HomeMy WebLinkAbout183 (28) �'` � ,�.. CITY OF DIAMOND BAR ��°�n� PRESS
'�•" ' DEPARTMENT OF BUILDINf; AND SAFE .
� W-� BUILDING PERMIT FIRMLY
JOBSITE APPLICATION //_�� �!,-_ PERMIT SE
ADDRESS 731 S. Levland Drive 26 DATE _.�1.� � NUMBER ���,�',ODE
ISSUE TYPE OCC.
:��APN LOT26 TRACT 42564 DATE CONST. GROUP
`� CROSS STREET Grand & Diamond Bar ,�,a,o�,�,rrs
ZONlNG SETBACKS
`•' OWNER Bramalea Limited � (� FRON7 RW ❑ _
�? ADDRESS One Park Plaza �F110.Q 1 REAR ❑
�; CiTY Trvin ZIP 99714 TEL. R51-�1�1 � —� SIDE/SIDE STREET RW ❑
�� APPLICANT New P1 imh;ng Cont. _TEL.��7-�972 � SIDE ❑
:�
;� CONTRACTOR iC -�a Plum in� Cnntrartnrc SEWAGE
�a ADDRESS �3n0 F_ nrangPca�nd—Aue DISPOSAL � �'UBLIC PMT#
�� CITY_ AnahPim ZIP A�R(;F. TEL..�i7-3972 � PRIVATE SQ.FT./100GAL
:z STATE
« LIG.NUMBER 426109 GRADING � CU.YDS.EXC. CU YDS FILL
�� ARCH/ENG/ � ��'� �Q � FACfUFi P5 AD,1. AREANALUATION
`-°-' DESIGNER � 1
`� ADDRESS iL 2
�:� —
:� CITY ZIP TEL. (!3 3
:E PROPOSED USE � �
�� � GARAGE
�:, NO.DWEL. NO. NO. � PORCH
�� UNITS� STORIES BEDROOMS �y
�� LOT DIMENSIONS VALUATiON ADJ.AREA
�� NO.OF BLDGS HOW QUANTITY D�SCRIPTIdN FE�
�� ON LOT USED_ Q -�
U `"i
`'�� � � � BATH TUB � J
f' ' .� SfU f,ONTRACTORS DECLARATION I herel�y alfinn Ihat I am licensed mider provisians ot C6npler 9(commenting U �
�r :+vnh Secuon 7000�af�ivxioc 3 of ihe Business and Pmfessions Code.and my Lcense is in tull farce and effect W SHaWER �
`'-i ❑ u G L/�V�ITORY ,�
�s_ QWNEA�6UILCER�Ei.LAAATION I herehy aflim[ha7 I nni e„empt from the Contractor's License L.�w lor the lollv✓.�mg —'�
_� reasni�;Sec 70315 Bus��ess and Professions Cale Any city or caunty which requiies a permit to cansiruct, (3 SINK
c:] a;tw,impruee,Jen^lish,or repav any slmclure,prinr lo tls issuanrz,also reqm!es the applicant fo�such permrt Z
F- �o f:lc a smneA sta:emrnl ICat he�s I.censeA Dursuam to the orovisians o�the f,cmrauor's:icense Lzw(Chapter ��Q D T
� 9 icon��mencnr.wrtn Secun�i?OOOi of Divisnn 3 of;ha 8�siness and Pmfessmns CodeJ o;Ihat he•s eismpt iherefrom '� / p
p. anA t4e hasis for Ihe alie,qed e�emptior.Any vioiatian ol Section 7031 5 6y anp appLcant t,^.r a permit suhjects � ) CLOTHES k��Jx�'R ��
�'� we ao��Lcant ia n ri�il pe�zltv,f net nore than five hundred dollars I$500�� � d:�.y„
"' GAS SYSTEyI j, OUTLETS _ )C�
F? CI,as::wner uf,he prope�ty.nr i�y em�iaYees wrth u�ages as theu sole compensatinn,will Jo the wcrk,ard -� —�--y�
!!ie stmcturF�s iio!ir!ended o�nflereC fnr sak�Sec.7044.Business antl Pmlessions Cotle The Cuntracm(s License Q /,� � �;CS'r.S' �I�S �
�;� Law docs m^xppq'm an nwner o"prcpertV who 6wltls or imFmves ihereon.antl whe dues auch work himself. O ��
��� or thrcw�h hs ow�emplevees,�mvitleJ�ha!such imprcvemems are not mterAed or afkred fo;sale If,hcwever, z [a[.�TER HEATER � ,
ep ;iie SialCmg or:mprmr.ment is su�d wrthin one}ear al completion the ownerv6mlAe�w�ll hase the 6urden of proaing t[
�� •ha1'�e d;d ro!hadd cr inmrove fur t7o pmpose ef salel (T�
e;� [�I,as owrer�1 the pro0erte�,am exclusrvely mmractir.y w:m haensed contractors m consiruc�the pm�ect ISr.c �,(J ,
