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Permit No. 6649 • City ofihin© Hills APPIOATION FOR 81111 DIN-C; FFRMI'E , Community Development • \ , ` 2001 Grand Avenue __ i Chino Hills,CA 91709 Building Address: Proposed Use - St Nd.393 Stree EATHERIDGE POOL/SPA APN1000-451-04 THE FOLLOWING WORK IS AUTHORIZED BY THIS PERMIT Lot 20 Block Trac13915-9 ® Struct. El Plumb. Mech. ® Elect. ❑Grading ApplicantALINS POOLS St No51 35 StreeEDISON #4 Type of Projeg New CIAlter ❑Addition CitGNINO Zia1710 Phone 628-8734 [1 Repair CI Convert. CIDemo O Occupancy Permit OwnelDHN HUNT Project 1 Location on 1 Size St Nd1393 Strep EATHERIDGE Description Property in Sq. Feet FOOL I I CitCyHINO HILLS Z$1709 Phone 606-0538 Engr/Arch Lic No. 2. I I St No. Street 3 I I City Zip Phone 4 I I REMARKS/SPECIAL CONDITIONS/PROJECT DESCRIPTION ContractoMALINS POOLS Lic N638874 .>: Sewer I Min. Depth I S/F/100 I Size St N6135 Stree>EDISON #4 - CitgHINO Z01710 Phone 628-8734 Cubic Yards Excavation Fill Over Excavation City Business License License No. Expiration Date Licensed Contractor's 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. —"i License Class-53 License Numbef138874 •� Date ContractOSIAMEASABOVENCk r'^ Address Cityand Zip Phone __.____._._.__�.___...______.._..____. __....__�.�....�..._�__._...... Owner Builder Declaration I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D 1, e property, mplh wewhle coasmpenthsationowner, will dothe the work, andormy theestructureoyees witrs not intendedagsas urtheir offer oed for sale ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project 0 I am exempt under Sec. ,B&PC for this reason ....................____......,...._......___..._... .__...............,..__.....__......,._____.__..-_�__...._.._____.. _�....._..,. Date Initial Workers' Compensation Declaration I hereby affir under penalty of perjury one of the following declarations: Zoning I Land Use Da I have and will maintain a certificate of consent to self-insure for workers' compen tion as provided by Section 3700 of the Labor Code, for the performance of the work r which this permit is issued Setbacks Model/Plan b. I have and will maintain worker's compensation, as required by Section 3700 of the F12° I SY 5,5 LaborCode, for the performance of the work for which this permit is issued My worker's R1,0 I SSY compensation insurance carrier and policy number are. Ins. Co.: P77-- Group/Division/Type Policy No: /t-2 ,03 Se%C`7r'\1 Exp Date: . 7 . 9 '7 VALUATION (This dection need not be completed if the permit is for one hundred doolars($100)or less) $2 5,000.00 ❑ c I certify that in the performance of the work for which this permit is issued I shall PERMIT FEES not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code I shall forthwith comply with those $90.00 $302.40 provisions. Electrical Struct ural Date7' ' Signature 1ellr!_a ' ____ Warning Failure to secure workers' compensation coverage is unlawful, and shall subject an Plumbing Grading employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest, and attorney's fees Mechanical Issuance $29.00 I certify that I have read this application and state that the above information is correct. I agree to comply with all City Ordinances Geo Review Plan Check and state laws and hereby authorize representatives of this City Issuance Approved Total Permit Fee to enter upon the above mentioned property for inspection )C $421.40 purpo.-S. 7 ��� t Y - Date Issued Permit Number ignatur�f-2Applicant or Agent Date J� -Z -S�� s . 