HomeMy WebLinkAbout178 ... . -_�,.._�..�.�...,�--------�,,,,�M ���
�;� '`� ,�. CITY OF DIAMOND BAR .�,. pRESS
f. `�, '•' ' DEPARTMENT OF BUILDING AND SAFE. .
'�^ BUi�DING PERMIT FIRMLY ,
J08SlTE APPLJCATIOtV � � _ PERMIT USE
F��IDRESS �47 S. Leyland Drive 25 SS E �� � TYPEER � �CCODE
@ AF'N LOT�2—TRACT� DATE CONST. GROUP
�' CROSS STREET C:ran�1 & T]i amnriA Rar SETBACKS �"�"^�
«' OWNER Bramalea Limited ZONING FRONT RW ❑
_; A�DRESS One Park Pl�za ��1100 REAR ❑
4�; CiTY Irvine ZIP�,.Z7 4 TEL. - _ I SIDE/SIDE STREET RW ❑
"` APPLICANT�z� Pliimhin4 TEL.9�7-�972 - J SIDE ❑
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�� COi�ITRACTOR N�r.r P1>>mhing ('.nnt�"SCt�Y.S� It1r� iSEWAGE
0 PUBuc PMT#
°i°� ADDRESS_23f1(1 F_ (lranoPrannrl �,pg DISPOSAL
" ❑ PRIVATE SQ.FT./100 GAL
�' CITY_�41Laheim ZIP 4280C, TEL.9'�7-�979
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�' STATE GRADING ❑ CU.YDS.EXC. CU YDS FILL
e= LIC.NUMBER_ 426109
U' ARCH/ENG/ � TYPE SQ �T FACTQR PS ADJ. AREAlVRLUATiON
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`-''• �ESIGNER � 1
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"' ADDRESS � 2
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"'' ''ITY ZIP TE�. �jr 3
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g, PROPOSED USE �1`,�,. "�` 4 �
��� � GARAGE
m�s NG`.D\NEL. NO. NO. � PORCH
�,� UNITS STORIES BEDROOMS
��_ LOT DIMENSIO(�IS m VALUATION ADJ.AREA
ca N�.OF BLDGS HOW QUANTITY p�gCRtPTION FEE
'� ON LOT USED q � �a�1TER CLOSET
�� v
}� :IC SEi]C�NTRACTORS 7ECi ARATION I hereby alfnin Ihat I am;icensed under pmvisions ol Chap�er 9(commencirg I � �� B�TH �,'�.L}�
� cc '"'�'Sectiur inne!of�rvision 3 of the 3usmess and Protess�ons Code,and my license rs n:lull Inrce and effect � � S�jQ`1�E� �
3C ❑ w LAVATQRY
�'_ TMNER-9WL�ER�EC:ARATION I herehy ef`irm tl��ni I am?�e.mpl 6om the Cantracmr's l¢ense.Law for the follawmg ^ S 1NK � �'�
raasnn�Src. 1031 5.8usiness and P�olessions Code Any city or counry wh¢h requires a,ermit to tonsVuct (� ,✓,
c..� alte:,u�pmve r,en:mrsh,nr rr.purt any siructure,pnor w its issuance,alsn reqmres the applicam for rich permit � ,� /7
F•— y�tic a vyr.ed slatement thel he is h.ensed pursuani ro Ihe pro�nsions of the Cantratlor's licensa Lak�iChapter I m DISHWASHER "!,
`p—` 7 Iconm��enr.ing w�:h Sectior iO�C'�nf Dnisinn 3 ef the Business and Pmfessions Cadel or!6at hr.is r.xempt therelmm
�_ enA tee hasis�ur tl�.e allar,ed axsmptiar Any violatian at SecLon 7031.5!'�y any app6canl!ar a oermn Sub�eds � � / CLOTHES WASHER � ^
�'�I r�e aoFhcan:ir,z cio��l�,ir.nahv o`no;mare than i.�e hundred collars IS500!� J
`'" °- GAS SYSTEi�1 -OUTLETS .�
�=�I❑�,us om•ner ol the pm7er'y,or my empinyees•.vrth wayes as Iheu snle campensation,�niil do Ihe N�ork,and
� Ihe siruct�re is nn�.merned o=aHereil Im sale�Sec lOC4,Busmes.c anJ Pmfessions Code The Contractar's Luense Q '� H(�SL BIBS
�;j Law:Ices rot aFgly ic ar nwrer af;,roperly who bmlds or:mprove,s Ihereon ard who does such wnrk himself, f,) ! L
�;� n•Ihro�qF ris:wn enoloyees,pro.ideE that sa.h improvtments are rwt imm�ded or oifered f,r sale II,hpweexr, z WATER HEATER
r.o the Ludtlin;ci nno�ovem:nl is solr.wnhin one year af compleuer,[he mvnei�huilder wdl have[he 6urder ol pmving �[
