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Permit No. 15748 BUIL _DING ADDRESS: 2253 HEDGEROW LANE PERMIT NUMBER: 15748 ` ;:;:s� ' BUILDING INFORMA HON APPLICANT INFORMATION ect BUILDING PERMIT APPLICATION _., Address: 12253 HEDGEROW LANE Name. ELEGANT CUSTOM POOLS Community Development APN: 11024-201-49 Address: 14195 CHINO HILLS PARKWAY#125 .:"fir .. 2001 Grand Avenue • Y Lot 148 City,Zip Code CHINO HiLLS,CA 91709 -;_,, L . Chino Hills,CA 91709 Cross Streets: 'AUTUMN HILL Phone/Pager: 1(909)606-8470 I ext. 1 CM OI CIMO..r.... ., LICENSED CONTRACTOR DECLARATION Tract/Parcel. 13651-9 City Bus Lic#: NEW I hereby affirm that I'm licensed under the provisions of Chapter 9(commencing with Section Valuation 1$25,000.00 I 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: IRON LACHER OWNER BUILDER DECLARATION Name MARK GARGONE Address: 1201 N.TUSTIN AVENUE I hereby affirm that I'm exempt from the Contractor's License Law for the following reason: Address 2253 HEDGEROW LANE City,Zip Code:'ANAHEIM,CA 92807 I,as the owner of the roe Phone. 1(714)630-6100 ext. O property,rty,or my employees with wages as their whole City,Zip Code: CHINO HILLS,CA 91709 compensation,will do the work,and the structure is not intended or offered for sale. Phone: (909)591-8842 ext. Lie#• 120949 O I,as owner of the property,am exclusively contracting with licensed contractors to Bus Lic# N/A City Bus Lic#. I construct the project. 0 I am exempt under Section 1 1 BPC for this reason 1 I Bus Exp: APPROVAL INFORMATION IIW WORKERS'COMPENSATION DECLARATION CONTRACTOR INFORMATION Issued By DORIS CARPENTER I hereby affirm under penalty of perjury one of the following declarations: Contractor: ELEGANT CUSTOM POOLS Date Issued: 08/29/2000 Address. 4195 CHINO HILLS PARKWAY#125 Finance Code. C4 I have and will maintain a certificate of consent to self-insure for workers'compensation 0 is provided by Section 3700 of the Labor Code,for the performance of the work for City,Zip Code CHINO HILLS,CA 91709 Census Code. which this permit is issued Phone or Pager: (909)606-8�Q1 1 ext. I Final Date. Bus.Lic# NEW I have and will maintain workers'compensation,as required by Section 3700 of the �— Final By: abor Code,for the performance of the work for which this permit is issued. My Lic.#: 59( i / LExtension. workers'compensation insurance carrier and policy number are• Exp Date: I 3 / Reviewed By: LAURO BUGARIN INSURANCE INFORMATION Lic.Class: C53 Approved By. LAURO BUGARIN Insurance Company 'CREDIT GENERAL INS. 1 PROJECT INFORMATION Policy Number: IART0015950 1 PROJECT DESCRIPTION LOCATION SQUARE FT. Expiration Date. 18-24-01 1 1 1 Structure Section need not be completed if permit is for one hundred dollars($100)or less Garage: 1 I 1 I certify that in the performance of the work for which this permit is issued. I shall not employ Patio• 1 I any 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: 'POOL AND SPA REAR 1 360 Section 3700 of the Labor Code. i shall comply with those pisvisions. 1 POOL AND SPA /13 . , .g PROPOSED USE �' - ,A W'rrn/ Date: i Signator•. �'% .f/ 0 .ts/� NO FEES PAID. THIS WAS A CURTIS CUSTOM POOL TAKE OVER! I certify I have read this application and state that the.sove in'. ,cI if tion is correct. I agree to comply with all City Ordinances and state laws and hereby authorize representatives of this City to COMMENTS enter upon the above mentioned property for inspection purposes. kk��� Date: 1 1 Signature: i i OTHER FEES REQUIRED - l�V ZONING SETBACKS GRADING PRIOR TO ACTUAL PERMIT PERMIT FEE INFORMATION ISSUANCE Zoning: 1PD Front Yard: 18 Over X: 1 0 ' Issuance: 1 $29 00 1 Electrical: 1 $90.00 ' Land Use: IFR-1 I Side Yard: 5 Cut: 1 0 I School. I NO I Permit Fees: Plan: 1POOL Rear Yard: 20 Development: NO 1 Plan Check: 1 $0.00 I Plumbing. 