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Permit No. 16299 BUILDING ADDRESS: 2253 HEDGEROW PERMIT NUMBER: 16299 .. • . BUILDING INFORMATION APPLICANT INFORMATION ,t,,BUILDING PERMIT APPLICATION' Address: 2253 HEDGEROW I Name: 1CURTIS CUSTOM POOLS ' *9r Community Development APN: 11024-201-49 I Address: 13220 RIVERSIDE DR P' Grand 2001 Avenue � Lot 148 City,Zip Code: (CHINO,CA 91710 •...• Chino Hills,CA 91709 :-::.k ', Cross Streets: CHINO HILLS PARKWAY Phone/Pager- 1(909)464-9608 I ext. CITY °'CN"°""S LICENSED CONTRACTOR DECLARATION Tract/Parcel: 113651-9 1 City Bus Lic#: 11083 I hereby affirm that I'm licensed under the provisions of Chapter 9(commencing with Section Valuation: 1$1,848.00 1 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 DECLARATIONName: MARK GORGONE I Address: 11201 N TUSTIN AV I hereby affirm that I'm exempt from the Contractor's License Law for the following reason: Address: 2253 HEDGEROW I City,Zip Code:'ANAHEIM,CA 92807 property, g y Phone: 1(714)630-6100 I,as the owner of theor myemployees with wa es as their whole Cit ZipCode. CHINO HILLS,CA 91709I ext. O compensation,will do the work,and the structure is not intended or offered for sale. phone: (909)591-8842 ext. I Lie# 120949 O I,as owner of the property,am exclusively contracting with licensed contractors to Bus Lic#. 1083 City Bus Lic#: I construct the project. • Bus Exp. ® I am exempt under Section I I BPC for this reason APPROVAL INFORMATION WORKERS'COMPENSATION DECLARATION CONTRACTOR INFORMATION Issued By KEITH L.PRYOR I hereby affirm under penalty of perjury one of the following declarations. Contractor. CURTIS CUSTOM POOLS Date Issued: 06/23/2000 Address: 3220 RIVERSIDE DR Finance Code- C4 I have and will maintain a certificate of consent to self-insure for workers'compensation ©r, 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 I ext. I Final Date: Bus.Lic.#• 1083 Final By: I have and will maintain workers'compensation,as required by Section 3700 of the 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 Reviewed By. KEITH L.PRYOR Lie.Class• C-53 . -7- Approved By: KEITH L.PRYOR INSURANCE INFORMATION Insurance Company: 'CALIF INDEMITY 1 PROJECT INFORMATION Policy Number: 1N8061976A I PROJECT D S PION LOCATION SQUARE FT. Expiration Date: 112/31/00I v Structure: Section need not be completed if permit is for one hundred dollars($100)or less Garage I 1 I certify that in the performance of the work for which this permit is issued I shall not employ Patio I any person in any manner so as to become subject to the Workers'Compensation Laws of Porch: 1 III California and agree that if i should become subject to the workers'compensation provisions of Other 'RETAINING WALL 1SIDEYARD ' 1 154 Section 3700 of the Labor Code. I shall comply with those provisions. RETAINING WALL PROPOSED USE Date: i i Signature: i I . 42"RETAINING WALL WITH 48"HIGH POOL BARRICADE ON TOP(WROGHT IRON) 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 representatives of this City to • COMMENTS enter upon the above mentioned property for inspection purposes. (� Date: i 62fen V U I Signature: /Q—a-- ------ imi ti OTHER FEESREQU/RED 'a�\N ZONING SETBACKS GRADING PRIOR TO ACTUAL PERMIT ISSUANCE PERMIT FEE INFORMATION Zoning: 1PD 1 Front Yard: "sXIST1NC Over X: I 0 I Issuance I $29.00 1 Electrical. I $0.00 I Land Use: IFR1 ' Side Yard: Cut. 1 0 I School- 1 N Permit Fees: I $114.14 Plan Check: $33 54 Plumbing. $0.00 Plan: I I Rear Yard: Fill 1 0 Development: I N I I SMIP 1 $0.00 I Occ: RETAINING WA SSY. Sewer •I N Mechanical• I $0.00 I Structural: I $51.60 I Type: INR I Total: � Water: N Total Fee Due I $114.14 1 Geo Review• 1 $0 00 I Grading- $0.00 I INSPECTION RECORD INSPECTION DATE INSPECTOR Grading: INSPECTION DATE INSPECTOR Pregrade Meeting Block Wall Inspections: Rough Grade Footing,ReBar Terraces 1st Lift Bond Beam /( j���� Sub Drains 2nd Lift Bond Beam Finish Grading 3rd Lift Bond Beam / Soils Ceryfication Drain/Seal �� irt,'./r - / 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 Verif0Soils 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 Drywall Inspection: Final Building/Construction $/fip `�— 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 0 •