Loading...
Permit No. 1058900363201A01 105 SAN BERNARDINOYCOUNTY-EPWA/LANDW)AGEMENT DEPT ---•••---_____ OFFICE OF BUILDING AND SAFETY PERMIT APPLICATION PERMIT NBR 105 89 00363 201A 01 I STATUS: ACTIV THIS IS NOT A PERMIT UNTIL ISSUED -----_-_._--- APPL DATE 04/13/89 ISSUE DATE 04/13/89 I PG 1 OF 1 PARCEL NUMBER 1000-181-10-0000 PROPOSED USE: RESIDENCE W/ATTACHED GARAGE IIi CURRENT USE: VACANT 9781TRA('T 1000 1 007 LOT I NE36 SEC 1035 RNG OAW I PRCL MAP PRCL ACTIVITY Lg28 - • COMMUNITY PLAN ZONE/LAND USE DISTRICT GENERAL PLAN SUBDIVISION NAME SUBDIVISION PARCEL NO CHINO HILLS CH/PUD RES-3 --- LOT DIMENSION IRREGULAR CONST TYPE VN APPLICANT NAME, MAILING ADDRESS, AND PHONE NUMBER xBLDGS ON LOT (GROUP R3 DYKIER, PAUL 122 VIKING AVE 4PLANS RECD 0 LAND USE PLOT 0 INDEX NBR 12-162 BREA CA 92621-0000 STD PLAN/ICBO FHA N (714) 255 - 0429 - GRADING INITIAL ACTUAL OWNER NAME, MAILING ADDRESS, AND PHONE NUMBER CU.YDS. EXC. 652 DYKIER, PAUL CU.YDS. FILL 490 122 VIKING AVE BREA CA 92621-0000 TYPE I SQ. FT. I FACTOR/P.S.F. I ADJSTED AREA/VALUATN (714) 255 - 0429 - - 1 3522 1.00 3522.00 JOB SITE ADDRESS GAR 915 .50 458.00 16213 CANYON HILLS RD PORCH 344 .20 69.00 CHINO HILLS CA 91709-0000 CROSS STREET SPRING CREEK WAY CALC. VALU 182,2.05.00 I ADJUSTED AREA 4049 INSPECTN ACCESS - -` --- - -' — TrFf1 CNT DESCRIPTION DETAIL TOTALS RESIDENTIAL CONSTRU 1,419.57 CONTRACTOR NAME, ADDRESS LICENSE NUMBER TOTAI. AMOUNT 1,419.57 DIV. OF IND. SAFETY PERMIT: -- MINIMUM SETBACK DISTANCES 55 FRNT SETBACK/CENTRLINE CANYON HILLS RO R/W 6h 2^ REAR %_T6ACK(('RUP LINE 10 SIDE SETBACK/PROP LINE 10 SIDE SETBACK/PROP LINE ONTARI u MECHANICAL EQUIP NOT PERMITTED IN REQUIRED SIDE SETBACKS -,:e , / NO. STORIES NO. DWELLING NO. BEDROOMS FLOOR °�Nr- Le 1/ 1 UNITS 1 4 CONCRETE U TED EXT. WALLS INT. WALLS CEILING DATE: STUCCO SHEETROCK SHEETROCK ROOF HEATING FIREPLACES TILE NATURAL GAS METAL 02 !MASRY WATER PUBLIC (PRIVATE (E PTI030N ERTHI S.F./100 0601000E� NEW/REPAIRPA COMMENTS l 111 APPROVED CONS1PUCTION PLANS ON FILE. C OF C ON FILE FROM CHINO UNIFIED SCHOOL DISTRICT. COUNTY WATERWORKS DISTRICT 118 ON FILE, PRE-CONSTRUCTION INSPECTION ON FILE. AMT WAIVED ' .00 AMT PAID 1,419.57 PAYOR NAME: DYKIER, PAUL PAID 04/13/89 RECEIPT 1936 EMPL: RICHARDS, GARY PAID f!•/ : CHECK NBR : 358 n "'LICENSED CONTRACTORS DECLARATION• • ' I HEREBY AFFIRM THAT I AM LICENSED UNDER THE PROVISIONS OF CHAPTER 9 (COMMENCING WITH SECTION 7000) OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS CODE, AND MY LICENSE IS IN FULL FORCE AND EFFECT. LICENSE CLASS LICENSE NUMBER CONTRACTOR DATE OWNER-BUILDER DECLARATION I HEREBY AFFIRM THAT I AM EXEMPT FROM THE CONTRACTORS LICENSE LAW FOR THE FOLLOWING REASON(SECTION 7031 5,BUSINESS AND PROFESSIONS CODE. ANY CITY OR COUNTY WHICH REQUIRES A PERMIT TO CONSTRUCT, ALTER, IMPROVE, DEMOLISH OR REPAIR ANY STRUCTURE, PRIOR TO ITS ISSUANCE, ALSO REQUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LICENSE LAW(CHAPTER 9(COMMENCING WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS CODE]OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS FOR THE ALLEGED EXEMPTION ANY VIOLATION OF SECTION 7031 5 BY ANY APPLICANT FOR A PERMIT SUBJECTS THE APPLICANT TO A