Loading...
Permit No. 11169 /"---- APPLICATION FOR BUILDING PERMIT 4., BUILDING INFORMATION -414 )' Address: 15854 CAMERON LANE Permit Number: 111169 1 \I # Community Development ` 2001 Grand Avenue 7 APN: 1031-333-03 PERMIT FEES • '-' "' Chino Hills, CA 91709 Lot: 3 ; ;;a . N/ST Electrical: $13.5 C„nOFCY,O,H,I,,L, Geo Review: $0.00 LICENSED CONTRACTOR'S DECLARATION Tract: 113585 I hereby affirm that I am licensed under the provisions of Chapter 9(commencing with Valuation: 1$1,824.00 Grading: $0.00 Section 7000 of Division 3 of the Business and Professions Code)and my license is in Issuance: $29.00 full force and effect. APPLICANT INFORMATION Mechanical: $0.00 Contractor: OWNER BUILDER Name: RUBEN CENDEJAS Plan Check: $0.00 Address: 15854 CAMERON LANE Plumbing: $0.00 Address: City,State Zip: CHINO HILLS,CA.91709 Structural: $51.60 City,State Zip: Phone: (909)393-0886 Total Permit Fee: $94.13 Phone: License Class: City Bus Lic#: License#: City Bus Exp: I Date: OWNER INFORMATION SMIP: $0.00 OWNER BUILDER DECLARATION Name: SAME AS ABOVE'. Total with SMIP: $94.13 I hereby affirm that I am exempt from the Contractor's License Law for the following reason: Address: •i•= City,State Zip: I,as the owner of the property,or my employees with wages as their whole compensation,will do the work,and the structure is not intended or offered for sale. Phone: _ APPROVAL INFORMATION n I,as owner of the roeCity Bus Lic#: =f property,rty,am exclusively contracting with licensed contractors to City Bus Exp: Approved by: DC construct the project. Date Issued: 6/18/98 El I am exempt under Section I 1 BPC for this reason I ENGINEER/ARCHITECT INFORMATION Finance Code: C-4 Name: WILLIAM NELSON Census Code: WORKERS'COMPENSATION DECLARATION Address: 24000 ALICIA PKWY#17-349 Final Date: I hereby affirm under penalty of perjury one of the following declarations: City,State Zip: MISSION VIEJO,CA.92691 Inspector: ElI have and will maintain a certificate of consent to self-insure for workers' Phone: Extension: compensation as provided by Section 3700 of the Labor Code,for the performance City Bus Lic#: Reviewed by: K. PRYOR of the work for which this permit is issued. City Bus Exp: 0 I have and will maintain workers'compensation,as required by Section 3700 of the Eng/Arc Lic#: 3417 Labor Code,for the performance of the work for which this permit is issued. My workers'compensation insurance carrier and policy number are: Proposed Use: 1 • LOFT AREA Insurance Company: Policy Number: Expiration Date: ❑ Section need not be completed if the permit is for one hundred dollars($100)or less. Project Description: Location on Prop: Square Feet: Setbacks: Livable: 1 123 FY I certify that in the performance of the work for which this permit is issued. I shall not Garage: 1 SY: employ any person in any manner so as to become subject to the Workers'Compensation Patio RY Laws of California and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code. I shall comply with those provisions. Porch: Other: Date: I 11/21/971 Signature: I I T- '� Comments: ,/ 4. Zoning: Grading: Mt C I certify I have read this application and state that the above information is correct. I agree Land Use: - �a to comply with all City Ordinances and state laws and hereby authorize representatives of Plan: Cut: 0 ^� this City to enter upon the above mentioned property for inspection purposes. Fill: 0 Occ: L%�� /� Total: 0 I�` Date: / Signature: I IRN!�lil/ Type: INSPECTION RECORD INSPECTION DATE INSPECTOR • Grading: INSPECTION DATE INSPECTOR Pregrade Meeting Block Wall Inspections: Rough Grade Footing,ReBar Terraces 1st Lift Bond Beam Sub Drains 2nd Lift Bond Beam Finish Grading 3rd Lift Bond Beam Soils Certification Drain/Seal Grading Certification ReRoof: Rough Tear-off,Existing Conditions As Built Approved Sheath Nailing Underground Site Inspections: Roof Final Building Sewer Line Swimming Pools: Supply Water Line Location/Rebar/Bonding/Light Storm Drain/Catch BasinsGas Test U/G Conduit/Electrical Gr Conduit/Ro Elect DO NOT BACKFILL UNTIL ABOVE IS APPROVED Pre-Deck Verify Soils Engineering: POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Compaction,moisture,conditioning,etc. Fence, Gate&Alarm Underfloor/Underslab Inspection: Final Pool U/F Waste Plumbing Fire Protection Equipment: U/F Water UG Pipe U/F Mechanical Thrust Blocks U/F Electrical Hydro U/F Framing Flush Insulation Weld Outlet Insp. Subfloor Overhead Hydro ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Foundation Inspection: Temp Power Pole Setback/Footing Electric Release UFER Ground(Rebar/Copper) Gas Test Hardware/Hold-Downs Piers/Caissons/Tendons FINAL INSPECTIONS DO NOT POUR CONCRETE UNTIL ABOVE IS APPROVED NO OCCUPANCY PERMITTED WITHOUT FINAL! Shear Inspection(Wood): County Environmental Roof Nailing Health Dept (391-7570) Exterior Walls Planning Dept (364-2790) Interior Walls Public Works (364-2770) Hardware/Hold-Downs Fire (393-3888) Combo Inspection: Landscape (364-2797) Framing e,-(q..qp Q.- ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG W/ Rough Electric 6•-lel-It RL Final Electric ( GJ�( 6 Rough Mechanical Final Grade Final Plumbing Rough Plumbing/Topout COVER NO WORK UNTIL ABOVE IS APPROVED Final Mechanical _ , Insulation final Building/Construction `-Al K.-c__ Drywall Inspection: Water Meter Number Interior Exterior CERTIFICATE OF OCCUPANCY Lath OK TO ISSUE Stucco Scratch /—�Q-y 7 MISCELLANEOUS INSPECTIONS OTHER: V\J "f1()^ 2 C.e/ I0Q��nci Masonry Fireplace Plate Ties, Fire Block, \ Oyu„ a I ,,,- _ _. ,_gym 1. `/~' JS Patio I Deck: Footing I K(••.e Access/Light/Switch ' Patio Final l.0-/�sb(� t4 b � t2 -e? of • 0 IIII