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HomeMy WebLinkAbout1499 (19)I CITY OF DIAMOND BAR (-1 DEPARTMENT OF BUILDING AND SAFE) ,t A t BUILDING PERMIT PRESS FIRMLY JOBSITE n ADDRESS `rgE APPUCA11ON PERMITSE NUMBERZY'CICI CODE TYPE CC. CONST GROUP APN LOT 50 TRACT 42 64 CROSS STREETETBACKS OWNER Bramalea Calif. Inc. ADDRESS One Park P1. 4f1100 ZONING affix Ekcwm FRONT RW ❑ REAR ❑ CITY Z P TEL 891-31 SIDE/SIDE STREET RW ❑ APPLICANT TEL.'j&A3 I SIDE ❑ McGee ec ric,Inc, CONTRACTOR ADDRESS P.O. X CITY Chino ZIP 91708 TEL.991-6461 SEWAGE DISPOSAL ❑ PRIVATE PUBLIC PMT SQ. FT./ 100 GAL STATE LIC. NUMBER 49.0118.3 GRADING ❑ CU. YDS. EXC. CU YDS FILL CO TYPE SO FT FACTOR PSF ADJ. AREAIVALUATION 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 fJ ix- LICENSED CONTRACTORS DECLARATION I hereby offum that I am Licensed alder previsions of Chapter 9 Icommencing LU with Section 70001 of Davison 3 of the Business and Professors Code. and my, license is in hl force and effect E]W MYNER WILDER DECLARATION I hereby affirm that 1 am stamps from the Conuacta's License law for the following reason (Sec 70315. Business and Professions Cade Any city at county which requires a permit to construct. alter, improve, derr6sh, or repay any structure. Prior to its issuance. also requas de appbcant for such permit to file a signed statement that he is licensed pursuant to the prwisons of she Conaattor'a license Law (Chapter 9 lcomrrenciN with Section 70001 of Division 3 of the Business and Protestant Code1 or that he is stamps therefrom and the basis for the staged exemption AM iodation of Section 70315 W arty applicant fa a permit subtects the applicant to a crud penalty of not me than Eiw hundred dollars (=50011 ❑I, as owner of the property. a my employees with wages n Men sok compensation, win do the work, and the structure Is nal intended or offered fa sale ISec 1044, Business and Piolessms Code The Contractor's License Lav does rot apply to an owner, of property who bull= or improves Mason, and who does such work herself. () 2 d Q U Z Q a through his own employees. provided Mat such rmprenements are not intended a offered far ask If, however, the building or onprmnarri 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 exclusively contracting with licensed contractors to construct rite project (Sec 7044. Business and Professions Code The Cmtracta's license Law does not apply to an owner of property who builds or improves Vernon, and who contacts la such protects with a cnlractor(s) ktensed pursuant to the Conuattor's 2 W CONSTRUCTION License Law 1 ❑ I am ecempr wrier Sec , 8 Is P C (Anzh CerofKatel PLAN REVIEW Dal, N"`e` J CTRIC i .�-.-.r.��� �'��J��j1�J (j MECHANICAL WORKERS' COMPENSATION DECLARATION I hereby affirm that 1 Nave a eerafKah tic eonsms m atlfnsure, a a certificate of Ybrked Compensation Insurance, a a entified croy thereof (Sec.3800, Lab C L ❑Certrbedcopy, ishereby irashed Caroled copy a tied with the Building hspectn Department a RT1 i 18 i ng Divestment CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE. This when need not be completed < GRADING_ UANCE V Me permit is la ere hundred 13100) a less. I terrify that n pnformnce of rile wort for which this perms is issued. hall rot play arty person in any manner so some aubiecl le th Nbrkeri rgensatKe, Laws tfi� - Nate v Apps ttampae W U- SMTP PARK FEE SCHOOL FEES NOTICE T APPLICANT. lf, aur making thio Cerklcof oon, yea shouldbecome subhat to tlw Nbrker's Canpensanon provmns of the labor Code :'yee meet forthwith _cooply with such provisons or this permit shag be deemed revoked DMSION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION u i ❑I hereby certdy that m eaaialion Ire (5) a mere feet in depth into which a person is raµnamd. d to des 2 be made in connrecton with wwo�kk tbgad by thus perms. and that no building structure. scaffolding, hisswork, a demdhhn a dismantling Ikial,rii�e imlre �lurt tlirtyaa 361 feet high Chad 32. Grp 7. An i. Sod 341. Tide B. CACI ❑As owner bwber. 1 pg. attic empty any. to da wart which would requua a farnrl from M Division of Industrial Salary. as noted elohie. �rkss skb parson has a forms to do such wort from the division I'�I fFN eel:; ,,� "•'�.••: :•:.✓ f ry ❑Diwsrn d Idustrul lehrf4rmt Na ... / ° • ,,. $La TOTAL FEES CONSTRUCTION LENOIG AGENCY. 1 hereby ofhrrn Val dire is s dansVucbon lenp ndagency for der perlaer aKe ofthe work fa whKh dvs permt k issud ISee. 3007, Cru. C 1. Lender's Name COMMENTS Lender's Addess CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY. I candy I hate tad dais 20486n and stew that the information Irven is Coned. i agree to comply, with ag shat lows and city ordinances; rawsig to buadng construction. v u impressionism of the awhinent of Ideddatp and sally so our apron the prgaty, hr w sae Diked b this prone for ted I�f^T �if7K ",le74 M;77 RECPT NO. l51v U PAID BYO/2 / VALIDATION e a Appkent a AderM gale WHITE—Department Copy, YELLOW—Finance Copy, PINK—Assessor COPY. 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