HomeMy WebLinkAbout178 (26) '� ,�.. CITY OF DIAMOND BAR ,�--� PRESS
.� '•=' DEPARTMENT OF BUILDING AND SAFI '
� BUILDING PERMlT FIRMLY
JGBSITE APPLJCATION j ���PERMIT J�J USE
ADDRESS 751 S. Leyland Drive 26 DA7E � �y,� � � NUMBER ! < ' CODE
ISSUE TYPE OCC.
<i' AP�1 _ LOT 2L TRACT 4�;hL.� DATE CONST. GROUP _
C" CROSS STREET Gran.d & Diamond Bar .���ra,s
_�� zONING SETBACKS
a`•• QWNER Bramal Pa T.imi t d , FRONT RW ❑__
u:> ADDRESS_�IlF P?rk P1 a�a dki i nn � ! REAR ❑
_�� CITY Trvi nP ZIP 9771 4 TE�•F���1-3.131 � SIDE/SIDE STREET RW ❑
_�� APPLi:,ANT_i���.� Plitmhing Cnnt_ _TEL.A�7-�A7� I SIDE__ ❑
�:s
��• -
�;' GONTRACTOR_New Plumbin� ContractorG� T�._ SEWAGE
°°- ADDRESS_ 2300 E. Orangewood Ave. DISPOSAL � �BUC PMT#
`�' ❑ PRIVATE SQ.FT./100 GAL
E; CITY Ana.heim ZIP 92806 TEL.�L�7-'i97�
`-;'_ STATE 426109 GRADING ❑ CU.YDS.EXC. CU YDS FILL
_�' LIC.NUMBER
�= ARCH/ENG/ vJ Np� $Q � ���R PS ADJ. ARE�#lVALUA7iON
`-�-' DESIGNER_ W 1
" ADDRESS t,WL 2 • •�
�:� -
=3, CI i Y ZIP TEL. (� 3
';i: PROPOSED USE � 4
"I
�. GARAGE
�;; NO.DWEL. NO. NO.
�;� UNITS STORIES BEDROOMS � PORCH y
��_ LOT DIMENSIONS n VALUATION_ ADJ.AREA
.� NO.OF BLDGS HOW QUANTITY DESCRIPTION FEE
�� ON LOT _USED Q ,� �
n� — U � -
�.0
-:�, �� :.y. BATH TUB
��— ' NSEC CONTRA�T9RS OECLARATION.I heie6y affum Mat I am Ifcensed under prorrsions uf Ghap�er 91[ommencu�q r, �
�;C jnitP Secvur 7090;�it Orvismn 3 ut ihe Business anA Pratexsions Code,anA my!¢ense is in tu!I farce and eflecl. � � SHOWER ~ �
' _ _ -____— _— `
S� ❑ W I.AVATORY J
!;� IN:NEF-f1'JiL7ER OCCLARATICN I herety af(imi ihat I am eMempt fmm the.C.cntracmr's license l.aw(m Ihr laliowin9
.�� rsxson!Ser..703�9,3usiness ari;Professfons Code�Any rty or counry w•hich requires a permit ro cansmict. C7 SINK
t:o altei,�mpiove,ocrrmlisti,or repair any svucture,pnor lo ils issuance alw requires the apphcant fm such permit Z .DISHVv1�5HER �
M= :u fde a siyneA sla[e.ment thxt he rs licensed pu�suant to the pmv:sians ot ihe Comractor's License Law�Chapter {n
j�� 9 UuR.m.enc,n9 wrth Ser.uo:i 70[l0i ul Divismn 3 ot B�e Business anA Professin�s Code�ar that he is exempt therefron � CLOTHES W�'�SHER
ii ar�d�he hasis'or Ihr alleped eaenNtion Any vmlatioc nl Section 7011 5 by�any aFPlicaN for a Vermit sub�ecis � �
��V :br,arpl¢nm�r.x crvr.penalty ct ru1 n•ore tliar INC 4U�d�P,A EOIId'SISSOOI�: --� --
°' GAS .SYST�yi OUTLETS
��I�i,as msner of•�e pr�Fertv,ur my zmployees wrt�wa9es as iheu sele conpensaroan,w•ill Cu the work,and ;j � , /
�_ the suuct�re rs nm,ntended o�effereA lor sale�Sec.7044 B�smess and Prnlessians Code P+e�nntractor's Lir.ense Q � H�C'� B�B(J+ �+,(�,�
�;� :aw Coes not aFF�Y Ic ar o�rcrer al property whc bu�lds or impraves ihereon,and n•ha dxs such wmk himsell, (,j
�•�+ ••u•iouyr ris ewn employer.s,prmitlr.r,inat such improvements aie not ir.tr.rnea o�aflered for sale II,however, Z y� [�rATER HEA.TER �.
