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Permit No. 14413 • BUILDING ADDRESS: 16287 IVORY COURT PERMIT NUMBER: 14413 BUILDING INFORMATION APPLICANT INFORMATION • ..; - BUILDING PERMIT APPLICATION Address: 116287 IVORY COURT Name JIM.WEISS � :`.4, Community Development APN: 1017-412-14 Address 16287 IVORY COURT . ' !"' 2001 Grand Avenue Lot 122 City,Zip Code: CHINO HILLS,CA 91709 .:... ,, Chino Hills,CA 91709 ;:�i�_':. Cross Streets: 1 Phone/Pager (909)606-1454 I ext. 1 .„.„........„. LICENSED CONTRACTOR DECLARATION Tract/Parcel: 113507-3 City Bus Lic#- N/A I hereby affirm that I'm licensed under the provisions of Chapter 9(commencing with Section Valuation 1$6,336.00 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: RON LACHER OWNER BUILDER DECLARATION Name: (JIM WEISS Address: 1201 N.TUSTIN AVENUE I hereby affirm that I'm exempt from the Contractor's License Law for the following reason: Address 116287 IVORY COURT City,Zip Code: ANAHEIM,CA 92809 property, y g ty Phone (714)630-6100 ext. I,as the owner of theor m employees with wages as their whole Ci ZipCode: ICHINO HILLS,CA 91709 ( 0 compensation,will do the work,and the structure is not intended or offered for sale. Lic#: 20949 Phone: 1(909)606-1454 ext. ,- I,as owner of the property,am exclusively contracting with licensed contractors to Bus Lic#: City Bus Lic#: 1 I construct the project. 0 I am exempt under Section i I BPC for this reason 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: TOWNER BUILDER I Date Issued 7/6/99 Address: I Finance Code• C4 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: Census Code: which this permit is issued. Phone or Pager ext 1 I Final Date: 2//.27c./_ Bus.Lic.# I have and will maintain workers'compensation,as required by Section 3700 of the Final By• -. OLabor Code,for the performance of the work for which this permit is issued. My Lic # I Extension- workers'compensation insurance camer and policy number are Exp Date: i I Reviewed By. KEITH L.PRYOR Lie Class. INSURANCE INFORMATION Approved By. KEITH L.PRYOR e, Insurance Company: EXEMPT I PROJECT INFORMATION Policy Number: I PROJECT DESCRIPTION LOCATION SQUARE FT. Expiration Date: I Structure 1 I I I 0 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 any person in any manner so as to become subject to the Workers'Compensation Laws of Porch. I I I al California and agree that if I should become subject to the workers'compensation provisions of Other: RET.WALL 1 (STREET SIDE 1 528 Section 3700 of the Labor Code I shall comply with those provisions. RETAINING WALL PROPOSED USE 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 COMMENTS , to enter upon the above mentioned property for inspection p\r{�ose,�s. ' Ni Date: I �/�j /�Cf I Signature: 1�1-\ \JcW� ` ` A�J� OTHER FEES REQUIRED ZONING SETBACKS GRADING PRIOR TO ACTUAL PERMIT PERMIT FEE INFORMATION ISSUANCE Zoning: 1PD Front Yard: 24 Over X: 1 0 1 Issuance. $29.00 Electrical $0.00 Land Use (FR-1 Side Yard. 5 Cut: 1 0 I School: NO 1Permit Fees: $137.00 Plan. 1RET.WALL Rear Yard• 20 Development: NO Plan Check: $0.00 Plumbing- $0.00 Fill: 0 SMIP. $0.00 I Occ: (ACCESSORY SSY• 15 Total: I 0 1 Sewer. 