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Permit No. 13974 PP— BUILDING ADDRESS: 5571 CENTRAL AVENUE �j s7'"- PERMIT NUMBER: 13974 / BUILDING INFORMATION APPLICANT INFORMATION / \ BUILDING PERMIT APPLICATION Address: 5571 CENTRAL AVENUE Name: TEMP POWER SYSTEMS 1 Community Development APN: Address. 11111 N.TUSTIN AVENUE 2001 Grand Avenue Lot: Chino Hills,CA 91709 City,Zip Code ANAHEIM,CA 92807 Cross Streets: I Phone/Pager. (714)632-1999 I ext. °111'1'!°"'TLICENSED CONTRACTOR DECLARATION Tract/Parcel: City Bus Lic#: 100835 I hereby affirm that I'm licensed under the provisions of Chapter 9(commencing with Section Valuation. $3,000.00 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 N/A OWNER BUILDER DECLARATION Name CENTEX HOMES Address: I hereby affirm that I'm exempt from the Contractor's License Law for the following reason: Address: 7555 IRVINE CENTER DRIVE City,Zip Code I,as the owner of the property,or my employees with wages as their whole City,Zip Code: 'IRVINE,CA 92618 I Phone: I I ext. 1 • compensation,will do the work,and the structure is not intended or offered for sale. Phone: 1 ext. Lie#: I,as owner of the property,am exclusively contracting with licensed contractors to City Bus Lic# Bus Lie#: construct the project. O I am exempt under Section I i BPC for this reason I Bus Exp: APPROVAL INFORMATION WORKERS'COMPENSATION DECLARATION CONTRACTOR INFORMATION Issued By: YVETTE MARTINEZ I hereby affirm under penalty of perjury one of the following declarations Contractor: TEMP POWER SYSTEMS Date Issued 3/23/99 Address: 1111 N TUSTIN AVENUE Finance Code IC4 I have and will maintain a certificate of consent to self-insure for workers'compensation City,Zip Code: ANAHEIM,CA 92807 0 as provided by Section 3700 of the Labor Code,for the performance of the work for Census Code: which this permit is issued. Phone or Pager: 1(714)632-1999 ext. Final Date _ _ Bus.Lic.# 00835 Final By. 7-b —. , I have and will maintain workers'compensation,as required by Section 3700 of the O Labor Code,for the performance of the work for which this permit is issued. My Lie #: 483433 Extension 1 D workers'compensation insurance carrier and policy number are Exp Date: 11/30/99 Reviewed By: 1 INSURANCE INFORMATION Lia Class C10 Approved By Insurance Company: CAL COMP PROJECT INFORMATION Policy Number: N 60447208 PROJECT DESCRIPTION LOCATION SQUARE FT. Expiration Date: 10/1/99 1 Structure: © 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. TEMP POWER POLES ' 'PER PLOT Section 3700 of the Labor Code. I shall comply with those provisions. PROPOSED USE (1)100 AMP.TEMP.POWER POLE AND(28)SUB POLES Date: I i Signature: i i _ I certify I have read this application and state that the above information is correct I agree to 1, t ' 241Ap IPcn-v-A, (AA- comply with all City Ordinances and state laws and hereby authorize representatives of this City /—! 4(/d'ts to enter upon the above mentioned property for inspectionoi.irposes. COMMENTS C� V _,..--- Date: Date: i7 2:7 q ?i Signature: I / 3,7, R i OTHER FEES REQUIRED ZONING SETBACKS GRADING PRIOR TO ACTUAL PERMIT PERMIT FEE INFORMATION ISSUANCE Zoning. PDFYard: 'ER PLO'' PD1 Front Over X• 0 Issuance 1 $45 00 Electrical. $675 00 Land Use: 1FR-1 Side Yard: 1Cut: 0 1 School: • NO Permit Fees: j $720.00 Plan Check: $0.00 Plumbing $0.00 Plan: ELEC. Rear Yard Development: NO Fill 0 SMTP 1 $0.00 Occ: SSY: I Total: I 0 Sewer: NO Mechanical $0 00 Structural- $0 00 Type: Water. ' NO I Geo Review: $0 00 Grading $0.00 Total Fee Due $720.00 INSPECTION RECORD INSPECTION OA TE INSPECTOR INSPECTION Grading Block Will Inspections C. Ir `-�ECTOP Prcgrade Meeting Footng ReBar Rough Grade Is: Lift Bond Beam Terraces 2nd Litt Bond Beam Sub Grains 3rd Litt Bond Beam Finish Grading Drain/Seal Soils Certification ReRoof: • Grading Cer,ifcahen ear-of, Existing Conditions RoughSheath Na�l�ng • As Built Approved Roof Final Underground Site Inspections: Swimming Pools : Building Sewer Line Location/Rebar/Bonding/Light Supply Water Line Gas Test/Gr Conduit/Ro 'Eject Storm Drain/Catch Basins Pre-Deck • U/G Conduit/Electrical POOL NOT TO EE FILLED UNTIL FENCING IS C0'.1PLETE DO NOT BACKFILL UNTIL ABOVE 15 APPROVED Fence, Gate&Alarm Verify Soils Engineering• Final pool • Compaction, moisture, conditioning•s`tc. Fire Protection Equipm ent: Underfloor/Underslab Inspection: UG Pipe U/F Waste Plumbing Thrust Blocks • U/F Water Hydra U/F Mechanical Flush U/F Electrical Weld Outlet Insp. U/F Framing Overhead Hydro Insulation Subfloor Temp Power Pole lg y� ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Electric Release �/ ,9 az'? Foundation Inspection: Gas Test Setback/Footing UFER Ground (Rebar/Copper) FINAL INSPECTIONS Hardware/Hold-Downs NO OCCUPANCY PERMITTED WITHOUT FINAL Piers/Caissons/Tendons County Environmental DO NOT POUR CONCRETE UNTIL ABOVE IS APPROVED Health Dept (3g1-7578) Shear Inspection (Wood): Planning Dept (354_Z7S0) Roof Nailing Public Works (354-2770) Exterior Walls Fire (393-3Ed8) interior Walls Landscape (354-2797) Hardware/Hold-Downs ALL ABOVE MUST BE APPROVED,E_FORE FINAL BLDG Combo Inspection: Final Electric Framing Final Grade /`'/9F M'A 7 Rough Electric Final Plumbing Rough Mechanical Final Mechanical Rough Plumbing/Topcut Final Building/Construction COVER NO WORK UNTIL ABOVE IS APPROVED insulationCERTIFICATE OF OCCUPANCY Drywall Inspection: OK TO ISSUE Interior Exterior OTHER: Lath Stucco Scratch MISCELLANEOUS INSPECTIONS Masonry Fireplace Plate Ties, Fire Block, PATIO/DECK : Footing Access/Light/Switch Patio Final