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Permit No. 19773 BUILDING ADDRESS: 4956 HERITAGE DRIVE PERMIT NUMBER: 19773 . BUILDING INFORMATION APPLICANT INFORMATION ,.\ BUILDING PERMIT APPLICATION Address: 4956 HERITAGE DRIVE Name• 1PARIDISE CONSTRUCTION , '^ ". a. I Community Development APN 1028-521-50 Address:' 12125 MCCORMACK LANE 2001 Grand d ALot: 111 I City,Zip Code. (PLACENTIA,CA 92870 Chino Hills,CA 91709 . .' Cross Streets: (HERITAGE/LOS SERRANOS Phone/Pager 1(714)223-1884 I ext. `...,.....,„ LICENSED CONTRACTOR DECLARATION Tract/Parcel: 115769 City Bus Lic# 102-06107 I hereby affirm that I'm licensed under the provisions of Chapter 9(commencing with Section Valuation. 1$5,000.00 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 WAWVEL Address I hereby affirm that I'm exempt from the Contractor's License Law for the following reason. Address 4956 HERITAGE I City,Zip Code:I I,as the owner of the property,or my employees with wages as their whole City,Zip Code CHINO HILLS,CA 91709 Phone. I ext. O compensation,will do the work,and the structure is not intended or offered for sale Phone: 1(909)606-4648 1 ext Lic#: O I,as owner of the property,am exclusively contracting with licensed contractors to City Bus Lic 4: I Bus Lic# I J construct the project. • I 0 I am exempt under Section i i BPC for this reason i Bus Exp. APPROVAL INFORMATION WORKERS'COMPENSATION DECLARATION CONTRACTOR INFORMATION Issued By. 1DAWN FORSHA I hereby affirm under penalty of perjury one of the following declarations: Contractor PARIDISE CONSTRUCTION I Date Issued: 13/29/02 Address: 12125 MCCORMACK LANE Finance Code: 1C4-SM 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: PLACENTIA,CA 92870 Census Code which this permit is issued. Phone or Pager. (714)223-1884 I ext. Final Date Bus Lic.#: 102-06107 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 Lie.4: 595052 Extension workers'compensation insurance carrier and policy number are: Exp Date: 9/30/02 Reviewed By: ANDY ZUMMO INSURANCE INFORMATION Lic Class: 131 Approved By. ANDY ZUMMO Insurance Company: 1ExemptPROJECT INFORMATION Policy Number: I PROJECT DESCRIPTION LOCATION SQUARE FT. Expiration Date- 1 Structure: 1 1 ® Section need not be completed if permit is for one hundred dollars($100)or less Garage. 1 I certify that in the performance of the work for which this permit is issued I shall not employ Patio• ALUMINUM LATTICE 1REAR 338 ',111) any person in any manner so as to become subject to the Workers'Compensation Laws of Porch: 1 1 California and agree that if I should become subject to the workers'compensation provisions of Other 1 1 Section 3700 of the Labor Code I shall comply with those provisions. PROPOSED USE OPEN LATTICE COVER ON REAR OF HOME Date: i I Signature: I i LEDGER INSPECTION REQUIRED/338 SQ FT ALUM LATTICE PATIO COVER 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 / / �7 / /1../ Date: i 4-3/Z-9/02_1 Signature: I 7�i" . 7h,/// i / OTHER FEES REQUIRED ZONING SETBACKS GRA51A'G PRIOR TO ACTUAL PERMIT PERMIT FEE INFORMATION ISSUANCE Zoning: PD Front Yard 21 Over X: 0Issuance I $29 00 I Electrical. I $0.00 Land Use: FR-1 Side Yard 5/5 School I N I Permit Fees: $171.56 Plan: 1LATTICE PATIO Rear Yard: 15 Fill• 0 Cut: 0 Development: N I Plan Check 1 $56 16 Plumbing 1 $0 00 SMIP. $0.50 Occ. R3 SSY: Sewer: N 1 Mechanical. 1 $0 00 Structural 1 $86 40 Total 0 Total Fee Due $172.06 Type. IVN I Water: N 1 Geo Review I $0 00 Grading I $0 00 INSPECTION RECORD Permit Number Inspection Date Inspector Inspection Date Inspector Grading: Pregrade Meeting FINAL INSPECTIONS (Inspector verify following) Rough Grade NO OCCUPANCY PERMITTED WITHOUT FINAL ! Terraces County Environmental Sub Drains Health Dept Finish Grading Planning Dept Soils Certification Public Works Grading Certification Fire Rough Landscape As Built Approved Underground Site Inspections: ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG Building Sewer Final Grade U.G.Waste Plumbing Water Service Final Electric Final Plumbing Storm Drain/Catch Basins Final Mechanical U/G Conduit/Electrical Compaction Report Final Building/Construction hL - ("_,0 Kev-L 27 ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Water Meter Number Footings 9 CERTIFICATE OF OCCUPANCY UFER Ground (Rebar/Copper) 7 ,1 Hardware/Hold-Downs f. Piers/Caissons/Tendons OTHER: Slab Grade Ari -D6= ),e- q% 6, DO NOT POUR CONCRETE UNTIL ABOVE IS APPROVED Shear Roof Nailing • Exterior Walls Interior Walls Hardware/Hold-Downs Rough Electric Rough Mechanical Rough Plumbing/Topout Framing COVER NO WORK UNTIL ABOVE IS APPROVED Insulation Drywall Interior/Exterior Lath Stucco Scratch Roof Covering Block Wall Inspections : Footing, ReBar 1st Lift Bond Beam 2nd Lift Bond Beam 3rd Lift Bond Beam Drain/Seal SWIMMING POOLS : Location/Rebar/Bonding/Light Gr Conduit Ro Elect POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Fence, Gate&Alarm Final Pool Temp Power Pole Electric Release Gas Test • 411