1 $0.00 I I $421.40 I 1 Fill: I 0 SMIP: $0.00 I Occ: 'ACCESSORY SSY: 15 Total: 1 0 1 Sewer: NO Mechanical 1 $0.00 I Structural: 1 $302 40 1 Type: TO R3 VN Water: I NO Geo Review: 1 $0 00 1 Grading: I $0 00 I Total Fee Due 1 $421.40 I • INSPECTI6N RECORD • INSPECTION DATE INSPECTOR Grading: INSPECTION DATE INSPECTOR Pregrade Meeting Block Wall Inspections : Rough Grade Footing, ReBar Terraces 1st Lift Bond Beam Sub Drains 2nd Lift Bond Beam Finish Grading 3rd Lift Bond Beam Soils Certification Drain/Seal Grading Certification ReRoof: Rough Tear-off, Existing Conditions As Built Approved Sheath Nailing Underground Site Inspections: Roof Final Building Sewer Line Swimming Pools : / Supply Water Line Location/Rebar/Bonding/Light k!?a/Ge:. �II.P,PIJf.� Storm Drain/Catch Basins Gas Test1O/6p U/G Conduit/Electrical Gr Conduit/Ro Elect , /k/pa, /Qlli4,Gow,e/.• DO NOT BACKFILL UNTIL ABOVE IS APPROVED Pre-Deck Verify Soils Engineering: POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Compaction,moisture,conditioning,etc. Fence, Gate&Alarm Underfloor/Underslab Inspection: Final Pool U/F Waste Plumbing Fire Protection Equipment: U/F Water UG Pipe U/F Mechanical Thrust Blocks U/F Electrical Hydro U/F Framing Flush Insulation Weld Outlet Insp. Subfloor Overhead Hydro ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Foundation Inspection: Temp Power Pole Setback/Footing Electric Release UFER Ground(Rebar/Copper) Gas Test Hardware/Hold-Downs Piers/Caissons/Tendons FINAL INSPECTIONS DO NOT POUR CONCRETE UNTIL ABOVE IS APPROVED • NO OCCUPANCY PERMITTED WITHOUT FINAL! Shear Inspection(Wood): County Environmental Roof Nailing Health Dept (391-7570) Exterior Walls Planning Dept (364-2750) Interior Walls Public Works (364-2770) _- -,f Hardware/Hold-Downs Fire (393-3888) Combo Inspection: Landscape (364-2797) Framing Trust Accounts....(364-2769) Rough Electric ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG Rough Mechanical Final Electric Rough Plumbing/Topout Final Grade COVER NO WORK UNTIL ABOVE IS APPROVED Final Plumbing Insulation Final Mechanical Drywall Inspection: Final Building/Construction tW/ ��✓ Interior Water Meter Number Exterior Lath CERTIFICATE OF OCCUPANCY Stucco Scratch OK TO ISSUE MISCELLANEOUS INSPECTIONS Masonry Fireplace OTHER: Plate Ties, Fire Block, Patio/Deck: Footing Access/Light/Switch Patio Final • • t: BUILDING ADDRESS: 2253 HEDGEROW LANE PERMIT NUMBER: 15748 �� ' _0 'r BUILDING INFORMATION APPLICANT INFORMATION o$` , BUILDING PERMIT APPLICATION Address: 12253 HEDGEROW LANE , .' Name: CURTIS CUSTOM POOLS °''' Community Development APN- 11024-201-49 Address. 13220 RIVERSIDE DRIVE ,,.*.— ' 2001 Grand Avenue $ Lot. 148 City,Zip Code: ICHINO,CA 91710 ' . Chino Hills,CA 91709 Cross Streets• AUTUMN HILL Phone/Pager: (909)464-9608 1 ext. 1 "T"°"""""" LICENSED CONTRACTOR DECLARATION '"`°"°"""" TracdParcel• 113651-9 City Bus Licit 199-01082 I hereby affirm that I'm licensed under the provisions of Chapter 9(commencing with Section Valuation 1$25,000.00 I 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• IRON LACHER OWNER BUILDER DECLARATION Name MARK GARGONE Address: 11201 N TUSTIN AVENUE I hereby affirm that I'm exempt from the Contractor's License Law for the following reason Address. 2253 HEDGEROW LANE City,Zip Code. (ANAHEIM,CA 92807 property, employees g y Phone (714)630-6100 ext. I,as the owner of theor my with wages as their whole Cit ZipCode. CHINO HILLS,CA 91709 I I 0 compensation,will do the work,and the structure is not intended or offered for sale. phone: (909)591-8842 ext. Lic#: 120949 O I,as owner of the property,am exclusively contracting with licensed contractors to Bus Lie#. N/A City Bus Lic# construct the project. 0 i am exempt under Section i I BPC for this reason i 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: CURTIS CUSTOM POOLS 1 Date Issued 03/13/2000 Address. 3220 RIVERSIDE DRIVE I Finance Code• C4 / I have and will maintain a certificate of consent to self-insure for workers'compensation as provided by Section 3700 of the Labor Code,for the performance of the work for City,Zip Code: CHINO,CA 91710 Census Code• - which this permit is issued. Phone or Pager: (909)464-9608 1 ext. 1 I Final Date. Bus Lic#. 