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Permit No. 11804 APPLICATION FOR BUILDING PERMIT BUILDING INFORMATION 1..4,1-4 Address: 4366 JASMINE HILL COURT Permit Number: 111804 -�•. Community Development 2001 Grand Avenue APN: 1017-642-48 . "' Chino Hills, CA 91709 Lot: 258 �"`=�"`•"` PERMIT FEES •�� X/ST: PHASE 9 Electrical: $283.25 � crroo!.:1Ft':T;'s. Geo Review: $0.00 LICENSED CONTRACTOR'S DECLARATION Tract: 13601 I hereby affirm that I am licensed under the provisions of Chapter 9(commencing with Valuation: $172,000.00 Grading: $75.00 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: $88.80 Contractor: West Venture Homes Name: West Venture Homes Plan Check: $117.68 Address: 300 E.Magnolia Blvd.Ste 400 Address: 300 E. Magnolia Blvd.Ste.400 Plumbing: $235.50 City,State Zip: Burbank,Ca.91502 City,State Zip: IBurbank,Ca.91502 Structural: $1,176.78 Phone: (818)567-3100 Phone: (818)567-3100 Total Permit Fee: $2,006.01 License Class: B City Bus Lic#: 198-02314 License#: 443069 City Bus Exp: 104/30/98 11111 08/07/97 OWNER INFORMATION SMIP: $17.20 it OWNER BUILDER DECLARATION Name: Total with SMIP: $2,023.21 I hereby affirm that I am exempt from the Contractor's License Law for the following reason Address: 300 E.Magnolia Blvd.Ste.400 City,State Zip: Burbank,Ca.91502 1-1 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: (818)567-3100 APPROVAL INFORMATION ❑ City Bus Lic#: 98-02314 I,as owner of the property,am exclusively contracting with licensed contractors to Approved by: DEBY CONRAD construct the project. City Bus Exp: 04/30/98 Date Issued: 3/27/98 I am exempt under Section 1 1 BPC for this reason I ENGINEER/ARCHITECT INFORMATION Finance Code: C4 / SM WORKERS'COMPENSATION DECLARATION Name: Van Wechel,Erick W. Census Code: 101 Address: 6579 Issac Street Final Date: I hereby affirm under penalty of perjury one of the following declarations. City,State Zip: Chino,Ca.91710 Inspector: E1I have and will maintain a certificate of consent to self-insure for workers' Phone: (909)628-0473 Extension: compensation as provided by Section 3700 of the Labor Code,for the performance City Bus Lic#: n/a Reviewed by: of the work for which this permit is issued . City Bus Exp: EI have and will maintain workers'compensation,as required by Section 3700 of the Eng/Arc Lic#: 20666 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: • Insurance Company: Acord SINGLE FAMILY RESIDENCE P y Policy Number: DWC80745321 Expiration Date: 7/1/98 ❑ Project Description: Location on Prop: Square Feet: Setbacks: Section need not be completed if the permit is for one hundred dollars($100)or less. Livable: SFR 12575 FY I certify that in the performance of the work for which this permit is issued. I shall not employ Garage: Garage 1580 SY: any person in any manner so as to become subject to the Workers'Compensation Laws of Patio Patio 109 RY California and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code. I shall comply with those provisions. Porch: Other: Date: I I Signature: I Zoning: PD Grading: Comments: ELEV (ION CR I certify I have read this application and state that the above information is correct. I agree to Land Use: FR1 comply with all City Ordinances and state laws and hereby authorize representatives of thisCut: Plan: PLAN 3 City to enter upon the above mentioned property for inspection purp9s®s Occ: R-3 Fill: ( _f____>) Date: I3/2 7/i7 4_ Signature: I�s � I Type: V-N Total: 0 0 INSPECTION RECORD INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Grading: Block Wall Inspections: Pregrade Meeting Footing,ReBar Rough Grade 1st Lift Bond Beam Terraces 2nd Lift Bond Beam Sub Drains 3rd Lift Bond Beam Finish Grading Drain/Seal Soils Certification ReRoof: Grading Certification Tear-off,Existing Conditions Rough Sheath Nailing As Built Approved Roof Final Underground Site Inspections: I Swimming Pools: Building Sewer Line . VIZI'6 1 '1 iS SI I ZI 9$N.,..Location/Rebar/Bonding/Light Supply Water Line - ' Gas Test/Gr Conduit/Ro Elect Storm Drain/Catch Basins Pre-Deck U/G Conduit/Electrical POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE DO NOT BACKFILL UNTIL ABOVE IS APPROVED Fence,Gate&Alarm Verify Soils Engineering: Final Pool Compaction,moisture,conditioning,etc. Fire Protection Equipment: Underfloor/Underslab Inspection: .— UG Pipe U/F Waste Plumbing A-t2-4% sal Thrust Blocks U/F Water ������°°°� Hydro U/F Mechanical Flush U/F Electrical Weld Outlet Insp. U/F Framing Overhead Hydro Insulation Subfloor Temp Power Pole ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Electric Release 8',/x, 4'S' '-N"—G-- Foundation ,Foundation Inspection: Gas Test c'/3) .1,-)4,1-e--... Setback/Footing XV la UFER Ground(Rebar/Copper) FINAL INSPECTIONS Hardware/Hold-Downs - ,j� NO OCCUPANCY PERMITTED WITHOUT FINAL! Piers/Caissons/Tendonsk� County Environmental DO NOT POUR CONCRETE UNTIL ABOVE IS APPROVED Health Dept (391-7570) Shear Inspection(Wood): p Planning Dept (364-2790) Roof Nailing 0 %D v1(401 Public Works (364-2770) Exterior Walls ,VL "111.-:41.k Fire (393-3888) Interior Walls *1's 1 Landscape (364-2797) Hardware/Hold-Downs - ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG Combo Inspection: i Final Electric I (1 /---2144-4,1 Framing —HO (��Q — Final Grade I V11)' / Rough Electric (_ "� ) Final Plumbing 1101/ / Rough Mechanical -11,1 6,( ( Final Mechanical O! V Rough Plumbing/Topout . ' Final Building/Construction /y COVER NO WORK UNTIL ABOVE IS APPROVED / t�� Insulation (S Cl `1- CERTIFICATE OF OCCUPANCY p, I Pi 6 . Drywall Inspection: OK TO ISSUE r I Interior 7 1 3I 't 8'1,4, 1 Exterior OTHER: Lath -7 1141116 le"-c,, Stucco Scratch 8-1 I(`t 0 1-1-%-._..e.- MISCELLANEOUS 1-%-�,GMISCELLANEOUS INSPECTIONS Masonry Fireplace W t"'>•ti 'KG,s 1 Co 8 Plate Ties,Fire Block, PATIO/DECK: Footing Access/Light/Switch Patio Final 1 tia 04 • • 258