6649 FINANCE CODE CENSUS CODE Print Applicant's/Agent's Name C4 329 • •VSTRUCTION LENDING AGENCI • • I HEREBY_AFFIRM THAT THERE IS A CONSTRUCTION LENDING AGENCY FOR THE PERFORMAIICE 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. 0 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 HAVE READ THE HAZARDOUS MATERIALS QUESTIONNAIRE AND THE WORK APPLIED FOR ON THIS PERMIT DIS DS NOT SUBJECT TO THE APPLICABLE REQUIREMENTS OF THE HEALTH AND SAFETY CODE AND THE LOCAL AIR QUALITY AGENCY. BUILDING INSPECTIONS RECORD DATE INSPCTOR DATE INSPECTOR Setback/Location I � Iao9A ILV/ Rough Plumbing I A14).7I I/Iv/ Shower Pan Test Foundation Reinforcing Steel //i� I PY Stucco Mesh or Exterior Siding Excavation and Forms V Insulation Slab Grade Sewer Ground Plumbing Soil / Interceptor • Ground Plumbing Water 7/1.+�j�y` ,9j -- Septic Tank Underslab Ducts Leach Line or Seep Pit Underslab Conduit 7/3//9 -6"(,-/-/ Water Service Underslab Gas '7/' 3/%G ��' Lath or Drywall Nailing Fireplace Foundation Gas Line Air Test Joists and Girders Final Energy Electrical Ground Final Plumbing Mid-Height Bond Beam Final Heating/A.C. 1 8-Foot Bond Beam I Final Construction 'FOOL 5—f(p'-q Final Bond Beam I Final On Site Improvements Fireplace Bond Beam Final Off Site Improvements Roof Sheathing Final Dedication • Framing and Ventilation Final Zoning Roof Covering Final Electrical Rough Heating Final Gas Service and Ground Developer Fees Paid Rough Electrical I Fire Dept. Approval Verified Bonding I Certificate of Occupancy Over Head Electrical „ I Fence Height \(% rt\ \ ". Gates \v -��`'�� N\ Heater Pool Drainage /-a=cv . c4 1 11 (zz( t(o `(i �7 SEPTIC TANK GALS fele, I l , O`6 ar"I. SEEP. PIT X '/ LEACH LINE WIDE LONG X DEPTH OF ROCK N. '=/;7-/ 4616-S .,\ / un 7_0 W. E. (1./.1 L S. Inspector's Signatureland Initials DATE OF ISSUANCE PERMIT NUMBER 1 a. , • • . DUCO ENGINEERING, INCORPORATED 20938 CURRIER ROAD WALNUT, CALIFORNIA 91789 (818) 964-3449 (714) 594-7414 FAX (714) 594-3853 REPORT OF FIELD INSPECTION CLIENT: Malins Pools DATE: ijil /SI 19 cl6p 5135 Edison Avenue Ste. 4 JOB NUMBER: 96-92 Chino, Ca. 91710 JOB IDENTIFICATION: 1393 Heatheridqe Tare Chino Hills, Ca. The footing excavations listed below are properly founded into material for which the bearing values recommended are applicable. The cast-in-place drilled friction piles/belled caissons listed below are imbedded into,or are founded upon material for which the allowable supporting capacities recommended are applicable. The diameter and depth of the excavation meets the minimum requirement specified on the approved Foundation Plans. The swimming pool excavation was found to be imbedded into approved soils as anticipated in our previous report dated V 6-25-96 . The swimming pool excavation is therefore approved for construction from a Geotechnical Engineering standpoint. The expansive soils for the locations listed below were found to be properly saturated to the required depth and are hereby approved for the pouring of the concrete floor slabs. FIELD NOTES Note: The observations reported above do not constitute an approval of the location,design, or reinforcement of the foundation or swimming pool excavation. All loose,soft or disturbed soils must be removed from the excavation prior to the placement of • rcement or concrete. OQ :- 1 ,/g. � recommendations expressed in this report were based upon our observations and are presented in accordance Qs‘..., .\\ , ge !'� 1 , pted professional engineering practice. We make no other warranty either expressed or implied. UCO ENGINE' 'I. G,INC. waufo w4 � ' Exp NO(z �7 qrE OF CA1.\�� \