HomeMy WebLinkAbout187 (11) , '"` �, CITY OF DIAMOND BAR �W� PRESS
,, •� DEPARTMENT OF BUILDING AND SAFE. . FIRMLY
-:� BUILDING PERMIT
JOBSITE APPLlCATION ,/�/�---_.�' , PERMIT � USE �
ADDRESS 714 S. Leyland Drive 26 DATE !l f:7 NUMBER��GODE
ISSUE TYPE OCC.
Y• �PN LOT��TRACT /�2�h4 DATE CONST. GROUP _
e:
_' CROSS STREET Granrl I. Tli ar»ncl 1�7r ZI�NING SETBACKS "'P"O'�''"E"'�
«'- OYVNER Bramalea Limited FRONT_ RW ❑
_� ADDRESS One Park Plaza 1�1100 REAR ❑
LL� �sTy Irvine Z�p 92714 TEL. 851-3131 SIDE/SIDE STREET RW ❑
C; APPLICANT �ew Plumbin� TEL. 937-3972 SIDE ❑
�:
�� CONTRACTOR Ne�a g '
a:, Plumbin Contractors - '
�:: SEWAGE � PUBLIC PMT#
�; ADDRESS 2300 E Orangewood ��ve DISPOSAL
u; CITY Anaheim ZIP�$Q�TEL..�3.1-3� � PRIVATE SQ.FT./100 GAL
�= STRTE 426109 GRADING ❑ CU.YDS.EXC. CU YDS FILL
�; LI�.NUMBER TYPE SQ F�"T' FACTOR PS ADJ. AAEANALUATION
� ARCH/ENG/ W 1
�,
o' DESIGNER W
`�' ADDRESS l� 2
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�� CITY ZIP _TEL. (� 3
W
3. z 4
�. PROPOSED USE _
�'.;I _ o GARAGE
�:; NO.DWEL. NO. NO. � PORCH
`'; UNITS�_ STORIES BEDROOMS
c� LOT DIMENSIONS m VALUATION ADJ.AREA_
�`:� NO.OF BLDGS HOW QUANTiT�r DESCRfPTIt)N FEE
=••� ON LOT USED_ �
�;� � � tid.�TER CLOSET
`-�'' A � .� BATH TUB , ' ^'
a'� t.i NSEi]f.ONTRACTORS 7ECLABATIDN I lierxhy aff�rm tLal I ain licensed under provisions of Chapter 9;cammencing I'— .�. �
�� �itn Secuar?C00;at Orv�siun 3 of the Business and Protessions Cutle,arvl my license is in lull force an�effer.i � ,� SHOi�ER �
`ie � w LLLVATORY �`,�„
u— li�h'NER�BUfLDFR OECLAR,ATICN I he�x6y atfirm that I am r.semp[fmm ihe Cur.traciar's L�censa Law fur the followinq
— rcusun�Sec iO3i 5,Business arr.Pmlessions Code.Any city or caunty wh¢h requires a permit tn cnnslruct, (� .SI� �
c7 dller niproor..Oemulish,or repair any s�rucnrtr,pnar to��Is issnance alm reqwres[he apollcam lor such perm�l � DZSHWASHER � ��
��=I w file x siyne�l siatrmem th�!he�s licensed pursuant to Ihe O�wsians of the Camra[tor's Litense Law jChaOtei m
�r�9�cnmmenenp w:!h Seclion 7000�cf�i�ision 3 of the 8usiness and Pwlessions Code�m that te�s exemut tPrrefram 'g /7 —
ip��anJ�^.c 5asis�n: thc alleqed exei�ptmn Any v��olation ol Sechari 70315 6v any appl¢anl tcr a pennn suhjects � �,'J,OTHES t,'ASH.ER /. �
i�I�+F a?plree�t t:a u�n penaltY of nat mor?than hve hu.^.ureJ dollais(55D01; —� ._
°' GAS SYSTEM OUTLETS �. �
.�! as owrei al tl•.e p�oper:v,or m4 employees�uil!•wayes as thert sole compensation.wrtl dn the wo�k,and �— J
�� �ilx sirucu,re a mm �lertled��eflerxd lor sale(Szc 7044,Basiress and Pmfessions Codt This"omractoi's License HOSE ��8.�. /
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i;j Law daes m;t dCD���n ar uwrer o`properry who 6uilOs er impreoes�Ceieon,and whr.does such wnrk n,msel( U
�•� cr:h-��iiy�i F.is ewn.=.mplavees,omwdetl Ihat such impmvements are nct imentled or o�fered For sale If,hawene�. �I ; titiTATER HEATER `�,,
i o ^.he h,ul.iinp or mpruverien.is so�d v:rhin one year of campletion,the nwner�L•�iider wi!I haee the burden of proving e[
�� Brn�e.A.d nat L•udd or miprove for the purpnse ol sale� �
��� �
en I LI,as owrer�f thr.pnperly,am eaclusively coniracrmy wn�hcensed ccntraUors m constmct ihe pro�ec�(Sec W I
�.� OC4 Bus:ness ard Pmfessions CoAe:lhe Cantrxctar's Ucense Law daes nm aDV�Y�o an owner of prope�ty who �
;;C ha:lr,s or:mprmes rlieraan,anJ wlm cancracts Ier such pio�ects with a convacmrSsi licenseo pursuart ta the Connactor's
"; iCe^g,.���•,.; CONSTRUCTION
�:�
�'''� � I xir?Rempt��:der Sec ,8 6 P.0 IAnach CerULcatel PLAN REVlEW
I�— `
�_ '��°— n"'""` 'ELECTRIC _
�¢ WORKERS'CGMPENSATION CECL�RaTION�I here6y athrm that I have a;eruhcate of canseot to self�insure,w
°'� a cr.mhca�?n!14'erkers'ComFensatmn Insurance m a cenifled mpy thereof�Sec 3soo iAn.�i. I � PLU MBING
��
� G�,:eiu��ed copv is rierehy hxmsred I ,,,,a MECHANICAL
e� � �erPf�eo copv s L!eA with tne BmlJmg Inspectinn Oepanment ur Oepariment � GRADING .