CIVIL PENALTY OF NOT MORE THAN FIVE HUNDRED DOLLARS [$5001.1: ❑ I,AS OWNER OF THE PROPERTY,OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION,WILL DO THE WORK,AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE(SECTION 7044,BUSINESS AND PROFESSIONS CODE THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF PROPERTY WHO BUILDS OR IMPROVES THEREON,AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR THROUGH HIS OR HER OWN EMPLOYEES,PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR OFFERED FOR SALE; IF, HOWEVER,THE BUILDING OR IMPROVEMENT IS SOLD WITHIN ONE YEAR OF COMPLETION, THE OWNER-BUILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD OR IMPROVE FOR THE PURPOSE OF SALE) XI,AS OWNER OF THE PROPERTY,AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT(SEC. 7044,BUSINESS AND PROFESSIONS CODE: THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF PROPERTY WHO BUILDS OR IMPROVES THEREON, AND WHO CONTRACTS FOR SUCH PROJECTS WITH A CONTRACTOR(S) LICENSED PURSUANT TO THE CONTRACTORS LICENSE LAW). ❑ I AM EXE P UND R S�ECC / p B. AND P. C. FOR THIS REASON -/---f f r /OWNER Y/�U A %I v�li�.0�P/V DATE I J l 7 V WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM THAT I HAVE A CERTIFICATE OF CONSENT TO SELF-INSURE OR A CERTIFICATE OF WORKERS'COMPENSATION INSURANCE OR A CERTIFIED COPY THEREOF (SEC 3800, LAB C I POLICY NO COMPANY ❑ CERTIFIED COPY IS HEREBY FURNISHED ❑ CERTIFIED COPY IS FILED WITH THE COUNTY BUILDING INSPECTION DEPARTMENT APPLICANT DATE CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATION INSURANCE(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS). I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED,I SHALL NOT EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBJECT TO THE WORKERS' COMPENSATION LAWS OF CALIFORNIA APPLICANT DATE NOTICE TO APPLICANT: IF,AFTER MAKING THIS CERTIFICATE OF EXEMPTION,YOU SHOULD BECOME SUBJECT TO THE WORKERS'COMPENSATION PROVISIONS OF THE LABOR CODE, YOU MUST FORTHWITH COMPLY WITH SUCH PROVISIONS OR THIS PERMIT SHALL BE DEEMED REVOKED. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM THAT THERE IS A CONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.3097,CIV.C.). LENDER'S NAME LENDER'S ADDRESS DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION THE CALIFORNIA HEALTH AND SAFETY CODE REQUIRES A DIVISION OF INDUSTRIAL SAFETY PERMIT AS A PREREQUISITE TO PERMIT ISSUANCE UNLESS THE APPLICANT SIGNS ONE OF THE CERTIFICATES BELOW ❑ I CERTIFY THAT NO EXCAVATION 5 FEET OR MORE FEET IN DEPTH,INTO WHICH A PERSON IS REQUIRED TO DESCEND,WILL BE MADE IN CONNECTION WITH WORK AUTHORIZED BY THIS PERMIT,AND THAT NO BUILDING,STRUCTURE,SCAFFOLDING, FALSEWORK,OR DEMOLITION OR DISMANTLING THEREOF,WILL BE MORE THAN 36 FEET HIGH. ❑ AS OWNER/BUILDER I WILL NOT EMPLOY ANYONE TO DO WORK WHICH WOULD REQUIRE A PERMIT FROM THE DIVISION OF INDUSTRIAL SAFETY,AS NOTED ABOVE UNLESS SUCH PERSON HAS A PERMIT FROM THAT DIVISION. DIVISION OF INDUSTRIAL SAFETY PERMIT NUMBER I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT, I AGREE TO COMPLY WITH ALL CITY AND COUNTY ORDINANCES AND STATE LAWS RELATING TO ILDING CONSTRUCTION, AND HEREBY AUTHORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON