HomeMy WebLinkAbout184 (28) '�� CITY OF DIAMOND BAR -��� PRESS
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� � �••" ' DEPARTMENT OF BUILDING AND SAF� . F�RMLY
�� BUILDINf�PERMIT ' '
JOBSITE APPLICATION y ; PERMIT Q USE
ADDRESS 727 W. Leylan��ive Z5 DATE _��� f% �' NUMBER_��` CODE
ISSUE TYPE OCC.
�� APN LOT��TRACT 42564 DATE CONST. GROUP
" CROSS STREET Grand & Diamond Bar SETBACKS
ZOI�lING "'��ONEH�"'S
='� OWNER Bramalea Limited FRONT RW _❑
_� ADDRESS One Park Plaza �61100 � REAR ❑
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�;; CITY Irvine ZIP 92714 TEL851-31.31 � SIDEfSIDE STREET RW ❑
�'•� APPLICANT New Plumbing !TEL937-.._�72 �—� SIDE ❑
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;= CONTRACTOR I�ew Plumbi�� �ontractox.�, Tnc SEWAGE
�a ADDRESS�300 F. nrangewond gvP. DISPQSAL � PUBLIC PMT#
�; CITY _ nah im ZIP A2AnFi_TEL._
9,��_�97 ❑ PRIVATE SQ.FT./100 GAL
;e STATE 426109 GRADING ❑ CU.YDS.EXC. CU YDS FILL
�� LIC.NUMBER
�� r�RCH/ENG/ � ��'E S FT FACTC3R PS ApJ. AREA/VALUATION
G� DESIGNER � 1
�� ADDRESS �,,, 2
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s� CITY ZIP TEL. _ �► 3
s PROPOSED USE —'�� �� � 4
� �. GAAAGE
�; NO.DWEL. � NO. �1�• � PORCH
�� UNITS STORIES BEDROOMS
��= LaT DIMENSIONS m. VALUATION ADJ.AREA�
�� NO. OF BLDGS HOW QUANTITY D�SCRIP710N FEE
« ONLOT USED a � WATER CLOSET
oc .[�� ' (�
�T l� � BE1TH TUB ,, �
kt;9r:5Ef7�ONTRACTORS OECLARATION I hereM1y alfirm that I am hcensed ur.der pmvisians of Chapter 9 icommencmg U p r
��� wdli S��cto�7'JC01 of Oivision 3 nt:he Business and Proiessiars Codp and my heense is in full force and ellect � p�Q�a�+R
`•:'e � w t. L.3VATORY ,L}
�+_ Qv1Nf4�BUIlJEN�ECLARATION I here6�aFfinr that I am exempt frwn the C.nm:nWor's L¢r.nse Law fur Ihe tollowmg p
_. reesuri iSec 703�5,nusmess ari!Pmfessions Code�AnY crty or r.ninry which requires a permn to co�stmct, I e� _ SINK �/ �
i[� zlier.•mpwv^. deir.nnsh,or rapair any siructure,urmr to ns issuance,aiso re�uires the applicant for such permit � '�S-'L--
�- !u 16e a sigrr.d stntenent:hal he is hcersed pursuar.t to Ihe nmwsions o!the Contractar's Lcense Law�Chapter �p 1,SHCaASHF.R ,��
ei= �Ic�nnnnr.mg�v�th Sectio^7000,nf Drvismn 3 ul Ihe Busmess and Professicns Cadel ar thal he is ezemp:tlmrelrom ',� -
�eC aml the hasis frn ;h?a�le9ee ezemotinc Any wolalion o!Secunn iD315 Cy any apphr.ar.t!o�a permtl suhiects � ,I.� x S j,J� t i
��� the appl¢art'o�:rv�l penalty r.l•�o��nrc Ihan frve hunJied dollars IS5001.1 0. / i-y
F? �JI as nwner�'the�rnperty .r my employee.s wrth,vanes as thev solr.compensation.will do!he wa�k,anu �- GAS SYSTEri (a OUTLETS + ,J
F� Illtl ti:IpCi1FP.�5 rm intended�r nffeied tar sale(Sec 7C4d,Butir.ess and Pmfesvont Code�The Com�acmr't�cente� d � �O S+ .�, �I B fJ+ , � 0
�,� LxK�does rot applv to nn,+vncr a'pr7Ceny wh0 huiids or improves�herr.on,and who does such wurk Nmself. (� 7
y;� c� �Ir,uui(�IS UWfI 21➢pIOYP.P.S ��oe�tled Ihat such improetmems are n.^.t intended oi effereA fcr sole If,huwever,I � *�,TATER HEATER � �~!�,•
oe !he hm�uing er:mpmvemer!is sald�.vithin m�e year o+cam�lenon the awneo-hui:der will have the Uurden of prming Q
•� tliat 1��din r.et tmld nr i.7prove tm ihe p�rGose�f sale i �
<.o
<,o �_I,as o�.riiei ol ire n=rt am exchrsrvel conbachn�•.vith licersed cor.[rac�ors to:onstrucl 1Pe ae.rt Sec I U
