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Home My WebLink AboutNo Permit Number (21)CITY OF DIAMOND BAR "� PRESS j DEPARTMENT OF BUILDING AND SAFETY FIRMLY BUILDING PERMIT JOBSITEAPPUCA11ON ADDRESS / aPil�,1, . , J Lit'? / PERMIT USE DATE S NUMBER _/ CODE ISSUE "l� �' �" TYPE OC:C. DATE =N- CONST. GROUP APN LOT TRACT 42 - CROSS STREET -- _ OWNER Bramalea Calif. Inc. ADDRESS One Parc P1. #1100 ZONING SETBACKS IAPIRRO WElIM FRONT Rill❑ REAR ❑ SIDE/SIDE STREET RW ❑ CITY Irvin zip TEL.,la �972714_ j APPLICANT _ ' �,l7— A—_ 6!11-@ TEL. �"(�� - — SIDE ❑ CONTRACTO " " Mc-C',ee_ R1 Pr.t ri r- Tnr. _ ADDRESS °X � SEWAGE ❑ PUBLIC PMT # DISPOSAL ❑ PRIVATE SO. FT./ 100 GAL. _ CITY ring ZIP TEL. _ GRADING ❑ "U. YDS. EXC. CU YDS FILL `' STATE 490083 LIC. NUMBER cl) TYPE a lei FACTIOR PS ADJ. AREA/VALUATION ARCH/ENG/ W 1 DESIGNER ADDRESS LLJ_ LL 2 CITY ZIP TEL. (} 3 ' PROPOSED USE �- r i �'� J Z ® 4 GARAGE NO. DWEL. NO. NO. UNITS STORIES BEDROOMS LOT DIMENSIONS _ :3 PORCH m VALUATION_._ ADJ. AREA — QUANTITY DESCRIPTION FEE NO. OF BLDGS HOW ON LOT-- USED— SED LICENSED CONTRACTORS DECI ARATION I hereby affirm that I am licensed under provisions of Chapter 9 Icommencinp JI GE NSE 1) seen Sectlun 7900; of Omsion 3 of the Business and Prulessions Code. and my license is ea full farce and effect -----�---t--C,—� v ��f -• ❑ _d fill ---- - 7,UNFR BUILDER DECLARATION 1 hernoy, alhrm that I am exempt ,ram the Contractor's License Law for the following -easen S^.c 70315 Business are P•olessu+ns Code Any city or county which requires a permit to construct. alar rrprove nemohsh or repay any structure, prior to its issuance also requires the applicant lot such perms in fds a si0red s'tatamrnl that he is iicersed pursuant to the provisions of the Cor 1pr•s License Law !Chapter 9h:ars:enc. n, with Sectior 70W of Division 3 of the Business and Professions Codef or that he is exempt therefrom and •he nasi, ;m the alleged exempuor Any violation of Section 70315 by any applu:anl !or a permit subjects he appm;anl to a nvd penalty of rot more than live hundred dollars (5500)1 I -- I I �I as scone• of the aroprny. or my employees with wages as their sole compensation. will do the work. and the aviator; is net intended or offered for sale (Sec 7044, Business and Professions Code The Contractor's License Law races not apply ;n an owner of property who builds or improves thereon, and who does such work himself or ;lurau,•h Pis awr employees provided that such improvements are not intended or offered for sale If, however, rim aaedmC a impms ert is said within one year of completion, the owner builder will have the burden el proving u-0 tic did ^.cif hada or�nprove fief the purpose of sale.i Ell, a, owns- of the property am exd-veiy contracting with itensed courvactors to construct to protect (Sec ;rr:4 Business and Piofessmrs Code The Contractors License Law does not apply to an owner of property who audds or •mproves thereon. and who convacts for such pmlecls with a contractor(sl licensed pursuant to the Contractor's CS Z M 'M :np -•a a. — --- y < V --- fi) S` Iransa law? CONSTRUCTION ❑ 1 am exempt ,"der Sec B. Is PC Attach Ceruficatel PLAN REVIEW — i Date owner— _j Ott W Uj PLUMBING MECHANICAL GRADING �^ SNIP .,-.- — PARK FEE SCHOOL FEES —_ WORKERS COMPENSATION DECLARATION I hereby alhrm that I have a ceftlume til consent to selFmsel or ,�a� nhtav if Lamers Compensation Insurance. or a cc,t.bed copy Thereof (Sec 3800 Lab C I LM1Cernhed cavy i, hereby, Iumrshee r Certified ca Building copy s tiled with the Bwtdmq Inspection Department m _ Dtparlmert it i 1RTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE This section need not he completed .f the perrmi is for nn hundred ISIOD) or less I certify that in the performance of the work for which Ibis— ' r. hs issued. I��fff��fff1 I em9loy ny person in airy manner so as time suhlem to [be Workers' Compensation Laws of Cahfnri( J i Oate v ADPInca NOTICE TO APPLICANT II, after making this Ciam le of Exemption, you should become sulryect he the Worker's ICumpensabnn provisions of the Labor Code, you must forthwith comply with such prounea ns this permit shall he deemed revoked ---..----.--- DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION ! i ❑I hereby certify that no excavation five (51 m me feet hh depth into which a person is required to descend. • will be made in connection with work authorized by this permit, and that no Wilding structure, scaffolding. falsework• or demolitmr or dismantling thereof will be more than thirty six (36) feet high (Chap ,3 2. Grp 2. Art 2. Sec 341. Tile 8. CACI }'awpermit OAS owner builder. I will not employ anyone to do�[kLyhitlt wuald iequfre from die Divisor of trial Industrial Safety, as noted above. unless such person has to do such work from the division. ODiva+on of Industrial Safety Period TOTAL FEES r' o CONSTRUCTION LENDING AGENCY t hereby affirm fiat Ihcre 'is a construction fending ageddy for the performanre nl the work for which tis permit is .,sued (Sec 3D97. Civ. C 1: I Lenders Name COMMENTS Lender's Address _ CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify I have read this application and state -- I that the mformathan given is correct I agree to comply wnlb all state laws and city onsireences rdeting to building s construction, and authorize a representative of the Depertmenand Wall of Building Safety tWallthe properly : Mr which h pplied for Mrs pennant for the purpose of/mak' fnspeetions. J��y rid/Jy `✓i f Signature of Appl ane or Agent Date _ R RECPT NO; —r "' r PAID BY r i I ` i 41 "��j• VALIDATION_._ t WHITE—Department Copy, YELLOW—Finance Copy, PINK—Assessor Copy, GOLDENROD—File Copy, GREEN— Applicants Copy LS106-11/89 `