THE i / BOVE-MENTIONED PROPERTY FOR INSPECTIO UR SE SIGNATURE OF APPLICANT OR AGENT � ,A f DATE r /l1 ✓EXPIRATION AND REFUND NOTICE APPLICATIONS FOR WHICH NO PERMIT IS ISSUED WITHIN 180 DAYS FROM THE DATE OF APPLICATION SHALL EXPIRE.PERMITS SHALL EXPIRE IF WORK DOES NOT COMMENCE WITHIN 180 DAYS OF ISSUANCE OF SUCH PERMIT OR IF THE WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS FEES PAID ARE NOT REFUNDABLE AFTER 180 DAYS FROM DATE OF PAYMENT, EXCEPT FOR ERRORS IN ACCEPTANCE WHICH MAY BE REFUNDABLE UP TO ONE YEAR FROM DATE OF PAYMENT. ALL FEES PAID MAY NOT BE REFUNDABLE. 12-17588-469 Rev. 10/88 Owner Name TL' % Permit Numb /0s-6.9_0.0363_20,4"U/ INSPECTION RECORD I_ DATE I INSPECTOR I I DATE I INSPECTOR Setback re(f' «- I . / Rough Plumbing i Temporary Power 4- 17= Shower Pan Test 4-0/- I #7,,/,/ Foundation Reinforcing Steel 4-/-, /64 ifriwz__, Stucco Mesh or Exterior Siding fi ' Excavation and Forms r/G'( V I Insulation r, F.H.A. Foundation Req. 1,- h Sewer Slab GradeY4/l_ _ if j� Interceptor Ground Plumbing 5j77 4 L Septic Tank /b v 3.7 0 Underslab Ducts 40 LQas r irte or Seep Pit 1/0-b-2;/Q9 Underslab Conduit Water Service Fireplace Foundation Lath or Drywall Nailing 4/6-C.-1/ Joists and Girders )rGas Line Air Test pile, , 6 - i4 -&Q 4019;l_[G 041 Electrical Ground ' Final Energy 1.A,tcf 1 Mid-Height Bond Beam Final Plumbing e-).'-qd c. 8-Foot Bond Beam Final Heating/A.C. /,,-..9/--'70 e , Final Bond Beam Final Construction % /- Pc' C. Fireplace Bond Beam Final On Site Improvements :��. Roof Sheathing OS!/1 A Final Off Site Improvements Framing and Ventilation $ 4 C / Final Dedication Roof Covering % 7 fn / Final Zoning Rough Heating /7`/ *I W/ Final Electrical G .)/-.`1'u Ca Electrical Service and Ground �,7 / ) Final Chas lw -�f--c/ Cy Rough Electrical Y r Develbper Fees Paid WC J,Y/N) Ind Saf (YIN) Cer;i'Xfalgir Occupancy & '1F?c) V It'P7 7-sicwontto ha N eR v -c-c // -13S l , /1i/ (A 1 #>-&* G".".410-2 a-wvoi crt•-,4-,,Ab!,... )/#,J:fi SYALAfid.i. �/''g__/'6/�,_,,5�c..4 ,/e Liv. ta.,-•.y�,�,pp—Y��crz,,//,i u r a..k. .Y( f . Ce- ', i') ,7,?,94 ��/' 411 a 6164..41 /.Y 4-ZJ�er..vri, 77i7/k 1 k 7k0"7.1-d- 1 --(/IZ ,-.G=gq C N /. Z'sS-nr1e 7-aZ.i .4.Z'3 6-7�e9g 6XPL44-iK.r6=5 Tc) P.�cX,D V4-6 Z a4' SW:TM-r41.0-0e Gok4ei ROC 01cwr-s �/� 4,41a .4CC6b 4'#$► To do,7 PAY -AG✓dEi. s✓4r�,t Lt� 7-4.,...,e7-4.,...,e 4eiffirm r/•R ,r> ofrot6L3 AOws 7-7c9 IV k_ S4/ng-AS' l.-7 . --te? 9-2L v9' A U- PA, Elia??? 2 fia;4 /S' .j re SEPTIC TANK /.917/.9171;' �� GALS.? ri" v � � >/-F , / PC _ 6'11' j'Q "_ SEEP. PIT ZrX '3 L//'tel 0 (i Ai C7 ^v f/,r/7 ,� .« . ,,, jt ti LEACH LINE WIDE .5/VTI 0 /P/J 7d / ✓-U V- ! - e '" I d%° ' °-,,� ,.. ..-) X LONG X DEPTH OF ROCK /w> A/>17 e/� c7 o.,.-, _ " ;'`'::,/r 'i ,/> .J A-Ir!J\. , '�4-e :"-.) V/ a-1 /M- - •Yr, -6 ... ..-:J / --f . _./2 L 1... A4 0.N. . t....) 6 '12 ( - t r14 ...% I I 1 - (...) - p.:t. ' S-I,7 21:1e.-)4q1 .---- 7 cc'/� '34e Ge c!.vim ' .,4-.42..__,p2'72-004,-% 0--- ' > a 2 v%/ G•If-r---00-1 c. /0.sr'-arc) •a/Idea":. 47-061.01 S. Inspector's Signature and Initials 7,19 n)'�- r H- r , 12-17589-469 Rev 3/88 �p � / /G,"-,d• v 5"G t-•�o /o -e,/ Q �j /Il�C�•• .J �� V J O