=�� tha:he p;�;nol hcrC ci rnpr�ve 1or�he purpose oi sale� Y
`'� <J
:_� �I us owrei o�u'e pmpsny,am txr.lus�vely contracuny wrth h[ensed can[ractors!o construc�the prqect�Sec uJ
�J ��,Busi�oss and Pr,lessio�x Code The Coeuac:or's License Law Anes nnt apply m an oa•ner of pro?xrly who �
„�,Lutltls ar improves�rereon,aiA who cortrac;s Im such pro�ects wrth a camracteqs)I¢ensed pursuam to ihe Cantractor s
"_�Licerse LxN�
� CONSTRUC710N
�:� —
;L�❑ i an exempt uude�Se.c_ B 6 PC(Avach Certdicatel PLAN REVIEW
� �me Owner ELEC7RIC
;.¢ WUR�ERS'COM1iPENSA710N OECLARATION:I heieby allirm that I have a cerhUcate of consem to seN-insure,or ----
"� a renr'¢a:e,ct 4Yorkers Cn:npersa�irr Inswance,v a r.enified copy thereal ISec.3800,L�6 Ci PLUMBING .'���
� v � MECHANICAL
��_ ��"erti!:ed ca y a herehy Iwnished
n=
t� _CeroheC copy is t�letl wefi!he Budding Icspe[tiar Oepartmem or �[lepartmenL � GRADING
�.,ZJ, i f.ERTIFlCtiTE OF FREMFTION FflOM11 NN�KEflS'COMPENSATION INSURANCE This sectiar oeed noi he complr.ted � ISSUANCE
�n I ii ihe pe�n; s fer ar.e huncred i51'Si� or less I cendy:ha�in Ihe perfurmance af the wnr4 for wh¢h this
�per-�rt is issueJ,I shall rot employ any person in ary nanner sn as to hecome suA�ect to thr.Nbrkers'Compensatim S`M�Q
!— laws n!Ce!.foraia � --
� PARK FEE
`� W
p Oate Applrean! —
� YOTICE 1�dPPLICANi If,atter.+�akin9 Ihis Lertrficate nf Exempnon,you should hecoine subject Ia the Worker's W SCHOOL. FEES
-� ;:unpensauun pmvrsions ot ihe LaLur Code,you must tonhwOh camply wrth skh prw�smns or this permit shall ■�11�
�� 'ie deen�ed�evoked .. 4 S 7
jr OIVI,SIf1N OF IN�USTRIAL SAFETY PEflMIT CERTIFICATION
�s�
�_ �I hemhy certAy tFat ne eacavnlion five 151 m mae feet in depth into which a persan is repurted lo descend, _
ae will he nade�n connectian•nith work aWhorued 6y this Oermit,and Ihat no hmlding stmcture,scalfoldin7.talsewark. .{,1t � � ��q�n
2 nr Aemontmn�r dismantling Iheraot,will be more than thirly�si��36)feet high fChap 32,Gry 2,Arf 2 Sec � � L-1
y '�a i,rur e �a c i. eR'
:_
:� ❑As owrer-hwldr.r, I will r.u1 emplay anyone tn do work wh¢h rrvo�ld require a pe�mit Irom fhe @visron ol ����, r,;, H � ,
1— I:•,dustnal Safecy,as noted ahnvr„un!e5s such person has a permit to do such work irom the div�sion '� .� ���j�'
:� L .kjP �^�
�y ❑(h.ision ol Inoustnal SafetY Permrt No ` " � �•• ,. L �
11 TOTAL FEES
„ CONSTRUCTION 1EN01NG AGENCY I hereby affirm that the�e is a conshu[tion lending agency for the perkrmance
;Z ol roe�.vork ior al�.ich lhrs pr.rmrt is rssuetl(�3097.Crv C.)
'.� lende�'s Name COMMENTS
�p Lende�'s Address
'¢ CfRTIFICATE OF COMPLIANCE ANO AUTHONIZATION OF ENTRY:I certify I have read Mis appleabon and sta�e
,� ihat the mlormat�on given rs correct.I agree ta compFy wrth all state laws and city ordinances relating ro huilding€
� canstmamn and authnr2e a represematrve ot the Department oi Buildfng anA Safety[a ln0er upan the propeqy E
._�fnr whuh 1 hav GP��fe L this parmrt for the purpose o1 making mspectqns. ////��
'_�x , !��,• 1 {"1` �`C�� ` RECPT NO. '!� � PAID B�-#f" ��1','�:��� Ni�'.-f�"
Sgnamre af -o���ant nr Agent pa�e ALIDATIO
WHITE--Department Copy,YELLOW—Finance Copy, PINK—Assessnr Copy,GOLDENROD—File Copy,GREEN—Applicants Copy
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