ropy is hereby furnished (9Certifiedcopy s filed with IN Buldi Inspection Department m Building ppacm.m. Q GRAMOD CERTIFICATE OF EXEMPTION FROM VMXERS' COMPENSATION INSURANCE Thus section need not be completed A the permit is for one hundred ISIOOI a less I tsrbfy Mal n perlomm�[e of tic wart to( which this peirnt is issued. I sham empwy any, person in any nark[ m eeeme tubjal k tk Nbrteri G naninn Gait al uldapu(�^ Apple NOTICE TO APPLICANT If after making this Carotene of Exemption. you ~ become subNcI into vies[ •s Carpensapon prowsons at the Labor Code, you must forthwith comply swth such prism3ors or &a pmnn shall be deemed revoked LU UjPARK LL I S•UA NCE SMIP FEE SCHOOL FEES DIVISION OF INWSTRIAL SAFETY PERMIT CERTIFICATION c^ .��aprA"� h L.'; ❑I hereby aitdy Mat noexcevaror Inca (SI or more hat in pFm wIhicA'a pram is taquirtl to descend. wrl be made in Connector with work sutsaved Ity then ptnne, and Mal no kaill structure, "Joklure fWewort, or demolmm a dhstnandry thereof, will be "a Mark 0" six 1361 het h9h. IChap 32. Grp t. Art t, Sa 361. Title 8. C A C). a� f�}{'J►l1 employ nywe n �a y4K w wpld rrpwf a rot horn Ile Division d ❑At owner Wilder, I aid note 1 n Tr Industrial Safety, as mud abovt, unless such person halt per Sent n da such wort hom dw drislon. , ❑ Drinsor of Indushul Safety Parma tb ... -. I ' •, °': �'v `s TOTAL FEES NO.is CONSTRUCTION LENDING aGEWIY. I Iw eby albrm dust thug is . combucbn le liq etlantY fa ,d. parMnrKa of the worst for which this perm) is issued (Sec,.3091, " lender's Name " COMMENTS Lender's Address CERTIFICATE OF CONPLtANCE AND ALITNMtATION OF ENTRY. 1 Certify I here pad this application tit $case tut ft informs given stared I son n eamply, wed am stall laws ale CM sal As asking n h. k const '", /vt a I"m wta.. of the DR.UWm of bAUM Sod Salary b wr 0. tw Magary la —.Who fix Ilan tlr PAN "a sapacbwL RECPT NO. • i --2 PL41D BYOL %%uDATION� Signature of Appl[nl a Agent Oat WHITE —Department Coo YELLOW —Finance Copy, PINK —Assessor Copy, GOLDENROD —File Copy, GREEN— Applicants Copy BSI DG-11189 INSPECTION RECORD M S kr `I `• S T» R t. j -—..... .--------- ........ i� FLOOR ........_._.-_. _ .._._ JEMS-ISTEE. =JOISTS .-._-... aI I I R_ 1-' _^l._.`. -SE..-.-T--'B--A'C.........__.._....� .............I ............ ....... j ELEG'aRI--- Gni3;Jr�D _......._..._._..........._...............__... 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