V�P- Y. Y 4 P�I I LLI
%!Ai�,Rusn�=ss arJ Prcfessians Code The Co�tracto�'s License I.aw does rm apply ia nn oa•nar ot pmpedY who( g
�e I.irJds ur iripmves inereo�,ar.tl�.rno mntrac•s fur such proler.ts wrth a contractoilsj licersed pursuam to Ihe Coniracmr s
"_ ''��"'��a`" i.ONSI"RUCTION
�!'� LJ I am exempl�rde.r Sec _.8.5 PC IAtlath Cetld¢ate�.j PLAN REVIEW __ _�
��,=j flate Owne� � ELECTRIC '
cz 'lvUAKEHS COMPENSA?IOR�ECL4flATI0N I heretry affirm that I have a cenilcate ol consent to sell-insure or
'" z ce:uhcate ai Werkera f.n:nce�uaticr.Inswanre ar a cer!i�Ied ropy the�eol(Sec 3800,Lah.C I PLUMBI NG • �i
;� ❑r2�:����a�ooY�s hereCy hxaisneC � MECHANICAL
e:� Ce nhe9 coOY is i�Le.vrt!i the Budtling InsDec�ion DeD��+ent or oeoa�t��e��. �'�„ GRADING
LJJ
�� I;EHTiF1CATE OF EHEh1pT10N fROM�VORKEBS'LOMPENSATION MSUNANCf.Thn secuor.ne.eA not hz coinp!eted �O �SSUANCE r� .-7
�� rc Ibe pennd is lor one��ndretl;S1CCi ai less I reru(y that m the Cer�ormance ol the work for which this �
_ pnrnnl i<issur.d.I shall noi ei�ploy any persan m any manner sa as ro Cecome subiect ta�he N7orkers'Cnmpensauon SMIP
F— I ah;al Cu:iioinia
a� I .W PAFiK FEE �
�� uaie appiicam L�. SCHOOL F�S
"� KO110E TO APPI.ICANT�It,aftei maX�n9 this Ceni6cate al Exempuon,you should hewme su6lect ro the Worker's
-_ I;ampensanon pmmsmns a�Ihe Lebor Code,yau must tortFwilh comply.vi1h such pravisions or thrs permil shall
�+- hc daemed re�oked.
o�-
��= �J�VISI�N OF INOUSTRIAL SQFETY PENMI7 CERTIFICATION —_ {, (�
��-� ��I herehy�ertify that no excavauon fi�e 15�or more feet in depih in�o whicA a cerson is reQuiied ta eescend.� 1°�1'.�� � �
Ci� will 6r,maoe m cnnnecuon wnh work aulhor¢ed by�his permn,and�hat no huildinp simcture,scaffolding,ialsewad, '
��- m dwno:ivnn n•disinamimg t�ereaf wAI he more than thirty�six!361 leet high.(Chap 3 2,Gry 2,An 2,Sec -
-iC 34t TitleB.C.ACi I . ' ��'fr��•u-• k!:=;t
{,�J I ���y (��: Y':�,::i � `
-�� ❑A.�uuuner-hmlder I will nat employ anyone ro da work whah would�equire a permtl imm the Uivi9ian af _t7t -'�i !'• 1�.�.�y, v r'•� �
F.- InrJuslria:Salely,as iwled ahore,unless such person has a permrt ro do such work from tl�e division � —��6 p+�k''+�'"' ` „ .
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:;; ❑����s�o��,��tl��st�,a�safe,Y��m��No 70TAL F�ES
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�.� CONSTRUCfION LENOING AGENCY I hereby atLrm Mal there is a consirucrion lending agenry for tlm perfam�ance
p�_ oi�he work for which Ihis permt is issued�Sec 3097,Civ C.)
�� Lr.nAr.r'sName COMMENTS
�j Lende�'YAJdress
"� CERTIFICATE OF COMPI111NCE AND RUTNOflIZATION OF EMAY I certify I haVe aad Mis aODlkatian and sta[e
e�o ih;l Ihe mtormalion grven rs r.area I agree to comply with all slate laws and ciry ordinaices relaung�0 6udding
v� conslmcuon,and autho'ae a represemalive of the�epartment of Budding and Safety to enler upon Hie pmperry
� Por wh¢h I haae lie [hrs pe�mi�lor�he puryose of making uspecnons. ' °
� �,����.�_- ��;� :w ..
`� �l�l'���f� ,' RECPT NO._��, �. � PAID BY ���t`°�� � VALIDATION F� �
`� Signature of AppLcant or Apent �a�e .
WHITE—Department Copy,YELLOW—Finance Copy, PINK—Assessor Copy.GOLDENROD—File Copy,GREEN—Applicants Copy
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