mihe hudAm;or unpmvement is solr.wn��,n ene pear of completmr.the mvnei;milder will ha�e!he burden aF Cmving e( —
�•� Ihat he di^not m:ix ar impr;;�,e lor!he purpOse oi sale I �
G� �
;j� i�l as uw^i?�nf tre pmper.y,am eadusrvely cmitracuny wrth I¢ensed cnntrac7ars to mnst:uct tl:e pra�er,t(Sec � -
�.� -�044,Busu•ess anC Prolessior.:.Cedr. The Cnntracmr's License Law Goes r.o�apply to an nwnr.r of pmperty who �
:;� Lwlds ar impmves Iheieon,ard�xho conuacts for such pm�ects wrth a cantracmrisi hcensed Ours�ant w ihe Cantractar's '
"a ��°�^-���w' CONSTRUCTION
;L ❑ I aci exenpt unde�Sec 6 5 PC�Allxh f.ertificatei PLAN REVIEW
i� �Ja�= Ownei �ELECTRIC
'.�Q IVJRKERS'f.OMPENSAT10R 7FCLARA'ION I herehy aHirm that I have a ceruf�cate�f r.cnsanl ro self-insme,or
'� ,.a i.rrid�,:ate a�Wurke�s'Cemyensauon Ir,surarce,or a cenified:opY Ihe�eol iSr.i.3800,Lah C� �PLUMBING
a ❑ ;r.-niied r.npy is here6y fixnished � MECHANICAL _
Z�Cendied cuuv is t,led�.vith the Bwiding Inspr.cuon De.partmem ar_ Departmerit. � GRADING _
�� fIC"dE 0^E%Eb�P71UR FqOh1 bYOqKERS'COti1PENSAT10N INSURANCE.T!us seuian need noi he campleted � ISSUkNCE
�n ,' Ihr pern:t is fer one hundred IS100�o�less I cernfy Iha1 in tne performanre n1 Ihe N•ork fnr which thn
Henr.n�s issueA.I shall nm employ any person�n any nanner so as;n hecrnne sub�ect m��e N.brkers'Compensanon S�IP
7 Laws oi Caiilornia � —
�= W PARK FEE
�p�Ildtr Apphcan[ U. SGHOOL FEES �
�� NO�ICE TL APPLICANT It,after makmg this Cerlihcate ol Exenption,you should heco�re su6�ec1 to ihe Worker's
•� Compensxtinn prcvisions of!he Lahor Cade,you must loithwith comply weh such pmvisians ar this permit shall
�i hedecmetl;evakeA `�� � �
�= DIVISICN OF INOIISTNIAL SAFETV PEPMIT CENTIFICATqN � -
r.i
❑I Le•e6y::ernly tLat na excavanon lioe�5)or more feel m depth inlo which a Oerson is requned to descend, �,
i= will Ce iaade m connecUon wrth wmk authanzed hy th�s permit,and that no huilding slructure,scaflolding,lalsework, k
'y ur JemnLumi ur Uismanlhrq[hereof,will 6e marr.ihan thirry-six(36j feel high.(Chap 32,Gry 2,Art 2,Sec ._
�Z 341 7nle B C F C i
iy
._
i3 ❑As uwner6uilder,I will nn1 employ anyane ro do wark which would reqwa a permit Imm[he Oivision of n �>��
I— '�ndusinal Safety as nmed a6ave,unlass such person has a permit to da such wark irom the drvision. C
�� r[� [` �
�y ❑�rvisinn nl Irdustrial$aiely Rermii Na. TOTAL ��J4i� Y , �
� /.
�� CONSiRUCT10N IEN�ING AGENCY�I herehy alfirm that tAere¢a consttuctmn Iendmg agenry fa the perForma¢e
:Z ul Ihr,wvrk tor wii¢h�his pennit is issued(Sec 3097,Civ.C�
� Lerikr's Name COMMENTS
�p Leniier's Address
'� CENTIFICATE OF C041P�IAN(:E AN�AUTHORIZATIRJ OF ENTPY I cerufy I have�ead Mis appiKation and state
•v� i�a��hr minrmauon grven is corren I agree to comply with all s�ate laws aM ciry ordinances�elating to huilding
y I caistmchur..anJ authmize a re0�esentauve of the�e0anmem of Bwiding and Saiety m enter upon ihe Droperry
= Inr whrth I h e pl y this permn lor tM pumose d makng�nspectio�u
� u 7
� �':�I�"���. �" ���� �� RECPT NO.`_� �� .� PAID BY�, �b�r`� i VALIDATIO r�
Sgnature af AppLcant oi Agent Oa1e . Y
�NHITE—Dapartment Copy.YEILOW—Finance Copy, PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicarns Copy
,-�-., ,--.
� ��� �o�� , �
��
,�- « �
�;. f
.. � °� '���
. . `,;:.�
.. =�f -
� - �:� �°.f
�a:�J' '�,,`. t '+, ",
'e r.�� ,•',''!.. S.':, .