Loading...
Permit No. 12848 BUILDING ADDRESS: 3096 CHAMPION STREET PERMIT NUMBER: 12848 A BUILDING INFORMATION nt �1 APPLICANT INFORMATION ' ``iii. pr BUILDING PERMIT APPLICATION Address: 13096 CHAMPION STREET Name. JIM SLAGLE `1 ', Community Development APN. i1032-581-51 Address: 15412 BOLSA AVE 2001 Grand Avenue Lot. 194 City,Zip Code: HUNNINTON BEACH,CA 92649 •,. Chino Hills,CA 91709 Cross Streets: CHINO HILLS PARKWAY Phone/Pager °""�. LICENSED CONTRACTOR DECLARATIONg 373-8545 Tract/Parcel- 15665 City Bus Lic# 100323323 9 I hereby affirm that I'm licensed under the provisions of Chapter 9(commencing with Section Valuation: $5,040 00 7000 of Division 3 of the Business and Professions Code)and my license is in full force and ENGINEER/ARCHITECT INFORMATION effect OWNER INFORMATION OWNER BUILDER DECLARATION Name N/A Name: 1KRISTEN AND ANDY LY Address. I hereby affirm that I'm exempt from the Contractor's License Law for the following reason Address: 3096 CHAMPION STREET 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: 0 compensation,will do the work,and the structure is not intended or offered for sale Phone 1(909)606-0696 1 Lie#: I,as owner of the property,am exclusively contracting with licensed contractors to°JO Bus Lic# N/A City Bus Lie# construct the project. Bus Exp. I am exempt under Section I BPC for this reasonI APPROVAL INFORMATION WORKERS'COMPENSATION DECLARATION CONTRACTOR INFORMATION I hereby affirm under penalty of perjury one of the following declarations Contractor Galkos Construction Approved By: YVETTE MARTINEZ Address- 15412 BOSA AVE. 1 Date Issued: 9/2/98 I have and will maintain a certificate of consent to self-insure for workers'compensation 0 as provided by Section 3700 of the Labor Code,for the performance of the work for City,Zip Code Hunnington Beach,Ca 92649 1 Finance Code 1C4-SM which this permit is issued Phone or Pager: (714)373-8545 Census Code Bus.Lic.# 03239 1 Final Date. 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 # 1492714 Final By: workers'compensation insurance carrier and policy number are. Exp Date 6/30/98 1 Extension: Lie Class B 1 Reviewed By. 1ED LUM INSURANCE INFORMATION PROJECT DESCRIPTION LOCATION SQUARE FT. Insurance Company: State Fund Q Policy Number 1229980011739 PROJECT INFORMATION Expiration Date: 1/1/99 1 Structure- 1 0 Section need not be completed if permit is for one hundred dollars($100)or less Garage. I certify that in the performance of the work for which this permit is issued I shall not employ Patio. •ny 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 11CBO#5038PA� 1 420 Section 3700 of the Labor Code. I shall comply with those provisions / / \ \ PROPOSED USE ICBO PATIO cr#50 P 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 authorize representatives of this City M to enter upon the above mentioned property for inspection purposes. /f COMMENTS Date: i 9—2.--q , I Signature: I (_-4a�.1-.,%l ZONING SETBACKS G D AING PERMIT FEE INFORMATION Zoning 1PD Front Yard: 25 Over X 0 Issuance: $29 00 Electrical. $0 00 Land Use: IFR-1 Side Yard: 5/5 Cut. 0 Permit Fees: 1 $126.20 Plan Check. 1 $0 00 Plumbing. 1 $0.00 Plan: Rear Yard: I 15 I Fill 1 0 SMTP $0 60 Occ ACCESSORY SSY: Total. 0 Mechanical. $0 00 Structural: $97 20 Type TO R3 Geo Review $0 00 Grading $0 00 Total Fee Due 1 $126.80 INSPECTION RECORD 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/Gr Conduit/Ro Elect Storm Drain/Catch Basins Pre-Deck U/G Conduit/Electrical POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE DO NOT BACKFILL UNTIL ABOVE IS APPROVED Fence, Gate&Alarm Verify Soils Engineering: Final Pool Compaction,moisture,conditioning,etc Fire Protection Equipment: Underfloor/Underslab Inspection: UG Pipe U/F Waste Plumbing Thrust Blocks U/F Water Hydro U/F Mechanical Flush U/F Electrical Weld Outlet Insp U/F Framing Overhead Hydro Insulation Subfloor Temp Power Pole ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Electric Release 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 (391-7570) Shear Inspection(Wood): Planning Dept (364-2790) Roof Nailing Public Works (364-2770) Exterior Walls Fire (393-3888) Interior Walls Landscape (364-2797) Hardware/Hold-Downs ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG Combo Inspection: Final Electric Framing Final Grade Rough Electric Final Plumbing Rough Mechanical Final Mechanical Rough Plumbing/Topout Final Building/Construction COVER NO WORK UNTIL ABOVE IS APPROVED Insulation CERTIFICATE OF OCCUPANCY Drywall Inspection: OK TO ISSUE Interior Exterior OTHER: Lath Stucco Scratch MISCELLANEOUS INSPECTIONS • Masonry Fireplace Plate Ties, Fire Block, PATIO/DECK: Footing 4 Lf✓txt- ' C'LTS q-30-'/8" Access/Light/Switch ` ' Patio Final e 'Art1-a1-C© i7,4 ,Uer) 0,42 00G, Gf erne, r " ` i •