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HomeMy WebLinkAbout1499I CITY OF DIAMOND BAR (-1 DEPARTMENT OF BUILDING AND SAFE) tr n t BUILDING PERMIT PRESS FIRMLY JOBSITE n ADDRESS `r APPUCA11ON PERMITSE WA NUMBERZY'CICI CODE ETYPE facc. 91 CONST GROUP APN LOT 50 TRACT 42 64 CROSS STREETETBACKS OWNER Bramalea Calif. Inc. ADDRESS One Park P1. 4f1100 ZONING aumwEhEN4rs FRONT RW ❑ REAR ❑ CITY Z P TEL 891-31 SIDE/SIDE STREET RW ❑ APPLICANT TEL.'j&A3 I SIDE ❑ McGee ec ric,Inc, CONTRACTOR P.O. X ADDRESS CITY Chino ZIP 91708 TEL.991-6461 SEWAGE DISPOSAL ❑ PRIVATE PUBLIC PMT SQ. FT./ 100 GAL STATE LIC. NUMBER 490083GRADING 13CU. YDS. EXC. CU YDS FILL C/) TYPE SO FT FACTOR PSF ADJ. AREANALUATION ARCH/ENG/ W 1 DESIGNER ADDRESS LL 2 CITY ZIP TEL. () 3 Z '4 PROPOSED USE GARAGE NO. DWEL. NO. NO. UNITS STORIES BEDROOMS LOT DIMENSIONS PORCH m VALUATION ADJ. AREA OLIANTITY1 DESCRIPTION FEE NO. OF BLDGS HOW ON LOT USED ixU LICENSED CONTRACTORS DECLARATION I hereby offum that I am kensed Under previsions of Chapter 9 Icommencing LU with Section 70001 of D,rism 3 of the Business and Professors Code. and my kense is in full force and effect E]W MYNER WILDER DECLARATION I hereby affirm that 1 am exempt from the Contractor's License law lur the following reason (Sec 70315. Business and Professions Cade Any city at county which requires a pamrt to construct. alter, improve, derr6sh, or repay any structure. prior to its issuanee. also roues she appkant for such point to file a signed statement Chat he is licensed pursuant to the prwisons of she Conaacaor't license Law (Chapter 9 lcominenciN with Section 70001 of Division 3 of the Business and Prolessruns Code1 or that Its is turret t ereNum and the basis for the staged exemption AM violation of Section 70315 by srry applicant la a permit subjects the applicant to a crud penalty of not mere than True hundred dollars (650011 ❑I, as owner of the property. a my employees with wages as Men sok Compensation, win do the work, and the structure is nal intended or offered la sale ISec 7044, Business and Professors Code The Contrscta's License Lav does rot apply to an owner, of properly who bull= or improves Mason, and who does such work hunun, () 2 =j, d Q _U Z Q a through his own employees. prated that such rmprowments are not intended or offered far sak If, however, rhe building a nprmanatnt is sold within one yea of canpinwn, the owner -builder will hive the burden of proving that he did not build or improve for the purpose of sale I ❑I, as owner of the property. am eacbsivek connecting with licensed contractors to construct its project (Sec 7044. Business and Professions Code The Cantrecta's License Law does not apply to an owner of property who builds or irnpraves thereon, and who contracts lot such protects with a cnlractor(f) kcensed pursuant to the Cntnechar's = W CONSTRUCTION License Law 1 ❑ I am erermpr wrier Sec , 8 is P C (Anzh Certificate) PLAN REVIEW 0`1` N"`e` J CTRIC i .�-.-.r.��� �'��J��j1�J (j MECHANICAL WORKERS' COMPENSATION DECLARATION I hereby affirm that 1 Nave a eerafKate of eonsmt m sednsure, a a certificate of Ybrked Compensation Insurance, a a entified copy thereof (Sec.3800, Lab C L ❑Certrtieecopy, ishereby faashed Garriled copy a tied with the Bwtding hspecbon Department a RT1 l 18 i ng Department CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATM INSURANCE. This when need not be completed < GRADING_ UANCE ' it Me permit is la one hundred 13100) a less. I terrify that n PollormercI of de wort for which this pant is issued. hill rho tinploy any person in aro manner so some abiecl to tie Nbrkeri mfensator Laws ofi� - Nate v Apps t W ll- SMTP PARK FEE SCHOOL FEES NOTICE T APPLICANT. I, aur making this CerklKae of ampoon, you shads become subject b tlw Nbrker's Canpensanon prmmois of the labor CoNs-"If a tort faMwdh _comply with such provisons or this permit shag be deemed revoked (:.e '' ?r : •.: n... MISION OF INDUSTRIAL SAFETY PERMIT CERTICATMN u i ❑I hereby catdy that no excavator five (5) a mere feed in depth nm which a peen u requrd to deuad. 2 be made in connectm withMIk tbt¢ed by thus perms. and that no building structure. scalkldnl, fabawork, a demolition a dismantling Ikefal,ri,:u�e i1rire blurt tlirtyaa 361 feet high (Omap 32. Grp 7. An i. Sod 341. Tisk B. CACI. ❑As owner barber, 1 9. amt ampmy, any. to da wart which would taws a farmed from M Divisor of Industrial Solely, as noted a". �rrkss such parson has a forms to do such wort from the division ❑DiwsmdInduarkl lety7erntNa ... / °• ,,. $La TOTAL FEES CONSTRUCTION LENOIG AGENCY. 1 hereby ahrm thud dire is s eansaucrion kndp affinity Is, d6e parMaarKe ofMme work fa whKh dvs perm k issud ISec. 3007, Cru. C 1. Lades Nam` COMMENTS Leader's Addeo CERTIFICATE OF COMPLIANCE AND AUTNORIZATIM OF ENTRY. I certify I hate tad this apkabn and mese that the nfamatm ill is Coned. i Apra to Comped with ag sues laws and city adnasca rdaary to bnidrq cnalucnn. Monte a sapresenLtae of IIe awhienl a Idedding and Sandy to our am to prgaty hr W K tlpkd b this game for Ili purfose ntpac..m �T 7 e427A, RECPT NO. l % 1v U PAID BY�2/2 / VALIDATION Sgnawe a Appkent a Allem pato WHITE—Department Copy, YELLOW—Finance Copy PINK—Assessor COPY. GOLDENROD—File Copy. 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