L �--
Z CEa11FICATE 6F E%EMPTION FROM N,'ONKERS'COMPENSATION INSUHANCE Tha secnun reed not Ik completed � ISSUANCE _ /� e
��� I I'iP.PP.�IGII�5 for onr.hur�dred IS10D1 or less.I cernfy ihat ir.the perlormance ol the u+ork tor which Ihis �,
_I;em;n is rssued I shall not amploy ary person in any manner so as to heCone suLject ta Ihe Workers'Lumpensatian SMIP
� 'aw<:�iCnliiorria W PARK FEE
�+,iI 07` �P°"�"' � SCHOOL FEES
NaTICE?C A7PLICANT N,aNe�ma4�ng thrs Cerui�care ol Exempimn,you should 6ecame su6�ect ro the Warter's �"'
��i f.r,mpensatmn provaions of the LaLur Code,you must forthwuh comply w�lh such pmvisions or this permn shall
�i'M1r.^eemetl revokeC —
J
z UIVISION OF IN�IISTPIAL SAFETV PEFMIT CEATIFICATION --
�
I�I her?M r.ernly Ihal no e�tavanon hve(5)or more feel m Jepth mto wh¢h a person is reqmred to descend,
�r rvill Cr.naAr.m rnn�iection wrth��•o�k authorized hy�fns permn,and that ne buildmg slmcWre,scaflolding,falsework, ,
�s �r dci�olrtmn ur Aismentlu�9 thereM, a•dl he mure than ihfrry-six(361�eel high �Chap 32,Grp 2.Art 2,Sec
�x ��.1�,��e.ca,c� C'ITY GF i�lfi,�`IC7i�� F3,�a
_
3 ❑As ounw-huddr.r I will na1 emo�Y anyane to Ja work wh¢h would requue a permrt fmm thc avision of �.t,{J�i [�`1[�,j� f'��'V:� .�1r4r�T
IndusViai$alery as noled ahove,ur.less suth persan has a permr,fa do aucM1 work fmm the drvisian.
�
W ❑o��,=�o�a���d�=„�a�sa�e�y��m,�No TOTAL FEES � �7 .
�
�� CONSTPUCTqN LENDING AGENCV I herehy aFfirm that there is a conrnucuon lendinp apency fa ihe performance
Z of the wnrk lor which this pennit rs issued�Sec.3097,Crv C�
� LmAcr's Name COMMENTS
p�p I.ender's AdAress
� CERTIFICATE OF COh7PLIANCE ANO Al1THORIZATION OF ENTRY I certiiy I have read Ihis appl¢alian and state
cq Ihat the mPormanan grven is corrert.I agree ta mmply wuh all s�ate laws and city ardinances rehting to 6uiWing
y cansfmcUun,a iA authonie a represenfalive of t�e Depanment ot 9mlding�nd Safe[y to mter upon the properry � ,
= far wlncfi 1 appN`ed S th�s peimit lor ihe puryase of mak'ug inspections. , Y A� • gf
� � ��� �Mv
�' • C ,,�i- l t►-�,�'�' ,�C/� ,�j �'
�. 4 S�nna�D�licam or Agent ' L' ��Uate I RECPT NO. ( ��d✓ PAID BY ��'����� VALIDATION
WHITE—Department Copy,YELLOW—Finance Copy.PINK—Assessor Copy,GOLDENROD—File Capy,GREEN—Applicants Copy
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