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Permit No. 15240 BUILDING ADDRESS: j LOS SERRANOS/TORREY PINES ' V' PERMIT IN UMBER: I IJL4U i �� BUILDING INFORMATION APPLICANT INFORMATION ►t� BUILDING PERMIT APPLICATION Address: LOS SERRANOS/TORREY PINES Name: PFEILER&ASSOC.ENG. a. ,, s Community Development APN: 1028-351-13 Address. 612 N.DIAMOND BAR BLVD ' f2001 Grand Avenue Lot: 1-4 Chino Hills,CA 91709 ^,... City,Zip Code: DIAMOND BAR,CA 91765 • "" Cross Streets: Phone/Pager: (909)860-5850 I ext. I 0.....,�"' .. . „ LICENSED CONTRACTOR DECLARATION Tract/Parcel: PM 15205 PROPOSED City Bus Lic#: NEW I hereby affirm that I'm licensed under the provisions of Chapter 9(commencing with Section Valuation: $5,000.00 ENGINEER/ARCHITECT INFORMATION 7000 of Division 3 of the Business and Professions Code)and my license is in full force and effect. OWNER INFORMATION Name. PFEILER&ASSOC. OWNER BUILDER DECLARATION Name: CHINO RETAIL ILC Address: 612 N.DIAMOND BAR BLVD. I hereby affirm that I'm exempt from the Contractor's License Law for the following reason: Address: 23420 PARK HERMOSA City,Zip Code: DIAMOND BAR,CA 91765 O I,as the owner of the property,or my employees with wages as their whole City,Zip Code: CALABASAS,CA 91302 Phone: (909)860-5850 I ext. I compensation,will do the work,and the structure is not intended or offered for sale. Phone: (818)992-8800 I ext. I Lic#: • 1,as owner of the property,am exclusively contracting with licensed contractors to Bus Lic#: NEW City Bus Lie#: RCE 21789 ' construct the project. Bus Exp: NEW APPROVAL INFORMATION I am exempt under Section BPC for this reason WORKERS'COMPENSATION DECLARATION CONTRACTOR INFORMATION • Issued By: VANCE COOK I hereby affirm under penalty of perjury one of the following declarations: Contractor: SPECTRUM CONSTRUCTION Date Issued: 11/23/1999 I have and will maintain a certificate of consent to self-insure for workers'compensation Address: 6409 INDEPENDENCE AVE. Finance Code: C6 CD as provided bySection 3700 of the Labor Code,for theperformance of the work for City,Zip Code: WOODLAND HILLS,CA 91367 / Census Code: which this permit is issued. Phone or Pager: (818)999-4900 I ext. I Final Date: I A/65_,2. Bus.Lic.#: NEW Final By: / r ��.) ,i,-/- 1 have and will maintain workers'compensation,as required by Section 3700 of the - 0 Labor Code,for theperformance of the work for which thispermit is issued. MyLic.#: 692911 Extension: workers'compensation insurance carrier and policy number are: Exp Date: 7/31/2000 Reviewed By: KEITH L.PRYOR • INSURANCE INFORMATION Lie.Class: B Approved By: KEITH L.PRYOR Insurance Company: State Fund IPROJECT INFORMATION Policy Number: 046-99 /\ PROJECT DESCRIPTION LOCATION SQUARE FT. lrzpiration Date: 1/2000 I y/ Il Structure: •0 Section need not be completed if permit is for one hundred dollars($100)or less Garage: 1 certify that in the performance of the work for which this permit is issued. I shall not employ Patio: any person in any manner so as to become subject to the Workers'Compensation Laws of Porch: California and agree that if I should become subject to the workers'compensation provisions of Other: PRIVATE WATER Section 3700 of the Labor Code. I shall comply with those provisions. • PROPOSED USE PRIVATE WATER Date: I I Signature: I I certify I have read this application and state that the above information is correct. I agree to comply with all City Ordinances and state laws and hereby authonze representatives of this City to COMMENTS enter upon the above mentioned property for inspection purposes. �� Date: I J//Z7/yr I Signature: I l_/ ----- > I i .,-. OTHER FEES REQUIRED ZONING SETBGRADING PRIOR TO ACTUAL PERMIT ISSUANCE PERMIT FEE INFORMATION Zoning: CG Front Yard: PER Over X: 0 Issuance: I $30.00 I Electrical: I $0.00 I • Land Use: FR-I Side Yard: PLOT School: NO Permit Fees' I $426.00 Cut: 0 Plan Check: $0.00 Plumbing: $396.00 Plan: PLUMB Rear Yard: Fill: 0 Development: NO I II I ' SM IP: I 50.00 Occ: SSY: Sewer: NO Mechanical: I $0.00 I Structural: I $0.00 Total: 0 Type: Water: NO Geo Review: I $0.00 I Grading: I $0.00 I Total Fee Due 1 $426.00 • • INSPECTION RECORD _g_ INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Grading: Block Wall Inspections: Pregrade Meeting Footing,ReBar Rough Grade 1st Lift Bond Beam Terraces 2nd Lift Bond Beam Sub Drains 3rd Lift Bond Beam Finish Grading Drain/Seal Soils Certification ReRoof: Grading Certification Tear-off,Existing Conditions Rough Sheath Nailing As Built Approved Roof Final Underground Site Inspections: Swimming Pools: Building Sewer Line Location/Rebar/Bonding/Light Supply Water Line Gas Test Storm Drain/Catch Basins Gr Conduit/Ro Elect U/G Conduit/Electrical Pre-Deck DO NOT BACKFILL UNTIL ABOVE IS APPROVED POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Verify Soils Engineering: Fence,Gate&Alarm Compaction,moisture,conditioning,etc. Final Pool Underfloor/Underslab Inspection: Fire Protection Equipment: U/F Waste Plumbing UG Pipe U/F Water Thrust Blocks U/F Mechanical Hydro U/F Electrical Flush U/F Framing Weld Outlet insp. Insulation Overhead Hydro Subfloor ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Temp Power Pole Foundation Inspection: Electric Release Setback/Footing Gas Test UFER Ground(Rebar/Copper) Hardware/Hold-Downs FINAL INSPECTIONS Piers/Caissons/Tendons NO OCCUPANCY PERMITTED WITHOUT FINAL I DO NOT POUR CONCRETE UNTIL ABOVE IS APPROVED County Environmental Shear Inspection(Wood): Health Dept (391-7570) Roof Nailing Planning Dept (364-2750) Exterior Walls Public Works (364-2770) Interior Walls Fire (393-3888) Hardware/Hold-Downs Landscape (364-2797) Combo Inspection: Trust Accounts....(364-2769) Framing ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG Rough Electric Final Electric / , Rough Mechanical Final Grade 1/A0- /,0 Rough Plumbing/Topout Final Plumbing / COVER NO WORK UNTIL ABOVE IS APPROVED Final Mechanical Insulation Final Building/Construction Drywall Inspection: Water Meter Number Interior Exterior CERTIFICATE OF OCCUPANCY Lath - OK TO ISSUE Stucco Scratch MISCELLANEOUS INSPECTIONS OTHER: Masonry Fireplace Plate Ties,Fire Block, Patio/Deck: Footing Access/Light/Switch Patio Final Operator: CASHIER Date: 11/23/99 00 Receipt: 0001048 Total Payment $426.00