99-01082 Final B I have and will maintain workers'compensation,as required by Section 3700 of the y C) -Labor Code,for the performance of the work for which this permit is issued. My Lic.#: 661075 Extension• workers'compensation insurance carrier and policy number are: Exp Date: 12/31/00 I Reviewed By: VANCE COOK INSURANCE INFORMATION Lie Class: C53 Approved By: VANCE COOK Insurance Company (CAL INDEMNITY I PROJECT INFORMATION Policy Number: 1N8061976A I PROJECT DESCRIPTION LOCATION SQUARE FT. Expiration Date• 112/1/00 I 1 1 1 1 Structure: O Section need not be completed if permit is for one hundred dollars($100)or less Garage. I I I certify that in the performance of the work for which this permit is issued. I shall not employ Patio. I I I I I any person in any manner so as to become subject to the Workers'Compensation Laws of Porch: I I California and agree that if i should become subject to the workers'compensation provisions of Section 3700 of the Labor Code I shall comply with those provisions. Other. POOL AND SPA 1REAR 1 360 PROPOSED USE POOL AND SPA Date: i i Signature: i 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 to COMMENTS enter upon the above mentioned property for inspection purposes. Date: I /1 y/ ,)I Signature: i (Yr_o__, ----- o i i OTHER FEES REQUIRED ZONING SETBACKS GRADING PRIOR TO ACTUAL PERMIT PERMIT FEE INFORMATION ISSUANCE Zoning: 1PD Front Yard• 18 Over X• 1 0 1 Issuance. $29 00 Electrical. $90.00 Land Use: IFR-1 Side Yard: 5 Cut: 0 School NO Permit Fees: I $421.46 I Development NO Plan Check: $0 00 1 Plumbing I $0.00 1 Plan: POOL 1 Rear Yard 20 Fill 1 0 p 1 SMIP 1 $0.00 1 Occ: ACCESSORY SSY: 15 Total: 0 I Structural. Sewer: NO Mechanical. $0 00 $302.40 I1 Type ITO R3 VN Water: L NO Geo Review: I $0 00 I Grading: $0 00 1 Total Fee Due I $421.40 1 INSPECTION RECORD i .. • • . 1 . - INSPECTION DATE INSPECTOR Grading: INSPECTION DATE INS SECTOR Pregrade Meeting Block Wall Inspections : Rough Grade Footing, ReBar Z _ Terraces 1st Lift Bond Beam Sub Drains 2nd Lift Bond Beam Finish Grading 3rd Lift Bond Beam Soils Certification Drain/Seal Grading Certification ReRoof: Rough Tear-off,Existing Conditions As Built Approved Sheath Nailing Underground Site Inspections: Roof Final Building Sewer Line Swimming Pools: Supply Water Line Location/Rebar/Bonding/Light Storm Drain/Catch Basins Gas Test U/G Conduit/Electrical Gr Conduit/Ro Elect DO NOT BACKFILL UNTIL ABOVE IS APPROVED Pre-Deck Verify Soils Engineering: POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Compaction,moisture,conditioning,etc. Fence, Gate&Alarm Underfloor/Underslab Inspection: Final Pool U/F Waste Plumbing Fire Protection Equipment: U/F Water UG Pipe U/F Mechanical Thrust Blocks U/F Electrical Hydro U/F Framing Flush Insulation Weld Outlet Insp. Subfloor Overhead Hydro ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Foundation Inspection: Temp Power Pole Setback/Footing Electric Release UFER Ground(Rebar/Copper) Gas Test Hardware/Hold-Downs Piers/Caissons/Tendons FINAL INSPECTIONS DO NOT POUR CONCRETE UNTIL ABOVE IS APPROVED NO OCCUPANCY PERMITTED WITHOUT FINAL! Shear Inspection(Wood): County Environmental Roof Nailing Health Dept (391-7570) Exterior Walls Planning Dept (364-2750) Interior Walls Public Works (364-2770) Hardware/Hold-Downs Fire (393-3888) Combo Inspection: Landscape (364-2797) Framing Trust Accounts....(364-2769) Rough Electric ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG Rough Mechanical Final Electric Rough Plumbing/Topout Final Grade COVER NO WORK UNTIL ABOVE IS APPROVED Final Plumbing Insulation Final Mechanical Drywall Inspection: Final Building/Construction / � �i✓ Interior Water Meter Number Exterior Lath CERTIFICATE OF OCCUPANCY Stucco Scratch OK TO ISSUE MISCELLANEOUS INSPECTIONS Masonry Fireplace OTHER: Plate Ties, Fire Block, Patio/Deck: Footing Access/Light/Switch Patio Final • 110 •