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Permit No. 20472 BUILDING ADDRESS: 16500 CELEDON COURT C,E4'92)0 N PERMIT NUMBER: 20472 BUILDINGINFORMATION APPLICANT INFORMATION o\\ BUILDING PERMIT APPLICATION Address: 16500 CET DON COURT Name: C.V.CONSTRUCTION " Oso Community Development APN 11017-732-06 Address• 1600 DODGE WAY 2001 Grand Avenue Lot• 21 City,Zip Code NORCO,CA 92860 Chino Hills,CA 91709 `' Cross Streets• Phone/Pager: (909)681-4757 1 ext �.. CHINO LICENSED CONTRACTOR DECLARATION Tract/Parcel: 13507-5 City Bus Lic#. I hereby affirm that I'm licensed under the provisions of Chapter 9(commencing with Section Valuation $4,224.00 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. N/A OWNER BUILDER DECLARATION Name YVONNE CUTCHLOW Address. I hereby affirm that I'm exempt from the Contractor's License Law for the following reason: Address. 16500 CELADON COURT City,Zip Code: I,as the owner of the property,or my employees with wages as their whole City,Zip Code• (CHINO HILLS,CA 91709 Phone ext. 0 compensation,will do the work,and the structure is not intended or offered for sale. Phone: 1(909)597-7337 ext. 1 Lie# c as owner of the property,am exclusively contracting with licensed contractors to City Bus Liclit- 1 Bus Lic#: •instruct the project. 0 I am exempt under Section I i BPC for this reason I 1 Bus Exp: APPROVAL INFORMATION WORKERS'COMPENSATION DECLARATION CONTRACTOR INFORMATION Issued By- 1YVETTE MARTINEZ I hereby affirm under penalty of perjury one of the following declarations Contractor: C.V CONSTRUCTION Date Issued• 7/29/02 Address: 11600 DODGE WAY Finance Code ,/ I have and will maintain a certificate of consent to self-insure for workers'compensation 1 /�,4. _jj, 0 ae provided by Section 3700 of the Labor Code,for the performance of the work for City,Zip Code: NORCO,CA 92860 Census Code ' v ich this permit is issued Phone or Pager. 1(909)681-4757 1 ext 1 Final Date 1 v /-�/ / 1 /\n Bus Lic.#. 02-06343 Final By: t 'f A h A I have and will maintain workers'compensation,as required by Section 3700 of the 0 Labor Code,for the performance of the work for which this permit is issued My Lic.#. 1405924 Extension / \ r V workers'compensation insurance earner and policy number are: Exp Date- 15/2003 Reviewed By MIKE WHITE / \. 1 INSURANCE INFORMATION Lic.Class: 1B Approved By MIKE WHITE ! ' insurance Company. STATE FUND 1 PROJECT INFORMATION ,...) Policy Number. 709123 1 PROJECT DESCRIPTION LOCATION SQUARE FT. Expiration Date. 15/5/03 1 Structure: 0 Section need not be completed if permit is for one hundred dollars($100)or less Garage: 1 I ()certify that in the performance of the work for which this permit is issued. I shall not employ Patio LATTICE PATIO 1 REAR 352 y person in any manner so as to become subject to the Workers'Compensation Laws of Porch. 1 I California and agree that if I should become subject to the workers'compensation provisions of Other Section 3700 of the Labor Code. I shall comply with those provisions. LATTICE PATIO COVER PROPOSED USE 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�sentativ is '-y to COMMENTS enter upon the above mentioned property for inspection pu j Date: i7^2. y2t/LI Signature: � �!// /.ir-- --13ThER rCC.)1P.QUIRED ZONING SETBACKS DING PRIOR TO ACTUAL PERMIT PERMIT FEE INFORMATION ISSUANCE Zoning PD Front Yard: 22 Over X• 0 Issuance $29.00 Electrical: 1 $0.00 Land Use. 1 Side Yard• 5 Cut: 0 School: 1 NO Permit Fees: $171.56 Plan 1ACCESSORY Rear Yard 20 Development. 1 NO Plan Check. $56 16 I Plumbing 1 $0.00 I Fill 0 SMTP. 1 $0.50 Occ 1R3 SSY 15 Total. 1 0 Sewer: 1 NO Mechanical $0 00 1 Structural 1 $86.40 1 Type• VN Water: 1 NO Geo Review: $0 00 I Grading 1 $0.00 1 Total Fee Due $172.06 11(1SPEC'TION ,RECOF Permit Number Inspection Date Inspector Inspection Date Inspector Grading: Pregrade Meeting FINAL INSPECTIONS(Inspector verify following) Rough Grade NO OCCUPANCY PERMITTED WITHOUT FINAL I Terraces County Environmental Sub Drains Health Dept Finish Grading Planning Dept Soils Certification Public Works Grading Certification Fire Rough Landscape As Built Approved Underground Site Inspections: ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG Building Sewer Final Grade U.G.Waste Plumbing Final Electric Water Service Final Plumbing Storm Drain/Catch Basins Final Mechanical U/G Conduit/Electrical Final Building/Construction (--A---G--GL Compaction Report Water Meter Number ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Footings CERTIFICATE OF OCCUPANCY UFER Ground(Rebar/Copper) Hardware/Hold-Downs Piers/Caissons/Tendons OTHER: Slab Grade DO NOT POUR CONCRETE UNTIL ABOVE IS APPROVED Shear Roof Nailing Exterior Walls Interior Walls Hardware/Hold-Downs Rough Electric Rough Mechanical Rough Plumbing/Topout Framing COVER NO WORK UNTIL ABOVE IS APPROVED Insulation Drywall Interior/Exterior Lath Stucco Scratch Roof Covering Block Wall Inspections : Footing,ReBar 1st Lift Bond Beam 2nd Lift Bond Beam 3rd Lift Bond Beam Drain/Seal SWIMMING POOLS : Location/Rebar/Bonding/Light Gr Conduit Ro Elect POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Fence,Gate&Alarm Final Pool Temp Power Pole Electric Release Gas Test