c:a
7044 Buxwess artl Proles:iars Codr. ihe Cun[ractnr's License Law does rot aG�ly lo an nwner of pmperry who � - !
:iC Lmlds m n-ipioves thereon,acJ who r.omrac;s for au[h pro�ec!s wnh a contracto:(s)licensed pursirerd to the Contractur's
"� �°;'�SeLa��! CONSTRUCTION
�;; --
� ❑i�m e.emn�'��'der Se� B S PC IAttach Cen�hcate) PLAN REVIEW
►—
�� u'�� ��ef ELECTRIC ��
-.c"�e N'URKERS'COMPEhSATION CECLARATIQN I here6y allirm tha!I have a certiUcate o(consecl m sel4msu2,or � �'y )
°' a�erd�cnte of VU�rke�s �umper,sation Insuraxe or a catifred capy thereof�Sr.c 360Q La6 GI PLUMBING '`� • ms+'�-�'
�� C 'ennee mpv i�he�ety hxrish.n E� MECHANICAL
Ca f.ernliel cepY is f�,l?d wah the Aaiitlmg InsOec�ion Oepartnent ur OepartmeN �� GRADENG _
LN� /
C7 FRTIFICATE OF EAEMPTI04 FR�Ui WORRE95 C041PENSATION INSl1fWNCE Thit section Med nm ee completetl � ISSUANCE / .
�� �I ;he perrii:is!or cne huntlred�510(li or less I certdy that m the perlormance of the work lor which tMs
p.^rmtl is�ssueC �sGall rot emnlrry a�y person in any manner so as to 6ecome sut�ect to Ihe Warkus'Compemalion SMIP
�:� lnws u'Cal�forma
a� w PARK FEE
�, oa�e AUpLcam I.t- SCHOOL FEES � � ��
�� NOTILF TO AP�LICANT If,afrer makirr Ihis Cernlicate ot Eremption,you snauld become su6ier.t Io the Worker's
�J
-J �i
ompensanan prwrsions o�1he lahor Cade,you must�orthwith comply witn such pmvrsions m this permit shall
��-�6e der.med revoked
"�f
o�I flIV1510N OF INOUSTflIAt SAFETY PCRMIT CEBTIFICATION� �+ !
aJ UI heretry cedrfy Ihat no excavatmn Irve(5i or rtiore leel in Jeplh into w•h¢h a person is reqmre.d to descene, �IT,�iS�T 7��J�
p��will 6e rnad=in cnmeecnon with work author¢ed 6y Ihis permn and that no budding structure,soaHoldmg,lelsework,
�•-�nr Aemolitfun r.r�isman;ling thereol.wAI hr.mure than mirry�sd 136)feet hiph (ChaD 32.Grp 7.Art 2,Set
�� 7A1.T.nleR.CAC;
.,a.7s_: �+:a i >x+ !'� (•,
yCAs ownerbu�lder.I will no1 emplay anyone to Jo work whah wouW require a permit Irom Ihe Uvision af ��"'�TT�,����`�ST��e�{�
F...- Indusirial Safety as naletl aho�:e,unless such person has a permn m tlo such work fmm Ihe divisian � +�: d.t;.+i f`. t=,:�',�
_' u'I v.. �i'�TG-ia�#�I sa
3�
�.j ❑�rvision ol Induslrial Safely Permil Na. . � `
o_ TOTAL FEES
�� f.(NJS7RUCTION LEN�ING AGENCY�i herehy aflum Ihat ihere is a anshuction Iending apency for tlu perio�mance
7,: al the work tor which Ihis permit is issued�Sec 3097,Civ C.I.
C:i lende�'s Name
COMMENTS
'� Le.ndei s AddaA
a:f
e= CERTIFIf.ATE Cf COMPLIANCE 0.ND AUTHDPIZATIOW OF ENTRY I certity I have reed this application and slate
rto Ihat Ihe mformaban q,en a crcrect I agree ta comply with aA stale laws and ciry o�dinarrcet reW6�la 6uilding
��'construcnan,and authori:e a represemauve oF the Departmem af 8uiltling and Salery w mier upon the praperry
�.: lo:wh¢h I havpiap�li r r Ihls permn for the puryose of maki`q i�apections. '
f , j.�`,' �,,^,/,� f�� 1I �,�:: �� ' ,�
F � �r�� �r r"-''�=�-�-S� RECPT NO. � j ` PAID BY '�� ���VALIDATION "� �
—�^� Si�ol pliwnt or Agem Oate
WHITE—Department Copy,YELLOYV—Finance Copy, PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicants Copy
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