1 NO I Mechanical: I $0 00 I Structural 1 $108 00 Type: (TO R3 VN Water. NO I Geo Review I $0 00 Grading $0 00 I Total Fee Due $137.00 INSPECTION RECORD • INSPECTION DATE INSPECTOR Grading: INSPECTION DATE INSPECTOR Pregrade Meeting Block Wall Inspections: /rr � Rough Grade Footing,ReBar -i7�`( Terraces 1st Lift Bond Beam 1 • , Sub Drains 2nd Lift Bond Beam 1 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/Gr Conduit/Ro Elect U/G Conduit/Electrical Pre-Deck DO NOT BACKFILL UNTIL ABOVE IS APPROVED POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Verify Soils Engineering: Fence,Gate&Alarm Compaction,moisture,conditioning,etc. Final Pool Underfloor/Underslab 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. Insulation Overhead Hydro • Subfloor ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION TEMP.POWER POLE Foundation Inspection: ELECTRIC RELEASE Setback/Footing GAS TEST UFER Ground(Rebar/Copper) Hardware/Hold-Downs FINAL INSPECTIONS Piers/Caissons/Tendons NO OCCUPANCY PERMITTED WITHOUT FINAL I DO NOT POUR CONCRETE UNTIL ABOVE IS APPROVED County Environmental Shear Inspection(Wood): Health Dept (391 7570) Roof Nailing Planning Dept (364-2790) Exterior Walls Public Works (364-2770) Interior Walls Fire (393-3888) Hardware/Hold-Downs Landscape (364-2797) Combo Inspection: ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG Framing Final Electric Rough Electric Final Grade Rough Mechanical Final Plumbing Rough Plumbing/Topout Final Mechanical , f COVER NO WORK UNTIL ABOVE IS APPROVEDFinal Building/Construction ;Z//2r_>/ A 4:_A' Insulation Drywall Inspection: CERTIFICATE OF OCCUPANCY Interior OK TO ISSUE Exterior Lath OTHER: Stucco Scratch MISCELLANEOUS INSPECTIONS: Masonry Fireplace: Plate Ties, Fire Block, Patio/Deck: Footing Access/Light/Switch Patio Final �• • • • Erin and TEst Inc . :12ff AP EnginEEring g, 2603 Pomona Boulevard,Pomona,CA 91768 • (909)869-6316 • Fax(909)869-6318 GEOTECHNICAL INSPECTION REPORT Report No: DATE: g/ l g 41 CLIENT: 1l'am old 4k PROJECT NO. .°a Q M ' l�2 Js`j' 0,64)400,64)40 }-(>‘ I(S TIME: JOB ADRESS: �7 voe / 9 SOILS REPORT DATED: 6/2.3 /47e/ TYPE OF WORK: /700 1 2x cAVaJb vn Repo rt-- INSPECTION REPORT LEFT AT: Pe pm 1 gi)X A REPRESENTATIVE OF THIS FIRM HAS INSPECTED THE ABOVE WORK ITEMNAT THE SUBJECT SITE. )X APPROVED PER THE PLANS DISAPPROVED SEE BELOW GENERAL COMMENTS AND CONDITIONS OF APPROVAL: pool tt4cinnliA-ib I'5 u1eproXI' (y 331 lOV'- 4 0t44 141 `IV Wic . gyp* o-F zx cywol-4b v► age 5 frp vv1 4` .0 E . The botio 1.4(cava,biA poseA b•eotuck o-- P,A,e vtie 'facwiAl a'vl a 5cv► s 5.((+5ivvw wr+z,-la -A. • Rob i vvi fl^e, 60.1-6 w► ;vial cam.--4-e,s I-f, bo Uovv roc[ 15 11,viGt �J mr,� + �: 8 Loi,cs s`2r'ViS c`� 0 How, . koLg Cn►.1 *mai 0 S ',1st; Pcsecl ewlo 5.f( I�ec��roC e4„,l'. 61i , Noodi s cfAwi c.-k. 09061141),A 1) �i� ►\ica LK c wlhirb A4 i,� .� ,w�vv+ec,P.rd ' i u° '- TiAt ACTION ITEMS: t�G1411.DvN • re... ' ` b\� Vi4‘\tea_ .v' LIf"(‘-)71, J*J n INSPECTED BY: A - Pk pJ . SIGNATURE: .0 F 1,7,. - a 6/ _ _