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Permit No. 11367 /--1., APPLICATION FOR BUILDING PERMIT \ BUILDING INFORMATION - '‘ Address: 2562 HIGH GATE COURT Permit Number: 111367 Community Development 2001 Grand Avenue APN: 1023-261-36 PERMIT FEES Chino Hills, CA 91709 Lot: 13 Electrical: $35.86 `:`iewa` ° X/ST: ,c,R;P;';'!",°. 5 1 Geo Review: $0.00 LICENSED CONTRACTOR'S DECLARATION Tract: 12137 Grading: $0.00 I hereby affirm that I am licensed under the provisions of Chapter 9(commenci g with Valuation: $20,000.00 Section 7000 of Division 3 of the Business and Professions Code)and my license-is-in Issuance: $29.00 full force and effect. APPLICANT INFORMATION Mechanical: $0.00 Contractor: GLC CONSTRUCTION CO. Name: IGLC VICARA DRIVE Plan Check: $0.00 Address: 8490 VICARA DRIVE Address: (ALTO LOMA,CA.91709 Plumbing: $0.00 City,State Zip: ALTA LOMA,CA. 91701 City,State Zip: CHINO HILLS,CA 91709 Structural: $273.24 Phone: (909)945-9953 Phone: (909)945-9953 Total Permit Fee: $338.10 License Class: B City Bus Lic#: NEW License#: 354282 City Bus Exp: Date: 6/30/99 OWNER INFORMATION SMIP: $2.00 OWNER BUILDER DECLARATION Name: MR AND MRS.NELSON Total with SMIP: $340.1 91 I hereby affirm that I am exempt from the Contractor's License Law for the following reason: Address: 2562 HIGH GATE COURT City,State Zip: CHINO HILLS,CA.91709 I,as the owner of the property,or my employees with wages as their whole compensation,will do the work,and the structure is not intended or offered for sale Phone: 1c909)628 2018 APPROVAL INFORMATION City Bus Lic#: riI,as owner of the property,am exclusively contracting with licensed contractors to Approved by: K.L.PRYOR construct the project City Bus Exp: Date Issued: 1/27/98 I am exempt under Section I I BPC for this reason I ENGINEER/ARCHITECT INFORMATION Finance Code: C-4 SM WORKERS'COMPENSATION DECLARATION Name: 'ROBERT SULLIVAN Census Code: Address: 1902 W. NINTH ST. Final Date: I hereby affirm under penalty of perjury one of the following declarations: City,State Zip: UPLAND,CA 91786 Inspector: ❑ I have and will maintain a certificate of consent to self-insure for workers' Phone: (909)946-8576 Extension: compensation as provided by Section 3700 of the Labor Code,for the performance City Bus Lic#: Reviewed by: of the work for which this permit is issued City Bus Exp: nI have and will maintain workers'compensation,as required by Section 3700 of the Eng/Arc Lic#: Labor Code,for the performance of the work for which this permit is issued. My workers'compensation insurance carrier and policy number are: Proposed Use: • ROOM ADDITION Insurance Company: Policy Number: Expiration Date: ❑ Section need not be completed if the permit is for one hundred dollars($100)or less. Project Description: Location on Prop: Square Feet: Setbacks: Livable: 1ROOM ADDITION SIDE 326 FY 19 5 I certify that in the performance of the work for which this permit is issued. I shall not employ Garage: I SY: 5/5 any person in any manner so as to become subject to the Workers'Compensation Laws of Patio RY 15 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. Porch: �.--- -.. i. Other: Date: I I—Z--) (Cl q S-I Signature: / I _______1 Comments: / Zoning: PD Grading: I certify I have read this application and state that the above information is corredj.l I agree to Land Use: FRI comply with all City Ordinances and state laws and hereby authorize representati es of this Plan: Cut: 0 City to enter upon the above mentioned property for inspection purposes. Occ: 1R-3 Fill: 0 -----Th� Total: 0 Date: 1 / —Z-) , f 99-k1 k1 Signature: ( ; (____::1_ ^ Type: IVN INSPECTION RECORD INSPECTION DATE INSPECTOR (if applicable) Grading: Plate Ties Pregrade Meeting Throat Damper Rough Grade Shower Pan Terraces Temp Power Pole Electric Green Tag(wiring to be protected) Sub Drains Ground Rod Gas Test(after drywall) Finish Grading Gas Yellow Tag Soils Certification Other • Grading Certification Reroof: Rough Tearoff Final Roof Nail/Existing Conditions As Built Approved Swimming Pools: Underground Site Inspections: Location on Site Building Sewer Line Rebar Supply Water Line Bonding Storm Drain/Catch Basins Gas Piping/Test U/G Conduit/Electrical Predeck Final DO NOT BACK FILL UNTIL ABOVE IS APPROVED Verify Soils Engineering: FINAL REQUIRED-POOL NOT TO BE FILLED Compaction,moisture,conditioning,etc. UNTIL FENCING IS COMPLETE Underfloor/Undersalb Inspection: Fire Protection Equipment: U/F Waste Plumbing UG Pipe U/F Water Thrust Blocks U/F Mechanical Hydro U/F Electrical Flush U/F Framing Weld Outlet Insp. OK to Install Insulation Overhead Hydro OK to Install Subfloor Other Fence ABOVE IS REQUIRED PRIOR TO FOUNDATION INSP. Alarm &Gate Alarm Foundation Inspection: Test/Final Setback Perimeter Footings FINAL INSPECTIONS Interior Footings (NO OCCUPANCY PERMITTED WITHOUT FINAL) UFER Ground(Rebar/Copper) County Environmental Hardware/Hold-Downs Health(if required) Piers/Caissons/Tendons Public Works OK to Pour Concrete Fire Landscape DO NOT POUR CONCRETE UNTIL ABOVE IS APPROVED Building K -#, Shear Inspection(Wood): Exterior Walls CERTIFICATE OF OCCUPANCY Interior Walls Hardware/Hold-Downs OK to Install Lath OK TO SUPPLY Connection to Roof(if required) Roof Nail Inspection: -- 5i.0 NOTE 2- 30-4S t.t , OTHER: Frame Inspection: 2-12 -9g 2Z3 ' reit 44;z2,77,r/ Framing 4- 14. (IS FL- ,P/Fa✓lre2, i 2 Ove .0/ it G,-A//>OW7J mt•a An,a✓ Lath nie)' fB f44of 6/Arcs Atrcae4,2rr ti idJ‘ Plumbing Topout oi- Ham,L �2.. Rough Mechanical 4'-K}_ q$ 2- 30- 9 E3 C.c.J ISS utr)- ve r&IL ReW' Yo rL V JrU J Multi-Story Waste Test (11 OlFr(/)1W/f` 2x& Le-PGEYt I"i/II DOt Pel OK to Insulate SEE "-0 r€,• 'i--14-48 O/L t i t'/Tk /Zo,g :1.7u5 Oi Mr; OKtoPlaceDrywall 4-2l- etV 4-2-Rg C.ru+ fCSti 'o 4-14-0117 GL ISSE9 . 0 Ru so 20t_el. COVER NO WORK UNTIL ABOVE IS APPROVED Wi n-i i N S in A tiniJ 1?,1 Drywall Inspection: Nail/Screw Drywall Shear Nailing OK to Tape Drywall OK to Stucco INSPECTION DATE INSPECTOR Miscellaneous Inspections: • Masonry Fireplace